HESI PN MENTAL HEALTH NEWEST ACTUAL EXAM
COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS
if a female client is sitting alone in the group room of psychiatric unit, nodding head
and talking to herself, hearing voices and they are telling her to turn herself in to FBI,
what should the PN do? - ANSWER: Distract her by turning on tv
An OCD patient repeatedly washing a table top. What intervention should the PN
do? - ANSWER: Allow time for behavior and then redirect to other activities
A highly successful businessman presents to community mental health after
complaining of sleepiness and anxiety over his financial status. What should the PN
do to diminish his anxiety? - ANSWER: Teach him to limit sugar and caffeine intake.
A patient is being discharged from psychiatric facility with a prescription for the anti
psychotic agent (Mellaril). What should the PN tell the patient to do? - ANSWER:
Stand up slowly because the medication can cause hypotension.
An 18 year old has been told he has Hodkins disease when the PN enters the room.
He yells to get out, I want to die. What should the PN tell him? - ANSWER: Tell me
what the health care provider said.
The grandmother of a young adult male admitted to psychiatric unit request info
about his treatment. What should the PN do? - ANSWER: Ensure a signed release of
info includes grandma.
A client experiencing withdrawal from Xanax is having severe agitation and tremors.
What should the PN do? - ANSWER: Initiate seizure precaution.
A daughter gained weight because she is under so much stress deciding whether to
send dad to nursing home or her home. What should the PN do? - ANSWER: Offer to
assist her in examining the pros and cons of the choices for him
A man complains of decrease concentration at work, tired during day, sleeps four to
five hours at night. What should the PN ask? - ANSWER: Do you often feel sad.
A PN attempts to assist an 18 year old female with mild mental disability to ambulate
first day post op after appendectomy. She refuses. What should you tell her? -
ANSWER: I'll be back in 30 minutes to get you out of bed and walk around the room
today.
A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE
CANCER.I DO NOT HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? -
ANSWER: YES, YOUR CONDITION IS SERIOUS.
, WHILE CONDUCTING A MENTAL STATUS EXAMINATION OF A NEWLY ADMITTED
MALE CLIENT HEAD LOWERED AND STARES AT HIS HANDS BASED ON THIS
OBSERVATION WHAT SHOULD THE PN RESPOND? - ANSWER: HOW ARE YOU
FEELING TODAY
ALCOHOLIC ADMITTED TO THE HOSPITAL WITH EARLY STAGE OF CIRRHOSIS OF THE
LIVER, HE TELLS THE PN THAT HE KNOWS HE CAN NOT STOP DRINKING WHAT
RESPONSES IS BEST TO PROVIDE - ANSWER: TELL ME WHAT YOU THINK WILL
HAPPEN TO YOU IF YOU DO CONTINUE TO DRINK
A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH
INFORMATION SHOULD BE A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD
ABUSE - ANSWER: THE CHILD HAS HAD 4 PREVIOUS VISITS TO 3 NUMBER OF
EMERGENCY DEPARTMENT
NURSING MEASURE FOR VICODIN - ANSWER: OBSERVE THE CLIENT FOR FURTHER
NARCOTIC EFFECTS
OLDER CLIENT BECOME DISORIENTED AND CONFUSED. SIGNS OF LEFT EXTREMITY
WEAKNESS BUT NO NEURO CHANGES. - ANSWER: CALL AN AMBULANCE TO TAKE
THE CLIENT TO THE HOSPITAL
HALDOL INCREASE TEMP: 104 F AND MUSCULAR RIGIDITY - ANSWER: CALL AN
AMBULANCE
ALZHEIMER'S PATIENT ADMITTED TO AN EXTENDED CARE FACILITY. WHAT SHOULD
YOU DO? - ANSWER: PLAN TO HAVE THE SAME NURSING STAFF PROVIDE CARE FOR
THE CLIENT WHENEVER POSSIBLE
A FEMALE CLIENT COULD NOT SLEEP LAST NIGHT BECAUSE SHE IS UNHAPPY IN HER
JOB.WHAT TYPE OF THOUGHTS IS THE CLIENT HAVING - ANSWER: OBSESSIVE
THOUGHT THAT THE CLIENT IS UNABLE TO CONTROL
Alcohol withdrawal-hospitalization - ANSWER: Alcohol detoxification precipitates a
withdrawal syndrome that includes neurological and cardiovascular changes that
require constant monitoring and medical management to safely move the client to
an alcohol-free physiology. The other responses are ineffective and may contribute
to the client's defensiveness.
Depression-1st priority - ANSWER: Maslow's hierarchy or needs begins with ensuring
physiologic needs and safety as primary needs. The priority investigation is to
provide a safe stable, and predictable routine that will meet the client's basic needs.
The other actions are indicated, but first an environment that is predictable should
be ensured to facilitate the client's participation in self care.
COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS
if a female client is sitting alone in the group room of psychiatric unit, nodding head
and talking to herself, hearing voices and they are telling her to turn herself in to FBI,
what should the PN do? - ANSWER: Distract her by turning on tv
An OCD patient repeatedly washing a table top. What intervention should the PN
do? - ANSWER: Allow time for behavior and then redirect to other activities
A highly successful businessman presents to community mental health after
complaining of sleepiness and anxiety over his financial status. What should the PN
do to diminish his anxiety? - ANSWER: Teach him to limit sugar and caffeine intake.
A patient is being discharged from psychiatric facility with a prescription for the anti
psychotic agent (Mellaril). What should the PN tell the patient to do? - ANSWER:
Stand up slowly because the medication can cause hypotension.
An 18 year old has been told he has Hodkins disease when the PN enters the room.
He yells to get out, I want to die. What should the PN tell him? - ANSWER: Tell me
what the health care provider said.
The grandmother of a young adult male admitted to psychiatric unit request info
about his treatment. What should the PN do? - ANSWER: Ensure a signed release of
info includes grandma.
A client experiencing withdrawal from Xanax is having severe agitation and tremors.
What should the PN do? - ANSWER: Initiate seizure precaution.
A daughter gained weight because she is under so much stress deciding whether to
send dad to nursing home or her home. What should the PN do? - ANSWER: Offer to
assist her in examining the pros and cons of the choices for him
A man complains of decrease concentration at work, tired during day, sleeps four to
five hours at night. What should the PN ask? - ANSWER: Do you often feel sad.
A PN attempts to assist an 18 year old female with mild mental disability to ambulate
first day post op after appendectomy. She refuses. What should you tell her? -
ANSWER: I'll be back in 30 minutes to get you out of bed and walk around the room
today.
A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE
CANCER.I DO NOT HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? -
ANSWER: YES, YOUR CONDITION IS SERIOUS.
, WHILE CONDUCTING A MENTAL STATUS EXAMINATION OF A NEWLY ADMITTED
MALE CLIENT HEAD LOWERED AND STARES AT HIS HANDS BASED ON THIS
OBSERVATION WHAT SHOULD THE PN RESPOND? - ANSWER: HOW ARE YOU
FEELING TODAY
ALCOHOLIC ADMITTED TO THE HOSPITAL WITH EARLY STAGE OF CIRRHOSIS OF THE
LIVER, HE TELLS THE PN THAT HE KNOWS HE CAN NOT STOP DRINKING WHAT
RESPONSES IS BEST TO PROVIDE - ANSWER: TELL ME WHAT YOU THINK WILL
HAPPEN TO YOU IF YOU DO CONTINUE TO DRINK
A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH
INFORMATION SHOULD BE A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD
ABUSE - ANSWER: THE CHILD HAS HAD 4 PREVIOUS VISITS TO 3 NUMBER OF
EMERGENCY DEPARTMENT
NURSING MEASURE FOR VICODIN - ANSWER: OBSERVE THE CLIENT FOR FURTHER
NARCOTIC EFFECTS
OLDER CLIENT BECOME DISORIENTED AND CONFUSED. SIGNS OF LEFT EXTREMITY
WEAKNESS BUT NO NEURO CHANGES. - ANSWER: CALL AN AMBULANCE TO TAKE
THE CLIENT TO THE HOSPITAL
HALDOL INCREASE TEMP: 104 F AND MUSCULAR RIGIDITY - ANSWER: CALL AN
AMBULANCE
ALZHEIMER'S PATIENT ADMITTED TO AN EXTENDED CARE FACILITY. WHAT SHOULD
YOU DO? - ANSWER: PLAN TO HAVE THE SAME NURSING STAFF PROVIDE CARE FOR
THE CLIENT WHENEVER POSSIBLE
A FEMALE CLIENT COULD NOT SLEEP LAST NIGHT BECAUSE SHE IS UNHAPPY IN HER
JOB.WHAT TYPE OF THOUGHTS IS THE CLIENT HAVING - ANSWER: OBSESSIVE
THOUGHT THAT THE CLIENT IS UNABLE TO CONTROL
Alcohol withdrawal-hospitalization - ANSWER: Alcohol detoxification precipitates a
withdrawal syndrome that includes neurological and cardiovascular changes that
require constant monitoring and medical management to safely move the client to
an alcohol-free physiology. The other responses are ineffective and may contribute
to the client's defensiveness.
Depression-1st priority - ANSWER: Maslow's hierarchy or needs begins with ensuring
physiologic needs and safety as primary needs. The priority investigation is to
provide a safe stable, and predictable routine that will meet the client's basic needs.
The other actions are indicated, but first an environment that is predictable should
be ensured to facilitate the client's participation in self care.
