HESI EXIT MENTAL HEALTH NURSING ACTUAL EXAM
2025|62 QUESTIONS WITH ACCURATE SOLUTIONS
1. Why is it important for the RN to clarify their role in the
scenario with the client who has schizophrenia?
To reinforce the client's delusions
To establish professional boundaries and ensure safety
To distract the client from their symptoms
To encourage the client to share more delusions
2. A nurse on the psychiatric unit observes a client in the
corner of the room moving his lips as if her were talking to
himself. Which of the following actions is most
appropriate?
Ask him why he's talking to himself.
Leave him alone until he stops talking.
Tell him it isn't good for him to talk to himself.
Invite him to join in a card game with the nurse.
3. A client becomes upset when the nurse he requests is not
assigned to him, what is the nurse's best response?
Advise the client that nursing assignments are not based
on client requests
, Ask the charge nurse to switch with
another nurse Care for him anyways
Switch with the nurse who is in charge of him
4. A client reports feeling short of breath with mild heart
palpitations. He is exhibiting signs of moderate to severe
anxiety. What action is most
important for the nurse to take?
Tell the client, "Take a deep breath. Everything will be
okay."
, Provide the client with privacy and time alone.
Remain with the client.
Promote the use of coping mechanisms.
5. A client is prescribed a new medication. The pharmacy notifies
the nurse
that the dosage is outside of route prescribing limits. The
nurse is unable to reach the prescribing physician about the
order. What should the nurse do?
Give the medication to the client as prescribed.
Withhold the medication.
Give one-half of the medication dose
prescribed. Administer the medication
through the oral route.
6. Explain how a history of physical abuse in childhood
might influence an individual's response to perceived
threats in adulthood.
It may lead to increased resilience in stressful situations.
It can create a heightened sensitivity to aggression and
provoke defensive reactions.
It typically results in a calm demeanor when faced
with conflict. It has no significant impact on adult
behavior.
, 7. Why is it important for the charge RN to advise the client that
assignments are not based on the client's request?
To maintain professional boundaries and prevent
manipulation
To ensure the client feels comfortable with
their care To comply with hospital policies
on staffing
To encourage the client to express their feelings more
openly
2025|62 QUESTIONS WITH ACCURATE SOLUTIONS
1. Why is it important for the RN to clarify their role in the
scenario with the client who has schizophrenia?
To reinforce the client's delusions
To establish professional boundaries and ensure safety
To distract the client from their symptoms
To encourage the client to share more delusions
2. A nurse on the psychiatric unit observes a client in the
corner of the room moving his lips as if her were talking to
himself. Which of the following actions is most
appropriate?
Ask him why he's talking to himself.
Leave him alone until he stops talking.
Tell him it isn't good for him to talk to himself.
Invite him to join in a card game with the nurse.
3. A client becomes upset when the nurse he requests is not
assigned to him, what is the nurse's best response?
Advise the client that nursing assignments are not based
on client requests
, Ask the charge nurse to switch with
another nurse Care for him anyways
Switch with the nurse who is in charge of him
4. A client reports feeling short of breath with mild heart
palpitations. He is exhibiting signs of moderate to severe
anxiety. What action is most
important for the nurse to take?
Tell the client, "Take a deep breath. Everything will be
okay."
, Provide the client with privacy and time alone.
Remain with the client.
Promote the use of coping mechanisms.
5. A client is prescribed a new medication. The pharmacy notifies
the nurse
that the dosage is outside of route prescribing limits. The
nurse is unable to reach the prescribing physician about the
order. What should the nurse do?
Give the medication to the client as prescribed.
Withhold the medication.
Give one-half of the medication dose
prescribed. Administer the medication
through the oral route.
6. Explain how a history of physical abuse in childhood
might influence an individual's response to perceived
threats in adulthood.
It may lead to increased resilience in stressful situations.
It can create a heightened sensitivity to aggression and
provoke defensive reactions.
It typically results in a calm demeanor when faced
with conflict. It has no significant impact on adult
behavior.
, 7. Why is it important for the charge RN to advise the client that
assignments are not based on the client's request?
To maintain professional boundaries and prevent
manipulation
To ensure the client feels comfortable with
their care To comply with hospital policies
on staffing
To encourage the client to express their feelings more
openly
