NSG322 HESI PRACTICE EXAM WITH Q&A NEWLY
MODIFEID 2025/2026 LATEST
If a patient is in therapy and the session gets rescheduled, what defense
mechanism might they use?
A) Splitting
B) Denial
C) Projection
D) Rationalization
--ANSWER--A) Splitting
When planning interventions for a patient with Oppositional Defiant Disorder
(ODD), what is a therapeutic goal?
A) Encourage physical expression of aggression
B) Promote isolation to prevent confrontations
C) Reduce aggression from physical to verbal expressions
D) Ignore the aggressive behaviors to extinguish them
--ANSWER--C) Reduce aggression from physical to verbal expressions
A patient needs to take benzo 0.25mg TID. What is the appropriate
administration schedule? A) Take it at bedtime
B) Take it every 6 hours
C) Take it with meals (breakfast, lunch, and dinner)
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,D) Take it as needed
--ANSWER--C) Take it with meals (breakfast, lunch, and dinner)
A child is suspected of abuse. What is the possible manifestation?
A) Urinary incontinence
B) Visual hallucinations
C) Weight gain
D) Hyperactivity
--ANSWER--A) Urinary incontinence
For a patient diagnosed with narcolepsy, which medication would be
contraindicated due to potential adverse effects or ineffectiveness?
A) Venlafaxine
B) Sertraline
C) Methylphenidate
D) Amitriptyline
--ANSWER--A) Venlafaxine
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,While administering psychiatric medications, the nurse should be particularly
concerned about a patient whose apical pulse rate falls below 60 beats per
minute. Which psychiatric medication is most likely associated with this cardiac
effect?
A) Selective serotonin reuptake inhibitor (SSRI)
B) Benzodiazepine
C) Tricyclic antidepressant (TCA)
D) Atypical antipsychotic
--ANSWER--B) Benzodiazepine
Milieu therapy is implemented outside. What population would benefit most
from this approach?
A) Children drowning
B) Adolescents with conduct disorder
C) Adults with social anxiety disorder
D) Elderly individuals with dementia
--ANSWER--A) Children drowning
A borderline patient throws a tray. What is the appropriate nursing response?
A) Ignore the behavior
B) Restrict the patient to their room
C) Acknowledge the issue and tell them the behavior is unacceptable
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, D) Administer a sedative
--ANSWER--C) Acknowledge the issue and tell them the behavior is
unacceptable
Which antipsychotic medication should be avoided for a patient with a history
of atrial fibrillation due to potential contraindications related to cardiac effects?
A) Olanzapine
B) Risperidone
C) Quetiapine
D) Ziprasidone
--ANSWER--D) Ziprasidone
Which of the following substances is a natural hormone produced by the pineal
gland that induces sleep?
A) Amphetamine
B) Melatonin
C) Methylphenidate
D) Pemoline
--ANSWER--B) Melatonin
When teaching a patient about using a cellphone at bedtime, which
consideration should be emphasized?
A) Limiting screen time to reduce exposure to blue light
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MODIFEID 2025/2026 LATEST
If a patient is in therapy and the session gets rescheduled, what defense
mechanism might they use?
A) Splitting
B) Denial
C) Projection
D) Rationalization
--ANSWER--A) Splitting
When planning interventions for a patient with Oppositional Defiant Disorder
(ODD), what is a therapeutic goal?
A) Encourage physical expression of aggression
B) Promote isolation to prevent confrontations
C) Reduce aggression from physical to verbal expressions
D) Ignore the aggressive behaviors to extinguish them
--ANSWER--C) Reduce aggression from physical to verbal expressions
A patient needs to take benzo 0.25mg TID. What is the appropriate
administration schedule? A) Take it at bedtime
B) Take it every 6 hours
C) Take it with meals (breakfast, lunch, and dinner)
Page 1 of 42
,D) Take it as needed
--ANSWER--C) Take it with meals (breakfast, lunch, and dinner)
A child is suspected of abuse. What is the possible manifestation?
A) Urinary incontinence
B) Visual hallucinations
C) Weight gain
D) Hyperactivity
--ANSWER--A) Urinary incontinence
For a patient diagnosed with narcolepsy, which medication would be
contraindicated due to potential adverse effects or ineffectiveness?
A) Venlafaxine
B) Sertraline
C) Methylphenidate
D) Amitriptyline
--ANSWER--A) Venlafaxine
Page 2 of 42
,While administering psychiatric medications, the nurse should be particularly
concerned about a patient whose apical pulse rate falls below 60 beats per
minute. Which psychiatric medication is most likely associated with this cardiac
effect?
A) Selective serotonin reuptake inhibitor (SSRI)
B) Benzodiazepine
C) Tricyclic antidepressant (TCA)
D) Atypical antipsychotic
--ANSWER--B) Benzodiazepine
Milieu therapy is implemented outside. What population would benefit most
from this approach?
A) Children drowning
B) Adolescents with conduct disorder
C) Adults with social anxiety disorder
D) Elderly individuals with dementia
--ANSWER--A) Children drowning
A borderline patient throws a tray. What is the appropriate nursing response?
A) Ignore the behavior
B) Restrict the patient to their room
C) Acknowledge the issue and tell them the behavior is unacceptable
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, D) Administer a sedative
--ANSWER--C) Acknowledge the issue and tell them the behavior is
unacceptable
Which antipsychotic medication should be avoided for a patient with a history
of atrial fibrillation due to potential contraindications related to cardiac effects?
A) Olanzapine
B) Risperidone
C) Quetiapine
D) Ziprasidone
--ANSWER--D) Ziprasidone
Which of the following substances is a natural hormone produced by the pineal
gland that induces sleep?
A) Amphetamine
B) Melatonin
C) Methylphenidate
D) Pemoline
--ANSWER--B) Melatonin
When teaching a patient about using a cellphone at bedtime, which
consideration should be emphasized?
A) Limiting screen time to reduce exposure to blue light
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