COMPLETE HESI RN MENTAL HEALTH NGN VERIFIED|
NEWEST 2025 ACTUAL EXAM
The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which
information should the RN report to the HCP immediately?
D. Nausea and vomiting.
.
A homeless client who reports feeling sad and depressed tells the mental health nurse that in the
past 2 days she has only had 4 hours of sleep. Which action is most important for the RN to
implement within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
.
A RN is teaching a client about initiation of a prescribed abstinence therapy using Disulfiram
(Antabuse). What information should the client acknowledge understanding?
B. Remain alcohol free for 12 hours prior to first dose.
.
Which client statement suggests the RN that the client is using a defense mechanism of projection
to deal with anxiety related to admission to a psychiatricunit?
B. I am here because the police thought I was doing something wrong.
.
The RN documents the mental status of a female client who has been hospitalized for several days
by court order. The client states" I don't need to be here," and tells the RN that she believes that
the T.V. talks to her. The RN should document these assessment statements in which section of
the mental status exam?
A. Insight and judgement.
An older ale client with schizophrenia is found smearing feces on the bathroom walls of the
chronic mental health unit where he resides. What action should the RN implement?
C. Escort the client out of the bathroom.
,.
A male client tells the RN that he does not want to take the atypical antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year.
Which experience is most likely related to takingolanzapine?
A. Weight gain of 75 lbs.
.
Following involvement in a MVC, a middle aged adult client is admitted to the hospital with
multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN
prescription should be administered if the client begins toexhibit signs and symptoms of delirium
tremens (DTs)?
D. Lorazepam (Ativan) 2 mg IM.
A client is admitted to the mental health unit and reports taking extra antianxiety medication
because, "I'm so stressed out. I just want to go to sleep." The RN should plan one-on-one
observation of the client based on which statement?
D. "I don't want to walk. Nothing matters anymore."
.
The RN is performing intake interviews at a psychiatric clinic. A female client with a known
history of drug abuse reports that she had a heart attack four years ago. Useof which substance
places the client at highest risk for myocardial infarction?
C. Methamphetamine
.
A male client comes to the emergency center because he has an erection that will not resolve. The
client reports that he is taking trazodone (Desyrel) for insomnia. Which information is most
important for the nurse ask the client?
B. Have you taken any medications for erectile dysfunction?
.
, A female client admitted to the mental health unit starts to shout and scream at the RN. What is
the best approach for the RN to take?
A. Stay quietly with the patient
.
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of
a caustic material related to a suicide attempt, which nursing problem has the highest priority?
C. Ineffective breathing pattern.
.
A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups and
then runs the length of the corridor several times before crashing into furniture in the sitting
room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When
another client objects to the disturbance, the client shouts, "I am the boss here. I do what I want."
Which nursing problem best supports these observations?
B. Risk for other related violence related to disruptive behavior.
.
A RN is preparing the physical environment to interview a new client for admission to the mental
health unit. Which environmental setting facilitates the best outcome of the interview?
C. Reduce the noise level in the room by turning off the television and radio.
.
The RN is providing education about strategies for a safety plan for a female client who is a victim
of intimate partner violence. Which strategies should be included in the safety plan? (Select all
that apply)
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
.
.
NEWEST 2025 ACTUAL EXAM
The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which
information should the RN report to the HCP immediately?
D. Nausea and vomiting.
.
A homeless client who reports feeling sad and depressed tells the mental health nurse that in the
past 2 days she has only had 4 hours of sleep. Which action is most important for the RN to
implement within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
.
A RN is teaching a client about initiation of a prescribed abstinence therapy using Disulfiram
(Antabuse). What information should the client acknowledge understanding?
B. Remain alcohol free for 12 hours prior to first dose.
.
Which client statement suggests the RN that the client is using a defense mechanism of projection
to deal with anxiety related to admission to a psychiatricunit?
B. I am here because the police thought I was doing something wrong.
.
The RN documents the mental status of a female client who has been hospitalized for several days
by court order. The client states" I don't need to be here," and tells the RN that she believes that
the T.V. talks to her. The RN should document these assessment statements in which section of
the mental status exam?
A. Insight and judgement.
An older ale client with schizophrenia is found smearing feces on the bathroom walls of the
chronic mental health unit where he resides. What action should the RN implement?
C. Escort the client out of the bathroom.
,.
A male client tells the RN that he does not want to take the atypical antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year.
Which experience is most likely related to takingolanzapine?
A. Weight gain of 75 lbs.
.
Following involvement in a MVC, a middle aged adult client is admitted to the hospital with
multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN
prescription should be administered if the client begins toexhibit signs and symptoms of delirium
tremens (DTs)?
D. Lorazepam (Ativan) 2 mg IM.
A client is admitted to the mental health unit and reports taking extra antianxiety medication
because, "I'm so stressed out. I just want to go to sleep." The RN should plan one-on-one
observation of the client based on which statement?
D. "I don't want to walk. Nothing matters anymore."
.
The RN is performing intake interviews at a psychiatric clinic. A female client with a known
history of drug abuse reports that she had a heart attack four years ago. Useof which substance
places the client at highest risk for myocardial infarction?
C. Methamphetamine
.
A male client comes to the emergency center because he has an erection that will not resolve. The
client reports that he is taking trazodone (Desyrel) for insomnia. Which information is most
important for the nurse ask the client?
B. Have you taken any medications for erectile dysfunction?
.
, A female client admitted to the mental health unit starts to shout and scream at the RN. What is
the best approach for the RN to take?
A. Stay quietly with the patient
.
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of
a caustic material related to a suicide attempt, which nursing problem has the highest priority?
C. Ineffective breathing pattern.
.
A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups and
then runs the length of the corridor several times before crashing into furniture in the sitting
room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When
another client objects to the disturbance, the client shouts, "I am the boss here. I do what I want."
Which nursing problem best supports these observations?
B. Risk for other related violence related to disruptive behavior.
.
A RN is preparing the physical environment to interview a new client for admission to the mental
health unit. Which environmental setting facilitates the best outcome of the interview?
C. Reduce the noise level in the room by turning off the television and radio.
.
The RN is providing education about strategies for a safety plan for a female client who is a victim
of intimate partner violence. Which strategies should be included in the safety plan? (Select all
that apply)
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
.
.
