HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
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.
B. Mood and affect.
C. Remote memory.
D. Level of concentration. - Correct Answer-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?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls - Correct Answer-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
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, HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
took the drug for a year. Which experience is most likely related to
takingolanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test. - Correct Answer-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)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM. - Correct Answer-D. Lorazepam (Ativan) 2 mg IM.
The RN is preparing medications for a client with bipolar disorder and notices that
the client discontinued antipsychotic medication for several days. Which
medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia). - Correct Answer-b. Benzotropine (Cogentin).
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, HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
The RN on the day shift receive report about a client with depression who was in
bed most of the weekend. The RN walks into the client's room in the morning and
finds the client in bed. What intervention is best for the RN to implement?
A. Monitor the client's appetite and pattern of sleep.
B. Assess the client's feelings about the hospital stay.
C. Assist the client to get out of bed and involved in an activity.
D. Explain that staff will check on the client every 30 minutes. - Correct Answer-C.
Assist the client to get out of bed and involved in an activity.
Male who was found sitting in the middle of a busy street is brought to the
emergency department. Confused and has difficulty answering questions. After
ruling out a physiological etiology for the client's behavior. When admitting the
client to the unit, which action is most important for the nurse to take?
A. Ask the client about his recent substance use
B. Perform a mental status exam
C. Determine the number of previous
hospitalizations
D. Assess the client from head-to-toe - Correct Answer-B. Perform a mental status
exam
An adolescent male client is hospitalized after he threatened a teacher at school.
He admits feeling angry because his mother tricked him and brought him to the
hospital. The client states that when his mother visits, he plans to get his
belongings from her, but he is not going to talk to her. Which activity is most
important for the nurse to complete before the mother arrives?
A. Assess the client's self-esteem needs.
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, HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
B. Determine the client's expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems. - Correct Answer-C. Discuss methods
for clearly communicating.
During admission to the psychiatric unit, a female client is extremely anxious and
states that she is worried about the sun coming up the next day. What
intervention is most important for the RN to implement during the admission
process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety. - Correct Answer-A. Assist
the client in developing alternative coping skills.
A client with borderline personality disorder tells the nurse, "You are the best
nurse on the unit! The other nurses don't care about me the way you do." Which
response is best for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
d.) "I do care about you as a person but nothing more." - Correct Answer-b.) "The
other nurses and I are here to help you get better"
An older man with a hx of falls at home tells the clinic nurse that his son, who was
incarcerated last year for assault and battery, has become abusive since his
4|Page
HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
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.
B. Mood and affect.
C. Remote memory.
D. Level of concentration. - Correct Answer-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?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls - Correct Answer-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
1|Page
, HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
took the drug for a year. Which experience is most likely related to
takingolanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test. - Correct Answer-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)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM. - Correct Answer-D. Lorazepam (Ativan) 2 mg IM.
The RN is preparing medications for a client with bipolar disorder and notices that
the client discontinued antipsychotic medication for several days. Which
medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia). - Correct Answer-b. Benzotropine (Cogentin).
2|Page
, HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
The RN on the day shift receive report about a client with depression who was in
bed most of the weekend. The RN walks into the client's room in the morning and
finds the client in bed. What intervention is best for the RN to implement?
A. Monitor the client's appetite and pattern of sleep.
B. Assess the client's feelings about the hospital stay.
C. Assist the client to get out of bed and involved in an activity.
D. Explain that staff will check on the client every 30 minutes. - Correct Answer-C.
Assist the client to get out of bed and involved in an activity.
Male who was found sitting in the middle of a busy street is brought to the
emergency department. Confused and has difficulty answering questions. After
ruling out a physiological etiology for the client's behavior. When admitting the
client to the unit, which action is most important for the nurse to take?
A. Ask the client about his recent substance use
B. Perform a mental status exam
C. Determine the number of previous
hospitalizations
D. Assess the client from head-to-toe - Correct Answer-B. Perform a mental status
exam
An adolescent male client is hospitalized after he threatened a teacher at school.
He admits feeling angry because his mother tricked him and brought him to the
hospital. The client states that when his mother visits, he plans to get his
belongings from her, but he is not going to talk to her. Which activity is most
important for the nurse to complete before the mother arrives?
A. Assess the client's self-esteem needs.
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, HESI RN MENTAL HEALTH EXAM NEWEST ACTUAL EXAM
B. Determine the client's expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems. - Correct Answer-C. Discuss methods
for clearly communicating.
During admission to the psychiatric unit, a female client is extremely anxious and
states that she is worried about the sun coming up the next day. What
intervention is most important for the RN to implement during the admission
process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety. - Correct Answer-A. Assist
the client in developing alternative coping skills.
A client with borderline personality disorder tells the nurse, "You are the best
nurse on the unit! The other nurses don't care about me the way you do." Which
response is best for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
d.) "I do care about you as a person but nothing more." - Correct Answer-b.) "The
other nurses and I are here to help you get better"
An older man with a hx of falls at home tells the clinic nurse that his son, who was
incarcerated last year for assault and battery, has become abusive since his
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