Hesi RN Mental Health Exit Exam NEWEST ACTUAL EXAM
HESI RN MENTAL HEALTH EXIT EXAM NEWEST ACTUAL EXAM
COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse observes biting, rocking, sucking, and lags in intellectual development
in a child. She also concludes the child is suffering from sleep disorders. What
could be the reason for the child's condition?
1. Physical neglect
2. Sexual abuse
3. Physical abuse
4. Emotional abuse - Correct Answer-4. Emotional abuse
The child may be neglected if the parent is having a mental illness such as
psychosis. Sleep disorders, feeding disorders, biting, rocking, sucking, and lags in
intellectual development are behavioral findings associated with emotional
abuse. Physical neglect, sexual abuse, and physical abuse manifest in different
sets of signs and symptoms.
Which emotional condition may be apparent in a client with an addiction?
1. Insomnia
2. Social isolation
3. Acute confusion
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, Hesi RN Mental Health Exit Exam NEWEST ACTUAL EXAM
4. Functional urinary incontinence - Correct Answer-2. Social isolation
Social isolation is an emotional condition that may be apparent in a client with
an addiction. Insomnia, acute confusion, and functional urinary incontinence are
physical, not emotional, conditions that may be apparent in clients with
addiction.
A client who has been battling cancer of the ovary for 7 years is admitted to the
hospital in a debilitated state. The healthcare provider tells the client that she is
too frail for surgery or further chemotherapy. When making rounds during the
night, the nurse enters the client's room and finds her crying. Which is the most
appropriate intervention by the nurse?
1. Sit down quietly next to the bed and allow her to cry.
2. Pull the curtain and leave the room to provide privacy for the client.
3. Explain to the client that her feelings are expected and they will pass with time.
4. Observe the length of time the client cries and document her difficulty
accepting her impending death. - Correct Answer-1. Sit down quietly next to the
bed and allow her to cry.
Sitting down quietly next to the bed and allowing her to cry demonstrates
acceptance of the client's behavior and provides an opportunity for the client to
verbally express feelings if desired. Pulling the curtain and leaving the room to
provide privacy for the client may make the client feel that the behavior is
wrong or is annoying others. Also, it abandons the client when support is
needed. Explaining to the client that her feelings are expected and they will pass
with time closes off communication and does not provide an opportunity for the
client to talk about feelings. Also, it provides false reassurance. The length of
2|Page
, Hesi RN Mental Health Exit Exam NEWEST ACTUAL EXAM
time she cries is unimportant at this time. Assuming that she is having difficulty
accepting her impending death is a conclusion without enough information.
Which of these are symptoms of depression commonly observed in older adults?
Select all that apply.
1. Fatigue
2. Sadness
3. Agitation
4. Increased sleep
5. Increased appetite - Correct Answer-1. Fatigue
2. Sadness
3. Agitation
Symptoms of depression that are often observed in older adults include fatigue,
sadness, and agitation. Insomnia is more likely than increased sleep to occur in
depressed older adults. Anorexia, rather than increased appetite, is more likely
to occur in depressed older adults.
A nurse is aware that after the administration of alprazolam (Xanax) is started, it is
important to observe the client for side effects. What is the nurse's initial action?
1. Measuring the client's urine output
2. Examining the client's pupils daily
3. Checking the client's blood pressure
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, Hesi RN Mental Health Exit Exam NEWEST ACTUAL EXAM
4. Monitoring the abdomen for distention - Correct Answer-3. Checking the
client's blood pressure
Orthostatic hypotension is a common side effect of alprazolam (Xanax) that
occurs early in therapy. Central nervous system depression is not an early side
effect, but it may occur after prolonged use. An alteration in urine output is not
a common side effect, but it may occur after prolonged use. Distention is not a
common side effect, but distention from constipation may occur after prolonged
use.
A nurse is administering medications to clients on a psychiatric unit. What does
the nurse identify as the reason that so many psychiatric clients are given the drug
benztropine or trihexyphenidyl in conjunction with the phenothiazine-derivative
neuroleptic medications?
1. They reduce postural hypotension.
2. They potentiate the effects of the neuroleptic drug.
3. They combat the extrapyramidal side effects of the neuroleptic drug.
4. They ameliorate the depression that may accompany schizophrenia. - Correct
Answer-3. They combat the extrapyramidal side effects of the neuroleptic drug.
Benztropine and trihexyphenidyl control the extrapyramidal (parkinsonian)
manifestations associated with the neuroleptics and are classified as
antiparkinsonian drugs. These drugs do not reduce postural hypotension, nor do
they potentiate phenothiazine derivatives or have an effect on depression.
4|Page
HESI RN MENTAL HEALTH EXIT EXAM NEWEST ACTUAL EXAM
COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse observes biting, rocking, sucking, and lags in intellectual development
in a child. She also concludes the child is suffering from sleep disorders. What
could be the reason for the child's condition?
1. Physical neglect
2. Sexual abuse
3. Physical abuse
4. Emotional abuse - Correct Answer-4. Emotional abuse
The child may be neglected if the parent is having a mental illness such as
psychosis. Sleep disorders, feeding disorders, biting, rocking, sucking, and lags in
intellectual development are behavioral findings associated with emotional
abuse. Physical neglect, sexual abuse, and physical abuse manifest in different
sets of signs and symptoms.
Which emotional condition may be apparent in a client with an addiction?
1. Insomnia
2. Social isolation
3. Acute confusion
1|Page
, Hesi RN Mental Health Exit Exam NEWEST ACTUAL EXAM
4. Functional urinary incontinence - Correct Answer-2. Social isolation
Social isolation is an emotional condition that may be apparent in a client with
an addiction. Insomnia, acute confusion, and functional urinary incontinence are
physical, not emotional, conditions that may be apparent in clients with
addiction.
A client who has been battling cancer of the ovary for 7 years is admitted to the
hospital in a debilitated state. The healthcare provider tells the client that she is
too frail for surgery or further chemotherapy. When making rounds during the
night, the nurse enters the client's room and finds her crying. Which is the most
appropriate intervention by the nurse?
1. Sit down quietly next to the bed and allow her to cry.
2. Pull the curtain and leave the room to provide privacy for the client.
3. Explain to the client that her feelings are expected and they will pass with time.
4. Observe the length of time the client cries and document her difficulty
accepting her impending death. - Correct Answer-1. Sit down quietly next to the
bed and allow her to cry.
Sitting down quietly next to the bed and allowing her to cry demonstrates
acceptance of the client's behavior and provides an opportunity for the client to
verbally express feelings if desired. Pulling the curtain and leaving the room to
provide privacy for the client may make the client feel that the behavior is
wrong or is annoying others. Also, it abandons the client when support is
needed. Explaining to the client that her feelings are expected and they will pass
with time closes off communication and does not provide an opportunity for the
client to talk about feelings. Also, it provides false reassurance. The length of
2|Page
, Hesi RN Mental Health Exit Exam NEWEST ACTUAL EXAM
time she cries is unimportant at this time. Assuming that she is having difficulty
accepting her impending death is a conclusion without enough information.
Which of these are symptoms of depression commonly observed in older adults?
Select all that apply.
1. Fatigue
2. Sadness
3. Agitation
4. Increased sleep
5. Increased appetite - Correct Answer-1. Fatigue
2. Sadness
3. Agitation
Symptoms of depression that are often observed in older adults include fatigue,
sadness, and agitation. Insomnia is more likely than increased sleep to occur in
depressed older adults. Anorexia, rather than increased appetite, is more likely
to occur in depressed older adults.
A nurse is aware that after the administration of alprazolam (Xanax) is started, it is
important to observe the client for side effects. What is the nurse's initial action?
1. Measuring the client's urine output
2. Examining the client's pupils daily
3. Checking the client's blood pressure
3|Page
, Hesi RN Mental Health Exit Exam NEWEST ACTUAL EXAM
4. Monitoring the abdomen for distention - Correct Answer-3. Checking the
client's blood pressure
Orthostatic hypotension is a common side effect of alprazolam (Xanax) that
occurs early in therapy. Central nervous system depression is not an early side
effect, but it may occur after prolonged use. An alteration in urine output is not
a common side effect, but it may occur after prolonged use. Distention is not a
common side effect, but distention from constipation may occur after prolonged
use.
A nurse is administering medications to clients on a psychiatric unit. What does
the nurse identify as the reason that so many psychiatric clients are given the drug
benztropine or trihexyphenidyl in conjunction with the phenothiazine-derivative
neuroleptic medications?
1. They reduce postural hypotension.
2. They potentiate the effects of the neuroleptic drug.
3. They combat the extrapyramidal side effects of the neuroleptic drug.
4. They ameliorate the depression that may accompany schizophrenia. - Correct
Answer-3. They combat the extrapyramidal side effects of the neuroleptic drug.
Benztropine and trihexyphenidyl control the extrapyramidal (parkinsonian)
manifestations associated with the neuroleptics and are classified as
antiparkinsonian drugs. These drugs do not reduce postural hypotension, nor do
they potentiate phenothiazine derivatives or have an effect on depression.
4|Page
