1|Page
2025 Latest Mental Health Practice Exam Evolve
HESI 75 Questions and Answers with Detailed
Rationales/ Evolve Hesi Mental Health Prep
Questions and Answers Graded A+(new!)
A nurse is caring for a client who has major depressive
disorder (MDD). Which of the following findings should the
nurse expect?
A. Significant change in weight and sleeping pattern
B. Hyperexcitability and burst of energy
C. Exaggerated response to stimuli
D. Attention seeking behavior - ...✔✔ANSWER✔✔...A
A nurse observes that a client's spouse is sitting alone in
the waiting room crying. When approached, the spouse
says, "I am really concerned about my husband." Which of
the following is a therapeutic nursing response?
A. "Your husband has an excellent doctor."
B. "Would you like me to page your husband's doctor?"
C. Did your husband say something to upset you?"
,2|Page
D. Tell me what is concerning you." - ...✔✔ANSWER✔✔...D
A nurse is reinforcing teaching with a client who has a
prescription for Amitriptyline (Elavil), a tricylic
antidepressant (TCA). Which of the following client
statements indicates understanding of the teaching?
A. "I may experience decreased libido."
B. "I can no longer eat pepperoni pizza."
C. "I will avoid drinking caffeinated beverages."
D. "I should sit on the side of the bed before standing up
in the morning." - ...✔✔ANSWER✔✔...D
A nurse is admitting a client who has multiple injuries
following a MVC. Shortly after admission, the client's
partner arrives distraught and blames himself for the
accident. Which of the following responses should the
nurse make?
A. "Do not worry about that. Your wife will be fine."
B. I think you should calm down a little before you see
your partner."
C. "Why do you think the crash is your fault?"
,3|Page
D. "Tell me more about your feelings about what
happened to your partner." - ...✔✔ANSWER✔✔...D
A nurse is evaluating the outcomes for an outpatient
client who has depression. Which of the following
statements indicate a need for further evaluation?
A. "I had a great trip to the Smokey Mountains."
B. "Going back to work has been okay."
C. "I just don't like going to the movies like I used to."
D. "I can't wait to have my family together this weekend."
- ...✔✔ANSWER✔✔...C
A nurse is caring for several clients who have mental
health disorders at an assisted living facility. Which of the
following clients should the nurse determine needs to be
seen by a provider immediately?
A. A client who is taking olanzapine (Zyprexa) and
experiences dizziness when first standing up.
B. A client who is taking chlorpromazine (Thorazine) and
has excessive daytime sleepiness.
, 4|Page
C. A client who is taking thioridazine (Mellaril) and has
recurrent constipation
D. A client who is taking clozapine (Clozaril) and has flu
like symptoms, fever, and aching joints. -
...✔✔ANSWER✔✔...D
A nurse is caring for a patient who has schizophrenia.
Which of the following statements by the client indicates
understanding of a relapse prevention plan?
A. "I can remember when my hallucination first began."
B. I know which of my hallucinations is a trigger relapse."
C. I record the number of hallucinations I have each day."
D. "I will read as much information as I can about
schizophrenia." - ...✔✔ANSWER✔✔...B
A nurse is admitting a client who is exhibiting manic
behavior. The client reports recent personal stressors
including the loss of her mother and a divorce. Which of
the following is the priority nursing action?
A. Identifying support systems
B. Assisting the client in identifying coping behaviors
2025 Latest Mental Health Practice Exam Evolve
HESI 75 Questions and Answers with Detailed
Rationales/ Evolve Hesi Mental Health Prep
Questions and Answers Graded A+(new!)
A nurse is caring for a client who has major depressive
disorder (MDD). Which of the following findings should the
nurse expect?
A. Significant change in weight and sleeping pattern
B. Hyperexcitability and burst of energy
C. Exaggerated response to stimuli
D. Attention seeking behavior - ...✔✔ANSWER✔✔...A
A nurse observes that a client's spouse is sitting alone in
the waiting room crying. When approached, the spouse
says, "I am really concerned about my husband." Which of
the following is a therapeutic nursing response?
A. "Your husband has an excellent doctor."
B. "Would you like me to page your husband's doctor?"
C. Did your husband say something to upset you?"
,2|Page
D. Tell me what is concerning you." - ...✔✔ANSWER✔✔...D
A nurse is reinforcing teaching with a client who has a
prescription for Amitriptyline (Elavil), a tricylic
antidepressant (TCA). Which of the following client
statements indicates understanding of the teaching?
A. "I may experience decreased libido."
B. "I can no longer eat pepperoni pizza."
C. "I will avoid drinking caffeinated beverages."
D. "I should sit on the side of the bed before standing up
in the morning." - ...✔✔ANSWER✔✔...D
A nurse is admitting a client who has multiple injuries
following a MVC. Shortly after admission, the client's
partner arrives distraught and blames himself for the
accident. Which of the following responses should the
nurse make?
A. "Do not worry about that. Your wife will be fine."
B. I think you should calm down a little before you see
your partner."
C. "Why do you think the crash is your fault?"
,3|Page
D. "Tell me more about your feelings about what
happened to your partner." - ...✔✔ANSWER✔✔...D
A nurse is evaluating the outcomes for an outpatient
client who has depression. Which of the following
statements indicate a need for further evaluation?
A. "I had a great trip to the Smokey Mountains."
B. "Going back to work has been okay."
C. "I just don't like going to the movies like I used to."
D. "I can't wait to have my family together this weekend."
- ...✔✔ANSWER✔✔...C
A nurse is caring for several clients who have mental
health disorders at an assisted living facility. Which of the
following clients should the nurse determine needs to be
seen by a provider immediately?
A. A client who is taking olanzapine (Zyprexa) and
experiences dizziness when first standing up.
B. A client who is taking chlorpromazine (Thorazine) and
has excessive daytime sleepiness.
, 4|Page
C. A client who is taking thioridazine (Mellaril) and has
recurrent constipation
D. A client who is taking clozapine (Clozaril) and has flu
like symptoms, fever, and aching joints. -
...✔✔ANSWER✔✔...D
A nurse is caring for a patient who has schizophrenia.
Which of the following statements by the client indicates
understanding of a relapse prevention plan?
A. "I can remember when my hallucination first began."
B. I know which of my hallucinations is a trigger relapse."
C. I record the number of hallucinations I have each day."
D. "I will read as much information as I can about
schizophrenia." - ...✔✔ANSWER✔✔...B
A nurse is admitting a client who is exhibiting manic
behavior. The client reports recent personal stressors
including the loss of her mother and a divorce. Which of
the following is the priority nursing action?
A. Identifying support systems
B. Assisting the client in identifying coping behaviors
