Mental Health HESI Test Bank 2025Guaranteed
A+ Actual Questions and Answers, Complete
100% Solutions
Narcan was administered to an adult client following a suicide attempt with an
overdose of
hydrocodone bitartrate (Vicodin). Within 15 minutes, the client is alert and
oriented. In planning
nursing care, which intervention has the highest priority at this time?
A. Encourage the client to increase fluid intake.
B. Obtain the client's serum Vicodin level.
C. Observe the client for further narcotic effects.
D. Determine the client's reason for attempting suicide. - ANSWER -C
Following surgery, a male client with antisocial personality disorder frequently
requests that a
specific RN be assigned to is care and is belligerent when another RN is assigned.
What action
should the charge RN implement?
A. Reassure the client that his request will be met whenever possible.
B. Advise the client that assignments are not based on the client's request.
C. Ask the client to explain why he constantly requests the RN.
D. Encourage the client to verbalize his feelings about the RN. - ANSWER -B
When preparing to administer a prescribed medication to a homeless male at a
community clinic,
the client tells the RN that he usually takes a different dosage. What action should
the RN take?
A. Tell him to take the medication then verify the dosage at the next healthcare
team
meeting.
B. Withhold the medication until the dosage can be confirmed.
,C. Inform him that he may refuse the medication and document whether or not he
takes it.
D. Explain to the client that the dosage has been changed. - ANSWER -B
The nurse orients a female client with depression to the new room on the mental
health unit. The
client states "It seems strange that I don't have a T.V in my room." Which
statement would be
best for the RN to provide?
A. "You can watch T.V as much as you want outside of your room."
B. "Sometimes clients feel like the T.V is sending them messages."
C. "It's important to be out of you room and talking to others."
D. "Watching T.V is a passive activity and we want you to be active." - ANSWER
-C
A client admitted with a closed head injury after a fall has a blood alcohol level of
0.28 (28%)
and is difficult to arouse. Which intervention during the first 6 hours following
admission should
the RN identify as the priority?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a side lying position with head of bed elevated.
D. Provide thiamine and folate supplements as prescribed. - ANSWER -C
The RN is completing the admission assessment of an underweight adolescent
who is admitted to
a psychiatric unit with a diagnosis of depression. Which finding requires
notification to the
HCP?
A. Potassium level of 2.9 mEq/dl.
B. Blood pressure of 110/70 mmHg.
C. WBC of 10,000mm^3.
D. Body mass index of 21. - ANSWER -A
, The Rn is planning client teaching for a 35-year-old client with alcoholic cirrhosis.
Which self-
care measure should the RN emphasize for the client's recovery?
A. Support group meetings.
B. Vitamin B and multivitamin supplements.
C. Diet with adequate calories and protein.
D. Alcohol abstinence - ANSWER -D
A teenager has lost 20 pounds in the last three months is admitted to the hospital
with
hypotension and tachycardia. The client reports irregular menses and hair loss.
Which
intervention is most important for the RN to include in the clients plan of care?
A. Implement behavioral modification therapy.
B. Initiate caloric and nutritional therapy.
C. Evaluate the client for low self-esteem.
D. Record daily weights and graft trend. - ANSWER -B
While interviewing a client, the nurse takes notes to assist with accurate
documentation later.
Which statement is most accurate regarding note-taking during an interview?
A. The client's comfort level is increased when the RN breaks eye contact to take
notes.
B. The interview process is enhanced with note taking and allows the client to
speak at a
normal pace.
C. Taking notes during an interview is a legal obligation of examining RN.
D. The RN's ability to directly observe the client's non-verbal communication is
limited
with note taking. - ANSWER -D
A client is receiving substitution therapy during withdrawal from benzodiazepines.
Which
expected outcome statement has the highest priority when planning nursing care?
a. Client will not demonstrate cross addiction.
, b. Co-dependent behaviors will be decreased.
c. CNS stimulation will be reduced.
d. Client's level of consciousness will increase. - ANSWER -C
A client who is being treated with lithium carbonate for manic depression begins
to develop
diarrhea, vomiting, and drowsiness. What action should the nurse take?
a. Notify the physician immediately and force fluids.
b. Prior to giving the next dose, notify the physician of the symptoms.
c. Record the symptoms and continue medication as prescribed.
d. Hold the medication and refuse to administer additional amounts of the drug. -
ANSWER -B
While caring for an older client, the RN observes multiple bruises in
Over the client's legs, arms, back, and gluteal areas. When the client
Contact, the RN suspects elder abuse. What action should the RN take?
A. Report family conversations and anger towards the client when visiting.
B. Ask the client specific questions about someone causing the bruising.
C. Question the family members and caregiver how the bruising occurred.
D. Measure and document size, shape and color of the bruised areas. - ANSWER -
D
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. Use of
which substance
places the client at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana - ANSWER -C
After receiving treatment for anorexia, a student asks the school RN for
permission to work in
A+ Actual Questions and Answers, Complete
100% Solutions
Narcan was administered to an adult client following a suicide attempt with an
overdose of
hydrocodone bitartrate (Vicodin). Within 15 minutes, the client is alert and
oriented. In planning
nursing care, which intervention has the highest priority at this time?
A. Encourage the client to increase fluid intake.
B. Obtain the client's serum Vicodin level.
C. Observe the client for further narcotic effects.
D. Determine the client's reason for attempting suicide. - ANSWER -C
Following surgery, a male client with antisocial personality disorder frequently
requests that a
specific RN be assigned to is care and is belligerent when another RN is assigned.
What action
should the charge RN implement?
A. Reassure the client that his request will be met whenever possible.
B. Advise the client that assignments are not based on the client's request.
C. Ask the client to explain why he constantly requests the RN.
D. Encourage the client to verbalize his feelings about the RN. - ANSWER -B
When preparing to administer a prescribed medication to a homeless male at a
community clinic,
the client tells the RN that he usually takes a different dosage. What action should
the RN take?
A. Tell him to take the medication then verify the dosage at the next healthcare
team
meeting.
B. Withhold the medication until the dosage can be confirmed.
,C. Inform him that he may refuse the medication and document whether or not he
takes it.
D. Explain to the client that the dosage has been changed. - ANSWER -B
The nurse orients a female client with depression to the new room on the mental
health unit. The
client states "It seems strange that I don't have a T.V in my room." Which
statement would be
best for the RN to provide?
A. "You can watch T.V as much as you want outside of your room."
B. "Sometimes clients feel like the T.V is sending them messages."
C. "It's important to be out of you room and talking to others."
D. "Watching T.V is a passive activity and we want you to be active." - ANSWER
-C
A client admitted with a closed head injury after a fall has a blood alcohol level of
0.28 (28%)
and is difficult to arouse. Which intervention during the first 6 hours following
admission should
the RN identify as the priority?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a side lying position with head of bed elevated.
D. Provide thiamine and folate supplements as prescribed. - ANSWER -C
The RN is completing the admission assessment of an underweight adolescent
who is admitted to
a psychiatric unit with a diagnosis of depression. Which finding requires
notification to the
HCP?
A. Potassium level of 2.9 mEq/dl.
B. Blood pressure of 110/70 mmHg.
C. WBC of 10,000mm^3.
D. Body mass index of 21. - ANSWER -A
, The Rn is planning client teaching for a 35-year-old client with alcoholic cirrhosis.
Which self-
care measure should the RN emphasize for the client's recovery?
A. Support group meetings.
B. Vitamin B and multivitamin supplements.
C. Diet with adequate calories and protein.
D. Alcohol abstinence - ANSWER -D
A teenager has lost 20 pounds in the last three months is admitted to the hospital
with
hypotension and tachycardia. The client reports irregular menses and hair loss.
Which
intervention is most important for the RN to include in the clients plan of care?
A. Implement behavioral modification therapy.
B. Initiate caloric and nutritional therapy.
C. Evaluate the client for low self-esteem.
D. Record daily weights and graft trend. - ANSWER -B
While interviewing a client, the nurse takes notes to assist with accurate
documentation later.
Which statement is most accurate regarding note-taking during an interview?
A. The client's comfort level is increased when the RN breaks eye contact to take
notes.
B. The interview process is enhanced with note taking and allows the client to
speak at a
normal pace.
C. Taking notes during an interview is a legal obligation of examining RN.
D. The RN's ability to directly observe the client's non-verbal communication is
limited
with note taking. - ANSWER -D
A client is receiving substitution therapy during withdrawal from benzodiazepines.
Which
expected outcome statement has the highest priority when planning nursing care?
a. Client will not demonstrate cross addiction.
, b. Co-dependent behaviors will be decreased.
c. CNS stimulation will be reduced.
d. Client's level of consciousness will increase. - ANSWER -C
A client who is being treated with lithium carbonate for manic depression begins
to develop
diarrhea, vomiting, and drowsiness. What action should the nurse take?
a. Notify the physician immediately and force fluids.
b. Prior to giving the next dose, notify the physician of the symptoms.
c. Record the symptoms and continue medication as prescribed.
d. Hold the medication and refuse to administer additional amounts of the drug. -
ANSWER -B
While caring for an older client, the RN observes multiple bruises in
Over the client's legs, arms, back, and gluteal areas. When the client
Contact, the RN suspects elder abuse. What action should the RN take?
A. Report family conversations and anger towards the client when visiting.
B. Ask the client specific questions about someone causing the bruising.
C. Question the family members and caregiver how the bruising occurred.
D. Measure and document size, shape and color of the bruised areas. - ANSWER -
D
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. Use of
which substance
places the client at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana - ANSWER -C
After receiving treatment for anorexia, a student asks the school RN for
permission to work in
