BSN 346 PRACTICE HESI/MENTAL
HEALTH EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
The nurse completes an emergency admission of a male client with schizophrenia who has not
been taking his antipsychotic medications. The client is pacing, is extremely irritable, and has a
blood pressure of 146/96. What is the priority nursing action? - ANS Reevaluate the client's
blood pressure in an hour.
A young adult female client with panic disorder arrives in the Emergency Center with a 4-day
history of chest pain that began when her boyfriend left her. Initial assessment reveals normal
cardiopulmonary findings. Which information is most important for the nurse to obtain? -
ANS Drugs taken in last 7 days.
A female client comes to an outpatient therapy appointment intoxicated. The spouse tells the
nurse, "There wasn't anything I could do to stop her drinking this morning." What intervention
should the nurse take at this time? - ANS Tell the client that therapy cannot take place while
she is intoxicated.
The nurse is planning care for a client with major depression who is admitted to the unit after a
recent suicide attempt. Which intervention has the highest priority for inclusion in this client's
plan of care? - ANS Search the client's personal belongings.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, A male client is brought to the emergency department by a police officer, who reports the client
was "disturbing the peace" by running naked in the street, striking out at others, and smashing
car windows. Which behaviors should the client demonstrate to determine if he should be
evaluated for involuntary commitment? (Choose all that apply.) - ANS Threats to kill his
friend, hears voices telling him to kill himself, reports he has not needed a bath in 4 months and
says he has not eaten in 3 days.
The nurse is caring for an adult male client with catatonic schizophrenia who is mute and
motionless. What is the priority nursing problem? - ANS High risk for fluid and electrolyte
imbalance.
At the end of a group therapy session, a client who is hospitalized for psychosis falls to the floor
when attempting to stand. What intervention should the nurse implement first? - ANS Ask a
group member to seek help.
Which nursing intervention should the nurse implement with parents who experience a fetal
demise and express the wish not to see the baby? - ANS Keep the body available for a few
hours in case they change their minds.
An adult female who is married and works full-time in a factory has been absent from work for
three days at a time on several occasions. Each time she returns to work, she wears dark glasses
to cover facial bruising. Her supervisor refers her to the occupational health nurse. What
assessment question should the nurse use? - ANS How did this happen to you?
A client on the mental health unit reports concerns about weight gain as a result of taking
divalproex (Depakote) and requests assistance to fill out a menu. The nurse should initiate a
referral to which healthcare team member? - ANS Dietician.
The nurse is planning the care for a client based on the psychoanalytical model. Which
intervention should the nurse include in the plan of care? - ANS Focus on the client's positive
or negative feelings toward the nurse.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
HEALTH EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
The nurse completes an emergency admission of a male client with schizophrenia who has not
been taking his antipsychotic medications. The client is pacing, is extremely irritable, and has a
blood pressure of 146/96. What is the priority nursing action? - ANS Reevaluate the client's
blood pressure in an hour.
A young adult female client with panic disorder arrives in the Emergency Center with a 4-day
history of chest pain that began when her boyfriend left her. Initial assessment reveals normal
cardiopulmonary findings. Which information is most important for the nurse to obtain? -
ANS Drugs taken in last 7 days.
A female client comes to an outpatient therapy appointment intoxicated. The spouse tells the
nurse, "There wasn't anything I could do to stop her drinking this morning." What intervention
should the nurse take at this time? - ANS Tell the client that therapy cannot take place while
she is intoxicated.
The nurse is planning care for a client with major depression who is admitted to the unit after a
recent suicide attempt. Which intervention has the highest priority for inclusion in this client's
plan of care? - ANS Search the client's personal belongings.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, A male client is brought to the emergency department by a police officer, who reports the client
was "disturbing the peace" by running naked in the street, striking out at others, and smashing
car windows. Which behaviors should the client demonstrate to determine if he should be
evaluated for involuntary commitment? (Choose all that apply.) - ANS Threats to kill his
friend, hears voices telling him to kill himself, reports he has not needed a bath in 4 months and
says he has not eaten in 3 days.
The nurse is caring for an adult male client with catatonic schizophrenia who is mute and
motionless. What is the priority nursing problem? - ANS High risk for fluid and electrolyte
imbalance.
At the end of a group therapy session, a client who is hospitalized for psychosis falls to the floor
when attempting to stand. What intervention should the nurse implement first? - ANS Ask a
group member to seek help.
Which nursing intervention should the nurse implement with parents who experience a fetal
demise and express the wish not to see the baby? - ANS Keep the body available for a few
hours in case they change their minds.
An adult female who is married and works full-time in a factory has been absent from work for
three days at a time on several occasions. Each time she returns to work, she wears dark glasses
to cover facial bruising. Her supervisor refers her to the occupational health nurse. What
assessment question should the nurse use? - ANS How did this happen to you?
A client on the mental health unit reports concerns about weight gain as a result of taking
divalproex (Depakote) and requests assistance to fill out a menu. The nurse should initiate a
referral to which healthcare team member? - ANS Dietician.
The nurse is planning the care for a client based on the psychoanalytical model. Which
intervention should the nurse include in the plan of care? - ANS Focus on the client's positive
or negative feelings toward the nurse.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
