HESI RN Mental Health Exam Latest 2024 -2025 Complete 120 Actual
Exam Questions with 100% Correct Verified Answers/ Graded A+
1. A male client with bipolar disorder who began tak- A. Report the
ing lithium carbonate five days ago is complaining client's serum lithi-
of excessive thirst, and the RN finds him attempting um level to the HCP.
to drink water from the bathroom sink faucet. Which
intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to
relieve the symptoms.
C. No action is needed since polydipsia is a com-
mon side effect.
D. Tell the client that drinking from the faucet is not
allowed.
2. A mental health worker is caring for a client with A. Is attempting to
escalating aggressive behavior. Which action by the physically restrain
MHW warrant immediate intervention by the RN? the patient.
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
3. A client is admitted to the mental health unit and re- D. "I don't want to
ports taking extra antianxiety medication because, walk. Nothing mat-
"I'm so stressed out. I just want to go to sleep." The ters anymore."
RN should plan one-on-one observation of the client
based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
4. The RN is performing intake interviews at a psychi- C. Methampheta-
atric clinic. A female client with a known history of mine
drug abuse reports that she had a heart attack four
years ago. Useof which substance places the client
at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
, HESI RN Mental Health Exam Latest 2024 -2025
C. Methamphetamine
D. Marijuana
5. A male client comes to the emergency center be- B. Have you tak-
cause he has an erection that will not resolve. The en any medications
client reports that he is taking trazodone (Desyrel) for erectile dysfunc-
for insomnia. Which information is most important tion?
for the nurse ask the client?
A. When was the last time you drank alcoholic bev-
erage?
B. Have you taken any medications for erectile dys-
function?
C. Are you having any other sexual dysfunctions or
problems?
D. Do you have a history of angina or high blood
pressure?
6. A female client admitted to the mental health unit A. Stay quietly with
starts to shout and scream at the RN. What is the the patient
best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.
7. When developing a plan of care for a client admit- C. Ineffective
ted to the psychiatric unit following aspiration of a breathing pattern.
caustic material related to a suicide attempt, which
nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
8. A female client on a psychiatric unit is sweating B. Risk for other re-
profusely while she vigorously does push-ups and lated violence relat-
then runs the length of the corridor several times ed to disruptive be-
before crashing into furniture in the sitting room. havior.
Picking herself up, she begins to toss chairs aside,
looking for a red one to sit in. When another client
, HESI RN Mental Health Exam Latest 2024 -2025
objects to the disturbance, the client shouts, "I am
the boss here. I do what I want." Which nursing
problem best supports these observations?
A. Deficient diversional activity related to excess
energy level.
B. Risk for other related violence related to disrup-
tive behavior.
C. Risk for activity intolerance related to hyperactiv-
ity.
D. Disturbed personal identity related to grandiosity.
9. A RN is preparing the physical environment to in- C. Reduce the noise
terview a new client for admission to the mental level in the room by
health unit. Which environmental setting facilitates turning off the televi-
the best outcome of the interview? sion and radio.
A. Dim the lights in the room to help the patient feel
calm.
B. Sit within two feet of the client to enhance level
of safety and security.
C. Reduce the noise level in the room by turning off
the television and radio.
D. Position table between the client and the RN for
extra personal space.
10. The RN is providing education about strategies for B. Establish a code
a safety plan for a female client who is a victim of with family and
intimate partner violence. Which strategies should friends to signify vi-
be included in the safety plan? (Select all that apply) olence.
A. Purchase a gun to use for protection. D. Have a bag
B. Establish a code with family and friends to signify ready that has extra
violence. clothes for self and
C. Take a self-defense course that retaliates the children.
abuser with injury. E. Plan an escape
D. Have a bag ready that has extra clothes for self route to use if the
and children. abuser blocks the
E. Plan an escape route to use if the abuser blocks main exit.
the main exit.
11.
, HESI RN Mental Health Exam Latest 2024 -2025
The RN is admitting a male client who takes lithium D. Nausea and vom-
carbonate (Eskalith) twice a day. Which information iting.
should the RN report to the HCP immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.
12. A homeless client who reports feeling sad and de- A. Allow the client to
pressed tells the mental health nurse that in the past rest and sleep.
2 days she has only had 4 hours of sleep. Which
action is most important for the RN to implement
within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping
skills for dealing with depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings.
13. A RN is teaching a client about initiation of a B. Remain alcohol
prescribed abstinence therapy using Disulfiram free for 12 hours pri-
(Antabuse). What information should the client ac- or to first dose.
knowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first
dose.
C. Attend monthly meetings of alcoholics anony-
mous.
D. Completely sustain from heroin or cocaine use.
14. Which client statement suggests the RN that the B. I am here be-
client is using a defense mechanism of projection cause the police
to deal with anxiety related to admission to a psy- thought I was doing
chiatricunit? something wrong.
A. At least I hit the wall instead of hitting the psychi-
atric aide.
B. I am here because the police thought I was doing
something wrong.
C. I want to be here because I know it is the best
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