HESI Mental
Health RN ATI
PROCTORED
EXAM
QUESTIONS AND
ANSWERS
GRADED A+
A client with depression remains in bed
most of the day, and declines activities.
Which nursing problem has the greatest
priority for this client?
A. Loss of interest in diversional activity
B. social isolation
C. Refusal to address nutritional needs.
D. Low self-esteem - ANSWER-C. Refusal to
address nutritional needs
The RN is preparing medications for a client
with bipolar disorder and notices that the
client discontinued antipsychotic
medication for several days. Which
medication should also be discontinued?
A. Lithium (Lithotabs)
B. Benzotropine (Cogentin)
C. Alprazolam (Xanax)
D. Magnesium( Milk of Magnesia) -
ANSWER-B. Benzotropine
A female client requests that her husband
be allowed to stay in the room during the
admission assessment. When interviewing
the client, the RN notes a discrepancy
between the clients verbal and nonverbal
communication. What action does the RN
take?
A. Pay close attention and document the
nonverbal messages
B. Ask the client's husband to interpret the
discrepancy
C. Ignore the nonverbal behavior and focus
on the clients verbal messages
D. Integrate the verbal and nonverbal
messages and interpret them as one. -
ANSWER-A. Pay close attention and
document the nonverbal messages
A male client approaches the RN with an
angry expression on his face and raises his
voice saying " My roommate is the most
selfish, self-centered, angry person I have
ever met. If he loses his temper one more
time with me, I'm going to punch him out!"
The RN recognizes that the client is using
which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Splitting - ANSWER-B. Projection
A male client with bipolar disorder wo
began taking lithium carbonate five days
ago is complaining of excessive thirst, and
the RN find him attempting to drink water
from the bathroom sink faucet. Which
intervention should the RN implement?
A. Report the clients 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
common side effect
D. Tell the client that drinking from the
faucet is not allowed. - ANSWER-A. Report
the clients serum lithium level to the HCP
The Rn is teaching a client about the
initiation of the prescribed abstinence
therapy using disulfiram (Antabuse). What
information should the client acknowledge
understanding?
A. Completely abstain form heroin or
cocaine use
B. Remain alcohol free for 12 hours prior to
the first dose.
C. Attend monthly meetings of alcoholics
anonymous
D. Admit to others that he is a substance
user - ANSWER-B. Remain alcohol free for
12 hours prior to the first dose.
A male client with schizophrenia is admitted
to the mental health unit after abruptly
stopping his prescription for ziprasidone
(Geodon) one month ago. Which question is
most important for the RN to ask the client?
A. Have you lost interest in things that you
used to enjoy
B. Is your ability to think or concentrate
decreased?
C. How many continuous hours do you
sleep at night
D. Do you hear sounds or voices that others
do not hear? - ANSWER-D. Do you hear
sounds or voices that others do not hear?
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