HESI Exam Practice Questions Flashcards
a client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority
A. loss of interest in diversional activity
B. Social isolation
C. refusal to adress nutritional needs
D. Low self esteem
C
The RN is prepping mediations for a client with bipolar disorder and notices that the client discontinued antipsychotic medications for several days. Which med should also be discontinued
A. lithium
B. Benzotropine
C. Alprazolam
D. Magnesium
B
The RN is teaching a client about the initiation of the prescribed abstinence therapy using disulfiram. What information should the client acknowledge understanding?
A. completely abstain from heroin or coacaine 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
B
a male patient with schizophrenia is admitted to the mental health unit after abruptly stopping his prescription for ziprasidone (Geodon) one both ago. Which question is most important for the RN to ask the client
A. Have you lost interest in the things that you use 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
D
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 husband to interpret the discrepancy
C. ignore the nonverbal behavior and comus on the clients verbal messages
D. Integrate the verbal and nonverbal messages and interpret them as one
A
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 am going to punch him out!” The RN recognizes that the client is using which defense mechanism
A. denial
B. projection
C. rationalization
D. splitting
B
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the MHW warrant immediate intervention by the RN?
A. is attempting to physically restrain the patient
B. Tells the client to go to the quite area of the unit
C. Is using loud voice to talk to the client
D. remains at a distance of 4 feet from the client
A
a client on the mental health unit is becoming more agitated, shouting at the staff and pacing in the hallway. When the PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the RN implement first
A. Transport of the client to the seclusion room
B. Quitely approach the client with additional staff members
C. Take other clients in the area to the client lounge
D. Administer medication to chemically restrain the patient
C
A male client with bipolar disorder who began taking lithium five days ago is complaining of excessive thirst and the RN finds 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
A
during an annual physical by the occupational RN working in a corporate clinic, a male employee tells the RN that this high stress job is causing trouble in his personal life. He further explains that he often gets angry while driving to and from work that he has considered “getting even” with other drivers. How should the RN respond
A. anger is contagious and could result in a major confrontation
B. try not to let your anger cause you to act impulsively
C. expressing your anger to a stranger could result in an unsafe situation
D. it sounds as if there are many situations that make you feel angry
D
a patient who has agoraphobia is beginning desensitization with the therapist and the RN is reinforcing the process. Which intervention has the highest priority for this clients plan of care
A. encourage substitution of positive thoughts and negative ones
B. establish trust by providing a calm, safe environment
C. progressively expose the client to larger crowds
D. encourage deep breathing when anxiety escalates in a crowd
B
which nursing actions are likely to help promote the self esteem of a male client with moderate depression, select all that apply
A. ask the client what his long term goals are
B. discuss the challenges of his medical condition
C. include the client in determining treatment protocol
D. encourage the client to engaged in recreational therapy
E. provide opportunities for the client to discuss his concerns
A, D, E
a male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of Risperidone. When the client walks to the nurses station in laterally contracted position he states that something has made his body contort into a monster. What action should the RN take
A. medicate the client with the prescribed antipsychotic thioridazine
B. Offer the client a prescribed physical therapy hot pack for muscle spasms
C. direct client to occupational therapy to distract him from somatic complaints
D. administer the prescribed anticholinergic benztropine for dystonia
D
a client is admitted to the mental health unit and reports taking extra antianxitey medication because “im so stressed out, I just want to sleep.” the 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 talk, nothing matters anymore
D
