HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
An 18-year-old client is brought to the emergency department with a suspected drug overdose. Which information is most important for the nurse to obtain from the family?
Correct Answer: A
Rationale: Knowing the specific drug ingested is critical to determine the appropriate treatment, as different drugs require specific antidotes or interventions.
Question 2 of 5
Which client Information indicates the need for the nurse to use the CAGE questionnaire during the admission interview?
Correct Answer: C
Rationale: Daily alcohol consumption raises concerns about potential misuse, making the CAGE questionnaire appropriate to screen for alcohol use disorder.
Question 3 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: A
Rationale: Ineffective breathing pattern is the highest priority, as aspiration of caustic material can lead to respiratory compromise, requiring immediate attention.
Question 4 of 5
A homeless male who was found sitting in the middle of a busy street is brought to the emergency department (ED). On admission, the client is confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior, he is transferred to the mental health unit. When admitting the client to the unit, which action is most important for the nurse to take?
Correct Answer: B
Rationale: Performing a mental status exam is critical to assess the client's consciousness, orientation, and thought processes, identifying potential mental disorders.
Question 5 of 5
An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam. During the health assessment, the client reports experiencing of chest pain. Which action should the nurse take first?
Correct Answer: B
Rationale: Obtaining the client's blood pressure is the priority to assess the urgency of chest pain, a potentially serious symptom requiring immediate evaluation.