HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse enter in the electronic medical record to describe the client's statements?
Correct Answer: B
Rationale: Tangential thinking describes the client's rapid, loosely connected ideas, jumping from one thought to another without clear connections.
Question 2 of 5
The healthcare provider prescribes lithium carbonate for a client diagnosed with bipolar, manic depression. It is most important for the nurse to review which laboratory finding prior to beginning the drug therapy?
Correct Answer: D
Rationale: Serum creatinine is critical to review before starting lithium, as it is excreted by the kidneys, and impaired renal function can lead to toxicity.
Question 3 of 5
The nurse is completing the admission assessment of an adolescent client who is underweight and admitted to a psychiatric unit with a diagnosis of depression. Which finding requires notification to the healthcare provider?
Correct Answer: C
Rationale: A potassium level of 2.9 mEq/dL is below normal, indicating hypokalemia, which can cause cardiac and neuromuscular issues, requiring immediate notification.
Question 4 of 5
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?
Correct Answer: A
Rationale: Thiamine (vitamin B1) is the appropriate medication for Wernicke Korsakoff syndrome, as it addresses thiamine deficiency associated with chronic alcohol use, which can contribute to neurological symptoms.
Question 5 of 5
During a high school class on substance abuse, a student tells the group, 'If I tried cocaine, I know I could handle it. I know when to stop.' Which response is best for the nurse to provide?
Correct Answer: D
Rationale: This response directly challenges the student's confidence in controlling cocaine use, explaining that it impairs judgment, making it harder to stop.