PN HESI EXIT 2023 EXAM,ERSION 1,VERSION 2 AND VERSION 3

1. During admission to the psychiatric unit, a female client is extremely anxious and states that

she is worried about the sun coming up the next day. What intervention is most important

for the RN to implement during the admission process?

A. Assist the client in developing alternative coping skills.

B. Remain calm and use a matter-of-fact approach.

C. Ask the client why she isso anxious

D. Administer a PRN sedative to help relieve her anxiety.

2. A female client is brought to the emergency department after police officers found her

disoriented, disorganized, and confused. The RN also determines that the client is homeless

and is exhibiting suspiciousness. The client’s plan of care should include what priority

problem?

A. Acute confusion.

B. Ineffective community coping

C. Disturbed sensory perception.

D. Self-care deficit.

3. The occupational health nurse is working with a female employee who was just notified that

her child was involved in a MVA and taken to the hospital. The employee states, “I can’t

believe this. What should I do?” Which response is best for the RN to provide in this crisis?

A. Tell me what you think should happen.

B. How serious wasthe collision?

C. What do you think you should do?

D. Call for transportation to the hospital.

4. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also

reports that he is married to a female movie star and thinks that his brother wants a sexual

relationship with her. What is the priority nursing problem for admission to the psychiatric

unit?

A. Ineffective sexual patterns.

B. Impaired environmental interpretation.

C. Disturbed sensory perception.

D. Compromised family coping.

PN HESI EXIT 2023 EXAM

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5. The RN is providing care for a client diagnosed with borderline personality disorder who has

self-inflicted lacerations on the abdomen. Which approach should the RN use when

changing this client’s dressing?

A. Provide detailed thorough explanations when cleansing wound.

B. Perform the dressing change in a non-judgmental manner.

C. Ask in a non-threatening manner why the client cut own abdomen.

D. Request another staff member assist with the dressing change.

6. While sitting in the day room of the mental health unit, a male adolescent avoids eye

contact, looks at the floor, and talks softly when interacting verbally with the RN. The two

trade places, and the RN demonstrates the client’s behaviors. What is the main goal of this

therapeutic technique?

A. Initiate a non-threatening conversation with the client.

B. Dialog about the ineffectiveness of his interactions.

C. Allow the client to identify the way he interacts.

D. Discussthe client’sfeelings when he responds.

7. An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in

the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most

important to achieve within the first three days of treatment?

A. Meet scheduled appointment with dietitian.

B. Sleep at least 6 hours a night.

C. Understandsthe purpose of the medication regimen.

D. Describesthe reasonsfor hospitalization.

E.

8. When preparing to administer to domestic violence screening tool to a female client, which

statement should the RN provide?

A. If your partner is abusing you, I need to ask these questions.

B. State law mandates that I ask if you are a victim of domestic violence.

C. The HCP provider needsto know if you are experiencing any domestic abuse.

D. All clients are screened for domestic abuse because it is common in our society.

9. A young adult female visits the mental health clinic complaining of diarrhea, headache, and

muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal

limits. During the physical assessment, the client tells the RN that her sister thinks she is

neurotic and calls her a hypochondriac. Which response is best for the RN to provide?

PN HESI EXIT 2023 EXAM

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A. Unless yoursister has a medical education, ignore her comments.

B. I can hear that yoursister comments are over-whelming you.

C. Do you think it’s possible that you might be a hypochondriac?

D. Besides yoursister’s comments, what in your life is troubling you?

10. The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN

use during the working phase of group development?

A. Establishing a rapport with group members.

B. Clarifying the nurse’s role and clients’ responsibilities.

C. Discussing waysto use new coping skills learned.

D. Helping clients identify areas of problem in their lives.