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HESI MENTAL HEALTH NGN EXAM NEWEST 2025
TEST BANK| COMPLETE 250 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
MENTAL HEALTH HESI EXAM REVIEW|| BRAND
NEW!!
The nurse reports the elevated blood pressure to the HCP, and the client is prescribed hydrochlorothiazide 25 mg by mouth (PO) daily. The nurse collaborates with the dietitians about the client's meal plan.Which dietary instruction should the nurse provide the client taking hydrochlorothiazide? - ANSWER - Teach the DASH eating plan.
Rationale:
Dietary Approaches to Stop Hypertension (DASH) eating plan, which includes reduced fat intake and increased intake of fruits and vegetables.
The nurse must teach the client about possible adverse effects from the ECT treatments. Which information should be included in the teaching plan? - ANSWER - Headache, nausea, and muscle aches may occur after the treatment.
Rationale:
Headache, nausea, and muscle aches are common side effects.Confusion and disorientation are short-term.
When the nurse prepares the client for ECT, what should be expected? - ANSWER - Preparation is similar to a brief surgical procedure.
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pg. 2 Preparation for ECT is similar to a surgical procedure. For example, the client must remain NPO for 6 to 8 hours prior to treatment with the exception of receiving cardiac medications or antihypertensive agents.Prostheses should be removed, and the client should void immediately before receiving ECT.
When the client awakens from the treatment, the nurse should be prepared to perform which nursing action? - ANSWER - Take vital signs and assess orientation.
Rationale:
The nurse should monitor orientation and vital signs until they return to an acceptable level or for a specified time according to hospital protocol.
What signs and symptoms should the nurse expect to assess if a client taking a MAO antidepressant ingests foods containing tyramine? - ANSWER - Headache and palpitations.
Rationale:
Explosive headache, palpitations, sudden elevation of blood pressure, chest pain, nausea, and vomiting are some of the symptoms of a hypertensive crisis related to tyramine consumption.
The nurse plans to give the client a list of safe and unsafe foods that contain tyramine. Unsafe foods have high tyramine content, and safe foods have little or no tyramine.Which food would be considered safe? - ANSWER - Most fruits.
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pg. 3 Most fruits are safe, except figs, especially if overripe, and bananas in large amounts. Some foods with tyramine can be used with caution.
After several days of taking a MAO Inhibitor, the client refuses to continue taking the medication, and the medication is discontinued.Which specific nursing consideration is most important? - ANSWER - Maintain a low-tyramine or tyramine-free diet for 10 to 14 days.
Rationale:
The client should minimize or avoid substances with tyramine for 10 to 14 days after discontinuation of the medication due to the medication still in the client's system.
Routine admission prescriptions include regular diet, nutrition consultation, vital signs every 4 hours, CBC with differential, urinalysis, and urine drug screen. The healthcare provider also prescribes acetaminophen 325 mg by mouth (PO) every 6 hours as needed (PRN) for pain, fever, or headache.Which routine admission prescriptions should the nurse question? - ANSWER - Acetaminophen as needed.
Rationale:
The client is suspected of having liver problems due to alcohol.Acetaminophen can be toxic to the liver, especially in combination with alcohol. The nurse should question this prescription as it is contraindicated for the client.
Which lab results indicate to the nurse the client likely has liver disease?
- ANSWER - Increased aspartate aminotransferase (AST). 3 / 4
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Rationale:
Liver disease can cause a change in tissues of the liver and result in an elevation of AST. The amount of AST in the blood is directly related to the number of damaged cells.
Which goal is most important for alcohol detoxification? - ANSWER - Physiological stabilization.
Rationale:
The acute management goals of alcohol detoxification begin with stabilizing the client physically and maintaining normal vital signs.
Which assessment is most important for safe alcohol detoxification? - ANSWER - Vital signs at least every 4 hours.
Rationale:
Vital signs are an objective measure of alcohol withdrawal, especially when the diastolic blood pressure, pulse, and temperature are near or above 100.
When should the nurse begin assessing for withdrawal? - ANSWER - Within 8 to 12 hours of the client's last drink.
Rationale:
Early alcohol withdrawal can begin as early as 4 to 6 hours after substance use is stopped.
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