HESI NGN Mental Health Exams | 2025/2026 Editions | Latest Versions A & B Verified Questions and Graded Solutions | Qualified & 100% Correct 1Introduction This document includes the latest Versions A & B of the HESI NGN Mental Health Exams, updated for the 2025/2026 academic year with verified, 100% correct questions and expert-graded solutions. It covers all major mental health nurs- ing topics including therapeutic modalities, psychiatric disorders, psychotropic medications, legal considerations, and trauma-informed care—aligned with the Next Generation NCLEX (NGN) format. Ideal for qualified nursing candidates seeking reliable preparation, this comprehensive study tool ensures confidence and top-tier performance.2Exam Questions and Answers 2.1Version A A1.A nurse is using therapeutic communication with a client who is withdrawn.Which statement is most effective?
- “You need to talk more.”
- “I’m here if you’d like to share how you’re feeling.”
- “I know what’s bothering you.”
- “Let’s discuss your schedule.”
Rationale: An open, nonjudgmental invitation encourages the client to share
at their comfort level.A2.A client with schizophrenia exhibits disorganized speech. Which nursing action is priority?
- Redirect to group activities
- Assess for potential safety risks
- Encourage detailed conversation
- Ignore the speech pattern
Rationale: Disorganized speech may indicate psychosis, requiring safety as-
sessment to prevent harm.A3.A client is prescribed fluoxetine for depression. Which client statement in- dicates a need for further teaching?
- “I’ll take it in the morning.”
- “I can stop it once I feel better.”
- “I may have side effects at first.”
- “It may take a few weeks to work.”
Rationale: Abrupt discontinuation of fluoxetine risks withdrawal; clients need
education on adherence.HESI | NGN Mental Health Exams | Versions A & B | Verified Questions and Graded Solutions | Qualified | 100% Correct | 2025/2026 1 / 3
NGN Select-All-That-ApplyA nurse is caring for a client with generalized anxiety disorder. Which symptoms are expected? (Select all that apply.)
- Restlessness
- Excessive worry
- Increased appetite
- Muscle tension
- Euphoria
Answers: A, B, D
Rationale: GAD is characterized by restlessness, worry, and muscle tension,
not euphoria or increased appetite.A4.A client in alcohol withdrawal has tremors. Which medication should the nurse administer?
- Olanzapine
- Chlordiazepoxide
- Sertraline
- Naltrexone
Rationale: Chlordiazepoxide, a benzodiazepine, manages tremors in alcohol
withdrawal.A5.A client with anorexia nervosa refuses meals. Which approach is most ther- apeutic?
- Force-feed the client
- Explore reasons for refusal
- Offer high-calorie snacks only
- Ignore the behavior
Rationale: Exploring reasons (e.g., body image concerns) guides individual-
ized interventions.A6.A client with bipolar disorder is prescribed carbamazepine. Which labora- tory test is essential?
- Blood glucose
- Complete blood count
- Serum potassium
- Thyroid function
Rationale: Carbamazepine can cause agranulocytosis, requiring CBC moni-
toring.A7.A client expresses suicidal thoughts. Which question should the nurse ask first?
- “What makes you feel better?”
- “Do you have a plan to harm yourself?”
- “How is your family coping?”
- “What are your hobbies?”
Rationale: Assessing for a suicide plan determines immediate risk and guides
interventions.NGN Case StudyA 25-year-old client with social anxiety disorder avoids job interviews. The nurse notes sweating and trembling during discussion. Which interven- tions should the nurse implement? (Select all that apply.) HESI | NGN Mental Health Exams | Versions A & B | Verified Questions and Graded Solutions | Qualified | 100% Correct | 2025/2026 2 / 3
- Encourage immediate public speaking
- Teach relaxation techniques
- Administer PRN lorazepam
- Refer to a therapist for CBT
- Dismiss the client’s fears
Answers: B, C, D
Rationale: Relaxation techniques and lorazepam manage symptoms, while
CBT addresses underlying fears.A8.A client with borderline personality disorder manipulates staff. Which nursing action is best?
- Grant special privileges
- Enforce consistent limits
- Rotate staff frequently
- Ignore the behavior
Rationale: Consistent limits prevent manipulation and maintain therapeutic
boundaries.A9.A client with PTSD avoids crowded places. Which intervention is most ef- fective?
- Encourage immediate exposure
- Teach coping strategies
- Administer antipsychotics
- Restrict social interactions
Rationale: Coping strategies (e.g., grounding) help manage PTSD triggers.
A10.A client with dementia is disoriented at night. Which intervention is ap- propriate?
- Increase room lighting
- Provide a consistent bedtime routine
- Restrain the client
- Administer a stimulant
Rationale: A consistent routine reduces confusion in dementia clients.
A11.A client with OCD checks locks repeatedly. Which therapeutic approach is best?
- Prevent all checking
- Use exposure and response prevention
- Encourage more checking
- Administer sedatives
Rationale: Exposure and response prevention reduces OCD behaviors effec-
tively.A12.A client is prescribed quetiapine for schizophrenia. Which side effect should the nurse monitor?
- Hyperkalemia
- Sedation
- Hypertension
- Weight loss
Rationale: Quetiapine commonly causes sedation, impacting client safety.
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