HESI LPN
Mental Health HESI Practice Questions
1. The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit. Which complaint related to administration of this drug should the nurse expect this client to make?
- A. My mouth feels like cotton.
- B. That medication gives me indigestion.
- C. This pill gives me diarrhea.
- D. My urine looks pink.
Correct answer: A
Rationale: Dry mouth is a common side effect of MAO inhibitors like phenelzine due to their anticholinergic effects. Choices B, C, and D are incorrect as indigestion, diarrhea, and pink urine are not commonly associated side effects of phenelzine.
2. Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?
- A. Store opened bottles of normal saline in a refrigerator for up to 48 hours.
- B. Return unused supplies from the bedside to the unit's supply stock.
- C. Wait to dispose of sharps containers until they are completely full.
- D. Use clean gloves rather than sterile gloves for colostomy care.
Correct answer: D
Rationale: Using clean gloves rather than sterile gloves for colostomy care is a cost-effective measure without compromising care quality. This choice helps in reducing costs without compromising patient safety. Storing opened bottles of normal saline in a refrigerator for up to 48 hours (Choice A) may lead to contamination risks. Returning unused supplies to the unit's supply stock (Choice B) can be inefficient and lead to potential waste. Waiting to dispose of sharps containers until they are completely full (Choice C) may pose safety hazards and not directly impact cost savings.
3. Before administering an antibiotic that can cause nephrotoxicity, which lab value is most important for the nurse to review?
- A. Hemoglobin and Hematocrit
- B. Serum Calcium
- C. Serum Creatinine
- D. WBC
Correct answer: C
Rationale: The correct answer is C: Serum Creatinine. Serum creatinine is a key indicator of kidney function. Reviewing this value is crucial as it helps assess the client's risk for nephrotoxicity before administering the antibiotic. Elevated serum creatinine levels can indicate impaired kidney function, which would increase the risk of nephrotoxicity. Choices A, B, and D are not as directly related to kidney function and nephrotoxicity. Hemoglobin and hematocrit levels assess for anemia, serum calcium levels monitor calcium balance, and WBC count evaluates for infections. While these values are important for overall patient assessment, they are not as specific to assessing nephrotoxicity risk as serum creatinine.
4. As a community Health Nurse, you are a change agent. Which of the following roles must you play to succeed as a change agent?
- A. information provider
- B. information seeker
- C. motivator
- D. leader
Correct answer: B
Rationale: To succeed as a change agent, being an information seeker is crucial. While being an information provider, motivator, and leader are important roles, actively seeking information is fundamental to understanding the community's needs, concerns, and challenges before implementing effective changes. This active information seeking helps in making informed decisions and developing strategies that address the specific issues faced by the community. Therefore, the correct choice is B. Choices A, C, and D are also important roles but may not be as fundamental as actively seeking information.
5. Which of the following is the most effective way to prevent the spread of communicable diseases in a community?
- A. Regular health check-ups
- B. Isolation of infected individuals
- C. Immunization programs
- D. Public health education
Correct answer: C
Rationale: Immunization programs are the most effective way to prevent the spread of communicable diseases. Vaccinations help build immunity against specific diseases, reducing the likelihood of an outbreak. Regular health check-ups (Choice A) are important for individual health but do not directly prevent the spread of diseases on a community level. Isolation of infected individuals (Choice B) is a containment measure rather than prevention for the entire community. Public health education (Choice D) is valuable in raising awareness but may not be as effective as immunization programs in directly preventing the spread of communicable diseases.