HESI MED SURG EXAM 3
1) A nurse prepares to teach a patient who has experienced damage to the left temporal lobe of
the brain. Which action should the nurse take when providing education about newly prescribed
medications to this client?
i) Sit on the client’s right side and speak into the right ear
2) A nurse assesses a client and notes the client’s position as indicated in the illustration below: How
should the nurse document this finding?
i) Decorticate Posturing
3) A nurse assesses a client with a brain tumor. The client opens his when the nurse calls his name,
mumbles in response to questions, and follows simple commands. How should the nurse document
this client’s assessment using the Glasgow Coma Scale shown below?
i) 12
4) A nurse is teaching a client who experiences migraine headaches and is prescribed a beta-
blocker. Which statement should the nurse include in this client’s teaching?
i) “Take this drug as ordered, even when feeling well, to prevent vascular changes
associated with migraine headaches”
5) A nurse assesses a client who has a history of migraines. Which clinical manifestation should the
nurse identify as an early sign of a migraine with aura?
i) Visual Disturbances
6) A nurse obtains a health history on a client prior to administering prescribed sumatriptan succinate
(Imitrex) for migraine headaches. Which condition would alert the nurse to hold the medication
and contact the healthcare provider?
i) Prinzmetal’s Angina
7) A nurse assesses a client with a history of epilepsy who experiences stiffening of the muscles of
the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities.
How should the nurse document this activity?
i) Tonic-Clonic seizure
8) A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of
consciousness. Which action should the nurse take?
i) Turn the client’s head to the side
9) A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication
should the nurse prepare to administer?
i) Lorazepam (Ativan)
10) After teaching a client who is diagnosed with new-onset status epilepticus and prescribed
phenytoin (Dilantin), the nurse assesses the client’s understanding. Which statement by the client
indicates a correct understanding of the teaching?
i) “Even when my seizures stop, I will continue to take this drug.”
11) After teaching a client newly diagnosed with epilepsy, the nurse assesses the client’s
understanding. Which statement by the client indicates a need for additional teaching?
i) “If I am nauseated, I will not take my epilepsy medication.”
1) A nurse prepares to teach a patient who has experienced damage to the left temporal lobe of
the brain. Which action should the nurse take when providing education about newly prescribed
medications to this client?
i) Sit on the client’s right side and speak into the right ear
2) A nurse assesses a client and notes the client’s position as indicated in the illustration below: How
should the nurse document this finding?
i) Decorticate Posturing
3) A nurse assesses a client with a brain tumor. The client opens his when the nurse calls his name,
mumbles in response to questions, and follows simple commands. How should the nurse document
this client’s assessment using the Glasgow Coma Scale shown below?
i) 12
4) A nurse is teaching a client who experiences migraine headaches and is prescribed a beta-
blocker. Which statement should the nurse include in this client’s teaching?
i) “Take this drug as ordered, even when feeling well, to prevent vascular changes
associated with migraine headaches”
5) A nurse assesses a client who has a history of migraines. Which clinical manifestation should the
nurse identify as an early sign of a migraine with aura?
i) Visual Disturbances
6) A nurse obtains a health history on a client prior to administering prescribed sumatriptan succinate
(Imitrex) for migraine headaches. Which condition would alert the nurse to hold the medication
and contact the healthcare provider?
i) Prinzmetal’s Angina
7) A nurse assesses a client with a history of epilepsy who experiences stiffening of the muscles of
the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities.
How should the nurse document this activity?
i) Tonic-Clonic seizure
8) A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of
consciousness. Which action should the nurse take?
i) Turn the client’s head to the side
9) A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication
should the nurse prepare to administer?
i) Lorazepam (Ativan)
10) After teaching a client who is diagnosed with new-onset status epilepticus and prescribed
phenytoin (Dilantin), the nurse assesses the client’s understanding. Which statement by the client
indicates a correct understanding of the teaching?
i) “Even when my seizures stop, I will continue to take this drug.”
11) After teaching a client newly diagnosed with epilepsy, the nurse assesses the client’s
understanding. Which statement by the client indicates a need for additional teaching?
i) “If I am nauseated, I will not take my epilepsy medication.”
