Med-Surg II HESI Test Bank
1. A nurse is caring for a client who just had cataract surgery. Which of the
following comments from the client should the nurse report to the provider? A.
"The bright light in this room is really bothering me."
B. " My eye really itches, but I`m trying not to rub it." C. " It`s really hard to
see with a patch on one eye."
D. "I need something for the horrible pain in my eye.": D. "I need something for
the horrible pain in my eye."
2. A nurse is shopping and finds a woman who has collapsed with right-sided
weakness and slurred speech. Which of the following actions should the nurse
take?
1 obtain the number of the client`s provider
2 find a location for the client to sit.
3 call emergency medical services
4 drive the client to the nearest emergency room: 3 call emergency medical
services
3. a nurse is reinforcing teaching to the family of a client who has parkinson`s
disease. which of the following instructions should the nurse include?
1 provide the client a cane
2 limit the client`s physical activity
3 speak loudly to the client
4 offer the client 3 large meals a day: limit the client`s physical activity
,4. a nurse is reinforcing discharge teaching with a client following a cataract
extraction. which of the following should the nurse include in the teaching?
1 avoid bending at the waist
2 remove the eye shield at bedtime
3 limit the use of laxatives if constipated
4 seeing flashes of light in an expected finding following extraction: avoid
bending at the waist
5. a nurse is collecting data from a client who has a traumatic head injury to
determine motor function response. which of the following client responses to
painful stimuli is within normal limits?
1 pushes the painful stimulus away
2 extends the body part toward the stimulus
3 shows no reaction to the painful stimulus
4 flexes the upper and extends the lower extremities: 1 pushes the painful
stimulus away
,6. the nurse is collecting data from an older adult female client who has
chronic hypothyroidism. which of the following findings should the nurse
report to the provider immediately?
1 decrease level of consciousness
2 muscle cramps
3 report of hair loss
4 hoarse speech: decrease level of consciousness
7. a nurse is reinforcing teaching with a client who has been newly diagnosed with
chronic open-angle glaucoma. which of the following statements by the client
indicates an understanding of the teaching?
1 when my vision improves, I will be able to stop taking the eye drops
2if I forget to take my eye drops, I should wait until the next time they are due
3 I should call the clinic before taking any over the counter medication
4 every two years I will need to have my vision checked by an eye doctor.: 3
I should call the clinic before taking any over the counter medication
Taking over-the-counter (OTC) medications that dilate the pupil could cause the
client who has chronic open-angle glaucoma to experience an increase in intraoc-
ular pressure. A client who has glaucoma should always check with the provider
before using OTC medications.
8. a nurse at an outpatient surgery center is reinforcing discharge teaching with
a client`s partner following surgical removal of a cataract. which of the
following information should the nurse include in the teaching?
, 1 feed the client soft foods for several days
2 position the client on the affected side to rest
3 the client should remain in bed for 3 days
4 the client should wear dark glasses while outdoors: 4 the client should wear
dark glasses while outdoors
9. a nurse is evaluating discharge instructions for a client following a right
cataract extraction. which of the following client statements indicates the
teaching is effective?
1 i will take a stool softener until my eye is healed
2 i will expect to have moderately severe pain for 1-2 days
3 i will refrain from cooking for 1 week
4 i will bend at the waist to tie my shoes: 1 i will take a stool softener until my
eye is healed
10. a nurse is preparing to provide morning hygiene care for a client who has
Alzheimer's disease. the client becomes agitated and combative when the
1. A nurse is caring for a client who just had cataract surgery. Which of the
following comments from the client should the nurse report to the provider? A.
"The bright light in this room is really bothering me."
B. " My eye really itches, but I`m trying not to rub it." C. " It`s really hard to
see with a patch on one eye."
D. "I need something for the horrible pain in my eye.": D. "I need something for
the horrible pain in my eye."
2. A nurse is shopping and finds a woman who has collapsed with right-sided
weakness and slurred speech. Which of the following actions should the nurse
take?
1 obtain the number of the client`s provider
2 find a location for the client to sit.
3 call emergency medical services
4 drive the client to the nearest emergency room: 3 call emergency medical
services
3. a nurse is reinforcing teaching to the family of a client who has parkinson`s
disease. which of the following instructions should the nurse include?
1 provide the client a cane
2 limit the client`s physical activity
3 speak loudly to the client
4 offer the client 3 large meals a day: limit the client`s physical activity
,4. a nurse is reinforcing discharge teaching with a client following a cataract
extraction. which of the following should the nurse include in the teaching?
1 avoid bending at the waist
2 remove the eye shield at bedtime
3 limit the use of laxatives if constipated
4 seeing flashes of light in an expected finding following extraction: avoid
bending at the waist
5. a nurse is collecting data from a client who has a traumatic head injury to
determine motor function response. which of the following client responses to
painful stimuli is within normal limits?
1 pushes the painful stimulus away
2 extends the body part toward the stimulus
3 shows no reaction to the painful stimulus
4 flexes the upper and extends the lower extremities: 1 pushes the painful
stimulus away
,6. the nurse is collecting data from an older adult female client who has
chronic hypothyroidism. which of the following findings should the nurse
report to the provider immediately?
1 decrease level of consciousness
2 muscle cramps
3 report of hair loss
4 hoarse speech: decrease level of consciousness
7. a nurse is reinforcing teaching with a client who has been newly diagnosed with
chronic open-angle glaucoma. which of the following statements by the client
indicates an understanding of the teaching?
1 when my vision improves, I will be able to stop taking the eye drops
2if I forget to take my eye drops, I should wait until the next time they are due
3 I should call the clinic before taking any over the counter medication
4 every two years I will need to have my vision checked by an eye doctor.: 3
I should call the clinic before taking any over the counter medication
Taking over-the-counter (OTC) medications that dilate the pupil could cause the
client who has chronic open-angle glaucoma to experience an increase in intraoc-
ular pressure. A client who has glaucoma should always check with the provider
before using OTC medications.
8. a nurse at an outpatient surgery center is reinforcing discharge teaching with
a client`s partner following surgical removal of a cataract. which of the
following information should the nurse include in the teaching?
, 1 feed the client soft foods for several days
2 position the client on the affected side to rest
3 the client should remain in bed for 3 days
4 the client should wear dark glasses while outdoors: 4 the client should wear
dark glasses while outdoors
9. a nurse is evaluating discharge instructions for a client following a right
cataract extraction. which of the following client statements indicates the
teaching is effective?
1 i will take a stool softener until my eye is healed
2 i will expect to have moderately severe pain for 1-2 days
3 i will refrain from cooking for 1 week
4 i will bend at the waist to tie my shoes: 1 i will take a stool softener until my
eye is healed
10. a nurse is preparing to provide morning hygiene care for a client who has
Alzheimer's disease. the client becomes agitated and combative when the
