SME Med-Surg Questions with
Complete Correct Answers | Grade
A+
The nurse instructs a client diagnosed with Bell palsy. It is most important for the nurse to
make which statement about nighttime care?
1. "Place a warm compress on the affected side."
2. "Perform facial isometrics before you go to bed."
3. "Apply an eye shield over the affected eye."
4. "Massage your face with an oil-based lotion."
Ans: "Apply an eye shield over the affected eye."
The nurse in the outpatient clinic provides care for a client diagnosed with Bell palsy. Which
action does the nurse take first?
1. Administers fentanyl as prescribed.
2. Assesses the client's pain experience.
3. Administers hygienic measures.
4. Orders an appropriate diet.
Ans: Assesses the client's pain experience
,The nurse provides care for a client diagnosed with Ménière disease. The nurse expects the
client to exhibit which symptoms?
1. Dizziness, irritability, weight loss.
2. Vertigo, hearing loss, tinnitus.
3. Ringing in the ears, ear pain, insomnia.
4. Nausea, vomiting, hypotension.
Ans: Vertigo, hearing loss, tinnitus.
The nurse provides care for a client diagnosed with Ménière disease. Which report by the
client poses the highest safety concern?
1. Tinnitus.
2. Vertigo.
3. Hearing loss.
4. Ear pressure.
Ans: Vertigo.
Which intervention does the nurse include in the plan of care for the client diagnosed with an
acute attack of Ménière disease?
1. Encouraging frequent independent ambulation.
2. Medications and fluids to be given intravenously.
,3. A diet low in sodium but high in caffeine.
4. Frequent ear irrigations.
Ans: Medications and fluids to be given intravenously.
Which symptoms does the nurse expect the client diagnosed with Ménière disease to exhibit?
1. Continuous vertigo and tinnitus.
2. Episodic vertigo and fluctuating hearing loss.
3. Constant pain, vertigo, and tinnitus.
4. Sudden and complete hearing loss.
Ans: Episodic vertigo and fluctuating hearing loss.
The nurse provides care for a client following surgery to treat Ménière disease. Which is the
reason the nurse must assist the client with ambulation?
1. The client may have lower extremity weakness or paralysis resulting from nerve swelling.
2. Both the client's eyes will be patched for 24 hours postoperatively.
3. The client may experience vertigo and unsteadiness for one to two months after the
surgery.
4. The client may have muscle spasms in the lower extremities without warning.
Ans: The client may experience vertigo and unsteadiness for one to two months after the
surgery.
, The nurse provides care for a client diagnosed with Ménière disease. Which assessment
finding is consistent with the disease process?
1. Client reports sudden attacks of vertigo.
2. Client reports bilateral hearing loss.
3. Client reports ear pain of 8 out of 10.
4. Client reports facial numbness and tingling.
Ans: Client reports sudden attacks of vertigo.
The nurse discovers a client diagnosed with Ménière disease leaning over the sink in the
room and clutching it with both hands. After determining the client is having an acute attack,
which action does the nurse take first?
1. Helps the client back to bed and places a pillow on either side of the client's head.
2. Lays the client on the floor by the sink and obtains vital signs and assesses pupillary
response to light.
3. Gives the client an emesis basin and massages the neck over the area of the carotid arteries.
4. Notifies the health care provider and prepares to administer atropine subcutaneously.
Ans: Helps the client back to bed and places a pillow on either side of the client's head.
Which statement does the nurse include in the teaching plan when preparing the client for a
PET scan of the brain?
Complete Correct Answers | Grade
A+
The nurse instructs a client diagnosed with Bell palsy. It is most important for the nurse to
make which statement about nighttime care?
1. "Place a warm compress on the affected side."
2. "Perform facial isometrics before you go to bed."
3. "Apply an eye shield over the affected eye."
4. "Massage your face with an oil-based lotion."
Ans: "Apply an eye shield over the affected eye."
The nurse in the outpatient clinic provides care for a client diagnosed with Bell palsy. Which
action does the nurse take first?
1. Administers fentanyl as prescribed.
2. Assesses the client's pain experience.
3. Administers hygienic measures.
4. Orders an appropriate diet.
Ans: Assesses the client's pain experience
,The nurse provides care for a client diagnosed with Ménière disease. The nurse expects the
client to exhibit which symptoms?
1. Dizziness, irritability, weight loss.
2. Vertigo, hearing loss, tinnitus.
3. Ringing in the ears, ear pain, insomnia.
4. Nausea, vomiting, hypotension.
Ans: Vertigo, hearing loss, tinnitus.
The nurse provides care for a client diagnosed with Ménière disease. Which report by the
client poses the highest safety concern?
1. Tinnitus.
2. Vertigo.
3. Hearing loss.
4. Ear pressure.
Ans: Vertigo.
Which intervention does the nurse include in the plan of care for the client diagnosed with an
acute attack of Ménière disease?
1. Encouraging frequent independent ambulation.
2. Medications and fluids to be given intravenously.
,3. A diet low in sodium but high in caffeine.
4. Frequent ear irrigations.
Ans: Medications and fluids to be given intravenously.
Which symptoms does the nurse expect the client diagnosed with Ménière disease to exhibit?
1. Continuous vertigo and tinnitus.
2. Episodic vertigo and fluctuating hearing loss.
3. Constant pain, vertigo, and tinnitus.
4. Sudden and complete hearing loss.
Ans: Episodic vertigo and fluctuating hearing loss.
The nurse provides care for a client following surgery to treat Ménière disease. Which is the
reason the nurse must assist the client with ambulation?
1. The client may have lower extremity weakness or paralysis resulting from nerve swelling.
2. Both the client's eyes will be patched for 24 hours postoperatively.
3. The client may experience vertigo and unsteadiness for one to two months after the
surgery.
4. The client may have muscle spasms in the lower extremities without warning.
Ans: The client may experience vertigo and unsteadiness for one to two months after the
surgery.
, The nurse provides care for a client diagnosed with Ménière disease. Which assessment
finding is consistent with the disease process?
1. Client reports sudden attacks of vertigo.
2. Client reports bilateral hearing loss.
3. Client reports ear pain of 8 out of 10.
4. Client reports facial numbness and tingling.
Ans: Client reports sudden attacks of vertigo.
The nurse discovers a client diagnosed with Ménière disease leaning over the sink in the
room and clutching it with both hands. After determining the client is having an acute attack,
which action does the nurse take first?
1. Helps the client back to bed and places a pillow on either side of the client's head.
2. Lays the client on the floor by the sink and obtains vital signs and assesses pupillary
response to light.
3. Gives the client an emesis basin and massages the neck over the area of the carotid arteries.
4. Notifies the health care provider and prepares to administer atropine subcutaneously.
Ans: Helps the client back to bed and places a pillow on either side of the client's head.
Which statement does the nurse include in the teaching plan when preparing the client for a
PET scan of the brain?
