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Med Surg Final – Evolve Questions and Answers
(Latest Update 2024/2025 with Verified A+ Content)
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)?
A) Tinnitus, vertigo, and hearing difficulties.
B) Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and swallowing.
......ANSWER........B) Sudden, stabbing, severe pain over the lip
and chin.
Trigeminal neuralgia is characterized by paroxysms of pain,
similar to an electric shock, in the area innervated by one or
more branches of the trigeminal nerve (5th cranial) (B). (A)
would be characteristic of Méniére's disease (8th cranial nerve).
(C) would be characteristic of Bell's palsy (7th cranial nerve). (D)
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would be characteristic of disorders of the hypoglossal cranial
nerve (12th).
A 67-year-old woman who lives alone is admitted after tripping
on a rug in her home and fractures her hip. Which predisposing
factor probably led to the fracture in the proximal end of her
femur?
A) Failing eyesight resulting in an unsafe environment.
B) Renal osteodystrophy resulting from chronic renal failure.
C) Osteoporosis resulting from hormonal changes.
D) Cardiovascular changes resulting in small strokes which impair
mental acuity. ......ANSWER........C) Osteoporosis resulting from
hormonal changes.
The most common cause of a fractured hip in elderly women is
osteoporosis, resulting from reduced calcium in the bones as a
result of hormonal changes in later life (C). (A) may or may not
have contributed to the accident, but it had nothing to do with
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the hip being involved. (B) is not a common condition of the
elderly; it is common in chronic renal failure. (D) may occur in
some people, but does not affect the fragility of the bones as
osteoporosis does.
The nurse is assisting a client out of bed for the first time after
surgery. What action should the nurse do first?
A) Place a chair at a right angle to the bedside.
B) Encourage deep breathing prior to standing.
C) Help the client to sit and dangle legs on the side of the bed.
D) Allow the client to sit with the bed in a high Fowler's position.
......ANSWER........D) Allow the client to sit with the bed in a high
Fowler's position.
The first step is to raise the head of the bed to a high Fowler's
position (D), which allow venous return to compensate from lying
flat and vasodilating effects of perioperative drugs. (A, B, and
C) are implemented after (D).
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A 20-year-old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide?
A) Check it again in one month, and if it is still there schedule an
appointment.
B) Most lumps are benign, but it is always best to come in for an
examination.
C) Try not to worry too much about it, because usually, most
lumps are benign.
D) If you are in your menstrual period it is not a good time to
check for lumps. ......ANSWER........B) Most lumps are benign, but
it is always best to come in for an examination.
(B) provides the best response because it addresses the client's
anxiety most effectively and encourages prompt and immediate
action for a potential problem. (A) postpones treatment if the
lump is malignant, and does not relieve the client's anxiety. (C
Med Surg Final – Evolve Questions and Answers
(Latest Update 2024/2025 with Verified A+ Content)
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)?
A) Tinnitus, vertigo, and hearing difficulties.
B) Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and swallowing.
......ANSWER........B) Sudden, stabbing, severe pain over the lip
and chin.
Trigeminal neuralgia is characterized by paroxysms of pain,
similar to an electric shock, in the area innervated by one or
more branches of the trigeminal nerve (5th cranial) (B). (A)
would be characteristic of Méniére's disease (8th cranial nerve).
(C) would be characteristic of Bell's palsy (7th cranial nerve). (D)
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would be characteristic of disorders of the hypoglossal cranial
nerve (12th).
A 67-year-old woman who lives alone is admitted after tripping
on a rug in her home and fractures her hip. Which predisposing
factor probably led to the fracture in the proximal end of her
femur?
A) Failing eyesight resulting in an unsafe environment.
B) Renal osteodystrophy resulting from chronic renal failure.
C) Osteoporosis resulting from hormonal changes.
D) Cardiovascular changes resulting in small strokes which impair
mental acuity. ......ANSWER........C) Osteoporosis resulting from
hormonal changes.
The most common cause of a fractured hip in elderly women is
osteoporosis, resulting from reduced calcium in the bones as a
result of hormonal changes in later life (C). (A) may or may not
have contributed to the accident, but it had nothing to do with
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the hip being involved. (B) is not a common condition of the
elderly; it is common in chronic renal failure. (D) may occur in
some people, but does not affect the fragility of the bones as
osteoporosis does.
The nurse is assisting a client out of bed for the first time after
surgery. What action should the nurse do first?
A) Place a chair at a right angle to the bedside.
B) Encourage deep breathing prior to standing.
C) Help the client to sit and dangle legs on the side of the bed.
D) Allow the client to sit with the bed in a high Fowler's position.
......ANSWER........D) Allow the client to sit with the bed in a high
Fowler's position.
The first step is to raise the head of the bed to a high Fowler's
position (D), which allow venous return to compensate from lying
flat and vasodilating effects of perioperative drugs. (A, B, and
C) are implemented after (D).
, Page 4 of 139
A 20-year-old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide?
A) Check it again in one month, and if it is still there schedule an
appointment.
B) Most lumps are benign, but it is always best to come in for an
examination.
C) Try not to worry too much about it, because usually, most
lumps are benign.
D) If you are in your menstrual period it is not a good time to
check for lumps. ......ANSWER........B) Most lumps are benign, but
it is always best to come in for an examination.
(B) provides the best response because it addresses the client's
anxiety most effectively and encourages prompt and immediate
action for a potential problem. (A) postpones treatment if the
lump is malignant, and does not relieve the client's anxiety. (C
