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Med Surg Practice Exam Questions With Verified Answers.
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Med Surg Practice Exam Questions With Verified Answers. 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 ...

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  • October 1, 2024
  • 85
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • med surg practice exam questions with verified ans

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©BRAINBARTER 2024/2025




Med Surg Practice Exam Questions With
Verified Answers.




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) would be characteristic of disorders of the hypoglossal cranial nerve

(12th).

, ©BRAINBARTER 2024/2025


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 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.

, ©BRAINBARTER 2024/2025


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).

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 and D) provide false reassurance

and do not help relieve anxiety.

, ©BRAINBARTER 2024/2025


A female client is brought to the clinic by her daughter for a flu shot. She has lost significant

weight since the last visit. She has poor personal hygiene and inadequate clothing for the

weather. The client states that she lives alone and denies problems or concerns. What action

should the nurse implement?

A) Notify social services immediately of suspected elderly abuse.

B) Discuss the need for mental health counseling with the daughter.

C) Explain to the client that she needs to take better care of herself.


D) Collect further data to determine whether self-neglect is occurring. - answer✔D) Collect

further data to determine whether self-neglect is occurring.




Changes in weight and hygiene may be indicators of self-neglect or neglect by family members.

Further assessment is needed (D) before notifying social services (A) or discussing a need for

counseling (B). Until further information is obtained, explanations about the client's needs are

premature (C).

A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction.

The client's history indicates the infarction occurred ten hours ago. Which laboratory test result

should the nurse expect this client to exhibit?

A) Elevated LDH.

B) Elevated serum amylase.

C) Elevated CK-MB.

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