Evolve: HESI Med Surg Practice Exam 475 with out rationals. Exam Questions With Correct Answers.
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Course
Medical Surgical
Institution
Medical Surgical
Evolve: HESI Med Surg Practice Exam 475
with out rationals. Exam Questions With
Correct Answers.
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic
douloureux)? - answerB) Sudden, stabbing, severe pain over the lip and chin.
A 67-year-old woman...
Evolve: HESI Med Surg Practice Exam 475
with out rationals. Exam Questions With
Correct Answers.
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic
douloureux)? - answer✔B) Sudden, stabbing, severe pain over the lip and chin.
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? -
answer✔C) Osteoporosis resulting from hormonal changes.
The nurse is assisting a client out of bed for the first time after surgery. What action should the nurse do
first? - answer✔D) Allow the client to sit with the bed in a high Fowler's position.
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? - answer✔B) Most lumps are benign, but it is always best to come in
for an examination.
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? -
answer✔D) Collect further data to determine whether self-neglect is occurring.
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? - answer✔C) Elevated CK-MB.
A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement by the
nurse provides the most accurate explanation for use of the splints? - answer✔A) Prevention of
deformities.
The nurse should be correct in withholding a dose of digoxin in a client with congestive heart failure
without specific instruction from the healthcare provider if the client's - answer✔C) serum potassium
level is 3.
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. The
visiting nurse is discussing painting the house with the client. The nurse suggests that the edge of the
steps should be painted which color?
A) Black.
B) White.
C) Light green.
D) Medium yellow. - answer✔D) Medium yellow.
Yellow is the easiest for a person with failing vision to see (D). (A) will be almost impossible to see at
night because the shadows of the steps will be too difficult to determine, and would pose a safety
hazard. (B) is very hard to see with a glare from the sun and it could hurt the eyes in the daytime to look
at them. (C) is a pastel color and is difficult for elderly clients to see.
During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not moving.
What action should the nurse take first? - answer✔B) Reposition the head to validate that the head is in
the proper position to open the airway.
The nurse is assessing a client with bacterial meningitis. Which assessment finding indicates the client
may have developed septic emboli?
. - answer✔A) Cyanosis of the fingertips.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory test
results to indicate a decreased serum level of which substance? - answer✔C) Potassium.
A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority for
this client? - answer✔D) Adequate cellular nourishment.
Based on the analysis of the client's atrial fibrillation, the nurse should prepare the client for which
treatment protocol? - answer✔C) Anticoagulation therapy.
Which information about mammograms is most important to provide a post-menopausal female client?
- answer✔C) Yearly mammograms should be done regardless of previous normal x-rays.
In assessing cancer risk, the nurse identifies which woman as being at greatest risk of developing breast
cancer? - answer✔B) A 50-year-old whose mother had unilateral breast cancer.
A client with multiple sclerosis has experienced an exacerbation of symptoms, including paresthesias,
diplopia, and nystagmus. Which instruction should the nurse provide? - answer✔C) Schedule extra rest
periods.
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