MED SURG III FINAL EXAM 2025/2026
MED SURG III FINAL EXAM / NSG233
FINAL EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |GRADED A+||BRAND
NEW VERSION GUARANTEED PASS
Pdf Download
MED SURG III FINAL EXAM
The nurse assessing a patient with newly diagnosed trigeminal neuralgia will ask
the patient about
a. visual problems caused by ptosis.
b. triggers leading to facial discomfort.
c. poor appetite caused by loss of taste.
d. weakness on the affected side of the face. - Answer ✓✓b. triggers leading to
facial discomfort.
MED SURG III 1
, MED SURG III FINAL EXAM 2025/2026
The major clinical manifestation of trigeminal neuralgia is severe facial pain
triggered by cutaneous stimulation of the nerve. Ptosis, loss of taste, and facial
weakness are not characteristics of trigeminal neuralgia.
Which patient assessment will help the nurse identify potential complications of
trigeminal neuralgia?
a. Have the patient clench the jaws.
b. Inspect the oral mucosa and teeth.
c. Palpate the face to compare skin temperature bilaterally.
d. Identify trigger zones by lightly touching the affected side. - Answer ✓✓b.
Inspect the oral mucosa and teeth.
Oral hygiene is frequently neglected because of fear of triggering facial pain and
may lead to gum disease, dental caries, or an abscess. Having the patient clench
the facial muscles will not be useful because the sensory branches (rather than
motor branches) of the nerve are affected by trigeminal neuralgia. Light touch and
palpation may be triggers for pain and should be avoided.
DIF: Cognitive Level: Apply (application) REF: 1437
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
When evaluating outcomes of a glycerol rhizotomy for a patient with trigeminal
neuralgia, the nurse will
a. assess if the patient is doing daily facial exercises.
b. question if the patient is using an eye shield at night.
c. ask the patient about social activities with family and friends.
MED SURG III 2
, MED SURG III FINAL EXAM 2025/2026
d. remind the patient to chew on the unaffected side of the mouth. - Answer
✓✓ANS: C
Because withdrawal from social activities is a common manifestation of trigeminal
neuralgia, asking about social activities will help in evaluating if the patient's
symptoms have improved. Glycerol rhizotomy does not damage the corneal reflex
or motor functions of the trigeminal nerve, so there is no need to use an eye
shield, do facial exercises, or take precautions with chewing.
DIF: Cognitive Level: Apply (application) REF: 1438
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
4. Which action will the nurse include in the plan of care for a patient who is
experiencing pain from trigeminal neuralgia?
a. Assess fluid and dietary intake.
b. Apply ice packs for 20 minutes.
c. Teach facial relaxation techniques.
d. Spend time talking with the patient. - Answer ✓✓ANS: A
The patient with an acute episode of trigeminal neuralgia may be unwilling to eat
or drink, so assessment of nutritional and hydration status is important. Because
stimulation by touch is the precipitating factor for pain, relaxation of the facial
muscles will not improve symptoms. Application of ice is likely to precipitate pain.
The patient will not want to engage in conversation, which may precipitate
attacks.
DIF: Cognitive Level: Apply (application) REF: 1438
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
5. The nurse identifies a patient with type 1 diabetes and a history of herpes
simplex infection as being at risk for Bell's palsy. Which information should the
nurse include in teaching the patient?
MED SURG III 3
, MED SURG III FINAL EXAM 2025/2026
a. "You may be able to prevent Bell's palsy by doing facial exercises regularly."
b. "Prophylactic treatment of herpes with antiviral agents prevents Bell's palsy."
c. "Medications to treat Bell's palsy work only if started before paralysis onset."
d. "Call the doctor if you experience pain or develop herpes lesions near the ear."
- Answer ✓✓ANS: D
Pain or herpes lesions near the ear may indicate the onset of Bell's palsy, and rapid
corticosteroid treatment may reduce the duration of Bell's palsy symptoms.
Antiviral therapy for herpes simplex does not reduce the risk for Bell's palsy.
Corticosteroid therapy will be most effective in reducing symptoms if started
before paralysis is complete but will still be somewhat effective when started
later. Facial exercises do not prevent Bell's palsy.
DIF: Cognitive Level: Apply (application) REF: 1440
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
6. A patient with Bell's palsy refuses to eat while others are present because of
embarrassment about drooling. The best response by the nurse is to
a. respect the patient's feelings and arrange for privacy at mealtimes.
b. teach the patient to chew food on the unaffected side of the mouth.
c. offer the patient liquid nutritional supplements at frequent intervals.
d. discuss the patient's concerns with visitors who arrive at mealtimes. - Answer
✓✓ANS: A
The patient's desire for privacy should be respected to encourage adequate
nutrition and reduce patient embarrassment. Liquid supplements may help
maintain nutrition but will reduce the patient's enjoyment of the taste of food. It
would be inappropriate for the nurse to discuss the patient's embarrassment with
visitors unless the patient wishes to share this information. Chewing on the
unaffected side of the mouth will enhance nutrition and enjoyment of food but
will not decrease the drooling.
MED SURG III 4
MED SURG III FINAL EXAM / NSG233
FINAL EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |GRADED A+||BRAND
NEW VERSION GUARANTEED PASS
Pdf Download
MED SURG III FINAL EXAM
The nurse assessing a patient with newly diagnosed trigeminal neuralgia will ask
the patient about
a. visual problems caused by ptosis.
b. triggers leading to facial discomfort.
c. poor appetite caused by loss of taste.
d. weakness on the affected side of the face. - Answer ✓✓b. triggers leading to
facial discomfort.
MED SURG III 1
, MED SURG III FINAL EXAM 2025/2026
The major clinical manifestation of trigeminal neuralgia is severe facial pain
triggered by cutaneous stimulation of the nerve. Ptosis, loss of taste, and facial
weakness are not characteristics of trigeminal neuralgia.
Which patient assessment will help the nurse identify potential complications of
trigeminal neuralgia?
a. Have the patient clench the jaws.
b. Inspect the oral mucosa and teeth.
c. Palpate the face to compare skin temperature bilaterally.
d. Identify trigger zones by lightly touching the affected side. - Answer ✓✓b.
Inspect the oral mucosa and teeth.
Oral hygiene is frequently neglected because of fear of triggering facial pain and
may lead to gum disease, dental caries, or an abscess. Having the patient clench
the facial muscles will not be useful because the sensory branches (rather than
motor branches) of the nerve are affected by trigeminal neuralgia. Light touch and
palpation may be triggers for pain and should be avoided.
DIF: Cognitive Level: Apply (application) REF: 1437
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
When evaluating outcomes of a glycerol rhizotomy for a patient with trigeminal
neuralgia, the nurse will
a. assess if the patient is doing daily facial exercises.
b. question if the patient is using an eye shield at night.
c. ask the patient about social activities with family and friends.
MED SURG III 2
, MED SURG III FINAL EXAM 2025/2026
d. remind the patient to chew on the unaffected side of the mouth. - Answer
✓✓ANS: C
Because withdrawal from social activities is a common manifestation of trigeminal
neuralgia, asking about social activities will help in evaluating if the patient's
symptoms have improved. Glycerol rhizotomy does not damage the corneal reflex
or motor functions of the trigeminal nerve, so there is no need to use an eye
shield, do facial exercises, or take precautions with chewing.
DIF: Cognitive Level: Apply (application) REF: 1438
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
4. Which action will the nurse include in the plan of care for a patient who is
experiencing pain from trigeminal neuralgia?
a. Assess fluid and dietary intake.
b. Apply ice packs for 20 minutes.
c. Teach facial relaxation techniques.
d. Spend time talking with the patient. - Answer ✓✓ANS: A
The patient with an acute episode of trigeminal neuralgia may be unwilling to eat
or drink, so assessment of nutritional and hydration status is important. Because
stimulation by touch is the precipitating factor for pain, relaxation of the facial
muscles will not improve symptoms. Application of ice is likely to precipitate pain.
The patient will not want to engage in conversation, which may precipitate
attacks.
DIF: Cognitive Level: Apply (application) REF: 1438
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
5. The nurse identifies a patient with type 1 diabetes and a history of herpes
simplex infection as being at risk for Bell's palsy. Which information should the
nurse include in teaching the patient?
MED SURG III 3
, MED SURG III FINAL EXAM 2025/2026
a. "You may be able to prevent Bell's palsy by doing facial exercises regularly."
b. "Prophylactic treatment of herpes with antiviral agents prevents Bell's palsy."
c. "Medications to treat Bell's palsy work only if started before paralysis onset."
d. "Call the doctor if you experience pain or develop herpes lesions near the ear."
- Answer ✓✓ANS: D
Pain or herpes lesions near the ear may indicate the onset of Bell's palsy, and rapid
corticosteroid treatment may reduce the duration of Bell's palsy symptoms.
Antiviral therapy for herpes simplex does not reduce the risk for Bell's palsy.
Corticosteroid therapy will be most effective in reducing symptoms if started
before paralysis is complete but will still be somewhat effective when started
later. Facial exercises do not prevent Bell's palsy.
DIF: Cognitive Level: Apply (application) REF: 1440
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
6. A patient with Bell's palsy refuses to eat while others are present because of
embarrassment about drooling. The best response by the nurse is to
a. respect the patient's feelings and arrange for privacy at mealtimes.
b. teach the patient to chew food on the unaffected side of the mouth.
c. offer the patient liquid nutritional supplements at frequent intervals.
d. discuss the patient's concerns with visitors who arrive at mealtimes. - Answer
✓✓ANS: A
The patient's desire for privacy should be respected to encourage adequate
nutrition and reduce patient embarrassment. Liquid supplements may help
maintain nutrition but will reduce the patient's enjoyment of the taste of food. It
would be inappropriate for the nurse to discuss the patient's embarrassment with
visitors unless the patient wishes to share this information. Chewing on the
unaffected side of the mouth will enhance nutrition and enjoyment of food but
will not decrease the drooling.
MED SURG III 4
