MED SURG PRACTICE EXAM QUESTIONS AND
ANSWERS WITH CORRECT SOLUTIONS 100%
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).
,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.
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.
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?
ANSWERS WITH CORRECT SOLUTIONS 100%
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).
,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.
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.
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?
