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HESI MED SURG EVOLVE COMBINED Practice Exam Test
Questions with Verified Solutions New Modified Tested and a
Graded A+ With Rationales
A nurse is assisting an 82-year-old client with ambulation and is
concerned that the client may fall. Which area contains the older
person's center of gravity?
A. Head and neck
B. Upper torso
C. Bilateral arms
D. Feet and legs---<<Correct Answer>> B
<<Rationale>>Stooped posture results in the upper torso
becoming the center of gravity for older persons. The center of
gravity for adults is the hips. However, as a person grows older, a
stooped posture is common because of changes caused by
osteoporosis and normal bone degeneration. Furthermore, the
knees, hips, and elbows flex. The head and neck and feet and legs
are not the center of gravity in the older adult. Although the arms
comprise a part of the upper torso, they do not reflect the best and
most complete answer.
A client with hypertension has been receiving ramipril, 5 mg PO,
daily for 2 weeks and is scheduled to receive a dose at 0900. At
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0830, the client's blood pressure is 120/70 mm Hg. Which action
should the nurse take?
A. Administer the prescribed dose at the scheduled time.
B. Hold the dose and contact the health care provider.
C. Hold the dose and recheck the blood pressure in 1 hour.
D. Check the health care provider's prescription to clarify the
dose.---<<Correct Answer>> A
<<Rationale>>The client's blood pressure is within normal limits,
indicating that the ramipril, an antihypertensive, is having the
desired effect and should be administered. Options B and C
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would be appropriate if the client's blood pressure was
excessively low (<100 mm Hg systolic) or if the client were
exhibiting signs of hypotension such as dizziness. This prescribed
dose is within the normal dosage range, as defined by the
manufacturer; therefore, option D is not necessary
The nurse is providing care for a client diagnosed with trigeminal
neuralgia (tic douloureux). Which symptoms will the nurse be
looking for in the focused assessment related to this condition?
(Select all that apply.)
A. Facial muscle spasms
B. Sudden facial pain
C. Unilateral facial weakness
D. Difficulty in
chewing
E.Tinnitus
F.Hearing difficulties---<<Correct Answer>> A,B
<<Rationale>>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
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(cranial V). The remaining symptoms are not related to
trigeminal neuralgia.
Which instruction is best for the nurse to provide to a client with
emphysema and chronic fatigue?
A."Pace your activities and schedule
rest periods." B."Increase the
amount of oxygen you use at night."
C."Obtain medical evaluation for antibiotic therapy."
D."Reduce your intake of fluids containing caffeine."---<<Correct
Answer>> A
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HESI MED SURG EVOLVE COMBINED Practice Exam Test
Questions with Verified Solutions New Modified Tested and a
Graded A+ With Rationales
A nurse is assisting an 82-year-old client with ambulation and is
concerned that the client may fall. Which area contains the older
person's center of gravity?
A. Head and neck
B. Upper torso
C. Bilateral arms
D. Feet and legs---<<Correct Answer>> B
<<Rationale>>Stooped posture results in the upper torso
becoming the center of gravity for older persons. The center of
gravity for adults is the hips. However, as a person grows older, a
stooped posture is common because of changes caused by
osteoporosis and normal bone degeneration. Furthermore, the
knees, hips, and elbows flex. The head and neck and feet and legs
are not the center of gravity in the older adult. Although the arms
comprise a part of the upper torso, they do not reflect the best and
most complete answer.
A client with hypertension has been receiving ramipril, 5 mg PO,
daily for 2 weeks and is scheduled to receive a dose at 0900. At
Page 1 of 304
@#$%(*)_+)($%#@$)_+)(#@!#%)(_(*&%$#@$%*&()*&#
,2
0830, the client's blood pressure is 120/70 mm Hg. Which action
should the nurse take?
A. Administer the prescribed dose at the scheduled time.
B. Hold the dose and contact the health care provider.
C. Hold the dose and recheck the blood pressure in 1 hour.
D. Check the health care provider's prescription to clarify the
dose.---<<Correct Answer>> A
<<Rationale>>The client's blood pressure is within normal limits,
indicating that the ramipril, an antihypertensive, is having the
desired effect and should be administered. Options B and C
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would be appropriate if the client's blood pressure was
excessively low (<100 mm Hg systolic) or if the client were
exhibiting signs of hypotension such as dizziness. This prescribed
dose is within the normal dosage range, as defined by the
manufacturer; therefore, option D is not necessary
The nurse is providing care for a client diagnosed with trigeminal
neuralgia (tic douloureux). Which symptoms will the nurse be
looking for in the focused assessment related to this condition?
(Select all that apply.)
A. Facial muscle spasms
B. Sudden facial pain
C. Unilateral facial weakness
D. Difficulty in
chewing
E.Tinnitus
F.Hearing difficulties---<<Correct Answer>> A,B
<<Rationale>>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
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(cranial V). The remaining symptoms are not related to
trigeminal neuralgia.
Which instruction is best for the nurse to provide to a client with
emphysema and chronic fatigue?
A."Pace your activities and schedule
rest periods." B."Increase the
amount of oxygen you use at night."
C."Obtain medical evaluation for antibiotic therapy."
D."Reduce your intake of fluids containing caffeine."---<<Correct
Answer>> A
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