Evolve: Med Surg Practice Exam Questions
and Answers with Verified Solutions | Latest
Updated 2026
Which description of symptoms is B) Sudden, stabbing, severe pain over the
characteristic of a client diagnosed lip and
with trigeminal neuralgia (tic chin.
douloureux)? Trigeminal neuralgia is characterized by
A) Tinnitus, vertigo, and hearing paroxysms
difficulties. of pain, similar to an electric shock, in the
B) Sudden, stabbing, severe pain area
over the lip and chin. innervated by one or more branches of the
C) Facial weakness and paralysis. trigeminal nerve (5th cranial) (B). (A) would
D) Difficulty in chewing, talking, be
and characteristic of Méniére's disease (8th
swallowing. 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 C) Osteoporosis resulting from hormonal
alone is admitted after tripping on changes.
a The most common cause of a fractured hip
rug in her home and fractures her in
hip. Which predisposing factor elderly women is osteoporosis, resulting
probably led to the fracture in the from
proximal end of her femur? reduced calcium in the bones as a result of
A) Failing eyesight resulting in an hormonal changes in later life (C). (A) may
unsafe environment. or may
B) Renal osteodystrophy resulting not have contributed to the accident, but it
from chronic renal failure. had
C) Osteoporosis resulting from nothing to do with the hip being involved.
hormonal changes. (B) is not
D) Cardiovascular changes a common condition of the elderly; it is
resulting common in
in small strokes which impair chronic renal failure. (D) may occur in
mental some
acuity. people, but does not affect the fragility of
the
bones as osteoporosis does.
The nurse is assisting a client out D) Allow the client to sit with the bed in a
of high
bed for the first time after surgery. Fowler's position.
What action should the nurse do The first step is to raise the head of the
first? bed to a
A) Place a chair at a right angle to high Fowler's position (D), which allow
the bedside. venous
B) Encourage deep breathing prior return to compensate from lying flat and
to standing. vasodilating effects of perioperative drugs.
C) Help the client to sit and dangle (A, B,
legs on the side of the bed. and C) are implemented after (D).
D) Allow the client to sit with the
bed
in a high Fowler's position.
,A 20-year-old female client calls B) Most lumps are benign, but it is always
the best to
nurse to report a lump she found come in for an examination.
in (B) provides the best response because it
her breast. Which response is the addresses the client's anxiety most
best for the nurse to provide? effectively and
A) Check it again in one month, encourages prompt and immediate action
and for a
if it is still there schedule an potential problem. (A) postpones treatment
appointment. if the
B) Most lumps are benign, but it is lump is malignant, and does not relieve the
always best to come in for an client's
examination. anxiety. (C and D) provide false
C) Try not to worry too much about reassurance and
it, because usually, most lumps do not help relieve anxiety.
are
benign.
D) If you are in your menstrual
period it is not a good time to
check
for lumps.
, A female client is brought to the D) Collect further data to determine
clinic by her daughter for a flu whether self-
shot. neglect is occurring.
She has lost significant weight Changes in weight and hygiene may be
since indicators
the last visit. She has poor of self-neglect or neglect by family
personal members.
hygiene and inadequate clothing Further assessment is needed (D) before
for notifying
the weather. The client states that social services (A) or discussing a need for
she counseling (B). Until further information is
lives alone and denies problems or obtained,
concerns. What action should the explanations about the client's needs are
nurse implement? premature (C).
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.
and Answers with Verified Solutions | Latest
Updated 2026
Which description of symptoms is B) Sudden, stabbing, severe pain over the
characteristic of a client diagnosed lip and
with trigeminal neuralgia (tic chin.
douloureux)? Trigeminal neuralgia is characterized by
A) Tinnitus, vertigo, and hearing paroxysms
difficulties. of pain, similar to an electric shock, in the
B) Sudden, stabbing, severe pain area
over the lip and chin. innervated by one or more branches of the
C) Facial weakness and paralysis. trigeminal nerve (5th cranial) (B). (A) would
D) Difficulty in chewing, talking, be
and characteristic of Méniére's disease (8th
swallowing. 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 C) Osteoporosis resulting from hormonal
alone is admitted after tripping on changes.
a The most common cause of a fractured hip
rug in her home and fractures her in
hip. Which predisposing factor elderly women is osteoporosis, resulting
probably led to the fracture in the from
proximal end of her femur? reduced calcium in the bones as a result of
A) Failing eyesight resulting in an hormonal changes in later life (C). (A) may
unsafe environment. or may
B) Renal osteodystrophy resulting not have contributed to the accident, but it
from chronic renal failure. had
C) Osteoporosis resulting from nothing to do with the hip being involved.
hormonal changes. (B) is not
D) Cardiovascular changes a common condition of the elderly; it is
resulting common in
in small strokes which impair chronic renal failure. (D) may occur in
mental some
acuity. people, but does not affect the fragility of
the
bones as osteoporosis does.
The nurse is assisting a client out D) Allow the client to sit with the bed in a
of high
bed for the first time after surgery. Fowler's position.
What action should the nurse do The first step is to raise the head of the
first? bed to a
A) Place a chair at a right angle to high Fowler's position (D), which allow
the bedside. venous
B) Encourage deep breathing prior return to compensate from lying flat and
to standing. vasodilating effects of perioperative drugs.
C) Help the client to sit and dangle (A, B,
legs on the side of the bed. and C) are implemented after (D).
D) Allow the client to sit with the
bed
in a high Fowler's position.
,A 20-year-old female client calls B) Most lumps are benign, but it is always
the best to
nurse to report a lump she found come in for an examination.
in (B) provides the best response because it
her breast. Which response is the addresses the client's anxiety most
best for the nurse to provide? effectively and
A) Check it again in one month, encourages prompt and immediate action
and for a
if it is still there schedule an potential problem. (A) postpones treatment
appointment. if the
B) Most lumps are benign, but it is lump is malignant, and does not relieve the
always best to come in for an client's
examination. anxiety. (C and D) provide false
C) Try not to worry too much about reassurance and
it, because usually, most lumps do not help relieve anxiety.
are
benign.
D) If you are in your menstrual
period it is not a good time to
check
for lumps.
, A female client is brought to the D) Collect further data to determine
clinic by her daughter for a flu whether self-
shot. neglect is occurring.
She has lost significant weight Changes in weight and hygiene may be
since indicators
the last visit. She has poor of self-neglect or neglect by family
personal members.
hygiene and inadequate clothing Further assessment is needed (D) before
for notifying
the weather. The client states that social services (A) or discussing a need for
she counseling (B). Until further information is
lives alone and denies problems or obtained,
concerns. What action should the explanations about the client's needs are
nurse implement? premature (C).
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.
