EVOLVE: MED SURG PRACTICE EXAM 4
QUESTIONS WITH COMPLETE
ANSWERS [GRADED A+]
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. - ✔✔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
©morren2026/2027.Year published 2026.
,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. - ✔✔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.
©morren2026/2027.Year published 2026.
,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. - ✔✔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.
©morren2026/2027.Year published 2026.
, D) If you are in your menstrual period it is not a good time to check for
lumps. - ✔✔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?
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. -
✔✔D) Collect further data to determine whether self-neglect is occurring.
©morren2026/2027.Year published 2026.
QUESTIONS WITH COMPLETE
ANSWERS [GRADED A+]
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. - ✔✔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
©morren2026/2027.Year published 2026.
,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. - ✔✔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.
©morren2026/2027.Year published 2026.
,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. - ✔✔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.
©morren2026/2027.Year published 2026.
, D) If you are in your menstrual period it is not a good time to check for
lumps. - ✔✔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?
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. -
✔✔D) Collect further data to determine whether self-neglect is occurring.
©morren2026/2027.Year published 2026.
