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Evolve: HESI Med Surg Practice Exam 475 with
out rationals Questions and Answers (100%
Correct Answers) Already Graded A+
Which description of symptoms is characteristic of a client diagnosed
with trigeminal neuralgia (tic douloureux)? Ans: B) Sudden, stabbing,
severe pain over the lip and chin.
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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? Ans: C)
Osteoporosis resulting from hormonal changes.
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The nurse is assisting a client out of bed for the first time after surgery.
What action should the nurse do first? Ans: D) Allow the client to sit with
the bed in a high Fowler's position.
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? Ans: B)
Most lumps are benign, but it is always best to come in for an
examination.
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? Ans: D) Collect further data to determine whether self-
neglect is occurring.
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A client is admitted to the medical intensive care unit with a diagnosis of
myocardial infarction. The client's history indicates the infarction
occurred ten hours ago. Which laboratory test result should the nurse
expect this client to exhibit? Ans: C) Elevated CK-MB.
A splint is prescribed for nighttime use by a client with rheumatoid
arthritis. Which statement by the nurse provides the most accurate
explanation for use of the splints? Ans: A) Prevention of deformities.
The nurse should be correct in withholding a dose of digoxin in a client
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with congestive heart failure without specific instruction from the
healthcare provider if the client's Ans: C) serum potassium level is 3.
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Despite several eye surgeries, a 78-year-old client who lives alone has
persistent vision problems. The visiting nurse is discussing painting the
house with the client. The nurse suggests that the edge of the steps
should be painted which color?
A) Black.
B) White.
C) Light green.
D) Medium yellow. Ans: D) Medium yellow.
Yellow is the easiest for a person with failing vision to see (D). (A) will be
almost impossible to see at night because the shadows of the steps will
be too difficult to determine, and would pose a safety hazard. (B) is very
hard to see with a glare from the sun and it could hurt the eyes in the
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daytime to look at them. (C) is a pastel color and is difficult for elderly
clients to see.
During CPR, when attempting to ventilate a client's lungs, the nurse notes
that the chest is not moving. What action should the nurse take first? Ans:
B) Reposition the head to validate that the head is in the proper position
to open the airway.
The nurse is assessing a client with bacterial meningitis. Which assessment
finding indicates the client may have developed septic emboli?
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. Ans: A) Cyanosis of the fingertips.
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In assessing a client diagnosed with primary hyperaldosteronism, the
nurse expects the laboratory test results to indicate a decreased serum
level of which substance? Ans: C) Potassium.
A client with diabetes mellitus is experiencing polyphagia. Which
outcome statement is the priority for this client? Ans: D) Adequate
cellular nourishment.
Based on the analysis of the client's atrial fibrillation, the nurse should
prepare the client for which treatment protocol? Ans: C)
Anticoagulation therapy.
Which information about mammograms is most important to provide a
post-menopausal female client? Ans: C) Yearly mammograms should be
done regardless of previous normal x-rays.