MED SURG HESI PRACTICE EXAM QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED.
1. 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.
mailto:https://www.stuvia.com/user/techgrades
, C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and swallowing. ANS >>> 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).
2. 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. ANS >>> C) Osteoporosis resulting from hormonal changes.
mailto:https://www.stuvia.com/user/techgrades
, 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.
3. 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. ANS >>> 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).
mailto:https://www.stuvia.com/user/techgrades
, 4. 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.-
ANS >>> 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.
mailto:https://www.stuvia.com/user/techgrades
GRADED A+ 100% VERIFIED.
1. 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.
mailto:https://www.stuvia.com/user/techgrades
, C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and swallowing. ANS >>> 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).
2. 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. ANS >>> C) Osteoporosis resulting from hormonal changes.
mailto:https://www.stuvia.com/user/techgrades
, 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.
3. 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. ANS >>> 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).
mailto:https://www.stuvia.com/user/techgrades
, 4. 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.-
ANS >>> 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.
mailto:https://www.stuvia.com/user/techgrades
