HESI RN Med Surg Exam 2 | Nurselytic

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HESI RN Med Surg Exam 2 Questions

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Question 1 of 5

The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?

Correct Answer: B

Rationale: The correct answer is B because a purple stoma indicates compromised blood flow, risking necrosis and requiring urgent intervention.
Choice A is expected post-surgery.
Choice C is normal shortly after surgery.
Choice D is a normal finding.

Question 2 of 5

A client who works at a computer most of the working day comes to the clinic reporting pain in both hands that causes the client to awake during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?

Correct Answer: C

Rationale: The correct answer is C because Tinel's sign (tapping the wrist) tests for carpal tunnel syndrome by eliciting tingling or pain.
Choice A is unrelated.
Choice B is non-specific.
Choice D tests a different condition.

Question 3 of 5

Which nursing problem should be selected for a client who is receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI)?

Correct Answer: C

Rationale: The correct answer is C because thrombolytics increase bleeding risk, making injury prevention critical.
Choice A is less common.
Choice B is secondary to immediate risks.
Choice D is relevant but not the priority.

Question 4 of 5

A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?

Correct Answer: D

Rationale: The correct answer is D because physical activity reduces BPH risk by supporting prostate health.
Choice A is for screening, not prevention.
Choice B lacks evidence for BPH risk reduction.
Choice C is not strongly supported for BPH prevention.

Question 5 of 5

The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which is the best initial nursing action?

Correct Answer: B

Rationale: The correct answer is B because increasing irrigation flow helps clear blood clots and maintain catheter patency.
Choice A is routine but not immediate.
Choice C supports hydration but is secondary.
Choice D addresses spasms, not clots.

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