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 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.

Question 2 of 5

A client with an external fixation device for a fractured left femur is troubled with left foot pain. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: The correct answer is A because swelling may indicate compartment syndrome, a serious complication requiring immediate assessment.
Choice B is unrelated to the pain or fixation device.

Question 3 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 4 of 5

The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results, which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?

Correct Answer: A

Rationale: The correct answer is A because elevated amylase and lipase with abdominal pain and vomiting indicate acute pancreatitis.
Choice B may not elevate these enzymes.
Choice C involves liver/kidney issues, not amylase/lipase.
Choice D causes fever but not these specific symptoms.

Question 5 of 5

The healthcare provider prescribes 100 mL of 0.9% normal saline to be infused within 15 minutes. The nurse should program the infusion pump to deliver how many mL/hr?

Correct Answer: A

Rationale: The correct answer is A (400 mL/hr). Calculation: 100 mL ÷ 15 min = 100 mL ÷ 0.25 hr = 400 mL/hr. This sets the infusion pump correctly for the prescribed time.

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