HESI MED SURG PROCTORED FINAL EXAM
2023/2024 TO HELP YOU PASS
,HESI MED SURG PROCTORED FINAL EXAM 2023/2024
TO HELP YOU PASS
1. The nurse is caring for a patient with a wound. The
patient appears
anxious as the nurse is preparing to change the
dressing. Which actionshould the nurse take?
a. Turn on the television.
b. Explain the procedure.
c. Tell the patient “Close your eyes.”
d. Ask the family to leave the room.
ANS: B
Explaining the procedure educates the patient
regarding the dressing change and involves him in the
care, thereby allowing the patient some control in
decreasing anxiety. Telling the patient to close the
eyes and turning on the television are distractions
that do not usually decrease a
patient’s anxiety. If the family is a support system,
asking support systemsto leave the room can actually
increase a patient’s anxiety.
2. The nurse is cleansing a wound site. As the
nurse administers theprocedure, which
intervention should be included?
Allow the solution to flow from the most contaminated
to the least
a. contaminated.
b. Scrub vigorously when applying noncytotoxic solution to
the skin.
,HESI MED SURG PROCTORED FINAL EXAM 2023/2024
TO HELP YOU PASS
c. Cleanse in a direction from the least contaminated area.
d. Utilize clean gauze and clean gloves to cleanse a site.
ANS: C
Cleanse in a direction from the least contaminated area,
such as from the wound or incision, to the surrounding
skin. While cleansing surgical or traumatic wounds by
applying noncytotoxic solution with sterile gauze or by
irrigations is correct, vigorous scrubbing is
inappropriate and can cause damage to the skin. Use
gentle friction when applying solutions to the skin, and
allow irrigation to flow from the least to the most
contaminated area.
3. The nurse is caring for a patient after an open
abdominal aortic aneurysm repair. The nurse
requests an abdominal binder and carefully
applies the binder. Which is the best explanation for the
nurse to use when 1
teaching the patient the reason for the binder?
, HESI MED SURG PROCTORED FINAL EXAM 2023/2024
TO HELP YOU PASS
a. It reduces edema at the surgical site.
b. It secures the dressing in place.
c. It immobilizes the abdomen.
d. It supports the abdomen.
ANS: D
The patient has a large abdominal incision. This incision
will need support, and an abdominal binder will support
this wound, especially during movement, as well as
during deep breathing and coughing. A binder can be
used to immobilize a body part (e.g., an elastic bandage
applied around a sprained ankle). A binder can be used
to prevent edema, for example, in an extremity but in
this case is not used to reduce edema at a surgical site.
A binder can be used to secure dressings such as elastic
webbing applied arounda leg after vein stripping.
4. The nurse is caring for a postoperative medial meniscus
repair of the
right knee. Which action should the nurse take to
assist with painmanagement?
a. Monitor vital signs every 15 minutes.
b. Check pulses in the right foot.
c. Keep the leg dependent.
d. Apply ice.
ANS: D
Ice assists in preventing edema formation, controlling
bleeding, and anesthetizing the body part. Elevation (not
dependent) assists in preventing edema, which in turn
can cause pain. Monitoring vital signs every 15 minutes
is routine postoperative care and includes a pain
assessment but in itself is not an intervention that
decreases pain. Checking the pulses is important to
monitor the circulation of the extremity but in itself is
2023/2024 TO HELP YOU PASS
,HESI MED SURG PROCTORED FINAL EXAM 2023/2024
TO HELP YOU PASS
1. The nurse is caring for a patient with a wound. The
patient appears
anxious as the nurse is preparing to change the
dressing. Which actionshould the nurse take?
a. Turn on the television.
b. Explain the procedure.
c. Tell the patient “Close your eyes.”
d. Ask the family to leave the room.
ANS: B
Explaining the procedure educates the patient
regarding the dressing change and involves him in the
care, thereby allowing the patient some control in
decreasing anxiety. Telling the patient to close the
eyes and turning on the television are distractions
that do not usually decrease a
patient’s anxiety. If the family is a support system,
asking support systemsto leave the room can actually
increase a patient’s anxiety.
2. The nurse is cleansing a wound site. As the
nurse administers theprocedure, which
intervention should be included?
Allow the solution to flow from the most contaminated
to the least
a. contaminated.
b. Scrub vigorously when applying noncytotoxic solution to
the skin.
,HESI MED SURG PROCTORED FINAL EXAM 2023/2024
TO HELP YOU PASS
c. Cleanse in a direction from the least contaminated area.
d. Utilize clean gauze and clean gloves to cleanse a site.
ANS: C
Cleanse in a direction from the least contaminated area,
such as from the wound or incision, to the surrounding
skin. While cleansing surgical or traumatic wounds by
applying noncytotoxic solution with sterile gauze or by
irrigations is correct, vigorous scrubbing is
inappropriate and can cause damage to the skin. Use
gentle friction when applying solutions to the skin, and
allow irrigation to flow from the least to the most
contaminated area.
3. The nurse is caring for a patient after an open
abdominal aortic aneurysm repair. The nurse
requests an abdominal binder and carefully
applies the binder. Which is the best explanation for the
nurse to use when 1
teaching the patient the reason for the binder?
, HESI MED SURG PROCTORED FINAL EXAM 2023/2024
TO HELP YOU PASS
a. It reduces edema at the surgical site.
b. It secures the dressing in place.
c. It immobilizes the abdomen.
d. It supports the abdomen.
ANS: D
The patient has a large abdominal incision. This incision
will need support, and an abdominal binder will support
this wound, especially during movement, as well as
during deep breathing and coughing. A binder can be
used to immobilize a body part (e.g., an elastic bandage
applied around a sprained ankle). A binder can be used
to prevent edema, for example, in an extremity but in
this case is not used to reduce edema at a surgical site.
A binder can be used to secure dressings such as elastic
webbing applied arounda leg after vein stripping.
4. The nurse is caring for a postoperative medial meniscus
repair of the
right knee. Which action should the nurse take to
assist with painmanagement?
a. Monitor vital signs every 15 minutes.
b. Check pulses in the right foot.
c. Keep the leg dependent.
d. Apply ice.
ANS: D
Ice assists in preventing edema formation, controlling
bleeding, and anesthetizing the body part. Elevation (not
dependent) assists in preventing edema, which in turn
can cause pain. Monitoring vital signs every 15 minutes
is routine postoperative care and includes a pain
assessment but in itself is not an intervention that
decreases pain. Checking the pulses is important to
monitor the circulation of the extremity but in itself is
