HESI MED SURG FORM B QUESTIONS AND
ANSWERS GRADED A 2023.Qualified
1. The58nurse58is58caring58for58a58patient58with58a58wound.58The58patient58appears
anxious58as58the58nurse58is58preparing58to58change58the58dressing.58Which58action58should
58the58nurse58take?
a. Turn58on58the58television.
b. Explain58the58procedure.
c. Tell58the58patient58“Close58your58eyes.”
d. Ask58the58family58to58leave58the58room.
ANS:58B
Explaining58the58procedure58educates58the58patient58regarding58the58dressing58change58
and58involves58him58in58the58care,58thereby58allowing58the58patient58some58control58in58d
ecreasing58anxiety.58Telling58the58patient58to58close58the58eyes58and58turning58on58the58t
elevision58are58distractions58that58do58not58usually58decrease58a
patient’s58anxiety.58If58the58family58is58a58support58system,58asking58support58systems58to5
8leave58the58room58can58actually58increase58a58patient’s58anxiety.
2. The58nurse58is58cleansing58a58wound58site.58As58the58nurse58administers58th
e58procedure,58which58intervention58should58be58included?
Allow58the58solution58to58flow58from58the58most58contaminated58to58the58least
a. contaminated.
b. Scrub58vigorously58when58applying58noncytotoxic58solution58to58the58skin.
,c. Cleanse58in58a58direction58from58the58least58contaminated58area.
d. Utilize58clean58gauze58and58clean58gloves58to58cleanse58a58site.
ANS:58C
Cleanse58in58a58direction58from58the58least58contaminated58area,58such58as58from58the58wo
und58or58incision,58to58the58surrounding58skin.58While58cleansing58surgical58or58traumatic5
8wounds58by58applying58noncytotoxic58solution58with58sterile58gauze58or58by58irrigations58is5
8correct,58vigorous58scrubbing58is58inappropriate58and58can58cause58damage58to58the58skin.
58Use58gentle58friction58when58applying58solutions58to58the58skin,58and58allow58irrigation58
to58flow58from58the58least58to58the58most58contaminated58area.
3. The58nurse58is58caring58for58a58patient58after58an58open58abdominal58aortic58aneurys
m5 8 repair.5 8 The5 8 nurse5 8 requests5 8 an5 8 abdominal5 8 binder5 8 and5 8 carefully
applies58the58binder.58Which58is58the58best58explanation58for58the58nurse58to58use58when 1
teaching58the58patient58the58reason58for58the58binder?
, a. It58reduces58edema58at58the58surgical58site.
b. It58secures58the58dressing58in58place.
c. It58immobilizes58the58abdomen.
d. It58supports58the58abdomen.
ANS:58D
The58patient58has58a58large58abdominal58incision.58This58incision58will58need58support,58an
d58an58abdominal58binder58will58support58this58wound,58especially58during58movement,58a
s58well58as58during58deep58breathing58and58coughing.58A58binder58can58be58used58to58imm
obilize58a58body58part58(e.g.,58an58elastic58bandage58applied58around58a58sprained58ankle).5
8A58binder58can58be58used58to58prevent58edema,58for58example,58in58an58extremity58but58in
58this58case58is58not58used58to58reduce58edema58at58a58surgical58site.58A58binder58can58be58u
sed58to58secure58dressings58such58as58elastic58webbing58applied58around58a58leg58after58vein58
stripping.
4. The58nurse58is58caring58for58a58postoperative58medial58meniscus58repair58of58the
right58knee.58Which58action58should58the58nurse58take58to58assist58with58pain58manageme
nt?
a. Monitor58vital58signs58every581558minutes.
b. Check58pulses58in58the58right58foot.
c. Keep58the58leg58dependent.
d. Apply58ice.
ANS:58D
ANSWERS GRADED A 2023.Qualified
1. The58nurse58is58caring58for58a58patient58with58a58wound.58The58patient58appears
anxious58as58the58nurse58is58preparing58to58change58the58dressing.58Which58action58should
58the58nurse58take?
a. Turn58on58the58television.
b. Explain58the58procedure.
c. Tell58the58patient58“Close58your58eyes.”
d. Ask58the58family58to58leave58the58room.
ANS:58B
Explaining58the58procedure58educates58the58patient58regarding58the58dressing58change58
and58involves58him58in58the58care,58thereby58allowing58the58patient58some58control58in58d
ecreasing58anxiety.58Telling58the58patient58to58close58the58eyes58and58turning58on58the58t
elevision58are58distractions58that58do58not58usually58decrease58a
patient’s58anxiety.58If58the58family58is58a58support58system,58asking58support58systems58to5
8leave58the58room58can58actually58increase58a58patient’s58anxiety.
2. The58nurse58is58cleansing58a58wound58site.58As58the58nurse58administers58th
e58procedure,58which58intervention58should58be58included?
Allow58the58solution58to58flow58from58the58most58contaminated58to58the58least
a. contaminated.
b. Scrub58vigorously58when58applying58noncytotoxic58solution58to58the58skin.
,c. Cleanse58in58a58direction58from58the58least58contaminated58area.
d. Utilize58clean58gauze58and58clean58gloves58to58cleanse58a58site.
ANS:58C
Cleanse58in58a58direction58from58the58least58contaminated58area,58such58as58from58the58wo
und58or58incision,58to58the58surrounding58skin.58While58cleansing58surgical58or58traumatic5
8wounds58by58applying58noncytotoxic58solution58with58sterile58gauze58or58by58irrigations58is5
8correct,58vigorous58scrubbing58is58inappropriate58and58can58cause58damage58to58the58skin.
58Use58gentle58friction58when58applying58solutions58to58the58skin,58and58allow58irrigation58
to58flow58from58the58least58to58the58most58contaminated58area.
3. The58nurse58is58caring58for58a58patient58after58an58open58abdominal58aortic58aneurys
m5 8 repair.5 8 The5 8 nurse5 8 requests5 8 an5 8 abdominal5 8 binder5 8 and5 8 carefully
applies58the58binder.58Which58is58the58best58explanation58for58the58nurse58to58use58when 1
teaching58the58patient58the58reason58for58the58binder?
, a. It58reduces58edema58at58the58surgical58site.
b. It58secures58the58dressing58in58place.
c. It58immobilizes58the58abdomen.
d. It58supports58the58abdomen.
ANS:58D
The58patient58has58a58large58abdominal58incision.58This58incision58will58need58support,58an
d58an58abdominal58binder58will58support58this58wound,58especially58during58movement,58a
s58well58as58during58deep58breathing58and58coughing.58A58binder58can58be58used58to58imm
obilize58a58body58part58(e.g.,58an58elastic58bandage58applied58around58a58sprained58ankle).5
8A58binder58can58be58used58to58prevent58edema,58for58example,58in58an58extremity58but58in
58this58case58is58not58used58to58reduce58edema58at58a58surgical58site.58A58binder58can58be58u
sed58to58secure58dressings58such58as58elastic58webbing58applied58around58a58leg58after58vein58
stripping.
4. The58nurse58is58caring58for58a58postoperative58medial58meniscus58repair58of58the
right58knee.58Which58action58should58the58nurse58take58to58assist58with58pain58manageme
nt?
a. Monitor58vital58signs58every581558minutes.
b. Check58pulses58in58the58right58foot.
c. Keep58the58leg58dependent.
d. Apply58ice.
ANS:58D
