HESIa5MEDa5SURGa5FORMa5Ba5a5QUESTIONSa5ANDa5
ANSWERSa5GRADEDa5Aa52023.Qualified
1. Thea5nursea5isa5caringa5fora5aa5patienta5witha5aa5wound.a5Thea5patienta5appears
anxiousa5asa5thea5nursea5isa5preparinga5toa5changea5thea5dressing.a5Whicha5actiona5shoul
da5thea5nursea5take?
a. Turna5ona5thea5television.
b. Explaina5thea5procedure.
c. Tella5thea5patienta5“Closea5youra5eyes.”
d. Aska5thea5familya5toa5leavea5thea5room.
ANS:a5B
Explaininga5thea5procedurea5educatesa5thea5patienta5regardinga5thea5dressinga5changea
5anda5involvesa5hima5ina5thea5care,a5therebya5allowinga5thea5patienta5somea5controla5ina
5decreasinga5anxiety.a5Tellinga5thea5patienta5toa5closea5thea5eyesa5anda5turninga5ona5t
hea5televisiona5area5distractionsa5thata5doa5nota5usuallya5decreasea5a
patient’sa5anxiety.a5Ifa5thea5familya5isa5aa5supporta5system,a5askinga5supporta5systemsa5to
a5leavea5thea5rooma5cana5actuallya5increasea5aa5patient’sa5anxiety.
2. Thea5nursea5isa5cleansinga5aa5wounda5site.a5Asa5thea5nursea5administersa5t
hea5procedure,a5whicha5interventiona5shoulda5bea5included?
Allowa5thea5solutiona5toa5flowa5froma5thea5mosta5contaminateda5toa5thea5least
a. contaminated.
b. Scruba5vigorouslya5whena5applyinga5noncytotoxica5solutiona5toa5thea5skin.
,HESIa5MEDa5SURGa5FORMa5Ba5a5QUESTIONSa5ANDa5
ANSWERSa5GRADEDa5Aa52023.Qualified
c. Cleansea5ina5aa5directiona5froma5thea5leasta5contaminateda5area.
d. Utilizea5cleana5gauzea5anda5cleana5glovesa5toa5cleansea5aa5site.
ANS:a5C
Cleansea5ina5aa5directiona5froma5thea5leasta5contaminateda5area,a5sucha5asa5froma5thea5w
ounda5ora5incision,a5toa5thea5surroundinga5skin.a5Whilea5cleansinga5surgicala5ora5traumati
ca5woundsa5bya5applyinga5noncytotoxica5solutiona5witha5sterilea5gauzea5ora5bya5irrigationsa
5isa5correct,a5vigorousa5scrubbinga5isa5inappropriatea5anda5cana5causea5damagea5toa5thea5
skin.a5Usea5gentlea5frictiona5whena5applyinga5solutionsa5toa5thea5skin,a5anda5allowa5irriga
tiona5toa5flowa5froma5thea5leasta5toa5thea5mosta5contaminateda5area.
3. Thea5nursea5isa5caringa5fora5aa5patienta5aftera5ana5opena5abdominala5aortica5aneur
ysma 5 repair.a 5 Thea 5 nursea 5 requestsa 5 ana 5 abdominala 5 bindera 5 anda 5 carefully
appliesa5thea5binder.a5Whicha5isa5thea5besta5explanationa5fora5thea5nursea5toa5usea5when 1
teachinga5thea5patienta5thea5reasona5fora5thea5binder?
, HESIa5MEDa5SURGa5FORMa5Ba5a5QUESTIONSa5ANDa5
ANSWERSa5GRADEDa5Aa52023.Qualified
a. Ita5reducesa5edemaa5ata5thea5surgicala5site.
b. Ita5securesa5thea5dressinga5ina5place.
c. Ita5immobilizesa5thea5abdomen.
d. Ita5supportsa5thea5abdomen.
ANS:a5D
Thea5patienta5hasa5aa5largea5abdominala5incision.a5Thisa5incisiona5willa5needa5support,a5a
nda5ana5abdominala5bindera5willa5supporta5thisa5wound,a5especiallya5duringa5movement,a
5asa5wella5asa5duringa5deepa5breathinga5anda5coughing.a5Aa5bindera5cana5bea5useda5toa5i
mmobilizea5aa5bodya5parta5(e.g.,a5ana5elastica5bandagea5applieda5arounda5aa5spraineda5an
kle).a5Aa5bindera5cana5bea5useda5toa5preventa5edema,a5fora5example,a5ina5ana5extremitya5
buta5ina5thisa5casea5isa5nota5useda5toa5reducea5edemaa5ata5aa5surgicala5site.a5Aa5bindera5c
ana5bea5useda5toa5securea5dressingsa5sucha5asa5elastica5webbinga5applieda5arounda5aa5lega5a
ftera5veina5stripping.
4. Thea5nursea5isa5caringa5fora5aa5postoperativea5mediala5meniscusa5repaira5ofa5the
righta5knee.a5Whicha5actiona5shoulda5thea5nursea5takea5toa5assista5witha5paina5managem
ent?
a. Monitora5vitala5signsa5everya515a5minutes.
b. Checka5pulsesa5ina5thea5righta5foot.
c. Keepa5thea5lega5dependent.
d. Applya5ice.
ANSWERSa5GRADEDa5Aa52023.Qualified
1. Thea5nursea5isa5caringa5fora5aa5patienta5witha5aa5wound.a5Thea5patienta5appears
anxiousa5asa5thea5nursea5isa5preparinga5toa5changea5thea5dressing.a5Whicha5actiona5shoul
da5thea5nursea5take?
a. Turna5ona5thea5television.
b. Explaina5thea5procedure.
c. Tella5thea5patienta5“Closea5youra5eyes.”
d. Aska5thea5familya5toa5leavea5thea5room.
ANS:a5B
Explaininga5thea5procedurea5educatesa5thea5patienta5regardinga5thea5dressinga5changea
5anda5involvesa5hima5ina5thea5care,a5therebya5allowinga5thea5patienta5somea5controla5ina
5decreasinga5anxiety.a5Tellinga5thea5patienta5toa5closea5thea5eyesa5anda5turninga5ona5t
hea5televisiona5area5distractionsa5thata5doa5nota5usuallya5decreasea5a
patient’sa5anxiety.a5Ifa5thea5familya5isa5aa5supporta5system,a5askinga5supporta5systemsa5to
a5leavea5thea5rooma5cana5actuallya5increasea5aa5patient’sa5anxiety.
2. Thea5nursea5isa5cleansinga5aa5wounda5site.a5Asa5thea5nursea5administersa5t
hea5procedure,a5whicha5interventiona5shoulda5bea5included?
Allowa5thea5solutiona5toa5flowa5froma5thea5mosta5contaminateda5toa5thea5least
a. contaminated.
b. Scruba5vigorouslya5whena5applyinga5noncytotoxica5solutiona5toa5thea5skin.
,HESIa5MEDa5SURGa5FORMa5Ba5a5QUESTIONSa5ANDa5
ANSWERSa5GRADEDa5Aa52023.Qualified
c. Cleansea5ina5aa5directiona5froma5thea5leasta5contaminateda5area.
d. Utilizea5cleana5gauzea5anda5cleana5glovesa5toa5cleansea5aa5site.
ANS:a5C
Cleansea5ina5aa5directiona5froma5thea5leasta5contaminateda5area,a5sucha5asa5froma5thea5w
ounda5ora5incision,a5toa5thea5surroundinga5skin.a5Whilea5cleansinga5surgicala5ora5traumati
ca5woundsa5bya5applyinga5noncytotoxica5solutiona5witha5sterilea5gauzea5ora5bya5irrigationsa
5isa5correct,a5vigorousa5scrubbinga5isa5inappropriatea5anda5cana5causea5damagea5toa5thea5
skin.a5Usea5gentlea5frictiona5whena5applyinga5solutionsa5toa5thea5skin,a5anda5allowa5irriga
tiona5toa5flowa5froma5thea5leasta5toa5thea5mosta5contaminateda5area.
3. Thea5nursea5isa5caringa5fora5aa5patienta5aftera5ana5opena5abdominala5aortica5aneur
ysma 5 repair.a 5 Thea 5 nursea 5 requestsa 5 ana 5 abdominala 5 bindera 5 anda 5 carefully
appliesa5thea5binder.a5Whicha5isa5thea5besta5explanationa5fora5thea5nursea5toa5usea5when 1
teachinga5thea5patienta5thea5reasona5fora5thea5binder?
, HESIa5MEDa5SURGa5FORMa5Ba5a5QUESTIONSa5ANDa5
ANSWERSa5GRADEDa5Aa52023.Qualified
a. Ita5reducesa5edemaa5ata5thea5surgicala5site.
b. Ita5securesa5thea5dressinga5ina5place.
c. Ita5immobilizesa5thea5abdomen.
d. Ita5supportsa5thea5abdomen.
ANS:a5D
Thea5patienta5hasa5aa5largea5abdominala5incision.a5Thisa5incisiona5willa5needa5support,a5a
nda5ana5abdominala5bindera5willa5supporta5thisa5wound,a5especiallya5duringa5movement,a
5asa5wella5asa5duringa5deepa5breathinga5anda5coughing.a5Aa5bindera5cana5bea5useda5toa5i
mmobilizea5aa5bodya5parta5(e.g.,a5ana5elastica5bandagea5applieda5arounda5aa5spraineda5an
kle).a5Aa5bindera5cana5bea5useda5toa5preventa5edema,a5fora5example,a5ina5ana5extremitya5
buta5ina5thisa5casea5isa5nota5useda5toa5reducea5edemaa5ata5aa5surgicala5site.a5Aa5bindera5c
ana5bea5useda5toa5securea5dressingsa5sucha5asa5elastica5webbinga5applieda5arounda5aa5lega5a
ftera5veina5stripping.
4. Thea5nursea5isa5caringa5fora5aa5postoperativea5mediala5meniscusa5repaira5ofa5the
righta5knee.a5Whicha5actiona5shoulda5thea5nursea5takea5toa5assista5witha5paina5managem
ent?
a. Monitora5vitala5signsa5everya515a5minutes.
b. Checka5pulsesa5ina5thea5righta5foot.
c. Keepa5thea5lega5dependent.
d. Applya5ice.