1
Hesi rn comprehensive predictor exam 2026.
100% (score) Quaranteed.
1An oriented patient has recently had surgery. Which action is best
for the nurseto take to assess this
patient’s pain?
a. Assess the patient’s body language.
Ask the patient to rate the level of pain.
c. Observe the cardiac monitor for increased heart rate.
d. Have the patient describe the effect of pain on the ability to
cope.
ANS: B
One of the most subjective and therefore most useful
characteristics for reporting pain is its severity.
Therefore, the best way to assess a patient’s pain is to ask the patient to rate the
pain. Nonverbal communication, such as body language, is not as effective in
assessing pain, especially when the patient is oriented. Heart rate sometimes
increases when a patient is in pain, but this is not a symptom that is specific to pain.
Pain sometimes affects a patient’s ability to cope, but assessing the effect of pain on
coping assesses the patient’s ability to cope; it does not assess the patient’s pain.
2.A nurse is caring for a patient who recently had abdominal
surgery and is experiencing severe pain. The patient’s blood
pressure is 110/60 mm Hg,
and heart rate is 60 beats/min. Additionally, the patient does not
appear to be in any distress. Which
, 2
response by the nurse is most therapeutic?
“Your vitals do not show that you are having pain; can you describe
your pain?”
“OK, I will go get you some narcotic pain relievers
immediately.”
“What would you like to try to alleviate your pain?”
“You do not look like you are in pain.”
ANS: C
Be sure the patient is a partner in making decisions
about the best approaches for managing pain. A patient 20 knows
the most about his or her pain and is an important 5 partner in
selecting successful pain therapies. The nurse must believe that a
patient is in pain whenever the
patient reports that he or she is in
,3
pain, even if the patient does not appear to be in pain.
The nurse must be careful to not judge the patient based
on vital signs or nonverbal communication and must not assume
that the patient is seeking narcotics. Thepatient is a partner in
pain management, so going to get narcotics to treat the pain
without consulting with the patient first is not appropriate.
3.A nurse teaches the patient about the gate control theory. Which
statement made by a patient reflects a correct understanding
about the relationship
between the gate control theory of pain and the use of meditation
to relievepain?
“Meditation controls pain by blocking pain impulses from coming
through the gate.”
“Meditation alters the chemical composition of pain
neuroregulators,
which closes the gate.”
“Meditation will help me sleep through the pain because it opens
the
gate.”
“Meditation stops the occurrence of pain stimuli.”
ANS: A
According to this theory, gating mechanisms located along the
central nervoussystem regulate or block pain impulses. Pain
impulses pass through when a gate is open and are blocked when
a gate is closed.
Nonpharmacologic pain-relief measures, such as meditation, work
byclosing the gates, which keeps pain impulses from coming
through.
Meditation does not open pain gates or stop pain from occurring.
Meditationalso does not have an effect on pain neuroregulators.
4.A nurse is planning care for an older-adult patient who is
, 4
experiencing pain. Which statement made by the nurse indicates
the supervising nurse needs to
follow up?
“As adults age, their ability to perceive pain decreases.” “Older
patients may have low serum albumin in their blood, causing
toxic effects of analgesic drugs.”
“Patients who have dementia probably experience pain, and their
pain
s not always well controlled.”
20
“It is safe to administer
opioids to older adults as long as you start with
5
Hesi rn comprehensive predictor exam 2026.
100% (score) Quaranteed.
1An oriented patient has recently had surgery. Which action is best
for the nurseto take to assess this
patient’s pain?
a. Assess the patient’s body language.
Ask the patient to rate the level of pain.
c. Observe the cardiac monitor for increased heart rate.
d. Have the patient describe the effect of pain on the ability to
cope.
ANS: B
One of the most subjective and therefore most useful
characteristics for reporting pain is its severity.
Therefore, the best way to assess a patient’s pain is to ask the patient to rate the
pain. Nonverbal communication, such as body language, is not as effective in
assessing pain, especially when the patient is oriented. Heart rate sometimes
increases when a patient is in pain, but this is not a symptom that is specific to pain.
Pain sometimes affects a patient’s ability to cope, but assessing the effect of pain on
coping assesses the patient’s ability to cope; it does not assess the patient’s pain.
2.A nurse is caring for a patient who recently had abdominal
surgery and is experiencing severe pain. The patient’s blood
pressure is 110/60 mm Hg,
and heart rate is 60 beats/min. Additionally, the patient does not
appear to be in any distress. Which
, 2
response by the nurse is most therapeutic?
“Your vitals do not show that you are having pain; can you describe
your pain?”
“OK, I will go get you some narcotic pain relievers
immediately.”
“What would you like to try to alleviate your pain?”
“You do not look like you are in pain.”
ANS: C
Be sure the patient is a partner in making decisions
about the best approaches for managing pain. A patient 20 knows
the most about his or her pain and is an important 5 partner in
selecting successful pain therapies. The nurse must believe that a
patient is in pain whenever the
patient reports that he or she is in
,3
pain, even if the patient does not appear to be in pain.
The nurse must be careful to not judge the patient based
on vital signs or nonverbal communication and must not assume
that the patient is seeking narcotics. Thepatient is a partner in
pain management, so going to get narcotics to treat the pain
without consulting with the patient first is not appropriate.
3.A nurse teaches the patient about the gate control theory. Which
statement made by a patient reflects a correct understanding
about the relationship
between the gate control theory of pain and the use of meditation
to relievepain?
“Meditation controls pain by blocking pain impulses from coming
through the gate.”
“Meditation alters the chemical composition of pain
neuroregulators,
which closes the gate.”
“Meditation will help me sleep through the pain because it opens
the
gate.”
“Meditation stops the occurrence of pain stimuli.”
ANS: A
According to this theory, gating mechanisms located along the
central nervoussystem regulate or block pain impulses. Pain
impulses pass through when a gate is open and are blocked when
a gate is closed.
Nonpharmacologic pain-relief measures, such as meditation, work
byclosing the gates, which keeps pain impulses from coming
through.
Meditation does not open pain gates or stop pain from occurring.
Meditationalso does not have an effect on pain neuroregulators.
4.A nurse is planning care for an older-adult patient who is
, 4
experiencing pain. Which statement made by the nurse indicates
the supervising nurse needs to
follow up?
“As adults age, their ability to perceive pain decreases.” “Older
patients may have low serum albumin in their blood, causing
toxic effects of analgesic drugs.”
“Patients who have dementia probably experience pain, and their
pain
s not always well controlled.”
20
“It is safe to administer
opioids to older adults as long as you start with
5
