Hesi rn comprehensive predictor
exam 2023.Edited on March 2023
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.
b. 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 painis 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’sability 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
,response by the nurse is most therapeutic?
“Your vitals do not show that you are having pain; can you
describe
a. your pain?”
b. “OK, I will go get you some narcotic pain relievers
immediately.”
c. “What would you like to try to alleviate your pain?”
d. “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
,pain,`even`if`the`patient`does`not`appear`to`be`in`pain.`The`n
urse`must`be`careful`to`not`judge`the`patient`based`on`vital`
signs`or`nonverbal`communication`and`must`not`assume`th
at`the`patient`is`seeking`narcotics.`Thepatient`is`a`partner`i
n`pain`management,`so`going`to`get`narcotics`to`treat`the`p
ain`without`consulting`with`the`patient`first`is`not`appropri
ate.
3.A`nurse`teaches`the`patient`about`the`gate`control`th
eory.`Which`statementmade`by`a`patient`reflects`a`cor
rect`understanding`about`the`relationship
between`the`gate`control`theory`of`pain`and`the`use`of`medi
tation`to`relievepain?
“Meditation`controls`pain`by`blocking`pain`impulses`from`co
ming
a. through`the`gate.”
“Meditation`alters`the`chemical`composition`of`pain`neur
oregulators,
b. which`closes`the`gate.”
“Meditation`will`help`me`sleep`through`the`pain`because`it`op
ens`the
c. gate.”
d. “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`bl
ocked`when`a`gate`is`closed.
Nonpharmacologic`pain-
relief`measures,`such`as`meditation,`work`by`closing`the
`gates,`which`keeps`pain`impulses`from`coming`through.
Meditation`does`not`open`pain`gates`or`stop`pain`from`o
ccurring.`Meditation`also`does`not`have`an`effect`on`pai
n`neuroregulators.
4.A`nurse`is`planning`care`for`an`older-adult`patient`who`is
, experiencing`pain.`Which`statement`made`by`the`nurse`indi
cates`the`supervising`nurse`needs`to
follow`up?
a. ` “As`adults`age,`their`ability`to`perceive`pain`decreases.”`“O
lder`patients`may`have`low`serum`albumin`in`their`blood,`c
ausing
b. toxic`effects`of`analgesic`drugs.”
“Patients`who`have`dementia`probably`experience`pain,`and`
their`pain
c. s`not`always`well`controlled.”
20
“It`is`safe`to`administer 5
opioids`to`older`adults`as`lon
g`as`you`start`with
exam 2023.Edited on March 2023
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.
b. 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 painis 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’sability 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
,response by the nurse is most therapeutic?
“Your vitals do not show that you are having pain; can you
describe
a. your pain?”
b. “OK, I will go get you some narcotic pain relievers
immediately.”
c. “What would you like to try to alleviate your pain?”
d. “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
,pain,`even`if`the`patient`does`not`appear`to`be`in`pain.`The`n
urse`must`be`careful`to`not`judge`the`patient`based`on`vital`
signs`or`nonverbal`communication`and`must`not`assume`th
at`the`patient`is`seeking`narcotics.`Thepatient`is`a`partner`i
n`pain`management,`so`going`to`get`narcotics`to`treat`the`p
ain`without`consulting`with`the`patient`first`is`not`appropri
ate.
3.A`nurse`teaches`the`patient`about`the`gate`control`th
eory.`Which`statementmade`by`a`patient`reflects`a`cor
rect`understanding`about`the`relationship
between`the`gate`control`theory`of`pain`and`the`use`of`medi
tation`to`relievepain?
“Meditation`controls`pain`by`blocking`pain`impulses`from`co
ming
a. through`the`gate.”
“Meditation`alters`the`chemical`composition`of`pain`neur
oregulators,
b. which`closes`the`gate.”
“Meditation`will`help`me`sleep`through`the`pain`because`it`op
ens`the
c. gate.”
d. “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`bl
ocked`when`a`gate`is`closed.
Nonpharmacologic`pain-
relief`measures,`such`as`meditation,`work`by`closing`the
`gates,`which`keeps`pain`impulses`from`coming`through.
Meditation`does`not`open`pain`gates`or`stop`pain`from`o
ccurring.`Meditation`also`does`not`have`an`effect`on`pai
n`neuroregulators.
4.A`nurse`is`planning`care`for`an`older-adult`patient`who`is
, experiencing`pain.`Which`statement`made`by`the`nurse`indi
cates`the`supervising`nurse`needs`to
follow`up?
a. ` “As`adults`age,`their`ability`to`perceive`pain`decreases.”`“O
lder`patients`may`have`low`serum`albumin`in`their`blood,`c
ausing
b. toxic`effects`of`analgesic`drugs.”
“Patients`who`have`dementia`probably`experience`pain,`and`
their`pain
c. s`not`always`well`controlled.”
20
“It`is`safe`to`administer 5
opioids`to`older`adults`as`lon
g`as`you`start`with
