Hesi rn comprehensive predictor e
M M M M
xam 2023.Edited on March 2023 M M M M
100% (score) Quaranteed.M M M
1An oriented patient has recently had surgery. Which
M M M M M M M M
action is best for the nurseto take to assess this
M M M M M M M M M
patient’s pain? M
M a. Assess the patient’s body language.
M M M M M
b. Ask the patient to rate the level of pain.
M M M M M M M M M
M c. Observe the cardiac monitor for increased heart rate.
M M M M M M M M
d. Have the patient describe the effect of pain on the ability
M M M M M M M M M M M M
to cope. M
ANS: B M
One of the most subjective and therefore most useful
M M M M M M M M M
characteristics for reporting pain is its severity. M M M M M M
Therefore, the best way to assess a patient’s painis to
M M M M M M M M M M
ask the patient to rate the pain. Nonverbal communicat
M M M M M M M M
ion, such as body language, is not as effective in asses
M M M M M M M M M M
sing pain, especially when the patientis oriented. Heart
M M M M M M M M
Mrate sometimes increases when a patient is in pain, bu
M M M M M M M M M
t this is not a symptom that is
M M M M M M M
specific to pain. Pain sometimes affects a patient’s abilit
M M M M M M M M
y to cope, but assessing the effect of pain on copingasse
M M M M M M M M M M M
sses the patient’sability to cope; it does not assess the p
M M M M M M M M M M
atient’s pain. M
2.A nurse is caring for a patient who recently had abdominal
M M M M M M M M M M M
surgery and is experiencing severe pain. The patient’s bloo
M M M M M M M M
dpressure is 110/60 mm Hg,
M M M M M
and heart rate is 60 beats/min. Additionally, the pati
M M M M M M M M
ent does not appear to be in any distress. Which
M M M M M M M M M
, response by the nurse is most therapeutic?
M M M M M M
“Your vitals do not show that you are having pain; can youd
M M M M M M M M M M M M
escribe
a. your pain?” M
b. “OK, I will go get you some narcotic pain relievers
M M M M M M M M M
immediately.”
c. “What would you like to try to alleviate your pain?”
M M M M M M M M M
d. “You do not look like you are in pain.”
M M M M M M M M
M ANS: C M
Be sure the patient is a partner in making decisions
M M M M M M M M M
about the best approaches for managing pain. A patient
M M M M M M M M
20
knowsMtheMmostMaboutMhisMorMherMpainMandMisManMimportantM5M
M
partner in selecting successful pain therapies. The nurse m
M M M M M M M M
ust believe that a patient is in pain whenever the
M M M M M M M M M
patient reports that he or she is in
M M M M M M M
,pain, even if the patient does not appear to be in pain. T
M M M M M M M M M M M M
he nurse must be careful to not judge the patient basedo
M M M M M M M M M M M
n vital signs or nonverbal communication and must not a
M M M M M M M M M
ssume that the patient is seeking narcotics. Thepatienti
M M M M M M M M
s a partner in pain management, so going to get narcotic
M M M M M M M M M M
s to treat the pain without consulting with the patient fir
M M M M M M M M M M
st is not appropriate.
M M M
3.A nurse teaches the patient about the gate control
M M M M M M M M M
theory. Which statement made by a patient reflects a
M M M M M M M M M
correct understanding about the relationship
M M M M
between the gate control theory of pain and the use of
M M M M M M M M M M M
meditation to relievepain? M M
“Meditation controls pain by blocking pain impulses from M M M M M M M M
coming
a. through the gate.” M M
“Meditation alters the chemical composition of pain M M M M M M M
neuroregulators,
b. which closes the gate.” M M M
“Meditation will help me sleep through the pain because it
M M M M M M M M M M
opens the M
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” M M M M M M
ANS: A M
According to this theory, gating mechanisms located al
M M M M M M M
ong the central nervoussystem regulate or block paini
M M M M M M M M
mpulses. Pain impulses pass through when a gate is op
M M M M M M M M M
en and are blocked when a gate is closed.
M M M M M M M M
Nonpharmacologic pain- M
relief measures, such as meditation, work by closin
M M M M M M M
g the gates, which keepspain impulses from comin
M M M M M M M M
g through.
M
Meditation does not open pain gates or stop pain from
M M M M M M M M M M
occurring. Meditationalso does not have an effect on
M M M M M M M M
pain neuroregulators.
M
4.A nurse is planning care for an older-adult patient who is
M M M M M M M M M M
, experiencing pain. Which statement made by the nurse
M M M M M M M M
indicates the supervising nurse needs to
M M M M M
follow up? M
a. “As adults age, their ability to perceive pain decreases.”
M M M M M M M M M
“Older patients may have low serum albumin in their blo
M M M M M M M M M
od, causing
M
b. toxic effects of analgesic drugs.”
M M M M
“Patients who have dementia probably experience pain,
M M M M M M M
and their pain
M M
c. s not always well controlled.”
M M M M
20
“It is safe to administer
M M M M
5
opioids to older adults asl
M M M M M
ong as you start with
M M M M
M M M M
xam 2023.Edited on March 2023 M M M M
100% (score) Quaranteed.M M M
1An oriented patient has recently had surgery. Which
M M M M M M M M
action is best for the nurseto take to assess this
M M M M M M M M M
patient’s pain? M
M a. Assess the patient’s body language.
M M M M M
b. Ask the patient to rate the level of pain.
M M M M M M M M M
M c. Observe the cardiac monitor for increased heart rate.
M M M M M M M M
d. Have the patient describe the effect of pain on the ability
M M M M M M M M M M M M
to cope. M
ANS: B M
One of the most subjective and therefore most useful
M M M M M M M M M
characteristics for reporting pain is its severity. M M M M M M
Therefore, the best way to assess a patient’s painis to
M M M M M M M M M M
ask the patient to rate the pain. Nonverbal communicat
M M M M M M M M
ion, such as body language, is not as effective in asses
M M M M M M M M M M
sing pain, especially when the patientis oriented. Heart
M M M M M M M M
Mrate sometimes increases when a patient is in pain, bu
M M M M M M M M M
t this is not a symptom that is
M M M M M M M
specific to pain. Pain sometimes affects a patient’s abilit
M M M M M M M M
y to cope, but assessing the effect of pain on copingasse
M M M M M M M M M M M
sses the patient’sability to cope; it does not assess the p
M M M M M M M M M M
atient’s pain. M
2.A nurse is caring for a patient who recently had abdominal
M M M M M M M M M M M
surgery and is experiencing severe pain. The patient’s bloo
M M M M M M M M
dpressure is 110/60 mm Hg,
M M M M M
and heart rate is 60 beats/min. Additionally, the pati
M M M M M M M M
ent does not appear to be in any distress. Which
M M M M M M M M M
, response by the nurse is most therapeutic?
M M M M M M
“Your vitals do not show that you are having pain; can youd
M M M M M M M M M M M M
escribe
a. your pain?” M
b. “OK, I will go get you some narcotic pain relievers
M M M M M M M M M
immediately.”
c. “What would you like to try to alleviate your pain?”
M M M M M M M M M
d. “You do not look like you are in pain.”
M M M M M M M M
M ANS: C M
Be sure the patient is a partner in making decisions
M M M M M M M M M
about the best approaches for managing pain. A patient
M M M M M M M M
20
knowsMtheMmostMaboutMhisMorMherMpainMandMisManMimportantM5M
M
partner in selecting successful pain therapies. The nurse m
M M M M M M M M
ust believe that a patient is in pain whenever the
M M M M M M M M M
patient reports that he or she is in
M M M M M M M
,pain, even if the patient does not appear to be in pain. T
M M M M M M M M M M M M
he nurse must be careful to not judge the patient basedo
M M M M M M M M M M M
n vital signs or nonverbal communication and must not a
M M M M M M M M M
ssume that the patient is seeking narcotics. Thepatienti
M M M M M M M M
s a partner in pain management, so going to get narcotic
M M M M M M M M M M
s to treat the pain without consulting with the patient fir
M M M M M M M M M M
st is not appropriate.
M M M
3.A nurse teaches the patient about the gate control
M M M M M M M M M
theory. Which statement made by a patient reflects a
M M M M M M M M M
correct understanding about the relationship
M M M M
between the gate control theory of pain and the use of
M M M M M M M M M M M
meditation to relievepain? M M
“Meditation controls pain by blocking pain impulses from M M M M M M M M
coming
a. through the gate.” M M
“Meditation alters the chemical composition of pain M M M M M M M
neuroregulators,
b. which closes the gate.” M M M
“Meditation will help me sleep through the pain because it
M M M M M M M M M M
opens the M
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” M M M M M M
ANS: A M
According to this theory, gating mechanisms located al
M M M M M M M
ong the central nervoussystem regulate or block paini
M M M M M M M M
mpulses. Pain impulses pass through when a gate is op
M M M M M M M M M
en and are blocked when a gate is closed.
M M M M M M M M
Nonpharmacologic pain- M
relief measures, such as meditation, work by closin
M M M M M M M
g the gates, which keepspain impulses from comin
M M M M M M M M
g through.
M
Meditation does not open pain gates or stop pain from
M M M M M M M M M M
occurring. Meditationalso does not have an effect on
M M M M M M M M
pain neuroregulators.
M
4.A nurse is planning care for an older-adult patient who is
M M M M M M M M M M
, experiencing pain. Which statement made by the nurse
M M M M M M M M
indicates the supervising nurse needs to
M M M M M
follow up? M
a. “As adults age, their ability to perceive pain decreases.”
M M M M M M M M M
“Older patients may have low serum albumin in their blo
M M M M M M M M M
od, causing
M
b. toxic effects of analgesic drugs.”
M M M M
“Patients who have dementia probably experience pain,
M M M M M M M
and their pain
M M
c. s not always well controlled.”
M M M M
20
“It is safe to administer
M M M M
5
opioids to older adults asl
M M M M M
ong as you start with
M M M M
