HESI RN COMPREHENSIVE PREDICTOR EXAM.1
n n n n n
00% CORRECT ANS.
n n
MUST READ. n
, HESI RN COMPREHENSIVE PREDICTOR EXAM n n n n
An oriented patient has recently had surgery. Which action is best for the nurseto
n n n n n n n n n n n n n n n
take to assess this patient’s pain?
n n n n n
a. Assess the patient’s body language. n n n n
b. Ask the patient to rate the level of pain.
n n n n n n n n
c. Observe the cardiac monitor for increased heart rate. n n n n n n n
d. Have the patient describe the effect of pain on the ability to cope.
n n n n n n n n n n n n
ANS: B n
One of the most subjective and therefore most useful characteristics for reportin
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g pain is its severity. Therefore, the best way to assess a patient’s pain is to ask th
n n n n n n n n n n n n n n n n n
e patient to rate the pain. Nonverbal communication, such as body language, is n
n n n n n n n n n n n n n
ot as effective in assessing pain, especially when the patient is oriented. Heart rat
n n n n n n n n n n n n n
e sometimes increases when a patient is in pain, but this is not a symptom that is s
n n n n n n n n n n n n n n n n n
pecific to pain. Pain sometimes affects a patient’s ability to cope, but assessing t
n n n n n n n n n n n n n
he effect of pain on coping assesses the patient’sability to cope; it does not assess
n n n n n n n n n n n n n n n
the patient’s pain.
n n n
2.A nurse is caring for a patient who recently had abdominal surgery and isexperiencing
n n n n n n n n n n n n n n n
severe pain. The patient’s blood pressure is 110/60 mm Hg,
n n n n n n n n n
and heart rate is 60 beats/min. Additionally, the patient does not appear tobe i
n n n n n n n n n n n n n n
n any distress. Which response by the nurse is most therapeutic?
n n n n n n n n n n
“Your vitals do not show that you are having pain; can you describe
n n n n n n n n n n n n
a. your pain?” n
b. “OK, I will go get you some narcotic pain relievers immediately.”
n n n n n n n n n n
c. “What would you like to try to alleviate your pain?”
n n n n n n n n n
d. “You do not look like you are in pain.” n n n n n n n n
ANS: C
nn n
Be sure the patient is a partner in making decisions about the best approaches for
n n n n n n n n n n n n n n
managing pain. A patient knows the most about his or her pain and is an importa 205
n n n n n n n n n n n n n n n n
nt partner in selecting successful pain therapies. The nurse must believe that a pa
n n n n n n n n n n n n n
tient is in pain whenever the patient reports that he or she is in
n n n n n n n n n n n n n
, pain, even if the patient does not appear to be in pain. The nurse must be careful t
n n n n n n n n n n n n n n n n n
o not judge the patient based on vital signs or nonverbal communication and mus
n n n n n n n n n n n n n
t not assume that the patient is seeking narcotics. Thepatient is a partner in pain
n n n n n n n n n n n n n n n n
management, so going to get narcotics to treat the pain without consulting with t
n n n n n n n n n n n n n
he patient first is not appropriate.
n n n n n
3.A nurse teaches the patient about the gate control theory. Which statementmade
n n n n n n n n n n n n
by a patient reflects a correct understanding about the relationship
n n n n n n n n n n
between the gate control theory of pain and the use of meditation to relievepain?
n n n n n n n n n n n n n n
“Meditation controls pain by blocking pain impulses from coming n n n n n n n n
a. through the gate.” n n
“Meditation alters the chemical composition of pain neuroregulators, n n n n n n n
b. which closes the gate.” n n n
“Meditation will help me sleep through the pain because it opens the n n n n n n n n n n n
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” n n n n n n
ANS: A n
According to this theory, gating mechanisms located along the central nervouss
n n n n n n n n n n n
ystem regulate or block pain impulses. Pain impulses pass through when a gate i
n n n n n n n n n n n n n
s open and are blocked when a gate is closed.
n n n n n n n n n
Nonpharmacologic pain- n
relief measures, such as meditation, work byclosing the gates, which keeps p
n n n n n n n n n n n n
ain impulses from coming through.
n n n n
Meditation does not open pain gates or stop pain from occurring. Meditationalso
n n n n n n n n n n n n n
does not have an effect on pain neuroregulators.
n n n n n n n
4.A nurse is planning care for an older-
n n n n n n n
adult patient who is experiencing pain.Which statement made by the nurse indicat
n n n n n n n n n n n n
es the supervising nurse needs to
n n n n n
follow up? n
a. “As adults age, their ability to perceive pain decreases.”
n n n n n n n n
“Older patients may have low serum albumin in their blood, causing
n n n n n n n n n n
b. toxic effects of analgesic drugs.” n n n n
“Patients who have dementia probably experience pain, and their pain
n n n n n n n n n
c. s not always well controlled.”
n n n n
205
“It is safe to administer opioids to ol
n n n n n n n
der adults as long as you start with
n n n n n n n
n n n n n
00% CORRECT ANS.
n n
MUST READ. n
, HESI RN COMPREHENSIVE PREDICTOR EXAM n n n n
An oriented patient has recently had surgery. Which action is best for the nurseto
n n n n n n n n n n n n n n n
take to assess this patient’s pain?
n n n n n
a. Assess the patient’s body language. n n n n
b. Ask the patient to rate the level of pain.
n n n n n n n n
c. Observe the cardiac monitor for increased heart rate. n n n n n n n
d. Have the patient describe the effect of pain on the ability to cope.
n n n n n n n n n n n n
ANS: B n
One of the most subjective and therefore most useful characteristics for reportin
n n n n n n n n n n n
g pain is its severity. Therefore, the best way to assess a patient’s pain is to ask th
n n n n n n n n n n n n n n n n n
e patient to rate the pain. Nonverbal communication, such as body language, is n
n n n n n n n n n n n n n
ot as effective in assessing pain, especially when the patient is oriented. Heart rat
n n n n n n n n n n n n n
e sometimes increases when a patient is in pain, but this is not a symptom that is s
n n n n n n n n n n n n n n n n n
pecific to pain. Pain sometimes affects a patient’s ability to cope, but assessing t
n n n n n n n n n n n n n
he effect of pain on coping assesses the patient’sability to cope; it does not assess
n n n n n n n n n n n n n n n
the patient’s pain.
n n n
2.A nurse is caring for a patient who recently had abdominal surgery and isexperiencing
n n n n n n n n n n n n n n n
severe pain. The patient’s blood pressure is 110/60 mm Hg,
n n n n n n n n n
and heart rate is 60 beats/min. Additionally, the patient does not appear tobe i
n n n n n n n n n n n n n n
n any distress. Which response by the nurse is most therapeutic?
n n n n n n n n n n
“Your vitals do not show that you are having pain; can you describe
n n n n n n n n n n n n
a. your pain?” n
b. “OK, I will go get you some narcotic pain relievers immediately.”
n n n n n n n n n n
c. “What would you like to try to alleviate your pain?”
n n n n n n n n n
d. “You do not look like you are in pain.” n n n n n n n n
ANS: C
nn n
Be sure the patient is a partner in making decisions about the best approaches for
n n n n n n n n n n n n n n
managing pain. A patient knows the most about his or her pain and is an importa 205
n n n n n n n n n n n n n n n n
nt partner in selecting successful pain therapies. The nurse must believe that a pa
n n n n n n n n n n n n n
tient is in pain whenever the patient reports that he or she is in
n n n n n n n n n n n n n
, pain, even if the patient does not appear to be in pain. The nurse must be careful t
n n n n n n n n n n n n n n n n n
o not judge the patient based on vital signs or nonverbal communication and mus
n n n n n n n n n n n n n
t not assume that the patient is seeking narcotics. Thepatient is a partner in pain
n n n n n n n n n n n n n n n n
management, so going to get narcotics to treat the pain without consulting with t
n n n n n n n n n n n n n
he patient first is not appropriate.
n n n n n
3.A nurse teaches the patient about the gate control theory. Which statementmade
n n n n n n n n n n n n
by a patient reflects a correct understanding about the relationship
n n n n n n n n n n
between the gate control theory of pain and the use of meditation to relievepain?
n n n n n n n n n n n n n n
“Meditation controls pain by blocking pain impulses from coming n n n n n n n n
a. through the gate.” n n
“Meditation alters the chemical composition of pain neuroregulators, n n n n n n n
b. which closes the gate.” n n n
“Meditation will help me sleep through the pain because it opens the n n n n n n n n n n n
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” n n n n n n
ANS: A n
According to this theory, gating mechanisms located along the central nervouss
n n n n n n n n n n n
ystem regulate or block pain impulses. Pain impulses pass through when a gate i
n n n n n n n n n n n n n
s open and are blocked when a gate is closed.
n n n n n n n n n
Nonpharmacologic pain- n
relief measures, such as meditation, work byclosing the gates, which keeps p
n n n n n n n n n n n n
ain impulses from coming through.
n n n n
Meditation does not open pain gates or stop pain from occurring. Meditationalso
n n n n n n n n n n n n n
does not have an effect on pain neuroregulators.
n n n n n n n
4.A nurse is planning care for an older-
n n n n n n n
adult patient who is experiencing pain.Which statement made by the nurse indicat
n n n n n n n n n n n n
es the supervising nurse needs to
n n n n n
follow up? n
a. “As adults age, their ability to perceive pain decreases.”
n n n n n n n n
“Older patients may have low serum albumin in their blood, causing
n n n n n n n n n n
b. toxic effects of analgesic drugs.” n n n n
“Patients who have dementia probably experience pain, and their pain
n n n n n n n n n
c. s not always well controlled.”
n n n n
205
“It is safe to administer opioids to ol
n n n n n n n
der adults as long as you start with
n n n n n n n
