HESI RN COMPREHENSIVE PREDICTOR EXAM.10
l l l l l
0% CORRECT ANS.
l l
MUST READ.l
, HESI RN COMPREHENSIVE PREDICTOR EXAM l l l l
An oriented patient has recently had surgery. Which action is best for the nurseto tak
l l l l l l l l l l l l l l l
e to assess this patient’s pain?
l l l l l
a. Assess the patient’s body language. l l l l
b. Ask the patient to rate the level of pain. l l l l l l l l
c. Observe the cardiac monitor for increased heart rate. l l l l l l l
d. Have the patient describe the effect of pain on the ability to cope. l l l l l l l l l l l l
ANS: B l
One of the most subjective and therefore most useful characteristics for reporting p
l l l l l l l l l l l l
ain is its severity. Therefore, the best way to assess a patient’s pain is to ask the patie
l l l l l l l l l l l l l l l l l
nt to rate the pain. Nonverbal communication, such as body language, is not as effe
l l l l l l l l l l l l l l
ctive in assessing pain, especially when the patient is oriented. Heart rate sometime
l l l l l l l l l l l l
s increases when a patient is in pain, but this is not a symptom that is specific to pain.
l l l l l l l l l l l l l l l l l l l
Pain sometimes affects a patient’s ability to cope, but assessing the effect of pain on
l l l l l l l l l l l l l l
coping assesses the patient’sability to cope; it does not assess the patient’s pain.
l l l l l l l l l l l l l l
2.A nurse is caring for a patient who recently had abdominal surgery and isexperiencing sev
l l l l l l l l l l l l l l l
ere pain. The patient’s blood pressure is 110/60 mm Hg,
l l l l l l l l l
and heart rate is 60 beats/min. Additionally, the patient does not appear tobe in a
l l l l l l l l l l l l l l l
ny distress. Which response by the nurse is most therapeutic?
l l l l l l l l l
“Your vitals do not show that you are having pain; can you describe l l l l l l l l l l l l
a. your pain?” l
b. “OK, I will go get you some narcotic pain relievers immediately.” l l l l l l l l l l
c. “What would you like to try to alleviate your pain?” l l l l l l l l l
d. “You do not look like you are in pain.” l l l l l l l l
ANS: C
ll l
Be sure the patient is a partner in making decisions about the best approaches for m
l l l l l l l l l l l l l l l
anaging pain. A patient knows the most about his or her pain and is an important par 205
l l l l l l l l l l l l l l l l
tner in selecting successful pain therapies. The nurse must believe that a patient is i
l l l l l l l l l l l l l l
n pain whenever the patient reports that he or she is in
l l l l l l l l l l l
, pain, even if the patient does not appear to be in pain. The nurse must be careful to no
l l l l l l l l l l l l l l l l l l
t judge the patient based on vital signs or nonverbal communication and must not as
l l l l l l l l l l l l l l
sume that the patient is seeking narcotics. Thepatient is a partner in pain manageme
l l l l l l l l l l l l l l
nt, so going to get narcotics to treat the pain without consulting with the patient first
l l l l l l l l l l l l l l l l
is not appropriate.
l l
3.A nurse teaches the patient about the gate control theory. Which statementmade b
l l l l l l l l l l l l l
y a patient reflects a correct understanding about the relationship
l l l l l l l l l
between the gate control theory of pain and the use of meditation to relievepain?
l l l l l l l l l l l l l l
“Meditation controls pain by blocking pain impulses from coming l l l l l l l l
a. through the gate.” l l
“Meditation alters the chemical composition of pain neuroregulators, l l l l l l l
b. which closes the gate.” l l l
“Meditation will help me sleep through the pain because it opens the l l l l l l l l l l l
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” l l l l l l
ANS: A l
According to this theory, gating mechanisms located along the central nervoussyst l l l l l l l l l l l
em regulate or block pain impulses. Pain impulses pass through when a gate is open
l l l l l l l l l l l l l l l
and are blocked when a gate is closed.
l l l l l l l
Nonpharmacologic pain- l
relief measures, such as meditation, work byclosing the gates, which keeps pain
l l l l l l l l l l l l
impulses from coming through.
l l l l
Meditation does not open pain gates or stop pain from occurring. Meditationalso do l l l l l l l l l l l l l
es not have an effect on pain neuroregulators.
l l l l l l l
4.A nurse is planning care for an older-
l l l l l l l
adult patient who is experiencing pain.Which statement made by the nurse indicates
l l l l l l l l l l l l l
the supervising nurse needs to
l l l l
follow up? l
a. “As adults age, their ability to perceive pain decreases.”
l l l l l l l l
“Older patients may have low serum albumin in their blood, causing l l l l l l l l l l
b. toxic effects of analgesic drugs.” l l l l
“Patients who have dementia probably experience pain, and their pain l l l l l l l l l
c. s not always well controlled.”
l l l l
205
“It is safe to administer opioids to olde
l l l l l l l
r adults as long as you start with
l l l l l l l
l l l l l
0% CORRECT ANS.
l l
MUST READ.l
, HESI RN COMPREHENSIVE PREDICTOR EXAM l l l l
An oriented patient has recently had surgery. Which action is best for the nurseto tak
l l l l l l l l l l l l l l l
e to assess this patient’s pain?
l l l l l
a. Assess the patient’s body language. l l l l
b. Ask the patient to rate the level of pain. l l l l l l l l
c. Observe the cardiac monitor for increased heart rate. l l l l l l l
d. Have the patient describe the effect of pain on the ability to cope. l l l l l l l l l l l l
ANS: B l
One of the most subjective and therefore most useful characteristics for reporting p
l l l l l l l l l l l l
ain is its severity. Therefore, the best way to assess a patient’s pain is to ask the patie
l l l l l l l l l l l l l l l l l
nt to rate the pain. Nonverbal communication, such as body language, is not as effe
l l l l l l l l l l l l l l
ctive in assessing pain, especially when the patient is oriented. Heart rate sometime
l l l l l l l l l l l l
s increases when a patient is in pain, but this is not a symptom that is specific to pain.
l l l l l l l l l l l l l l l l l l l
Pain sometimes affects a patient’s ability to cope, but assessing the effect of pain on
l l l l l l l l l l l l l l
coping assesses the patient’sability to cope; it does not assess the patient’s pain.
l l l l l l l l l l l l l l
2.A nurse is caring for a patient who recently had abdominal surgery and isexperiencing sev
l l l l l l l l l l l l l l l
ere pain. The patient’s blood pressure is 110/60 mm Hg,
l l l l l l l l l
and heart rate is 60 beats/min. Additionally, the patient does not appear tobe in a
l l l l l l l l l l l l l l l
ny distress. Which response by the nurse is most therapeutic?
l l l l l l l l l
“Your vitals do not show that you are having pain; can you describe l l l l l l l l l l l l
a. your pain?” l
b. “OK, I will go get you some narcotic pain relievers immediately.” l l l l l l l l l l
c. “What would you like to try to alleviate your pain?” l l l l l l l l l
d. “You do not look like you are in pain.” l l l l l l l l
ANS: C
ll l
Be sure the patient is a partner in making decisions about the best approaches for m
l l l l l l l l l l l l l l l
anaging pain. A patient knows the most about his or her pain and is an important par 205
l l l l l l l l l l l l l l l l
tner in selecting successful pain therapies. The nurse must believe that a patient is i
l l l l l l l l l l l l l l
n pain whenever the patient reports that he or she is in
l l l l l l l l l l l
, pain, even if the patient does not appear to be in pain. The nurse must be careful to no
l l l l l l l l l l l l l l l l l l
t judge the patient based on vital signs or nonverbal communication and must not as
l l l l l l l l l l l l l l
sume that the patient is seeking narcotics. Thepatient is a partner in pain manageme
l l l l l l l l l l l l l l
nt, so going to get narcotics to treat the pain without consulting with the patient first
l l l l l l l l l l l l l l l l
is not appropriate.
l l
3.A nurse teaches the patient about the gate control theory. Which statementmade b
l l l l l l l l l l l l l
y a patient reflects a correct understanding about the relationship
l l l l l l l l l
between the gate control theory of pain and the use of meditation to relievepain?
l l l l l l l l l l l l l l
“Meditation controls pain by blocking pain impulses from coming l l l l l l l l
a. through the gate.” l l
“Meditation alters the chemical composition of pain neuroregulators, l l l l l l l
b. which closes the gate.” l l l
“Meditation will help me sleep through the pain because it opens the l l l l l l l l l l l
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” l l l l l l
ANS: A l
According to this theory, gating mechanisms located along the central nervoussyst l l l l l l l l l l l
em regulate or block pain impulses. Pain impulses pass through when a gate is open
l l l l l l l l l l l l l l l
and are blocked when a gate is closed.
l l l l l l l
Nonpharmacologic pain- l
relief measures, such as meditation, work byclosing the gates, which keeps pain
l l l l l l l l l l l l
impulses from coming through.
l l l l
Meditation does not open pain gates or stop pain from occurring. Meditationalso do l l l l l l l l l l l l l
es not have an effect on pain neuroregulators.
l l l l l l l
4.A nurse is planning care for an older-
l l l l l l l
adult patient who is experiencing pain.Which statement made by the nurse indicates
l l l l l l l l l l l l l
the supervising nurse needs to
l l l l
follow up? l
a. “As adults age, their ability to perceive pain decreases.”
l l l l l l l l
“Older patients may have low serum albumin in their blood, causing l l l l l l l l l l
b. toxic effects of analgesic drugs.” l l l l
“Patients who have dementia probably experience pain, and their pain l l l l l l l l l
c. s not always well controlled.”
l l l l
205
“It is safe to administer opioids to olde
l l l l l l l
r adults as long as you start with
l l l l l l l
