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