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