Hesi rn comprehensive predictor exam
2025.Edited on August 2025
100% (score) Quaranteed.
1An oriented patient has recently had surgery. Whichaction is
best for the nurseto take to assess this
patient’s pain?
a. Assess the patient’s body language.
b. Ask the patient to rate the level of pain.
c. Observe the cardiac monitor for increased heart rate.
d. Have the patient describe the effect of pain on the abilityto cope.
ANS: B
One of the most subjective and therefore most useful
characteristics for reporting pain is its severity.
Therefore, the best way to assess a patient’s painis to ask the patient
to rate the pain. Nonverbal communication, such as body language,
is not as effective in assessing pain, especially when the patientis
oriented. Heart rate sometimes increases when a patient is in pain,
but this is not a symptom that is
specific to pain. Pain sometimes affects a patient’s ability to cope, but
assessing the effect of pain on copingassesses the patient’sability to
cope; it does not assess the patient’s pain.
2.A nurse is caring for a patient who recently had abdominal surgery and is
experiencing severe pain. The patient’s bloodpressure is 110/60 mm Hg,
and heart rate is 60 beats/min. Additionally, the patient does not
appear tobe in any distress. Which
,response by the nurse is most therapeutic?
“Your vitals do not show that you are having pain; can youdescribe
a. your pain?”
b. “OK, I will go get you some narcotic pain relievers
immediately.”
c. “What would you like to try to alleviate your pain?”
d. “You do not look like you are in pain.”
ANS: C
Be sure the patient is a partner in making decisions
about the best approaches for managing pain. A patient 20
knows the most about his or her pain and is an important 5 partner in
selecting successful pain therapies. The nurse must believe that a patient
is in pain whenever the
patient reports that he or she is in
,pain, even if the patient does not appear to be in pain. The nurse must
be careful to not judge the patient basedon vital signs or nonverbal
communication and must not assume that the patient is seeking
narcotics. Thepatientis a partner in pain management, so going to get
narcotics to treat the pain without consulting with the patient first is
not appropriate.
3.A nurse teaches the patient about the gate control theory. Which
statement made by a patient reflects a correct understanding
about the relationship
between the gate control theory of pain and the use ofmeditation to
relievepain?
“Meditation controls pain by blocking pain impulses fromcoming
a. through the gate.”
“Meditation alters the chemical composition of pain
neuroregulators,
b. which closes the gate.”
“Meditation will help me sleep through the pain because itopens the
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.”
ANS: A
According to this theory, gating mechanisms located along the
central nervoussystem regulate or block painimpulses. Pain
impulses pass through when a gate is open and are blocked when a
gate is closed.
Nonpharmacologic pain-relief measures, such as meditation,
work byclosing the gates, which keepspain impulses from
coming through.
Meditation does not open pain gates or stop pain fromoccurring.
Meditationalso does not have an effect on pain neuroregulators.
4.A nurse is planning care for an older-adult patient who is
, experiencing pain.Which statement made by the nurseindicates the
supervising nurse needs to
follow up?
a. “As adults age, their ability to perceive pain decreases.”“Older
patients may have low serum albumin in their blood, causing
b. toxic effects of analgesic drugs.”
“Patients who have dementia probably experience pain,and their
pain
c. s not always well controlled.”
20
“It is safe to administer 5
opioids to older adults aslong as
you start with
2025.Edited on August 2025
100% (score) Quaranteed.
1An oriented patient has recently had surgery. Whichaction is
best for the nurseto take to assess this
patient’s pain?
a. Assess the patient’s body language.
b. Ask the patient to rate the level of pain.
c. Observe the cardiac monitor for increased heart rate.
d. Have the patient describe the effect of pain on the abilityto cope.
ANS: B
One of the most subjective and therefore most useful
characteristics for reporting pain is its severity.
Therefore, the best way to assess a patient’s painis to ask the patient
to rate the pain. Nonverbal communication, such as body language,
is not as effective in assessing pain, especially when the patientis
oriented. Heart rate sometimes increases when a patient is in pain,
but this is not a symptom that is
specific to pain. Pain sometimes affects a patient’s ability to cope, but
assessing the effect of pain on copingassesses the patient’sability to
cope; it does not assess the patient’s pain.
2.A nurse is caring for a patient who recently had abdominal surgery and is
experiencing severe pain. The patient’s bloodpressure is 110/60 mm Hg,
and heart rate is 60 beats/min. Additionally, the patient does not
appear tobe in any distress. Which
,response by the nurse is most therapeutic?
“Your vitals do not show that you are having pain; can youdescribe
a. your pain?”
b. “OK, I will go get you some narcotic pain relievers
immediately.”
c. “What would you like to try to alleviate your pain?”
d. “You do not look like you are in pain.”
ANS: C
Be sure the patient is a partner in making decisions
about the best approaches for managing pain. A patient 20
knows the most about his or her pain and is an important 5 partner in
selecting successful pain therapies. The nurse must believe that a patient
is in pain whenever the
patient reports that he or she is in
,pain, even if the patient does not appear to be in pain. The nurse must
be careful to not judge the patient basedon vital signs or nonverbal
communication and must not assume that the patient is seeking
narcotics. Thepatientis a partner in pain management, so going to get
narcotics to treat the pain without consulting with the patient first is
not appropriate.
3.A nurse teaches the patient about the gate control theory. Which
statement made by a patient reflects a correct understanding
about the relationship
between the gate control theory of pain and the use ofmeditation to
relievepain?
“Meditation controls pain by blocking pain impulses fromcoming
a. through the gate.”
“Meditation alters the chemical composition of pain
neuroregulators,
b. which closes the gate.”
“Meditation will help me sleep through the pain because itopens the
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.”
ANS: A
According to this theory, gating mechanisms located along the
central nervoussystem regulate or block painimpulses. Pain
impulses pass through when a gate is open and are blocked when a
gate is closed.
Nonpharmacologic pain-relief measures, such as meditation,
work byclosing the gates, which keepspain impulses from
coming through.
Meditation does not open pain gates or stop pain fromoccurring.
Meditationalso does not have an effect on pain neuroregulators.
4.A nurse is planning care for an older-adult patient who is
, experiencing pain.Which statement made by the nurseindicates the
supervising nurse needs to
follow up?
a. “As adults age, their ability to perceive pain decreases.”“Older
patients may have low serum albumin in their blood, causing
b. toxic effects of analgesic drugs.”
“Patients who have dementia probably experience pain,and their
pain
c. s not always well controlled.”
20
“It is safe to administer 5
opioids to older adults aslong as
you start with
