Hesi rn comprehensive predictor exam 2023.Edited on March 2023.

Hesi rn comprehensive predictor e t t t t




xam 2023.Edited on March 2023 t t t t




100% (score) Quaranteed. t t t




1An oriented patient has recently had surgery. Which action
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is best for the nurseto take to assess this patient’s pain?
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t a. Assess the patient’s body language.
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b. Ask the patient to rate the level of pain.
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t c. Observe the cardiac monitor for increased heart rate.
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d. Have the patient describe the effect of pain on the ability to co
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pe.



ANS: B t




One of the most subjective and therefore most useful chara
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cteristics for reporting pain is its severity. t t t t t t


Therefore, the best way to assess a patient’s painis to ask t t t t t t t t t t t t


he patient to rate the pain. Nonverbal communication, such
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as body language, is not as effective in assessing pain, esp
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ecially when the patient is oriented. Heart rate sometimes i
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ncreases when a patient is in pain, but this is not a symptom t t t t t t t t t t t t


that is specific to pain. Pain sometimes affects a patient’s
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ability to cope, but assessing the effect of pain on coping as
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sesses the patient’sability to cope; it does not assess the p
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atient’s pain. t




2.A nurse is caring for a patient who recently had abdominal sur
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gery and is experiencing severe pain. The patient’s blood press
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ure is 110/60 mm Hg, t t t t




and heart rate is 60 beats/min. Additionally, the patient d
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oes not appear tobe in any distress. Which
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, response by the nurse is most therapeutic? t t t t t t




“Your vitals do not show that you are having pain; can you des
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cribe


a. your pain?” t



b. “OK, I will go get you some narcotic pain relievers im
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mediately.”



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.”
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t ANS: C t



Be sure the patient is a partner in making decisions
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about the best approaches for managing pain. A patient
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20
knows the most about his or her pain and is an important 5 part
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ner in selecting successful pain therapies. The nurse must beli
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eve that a patient is in pain whenever the
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patient reports that he or she is in
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,pain, even if the patient does not appear to be in pain. The n
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urse must be careful to not judge the patient based on vital s
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igns or nonverbal communication and must not assume tha
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t the patient is seeking narcotics. Thepatient is a partner in
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pain management, so going to get narcotics to treat the pai
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n without consulting with the patient first is not appropriat
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e.
3.A nurse teaches the patient about the gate control th
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eory. Which statementmade by a patient reflects a corr
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ect understanding about the relationship
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between the gate control theory of pain and the use of medit
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ation to relievepain? t t



“Meditation controls pain by blocking pain impulses from comi t t t t t t t t


ng
a. through the gate.” t t



“Meditation alters the chemical composition of pain neur t t t t t t t


oregulators,
b. which closes the gate.” t t t



“Meditation will help me sleep through the pain because it ope t t t t t t t t t t


ns the t




c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” t t t t t t




ANS: A t



According to this theory, gating mechanisms located along
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the central nervoussystem regulate or block pain impulses.
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Pain impulses pass through when a gate is open and are blo
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cked when a gate is closed.
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Nonpharmacologic pain- t


relief measures, such as meditation, work byclosing the
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gates, which keeps pain impulses from coming through.
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Meditation does not open pain gates or stop pain from oc t t t t t t t t t t


curring. Meditationalso does not have an effect on pain n
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euroregulators.
4.A nurse is planning care for an older-adult patient who is
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, experiencing pain.Which statement made by the nurse indi t t t t t t t t


cates the supervising nurse needs to
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follow up? t




a. “As adults age, their ability to perceive pain decreases.” “O
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lder patients may have low serum albumin in their blood, c
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ausing
b. toxic effects of analgesic drugs.”
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“Patients who have dementia probably experience pain, and
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their pain t


c. s not always well controlled.”
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20
“It is safe to administer
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5
opioids to older adults as long t t t t t t


as you start with
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