HESI RN COMPREHENSIVE PREDICTOR EXAM20 j j j j j
23 100% SCORE GUARANTEED j j j
HESI RN COMPREHENSIVE PREDICTOR EXAM j j j j
An oriented patient has recently had surgery. Which action is best for the nurseto tak
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e to assess this patient’s pain?
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a. Assess the patient’s bodylanguage. j j j j
b. Ask the patient to rate the level of pain.
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c. Observe the cardiac monitor for increased heart rate. j j j j j j j
d. Have the patient describe the effect of pain on the ability to cope.
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ANS: B j
One of the most subjective and therefore most useful characteristics for reporting
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pain is its severity. Therefore, the best way to assess a patient’s painis to ask the pati
j j j j j j j j j j j j j j j j j
ent to rate the pain. Nonverbal communication, such as body language, is not as eff
j j j j j j j j j j j j j j
ective in assessing pain, especially when the patient is oriented. Heart rate someti
j j j j j j j j j j j j
mes increases when a patient is in pain, but this is not a symptom that is specific to p
j j j j j j j j j j j j j j j j j j
ain. Pain sometimes affects a patient’s ability to cope, but assessing the effect of pai
j j j j j j j j j j j j j j
n on coping assesses the patient’sability to cope; it does not assess the patient’s pain
j j j j j j j j j j j j j j j
.
2.Anurse is caring for a patient who recently had abdominal surgery and isexperiencing s
j j j j j j j j j j j j j j j
evere pain. The patient’s blood pressure is 110/60 mm Hg,
j j j j j j j j j
and heart rate is 60 beats/min. Additionally, the patient does not appear tobe in a
j j j j j j j j j j j j j j j
ny distress. Which response by the nurse is most therapeutic?
j j j j j j j j j
“Your vitals do not show that you are having pain; can you describe
j j j j j j j j j j j j
a. your pain?” j
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?” j j j j j j j j j
d. “You do not look like you are in pain.” j j j j j j j j
,ANS: C
jj j
Be sure the patient is a partner in making decisions about the best approachesfor m
j j j j j j j j j j j j j j j
anaging pain. A patient knows the most about his or her pain and is an important pa 205
j j j j j j j j j j j j j j j j
rtner in selecting successful pain therapies. The nurse must believe that a patient is
j j j j j j j j j j j j j j
in pain whenever the patient reports that he or she is in
j j j j j j j j j j j
, NURSING HESI RN COMPREHENSIVEP j j j j
REDICTOR EXAM j
pain, even if the patient does not appear to be in pain. The nurse must be careful to no
j j j j j j j j j j j j j j j j j j
t judge the patient based on vital signs or nonverbal communication and must not as
j j j j j j j j j j j j j j
sume that the patient is seeking narcotics. Thepatient is a partner in pain manageme
j j j j j j j j j j j j j j
nt, so going to get narcotics to treat the pain without consulting with the patient first i
j j j j j j j j j j j j j j j j
s not appropriate.
j j
3.A nurse teaches the patient about the gate control theory. Which statementmade b
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y a patient reflects a correct understanding about the relationship
j j j j j j j j j
between the gate control theory of pain and the use of meditation to relievepain?
j j j j j j j j j j j j j j
“Meditation controls pain by blocking pain impulses from coming j j j j j j j j
a. through the gate.” j j
“Meditationalters thechemical composition of painneuroregulators, j j j j j j j
b. which closes the gate.” j j j
“Meditation will help me sleep through the pain because it opens the j j j j j j j j j j j
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” j j j j j j
ANS:A j
According to this theory, gating mechanisms located along the central nervoussyste
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m regulate or block pain impulses. Pain impulses pass through when a gate is open a
j j j j j j j j j j j j j j j
nd are blocked when a gate is closed.
j j j j j j j
Nonpharmacologic pain- j
relief measures, such as meditation, work byclosing the gates, which keeps pai
j j j j j j j j j j j j
n impulses from coming through.
j j j j
Meditation does not open pain gates or stop pain from occurring. Meditationalso do j j j j j j j j j j j j j
es not have an effect on pain neuroregulators.
j j j j j j j
4.A nurse is planning care for an older-
j j j j j j j
adult patient who is experiencing pain.Which statement made by the nurse indicates the s
j j j j j j j j j j j j j j
upervising nurse needs to j j j
follow up? j
a. “As adults age, their ability to perceive pain decreases.”
j j j j j j j j
“Older patients may have low serum albumin in their blood, causing j j j j j j j j j j
b. toxic effects of analgesic drugs.” j j j j
“Patients who havedementia probably experience pain, and their pain j j j j j j j j j
c. s not always well controlled.”
j j j j
“It is safe to administer opioids to
j j j j j j
205
older adults as long as you start with j j j j j j j
23 100% SCORE GUARANTEED j j j
HESI RN COMPREHENSIVE PREDICTOR EXAM j j j j
An oriented patient has recently had surgery. Which action is best for the nurseto tak
j j j j j j j j j j j j j j j
e to assess this patient’s pain?
j j j j j
a. Assess the patient’s bodylanguage. j j j j
b. Ask the patient to rate the level of pain.
j j j j j j j j
c. Observe the cardiac monitor for increased heart rate. j j j j j j j
d. Have the patient describe the effect of pain on the ability to cope.
j j j j j j j j j j j j
ANS: B j
One of the most subjective and therefore most useful characteristics for reporting
j j j j j j j j j j j j
pain is its severity. Therefore, the best way to assess a patient’s painis to ask the pati
j j j j j j j j j j j j j j j j j
ent to rate the pain. Nonverbal communication, such as body language, is not as eff
j j j j j j j j j j j j j j
ective in assessing pain, especially when the patient is oriented. Heart rate someti
j j j j j j j j j j j j
mes increases when a patient is in pain, but this is not a symptom that is specific to p
j j j j j j j j j j j j j j j j j j
ain. Pain sometimes affects a patient’s ability to cope, but assessing the effect of pai
j j j j j j j j j j j j j j
n on coping assesses the patient’sability to cope; it does not assess the patient’s pain
j j j j j j j j j j j j j j j
.
2.Anurse is caring for a patient who recently had abdominal surgery and isexperiencing s
j j j j j j j j j j j j j j j
evere pain. The patient’s blood pressure is 110/60 mm Hg,
j j j j j j j j j
and heart rate is 60 beats/min. Additionally, the patient does not appear tobe in a
j j j j j j j j j j j j j j j
ny distress. Which response by the nurse is most therapeutic?
j j j j j j j j j
“Your vitals do not show that you are having pain; can you describe
j j j j j j j j j j j j
a. your pain?” j
b. “OK, I will go get you some narcotic pain relievers immediately.”
j j j j j j j j j j
c. “What would you like to try to alleviate your pain?” j j j j j j j j j
d. “You do not look like you are in pain.” j j j j j j j j
,ANS: C
jj j
Be sure the patient is a partner in making decisions about the best approachesfor m
j j j j j j j j j j j j j j j
anaging pain. A patient knows the most about his or her pain and is an important pa 205
j j j j j j j j j j j j j j j j
rtner in selecting successful pain therapies. The nurse must believe that a patient is
j j j j j j j j j j j j j j
in pain whenever the patient reports that he or she is in
j j j j j j j j j j j
, NURSING HESI RN COMPREHENSIVEP j j j j
REDICTOR EXAM j
pain, even if the patient does not appear to be in pain. The nurse must be careful to no
j j j j j j j j j j j j j j j j j j
t judge the patient based on vital signs or nonverbal communication and must not as
j j j j j j j j j j j j j j
sume that the patient is seeking narcotics. Thepatient is a partner in pain manageme
j j j j j j j j j j j j j j
nt, so going to get narcotics to treat the pain without consulting with the patient first i
j j j j j j j j j j j j j j j j
s not appropriate.
j j
3.A nurse teaches the patient about the gate control theory. Which statementmade b
j j j j j j j j j j j j j
y a patient reflects a correct understanding about the relationship
j j j j j j j j j
between the gate control theory of pain and the use of meditation to relievepain?
j j j j j j j j j j j j j j
“Meditation controls pain by blocking pain impulses from coming j j j j j j j j
a. through the gate.” j j
“Meditationalters thechemical composition of painneuroregulators, j j j j j j j
b. which closes the gate.” j j j
“Meditation will help me sleep through the pain because it opens the j j j j j j j j j j j
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” j j j j j j
ANS:A j
According to this theory, gating mechanisms located along the central nervoussyste
j j j j j j j j j j j
m regulate or block pain impulses. Pain impulses pass through when a gate is open a
j j j j j j j j j j j j j j j
nd are blocked when a gate is closed.
j j j j j j j
Nonpharmacologic pain- j
relief measures, such as meditation, work byclosing the gates, which keeps pai
j j j j j j j j j j j j
n impulses from coming through.
j j j j
Meditation does not open pain gates or stop pain from occurring. Meditationalso do j j j j j j j j j j j j j
es not have an effect on pain neuroregulators.
j j j j j j j
4.A nurse is planning care for an older-
j j j j j j j
adult patient who is experiencing pain.Which statement made by the nurse indicates the s
j j j j j j j j j j j j j j
upervising nurse needs to j j j
follow up? j
a. “As adults age, their ability to perceive pain decreases.”
j j j j j j j j
“Older patients may have low serum albumin in their blood, causing j j j j j j j j j j
b. toxic effects of analgesic drugs.” j j j j
“Patients who havedementia probably experience pain, and their pain j j j j j j j j j
c. s not always well controlled.”
j j j j
“It is safe to administer opioids to
j j j j j j
205
older adults as long as you start with j j j j j j j
