Hesi rn comprehensive predictor exam 2025 100%
(score) guaranteed
1An oriented patient has recently had surgery. Which action 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 ability to 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 patient is
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 coping assesses 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 blood pressure 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 you describe
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 based on vital signs or nonverbal communication and
must not assume that the patient is seeking narcotics. Thepatient is 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 of meditation to relievepain?
“Meditation controls pain by blocking pain impulses from coming
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 it opens 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 pain impulses. 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 keeps pain impulses from coming through.
(score) guaranteed
1An oriented patient has recently had surgery. Which action 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 ability to 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 patient is
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 coping assesses 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 blood pressure 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 you describe
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 based on vital signs or nonverbal communication and
must not assume that the patient is seeking narcotics. Thepatient is 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 of meditation to relievepain?
“Meditation controls pain by blocking pain impulses from coming
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 it opens 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 pain impulses. 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 keeps pain impulses from coming through.
