1
Hesi rn comprehensive predictore g g g g
xam 2023.Edited on March 2023 g g g g
100% (score) Quaranteed. g g g
1An oriented patient has recently had surgery. Whicha
g g g g g g g g
ction is best for the nurseto take to assess this
g g g g g g g g g
patient’s pain? g
g a. Assess the patient’s body language.
g g g g g
b. Ask the patient to rate the level of pain.
g g g g g g g g g
g c. Observe the cardiac monitor for increased heart rate.
g g g g g g g g
d. Have the patient describe the effect of pain on the abilityt
g g g g g g g g g g g g
o cope. g
ANS: B g
One of the most subjective and therefore most usefulc
g g g g g g g g g
haracteristics for reporting pain is its severity. g g g g g g
Therefore, the best way to assess a patient’s painis to as
g g g g g g g g g g
k the patient to rate the pain. Nonverbal communication,
g g g g g g g g
such as body language, is not as effective in assessing p
g g g g g g g g g g g
ain, especially when the patientis oriented. Heart rate so
g g g g g g g g g
metimes increases when a patient is in pain, but this is n
g g g g g g g g g g g
ot a symptom that is
g g g g
specific to pain. Pain sometimes affects a patient’s ability
g g g g g g g g
to cope, but assessing the effect of pain on copingassess
g g g g g g g g g g g
es the patient’sability to cope; it does not assess the patie
g g g g g g g g g g
nt’s pain. g
2.A nurse is caring for a patient who recently had abdominals
g g g g g g g g g g g
urgery and is experiencing severe pain. The patient’s bloodpr
g g g g g g g g g
essure is 110/60 mm Hg, g g g g
and heart rate is 60 beats/min. Additionally, the patie
g g g g g g g g
nt does not appear tobe in any distress. Which
g g g g g g g g
, 2
response by the nurse is most therapeutic?
g g g g g g
“Your vitals do not show that you are having pain; can youdescrib
g g g g g g g g g g g g
e
a. your pain?”g
b. “OK, I will go get you some narcotic pain relievers
g g g g g g g g g
immediately.”
c. “What would you like to try to alleviate your pain?”
g g g g g g g g g
d. “You do not look like you are in pain.”
g g g g g g g g
g ANS: Cg
Be sure the patient is a partner in making decisions
g g g g g g g g g
about the best approaches for managing pain. A patient
g g g g g g g g
20g
knows the most about his or her pain and is an important 5 pa
g g g g g g g g g g g g g
rtner in selecting successful pain therapies. The nurse must
g g g g g g g g g
believe that a patient is in pain whenever the
g g g g g g g g
patient reports that he or she is in
g g g g g g g
, 3
pain, even if the patient does not appear to be in pain. The
g g g g g g g g g g g g g
nurse must be careful to not judge the patient basedon vit
g g g g g g g g g g g
al signs or nonverbal communication and must not assum
g g g g g g g g
e that the patient is seeking narcotics. Thepatientis a par
g g g g g g g g g g
tner in pain management, so going to get narcotics to trea
g g g g g g g g g g
t the pain without consulting with the patient first is not a
g g g g g g g g g g g
ppropriate.
3.A nurse teaches the patient about the gate controlt
g g g g g g g g g
heory. Which statement made by a patient reflects a cor
g g g g g g g g g
rect understanding about the relationship
g g g g
between the gate control theory of pain and the use ofm
g g g g g g g g g g g
editation to relievepain? g g
“Meditation controls pain by blocking pain impulses fromc g g g g g g g g
oming
a. through the gate.” g g
“Meditation alters the chemical composition of pain g g g g g g g
neuroregulators,
b. which closes the gate.” g g g
“Meditation will help me sleep through the pain because ito
g g g g g g g g g g
pens the g
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” g g g g g g
ANS: A g
According to this theory, gating mechanisms located alo
g g g g g g g
ng the central nervoussystem regulate or block painimp
g g g g g g g g
ulses. Pain impulses pass through when a gate is open a
g g g g g g g g g g
nd are blocked when a gate is closed.
g g g g g g g
Nonpharmacologic pain- g
relief measures, such as meditation, work byclosin
g g g g g g
g the gates, which keepspain impulses from coming
g g g g g g g g
gthrough.
Meditation does not open pain gates or stop pain fromo
g g g g g g g g g g
ccurring. Meditationalso does not have an effect on pai
g g g g g g g g
n neuroregulators.
g
4.A nurse is planning care for an older-adult patient who is
g g g g g g g g g g
, 4
experiencing pain. Which statement made by the nurseind
g g g g g g g g
icates the supervising nurse needs to
g g g g g
follow up? g
a. “As adults age, their ability to perceive pain decreases.”“
g g g g g g g g g
Older patients may have low serum albumin in their blood
g g g g g g g g g
, causing
g
b. toxic effects of analgesic drugs.”
g g g g
“Patients who have dementia probably experience pain,
g g g g g g g
and their pain
g g
c. s not always well controlled.”
g g g g
20
“It is safe to administer
g g g g
5
opioids to older adults asl g g g g g
ong as you start with
g g g g
Hesi rn comprehensive predictore g g g g
xam 2023.Edited on March 2023 g g g g
100% (score) Quaranteed. g g g
1An oriented patient has recently had surgery. Whicha
g g g g g g g g
ction is best for the nurseto take to assess this
g g g g g g g g g
patient’s pain? g
g a. Assess the patient’s body language.
g g g g g
b. Ask the patient to rate the level of pain.
g g g g g g g g g
g c. Observe the cardiac monitor for increased heart rate.
g g g g g g g g
d. Have the patient describe the effect of pain on the abilityt
g g g g g g g g g g g g
o cope. g
ANS: B g
One of the most subjective and therefore most usefulc
g g g g g g g g g
haracteristics for reporting pain is its severity. g g g g g g
Therefore, the best way to assess a patient’s painis to as
g g g g g g g g g g
k the patient to rate the pain. Nonverbal communication,
g g g g g g g g
such as body language, is not as effective in assessing p
g g g g g g g g g g g
ain, especially when the patientis oriented. Heart rate so
g g g g g g g g g
metimes increases when a patient is in pain, but this is n
g g g g g g g g g g g
ot a symptom that is
g g g g
specific to pain. Pain sometimes affects a patient’s ability
g g g g g g g g
to cope, but assessing the effect of pain on copingassess
g g g g g g g g g g g
es the patient’sability to cope; it does not assess the patie
g g g g g g g g g g
nt’s pain. g
2.A nurse is caring for a patient who recently had abdominals
g g g g g g g g g g g
urgery and is experiencing severe pain. The patient’s bloodpr
g g g g g g g g g
essure is 110/60 mm Hg, g g g g
and heart rate is 60 beats/min. Additionally, the patie
g g g g g g g g
nt does not appear tobe in any distress. Which
g g g g g g g g
, 2
response by the nurse is most therapeutic?
g g g g g g
“Your vitals do not show that you are having pain; can youdescrib
g g g g g g g g g g g g
e
a. your pain?”g
b. “OK, I will go get you some narcotic pain relievers
g g g g g g g g g
immediately.”
c. “What would you like to try to alleviate your pain?”
g g g g g g g g g
d. “You do not look like you are in pain.”
g g g g g g g g
g ANS: Cg
Be sure the patient is a partner in making decisions
g g g g g g g g g
about the best approaches for managing pain. A patient
g g g g g g g g
20g
knows the most about his or her pain and is an important 5 pa
g g g g g g g g g g g g g
rtner in selecting successful pain therapies. The nurse must
g g g g g g g g g
believe that a patient is in pain whenever the
g g g g g g g g
patient reports that he or she is in
g g g g g g g
, 3
pain, even if the patient does not appear to be in pain. The
g g g g g g g g g g g g g
nurse must be careful to not judge the patient basedon vit
g g g g g g g g g g g
al signs or nonverbal communication and must not assum
g g g g g g g g
e that the patient is seeking narcotics. Thepatientis a par
g g g g g g g g g g
tner in pain management, so going to get narcotics to trea
g g g g g g g g g g
t the pain without consulting with the patient first is not a
g g g g g g g g g g g
ppropriate.
3.A nurse teaches the patient about the gate controlt
g g g g g g g g g
heory. Which statement made by a patient reflects a cor
g g g g g g g g g
rect understanding about the relationship
g g g g
between the gate control theory of pain and the use ofm
g g g g g g g g g g g
editation to relievepain? g g
“Meditation controls pain by blocking pain impulses fromc g g g g g g g g
oming
a. through the gate.” g g
“Meditation alters the chemical composition of pain g g g g g g g
neuroregulators,
b. which closes the gate.” g g g
“Meditation will help me sleep through the pain because ito
g g g g g g g g g g
pens the g
c. gate.”
d. “Meditation stops the occurrence of pain stimuli.” g g g g g g
ANS: A g
According to this theory, gating mechanisms located alo
g g g g g g g
ng the central nervoussystem regulate or block painimp
g g g g g g g g
ulses. Pain impulses pass through when a gate is open a
g g g g g g g g g g
nd are blocked when a gate is closed.
g g g g g g g
Nonpharmacologic pain- g
relief measures, such as meditation, work byclosin
g g g g g g
g the gates, which keepspain impulses from coming
g g g g g g g g
gthrough.
Meditation does not open pain gates or stop pain fromo
g g g g g g g g g g
ccurring. Meditationalso does not have an effect on pai
g g g g g g g g
n neuroregulators.
g
4.A nurse is planning care for an older-adult patient who is
g g g g g g g g g g
, 4
experiencing pain. Which statement made by the nurseind
g g g g g g g g
icates the supervising nurse needs to
g g g g g
follow up? g
a. “As adults age, their ability to perceive pain decreases.”“
g g g g g g g g g
Older patients may have low serum albumin in their blood
g g g g g g g g g
, causing
g
b. toxic effects of analgesic drugs.”
g g g g
“Patients who have dementia probably experience pain,
g g g g g g g
and their pain
g g
c. s not always well controlled.”
g g g g
20
“It is safe to administer
g g g g
5
opioids to older adults asl g g g g g
ong as you start with
g g g g
