Hesi rn comprehensive predictor exam 2023 edited on march 20233

Hesi rn comprehensive predictore n n n n




xam 2023.Edited on March 2023 n n n n




100% (score) Quaranteed. n n n




1An oriented patient has recently had surgery. Whicha
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ction is best for the nurseto take to assess this patien
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t’s pain? n




n 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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n c. Observe the cardiac monitor for increased heart rate.
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d. Have the patient describe the effect of pain on the abilityto c
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ope.



ANS: B n




One of the most subjective and therefore most usefulc
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haracteristics for reporting pain is its severity. n n n n n n


Therefore, the best way to assess a patient’s painis to ask
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the patient to rate the pain. Nonverbal communication, su
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ch as body language, is not as effective in assessing pain,
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especially when the patient is oriented. Heart rate someti
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mes increases when a patient is in pain, but this is not a sy
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mptom that is specific to pain. Pain sometimes affects a p
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atient’s ability to cope, but assessing the effect of pain on
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copingassesses the patient’sability to cope; it does not as
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sess the patient’s pain.n n n




2.A nurse is caring for a patient who recently had abdominals
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urgery and is experiencing severe pain. The patient’s bloodpr
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essure is 110/60 mm Hg, n n n n




and heart rate is 60 beats/min. Additionally, the patien
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t does not appear tobe in any distress. Which
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, response by the nurse is most therapeutic?
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“Your vitals do not show that you are having pain; can youde
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scribe


a. your pain?”n



b. “OK, I will go get you some narcotic pain relieversi
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mmediately.”



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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n ANS: Cn


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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20n
knows the most about his or her pain and is an important 5 pa
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rtner in selecting successful pain therapies. The nurse must
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believe 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
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nurse must be careful to not judge the patient basedon vit
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al signs or nonverbal communication and must not assum
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e that the patient is seeking narcotics. Thepatientis a par
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tner in pain management, so going to get narcotics to trea
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t the pain without consulting with the patient first is not a
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ppropriate.
3.A nurse teaches the patient about the gate controlt
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heory. Which statement made by a patient reflects a cor
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rect understanding about the relationship
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between the gate control theory of pain and the use ofmeditati
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on to relievepain?
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“Meditation controls pain by blocking pain impulses fromco n n n n n n n n


ming
a. through the gate.” n n



“Meditation alters the chemical composition of painneurore
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gulators,
b. which closes the gate.” n n n



“Meditation will help me sleep through the pain because itop
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ens the n




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




ANS: A n



According to this theory, gating mechanisms located alo
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ng the central nervoussystem regulate or block painimp
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ulses. Pain impulses pass through when a gate is open a
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nd are blocked when a gate is closed.
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Nonpharmacologic pain- n


relief measures, such as meditation, work byclosin
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g the gates, which keepspain impulses from coming
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nthrough.
Meditation does not open pain gates or stop pain fromo
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ccurring. Meditationalso does not have an effect on pai
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n neuroregulators.
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4.A nurse is planning care for an older-adult patient who is
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,