HESI RN COMPREHENSIVE PREDICTOR EXAM.1
g g g g g
00% CORRECT ANS.
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MUST READ. g
, HESI RN COMPREHENSIVE PREDICTOR EXAM g g g g
An oriented patient has recently had surgery. Which action is best for the nurseto
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take to assess this patient’s pain?
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a. Assess the patient’s body language. g g g g
b. Ask the patient to rate the level of pain.
g g g g g g g g
c. Observe the cardiac monitor for increased heart rate. g g g g g g g
d. Have the patient describe the effect of pain on the ability to cope.
g g g g g g g g g g g g
ANS: B g
One of the most subjective and therefore most useful characteristics for reportin
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g pain is its severity. Therefore, the best way to assess a patient’s pain is to ask th
g g g g g g g g g g g g g g g g g
e patient to rate the pain. Nonverbal communication, such as body language, is n
g g g g g g g g g g g g g
ot as effective in assessing pain, especially when the patient is oriented. Heart rat
g g g g g g g g g g g g g
e sometimes increases when a patient is in pain, but this is not a symptom that is s
g g g g g g g g g g g g g g g g g
pecific to pain. Pain sometimes affects a patient’s ability to cope, but assessing t
g g g g g g g g g g g g g
he effect of pain on coping assesses the patient’sability to cope; it does not assess
g g g g g g g g g g g g g g g
the patient’s pain.
g g g
2.A nurse is caring for a patient who recently had abdominal surgery and isexperiencing
g g g g g g g g g g g g g g g
severe pain. The patient’s blood pressure is 110/60 mm Hg,
g g g g g g g g g
and heart rate is 60 beats/min. Additionally, the patient does not appear tobe i
g g g g g g g g g g g g g g
n any distress. Which response by the nurse is most therapeutic?
g g g g g g g g g g
“Your vitals do not show that you are having pain; can you describe
g g g g g g g g g g g g
a. your pain?” g
b. “OK, I will go get you some narcotic pain relievers immediately.”
g g g g g g g g g g
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
ANS: C
gg g
Be sure the patient is a partner in making decisions about the best approaches for
g g g g g g g g g g g g g g
managing pain. A patient knows the most about his or her pain and is an importa 205
g g g g g g g g g g g g g g g g
nt partner in selecting successful pain therapies. The nurse must believe that a pa
g g g g g g g g g g g g g
tient is in pain whenever the patient reports that he or she is in
g g g g g g g g g g g g g
, pain, even if the patient does not appear to be in pain. The nurse must be careful t
g g g g g g g g g g g g g g g g g
o not judge the patient based on vital signs or nonverbal communication and mus
g g g g g g g g g g g g g
t not assume that the patient is seeking narcotics. Thepatient is a partner in pain
g g g g g g g g g g g g g g g g
management, so going to get narcotics to treat the pain without consulting with t
g g g g g g g g g g g g g
he patient first is not appropriate.
g g g g g
3.A nurse teaches the patient about the gate control theory. Which statementmade
g g g g g g g g g g g g
by a patient reflects a correct understanding about the relationship
g g g g g g g g g g
between the gate control theory of pain and the use of meditation to relievepain?
g g g g g g g g g g g g g g
“Meditation controls pain by blocking pain impulses from coming g g g g g g g g
a. through the gate.” g g
“Meditation alters the chemical composition of pain neuroregulators, g g g g g g g
b. which closes the gate.” g g g
“Meditation will help me sleep through the pain because it opens the g g g g g g g g g g 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 along the central nervouss
g g g g g g g g g g g
ystem regulate or block pain impulses. Pain impulses pass through when a gate i
g g g g g g g g g g g g g
s open and are blocked when a gate is closed.
g g g g g g g g g
Nonpharmacologic pain- g
relief measures, such as meditation, work byclosing the gates, which keeps p
g g g g g g g g g g g g
ain impulses from coming through.
g g g g
Meditation does not open pain gates or stop pain from occurring. Meditationalso
g g g g g g g g g g g g g
does not have an effect on pain neuroregulators.
g g g g g g g
4.A nurse is planning care for an older-
g g g g g g g
adult patient who is experiencing pain.Which statement made by the nurse indicat
g g g g g g g g g g g g
es 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
“Older patients may have low serum albumin in their blood, causing
g g g g g g g g g g
b. toxic effects of analgesic drugs.” g g g g
“Patients who have dementia probably experience pain, and their pain
g g g g g g g g g
c. s not always well controlled.”
g g g g
205
“It is safe to administer opioids to old
g g g g g g g
er adults as long as you start with
g g g g g g g
g g g g g
00% CORRECT ANS.
g g
MUST READ. g
, HESI RN COMPREHENSIVE PREDICTOR EXAM g g g g
An oriented patient has recently had surgery. Which action is best for the nurseto
g g g g g g g g g g g g g g g
take to assess this patient’s pain?
g g g g g
a. Assess the patient’s body language. g g g g
b. Ask the patient to rate the level of pain.
g g g g g g g g
c. Observe the cardiac monitor for increased heart rate. g g g g g g g
d. Have the patient describe the effect of pain on the ability to cope.
g g g g g g g g g g g g
ANS: B g
One of the most subjective and therefore most useful characteristics for reportin
g g g g g g g g g g g
g pain is its severity. Therefore, the best way to assess a patient’s pain is to ask th
g g g g g g g g g g g g g g g g g
e patient to rate the pain. Nonverbal communication, such as body language, is n
g g g g g g g g g g g g g
ot as effective in assessing pain, especially when the patient is oriented. Heart rat
g g g g g g g g g g g g g
e sometimes increases when a patient is in pain, but this is not a symptom that is s
g g g g g g g g g g g g g g g g g
pecific to pain. Pain sometimes affects a patient’s ability to cope, but assessing t
g g g g g g g g g g g g g
he effect of pain on coping assesses the patient’sability to cope; it does not assess
g g g g g g g g g g g g g g g
the patient’s pain.
g g g
2.A nurse is caring for a patient who recently had abdominal surgery and isexperiencing
g g g g g g g g g g g g g g g
severe pain. The patient’s blood pressure is 110/60 mm Hg,
g g g g g g g g g
and heart rate is 60 beats/min. Additionally, the patient does not appear tobe i
g g g g g g g g g g g g g g
n any distress. Which response by the nurse is most therapeutic?
g g g g g g g g g g
“Your vitals do not show that you are having pain; can you describe
g g g g g g g g g g g g
a. your pain?” g
b. “OK, I will go get you some narcotic pain relievers immediately.”
g g g g g g g g g g
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
ANS: C
gg g
Be sure the patient is a partner in making decisions about the best approaches for
g g g g g g g g g g g g g g
managing pain. A patient knows the most about his or her pain and is an importa 205
g g g g g g g g g g g g g g g g
nt partner in selecting successful pain therapies. The nurse must believe that a pa
g g g g g g g g g g g g g
tient is in pain whenever the patient reports that he or she is in
g g g g g g g g g g g g g
, pain, even if the patient does not appear to be in pain. The nurse must be careful t
g g g g g g g g g g g g g g g g g
o not judge the patient based on vital signs or nonverbal communication and mus
g g g g g g g g g g g g g
t not assume that the patient is seeking narcotics. Thepatient is a partner in pain
g g g g g g g g g g g g g g g g
management, so going to get narcotics to treat the pain without consulting with t
g g g g g g g g g g g g g
he patient first is not appropriate.
g g g g g
3.A nurse teaches the patient about the gate control theory. Which statementmade
g g g g g g g g g g g g
by a patient reflects a correct understanding about the relationship
g g g g g g g g g g
between the gate control theory of pain and the use of meditation to relievepain?
g g g g g g g g g g g g g g
“Meditation controls pain by blocking pain impulses from coming g g g g g g g g
a. through the gate.” g g
“Meditation alters the chemical composition of pain neuroregulators, g g g g g g g
b. which closes the gate.” g g g
“Meditation will help me sleep through the pain because it opens the g g g g g g g g g g 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 along the central nervouss
g g g g g g g g g g g
ystem regulate or block pain impulses. Pain impulses pass through when a gate i
g g g g g g g g g g g g g
s open and are blocked when a gate is closed.
g g g g g g g g g
Nonpharmacologic pain- g
relief measures, such as meditation, work byclosing the gates, which keeps p
g g g g g g g g g g g g
ain impulses from coming through.
g g g g
Meditation does not open pain gates or stop pain from occurring. Meditationalso
g g g g g g g g g g g g g
does not have an effect on pain neuroregulators.
g g g g g g g
4.A nurse is planning care for an older-
g g g g g g g
adult patient who is experiencing pain.Which statement made by the nurse indicat
g g g g g g g g g g g g
es 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
“Older patients may have low serum albumin in their blood, causing
g g g g g g g g g g
b. toxic effects of analgesic drugs.” g g g g
“Patients who have dementia probably experience pain, and their pain
g g g g g g g g g
c. s not always well controlled.”
g g g g
205
“It is safe to administer opioids to old
g g g g g g g
er adults as long as you start with
g g g g g g g
