1
Hesi rn comprehensive predictor e 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. Which actio
n n n n n n n n
n is best for the nurseto take to assess this
n n n n n n n n n
patient’s pain? n
n a. Assess the patient’s body language.
n n n n n
b. Ask the patient to rate the level of pain.
n n n n n n n n
n c. Observe the cardiac monitor for increased heart rate.
n n n n n n n n
d. Have the patient describe the effect of pain on the ability to
n n n n n n n n n n n n
cope.n
ANS: B n
One of the most subjective and therefore most useful char
n n n n n n n n n
acteristics for reporting pain is its severity. n n n n n n
Therefore, the best way to assess a patient’s painis to ask n n n n n n n n n n
the patient to rate the pain. Nonverbal communication, su
n n n n n n n n n
ch as body language, is not as effective in assessing pain,
n n n n n n n n n n n
especially when the patient is oriented. Heart rate someti n n n n n n n n
mes increases when a patient is in pain, but this is not a sy
n n n n n n n n n n n n n
mptom that is specific to pain. Pain sometimes affects a p
n n n n n n n n n n
atient’s ability to cope, but assessing the effect of pain on
n n n n n n n n n n n
coping assesses the patient’sability to cope; it does not a
n n n n n n n n n
ssess the patient’s pain. n n n
2.A nurse is caring for a patient who recently had abdominal s
n n n n n n n n n n n
urgery and is experiencing severe pain. The patient’s blood pr
n n n n n n n n n
essure is 110/60 mm Hg, n n n n
and heart rate is 60 beats/min. Additionally, the patient
n n n n n n n n n
does not appear tobe in any distress. Which
n n n n n n n
, 2
response by the nurse is most therapeutic?
n n n n n n
“Your vitals do not show that you are having pain; can you descri
n n n n n n n n n n n n
be
a. your pain?” n
b. “OK, I will go get you some narcotic pain relievers
n n n n n n n n n
immediately.”
c. “What would you like to try to alleviate your pain?”
n n n n n n n n n
d. “You do not look like you are in pain.”
n n n n n n n n
n ANS: C n
Be sure the patient is a partner in making decisions
n n n n n n n n n
about the best approaches for managing pain. A patient
n n n n n n n n
20
nknows the most about his or her pain and is an important 5 pa
n n n n n n n n n n n n n
rtner in selecting successful pain therapies. The nurse must
n n n n n n n n n
believe that a patient is in pain whenever the
n n n n n n n n
patient reports that he or she is in
n n n n n n n
, 3
pain, even if the patient does not appear to be in pain.
The nurse must be careful to not judge the patient based
n n n n n n n n n n n
n n n n n n n n n n
on vital signs or nonverbal communication and must not a
n n n n n n n n n
ssume that the patient is seeking narcotics. Thepatient is
n n n n n n n n n
a partner in pain management, so going to get narcotics to
n n n n n n n n n n
treat the pain without consulting with the patient first is n
n n n n n n n n n n n
ot appropriate.
n
3.A nurse teaches the patient about the gate control t
n n n n n n n n n
heory. Which statement made by a patient reflects a c
n n n n n n n n n
orrect understanding about the relationship
n n n n
between the gate control theory of pain and the use of med
n n n n n n n n n n n
itation to relievepain? n n
“Meditation controls pain by blocking pain impulses from coming n n n n n n n n
a. through the gate.” n n
“Meditation alters the chemical composition of pain neu n n n n n n n
roregulators,
b. which closes the gate.” n n n
“Meditation will help me sleep through the pain because it opens n n n n n n n n n n n
the
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 alonn n n n n n n
g the central nervoussystem regulate or block pain impuls
n n n n n n n n
es. Pain impulses pass through when a gate is open and ar
n n n n n n n n n n n
e blocked when a gate is closed.
n n n n n n
Nonpharmacologic pain- n
relief measures, such as meditation, work byclosing th
n n n n n n n
e gates, which keeps pain impulses from coming throug
n n n n n n n n
h.
Meditation does not open pain gates or stop pain from o n n n n n n n n n n
ccurring. Meditationalso does not have an effect on pai
n n n n n n n n
n neuroregulators.
n
4.A nurse is planning care for an older-adult patient who is
n n n n n n n n n n
, 4
experiencing pain. Which statement made by the nurse indi
n n n n n n n n
cates the supervising nurse needs to
n n n n n
follow up? n
a. “As adults age, their ability to perceive pain decreases.” “
n n n n n n n n n
Older patients may have low serum albumin in their blood
n n n n n n n n n
, causing
n
b. toxic effects of analgesic drugs.”
n n n n
“Patients who have dementia probably experience pain, an
n n n n n n n
d their pain
n n
c. s not always well controlled.”
n n n n
20
“It is safe to administer
n n n n
5
opioids to older adults as lon n n n n n
g as you start with
n n n n
Hesi rn comprehensive predictor e 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. Which actio
n n n n n n n n
n is best for the nurseto take to assess this
n n n n n n n n n
patient’s pain? n
n a. Assess the patient’s body language.
n n n n n
b. Ask the patient to rate the level of pain.
n n n n n n n n
n c. Observe the cardiac monitor for increased heart rate.
n n n n n n n n
d. Have the patient describe the effect of pain on the ability to
n n n n n n n n n n n n
cope.n
ANS: B n
One of the most subjective and therefore most useful char
n n n n n n n n n
acteristics for reporting pain is its severity. n n n n n n
Therefore, the best way to assess a patient’s painis to ask n n n n n n n n n n
the patient to rate the pain. Nonverbal communication, su
n n n n n n n n n
ch as body language, is not as effective in assessing pain,
n n n n n n n n n n n
especially when the patient is oriented. Heart rate someti n n n n n n n n
mes increases when a patient is in pain, but this is not a sy
n n n n n n n n n n n n n
mptom that is specific to pain. Pain sometimes affects a p
n n n n n n n n n n
atient’s ability to cope, but assessing the effect of pain on
n n n n n n n n n n n
coping assesses the patient’sability to cope; it does not a
n n n n n n n n n
ssess the patient’s pain. n n n
2.A nurse is caring for a patient who recently had abdominal s
n n n n n n n n n n n
urgery and is experiencing severe pain. The patient’s blood pr
n n n n n n n n n
essure is 110/60 mm Hg, n n n n
and heart rate is 60 beats/min. Additionally, the patient
n n n n n n n n n
does not appear tobe in any distress. Which
n n n n n n n
, 2
response by the nurse is most therapeutic?
n n n n n n
“Your vitals do not show that you are having pain; can you descri
n n n n n n n n n n n n
be
a. your pain?” n
b. “OK, I will go get you some narcotic pain relievers
n n n n n n n n n
immediately.”
c. “What would you like to try to alleviate your pain?”
n n n n n n n n n
d. “You do not look like you are in pain.”
n n n n n n n n
n ANS: C n
Be sure the patient is a partner in making decisions
n n n n n n n n n
about the best approaches for managing pain. A patient
n n n n n n n n
20
nknows the most about his or her pain and is an important 5 pa
n n n n n n n n n n n n n
rtner in selecting successful pain therapies. The nurse must
n n n n n n n n n
believe that a patient is in pain whenever the
n n n n n n n n
patient reports that he or she is in
n n n n n n n
, 3
pain, even if the patient does not appear to be in pain.
The nurse must be careful to not judge the patient based
n n n n n n n n n n n
n n n n n n n n n n
on vital signs or nonverbal communication and must not a
n n n n n n n n n
ssume that the patient is seeking narcotics. Thepatient is
n n n n n n n n n
a partner in pain management, so going to get narcotics to
n n n n n n n n n n
treat the pain without consulting with the patient first is n
n n n n n n n n n n n
ot appropriate.
n
3.A nurse teaches the patient about the gate control t
n n n n n n n n n
heory. Which statement made by a patient reflects a c
n n n n n n n n n
orrect understanding about the relationship
n n n n
between the gate control theory of pain and the use of med
n n n n n n n n n n n
itation to relievepain? n n
“Meditation controls pain by blocking pain impulses from coming n n n n n n n n
a. through the gate.” n n
“Meditation alters the chemical composition of pain neu n n n n n n n
roregulators,
b. which closes the gate.” n n n
“Meditation will help me sleep through the pain because it opens n n n n n n n n n n n
the
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 alonn n n n n n n
g the central nervoussystem regulate or block pain impuls
n n n n n n n n
es. Pain impulses pass through when a gate is open and ar
n n n n n n n n n n n
e blocked when a gate is closed.
n n n n n n
Nonpharmacologic pain- n
relief measures, such as meditation, work byclosing th
n n n n n n n
e gates, which keeps pain impulses from coming throug
n n n n n n n n
h.
Meditation does not open pain gates or stop pain from o n n n n n n n n n n
ccurring. Meditationalso does not have an effect on pai
n n n n n n n n
n neuroregulators.
n
4.A nurse is planning care for an older-adult patient who is
n n n n n n n n n n
, 4
experiencing pain. Which statement made by the nurse indi
n n n n n n n n
cates the supervising nurse needs to
n n n n n
follow up? n
a. “As adults age, their ability to perceive pain decreases.” “
n n n n n n n n n
Older patients may have low serum albumin in their blood
n n n n n n n n n
, causing
n
b. toxic effects of analgesic drugs.”
n n n n
“Patients who have dementia probably experience pain, an
n n n n n n n
d their pain
n n
c. s not always well controlled.”
n n n n
20
“It is safe to administer
n n n n
5
opioids to older adults as lon n n n n n
g as you start with
n n n n
