Hesi rn comprehensive predictor
exam 2023.Edited on March 2023
100% (score) Quaranteed.
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 to be 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 statementmade 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
mechanismsa1locateda1alonga1thea1centrala1nervoussyste
ma1regulatea1ora1blocka1paina1impulses.a1Paina1impulsesa1p
assa1througha1whena1aa1gatea1isa1opena1anda1area1blockeda
1whena1aa1gatea1isa1closed.
Nonpharmacologica1pain-
reliefa1measures,a1sucha1asa1meditation,a1worka1bya1clos
inga1thea1gates,a1whicha1keepsa1paina1impulsesa1froma1c
ominga1through.
Meditationa1doesa1nota1opena1paina1gatesa1ora1stopa1pai
na1froma1occurring.a1Meditationa1alsoa1doesa1nota1havea1
ana1effecta1ona1paina1neuroregulators.
, 4.Aa1nursea1isa1planninga1carea1fora1ana1older-
adulta1patienta1whoa1is
exam 2023.Edited on March 2023
100% (score) Quaranteed.
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 to be 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 statementmade 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
mechanismsa1locateda1alonga1thea1centrala1nervoussyste
ma1regulatea1ora1blocka1paina1impulses.a1Paina1impulsesa1p
assa1througha1whena1aa1gatea1isa1opena1anda1area1blockeda
1whena1aa1gatea1isa1closed.
Nonpharmacologica1pain-
reliefa1measures,a1sucha1asa1meditation,a1worka1bya1clos
inga1thea1gates,a1whicha1keepsa1paina1impulsesa1froma1c
ominga1through.
Meditationa1doesa1nota1opena1paina1gatesa1ora1stopa1pai
na1froma1occurring.a1Meditationa1alsoa1doesa1nota1havea1
ana1effecta1ona1paina1neuroregulators.
, 4.Aa1nursea1isa1planninga1carea1fora1ana1older-
adulta1patienta1whoa1is
