HESI (NCLEX-PN) Exam – Comfort – Pain

Comfort – Pain

•             The registered nurse is discussing with a practical nurse about teaching a client regarding the use of morphine as patient-controlled analgesia (PCA). Which statement made by the practical nurse indicates the need for further discussion?

•             Which client response should the nurse monitor when assessing for complications of hyperparathyroidism?

•             A client returns to work as a carpenter after surgery for carpal tunnel syndrome of the right hand. What instructions should the nurse give to help prevent further problems with the hands when the client returns to work?

•             A 37-year-old client with endometriosis visits the women’s health clinic because she has dysmenorrhea and dyspareunia. Which statement is the most accurate description of dysmenorrhea?

•             A client suffered an injury to the leg as a result of a fall. X-ray films indicate an intertrochanteric fracture of the femur. The client will be placed in Buck’s traction until surgery is performed. When considering the client’s plan of care, the nurse recalls that the primary purpose of Buck’s traction is to do what?

•             A client developed acute herpes zoster and was treated with antiviral medication within 72 hours of the appearance of the rash. The client is reporting persistent pain one week later. What does the nurse identify as the cause of the post therapeutic neuralgia?

•             A client is hospitalized with chest pain. The client’s spouse voices concern about how pale the client is. What is the best response by the nurse?

•             A primipara delivered 12 hours ago. Although an ice bag has been applied to her perineal area, the client continues to complain of rectal pressure resulting in excruciating pain in the area of the episiotomy that is not relieved with analgesics. What does the nurse conclude is the cause of the client’s pain?

•             A nurse is teaching a childbirth preparation class about the discomfort of labor. What is the greatest influence on the perception of pain for a woman in labor?

•             A nurse is taking care of a client who has severe back pain as a result of a work injury. What nursing considerations should be made when determining the client’s plan of care? Select all that apply.

•             A woman visits the clinic because she has dysmenorrhea. What goal should the nurse identify for this client?

•             After abdominal surgery, a client reports pain. What action should the nurse take first?

•             A pregnant woman reports severe headaches, chest pain, and fatigue. Upon diagnosis, the woman has hypertension. Which drug can be prescribed to reduce hypertension?

•             What are the desired outcomes that the nurse expects when administering a nonsteroidal anti-inflammatory drug (NSAID)? Select all that apply.

•             The nurse is caring for a client who has sustained blunt trauma to the forearm. The nurse assesses the client for which early sign of compartment syndrome?

•             A 16-year-old girl with sickle cell anemia is experiencing a painful episode and has a patient-controlled analgesia (PCA) pump. She complains of pain in her right elbow. The nurse observes that the pump is “locked out” for another 10 minutes. What action should the nurse implement?

•             Because of the increased discomfort level during the transition phase of labor, nursing care should be directed toward what?

•             A client receives a prescription for nitroglycerin sublingual as needed for anginal pain. What should the nurse include in the teaching about this medication?

•             A client with multiple sclerosis is informed that this is a chronic, progressive neurologic condition. The client asks the nurse, “Will I experience excruciating pain?” What is the nurse’s best response?

Explanation & Answer

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