, TABLE OF CONTENTS
Guidelines for Prioritization, Delegation, and Assignment Decisions
1. Pain
2. Cancer
3. Immunologic Problems
4. Fluid, Electrolyte, and Acid-Base Balance Problems
5. Safety and Infection Control
6. Respiratory Problems
7. Cardiovascular Problems
8. Hematologic Problems
9. Neurologic Problems
10. Visual and Auditory Problems
11. Musculoskeletal Problems
12. Gastrointestinal and Nutritional Problems
13. Diabetes Mellitus
14. Other Endocrine Problems
15. Integumentary Problems
16. Renal and Urinary Problems
17. Reproductive Problems
18. Problems in Pregnancy and Childbearing
19. Pediatric Problems
20. Pharmacology NEW!
21. Emergencies and Disasters
22. Psychiatric–Mental Health Problems
, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank
Chapter 1 Pain zx
MULTIPLE CHOICE
1 A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
zx
attention The nurse realizes this client understands that pain is important because it:
zx
1
zx is a protective system zx
2
zx includes the automatic withdrawal reflex zx
3
zx creates sensitivity to pain zx
4
zx helps with healing zx
ANS: 1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
memory, and avoidance Even though the automatic withdrawal reflex is a part of the pain
zx
response, it does not explain why pain is important Pain does not create sensitivity to pain Pain
zx zx
does not help with healing zx
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
2 A client complains that the bed sheets touching his skin are extremely painful The nurse
zx zx
realizes this client is experiencing:
1
zx allodynia zx
2
zx modulation zx
3
zx kinesthesia zx
4
zx proprioception zx
ANS: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
painful Kinesthesia is the awareness of movement Proprioception is the awareness of body
zx zx
position Modulation is an influencing factor in the perception of pain
zx zx
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3 A client is complaining of severe abdomen pain The nurse realizes this client is experiencing
zx zx
which type of pain?
1
zx Neuralgia
2
zx Pathological
3
zx Somatic
4
zx Visceral
ANS: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract Somatic pain is painzx
that originates from the bone, joints, muscles, skin, or connective pain Neuralgia and zx
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the
neuronal transmission process or due to impaired regulation zx
PTS:1DIF:AnalyzeREF:Types of Pain
4 A client, diagnosed with acute appendicitis, is experiencing abdominal pain The best way for
zx zx
the nurse to describe this clients pain would be:
1 zx chronic zx
2 zx neuropathic zx
3 zx referred zx
4 zx acutezx
ANS: 4
Acute pain onset is sudden and of short duration Chronic pain is a sudden or slow onset of mild
zx
to severe pain that lasts longer than 6 months Referred pain is the result of the transfer of
zx
visceral pain sensations to a body surface at a distance from the actual origin Neuropathic pain zx
is paroxysmal pain that occurs along the branches of a nerve zx
PTS:1DIF:ApplyREF:Types of Pain
5 A client is observed holding a pillow over the abdominal region with both knees flexed in a
zx
side-lying position Vital signs assessment reveals an elevated blood pressure and heart rate
zx zx
Which of the following should the nurse say to this client?
1 zx Can I get you anything?
2 zx Would you like something for pain?
3 zx You look comfortable zx
4 zx Your blood pressure is up zx
ANS: 2
Sympathetic responses to pain include elevated blood pressure and heart rate And since the zx
client is hugging a pillow over the abdominal region with both knees flexed in a side-lying
position, the best thing for the nurse to say to this client is Would you like something for pain?
The other responses are incorrect because they do not acknowledge that the client is experiencing
pain zx
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
6 A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
zx
received when she had a total knee replacement Which of the following should the nurse
zx
respond to this client?
1 zx You dont need something that strong zx
2 zx That medication does not exist anymore zx
3 zx That medication does not last very long zx
4 zx It can cause you have high blood pressure zx
Guidelines for Prioritization, Delegation, and Assignment Decisions
1. Pain
2. Cancer
3. Immunologic Problems
4. Fluid, Electrolyte, and Acid-Base Balance Problems
5. Safety and Infection Control
6. Respiratory Problems
7. Cardiovascular Problems
8. Hematologic Problems
9. Neurologic Problems
10. Visual and Auditory Problems
11. Musculoskeletal Problems
12. Gastrointestinal and Nutritional Problems
13. Diabetes Mellitus
14. Other Endocrine Problems
15. Integumentary Problems
16. Renal and Urinary Problems
17. Reproductive Problems
18. Problems in Pregnancy and Childbearing
19. Pediatric Problems
20. Pharmacology NEW!
21. Emergencies and Disasters
22. Psychiatric–Mental Health Problems
, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank
Chapter 1 Pain zx
MULTIPLE CHOICE
1 A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
zx
attention The nurse realizes this client understands that pain is important because it:
zx
1
zx is a protective system zx
2
zx includes the automatic withdrawal reflex zx
3
zx creates sensitivity to pain zx
4
zx helps with healing zx
ANS: 1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
memory, and avoidance Even though the automatic withdrawal reflex is a part of the pain
zx
response, it does not explain why pain is important Pain does not create sensitivity to pain Pain
zx zx
does not help with healing zx
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
2 A client complains that the bed sheets touching his skin are extremely painful The nurse
zx zx
realizes this client is experiencing:
1
zx allodynia zx
2
zx modulation zx
3
zx kinesthesia zx
4
zx proprioception zx
ANS: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
painful Kinesthesia is the awareness of movement Proprioception is the awareness of body
zx zx
position Modulation is an influencing factor in the perception of pain
zx zx
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3 A client is complaining of severe abdomen pain The nurse realizes this client is experiencing
zx zx
which type of pain?
1
zx Neuralgia
2
zx Pathological
3
zx Somatic
4
zx Visceral
ANS: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract Somatic pain is painzx
that originates from the bone, joints, muscles, skin, or connective pain Neuralgia and zx
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the
neuronal transmission process or due to impaired regulation zx
PTS:1DIF:AnalyzeREF:Types of Pain
4 A client, diagnosed with acute appendicitis, is experiencing abdominal pain The best way for
zx zx
the nurse to describe this clients pain would be:
1 zx chronic zx
2 zx neuropathic zx
3 zx referred zx
4 zx acutezx
ANS: 4
Acute pain onset is sudden and of short duration Chronic pain is a sudden or slow onset of mild
zx
to severe pain that lasts longer than 6 months Referred pain is the result of the transfer of
zx
visceral pain sensations to a body surface at a distance from the actual origin Neuropathic pain zx
is paroxysmal pain that occurs along the branches of a nerve zx
PTS:1DIF:ApplyREF:Types of Pain
5 A client is observed holding a pillow over the abdominal region with both knees flexed in a
zx
side-lying position Vital signs assessment reveals an elevated blood pressure and heart rate
zx zx
Which of the following should the nurse say to this client?
1 zx Can I get you anything?
2 zx Would you like something for pain?
3 zx You look comfortable zx
4 zx Your blood pressure is up zx
ANS: 2
Sympathetic responses to pain include elevated blood pressure and heart rate And since the zx
client is hugging a pillow over the abdominal region with both knees flexed in a side-lying
position, the best thing for the nurse to say to this client is Would you like something for pain?
The other responses are incorrect because they do not acknowledge that the client is experiencing
pain zx
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
6 A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
zx
received when she had a total knee replacement Which of the following should the nurse
zx
respond to this client?
1 zx You dont need something that strong zx
2 zx That medication does not exist anymore zx
3 zx That medication does not last very long zx
4 zx It can cause you have high blood pressure zx
