, 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 4th Edition LaCharity Test Bank
Chapter 1. Pain
MULTIPLE CHOICE
1.A client tells the nurse that she rarely e periences pain, but when she does, she seeks medical
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attention. The nurse realizes this client understands that pain is important because it:
1. is a protective system.
2. includes the automatic withdrawal refle .xp
3. creates sensitivity to pain.
4. helps with healing.
ANS: 1
Pain is a protective system that includes protection from unsafe behaviors by use of refle es,
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memory, and avoidance. Even though the automatic withdrawal refle is a part of the pain
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response, it does not e plain why pain is important. Pain does not create sensitivity to pain. Pain
xp
does not help with healing.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
2.A client complains that the bed sheets touching his skin are e tremely painful. The nurse
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realizes this client is e periencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
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
position. Modulation is an influencing factor in the perception of pain.
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3.A client is complaining of severe abdomen pain. The nurse realizes this client is e periencing
xp
which type of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
, 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.
PTS:1DIF:AnalyzeREF:Types of Pain
4.A client, diagnosed with acute appendicitis, is e periencing abdominal pain. The best way for
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the nurse to describe this clients pain would be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of
visceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
is paro ysmal pain that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain
5.A client is observed holding a pillow over the abdominal region with both knees fle ed in a
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side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
Which of the following should the nurse say to this client?
1. Can I get you anything?
2. Would you like something for pain?
3. You look comfortable.
4. Your blood pressure is up.
ANS: 2
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the
client is hugging a pillow over the abdominal region with both knees fle ed in a side-lying
xp
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 e periencing
xp
pain.
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
6.A client e periencing chronic pain asks the nurse why she is not prescribed Demerol like she
xp
received when she had a total knee replacement. Which of the following should the nurse
respond to this client?
1. You dont need something that strong.
2. That medication does not e ist anymore.
xp
3. That medication does not last very long.
4. It can cause you have high blood pressure.
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 4th Edition LaCharity Test Bank
Chapter 1. Pain
MULTIPLE CHOICE
1.A client tells the nurse that she rarely e periences pain, but when she does, she seeks medical
xp
attention. The nurse realizes this client understands that pain is important because it:
1. is a protective system.
2. includes the automatic withdrawal refle .xp
3. creates sensitivity to pain.
4. helps with healing.
ANS: 1
Pain is a protective system that includes protection from unsafe behaviors by use of refle es,
xp
memory, and avoidance. Even though the automatic withdrawal refle is a part of the pain
xp
response, it does not e plain why pain is important. Pain does not create sensitivity to pain. Pain
xp
does not help with healing.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
2.A client complains that the bed sheets touching his skin are e tremely painful. The nurse
xp
realizes this client is e periencing:
xp
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
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
position. Modulation is an influencing factor in the perception of pain.
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3.A client is complaining of severe abdomen pain. The nurse realizes this client is e periencing
xp
which type of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
, 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.
PTS:1DIF:AnalyzeREF:Types of Pain
4.A client, diagnosed with acute appendicitis, is e periencing abdominal pain. The best way for
xp
the nurse to describe this clients pain would be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of
visceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
is paro ysmal pain that occurs along the branches of a nerve.
xp
PTS:1DIF:ApplyREF:Types of Pain
5.A client is observed holding a pillow over the abdominal region with both knees fle ed in a
xp
side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
Which of the following should the nurse say to this client?
1. Can I get you anything?
2. Would you like something for pain?
3. You look comfortable.
4. Your blood pressure is up.
ANS: 2
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the
client is hugging a pillow over the abdominal region with both knees fle ed in a side-lying
xp
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 e periencing
xp
pain.
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
6.A client e periencing chronic pain asks the nurse why she is not prescribed Demerol like she
xp
received when she had a total knee replacement. Which of the following should the nurse
respond to this client?
1. You dont need something that strong.
2. That medication does not e ist anymore.
xp
3. That medication does not last very long.
4. It can cause you have high blood pressure.
