Test Bank Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX Examination; 6th Edition By Linda A. LaCharity, Candice K. Kumagai, Shirley M. Hosler All Chapters| Latest Edition| 2025/2026

Page 1 of 179
nn nn nn

,2




PrioritizationDelegationandAssignment 4thEditionLaCharityTestBank ff n n n




Chapter 1. Pain nn nn


MULTIPLECHOIC
nn


E
1.A client tells the nurse that she rarelyexperiencespain, but when she does, she seeks medical
nn nn nn nn nn nn nn nn nn nn nn nn nn nn


attention. The nurse realizes this client understands that pain is important because it:
nn nn nn nn nn nn nn nn nn nn nn nn nn




1. is a protective system.
nn nn nn




2. includesthe automatic withdrawal reflex. nn nn nn




3. creates sensitivity to pain. nn nn nn




4. helps with healing. nn nn



ANS: 1 nn


Pain is a protective system that includes protection from unsafe behaviors by use of
nn nn nn nn nn nn nn nn nn nn nn nn nn


reflexes, memory, and avoidance. Even though the automatic withdrawal reflex is a part
nn nn nn nn nn nn nn nn nn nn nn nn nn


of the pain response, it does not explain why pain is important. Pain does not create
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn


sensitivity to pain. Pain does not help with healing.
nn nn nn nn nn nn nn nn nn


PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
nn nn nn nn nn nn nn nn nn


2.A client complains that the bed sheets touching his skin are extremelypainful. The nurse
nn nn nn nn nn nn nn nn nn nn nn nn nn


realizes this client is experiencing:
nn nn nn nn nn




1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 nn


Allodynia orhyperalgesia is a state where a slight ornonpainful stimulus is interpreted as
nn nn nn nn nn nn nn nn nn nn nn nn


very painful. Kinesthesia is the awareness of movement. Proprioception is the
nn nn nn nn nn nn nn nn nn nn nn


awareness of body position. Modulation is an influencing factor in the perception of
nn nn nn nn nn nn nn nn nn nn nn nn nn


pain.
nn


PTS: 1 DIF: Analyze REF: Peripheral Nervous System
nn nn nn nn nn nn nn


3.A client iscomplaining of severe abdomen pain. The nurse realizes this client is experiencing
nn nn nn nn nn nn n nn nn nn nn nn nn


which type of pain?
nn nn nn nn




1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 nn


Visceral pain is pain arising from the bodyorgans or gastrointestinal tract. Somatic pain is
nn nn nn nn nn nn nn nn nn nn nn nn nn


Page 2 of 179 nn nn nn

, pain that originates from the bone, joints, muscles, skin, or connective pain.
nn nn nn nn nn nn nn nn nn nn nn nn


Neuralgia and
nn nn




Page 3 of 179
nn nn nn

, 3


pathological pain are bothtypes of pain that result from injuryto a nerve or malfunction of the
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn


neuronal transmission process or due to impaired regulation.
nn nn nn nn nn nn nn nn


PTS:1DIF:AnalyzeREF:Types ofPain nn


4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain.The best way for the
nn nn nn nn nn nn nn nn nn nn nn nn nn


nurse to describe this clients pain would be:
nn nn nn nn nn nn nn nn




1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 nn


Acute pain onset is sudden and of short duration. Chronic pain is a sudden orslow onset of mild
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn


to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn


of visceral pain sensations to a body surface at a distance from the actual origin.
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn


Neuropathic pain is paroxysmal pain that occurs along the branches of a nerve.
nn nn nn nn nn nn nn nn nn nn nn nn n n


PTS:1DIF:ApplyREF:Types of Pain nn nn


5.A client isobserved holding a pillow over the abdominal region with both knees flexed
nn nn nn nn nn nn nn nn nn nn nn nn nn


in a side-lying position. Vital signs assessment reveals an elevated blood pressure and
nn nn nn nn nn nn nn nn nn nn nn nn nn


heart rate. Which of the following should the nurse say to this client?
nn nn nn nn nn nn nn nn nn nn nn nn nn




1. Can I get you anything?
nn nn nn nn




2. Would you like something for pain? nn nn nn nn nn




3. You look comfortable. nn nn




4. Your blood pressure is up. nn nn nn nn



ANS: 2 nn


Sympathetic responses to pain include elevated blood pressure and heart rate. And since
nn nn nn nn nn nn nn nn nn nn nn nn


nnthe client is hugging a pillow over the abdominal region with both knees flexed in a
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn


nnside-lying position, the best thing for the nurse to say to this client is Would you like
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn


nnsomething for pain? The other responses are incorrect because they do not acknowledge that
nn nn nn nn nn nn nn nn nn nn nn nn nn


the client is experiencing pain.
nn nn nn nn nn


PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
nn nn nn nn nn nn nn nn nn nn


6.A client experiencing chronic pain asks the nursewhyshe is not prescribed Demerol like she
nn nn nn nn nn nn nn nn nn nn nn nn nn


nnreceived when she had a total knee replacement. Which of the following should the
nn nn nn nn nn nn nn nn nn nn nn nn nn


nnnurse respond to this client?
nn nn nn nn




1. You dont need something that strong.
nn nn nn nn nn




2. That medication does not exist anymore.
nn nn nn nn nn




3. That medication does not last very long.
nn nn nn nn nn nn




4. It can cause you have high blood pressure.
nn nn nn nn nn nn nn




Page 4 of 179 nn nn nn