Test Bank Prioritization, Delegation, and
Assignment 4th Edition.
Practice Exercises for the NCLEX Examination
• To clarify, this is the test bank, not the
textbook.
• You get immediate access to download your
test bank.
• You will receive a complete test bank; in
other words, all chapters will be there.
• Test banks come in ePub or PDF format;
therefore, you do not need specialized software
to open them.
This is a Test Bank (Study Questions) which helps
you better prepare for your tests and exams.
Prioritization Delegation and Assignment 4th
Edition by LaCharity Test Bank emphasis on the
NCLEX Examination’s management-of-care focus
addresses the heavy emphasis on prioritization,
delegation, and patient assignment in the current
NCLEX-RN® Examination and much more!
Nursing Test Bank Download instantly after purchase will have you on the road to academic
excellence to pass your classes with ease and receive the grades you deserve!
, 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
Q1.
A client recovering from abdominal surgery is grimacing and holding the incision site but refuses pain
medication, stating, “I don’t want to get addicted.” Which is the nurse’s best response?
A. “Addiction is unlikely when medications are used for acute pain.”
B. “I’ll notify the physician to discontinue your opioids.”
C. “You should try relaxation techniques instead of medication.”
D. “Addiction always develops when opioids are used for surgery pain.”
Answer: A
Rationale: Acute, short-term use of opioids for postoperative pain rarely leads to addiction. Nurses must
educate patients to separate physical dependence/tolerance from addiction. Options B and D reinforce
myths and worsen fear. C may be supportive, but it does not address the patient’s misconception about
addiction.
Q2.
A nurse is caring for a client with advanced cancer reporting breakthrough pain despite scheduled
morphine. Which action is the priority?
A. Contact the provider for an increased dose of the current opioid.
B. Administer the prescribed rescue dose of short-acting opioid.
C. Offer nonpharmacological interventions like guided imagery.
D. Reassess the client’s pain in 30 minutes.
Answer: B
Rationale: Breakthrough pain requires rapid-acting rescue analgesics in addition to scheduled opioids.
Option A may be appropriate later, but immediate control is needed. Nonpharmacological methods (C)
are adjuncts, not first-line in severe breakthrough pain. D delays intervention, violating NCLEX
prioritization principles.
Q3.
A client with chronic low back pain states, “The doctor said my pain is in my head.” How should the
nurse respond?
A. “Pain is always a psychological response.”
B. “Let’s focus on positive thinking so you feel less pain.”
C. “Pain can be influenced by both physical and emotional factors.”
D. “You should stop focusing on your pain, and it will improve.”
, Answer: C
Rationale: Chronic pain has both physiological and psychosocial dimensions. Nurses must validate
the client’s pain experience. A and D dismiss the complaint. B minimizes the client’s concerns and may
sound judgmental.
Q4.
Which client should the nurse assess first after receiving morning shift report?
A. Client with metastatic bone cancer who reports constant 7/10 pain.
B. Client with chest tube insertion who states 5/10 pain during coughing.
C. Client recovering from appendectomy who is restless and diaphoretic.
D. Client with chronic osteoarthritis reporting 4/10 pain in knees.
Answer: C
Rationale: Pain associated with restlessness and diaphoresis after surgery may indicate serious
complications (e.g., hemorrhage, infection, or inadequate perfusion). This is an unstable, acute
condition requiring priority assessment. A and D describe chronic/stable pain. B is expected after chest
tube placement.
Q5.
The nurse is using the PAINAD scale (Pain Assessment in Advanced Dementia). Which behaviors
would contribute to scoring? (Select all that apply.)
A. Breathing pattern changes
B. Negative vocalizations (moaning)
C. Sleep disturbances
D. Facial expressions
E. Body language
Answer: A, B, D, E
Rationale: PAINAD evaluates breathing, negative vocalizations, facial expression, and body
language/comfort. Sleep disturbances (C) are nonspecific and not part of PAINAD scoring.
Q6.
A client is prescribed meperidine (Demerol) for postoperative pain. Which statement by the nurse
reflects safe practice?
A. “This is the preferred opioid because of its long-lasting effects.”
B. “This drug should be avoided due to toxic metabolites.”
C. “This is the drug of choice for chronic pain.”
D. “This drug will not affect your blood pressure.”
Assignment 4th Edition.
Practice Exercises for the NCLEX Examination
• To clarify, this is the test bank, not the
textbook.
• You get immediate access to download your
test bank.
• You will receive a complete test bank; in
other words, all chapters will be there.
• Test banks come in ePub or PDF format;
therefore, you do not need specialized software
to open them.
This is a Test Bank (Study Questions) which helps
you better prepare for your tests and exams.
Prioritization Delegation and Assignment 4th
Edition by LaCharity Test Bank emphasis on the
NCLEX Examination’s management-of-care focus
addresses the heavy emphasis on prioritization,
delegation, and patient assignment in the current
NCLEX-RN® Examination and much more!
Nursing Test Bank Download instantly after purchase will have you on the road to academic
excellence to pass your classes with ease and receive the grades you deserve!
, 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
Q1.
A client recovering from abdominal surgery is grimacing and holding the incision site but refuses pain
medication, stating, “I don’t want to get addicted.” Which is the nurse’s best response?
A. “Addiction is unlikely when medications are used for acute pain.”
B. “I’ll notify the physician to discontinue your opioids.”
C. “You should try relaxation techniques instead of medication.”
D. “Addiction always develops when opioids are used for surgery pain.”
Answer: A
Rationale: Acute, short-term use of opioids for postoperative pain rarely leads to addiction. Nurses must
educate patients to separate physical dependence/tolerance from addiction. Options B and D reinforce
myths and worsen fear. C may be supportive, but it does not address the patient’s misconception about
addiction.
Q2.
A nurse is caring for a client with advanced cancer reporting breakthrough pain despite scheduled
morphine. Which action is the priority?
A. Contact the provider for an increased dose of the current opioid.
B. Administer the prescribed rescue dose of short-acting opioid.
C. Offer nonpharmacological interventions like guided imagery.
D. Reassess the client’s pain in 30 minutes.
Answer: B
Rationale: Breakthrough pain requires rapid-acting rescue analgesics in addition to scheduled opioids.
Option A may be appropriate later, but immediate control is needed. Nonpharmacological methods (C)
are adjuncts, not first-line in severe breakthrough pain. D delays intervention, violating NCLEX
prioritization principles.
Q3.
A client with chronic low back pain states, “The doctor said my pain is in my head.” How should the
nurse respond?
A. “Pain is always a psychological response.”
B. “Let’s focus on positive thinking so you feel less pain.”
C. “Pain can be influenced by both physical and emotional factors.”
D. “You should stop focusing on your pain, and it will improve.”
, Answer: C
Rationale: Chronic pain has both physiological and psychosocial dimensions. Nurses must validate
the client’s pain experience. A and D dismiss the complaint. B minimizes the client’s concerns and may
sound judgmental.
Q4.
Which client should the nurse assess first after receiving morning shift report?
A. Client with metastatic bone cancer who reports constant 7/10 pain.
B. Client with chest tube insertion who states 5/10 pain during coughing.
C. Client recovering from appendectomy who is restless and diaphoretic.
D. Client with chronic osteoarthritis reporting 4/10 pain in knees.
Answer: C
Rationale: Pain associated with restlessness and diaphoresis after surgery may indicate serious
complications (e.g., hemorrhage, infection, or inadequate perfusion). This is an unstable, acute
condition requiring priority assessment. A and D describe chronic/stable pain. B is expected after chest
tube placement.
Q5.
The nurse is using the PAINAD scale (Pain Assessment in Advanced Dementia). Which behaviors
would contribute to scoring? (Select all that apply.)
A. Breathing pattern changes
B. Negative vocalizations (moaning)
C. Sleep disturbances
D. Facial expressions
E. Body language
Answer: A, B, D, E
Rationale: PAINAD evaluates breathing, negative vocalizations, facial expression, and body
language/comfort. Sleep disturbances (C) are nonspecific and not part of PAINAD scoring.
Q6.
A client is prescribed meperidine (Demerol) for postoperative pain. Which statement by the nurse
reflects safe practice?
A. “This is the preferred opioid because of its long-lasting effects.”
B. “This drug should be avoided due to toxic metabolites.”
C. “This is the drug of choice for chronic pain.”
D. “This drug will not affect your blood pressure.”
