PRIORITIZATION, DELEGATION, AND ASSIGNMENT, 5TH EDITION, PRACTICE EXERCISES FOR THE NCLEX EXAMINATION

TEST BANK FOR PRIORITIZATION, DELEGATION, AND
ASSIGNMENT, 5TH EDITION, PRACTICE EXERCISES
FOR THENCLEX EXAMINATION UPDATED, ALL
CHAPTERS 1-22

,CHAPTER 1. PAIN

MULTIPLE CHOICE

1. a patient tells the caregiver that she rarely experiences pain, but when she does, she seeks
medical attention. the caregiver realizes this patient understands that pain is important
because it:


1. is a protective system.
2. includes the automatic withdrawal reflex.
3. creates sensitivity to pain.
4. helps with healing.
CORRECT ANSWER:-1
RATIONALE :->>>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 response, it does not explain why pain is important. pain does not create
sensitivity to pain. pain does not help with healing.
POINTS:-1 DIF: analyze ref: definitions and implications of pain

2. a patient complains that the bed sheets touching his skin are extremely painful. the
caregiver realizes this patient is experiencing:

1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
CORRECT ANSWER:-1
RATIONALE :->>>allodynia or hyperalgesia is a state where a slight or no painful stimulus
is interpreted as verypainful. kinesthesia is the awareness of movement. proprioception is the
awareness of body position. modulation is an influencing factor in the perception of pain.
POINTS:-1 DIF: analyze ref: peripheral nervous system

3. a patient is complaining of severe abdomen pain. the caregiver realizes this
patient is experiencing which type of pain?

1. neuralgia
2. pathological
3. somatic
4. visceral

,CORRECT ANSWER:-4
RATIONALE :->>>visceral pain is pain arising from the body organs or gastrointestinal tract.
somatic pain is painthat 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.
points:-1DIF:analyzeref:types of pain

4. a patient, diagnosed with acute appendicitis, is experiencing abdominal pain. the
best way forthe caregiver to describe this patients pain would be:


1. chronic.
2. neuropathic.
3. referred.
4. acute.
CORRECT ANSWER:-4
RATIONALE :->>>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 ofvisceral pain sensations to a body surface at a distance from the actual origin.
neuropathic painis paroxysmal pain that occurs along the branches of a nerve.
points:-1DIF:applyref:types of pain

5. a patient is observed holding a pillow over the abdominal region with both knees
flexed in a side-lying position. vital signs assessment reveals an elevated blood pressure
and heart rate.which of the following should the caregiver say to this patient?

1. can i get you anything?
2. would you like something for pain?
3. you look comfortable.
4. your blood pressure is up.
CORRECT ANSWER:-2
RATIONALE :->>>sympathetic responses to pain include elevated blood pressure and heart
rate. and since the patient is hugging a pillow over the abdominal region with both knees
flexed in a side-lying position, the best thing for the caregiver to say to this patient is would
you like something forpain? the other responses are incorrect because they do not
acknowledge that the patient is experiencingpain.
POINTS:-1 DIF: apply ref: assessing the clinical manifestations of pain

6. a patient experiencing chronic pain asks the caregiver why she is not prescribed
demerol like shereceived when she had a total knee replacement. which of the following
should the caregiver respond to this patient?

1. you don’t need something that strong.

, 2. that medication does not exist anymore.
3. that medication does not last very long.
4. it can cause you have high blood pressure.




CORRECT ANSWER:-3
RATIONALE :->>>meperidine is no longer a major drug for acute or chronic pain due to its
short analgesic duration of 2 to 3 hours and the potential for accumulative toxic effects of its
metabolite, nor meperidine. the best response for the caregiver to make to the patient would be
that medication does not last verylong. the other responses are inaccurate.
points:-1DIF:applyref:opioid analgesics
7. a patient is informed that a tricyclic antidepressant medication is going to help control
his chronic pain. the caregiver would expect the physician to prescribe:


1. amitriptyline.
2. baclofen.
3. gabapentin.
4. diazepam.
CORRECT ANSWER:-1
RATIONALE :->>>amitriptyline is an antidepressant. gabapentin is an anticonvulsant.
baclofen is a musclerelaxant. diazepam is a benzodiazepine.
POINTS:-1 DIF: analyze ref: adjuvant medications

8. a patient receiving around-the-clock medication for terminal cancer experiences additional
painwhen performing activities of daily living. the caregiver realizes this patient is
experiencing:


1. breakthrough pain.
2. intractable pain.
3. psychosomatic pain.
4. acute pain.
CORRECT ANSWER:-1
RATIONALE :->>>breakthrough pain is commonly seen in the advanced stages of cancer. it
is spontaneous, unpredictable, and can be initiated by certain activities such as during activities
of daily living. intractable pain is resistant to some or all forms of therapy. psychosomatic pain
is that which has a psychological origin. the patient is diagnosed with terminal cancer. acute
pain has a sudden onset and resolves within 6 months.
points:-1DIF:analyzeref:breakthrough pain
9. a patient recovering from surgery tells the caregiver that she is nauseated and is
experiencing anincrease in pain. which of the following does this patients symptoms suggestto
the caregiver?

1 the patient is becoming dependent upon the pain medication.
.