Test Bank Prioritization, Delegation, and
Assignment 4th Edition.
Practice Exercises for the NCLEX Examination
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Prioritization Delegation and Assignment 4th
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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!
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21. Emergencies and Disasters
22. Psychiatric–Mental Health Problems
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
Chapter 1. Pain
MULTIPLE CHOICE
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
attention. The nurse realizes this client 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.
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
response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
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 extremely painful. The nurse
realizes this client is experiencing:
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 experiencing
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
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pathological bbpain bbare bbboth bbtypes bbof bbpain bbthat bbresult bbfrom bbinjury bbto bba bbnerve bbor
bbmalfunction bbof bbthe bbneuronal bbtransmission bbprocess bbor bbdue bbto bbimpaired bbregulation.
PTS:1DIF:AnalyzeREF:Types bbof bbPain
4.A bbclient, bbdiagnosed bbwith bbacute bbappendicitis, bbis bbexperiencing bbabdominal bbpain. bbThe bbbest
bbway bbfor bbthe bbnurse bbto bbdescribe bbthis bbclients bbpain bbwould bbbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: bb4
Acute bbpain bbonset bbis bbsudden bband bbof bbshort bbduration. bbChronic bbpain bbis bba bbsudden bbor bbslow
bbonset bbof bbmild bbto bbsevere bbpain bbthat bblasts bblonger bbthan bb6 bbmonths. bbReferred bbpain bbis bbthe
bbresult bbof bbthe bbtransfer bbof bbvisceral bbpain bbsensations bbto bba bbbody bbsurface bbat bba bbdistance bbfrom
bbthe bbactual bborigin. bbNeuropathic bbpain bbis bbparoxysmal bbpain bbthat bboccurs bbalong bbthe bbbranches
bbof bba b b nerve.
PTS:1DIF:ApplyREF:Types bbof bbPain
5.A bbclient bbis bbobserved bbholding bba bbpillow bbover bbthe bbabdominal bbregion bbwith bbboth bbknees
bbflexed bbin bba bbside-lying bbposition. bbVital bbsigns bbassessment bbreveals bban bbelevated bbblood
bbpressure bband bbheart bbrate. bbWhich bbof bbthe bbfollowing bbshould bbthe bbnurse bbsay bbto bbthis
bbclient?
1. Can bbI bbget bbyou bbanything?
2. Would bbyou bblike bbsomething bbfor bbpain?
3. You bblook bbcomfortable.
4. Your bbblood bbpressure bbis bbup.
ANS: bb2
Sympathetic bbresponses bbto bbpain bbinclude bbelevated bbblood bbpressure bband bbheart bbrate. bbAnd bbsince
bbthe bbclient bbis bbhugging bba bbpillow bbover bbthe bbabdominal bbregion bbwith bbboth bbknees bbflexed bbin bba
bbside-lying bbposition, bbthe bbbest bbthing bbfor bbthe bbnurse bbto bbsay bbto bbthis bbclient bbis bbWould bbyou
bblike bbsomething bbfor bbpain? bbThe bbother bbresponses bbare bbincorrect bbbecause bbthey bbdo bbnot
bbacknowledge bbthat bbthe bbclient bbis bbexperiencing bbpain.
PTS: bb1 bbDIF: bbApply bbREF: bbAssessing bbthe bbClinical bbManifestations bbof bbPain
6.A bbclient bbexperiencing bbchronic bbpain bbasks bbthe bbnurse bbwhy bbshe bbis bbnot bbprescribed bbDemerol
bblike bbshe bbreceived bbwhen bbshe bbhad bba bbtotal bbknee bbreplacement. bbWhich bbof bbthe bbfollowing
bbshould bbthe bbnurse bbrespond bbto bbthis bbclient?
1. You bbdont bbneed bbsomething bbthat bbstrong.
2. That bbmedication bbdoes bbnot bbexist bbanymore.
3. That bbmedication bbdoes bbnot bblast bbvery bblong.
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