PRACTICE EXERCISES FOR THE NCLEX EXAMINATION 6TH EDITION BY
LINDA A. LACHARITY, CANDICE K. KUMAGAI, SHIRLEY M. HOSLER
|COMPLETE TEST GUIDE WITH VERIFIED QUESTIONS & ANSWERS|
VERIFIED CHAPTERS 1-24|A+ GRADE
, TABLE OF CONTENTS
CHAPTER 1. PAIN........................................................................................................................................... 3
CHAPTER 2. CANCER ................................................................................................................................... 11
CHAPTER 3. IMMUNOLOGIC PROBLEMS .................................................................................................... 21
CHAPTER 4. FLUID, ELECTROLYTE, AND ACID-BASE BALANCE PROBLEMS ................................................. 30
CHAPTER 5. SAFETY AND INFECTION CONTROL ......................................................................................... 38
CHAPTER 6. RESPIRATORY PROBLEMS........................................................................................................ 46
CHAPTER 7. CARDIOVASCULAR PROBLEMS ................................................................................................ 57
CHAPTER 8. HEMATOLOGIC PROBLEMS ..................................................................................................... 64
CHAPTER 9. NEUROLOGIC PROBLEMS ........................................................................................................ 70
CHAPTER 10. VISUAL AND AUDITORY PROBLEMS ...................................................................................... 79
CHAPTER 11. MUSCULOSKELETAL PROBLEMS............................................................................................ 87
CHAPTER 12. GASTROINTESTINAL AND NUTRITIONAL PROBLEMS ............................................................ 95
CHAPTER 13. DIABETES MELLITUS ............................................................................................................ 104
CHAPTER 14. OTHER ENDOCRINE PROBLEMS .......................................................................................... 114
CHAPTER 15. INTEGUMENTARY PROBLEMS ............................................................................................. 120
CHAPTER 16. RENAL AND URINARY PROBLEMS ....................................................................................... 126
CHAPTER 17. REPRODUCTIVE PROBLEMS................................................................................................. 136
CHAPTER 18. PROBLEMS IN PREGNANCY AND CHILDBEARING................................................................ 144
CHAPTER 19. PEDIATRIC PROBLEMS ......................................................................................................... 153
CHAPTER 20. PHARMACOLOGY ................................................................................................................ 164
CHAPTER 21. EMERGENCIES AND DISASTERS ........................................................................................... 173
CHAPTER 22. PSYCHIATRIC–MENTAL HEALTH PROBLEMS ....................................................................... 181
CHAPTER 23. COMMUNITY HEALTH PROBLEMS ...................................................................................... 191
CHAPTER 24. NGN-STYLE QUESTIONS ...................................................................................................... 201
,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.
CORRECT 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.
CORRECT 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
CORRECT 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 EXPERIENCING ABDOMINAL PAIN. THE BEST WAY
FOR THE NURSE TO DESCRIBE THIS CLIENTS PAIN WOULD BE:
1. CHRONIC.
2. NEUROPATHIC.
3. REFERRED.
4. ACUTE.
CORRECT 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 PAROXYSMAL PAIN THAT OCCURS ALONG THE BRANCHES OF A
NERVE.
PTS:1DIF:APPLYREF:TYPES OF PAIN
5.A CLIENT 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 NURSE SAY TO THIS CLIENT?
1. CAN I GET YOU ANYTHING?
2. WOULD YOU LIKE SOMETHING FOR PAIN?