, TABLE OF CONTENTS
1i 1i
Guidelines for Prioritization, Delegation, and Assignment Decisions
1i 1i 1i 1i 1i 1i
1. Pain
2. Cancer
3. Immunologic Problems 1i
4. Fluid, Electrolyte, and Acid-Base Balance Problems
1i 1i 1i 1i 1i
5. Safety and Infection Control
1i 1i 1i
6. Respiratory Problems 1i
7. Cardiovascular Problems 1i
8. Hematologic Problems 1i
9. Neurologic Problems 1i
10. Visual and Auditory Problems
1i 1i 1i
11. Musculoskeletal Problems 1i
12. Gastrointestinal and Nutritional Problems 1i 1i 1i
13. Diabetes Mellitus
1i
14. Other Endocrine Problems
1i 1i
15. Integumentary Problems 1i
16. Renal and Urinary Problems
1i 1i 1i
17. Reproductive Problems 1i
18. Problems in Pregnancy and Childbearing
1i 1i 1i 1i
19. Pediatric Problems
1i
20. Pharmacology NEW! 1i
21. Emergencies and Disasters 1i 1i
22. Psychiatric–Mental Health Problems 1i 1i
, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank 1i 1i 1i 1i 1i 1i 1i 1i
Chapter 1. Pain MUL 1i 1i 1i
TIPLE CHOICE 1i
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical atten
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
tion. The nurse realizes this client understands that pain is important because it:
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. is a protective system.
1i 1i 1i
2. includes the automatic withdrawal reflex. 1i 1i 1i 1i
3. creates sensitivity to pain. 1i 1i 1i
4. helps with healing. 1i 1i
ANS: 1 1i
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, m
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
emory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain respon
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
se, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain does
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
not help with healing.
1i 1i 1i
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
1i 1i 1i 1i 1i 1i 1i 1i 1i
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realiz
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
es this client is experiencing:
1i 1i 1i 1i
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 1i
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very p
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ainful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body posi
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
tion. Modulation is an influencing factor in the perception of pain.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
1i 1i 1i 1i 1i 1i 1i
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing whic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
h type of pain?
1i 1i 1i
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 1i
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
hat originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuro
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
nal transmission process or due to impaired regulation.
1i 1i 1i 1i 1i 1i 1i
PTS:1DIF:AnalyzeREF:Types of Pain 1i 1i
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
he nurse to describe this clients pain would be:
1i 1i 1i 1i 1i 1i 1i 1i
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 1i
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visce
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is pa
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
roxysmal pain that occurs along the branches of a nerve.
1i 1i 1i 1i 1i 1i 1i 1i 1 i
PTS:1DIF:ApplyREF:Types of Pain 1i 1i
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
side-
i
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Whi
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ch of the following should the nurse say to this client?
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. Can I get you anything? 1i 1i 1i 1i
2. Would you like something for pain? 1i 1i 1i 1i 1i
3. You look comfortable. 1i 1i
4. Your blood pressure is up. 1i 1i 1i 1i
ANS: 2 1i
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the clie
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
nt is hugging a pillow over the abdominal region with both knees flexed in a side-
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
lying position, the best thing for the nurse to say to this client is Would you like something for p
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ain? The other responses are incorrect because they do not acknowledge that the client is experie
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ncing pain. 1i
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she r
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
eceived when she had a total knee replacement. Which of the following should the nurse respon
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
d to this client?
1i 1i 1i
1. You dont need something that strong.
1i 1i 1i 1i 1i
2. That medication does not exist anymore.
1i 1i 1i 1i 1i
3. That medication does not last very long.
1i 1i 1i 1i 1i 1i
4. It can cause you have high blood pressure.
1i 1i 1i 1i 1i 1i 1i
1i 1i
Guidelines for Prioritization, Delegation, and Assignment Decisions
1i 1i 1i 1i 1i 1i
1. Pain
2. Cancer
3. Immunologic Problems 1i
4. Fluid, Electrolyte, and Acid-Base Balance Problems
1i 1i 1i 1i 1i
5. Safety and Infection Control
1i 1i 1i
6. Respiratory Problems 1i
7. Cardiovascular Problems 1i
8. Hematologic Problems 1i
9. Neurologic Problems 1i
10. Visual and Auditory Problems
1i 1i 1i
11. Musculoskeletal Problems 1i
12. Gastrointestinal and Nutritional Problems 1i 1i 1i
13. Diabetes Mellitus
1i
14. Other Endocrine Problems
1i 1i
15. Integumentary Problems 1i
16. Renal and Urinary Problems
1i 1i 1i
17. Reproductive Problems 1i
18. Problems in Pregnancy and Childbearing
1i 1i 1i 1i
19. Pediatric Problems
1i
20. Pharmacology NEW! 1i
21. Emergencies and Disasters 1i 1i
22. Psychiatric–Mental Health Problems 1i 1i
, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank 1i 1i 1i 1i 1i 1i 1i 1i
Chapter 1. Pain MUL 1i 1i 1i
TIPLE CHOICE 1i
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical atten
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
tion. The nurse realizes this client understands that pain is important because it:
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. is a protective system.
1i 1i 1i
2. includes the automatic withdrawal reflex. 1i 1i 1i 1i
3. creates sensitivity to pain. 1i 1i 1i
4. helps with healing. 1i 1i
ANS: 1 1i
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, m
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
emory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain respon
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
se, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain does
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
not help with healing.
1i 1i 1i
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
1i 1i 1i 1i 1i 1i 1i 1i 1i
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realiz
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
es this client is experiencing:
1i 1i 1i 1i
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 1i
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very p
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ainful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body posi
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
tion. Modulation is an influencing factor in the perception of pain.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
1i 1i 1i 1i 1i 1i 1i
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing whic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
h type of pain?
1i 1i 1i
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 1i
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
hat originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuro
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
nal transmission process or due to impaired regulation.
1i 1i 1i 1i 1i 1i 1i
PTS:1DIF:AnalyzeREF:Types of Pain 1i 1i
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
he nurse to describe this clients pain would be:
1i 1i 1i 1i 1i 1i 1i 1i
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 1i
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visce
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is pa
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
roxysmal pain that occurs along the branches of a nerve.
1i 1i 1i 1i 1i 1i 1i 1i 1 i
PTS:1DIF:ApplyREF:Types of Pain 1i 1i
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
side-
i
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Whi
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ch of the following should the nurse say to this client?
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. Can I get you anything? 1i 1i 1i 1i
2. Would you like something for pain? 1i 1i 1i 1i 1i
3. You look comfortable. 1i 1i
4. Your blood pressure is up. 1i 1i 1i 1i
ANS: 2 1i
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the clie
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
nt is hugging a pillow over the abdominal region with both knees flexed in a side-
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
lying position, the best thing for the nurse to say to this client is Would you like something for p
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ain? The other responses are incorrect because they do not acknowledge that the client is experie
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ncing pain. 1i
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she r
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
eceived when she had a total knee replacement. Which of the following should the nurse respon
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
d to this client?
1i 1i 1i
1. You dont need something that strong.
1i 1i 1i 1i 1i
2. That medication does not exist anymore.
1i 1i 1i 1i 1i
3. That medication does not last very long.
1i 1i 1i 1i 1i 1i
4. It can cause you have high blood pressure.
1i 1i 1i 1i 1i 1i 1i
