Test Bank For
Prioritization,Delegation,And
Assignment 6th Edition
By Linda|Candice|Shirley(Chapters 1-
22)Latest Version
,table of contents
chapter 1. pain ...................................................................................3
chapter 2. cancer ............................................................................. 16
chapter 3. immunologic problems .................................................... 30
chapter 4. fluid, electrolyte, and acid-base balance problems ........... 44
chapter 5. safety and infection control ............................................. 56
chapter 6. respiratory problems ....................................................... 68
chapter 7. cardiovascular problems .................................................. 84
chapter 8. hematologic problems ..................................................... 94
chapter 9. neurologic problems ...................................................... 102
chapter 10. visual and auditory problems ....................................... 115
chapter 11. musculoskeletal problems ............................................ 127
chapter 12. gastrointestinal and nutritional problems .................... 140
chapter 13. diabetes mellitus ......................................................... 152
chapter 14. other endocrine problems ............................................ 166
chapter 15. integumentary problems.............................................. 175
chapter 16. renal and urinary problems .......................................... 183
chapter 17. reproductive problems ................................................. 197
chapter 18. problems in pregnancy and childbearing ...................... 209
chapter 19. pediatric problems ....................................................... 221
chapter 20. pharmacology ............................................................. 237
chapter 21. emergencies and disasters ........................................... 250
chapter 22. psychiatric–mental health problems ............................ 262
,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
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.
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?
3. you look comfortable.
4. your blood pressure is up.
, ans: 2
sympathetic responses to pain include elevated blood pressure and
heart rate. and since the client is hugging a pillow over the abdominal
region with both knees flexed in a side-lying position, the best thing
for the nurse to say to this client is would you like something for pain?
the other responses are incorrect because they do not acknowledge
that the client is experiencing pain.
pts: 1 dif: apply ref: assessing the clinical manifestations of pain
6.a client experiencing chronic pain asks the nurse why she is not
prescribed demerol like she received when she had a total knee
replacement. which of the following should the nurse respond to this
client?
1. you dont 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.
ans: 3
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, normeperidine. the best
response for the nurse to make to the client would be that medication
does not last very long. the other responses are inaccurate.
pts:1dif:applyref:opioid analgesics
Prioritization,Delegation,And
Assignment 6th Edition
By Linda|Candice|Shirley(Chapters 1-
22)Latest Version
,table of contents
chapter 1. pain ...................................................................................3
chapter 2. cancer ............................................................................. 16
chapter 3. immunologic problems .................................................... 30
chapter 4. fluid, electrolyte, and acid-base balance problems ........... 44
chapter 5. safety and infection control ............................................. 56
chapter 6. respiratory problems ....................................................... 68
chapter 7. cardiovascular problems .................................................. 84
chapter 8. hematologic problems ..................................................... 94
chapter 9. neurologic problems ...................................................... 102
chapter 10. visual and auditory problems ....................................... 115
chapter 11. musculoskeletal problems ............................................ 127
chapter 12. gastrointestinal and nutritional problems .................... 140
chapter 13. diabetes mellitus ......................................................... 152
chapter 14. other endocrine problems ............................................ 166
chapter 15. integumentary problems.............................................. 175
chapter 16. renal and urinary problems .......................................... 183
chapter 17. reproductive problems ................................................. 197
chapter 18. problems in pregnancy and childbearing ...................... 209
chapter 19. pediatric problems ....................................................... 221
chapter 20. pharmacology ............................................................. 237
chapter 21. emergencies and disasters ........................................... 250
chapter 22. psychiatric–mental health problems ............................ 262
,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
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.
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?
3. you look comfortable.
4. your blood pressure is up.
, ans: 2
sympathetic responses to pain include elevated blood pressure and
heart rate. and since the client is hugging a pillow over the abdominal
region with both knees flexed in a side-lying position, the best thing
for the nurse to say to this client is would you like something for pain?
the other responses are incorrect because they do not acknowledge
that the client is experiencing pain.
pts: 1 dif: apply ref: assessing the clinical manifestations of pain
6.a client experiencing chronic pain asks the nurse why she is not
prescribed demerol like she received when she had a total knee
replacement. which of the following should the nurse respond to this
client?
1. you dont 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.
ans: 3
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, normeperidine. the best
response for the nurse to make to the client would be that medication
does not last very long. the other responses are inaccurate.
pts:1dif:applyref:opioid analgesics
