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