TEST BANK
Prioritization, Delegation, and Assignment: Practice
Exercises for the NCLEX Examination
LINDA A. LACHARITY, CANDICE K. KUMAGAI, BARBARA BARTZ
4th Edition
, 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!
21. Emergencies and Disasters
22. Psychiatric–Mental Health Problems
1|Page
, 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.
SOLUTION: 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 REFERENCE: 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.
SOLUTION: 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 REFERENCE: 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
SOLUTION: 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
2|Page
, 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:AnalyzeREFERENCE: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.
SOLUTION: 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:ApplyREFERENCE: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.
SOLUTION: 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 REFERENCE: 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.
3|Page
Prioritization, Delegation, and Assignment: Practice
Exercises for the NCLEX Examination
LINDA A. LACHARITY, CANDICE K. KUMAGAI, BARBARA BARTZ
4th Edition
, 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!
21. Emergencies and Disasters
22. Psychiatric–Mental Health Problems
1|Page
, 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.
SOLUTION: 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 REFERENCE: 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.
SOLUTION: 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 REFERENCE: 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
SOLUTION: 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
2|Page
, 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:AnalyzeREFERENCE: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.
SOLUTION: 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:ApplyREFERENCE: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.
SOLUTION: 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 REFERENCE: 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.
3|Page
