Test Bank Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX Examination; 6th Edition By Linda A. LaCharity, Candice K. Kumagai, Shirley M. Hosler All Chapters| Latest Edition| 2025/2026

, TABLE OF CONTENTS
C/ C/


Guidelines for Prioritization, Delegation, and Assignment Decisions
C/ C/ C/ C/ C/ C/

1. Pain
2. Cancer
3. Immunologic Problems C/


4. Fluid, Electrolyte, and Acid-Base Balance Problems
C/ C/ C/ C/ C/

5. Safety and Infection Control
C/ C/ C/


6. Respiratory Problems C/

7. Cardiovascular Problems C/


8. Hematologic Problems C/

9. Neurologic Problems C/


10. Visual and Auditory Problems
C/ C/ C/

11. Musculoskeletal Problems C/


12. Gastrointestinal and Nutritional Problems C/ C/ C/

13. Diabetes Mellitus
C/


14. Other Endocrine Problems
C/ C/


15. Integumentary Problems C/

16. Renal and Urinary Problems
C/ C/ C/


17. Reproductive Problems C/

18. Problems in Pregnancy and Childbearing
C/ C/ C/ C/

19. Pediatric Problems
C/


20. Pharmacology NEW! C/

21. Emergencies and Disasters C/ C/


22. Psychiatric–Mental Health Problems C/ C/

, Prioritization Delegation and Assignment 6th Edition LaCharity Test Bank C/ C/ C/ C/ C/ C/ C/ C/




Chapter 1. Pain MUL C/ C/ C/


TIPLE CHOICE C/


1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical att
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


ention. The nurse realizes this client understands that pain is important because it:
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/




1. is a protective system.
C/ C/ C/




2. includes the automatic withdrawal reflex.
C/ C/ C/ C/




3. creates sensitivity to pain. C/ C/ C/




4. helps with healing. C/ C/



ANS: 1 C/


Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain res
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


ponse, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


does not help with healing.
C/ C/ C/ C/


PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
C/ C/ C/ C/ C/ C/ C/ C/ C/


2.A client complains that the bed sheets touching his skin are extremely painful. The nurse rea
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


lizes this client is experiencing:
C/ C/ C/ C/




1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 C/


Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C


painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body p
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


osition. Modulation is an influencing factor in the perception of pain.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


PTS: 1 DIF: Analyze REF: Peripheral Nervous System
C/ C/ C/ C/ C/ C/ C/


3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing w
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


hich type of pain?
C/ C/ C/




1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 C/


Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pai
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


n that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/

, pathological pain are both types of pain that result from injury to a nerve or malfunction of the ne
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


uronal transmission process or due to impaired regulation.
C/ C/ C/ C/ C/ C/ C/


PTS:1DIF:AnalyzeREF:Types of Pain C/ C/


4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way fo
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


r the nurse to describe this clients pain would be:
C/ C/ C/ C/ C/ C/ C/ C/ C/




1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 C/


Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mi
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


ld to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


visceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pa
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


in is paroxysmal pain that occurs along the branches of a nerve.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C /


PTS:1DIF:ApplyREF:Types of Pain C/ C/


5.A client is observed holding a pillow over the abdominal region with both knees flexed i
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


n a side-
C/ C/


lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. W
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


hich of the following should the nurse say to this client?
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/




1. Can I get you anything?
C/ C/ C/ C/




2. Would you like something for pain?
C/ C/ C/ C/ C/




3. You look comfortable.
C/ C/




4. Your blood pressure is up.
C/ C/ C/ C/



ANS: 2 C/


Sympathetic responses to pain include elevated blood pressure and heart rate. And since the cl
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


ient is hugging a pillow over the abdominal region with both knees flexed in a side-
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


lying position, the best thing for the nurse to say to this client is Would you like something fo
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


r pain? The other responses are incorrect because they do not acknowledge that the client is ex
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


periencing pain. C/


PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


received when she had a total knee replacement. Which of the following should the nurse res
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


pond to this client? C/ C/ C/




1. You dont need something that strong.
C/ C/ C/ C/ C/




2. That medication does not exist anymore.
C/ C/ C/ C/ C/




3. That medication does not last very long.
C/ C/ C/ C/ C/ C/




4. It can cause you have high blood pressure.
C/ C/ C/ C/ C/ C/ C/