Test Bank For Prioritization, Delegation, and Assignment, 5th Edition, Practice Exercises for the NCLEX Examination Updated, All Chapters 1-22 ||Complete A+ Guide

Prioritization Delegation and Assignment 5th
Edition Test Bank

,Prioritization fDelegation fand fAssignment f5th fEdition f Test fBank

Chapter 1. Pain MULTIPLE CHOICE f f f f




1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical attention.
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The nurse realizes this client understands that pain is important because it:
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1. is a protective system.
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2. includes the automatic withdrawal reflex. f f f f




3. creates sensitivity to pain. f f f




4. helps with healing. f f




ANS: 1
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Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, memory,
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and avoidance. Even though the automatic withdrawal reflex is a part of the pain response, it does not
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explain why pain is important. Pain does not create sensitivity to pain. Pain does not help with healing.
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PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
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2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realizes this
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client is experiencing:
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1. allodynia.

2. modulation.

3. kinesthesia.

4. proprioception.

ANS: 1 f




Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very painful.
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Kinesthesia is the awareness of movement. Proprioception is the awareness of body position.
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Modulation is an influencing factor in the perception of pain. f f f f f f f f f




PTS: 1 DIF: Analyze REF: Peripheral Nervous System
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3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing which type
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of pain?
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1. Neuralgia

,2. Pathological

3. Somatic

4. Visceral

ANS: 4 f




Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that
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originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
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pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuronal
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transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain f f




4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the nurse
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to describe this clients pain would be:
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1. chronic.

2. neuropathic.

3. referred.

4. acute.

ANS: 4 f




Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to severe
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pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral pain sensations
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to a body surface at a distance from the actual origin. Neuropathic pain is paroxysmal pain that occurs
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along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain f f




5. A client is observed holding a pillow over the abdominal region with both knees flexed in a side-lying
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position. Vital signs assessment reveals an elevated blood pressure and heart rate. Which of the
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following should the nurse say to this client?
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1. Can I get you anything? f f f f




2. Would you like something for pain? f f f f f




3. You look comfortable. f f




4. Your blood pressure is up. f f f f




ANS: 2
f f

, Sympathetic responses to pain include elevated blood pressure and heart rate. And since the client is
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hugging a pillow over the abdominal region with both knees flexed in a side-lying position, the best thing
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for the nurse to say to this client is Would you like something for pain? The other responses are
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fincorrect because they do not acknowledge that the client is experiencing pain.
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PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
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6. A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she received
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when she had a total knee replacement. Which of the following should the nurse respond to this client?
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1. You dont need something that strong.
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2. That medication does not exist anymore.
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3. That medication does not last very long.
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4. It can cause you have high blood pressure.
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ANS: 3 f




Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of 2 to 3
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hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The best
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response for the nurse to make to the client would be that medication does not last very long. The other
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responses are inaccurate.
f f f




PTS:1DIF:ApplyREF:Opioid Analgesics f




7. A client is informed that a tricyclic antidepressant medication is going to help control his chronic pain.
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The nurse would expect the physician to prescribe:
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1. Amitriptyline.

2. Baclofen.

3. Gabapentin.

4. Diazepam.

ANS: 1 f




Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle relaxant.
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Diazepam is a benzodiazepine.
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PTS: 1 DIF: Analyze REF: Adjuvant Medications
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8. A client receiving around-the-clock medication for terminal cancer experiences additional pain when
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performing activities of daily living. The nurse realizes this client is experiencing:
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