PRIORITIZATION, DELEGATION, AND ASSIGNMENT: PRACTICE
EXERCISES FOR THE NCLEX EXAMINATION 6TH EDITION BY LINDA A.
LA CHARITY PHD RN CANDICE K. KUMAGAI MSN RN (BY LINDA A. LA
CHARITY 2025) NEWEST EDITION WITH COMPLETE CHAPTERS AND
VERIFIED ANSWERS.100% GRADE A+
6th Edition
,Table Of Contents
Chapter 1. Pain ....................................................................................... 3
Chapter 2. Cancer................................................................................. 12
Chapter 3. Immunologic Problems ...................................................... 21
Chapter 4. Fluid, Electrolyte, And Acid-Base Balance Problems ....... 30
Chapter 5. Safety And Infection Control ............................................. 39
Chapter 6. Respiratory Problems ......................................................... 47
Chapter 7. Cardiovascular Problems ................................................... 57
Chapter 8. Hematologic Problems ....................................................... 64
Chapter 9. Neurologic Problems .......................................................... 69
Chapter 10. Visual And Auditory Problems ......................................... 78
Chapter 11. Musculoskeletal Problems ............................................... 86
Chapter 12. Gastrointestinal And Nutritional Problems ..................... 95
Chapter 13. Diabetes Mellitus ............................................................ 103
Chapter 14. Other Endocrine Problems ............................................. 112
Chapter 15. Integumentary Problems ................................................ 119
Chapter 16. Renal And Urinary Problems .......................................... 124
Chapter 17. Reproductive Problems .................................................. 133
Chapter 18. Problems In Pregnancy And Childbearing ..................... 141
Chapter 19. Pediatric Problems ......................................................... 150
Chapter 20. Pharmacology ................................................................. 160
Chapter 21. Emergencies And Disasters ........................................... 169
Chapter 22. Psychiatric–Mental Health Problems ............................ 176
Chapter 23: Community Health Problems ......................................... 186
Chapter 24. Ngn-Style Questions ...................................................... 192
,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.
ACCURATE 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.
ACCURATE 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
ACCURATE 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.
ACCURATE 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.
ACCURATE 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.
ACCURATE 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
7.A Client Is Informed That A Tricyclic Antidepressant Medication Is Going To Help Control His Chronic
Pain. The Nurse Would Expect The Physician To Prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ACCURATE ANS>>1
Amitriptyline Is An Antidepressant. Gabapentin Is An Anticonvulsant. Baclofen Is A Muscle Relaxant.
Diazepam Is A Benzodiazepine.
Pts: 1 Dif: Analyze Ref: Adjuvant Medications
8.A Client Receiving Around-The-Clock Medication For Terminal Cancer Experiences Additional Pain
When Performing Activities Of Daily Living. The Nurse Realizes This Client Is Experiencing: