TEST BANK
PRIORITIZATION DELEGATION AND
ASSIGNMENT 4TH EDITION BY
LACHARITY ALL CHAPTERS
COVERED
Test.Bank.Prioritization,.Delegation,.and.
Assignment.4th.Edition.
Practice.Exercises.for.the.NCLEX.Examination
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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
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,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
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,2
Chapter.1..Pain.MULTIPLE.
CHOICE
1.A.client.tells.the.nurse.that.she.rarely.experiences.pain,.but.when.she.does,.she.seeks.medical.attention..T
he.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.
ANS:.1
Pain.is.a.protective.system.that.includes.protection.from.unsafe.behaviors.by.use.of.reflexes,.memory,.a
nd.avoidance..Even.though.the.automatic.withdrawal.reflex.is.a.part.of.the.pain.response,.it.does.not.expl
ain.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.realiz
es.this.client.is.experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:.1
Allodynia.or.hyperalgesia.is.a.state.where.a.slight.or.nonpainful.stimulus.is.interpreted.as.very.painful..Ki
nesthesia.is.the.awareness.of.movement..Proprioception.is.the.awareness.of.body.position..Modulation.i
s.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.ty
pe.of.pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS:.4
Visceral.pain.is.pain.arising.from.the.body.organs.or.gastrointestinal.tract..Somatic.pain.is.pain.that.ori
ginates.from.the.bone,.joints,.muscles,.skin,.or.connective.pain..Neuralgia.and
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, 3
pathological.pain.are.both.types.of.pain.that.result.from.injury.to.a.nerve.or.malfunction.of.the.neuronal.tran
smission.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.nu
rse.to.describe.this.clients.pain.would.be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:.4
Acute.pain.onset.is.sudden.and.of.short.duration..Chronic.pain.is.a.sudden.or.slow.onset.of.mild.to.seve
re.pain.that.lasts.longer.than.6.months..Referred.pain.is.the.result.of.the.transfer.of.visceral.pain.sensat
ions.to.a.body.surface.at.a.distance.from.the.actual.origin..Neuropathic.pain.is.paroxysmal.pain.that.oc
curs.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.
ANS:.2
Sympathetic.responses.to.pain.include.elevated. blood.pressure.and.heart.rate..And.since.the.client.is.h
ugging.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?.Th
e.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.receive
d.when.she.had.a.total.knee.replacement..Which.of.the.following.should.the.nurse.respond.to.this.clien
t?
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.
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