, TABLE OF CONTENTS
3i 3i
Guidelines for Prioritization, Delegation, and Assignment Decisions
3i 3i 3i 3i 3i 3i
1. Pain
2. Cancer
3. Immunologic Problems 3i
4. Fluid, Electrolyte, and Acid-Base Balance Problems
3i 3i 3i 3i 3i
5. Safety and Infection Control
3i 3i 3i
6. Respiratory Problems 3i
7. Cardiovascular Problems 3i
8. Hematologic Problems 3i
9. Neurologic Problems 3i
10. Visual and Auditory Problems
3i 3i 3i
11. Musculoskeletal Problems 3i
12. Gastrointestinal and Nutritional Problems 3i 3i 3i
13. Diabetes Mellitus
3i
14. Other Endocrine Problems
3i 3i
15. Integumentary Problems 3i
16. Renal and Urinary Problems
3i 3i 3i
17. Reproductive Problems 3i
18. Problems in Pregnancy and Childbearing
3i 3i 3i 3i
19. Pediatric Problems
3i
20. Pharmacology NEW! 3i
21. Emergencies and Disasters 3i 3i
22. Psychiatric–Mental Health Problems 3i 3i
, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank 3i 3i 3i 3i 3i 3i 3i 3i
Chapter 1. Pain MUL 3i 3i 3i
TIPLE CHOICE 3i
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical atten
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
tion. The nurse realizes this client understands that pain is important because it:
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
1. is a protective system.
3i 3i 3i
2. includes the automatic withdrawal reflex. 3i 3i 3i 3i
3. creates sensitivity to pain. 3i 3i 3i
4. helps with healing. 3i 3i
ANS: 1 3i
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, m
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
emory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain respon
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
se, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain does
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
not help with healing.
3i 3i 3i
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
3i 3i 3i 3i 3i 3i 3i 3i 3i
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realiz
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
es this client is experiencing:
3i 3i 3i 3i
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 3i
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very p
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ainful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body posi
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
tion. Modulation is an influencing factor in the perception of pain.
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3i 3i 3i 3i 3i 3i 3i
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing whic
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
h type of pain?
3i 3i 3i
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 3i
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain t
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
hat originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuro
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
nal transmission process or due to impaired regulation.
3i 3i 3i 3i 3i 3i 3i
PTS:1DIF:AnalyzeREF:Types of Pain 3i 3i
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for t
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
he nurse to describe this clients pain would be:
3i 3i 3i 3i 3i 3i 3i 3i
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 3i
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visce
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is pa
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
roxysmal pain that occurs along the branches of a nerve.
3i 3i 3i 3i 3i 3i 3i 3i 3 i
PTS:1DIF:ApplyREF:Types of Pain 3i 3i
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3
side-
i
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Whi
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ch of the following should the nurse say to this client?
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
1. Can I get you anything? 3i 3i 3i 3i
2. Would you like something for pain? 3i 3i 3i 3i 3i
3. You look comfortable. 3i 3i
4. Your blood pressure is up. 3i 3i 3i 3i
ANS: 2 3i
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the clie
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
nt is hugging a pillow over the abdominal region with both knees flexed in a side-
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
lying position, the best thing for the nurse to say to this client is Would you like something for p
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ain? The other responses are incorrect because they do not acknowledge that the client is experie
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ncing pain. 3i
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she r
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
eceived when she had a total knee replacement. Which of the following should the nurse respon
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
d to this client?
3i 3i 3i
1. You dont need something that strong.
3i 3i 3i 3i 3i
2. That medication does not exist anymore.
3i 3i 3i 3i 3i
3. That medication does not last very long.
3i 3i 3i 3i 3i 3i
4. It can cause you have high blood pressure.
3i 3i 3i 3i 3i 3i 3i
3i 3i
Guidelines for Prioritization, Delegation, and Assignment Decisions
3i 3i 3i 3i 3i 3i
1. Pain
2. Cancer
3. Immunologic Problems 3i
4. Fluid, Electrolyte, and Acid-Base Balance Problems
3i 3i 3i 3i 3i
5. Safety and Infection Control
3i 3i 3i
6. Respiratory Problems 3i
7. Cardiovascular Problems 3i
8. Hematologic Problems 3i
9. Neurologic Problems 3i
10. Visual and Auditory Problems
3i 3i 3i
11. Musculoskeletal Problems 3i
12. Gastrointestinal and Nutritional Problems 3i 3i 3i
13. Diabetes Mellitus
3i
14. Other Endocrine Problems
3i 3i
15. Integumentary Problems 3i
16. Renal and Urinary Problems
3i 3i 3i
17. Reproductive Problems 3i
18. Problems in Pregnancy and Childbearing
3i 3i 3i 3i
19. Pediatric Problems
3i
20. Pharmacology NEW! 3i
21. Emergencies and Disasters 3i 3i
22. Psychiatric–Mental Health Problems 3i 3i
, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank 3i 3i 3i 3i 3i 3i 3i 3i
Chapter 1. Pain MUL 3i 3i 3i
TIPLE CHOICE 3i
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical atten
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
tion. The nurse realizes this client understands that pain is important because it:
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
1. is a protective system.
3i 3i 3i
2. includes the automatic withdrawal reflex. 3i 3i 3i 3i
3. creates sensitivity to pain. 3i 3i 3i
4. helps with healing. 3i 3i
ANS: 1 3i
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, m
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
emory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain respon
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
se, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain does
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
not help with healing.
3i 3i 3i
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
3i 3i 3i 3i 3i 3i 3i 3i 3i
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realiz
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
es this client is experiencing:
3i 3i 3i 3i
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 3i
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very p
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ainful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body posi
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
tion. Modulation is an influencing factor in the perception of pain.
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3i 3i 3i 3i 3i 3i 3i
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing whic
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
h type of pain?
3i 3i 3i
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 3i
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain t
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
hat originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuro
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
nal transmission process or due to impaired regulation.
3i 3i 3i 3i 3i 3i 3i
PTS:1DIF:AnalyzeREF:Types of Pain 3i 3i
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for t
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
he nurse to describe this clients pain would be:
3i 3i 3i 3i 3i 3i 3i 3i
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 3i
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visce
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is pa
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
roxysmal pain that occurs along the branches of a nerve.
3i 3i 3i 3i 3i 3i 3i 3i 3 i
PTS:1DIF:ApplyREF:Types of Pain 3i 3i
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3
side-
i
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Whi
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ch of the following should the nurse say to this client?
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
1. Can I get you anything? 3i 3i 3i 3i
2. Would you like something for pain? 3i 3i 3i 3i 3i
3. You look comfortable. 3i 3i
4. Your blood pressure is up. 3i 3i 3i 3i
ANS: 2 3i
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the clie
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
nt is hugging a pillow over the abdominal region with both knees flexed in a side-
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
lying position, the best thing for the nurse to say to this client is Would you like something for p
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ain? The other responses are incorrect because they do not acknowledge that the client is experie
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
ncing pain. 3i
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she r
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
eceived when she had a total knee replacement. Which of the following should the nurse respon
3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i 3i
d to this client?
3i 3i 3i
1. You dont need something that strong.
3i 3i 3i 3i 3i
2. That medication does not exist anymore.
3i 3i 3i 3i 3i
3. That medication does not last very long.
3i 3i 3i 3i 3i 3i
4. It can cause you have high blood pressure.
3i 3i 3i 3i 3i 3i 3i
