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