For Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX-
RN® Examination 5th Edition
by Linda A. LaCharity PhD Latest Update Graded A+
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, Table Of Content
chapter 1: pain
chapter 2: cancer
chapter 3: immunologic problems
chapter 4: fluid, electrolyte, and acid-base balance problems chapter
5: safety and infection control
chapter 6: respiratory problems chapter
7: cardiovascular problems chapter 8:
hematologic problems chapter 9:
neurologic problems
chapter 10: visual and auditory problems
chapter 11: musculoskeletal problems
chapter 12: gastrointestinal and nutritional
problems chapter 13: diabetes mellitus
chapter 14: other endocrine problems
chapter 15: integumentary problems chapter
16: renal and urinary
problems chapter 17: reproductive
problems
chapter 18: problems in pregnancy and childbearing
chapter 19: pediatric problems
chapter 20: pharmacology
chapter 21: emergencies and disasters
chapter 22: psychiatric–mental health problems
, Prioritization Delegation And Assignment 5th Edition Lacharity
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.
Answer: 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.
Answer: 1
Allodynia Or Hyperalgesia Is A State Where A Slight Or No Painful 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
, Answer: 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 Forthe Nurse To Describe This Clients Pain Would Be:
1. Chronic.
2. Neuropathic.
3. Referred.
4. Acute.
Answer: 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.
Answer: 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 Experiencingpain.
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 Shereceived When She Had A Total Knee Replacement. Which Of The
Following Should The Nurse Respond To This Client?
1. You Don’t Need Something That Strong.