Test Bank for Prioritization Delegation and|| || || || || || ||
Assignment4thEditionLaCharity Chapter 1-22 | | | | || ||
Complete Guide ||
Test Bank Prioritization, Delegation,and
| | | | ||
Assignment 4th Edition. || ||
Practice Exercises for the NCLEX Examination | || | | ||
To clarify, this is the test bank, not the
| || || | || || || || ||
textbook.
You get immediate access to download your test | || || | | || || ||
bank.
You will receive a complete test bank; in || || | || || || || ||
other words, all chapters will be there.
|| || || || || ||
Test banks come in ePub or PDF format; || || || || || || || ||
therefore, you do not need specialized software to | | || | || | || ||
open them. ||
This is a Test Bank (Study Questions) which helps you || || | || || || || || || ||
better prepare for your tests and exams. || || || || || ||
Prioritization Delegation and Assignment 4th || || || || ||
Edition by LaCharity Test Bank emphasis on the || || || || || || || ||
NCLEXExamination’s management-of-care focus | | | ||
addresses the heavy emphasis on prioritization, || || || || || ||
delegation, and patient assignment in the current || || || || || || ||
NCLEX-RN® Examination and much more! || || || ||
Nursing Test Bank Download instantly after purchase will have you on the road to academic
|| || || || || || || || || || || || || || ||
excellence to pass your classes with ease and receive the grades you deserve!
|| || || || || || || || || || || ||
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
|| || ||
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 || ||
, Test Bank for Prioritization Delegation and || || || || || || ||
Assignment4thEditionLaCharity Chapter 1-22 | | | | || ||
Complete Guide ||
PrioritizationDelegationandAssignment4thEditionLaCharityTestBank | | | | | | | |
Chapter 1. Pain || || ||
MULTIPLECHOICE |
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. || ||
SOLUTION: 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 whypain is important. Pain does not create sensitivity
|| || || || || || || | || || || || || || || ||
to pain. Pain does not help with healing.
|| || || || || || ||
PTS: 1 DIF: Analyze REFERENCE: Definitions and Implications of Pain
| || || || | || || || |
2.Aclient 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.
SOLUTION: 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 REFERENCE: 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
SOLUTION: 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
|| || || || || || || || || || || || ||
, Test Bank for Prioritization Delegation and || || || || || || ||
Assignment4thEditionLaCharity Chapter 1-22 | | | | || ||
Complete Guide ||
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:AnalyzeREFERENCE: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.
SOLUTION: 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:ApplyREFERENCE: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. || || || ||
SOLUTION: 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 REFERENCE: Assessing the Clinical Manifestations of Pain
|| || || || || || || || || |
6.Aclient 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.
|| || || || || || ||
, Test Bank for Prioritization Delegation and
|| || || || || || ||
Assignment4thEditionLaCharity Chapter 1-22 | | | | || ||
Complete Guide ||
SOLUTION: 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:ApplyREFERENCE: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.
SOLUTION: 1 | |
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a
|| || | || || || | || || || ||
muscle relaxant. Diazepam is a benzodiazepine.
|| || || || ||
PTS: 1 DIF: Analyze REFERENCE: 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:
|| || || || || || || || || || || || ||
1. breakthrough pain. ||
2. intractable pain. ||
3. psychosomatic pain. |
4. acute pain. |
SOLUTION: 1 | |
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous,
|| || || || || || || || || || || || ||
unpredictable, and can be initiated by certain activities such as during activities of daily
|| || || || || || || || || || || || || || ||
living. Intractable pain is resistant to some or all forms of therapy. Psychosomatic pain is
|| || || || || | || || || || | || || || ||
that which has a psychological origin. The client is diagnosed with terminal cancer. Acute
|| || || || || || || || || || || || ||
pain has a sudden onset and resolves within 6 months.
|| || || || || || || || || ||
PTS:1DIF:AnalyzeREFERENCE:Breakthrough Pain ||
9. A client recovering from surgerytells the nurse that she is nauseated and is
| || || || | || || || || || || || || ||
experiencing an increase in pain. Which of the following does this clients symptoms
|| || || || || || || || || || || || ||
suggest to the nurse? || || ||
1 The client is becoming dependent upon the pain medication.
| || || || || || || ||
.
Assignment4thEditionLaCharity Chapter 1-22 | | | | || ||
Complete Guide ||
Test Bank Prioritization, Delegation,and
| | | | ||
Assignment 4th Edition. || ||
Practice Exercises for the NCLEX Examination | || | | ||
To clarify, this is the test bank, not the
| || || | || || || || ||
textbook.
You get immediate access to download your test | || || | | || || ||
bank.
You will receive a complete test bank; in || || | || || || || ||
other words, all chapters will be there.
|| || || || || ||
Test banks come in ePub or PDF format; || || || || || || || ||
therefore, you do not need specialized software to | | || | || | || ||
open them. ||
This is a Test Bank (Study Questions) which helps you || || | || || || || || || ||
better prepare for your tests and exams. || || || || || ||
Prioritization Delegation and Assignment 4th || || || || ||
Edition by LaCharity Test Bank emphasis on the || || || || || || || ||
NCLEXExamination’s management-of-care focus | | | ||
addresses the heavy emphasis on prioritization, || || || || || ||
delegation, and patient assignment in the current || || || || || || ||
NCLEX-RN® Examination and much more! || || || ||
Nursing Test Bank Download instantly after purchase will have you on the road to academic
|| || || || || || || || || || || || || || ||
excellence to pass your classes with ease and receive the grades you deserve!
|| || || || || || || || || || || ||
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
|| || ||
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 || ||
, Test Bank for Prioritization Delegation and || || || || || || ||
Assignment4thEditionLaCharity Chapter 1-22 | | | | || ||
Complete Guide ||
PrioritizationDelegationandAssignment4thEditionLaCharityTestBank | | | | | | | |
Chapter 1. Pain || || ||
MULTIPLECHOICE |
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. || ||
SOLUTION: 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 whypain is important. Pain does not create sensitivity
|| || || || || || || | || || || || || || || ||
to pain. Pain does not help with healing.
|| || || || || || ||
PTS: 1 DIF: Analyze REFERENCE: Definitions and Implications of Pain
| || || || | || || || |
2.Aclient 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.
SOLUTION: 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 REFERENCE: 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
SOLUTION: 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
|| || || || || || || || || || || || ||
, Test Bank for Prioritization Delegation and || || || || || || ||
Assignment4thEditionLaCharity Chapter 1-22 | | | | || ||
Complete Guide ||
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:AnalyzeREFERENCE: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.
SOLUTION: 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:ApplyREFERENCE: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. || || || ||
SOLUTION: 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 REFERENCE: Assessing the Clinical Manifestations of Pain
|| || || || || || || || || |
6.Aclient 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.
|| || || || || || ||
, Test Bank for Prioritization Delegation and
|| || || || || || ||
Assignment4thEditionLaCharity Chapter 1-22 | | | | || ||
Complete Guide ||
SOLUTION: 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:ApplyREFERENCE: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.
SOLUTION: 1 | |
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a
|| || | || || || | || || || ||
muscle relaxant. Diazepam is a benzodiazepine.
|| || || || ||
PTS: 1 DIF: Analyze REFERENCE: 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:
|| || || || || || || || || || || || ||
1. breakthrough pain. ||
2. intractable pain. ||
3. psychosomatic pain. |
4. acute pain. |
SOLUTION: 1 | |
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous,
|| || || || || || || || || || || || ||
unpredictable, and can be initiated by certain activities such as during activities of daily
|| || || || || || || || || || || || || || ||
living. Intractable pain is resistant to some or all forms of therapy. Psychosomatic pain is
|| || || || || | || || || || | || || || ||
that which has a psychological origin. The client is diagnosed with terminal cancer. Acute
|| || || || || || || || || || || || ||
pain has a sudden onset and resolves within 6 months.
|| || || || || || || || || ||
PTS:1DIF:AnalyzeREFERENCE:Breakthrough Pain ||
9. A client recovering from surgerytells the nurse that she is nauseated and is
| || || || | || || || || || || || || ||
experiencing an increase in pain. Which of the following does this clients symptoms
|| || || || || || || || || || || || ||
suggest to the nurse? || || ||
1 The client is becoming dependent upon the pain medication.
| || || || || || || ||
.
