Test Bank For Prioritization, Delegation, and Assignment, 5th Edition, Practice Exercises for the NCLEX Examination All Chapters 1-22 LATEST

, TABLE OF CONTENTS
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Guidelines for Prioritization, Delegation, and Assignment Decisions
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1. Pain
2. Cancer
3. Immunologic Problems 1


4. Fluid, Electrolyte, and Acid-Base Balance Problems
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5. Safety and Infection Control
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6. Respiratory Problems 1


7. Cardiovascular Problems 1


8. Hematologic Problems 1

9. Neurologic Problems 1


10. Visual and Auditory Problems
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11. Musculoskeletal Problems 1


12. Gastrointestinal and Nutritional Problems 1 1 1

13. Diabetes Mellitus1


14. Other Endocrine Problems
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15. Integumentary Problems 1

16. Renal and Urinary Problems
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17. Reproductive Problems 1

18. Problems in Pregnancy and Childbearing
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19. Pediatric Problems
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20. Pharmacology NEW! 1

21. Emergencies and Disasters 1 1

22. Psychiatric–Mental Health Problems 1 1

, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank 1 1 1 1 1 1 1 1




Chapter 1. Pain 1 1


MULTIPLE CHOICE
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1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
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attention. The nurse realizes this client understands that pain is important because it:
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1. is a protective system.
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2. includes the automatic withdrawal reflex.
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3. creates sensitivity to pain. 1 1 1




4. helps with healing. 1 1



ANS: 1 1


Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
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memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
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response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
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does not help with healing.
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PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
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2.A client complains that the bed sheets touching his skin are extremely painful. The nurse
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realizes this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 1


Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
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painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body
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position. Modulation is an influencing factor in the perception of pain.
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PTS: 1 DIF: Analyze REF: Peripheral Nervous System
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3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing
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which type of pain?
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1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 1


Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
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that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
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, pathological pain are both types of pain that result from injury to a nerve or malfunction of the
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neuronal transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain 1 1


4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
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the nurse to describe this clients pain would be:
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1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 1


Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
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to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of
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visceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
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is paroxysmal pain that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain 1 1


5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
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side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
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Which of the following should the nurse say to this client?
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1. Can I get you anything?
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2. Would you like something for pain? 1 1 1 1 1




3. You look comfortable. 1 1




4. Your blood pressure is up. 1 1 1 1



ANS: 2 1


Sympathetic responses to pain include elevated blood pressure and heart rate. And since the
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client is hugging a pillow over the abdominal region with both knees flexed in a side-lying
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position, the best thing for the nurse to say to this client is Would you like something for pain?
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The other responses are incorrect because they do not acknowledge that the client is experiencing
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pain.
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PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
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6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
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received when she had a total knee replacement. Which of the following should the nurse
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respond to this client?
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1. You dont need something that strong.
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2. That medication does not exist anymore.
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3. That medication does not last very long.
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4. It can cause you have high blood pressure.
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