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PrioritizationDelegationandAssignment 4thEditionLaCharityTestBank ff o o o
Chapter 1. Pain oooo oooo
MULTIPLECHOI
oooo
CE
1.A client tells the nurse that she rarelyexperiencespain, but when she does, she seeks
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
medical attention. The nurse realizes this client understands that pain is
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
important because it:
oooo oooo oooo
1. is a protective system.
oooo oooo oooo
2. includesthe automatic withdrawal oooo oooo oooo reflex.
3. creates sensitivity to pain.oooo oooo oooo
4. helps with healing. oooo oooo
ANS: 1 oooo
Pain is a protective system that includes protection from unsafe behaviors by
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
use of reflexes, memory, and avoidance. Even though the automatic withdrawal
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
reflex is a part of the pain response, it does not explain why pain is important.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
Pain does not create sensitivity to pain. Pain does not help with healing.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
oooo oooo oooo oooo oooo oooo oooo oooo oooo
2.A client complains that the bed sheets touching his skin are extremelypainful. The nurse
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
realizes this client is experiencing:
oooo oooo oooo oooo oooo
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 oooo
Allodynia orhyperalgesia is a state where a slight ornonpainful stimulus is
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
interpreted as very painful. Kinesthesia is the awareness of movement.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
Proprioception is the awareness of body position. Modulation is an
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
influencing factor in the perception of pain.
oooo oooo oooo oooo oooo oooo oooo
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
oooo oooo oooo oooo oooo oooo oooo
3.A client iscomplaining of severe abdomen pain. The nurse realizes this client is
oooo oooo oooo oooo oooo oooo oo oooo oooo oooo oooo oooo
experiencing which type of pain?
oooo oooo oooo oooo oooo
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 oooo
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,Visceral pain is pain arising from the bodyorgans or gastrointestinal tract. Somatic
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
pain is pain that originates from the bone, joints, muscles, skin, or
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
connective pain. Neuralgia and
oooo oooo oooo oooo
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, 3
pathological pain are bothtypes of pain that result from injuryto a nerve or malfunction
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
of the neuronal transmission process or due to impaired regulation.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
PTS:1DIF:AnalyzeREF:Types ofPain o ooo
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain.The best way for
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
the nurse to describe this clients pain would be:
oooo oooo oooo oooo oooo oooo oooo oooo oooo
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 oooo
Acute pain onset is sudden and of short duration. Chronic pain is a sudden orslow onset
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
of mild to severe pain that lasts longer than 6 months. Referred pain is the
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
result of the transfer of visceral pain sensations to a body surface at a
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
distance from the actual origin. Neuropathic pain is paroxysmal pain that
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
occurs along the branches of a
oooo oooo nerve. oooo oooo oooo oooo o o o o
PTS:1DIF:ApplyREF:Types of Pain oooo oooo
5.A client isobserved holding a pillow over the abdominal region with both knees
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
flexed in a side-lying position. Vital signs assessment reveals an elevated
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
blood pressure and heart rate. Which of the following should the nurse say
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
to this client?
oooo oooo oooo
1. Can I get you anything?
oooo oooo oooo oooo
2. Would you like something for oooo oooo oooo oooo oooo pain?
3. You look comfortable.
oooo oooo
4. Your blood pressure is up.oooo oooo oooo oooo
ANS: 2 oooo
Sympathetic responses to pain include elevated blood pressure and heart rate.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
And since the client is hugging a pillow over the abdominal region with both
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
knees flexed in a side-lying position, the best thing for the nurse to say to
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
this client is Would you like something for pain? The other responses are
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
incorrect because they do not acknowledge that the client is experiencing pain.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
6.A client experiencing chronic pain asks the nursewhyshe is not prescribed Demerol like
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo ooo oooo
she received when she had a total knee replacement. Which of the following
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
should the nurse respond to this client?
oooo oooo oooo oooo oooo oooo oooo
1. You dont need something that
oooo oooo oooo oooo oooo strong.
2. That medication does not exist
oooo oooo oooo oooo oooo anymore.
3. That medication does not last very long.
oooo oooo oooo oooo oooo o o oo
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250
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PrioritizationDelegationandAssignment 4thEditionLaCharityTestBank ff o o o
Chapter 1. Pain oooo oooo
MULTIPLECHOI
oooo
CE
1.A client tells the nurse that she rarelyexperiencespain, but when she does, she seeks
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
medical attention. The nurse realizes this client understands that pain is
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
important because it:
oooo oooo oooo
1. is a protective system.
oooo oooo oooo
2. includesthe automatic withdrawal oooo oooo oooo reflex.
3. creates sensitivity to pain.oooo oooo oooo
4. helps with healing. oooo oooo
ANS: 1 oooo
Pain is a protective system that includes protection from unsafe behaviors by
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
use of reflexes, memory, and avoidance. Even though the automatic withdrawal
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
reflex is a part of the pain response, it does not explain why pain is important.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
Pain does not create sensitivity to pain. Pain does not help with healing.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
oooo oooo oooo oooo oooo oooo oooo oooo oooo
2.A client complains that the bed sheets touching his skin are extremelypainful. The nurse
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
realizes this client is experiencing:
oooo oooo oooo oooo oooo
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 oooo
Allodynia orhyperalgesia is a state where a slight ornonpainful stimulus is
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
interpreted as very painful. Kinesthesia is the awareness of movement.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
Proprioception is the awareness of body position. Modulation is an
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
influencing factor in the perception of pain.
oooo oooo oooo oooo oooo oooo oooo
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
oooo oooo oooo oooo oooo oooo oooo
3.A client iscomplaining of severe abdomen pain. The nurse realizes this client is
oooo oooo oooo oooo oooo oooo oo oooo oooo oooo oooo oooo
experiencing which type of pain?
oooo oooo oooo oooo oooo
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 oooo
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250
,Visceral pain is pain arising from the bodyorgans or gastrointestinal tract. Somatic
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
pain is pain that originates from the bone, joints, muscles, skin, or
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
connective pain. Neuralgia and
oooo oooo oooo oooo
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250
, 3
pathological pain are bothtypes of pain that result from injuryto a nerve or malfunction
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
of the neuronal transmission process or due to impaired regulation.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
PTS:1DIF:AnalyzeREF:Types ofPain o ooo
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain.The best way for
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
the nurse to describe this clients pain would be:
oooo oooo oooo oooo oooo oooo oooo oooo oooo
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 oooo
Acute pain onset is sudden and of short duration. Chronic pain is a sudden orslow onset
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
of mild to severe pain that lasts longer than 6 months. Referred pain is the
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
result of the transfer of visceral pain sensations to a body surface at a
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
distance from the actual origin. Neuropathic pain is paroxysmal pain that
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
occurs along the branches of a
oooo oooo nerve. oooo oooo oooo oooo o o o o
PTS:1DIF:ApplyREF:Types of Pain oooo oooo
5.A client isobserved holding a pillow over the abdominal region with both knees
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
flexed in a side-lying position. Vital signs assessment reveals an elevated
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
blood pressure and heart rate. Which of the following should the nurse say
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
to this client?
oooo oooo oooo
1. Can I get you anything?
oooo oooo oooo oooo
2. Would you like something for oooo oooo oooo oooo oooo pain?
3. You look comfortable.
oooo oooo
4. Your blood pressure is up.oooo oooo oooo oooo
ANS: 2 oooo
Sympathetic responses to pain include elevated blood pressure and heart rate.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
And since the client is hugging a pillow over the abdominal region with both
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
knees flexed in a side-lying position, the best thing for the nurse to say to
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
this client is Would you like something for pain? The other responses are
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
incorrect because they do not acknowledge that the client is experiencing pain.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
6.A client experiencing chronic pain asks the nursewhyshe is not prescribed Demerol like
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo ooo oooo
she received when she had a total knee replacement. Which of the following
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
should the nurse respond to this client?
oooo oooo oooo oooo oooo oooo oooo
1. You dont need something that
oooo oooo oooo oooo oooo strong.
2. That medication does not exist
oooo oooo oooo oooo oooo anymore.
3. That medication does not last very long.
oooo oooo oooo oooo oooo o o oo
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