FULL TEST BANK
PRIORITIZATION, DELEGATION, AND ASSIGNMENT
PRACTICE EXERCISES FOR THE NCLEX EXAM 5TH
EDITION
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
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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 Test Bank
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.
, 2. That Medication Does Not Exist Anymore.
3. That Medication Does Not Last Very Long.
4. It Can Cause You Have High Blood Pressure.
ANSWER: 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,
Nor Meperidine. The Best Response For The Nurse To Make To The Client Would Be That
Medication Does Not Last Verylong. The Other Responses Are Inaccurate.
Pts:1dif:Applyref: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.
ANSWER: 1
Amitriptyline Is An Antidepressant. Gabapentin Is An Anticonvulsant. Baclofen Is A Muscle
Relaxant. Diazepam Is A Benzodiazepine.
Pts: 1 Dif: Analyze Ref: Adjuvant Medications
8. A Client Receiving Around-The-Clock Medication For Terminal Cancer Experiences
Additional Painwhen Performing Activities Of Daily Living. The Nurse Realizes This Client Is
Experiencing:
1. Breakthrough Pain.
2. Intractable Pain.
3. Psychosomatic Pain.
4. Acute Pain.
ANSWER: 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:Analyzeref:Breakthrough Pain
9. A Client Recovering From Surgery Tells The Nurse That She Is Nauseated And Is
Experiencing Anincrease In Pain. Which Of The Following Does This Clients Symptoms
Suggest To The Nurse?
,1 The Client Is Becoming Dependent Upon The Pain Medication.
.
2 The Clients Pain Threshold Is Lower When Experiencing Nausea.
.
, 3 The Client Is Experiencing Withdrawal Symptoms From Pain Medication.
.
4 The Client Is Experiencing Referred Pain.
.
ANSWER: 2
Pain Threshold Is Influenced By Nausea, Fatigue, And Lack Of Sleep. The Client Experiencing
An Increase In Pain During Nausea Is Demonstrating An Alteration In The Pain Threshold. The
Client Isnot Becoming Dependent Upon The Pain Medication. The Client Is Not Experiencing
Withdrawal Symptoms. The Client Is Also Not Experiencing Referred Pain.
Pts: 1 Dif: Analyze Ref: Pain Threshold And Pain Tolerance
10. A Client With A History Of Malingering Pain Tells The Nurse That He Needs A Prescription
For Painmedication. Which Of The Following Should The Nurse Do First To Assist This Client?
1 Ask The Physician For A Pain Medication Prescription For The Client.
.
2 Remind The Client That He Does Not Have Pain But Just Wants The Medication.
.
3 Thoroughly Assess The Client For Pain.
.
4 Suggest The Client Seek Counseling For His Pain Medication-Seeking Behavior.
.
ANSWER: 3
Pain Of A Psychological Origin Is When An Individual Seeks Treatment For Pain When No
Actual Pain Exists. This Is Also Referred To As Malingering Or Pretending Pain. The Nurse
Should Not Assume That The Pain Does Not Exist But Rather Should Conduct A Thorough
Pain Assessment To Rule Out An Actual Physiological Problem. The Nurse Should Not
Immediately Ask The Physician For Pain Medication. The Nurse Should Not Remind The
Client That He Does Not Have Pain But Just Wants The Medication. The Nurse Should Also
Not Suggest The Client Seek Counseling For Pain Medication- Seeking Behavior.
Pts: 1 Dif: Apply Ref: Box 16-1 Pain Descriptions
11. The Nurse Is Implementing The Five Cs Of Pain Management For A Client. Which Of The
Following Is Included In This Intervention?
1 Caring For The Client In A Holistic Manner
.
2 Creating A Calm Environment
.
3 Comparing The Degree Of Pain Reported With Previous Episodes
.
4 Continuously Assessing The Clients Pain
.
ANSWER: 4
, The Five Cs Of Pain Management Include Comprehensive Assessment, Consistent Use Of
Assessment Tools, Continuous Reassessment, Customize The Plan Of Care, And
Collaborate With Other Health Care Providers To Plan Pain Management. The Other Choices
Are Not Included In The
Five Csof Pain Management.
Pts: 1 Dif: Apply Ref: Planning And Implementation
12. A Client, Diagnosed With Arthritis, Should Be Instructed To Avoid The Use Of Nsaids
Because Ofwhich Of The Following Prescribed Medications?
1. Penicillin
2. Coumadin
3. Digoxin
4. Diazide
ANSWER: 2
Persons At Greatest Risk For Adverse Reactions To Nsaids Include Those Who Are Prescribed
Warfarin (Coumadin) Since The Nsaid Can Increase The Effects Of The Coumadin And
Promote Bleeding.
Pts: 1 Dif: Apply Ref: Box 16-2 Groups Of Nsaid Drugs
Multiple Response
1. Prior To Hospitalization, A Client Had Been Ingesting High Doses Of Oxycodone. The
Nurse Suspects The Client Is Experiencing Symptoms Of Withdrawal When Which Of
The Following Areassessed? (Select All That Apply.)
1. Muscle Twitching And Spasms
2. Restlessness
3. Increased Heart Rate
4. Drop In Blood Pressure
5. Increase In Blood Pressure
6. Irritability
ANSWER: 1, 2, 3, 5, 6
Withdrawal Symptoms Include Myoclonus Or Muscle Twitching And Spasms, Restlessness,
Irritability, Increased Heart Rate, And Increased Blood Pressure. A Decrease In Blood Pressure Is
Not A Symptom Of Narcotic Medication Withdrawal.
Pts:1dif:Analyze
Ref: Potential And Actual Side Effects Of Opioid Analgesics
2. The Nurse Would Be Concerned That A Client Is At Risk For Developing Chronic Pain
When Whichof The Following Health Problems Are Diagnosed? (Select All That Apply.)
1. Osteoarthritis
2. Osteoporosis
PRIORITIZATION, DELEGATION, AND ASSIGNMENT
PRACTICE EXERCISES FOR THE NCLEX EXAM 5TH
EDITION
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, 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 Test Bank
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.
, 2. That Medication Does Not Exist Anymore.
3. That Medication Does Not Last Very Long.
4. It Can Cause You Have High Blood Pressure.
ANSWER: 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,
Nor Meperidine. The Best Response For The Nurse To Make To The Client Would Be That
Medication Does Not Last Verylong. The Other Responses Are Inaccurate.
Pts:1dif:Applyref: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.
ANSWER: 1
Amitriptyline Is An Antidepressant. Gabapentin Is An Anticonvulsant. Baclofen Is A Muscle
Relaxant. Diazepam Is A Benzodiazepine.
Pts: 1 Dif: Analyze Ref: Adjuvant Medications
8. A Client Receiving Around-The-Clock Medication For Terminal Cancer Experiences
Additional Painwhen Performing Activities Of Daily Living. The Nurse Realizes This Client Is
Experiencing:
1. Breakthrough Pain.
2. Intractable Pain.
3. Psychosomatic Pain.
4. Acute Pain.
ANSWER: 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:Analyzeref:Breakthrough Pain
9. A Client Recovering From Surgery Tells The Nurse That She Is Nauseated And Is
Experiencing Anincrease In Pain. Which Of The Following Does This Clients Symptoms
Suggest To The Nurse?
,1 The Client Is Becoming Dependent Upon The Pain Medication.
.
2 The Clients Pain Threshold Is Lower When Experiencing Nausea.
.
, 3 The Client Is Experiencing Withdrawal Symptoms From Pain Medication.
.
4 The Client Is Experiencing Referred Pain.
.
ANSWER: 2
Pain Threshold Is Influenced By Nausea, Fatigue, And Lack Of Sleep. The Client Experiencing
An Increase In Pain During Nausea Is Demonstrating An Alteration In The Pain Threshold. The
Client Isnot Becoming Dependent Upon The Pain Medication. The Client Is Not Experiencing
Withdrawal Symptoms. The Client Is Also Not Experiencing Referred Pain.
Pts: 1 Dif: Analyze Ref: Pain Threshold And Pain Tolerance
10. A Client With A History Of Malingering Pain Tells The Nurse That He Needs A Prescription
For Painmedication. Which Of The Following Should The Nurse Do First To Assist This Client?
1 Ask The Physician For A Pain Medication Prescription For The Client.
.
2 Remind The Client That He Does Not Have Pain But Just Wants The Medication.
.
3 Thoroughly Assess The Client For Pain.
.
4 Suggest The Client Seek Counseling For His Pain Medication-Seeking Behavior.
.
ANSWER: 3
Pain Of A Psychological Origin Is When An Individual Seeks Treatment For Pain When No
Actual Pain Exists. This Is Also Referred To As Malingering Or Pretending Pain. The Nurse
Should Not Assume That The Pain Does Not Exist But Rather Should Conduct A Thorough
Pain Assessment To Rule Out An Actual Physiological Problem. The Nurse Should Not
Immediately Ask The Physician For Pain Medication. The Nurse Should Not Remind The
Client That He Does Not Have Pain But Just Wants The Medication. The Nurse Should Also
Not Suggest The Client Seek Counseling For Pain Medication- Seeking Behavior.
Pts: 1 Dif: Apply Ref: Box 16-1 Pain Descriptions
11. The Nurse Is Implementing The Five Cs Of Pain Management For A Client. Which Of The
Following Is Included In This Intervention?
1 Caring For The Client In A Holistic Manner
.
2 Creating A Calm Environment
.
3 Comparing The Degree Of Pain Reported With Previous Episodes
.
4 Continuously Assessing The Clients Pain
.
ANSWER: 4
, The Five Cs Of Pain Management Include Comprehensive Assessment, Consistent Use Of
Assessment Tools, Continuous Reassessment, Customize The Plan Of Care, And
Collaborate With Other Health Care Providers To Plan Pain Management. The Other Choices
Are Not Included In The
Five Csof Pain Management.
Pts: 1 Dif: Apply Ref: Planning And Implementation
12. A Client, Diagnosed With Arthritis, Should Be Instructed To Avoid The Use Of Nsaids
Because Ofwhich Of The Following Prescribed Medications?
1. Penicillin
2. Coumadin
3. Digoxin
4. Diazide
ANSWER: 2
Persons At Greatest Risk For Adverse Reactions To Nsaids Include Those Who Are Prescribed
Warfarin (Coumadin) Since The Nsaid Can Increase The Effects Of The Coumadin And
Promote Bleeding.
Pts: 1 Dif: Apply Ref: Box 16-2 Groups Of Nsaid Drugs
Multiple Response
1. Prior To Hospitalization, A Client Had Been Ingesting High Doses Of Oxycodone. The
Nurse Suspects The Client Is Experiencing Symptoms Of Withdrawal When Which Of
The Following Areassessed? (Select All That Apply.)
1. Muscle Twitching And Spasms
2. Restlessness
3. Increased Heart Rate
4. Drop In Blood Pressure
5. Increase In Blood Pressure
6. Irritability
ANSWER: 1, 2, 3, 5, 6
Withdrawal Symptoms Include Myoclonus Or Muscle Twitching And Spasms, Restlessness,
Irritability, Increased Heart Rate, And Increased Blood Pressure. A Decrease In Blood Pressure Is
Not A Symptom Of Narcotic Medication Withdrawal.
Pts:1dif:Analyze
Ref: Potential And Actual Side Effects Of Opioid Analgesics
2. The Nurse Would Be Concerned That A Client Is At Risk For Developing Chronic Pain
When Whichof The Following Health Problems Are Diagnosed? (Select All That Apply.)
1. Osteoarthritis
2. Osteoporosis
