TEST BANK FOR PRIORITIZATION, DELEGATION, AND ASSIGNMENT: PRACTICE EXERCISES FOR THE NCLEX EXAMINATION 6TH EDITION BY LINDA A. LACHARITY, CANDICE K. KUMAGAI, SHIRLEY M. HOSLER |COMPLETE TEST GUIDE WITH VERIFIED QUESTIONS & ANSWERS| VERIFIED CHAPTERS 1-24|

, 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 qy

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


7. Cardiovascular Problems qy


8. Hematologic Problems qy

9. Neurologic Problems qy

10. Visual and Auditory Problems
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11. Musculoskeletal Problems qy

12. Gastrointestinal and Nutritional Problems qy qy qy

13. Diabetes Mellitus
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14. Other Endocrine Problems
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15. Integumentary Problems qy

16. Renal and Urinary Problems
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17. Reproductive Problems qy

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

21. Emergencies and Disasters qy qy

22. Psychiatric–Mental Health Problems qy qy

, Prioritization Delegation and Assignment 6th Edition LaCharity Test Bankqy qy qy qy qy qy qy qy




Chapter 1. Pain MUL qy qy qy


TIPLE CHOICE qy


1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical at
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tention. 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. qy qy qy




4. helps with healing. qy qy



ANS: 1 qy


Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
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ymemory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain r
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esponse, it does not explain why pain is important. Pain does not create sensitivity to pain. Pa
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in 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 re
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alizes this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 qy


Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as ver
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y painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of bod
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y 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 w
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hich type of pain?
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1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 qy


Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pai
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n 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 n
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euronal transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain qy qy


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


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


5.A client is observed holding a pillow over the abdominal region with both knees flexed i
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n a side-
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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?
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3. You look comfortable.qy qy




4. Your blood pressure is up.
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ANS: 2 qy


Sympathetic responses to pain include elevated blood pressure and heart rate. And since the c
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lient is hugging a pillow over the abdominal region with both knees flexed in a side-
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lying position, the best thing for the nurse to say to this client is Would you like something f
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or pain? The other responses are incorrect because they do not acknowledge that the client is e
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xperiencing pain. qy


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 sh
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e received when she had a total knee replacement. Which of the following should the nurse r
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espond to this client? qy qy qy




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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