TEST BANK for Prioritization, Delegation,
and Assignment: Practice Exercises for the
NCLEX Examination 6th Edition by Linda
A. LaCharity, Candice K. Kumagai
COMPLETE CHAPTERS 1-24| VERIFIED
SOLUTIONS FOR EXAM PREPARATIONS
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, TABLE OF CONTENTS
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
23. Community Health Problems
24. NGN-Style Questions
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, 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.
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 why
pain 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. 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.
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
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3. Somatic
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4. Visceral
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, 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 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
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acknowledge that the client is experiencing pain.
PTS: 1 DIF: Apply REFERENCE: Assessing the Clinical Manifestations of Pain
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and Assignment: Practice Exercises for the
NCLEX Examination 6th Edition by Linda
A. LaCharity, Candice K. Kumagai
COMPLETE CHAPTERS 1-24| VERIFIED
SOLUTIONS FOR EXAM PREPARATIONS
Ar
ch
Do
1|Page
c
, TABLE OF CONTENTS
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
23. Community Health Problems
24. NGN-Style Questions
Ar
ch
Do
2|Page
c
, 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.
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 why
pain 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. 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.
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
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3. Somatic
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4. Visceral
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3|Page
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, 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 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
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acknowledge that the client is experiencing pain.
PTS: 1 DIF: Apply REFERENCE: Assessing the Clinical Manifestations of Pain
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4|Page
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