ANSWERSHEET
Test Bank For Prioritization, Delegation, and Assignment,
5th Edition, Practice Exercises for the NCLEX Examination Updated,
All Chapters 1-22
, ANSWERSHEET
TABLE OF CONTENTS
Guidelines for Prioritization, Delegation, and Assignment Decisions
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
, ANSWERSHEET
2
Chapter 1. Pain
MULTIPLE CHOICE
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medicalattention.
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.
ANS: 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. Paindoes 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.
ANS: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as verypainful.
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 experiencingwhich type
of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
,ANS: 4 ANSWERSHEET
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is painthat
originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
, ANSWERSHEET
3
pathological pain are both types of pain that result from injury to a nerve or malfunction of theneuronal
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.
ANS: 4
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mildto
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 aside-
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.
ANS: 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 dont need something that strong.
2. That medication does not exist anymore.
Test Bank For Prioritization, Delegation, and Assignment,
5th Edition, Practice Exercises for the NCLEX Examination Updated,
All Chapters 1-22
, ANSWERSHEET
TABLE OF CONTENTS
Guidelines for Prioritization, Delegation, and Assignment Decisions
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
, ANSWERSHEET
2
Chapter 1. Pain
MULTIPLE CHOICE
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medicalattention.
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.
ANS: 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. Paindoes 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.
ANS: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as verypainful.
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 experiencingwhich type
of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
,ANS: 4 ANSWERSHEET
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is painthat
originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
, ANSWERSHEET
3
pathological pain are both types of pain that result from injury to a nerve or malfunction of theneuronal
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.
ANS: 4
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mildto
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 aside-
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.
ANS: 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 dont need something that strong.
2. That medication does not exist anymore.
