Test Bank for Prioritization Delegation and
Assignment 4th Edition LaCharity Chapter 1-22
Complete Guide
Test[Bank[Prioritization,[Delegation,[an
d[Assignment[4th[Edition.
Practice[Exercises[for[the[NCLEX[Examination
To[clarify,[this[is[the[test[bank,[not[th
e[textbook.
You[get[immediate[access[to[download[you
r[test[bank.
You[will[receive[a[complete[test[bank;[i
n[other[words,[all[chapters[will[be[there.
Test[banks[come[in[ePub[or[PDF[format;[
therefore,[you[do[not[need[specialized[softwar
e[to[open[them.
This[is[a[Test[Bank[(Study[Questions)[which[helps
[you[better[prepare[for[your[tests[and[exams.
Prioritization[Delegation[and[Assignment[4th[Ed
ition[by[LaCharity[Test[Bank[emphasis[on[the[N
CLEX[Examination’s[management-of-
care[focus[addresses[the[heavy[emphasis[on[prio
ritization,[delegation,[and[patient[assignment[in[
the[current[NCLEX-
RN®[Examination[and[much[more!
Nursing[Test[Bank[Download[instantly[after[purchase[will[have[you[on[the[road[to[academi
c[excellence[to[pass[your[classes[with[ease[and[receive[the[grades[you[deserve!
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
, Prioritization[Delegation[and[Assignment[4th[Edition[LaCharity[Test[Bank
Chapter[1.[Pain[MULTIP
LE[CHOICE
1.A[client[tells[the[nurse[that[she[rarely[experiences[pain,[but[when[she[does,[she[seeks[medical[atten
tion.[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,[mem
ory,[and[avoidance.[Even[though[the[automatic[withdrawal[reflex[is[a[part[of[the[pain[response,[it[d
oes[not[explain[why[pain[is[important.[Pain[does[not[create[sensitivity[to[pain.[Pain[does[not[help[wi
th[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[re
alizes[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[painf
ul.[Kinesthesia[is[the[awareness[of[movement.[Proprioception[is[the[awareness[of[body[position.[M
odulation[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[whi
ch[type[of[pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION:[ 4
Visceral[pain[is[pain[arising[from[the[body[organs[or[gastrointestinal[tract.[Somatic[pain[is[pain[th
at[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[neuro
nal[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[t
he[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[t
o[severe[pain[that[lasts[longer[than[6[months.[Referred[pain[is[the[result[of[the[transfer[of[viscera
l[pain[sensations[to[a[body[surface[at[a[distance[from[the[actual[origin.[Neuropathic[pain[is[parox
ysmal[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.[Whic
h[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[clien
t[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[pa
in?[The[other[responses[are[incorrect[because[they[do[not[acknowledge[that[the[client[is[experienci
ng[pain.
PTS:[1[DIF:[Apply[REFERENCE:[Assessing[the[Clinical[Manifestations[of[Pain
6.A[client[experiencing[chronic[pain[asks[the[nurse[why[she[is[not[prescribed[Demerol[like[she[re
ceived[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.
3. That[medication[does[not[last[very[long.
4. It[can[cause[you[have[high[blood[ pressure.
, SOLUTION:[ 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,[normeperidine.[
The[best[response[for[the[nurse[to[make[to[the[client[would[be[that[medication[does[not[last[very[l
ong.[The[other[responses[are[inaccurate.
PTS:1DIF:ApplyREFERENCE:Opioid[ Analgesics
7.A[client[is[informed[that[a[tricyclic[antidepressant[medication[is[going[to[help[control[his[c
hronic[pain.[The[nurse[would[expect[the[physician[to[prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
SOLUTION:[ 1
Amitriptyline[is[an[antidepressant.[Gabapentin[is[an[anticonvulsant.[Baclofen[is[a[muscle[rel
axant.[Diazepam[is[a[benzodiazepine.
PTS:[1[DIF:[Analyze[REFERENCE:[Adjuvant[Medications
8. A[client[receiving[around-the-
clock[medication[for[terminal[cancer[experiences[additional[pain[when[performing[activities[of[d
aily[living.[The[nurse[realizes[this[client[is[experiencing:
1. breakthrough[pain.
2. intractable[pain.
3. psychosomatic[ pain.
4. acute[pain.
SOLUTION:[ 1
Breakthrough[pain[is[commonly[seen[in[the[advanced[stages[of[cancer.[It[is[spontaneous,[unpred
ictable,[and[can[be[initiated[by[certain[activities[such[as[during[activities[of[daily[living.[Intracta
ble[pain[is[resistant[to[some[or[all[forms[of[therapy.[Psychosomatic[pain[is[that[which[has[a[psych
ological[origin.[The[client[is[diagnosed[with[terminal[cancer.[Acute[pain[has[a[sudden[onset[and[
resolves[within[6[months.
PTS:1DIF:AnalyzeREFERENCE:Breakthrough[Pain
9. A[client[recovering[from[surgery[tells[the[nurse[that[she[is[nauseated[and[is[experiencing[an[
increase[in[pain.[Which[of[the[following[does[this[clients[symptoms[suggest[to[the[nurse?
1 The[client[is[becoming[dependent[upon[the[pain[medication.
.
Assignment 4th Edition LaCharity Chapter 1-22
Complete Guide
Test[Bank[Prioritization,[Delegation,[an
d[Assignment[4th[Edition.
Practice[Exercises[for[the[NCLEX[Examination
To[clarify,[this[is[the[test[bank,[not[th
e[textbook.
You[get[immediate[access[to[download[you
r[test[bank.
You[will[receive[a[complete[test[bank;[i
n[other[words,[all[chapters[will[be[there.
Test[banks[come[in[ePub[or[PDF[format;[
therefore,[you[do[not[need[specialized[softwar
e[to[open[them.
This[is[a[Test[Bank[(Study[Questions)[which[helps
[you[better[prepare[for[your[tests[and[exams.
Prioritization[Delegation[and[Assignment[4th[Ed
ition[by[LaCharity[Test[Bank[emphasis[on[the[N
CLEX[Examination’s[management-of-
care[focus[addresses[the[heavy[emphasis[on[prio
ritization,[delegation,[and[patient[assignment[in[
the[current[NCLEX-
RN®[Examination[and[much[more!
Nursing[Test[Bank[Download[instantly[after[purchase[will[have[you[on[the[road[to[academi
c[excellence[to[pass[your[classes[with[ease[and[receive[the[grades[you[deserve!
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
, Prioritization[Delegation[and[Assignment[4th[Edition[LaCharity[Test[Bank
Chapter[1.[Pain[MULTIP
LE[CHOICE
1.A[client[tells[the[nurse[that[she[rarely[experiences[pain,[but[when[she[does,[she[seeks[medical[atten
tion.[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,[mem
ory,[and[avoidance.[Even[though[the[automatic[withdrawal[reflex[is[a[part[of[the[pain[response,[it[d
oes[not[explain[why[pain[is[important.[Pain[does[not[create[sensitivity[to[pain.[Pain[does[not[help[wi
th[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[re
alizes[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[painf
ul.[Kinesthesia[is[the[awareness[of[movement.[Proprioception[is[the[awareness[of[body[position.[M
odulation[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[whi
ch[type[of[pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION:[ 4
Visceral[pain[is[pain[arising[from[the[body[organs[or[gastrointestinal[tract.[Somatic[pain[is[pain[th
at[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[neuro
nal[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[t
he[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[t
o[severe[pain[that[lasts[longer[than[6[months.[Referred[pain[is[the[result[of[the[transfer[of[viscera
l[pain[sensations[to[a[body[surface[at[a[distance[from[the[actual[origin.[Neuropathic[pain[is[parox
ysmal[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.[Whic
h[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[clien
t[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[pa
in?[The[other[responses[are[incorrect[because[they[do[not[acknowledge[that[the[client[is[experienci
ng[pain.
PTS:[1[DIF:[Apply[REFERENCE:[Assessing[the[Clinical[Manifestations[of[Pain
6.A[client[experiencing[chronic[pain[asks[the[nurse[why[she[is[not[prescribed[Demerol[like[she[re
ceived[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.
3. That[medication[does[not[last[very[long.
4. It[can[cause[you[have[high[blood[ pressure.
, SOLUTION:[ 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,[normeperidine.[
The[best[response[for[the[nurse[to[make[to[the[client[would[be[that[medication[does[not[last[very[l
ong.[The[other[responses[are[inaccurate.
PTS:1DIF:ApplyREFERENCE:Opioid[ Analgesics
7.A[client[is[informed[that[a[tricyclic[antidepressant[medication[is[going[to[help[control[his[c
hronic[pain.[The[nurse[would[expect[the[physician[to[prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
SOLUTION:[ 1
Amitriptyline[is[an[antidepressant.[Gabapentin[is[an[anticonvulsant.[Baclofen[is[a[muscle[rel
axant.[Diazepam[is[a[benzodiazepine.
PTS:[1[DIF:[Analyze[REFERENCE:[Adjuvant[Medications
8. A[client[receiving[around-the-
clock[medication[for[terminal[cancer[experiences[additional[pain[when[performing[activities[of[d
aily[living.[The[nurse[realizes[this[client[is[experiencing:
1. breakthrough[pain.
2. intractable[pain.
3. psychosomatic[ pain.
4. acute[pain.
SOLUTION:[ 1
Breakthrough[pain[is[commonly[seen[in[the[advanced[stages[of[cancer.[It[is[spontaneous,[unpred
ictable,[and[can[be[initiated[by[certain[activities[such[as[during[activities[of[daily[living.[Intracta
ble[pain[is[resistant[to[some[or[all[forms[of[therapy.[Psychosomatic[pain[is[that[which[has[a[psych
ological[origin.[The[client[is[diagnosed[with[terminal[cancer.[Acute[pain[has[a[sudden[onset[and[
resolves[within[6[months.
PTS:1DIF:AnalyzeREFERENCE:Breakthrough[Pain
9. A[client[recovering[from[surgery[tells[the[nurse[that[she[is[nauseated[and[is[experiencing[an[
increase[in[pain.[Which[of[the[following[does[this[clients[symptoms[suggest[to[the[nurse?
1 The[client[is[becoming[dependent[upon[the[pain[medication.
.
