Prioritization Delegation and
Assignment 4th Edition
LaCharity Test Bank
,Prioritization Delegation and Assignment 4th Edition 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.
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. 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.
ANS: 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 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
ANS: 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 for the 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 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.
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 experiencing pain.
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 she received
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.
ANS: 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 long. 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.
ANS: 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 pain when
performing activities of daily living. The nurse realizes this client is experiencing:
Assignment 4th Edition
LaCharity Test Bank
,Prioritization Delegation and Assignment 4th Edition 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.
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. 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.
ANS: 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 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
ANS: 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 for the 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 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.
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 experiencing pain.
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 she received
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.
ANS: 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 long. 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.
ANS: 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 pain when
performing activities of daily living. The nurse realizes this client is experiencing:
