Test Bank For Prioritization, Delegation, and Assignment, 5th Edition, Practice Exercises for the NCLEX Examination Updated, All Chapters 1-22

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Chapterw1.wPainwMULTIPLEwCHOICE

1.Awclientwtellswthewnursewthatwshewrarelywexperienceswpain,wbutwwhenwshewdoes,wshewseekswmedicalwatte
ntion.wThewnursewrealizeswthiswclientwunderstandswthatwpainwiswimportantwbecausewit:



1. iswawprotectivewsystem.

2. includeswthewautomaticwwithdrawalwreflex.

3. createswsensitivitywtowpain.

4. helpswwithwhealing

.wANS:w1

Painwiswawprotectivewsystemwthatwincludeswprotectionwfromwunsafewbehaviorswbywusewofwreflexes,wmem
ory,wandwavoidance.wEvenwthoughwthewautomaticwwithdrawalwreflexwiswawpartwofwthewpainwresponse,witw
doeswnotwexplainwwhywpainwiswimportant.wPainwdoeswnotwcreatewsensitivitywtowpain.wPainwdoeswnotwhelp
wwithwhealing.



PTS:w1wDIF:wAnalyzewREF:wDefinitionswandwImplicationswofwPain

2.Awclientwcomplainswthatwthewbedwsheetswtouchingwhiswskinwarewextremelywpainful.wThewnursewrealizeswt
hiswclientwiswexperiencing:



1. allodynia.

2. modulation.

3. kinesthesia.

4. proprioception.

ANS:w1

Allodyniaworwhyperalgesiawiswawstatewwherewawslightworwnonpainfulwstimuluswiswinterpretedwaswverywpainf
ul.wKinesthesiawiswthewawarenesswofwmovement.wProprioceptionwiswthewawarenesswofwbodywposition.
Modulationwiswanwinfluencingwfactorwinwthewperceptionwofwpai

n.wPTS:w1wDIF:wAnalyzewREF:wPeripheralwNervouswSystem

3.Awclientwiswcomplainingwofwseverewabdomenwpain.wThewnursewrealizeswthiswclientwiswexperiencingwwhich
wtypewofwpain?




1. Neuralgia

,2. Pathological

3. Somatic

4. Visceral

ANS:w4

Visceralwpainwiswpainwarisingwfromwthewbodyworgansworwgastrointestinalwtract.wSomaticwpainwiswpainwthatw
originateswfromwthewbone,wjoints,wmuscles,wskin,worwconnectivewpain.wNeuralgiawand



pathologicalwpainwarewbothwtypeswofwpainwthatwresultwfromwinjurywtowawnerveworwmalfunctionwofwthewneuronal
wtransmissionwprocessworwduewtowimpairedwregulation.



PTS:1DIF:AnalyzeREF:TypeswofwPain

4.Awclient,wdiagnosedwwithwacutewappendicitis,wiswexperiencingwabdominalwpain.wThewbestwwaywforwthewnu
rsewtowdescribewthiswclientswpainwwouldwbe:



1. chronic.

2. neuropathic.

3. referred.

4. acute.

ANS:w4

Acutewpainwonsetwiswsuddenwandwofwshortwduration.wChronicwpainwiswawsuddenworwslowwonsetwofwmildwtow
severewpainwthatwlastswlongerwthanw6wmonths.wReferredwpainwiswthewresultwofwthewtransferwofwvisceralwpai
nwsensationswtowawbodywsurfacewatwawdistancewfromwthewactualworigin.wNeuropathicwpainwiswparoxysmalwp
ainwthatwoccurswalongwthewbrancheswofwawnerve.

PTS:1DIF:ApplyREF:Typesw ofw Pain

5. Awclientwiswobservedwholdingwawpillowwoverwthewabdominalwregionwwithwbothwkneeswflexedwinwawside-
lyingwposition.wVitalwsignswassessmentwrevealswanwelevatedwbloodwpressurewandwheartwrate.wWhichwofwt
hewfollowingwshouldwthewnursewsaywtowthiswclient?



1. CanwIwgetwyouwanything?

2. Wouldwyouwlikewsomethingwforwpain?

3. Youwlookwcomfortable.

4. Yourwbloodwpressurewiswup

.wANS:w2

, Sympatheticwresponseswtowpainwincludewelevatedwbloodwpressurewandwheartwrate.wAndwsincewthewclientwi
swhuggingwawpillowwoverwthewabdominalwregionwwithwbothwkneeswflexedwinwawside-
lyingwposition,wthewbestwthingwforwthewnursewtowsaywtowthiswclientwiswWouldwyouwlikewsomethingwforwpain?
wThewotherwresponseswarew incorrectwbecausewtheywdownotwacknowledgewthatwthewclientwiswexperiencingw

pain.

PTS:w1wDIF:wApplywREF:wAssessingwthewClinicalwManifestationswofwPain

6. AwclientwexperiencingwchronicwpainwaskswthewnursewwhywshewiswnotwprescribedwDemerolwlikewshewrecei
vedwwhenwshewhadwawtotalwkneewreplacement.wWhichwofwthewfollowingwshouldwthewnursewrespondwtowthi
swclient?



1. Youwdontwneedwsomethingwthatwstrong.

2. Thatwmedicationwdoeswnotwexistwanymore.

3. Thatwmedicationwdoeswnotwlastwverywlong.

4. Itwcanwcausewyouwhavewhighwbloodwpressure.



ANS:w3

Meperidinewiswnowlongerwawmajorwdrugwforwacuteworwchronicwpainwduewtowitswshortwanalgesicwdurationwofw
2wtow3whourswandwthewpotentialwforwaccumulativewtoxicweffectswofwitswmetabolite,wnormeperidine.wThewb
estwresponsewforwthewnursewtowmakewtowthewclientwwouldwbewthatwmedicationwdoeswnotwlastwverywlong.wTh
ewotherwresponseswarewinaccurate.

PTS:1DIF:ApplyREF:Opioidw Analgesics

7. Awclientwiswinformedwthatwawtricyclicwantidepressantwmedicationwiswgoingwtowhelpwcontrolwhiswchronicwp
ain.wThewnursewwouldwexpectwthewphysicianwtowprescribe:



1. Amitriptyline.

2. Baclofen.

3. Gabapentin.

4. Diazepam.

ANS:w1

Amitriptylinewiswanwantidepressant.wGabapentinwiswanwanticonvulsant.wBaclofenwiswawmusclewrelaxant.wDi
azepamwiswawbenzodiazepine.

PTS:w1wDIF:wAnalyzewREF:wAdjuvantwMedications

8. Awclientwreceivingwaround-the-
clockwmedicationwforwterminalwcancerwexperienceswadditionalwpainwwhenwperformingwactivitieswofwdail
ywliving.wThewnursewrealizeswthiswclientwiswexperiencing: