, TABLE OF CONTENTS
fx fx
Guidelines for Prioritization, Delegation, and Assignment Decisions
fx fx fx fx fx fx
1. Pain
2. Cancer
3. Immunologic Problems fx
4. Fluid, Electrolyte, and Acid-Base Balance Problems
fx fx fx fx fx
5. Safety and Infection Control
fx fx fx
6. Respiratory Problems fx
7. Cardiovascular Problems fx
8. Hematologic Problems fx
9. Neurologic Problems fx
10. Visual and Auditory Problems
fx fx fx
11. Musculoskeletal Problems fx
12. Gastrointestinal and Nutritional Problems fx fx fx
13. Diabetes Mellitus
fx
14. Other Endocrine Problems
fx fx
15. Integumentary Problems fx
16. Renal and Urinary Problems
fx fx fx
17. Reproductive Problems fx
18. Problems in Pregnancy and Childbearing
fx fx fx fx
19. Pediatric Problems
fx
20. Pharmacology NEW! fx
21. Emergencies and Disasters fx fx
22. Psychiatric–Mental Health Problems fx fx
, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank fx fx fx fx fx fx fx fx
Chapter 1. Pain MUL fx fx fx
TIPLE CHOICE fx
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical atte
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
ntion. The nurse realizes this client understands that pain is important because it:
fx fx fx fx fx fx fx fx fx fx fx fx
1. is a protective system.
fx fx fx
2. includes the automatic withdrawal reflex. fx fx fx fx
3. creates sensitivity to pain. fx fx fx
4. helps with healing. fx fx
ANS: 1 fx
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, m
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
emory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain respo
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
nse, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain doe
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
s not help with healing.
fx fx fx fx
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
fx fx fx fx fx fx fx fx fx
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse reali
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
zes this client is experiencing:
fx fx fx fx
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 fx
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very p
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
ainful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body pos
fx fx fx fx fx fx fx fx fx fx fx fx fx
ition. Modulation is an influencing factor in the perception of pain.
fx fx fx fx fx fx fx fx fx fx
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
fx fx fx fx fx fx fx
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing whi
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
ch type of pain?
fx fx fx
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 fx
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
fx fx fx fx fx fx fx fx fx fx fx fx
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the neur
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
onal transmission process or due to impaired regulation.
fx fx fx fx fx fx fx
PTS:1DIF:AnalyzeREF:Types of Pain fx fx
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
fx fx fx fx fx fx fx fx fx fx fx fx fx fx
the nurse to describe this clients pain would be:
fx fx fx fx fx fx fx fx
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 fx
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mil
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
d to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of vi
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
sceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain i
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
s paroxysmal pain that occurs along the branches of a nerve.
fx fx fx fx fx fx fx fx fx f x
PTS:1DIF:ApplyREF:Types of Pain fx fx
5.A client is observed holding a pillow over the abdominal region with both knees flexed in
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
a side-
fx
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Wh
fx fx fx fx fx fx fx fx fx fx fx fx fx
ich of the following should the nurse say to this client?
fx fx fx fx fx fx fx fx fx fx
1. Can I get you anything? fx fx fx fx
2. Would you like something for pain? fx fx fx fx fx
3. You look comfortable. fx fx
4. Your blood pressure is up. fx fx fx fx
ANS: 2 fx
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the clie
fx fx fx fx fx fx fx fx fx fx fx fx fx fx
nt is hugging a pillow over the abdominal region with both knees flexed in a side-
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
lying position, the best thing for the nurse to say to this client is Would you like something for
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
pain? The other responses are incorrect because they do not acknowledge that the client is experi
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
encing pain. fx
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
fx fx fx fx fx fx fx fx fx fx
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she r
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
eceived when she had a total knee replacement. Which of the following should the nurse respo
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
nd to this client?
fx fx fx
1. You dont need something that strong.
fx fx fx fx fx
2. That medication does not exist anymore.
fx fx fx fx fx
3. That medication does not last very long.
fx fx fx fx fx fx
4. It can cause you have high blood pressure.
fx fx fx fx fx fx fx
fx fx
Guidelines for Prioritization, Delegation, and Assignment Decisions
fx fx fx fx fx fx
1. Pain
2. Cancer
3. Immunologic Problems fx
4. Fluid, Electrolyte, and Acid-Base Balance Problems
fx fx fx fx fx
5. Safety and Infection Control
fx fx fx
6. Respiratory Problems fx
7. Cardiovascular Problems fx
8. Hematologic Problems fx
9. Neurologic Problems fx
10. Visual and Auditory Problems
fx fx fx
11. Musculoskeletal Problems fx
12. Gastrointestinal and Nutritional Problems fx fx fx
13. Diabetes Mellitus
fx
14. Other Endocrine Problems
fx fx
15. Integumentary Problems fx
16. Renal and Urinary Problems
fx fx fx
17. Reproductive Problems fx
18. Problems in Pregnancy and Childbearing
fx fx fx fx
19. Pediatric Problems
fx
20. Pharmacology NEW! fx
21. Emergencies and Disasters fx fx
22. Psychiatric–Mental Health Problems fx fx
, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank fx fx fx fx fx fx fx fx
Chapter 1. Pain MUL fx fx fx
TIPLE CHOICE fx
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical atte
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
ntion. The nurse realizes this client understands that pain is important because it:
fx fx fx fx fx fx fx fx fx fx fx fx
1. is a protective system.
fx fx fx
2. includes the automatic withdrawal reflex. fx fx fx fx
3. creates sensitivity to pain. fx fx fx
4. helps with healing. fx fx
ANS: 1 fx
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, m
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
emory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain respo
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
nse, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain doe
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
s not help with healing.
fx fx fx fx
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
fx fx fx fx fx fx fx fx fx
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse reali
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
zes this client is experiencing:
fx fx fx fx
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 fx
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very p
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
ainful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body pos
fx fx fx fx fx fx fx fx fx fx fx fx fx
ition. Modulation is an influencing factor in the perception of pain.
fx fx fx fx fx fx fx fx fx fx
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
fx fx fx fx fx fx fx
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing whi
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
ch type of pain?
fx fx fx
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 fx
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
fx fx fx fx fx fx fx fx fx fx fx fx
, pathological pain are both types of pain that result from injury to a nerve or malfunction of the neur
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
onal transmission process or due to impaired regulation.
fx fx fx fx fx fx fx
PTS:1DIF:AnalyzeREF:Types of Pain fx fx
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
fx fx fx fx fx fx fx fx fx fx fx fx fx fx
the nurse to describe this clients pain would be:
fx fx fx fx fx fx fx fx
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 fx
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mil
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
d to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of vi
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
sceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain i
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
s paroxysmal pain that occurs along the branches of a nerve.
fx fx fx fx fx fx fx fx fx f x
PTS:1DIF:ApplyREF:Types of Pain fx fx
5.A client is observed holding a pillow over the abdominal region with both knees flexed in
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
a side-
fx
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Wh
fx fx fx fx fx fx fx fx fx fx fx fx fx
ich of the following should the nurse say to this client?
fx fx fx fx fx fx fx fx fx fx
1. Can I get you anything? fx fx fx fx
2. Would you like something for pain? fx fx fx fx fx
3. You look comfortable. fx fx
4. Your blood pressure is up. fx fx fx fx
ANS: 2 fx
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the clie
fx fx fx fx fx fx fx fx fx fx fx fx fx fx
nt is hugging a pillow over the abdominal region with both knees flexed in a side-
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
lying position, the best thing for the nurse to say to this client is Would you like something for
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
pain? The other responses are incorrect because they do not acknowledge that the client is experi
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
encing pain. fx
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
fx fx fx fx fx fx fx fx fx fx
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she r
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
eceived when she had a total knee replacement. Which of the following should the nurse respo
fx fx fx fx fx fx fx fx fx fx fx fx fx fx fx
nd to this client?
fx fx fx
1. You dont need something that strong.
fx fx fx fx fx
2. That medication does not exist anymore.
fx fx fx fx fx
3. That medication does not last very long.
fx fx fx fx fx fx
4. It can cause you have high blood pressure.
fx fx fx fx fx fx fx
