ATI LPN
Introduction to Professional Nursing Practice Questions
Question 1 of 5
A client comes to the emergency department after a car accident in a severe state of anxiety. What is the most appropriate nursing intervention at this time?
Correct Answer: A
Rationale: In acute anxiety post-accident, the nurse's presence provides immediate safety and reassurance, grounding the client. Seclusion might isolate them, worsening panic. Deep breathing is helpful, but rapid walking could escalate agitation. Talking about the trauma may overwhelm them initially. Staying with the client aligns with crisis intervention principles, reducing fear through human connection, stabilizing them for further care, making it the priority intervention.
Question 2 of 5
A 34 year old single male client has very few close friends and relatives. He was very dependent on his mother before her death, although he often complained about her intrusiveness. What statement best describes his risk for problems in resolving his grief?
Correct Answer: D
Rationale: High risk fits due to dependency, ambivalence, and poor support, complicating grief resolution. Parental death isn't risk-free , independence isn't assured , and moderate risk underestimates factors. Dependency and unresolved feelings predict prolonged grief, per attachment theory, making it the best description.
Question 3 of 5
A client hospitalized after a myocardial infarction is restlessly moving about in bed. The client's pulse, blood pressure, and respiratory rate are elevated. In a shaky voice, the client tells the nurse 'I think I am going to die. The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the doctor here with me?' The nurse should analyze this behavior as suggesting the nursing diagnosis of
Correct Answer: D
Rationale: Elevated vitals, restlessness, and fear of death suggest Anxiety , a common post-MI reaction. Noncompliance lacks evidence, breathing issues are secondary, and spiritual distress isn't indicated. Anxiety fits NANDA criteria, driving care, making it the diagnosis.
Question 4 of 5
Which client would the nurse assess as having ineffective coping skills?
Correct Answer: B
Rationale: Ineffective coping involves maladaptive responses. Mr. C's guilt and hopelessness indicate poor coping, unlike Mr. D's proactivity , Ms. B's resilience , and Ms. A's support-seeking . B's rumination suggests ineffective coping per Lazarus, making him the match.
Question 5 of 5
A nurse assigned to a client with a terminal illness appears increasingly reluctant to spend time with the client, rushing through routine assessments and speaking to the client in short, quick sentences. The nursing supervisor suspects that the nurse is experiencing
Correct Answer: D
Rationale: Avoidance and rushed care suggest unresolved issues , like death anxiety, impairing the relationship. Urinary retention is unrelated, workload lacks evidence, and acceptance wouldn't cause this behavior. Unresolved feelings explain detachment, per countertransference, making it the suspicion.