ATI LPN
Introduction to Professional Nursing Practice Questions
Question 1 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 2 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.
Question 3 of 5
A client is prescribed Remeron (Mirtazapine) 7.5 milligrams by mouth at bedtime. Remeron (Mirtazapine) 15 milligram tablets are available. How many tablets do you administer to the client by mouth at bedtime?
Correct Answer: B
Rationale: Prescribed 7.5 mg ÷ 15 mg tablets = 0.5 tablets . A (1) is 15 mg, C (2) is 30 mg, D (1.5) is 22.5 mg all wrong. Half a tablet ensures proper sedation dose, avoiding excess, making it correct.
Question 4 of 5
While caring for a patient, the nurse performs an intervention that is beyond the scope of practice. The nurse has violated the expectations of which regulatory body?
Correct Answer: B
Rationale: The Nurse Practice Act governs scope of practice, setting legal boundaries for nursing actions. Performing an intervention beyond this violates the Act, risking patient safety and licensure. An Ethics Committee addresses moral dilemmas, not scope. The State Department of Health oversees public health, not individual practice limits. The National League for Nursing Education sets educational standards, not practice enforcement. The Act's violation is specific to exceeding defined roles, making it the regulatory body impacted.
Question 5 of 5
A student nurse is learning about nursing history. Which statement should the student use to describe Lillian Wald?
Correct Answer: B
Rationale: Lillian Wald was the first visiting nurse and founded the Henry Street Settlement , pioneering community nursing for the poor. The Crimean War was Florence Nightingale, the 3-year program was Isabel Hampton Robb, and the Red Cross was Clara Barton. Wald's legacy lies in public health, not these other roles, making it the accurate historical description for the student.