ATI LPN
Introduction to Nursing Practice Questions
Question 1 of 5
A client is receiving acupuncture as a complementary treatment for alcoholism. An expected outcome would be that the client will
Correct Answer: D
Rationale: Acupuncture is a complementary therapy often used to address addiction, including alcoholism, by targeting specific points in the body to restore balance and reduce cravings. While it may help with anxiety or promote well-being , these are secondary benefits rather than the primary expected outcome for alcoholism treatment. Verbalizing coping strategies is more aligned with cognitive-behavioral interventions, not acupuncture's direct effect. The most specific and expected outcome is a decreased desire for alcohol , as acupuncture is believed to influence the neurological and physiological pathways associated with addiction, reducing cravings over time. Research suggests it modulates dopamine levels in the brain, which are linked to reward-seeking behaviors like alcohol use, making D the best choice.
Question 2 of 5
Medication Calculation: A client with a diagnosis of panic disorder is prescribed Sertraline (Zoloft) 75 milligrams by mouth daily. Sertraline (Zoloft) 50 milligram tablets are received from the pharmacy. How many tablets will the registered nurse administer in 24 hours?
Correct Answer: B
Rationale: To calculate the correct dose: the prescription is 75 mg daily, and available tablets are 50 mg each. Divide 75 by 50: 75 ÷ 50 = 1.5 tablets. Thus, the nurse administers 1.5 tablets in 24 hours . Option A (1 tablet) underdoses at 50 mg, C (2 tablets) overdoses at 100 mg, and D (2.5 tablets) further overdoses at 125 mg. Accurate calculation ensures therapeutic efficacy for panic disorder while avoiding side effects like serotonin syndrome. Nurses must verify dosages, especially with psychotropics like Sertraline, where precision impacts mental health outcomes, confirming B as the correct choice.
Question 3 of 5
The nurse is suffering from job burnout and has taken the first step of learning to recognize stress and personal reactions. Which of the following should the nurse do next?
Correct Answer: A
Rationale: After recognizing burnout, the next logical step is identifying triggers , allowing the nurse to address specific stressors systematically. Telling others may help but lacks proactive problem-solving. Stopping work is impractical and avoids root causes, while changing jobs is premature without analysis. Identifying high-stress situations builds on self-awareness, enabling targeted coping strategies like delegation or mindfulness. This aligns with stress management models, preventing escalation and fostering resilience, making it the most effective next step.
Question 4 of 5
The nurse is assigned to be the primary nurse of a client who has a history of bisexuality and whose sexual values are quite different from their own. The nurse's most appropriate initial action during the pre-interaction phase of the relationship should be to:
Correct Answer: B
Rationale: In the pre-interaction phase, self-reflection is key to ensure biases don't hinder care. Changing the client's values is unethical and judgmental. Reviewing literature or probing reasons comes later; first, the nurse must address personal feelings to maintain professionalism. This step prevents countertransference, ensuring a therapeutic, nonjudgmental relationship, making B the best initial action.
Question 5 of 5
The nurse should introduce information about the end of the nurse-patient relationship:
Correct Answer: D
Rationale: Per Peplau's theory, discussing termination a few sessions prior prepares the client, fostering closure and independence. At goal completion is too late, orientation too early, and ‘tolerance' vague. Preemptive notice reduces anxiety, aligns with therapeutic process, making it the best timing.