ATI LPN
Introduction to Practical Nursing Questions
Question 1 of 5
A Native American client is admitted to an emergency department (ED) with an ulcerated toe secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present. Which nursing intervention is most appropriate?
Correct Answer: B
Rationale: Cultural sensitivity requires honoring the client's beliefs. Locating a shaman respects his values, facilitating care without coercion. Informing of rights is true but passive, questioning the shaman's role may offend, and dismissing it as ‘voodoo' is disrespectful. Option B bridges cultural gaps, enhancing trust and treatment adherence.
Question 2 of 5
A client who has been diagnosed with polymyalgia rheumatica has muscle pain and weakness and has curtailed physical and social activities to accommodate her condition. She tells the nurse, 'I cannot do anything. I have to depend on other people to help me. I do not enjoy much of anything anymore; even food does not taste good, I cannot see that my situation will change, so I feel pretty hopeless.' The priority action the nurse should take is to:
Correct Answer: C
Rationale: Hopelessness, anhedonia, and dependency suggest depression , a priority due to suicide risk. Positivity dismisses feelings, exercise is secondary, and support follows assessment. Depression screening ensures safety, making it the priority action.
Question 3 of 5
As a Hispanic client nears death, the spouse begins to weep and call out loudly at the bedside, the nurse responds by:
Correct Answer: C
Rationale: Cultural norms may include expressive grief. Quiet presence respects this, offering support without judgment. Explaining peace or controlling reaction dismisses her process; removing her isolates her. Sitting with her aligns with compassionate care, making it the response.
Question 4 of 5
The nurse Practitioner orders: Sertraline (Zoloft) 150 milligram by mouth once a day. Sertraline (Zoloft) 100 milligram tablets are available. How many tablets would you administer today?
Correct Answer: D
Rationale: Ordered 150 mg ÷ 100 mg tablets = 1.5 tablets . A (0.5) is 50 mg, B (2) is 200 mg, C (4) is 400 mg all incorrect. Accurate dosing ensures efficacy for depression/anxiety without toxicity, making it the answer.
Question 5 of 5
The nurse reviewed the state nurse practice act with a new colleague. Which statement indicates that the new nurse understands the role and function of this act?
Correct Answer: D
Rationale: The Nurse Practice Act defines the scope of practice for each nursing level based on education , a core function ensuring legal and safe practice. It varies by state (A is false), specifies supervision (B is false LPNs work under RNs or physicians), and is enforced by state boards, not the ANA (C is false). Understanding scope shows the new nurse grasps the Act's role in delineating responsibilities, protecting patients, and guiding licensure, making it the statement reflecting comprehension.