ATI LPN
Introduction to Nursing Practice Questions
Question 1 of 5
A patient has been in hospice and in the terminal phase of dying for approximately 10 days. His wife has remained by his side, leaving only for brief periods, and now appears pale and exhausted. The nurse, noticing that the wife has not eaten much, suggests she take a break to eat and rest. The wife declines, expressing, 'I don't want to leave him. I won't have him much longer, and I don't want him to go when I'm gone.' What is the most appropriate nursing intervention in this scenario?
Correct Answer: A
Rationale: In this hospice scenario, the wife's emotional need to stay with her dying husband outweighs her physical needs, reflecting her grief and fear of missing his final moments. Arranging a cot and food respects her wishes while addressing her health, supporting her presence without forcing separation. Calling the provider dismisses her autonomy and escalates unnecessarily, while explaining she'd help more if rested guilt-trips her, ignoring her emotional state. Assuring her it's safe to leave risks false reassurance, as death timing is unpredictable. Option A aligns with compassionate, patient-family-centered care, reducing her stress and meeting her needs holistically, consistent with hospice philosophy.
Question 2 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 3 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 4 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.
Question 5 of 5
Which of the following is a physiological response experienced during the exhaustion stage of general adaptation syndrome?
Correct Answer: D
Rationale: In Selye's General Adaptation Syndrome, exhaustion follows resistance, depleting resources. Decreased immune response occurs as cortisol overproduction weakens immunity. Alertness and neuroendocrine activity mark earlier stages, while Alpha state is unrelated. Exhaustion's immune decline explains illness susceptibility, making it the correct response.