ATI LPN
Introduction to Practical Nursing Questions
Question 1 of 5
A young woman who has just started college is 6 weeks into the semester and has several tests and assignments due in approximately 3 days. She has developed a sore throat and fever. The development of illness is related to:
Correct Answer: C
Rationale: Stress from looming deadlines can lead to immunosuppression , weakening the immune system and increasing susceptibility to infections like a sore throat and fever. Decreased energy and sleep deprivation may contribute but are less specific causes of illness; they're symptoms of stress, not the mechanism. Exposure to streptococcus could be a factor, but the question ties illness to her situation, not a specific pathogen. Chronic stress elevates cortisol, suppressing T-cell activity and antibody production, making C the most direct link between her circumstances and illness onset.
Question 2 of 5
Which of the following is true about a therapeutic relationship?
Correct Answer: A
Rationale: A therapeutic relationship aims to support the client holistically physically and emotionally per nursing models like Peplau's. It ends when goals are met (B is false), isn't a friendship , and involves mutual goal-setting (D is false). Option A captures its purpose: facilitating healing through empathy and care, making it the true statement.
Question 3 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 4 of 5
A client has had a total knee replacement and will need assistance for several weeks after discharge. She tells the nurse caring for her 'I do not intend to assume the ‘sick role.' The nurse knows the client is objecting to:
Correct Answer: C
Rationale: The 'sick role' (Parsons) implies dependency and exemption from normal roles. The client resists losing independence , not financial duty , defense mechanisms , or care coordination . Her statement reflects autonomy, making C the objection.
Question 5 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.