ATI LPN
Introduction to Nursing Practice Questions
Question 1 of 5
An older adult client takes medication three times a day and becomes confused about which medication should be taken at which time. The client refuses to use a pill sorter with slots for different times, saying 'Those are for old people.' What action by the nurse would be most helpful?
Correct Answer: C
Rationale: Color-coded stickers on caps, per the document, offer a simple, visible cue for timing, respecting the client's refusal of a sorter. Drawer arrangement risks errors, easy-open tops don't address timing, and a list may be lost. C reduces confusion effectively, enhancing adherence, making it most helpful.
Question 2 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 3 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 4 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 5 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.