ATI LPN
Introduction to Professional Nursing Practice Questions
Question 1 of 5
An older adult is brought to the emergency department because of sudden onset of confusion. After the client is stabilized and comfortable, what assessment by the nurse is most important?
Correct Answer: B
Rationale: Sudden confusion often stems from new medications, per the document, making their assessment most important post-stabilization. Orthostatic hypotension , gait , and delirium screening are relevant but secondary without medication context. B identifies reversible causes like antibiotics, critical in the elderly, making it the priority.
Question 2 of 5
Trust may develop in the nurse/client relationship when the nurse:
Correct Answer: A
Rationale: Trust is foundational in a therapeutic nurse-client relationship and hinges on reliability and predictability. Consistency in approach fosters trust by demonstrating dependability, allowing the client to feel secure. Encouraging 'testing' behaviors might occur in some therapeutic contexts but can erode trust if it feels manipulative. Telling the client how to behave undermines autonomy and rapport, while avoiding limit setting may lead to boundary issues, reducing trust. Consistency aligns with Peplau's theory, where predictable interactions build a safe environment, reducing anxiety and enhancing the client's willingness to engage, making it the most effective strategy for trust-building.
Question 3 of 5
When the preoperative client tells the nurse that he cannot sleep because he keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is:
Correct Answer: D
Rationale: Therapeutic communication involves reflecting the client's feelings to validate them and encourage expression. Option D restates the client's concern surgery-related thoughts disrupting sleep in a neutral, open-ended way, inviting elaboration without judgment. Option A dismisses his anxiety with reassurance, shutting down dialogue. Option B assumes fear, which he hasn't explicitly stated, risking misinterpretation. Option C minimizes his feelings, invalidating his experience. Reflection aligns with active listening principles, fostering trust and allowing the nurse to assess anxiety further, making it the most appropriate response in this preoperative context.
Question 4 of 5
Which of the following statements, made by a senior citizen who has taken a class on stress reduction, would indicate to the nurse the need for further instruction?
Correct Answer: D
Rationale: Statement D suggests a misconception requiring further instruction. Aging doesn't inherently reduce stress; seniors face unique stressors like health decline or loss, often increasing stress. Statements A, B, and C are accurate: adults use lifelong coping skills, family can provide support, and stress can be eustress (positive) or distress (negative). Misunderstanding stress in aging could lead to inadequate preparation for challenges, necessitating education on how stress persists or shifts, not diminishes, with age, ensuring realistic expectations and effective coping strategies.
Question 5 of 5
A client comes to the emergency department after a car accident in a severe state of anxiety. What is the most appropriate nursing intervention at this time?
Correct Answer: A
Rationale: In acute anxiety post-accident, the nurse's presence provides immediate safety and reassurance, grounding the client. Seclusion might isolate them, worsening panic. Deep breathing is helpful, but rapid walking could escalate agitation. Talking about the trauma may overwhelm them initially. Staying with the client aligns with crisis intervention principles, reducing fear through human connection, stabilizing them for further care, making it the priority intervention.