ATI LPN
Introduction to Professional Nursing Practice Questions
Question 1 of 5
An older client had hip replacement surgery and the surgeon prescribed morphine sulfate for pain. The client is allergic to morphine and reports pain and muscle spasms. When the nurse calls the surgeon, which medication would he or she suggest in place of the morphine?
Correct Answer: B
Rationale: Morphine allergy requires an alternative. Hydromorphone is a safe opioid for pain, per the document, unlike Beers-listed cyclobenzaprine (A, spasms), ketorolac (C, NSAID), and meperidine (D, risky in elderly). B addresses pain and spasms effectively, avoiding adverse effects, making it the suggested choice.
Question 2 of 5
A nurse working with older adults in the community plans programming to improve morale and emotional health in this population. What activity would best meet this goal?
Correct Answer: A
Rationale: Exercise to improve function , per the document, boosts morale and emotional health by maintaining independence, countering feelings of worthlessness. Financial planning , social events , and abuse prevention help but don't address ADLs' emotional link. A directly enhances life satisfaction, making it the best goal-meeting activity.
Question 3 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 4 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 5 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.