ATI LPN
Introduction to Professional Nursing Practice Questions
Question 1 of 5
Clients reactions of intense hostility or dependence toward the nurse are common forms of:
Correct Answer: D
Rationale: Transference occurs when clients project feelings (e.g., hostility, dependence) onto the nurse, based on past experiences. Emotional catharsis is emotional release, not projection. Counter-resistance isn't a term; counter-transference is the nurse's reaction. Transference is common in therapeutic settings, requiring the nurse to manage it professionally, making it the correct answer.
Question 2 of 5
A client hospitalized after a myocardial infarction is restlessly moving about in bed. The client's pulse, blood pressure, and respiratory rate are elevated. In a shaky voice, the client tells the nurse 'I think I am going to die. The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the doctor here with me?' The nurse should analyze this behavior as suggesting the nursing diagnosis of
Correct Answer: D
Rationale: Elevated vitals, restlessness, and fear of death suggest Anxiety , a common post-MI reaction. Noncompliance lacks evidence, breathing issues are secondary, and spiritual distress isn't indicated. Anxiety fits NANDA criteria, driving care, making it the diagnosis.
Question 3 of 5
Which client would the nurse assess as having ineffective coping skills?
Correct Answer: B
Rationale: Ineffective coping involves maladaptive responses. Mr. C's guilt and hopelessness indicate poor coping, unlike Mr. D's proactivity , Ms. B's resilience , and Ms. A's support-seeking . B's rumination suggests ineffective coping per Lazarus, making him the match.
Question 4 of 5
A nurse assigned to a client with a terminal illness appears increasingly reluctant to spend time with the client, rushing through routine assessments and speaking to the client in short, quick sentences. The nursing supervisor suspects that the nurse is experiencing
Correct Answer: D
Rationale: Avoidance and rushed care suggest unresolved issues , like death anxiety, impairing the relationship. Urinary retention is unrelated, workload lacks evidence, and acceptance wouldn't cause this behavior. Unresolved feelings explain detachment, per countertransference, making it the suspicion.
Question 5 of 5
A client is prescribed Remeron (Mirtazapine) 7.5 milligrams by mouth at bedtime. Remeron (Mirtazapine) 15 milligram tablets are available. How many tablets do you administer to the client by mouth at bedtime?
Correct Answer: B
Rationale: Prescribed 7.5 mg ÷ 15 mg tablets = 0.5 tablets . A (1) is 15 mg, C (2) is 30 mg, D (1.5) is 22.5 mg all wrong. Half a tablet ensures proper sedation dose, avoiding excess, making it correct.