ATI LPN
Introduction to Nursing Practice Questions
Question 1 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 2 of 5
The nurse is assigned to be the primary nurse of a client who has a history of bisexuality and whose sexual values are quite different from their own. The nurse's most appropriate initial action during the pre-interaction phase of the relationship should be to:
Correct Answer: B
Rationale: In the pre-interaction phase, self-reflection is key to ensure biases don't hinder care. Changing the client's values is unethical and judgmental. Reviewing literature or probing reasons comes later; first, the nurse must address personal feelings to maintain professionalism. This step prevents countertransference, ensuring a therapeutic, nonjudgmental relationship, making B the best initial action.
Question 3 of 5
The nurse should introduce information about the end of the nurse-patient relationship:
Correct Answer: D
Rationale: Per Peplau's theory, discussing termination a few sessions prior prepares the client, fostering closure and independence. At goal completion is too late, orientation too early, and ‘tolerance' vague. Preemptive notice reduces anxiety, aligns with therapeutic process, making it the best timing.
Question 4 of 5
Which of the following is a physiological response experienced during the exhaustion stage of general adaptation syndrome?
Correct Answer: D
Rationale: In Selye's General Adaptation Syndrome, exhaustion follows resistance, depleting resources. Decreased immune response occurs as cortisol overproduction weakens immunity. Alertness and neuroendocrine activity mark earlier stages, while Alpha state is unrelated. Exhaustion's immune decline explains illness susceptibility, making it the correct response.
Question 5 of 5
When attempting to take the blood pressure of a client newly admitted to a hospice program, the client pushes the stethoscope away, loudly stating that nothing the nurse can do will help anyway, and asks the nurse to leave. The nurses response should be based on the knowledge that
Correct Answer: B
Rationale: Anger at dying often targets caregivers, per Kübler-Ross's grief stages. Reducing anger isn't priority, vitals matter in hospice , and switching nurses avoids the issue. Recognizing anger's source guides empathetic response, making it the basis.