ATI LPN
Introduction to Nursing Practice Questions
Question 1 of 4
The new nurse asks the preceptor how context affects clinical judgment. What response by the preceptor is best?
Correct Answer: A
Rationale: Context in clinical judgment integrates the patient's full story circumstances, history, and needs shaping decisions beyond raw data. Denying context's role ignores real-world factors. Environment is partial, missing patient specifics. Complexity is true but vague. A best explains how context, like socioeconomic or cultural factors, refines judgment, enhancing accuracy and empathy, making it the preceptor's best response.
Question 2 of 4
A home health care nurse is planning an exercise program with an older adult who lives at home independently but whose mobility issues prevent much activity outside the home. Which exercise regimen would be most beneficial to this adult?
Correct Answer: A
Rationale: For a homebound older adult, building strength and flexibility enhances functional fitness for daily activities, per the document's feedback, maintaining independence. Endurance and aerobic capacity are less critical for limited mobility. Personal training is vague and resource-intensive. Strength and flexibility address mobility issues directly, reducing fall risk and supporting ADLs, making it the most beneficial regimen.
Question 3 of 4
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 4 of 4
A home health care nurse has conducted a home safety assessment for an older adult. There are five concrete steps leading out from the front door. Which intervention would be most helpful in keeping the older adult safe on the steps?
Correct Answer: B
Rationale: Teaching to hold the handrail , per the document, compensates for reduced touch and vision, reducing fall risk on steps. A walker/cane isn't needed without mobility data, garage use avoids the issue, and two-footed gait doesn't address awareness. B enhances safety directly, making it most helpful.