ATI LPN
Introduction to Practical Nursing Questions
Question 1 of 5
Which defense mechanism describes a return to bed-wetting behavior in an older sibling when another child is born?
Correct Answer: C
Rationale: Regression involves reverting to earlier developmental behaviors, like bed-wetting, under stress here, a new sibling's arrival. Identification is adopting others' traits, rationalization is justifying actions, and repression is blocking memories. Regression fits as the child copes with jealousy or loss of attention by retreating to infantile behavior, a common psychological response to perceived threats, making C the correct mechanism.
Question 2 of 5
A Native American client is admitted to an emergency department (ED) with an ulcerated toe secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present. Which nursing intervention is most appropriate?
Correct Answer: B
Rationale: Cultural sensitivity requires honoring the client's beliefs. Locating a shaman respects his values, facilitating care without coercion. Informing of rights is true but passive, questioning the shaman's role may offend, and dismissing it as ‘voodoo' is disrespectful. Option B bridges cultural gaps, enhancing trust and treatment adherence.
Question 3 of 5
A client has had a total knee replacement and will need assistance for several weeks after discharge. She tells the nurse caring for her 'I do not intend to assume the ‘sick role.' The nurse knows the client is objecting to:
Correct Answer: C
Rationale: The 'sick role' (Parsons) implies dependency and exemption from normal roles. The client resists losing independence , not financial duty , defense mechanisms , or care coordination . Her statement reflects autonomy, making C the objection.
Question 4 of 5
A client who has been diagnosed with polymyalgia rheumatica has muscle pain and weakness and has curtailed physical and social activities to accommodate her condition. She tells the nurse, 'I cannot do anything. I have to depend on other people to help me. I do not enjoy much of anything anymore; even food does not taste good, I cannot see that my situation will change, so I feel pretty hopeless.' The priority action the nurse should take is to:
Correct Answer: C
Rationale: Hopelessness, anhedonia, and dependency suggest depression , a priority due to suicide risk. Positivity dismisses feelings, exercise is secondary, and support follows assessment. Depression screening ensures safety, making it the priority action.
Question 5 of 5
As a Hispanic client nears death, the spouse begins to weep and call out loudly at the bedside, the nurse responds by:
Correct Answer: C
Rationale: Cultural norms may include expressive grief. Quiet presence respects this, offering support without judgment. Explaining peace or controlling reaction dismisses her process; removing her isolates her. Sitting with her aligns with compassionate care, making it the response.