ATI LPN
Introduction to Nursing Practice Quiz Questions
Question 1 of 5
You are the nurse caring for a 72-year-old female who is recovering from abdominal surgery on the Medical Surgical unit. The surgery was very stressful and prolonged, and you note on the chart that her blood sugars are elevated yet she is not diagnosed with diabetes. To what do you attribute this elevation in blood sugars?
Correct Answer: B
Rationale: Elevated blood sugars post-surgery in a non-diabetic patient are likely due to the 'fight-or-flight' response . Stress from prolonged surgery triggers cortisol and catecholamine release, increasing glucose production via gluconeogenesis and glycogenolysis, a normal physiological reaction. Undiagnosed diabetes is possible but less likely without prior evidence. Surgery doesn't cause diabetes , though it can unmask it. Antidiuretic hormone regulates water, not glucose directly. The stress response explains this temporary hyperglycemia, resolving as recovery progresses, making B the most accurate attribution.
Question 2 of 5
When working with clients of a particular culture, which action should a nurse avoid?
Correct Answer: B
Rationale: Cultural competence requires avoiding stereotypes , as assuming uniformity within a culture ignores individual diversity, risking miscommunication or offense. Supporting rituals , using interpreters , and adapting eye contact enhance care. Stereotyping undermines person-centered care, potentially alienating clients, making it the action to avoid.
Question 3 of 5
A depressed client is unable to maintain eye contact with the nurse. The client's chin drops, and the client looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: B
Rationale: Nonverbal communication includes body language like eye contact and posture, signaling depression here. Social skills are broader, cultural barriers aren't indicated, and message filters are cognitive, not observable. Nonverbal cues provide critical emotional insight, making it the assessed aspect.
Question 4 of 5
A supervisor observes inconsistency in a psychiatric and mental health nurse's behavior toward a client as unreasonably concerned, overly kind, or irrationally hostile. The best explanation is that the nurse is displaying:
Correct Answer: A
Rationale: Countertransference explains the nurse's inconsistent, emotionally charged behavior, reflecting personal feelings projected onto the client. Seductive behavior is specific and unindicated, empathic resonance is positive alignment, and transference is client-driven. Countertransference fits psychiatric nursing risks, requiring supervision, making it the best explanation.
Question 5 of 5
A client has been receiving hemodialysis for 3 months. During the history assessment the client reports that they find themselves feeling angry whenever it is time for the dialysis treatment. The nurse can probably attribute this to:
Correct Answer: B
Rationale: Anger during dialysis reflects grief over lost health, a normal reaction per Kübler-Ross. Brain changes lack evidence, personality flaws are judgmental, and denial doesn't fit anger. Grief explains emotional response to chronic illness, making it the attribution.