LVN – NCLEX Review, 2026 – Study guide and practice
material
The nurse is assessing the psychosocial status of a postpartum client. Which
statement indicates that the mother is likely to have a successful parent-neonate
attachment?
a) "My previous experience was so awesome!"
b) "I want to lie skin to skin with my baby for as long as possible after delivery."
c) "Bonding is important to my baby's development."
d) "I want to bond with my baby right away." - correct answer ✔✔ b) "I want to lie
skin to skin with my baby for as long as possible after delivery."
Reason: Sustained parent-neonate contact immediately after delivery is most
likely to promote parent-neonate attachment. The first period of neonatal
reactivity, which occurs during the first hour after delivery, is the ideal time for
behavior that promotes attachment, such as touching, holding, talking, examining,
and breast-feeding. Although parental desire to bond and understanding of the
importance of bonding can contribute to parent-neonate attachment, early
contact is a prerequisite. A previous positive childbirth experience may enhance
parent-neonate attachment but is less crucial than sustained contact immediately
after delivery
A client had a laxative prescribed that acts by causing stool to absorb water and
swell. Which term describes this type of laxative?
,a) Emollient
b) Bulk-forming
c) Stimulant
d) Lubricant - correct answer ✔✔ b) Bulk-forming
Reason: Bulk-forming laxatives cause stool to absorb water and swell. Emollients
lubricate stool; lubricants soften stool, making it easier to pass. Stimulants
promote peristalsis by irritating the intestinal mucosa or stimulating nerve endings
in the intestinal wall
The nurse is caring for a client with celiac disease. How should the nurse evaluate
the effectiveness of nutritional therapy?
a) Measure blood urea nitrogen and serum creatinine levels.
b) Measure intake and output.
c) Monitor vital signs every 4 hours.
d) Monitor the appearance, size, and number of stools. - correct answer ✔✔ d)
Monitor the appearance, size, and number of stools.
Reason: When a client with celiac disease is placed on a gluten-free diet, fat,
bulky, foul-smelling stools should be eliminated. This indicates that the disease is
controlled and the client is using nutrients effectively. Taking vital signs, measuring
blood urea nitrogen and serum creatinine levels, and measuring intake and output
don't provide an indication of the effectiveness of diet therapy
,What elements must be proven by a client's attorney in the case of a professional
negligence action?
a) Duty, breach of duty, and damages
b) Duty, damages, and causation
c) Breach of duty, damages, and causation
d) Duty, breach of duty, damages, and causation - correct answer ✔✔ d) Duty,
breach of duty, damages, and causation
Reason: Any professional negligence action must meet certain demands in order
to be considered negligence and result in legal action. They're commonly known
as the four D's: duty of the health care professional to provide care to the person
making the claim, a dereliction (breach) of that duty, damages resulting from that
breach of duty, and evidence that damages were directly due to negligence
(causation)
The infection control nurse is making rounds to ensure that airborne precautions
are being observed while caring for clients with tuberculosis. Which action by the
staff nurse requires further education?
a) The nurse double-bags respiratory secretions.
b) The nurse dons a surgical isolation mask when entering the client's room.
c) The client's meals are served on disposable trays.
d) The nurse gathers disposable client care items. - correct answer ✔✔ b) The
nurse dons a surgical isolation mask when entering the client's room.
, Reason: When entering the room of a client with tuberculosis, the nurse should
wear an N95 particulate respirator mask because surgical isolation masks allow
turbide bacilli to pass through. All trash and waste should be disposed of as
infectious waste. All client care items and meal trays should be disposable
The nurse is caring for a client who underwent internal fixation of the right hip.
Before administering the client's warfarin, the nurse checks the laboratory report
for the client's International Normalized Ratio (INR) results. Which of the following
indicates the therapeutic range for this client?
a) 1.0 to 2.0
b) 2.0 to 3.0
c) 1.5 to 2.0
d) 3.0 to 4.0 - correct answer ✔✔ b) 2.0 to 3.0
Reason: Recent guidelines recommend an INR of 2.0 to 3.0 for clients without
mechanical prosthetic heart valves who are receiving warfarin therapy. For clients
with mechanical prosthetic heart valves, an INR of 2.5 to 3.5 is suggested. An INR
below 2.0 is subtherapeutic with warfarin therapy. An INR above 3.0 in a client
without a prosthetic valve indicates the need to reduce the warfarin dose.
A nurse is caring for a client with multiple myeloma. What is a sign that a client
with multiple myeloma isn't coping well with his prognosis?
a) He shows concern about his family during his treatment.
b) He avoids any conversation concerning his health.
material
The nurse is assessing the psychosocial status of a postpartum client. Which
statement indicates that the mother is likely to have a successful parent-neonate
attachment?
a) "My previous experience was so awesome!"
b) "I want to lie skin to skin with my baby for as long as possible after delivery."
c) "Bonding is important to my baby's development."
d) "I want to bond with my baby right away." - correct answer ✔✔ b) "I want to lie
skin to skin with my baby for as long as possible after delivery."
Reason: Sustained parent-neonate contact immediately after delivery is most
likely to promote parent-neonate attachment. The first period of neonatal
reactivity, which occurs during the first hour after delivery, is the ideal time for
behavior that promotes attachment, such as touching, holding, talking, examining,
and breast-feeding. Although parental desire to bond and understanding of the
importance of bonding can contribute to parent-neonate attachment, early
contact is a prerequisite. A previous positive childbirth experience may enhance
parent-neonate attachment but is less crucial than sustained contact immediately
after delivery
A client had a laxative prescribed that acts by causing stool to absorb water and
swell. Which term describes this type of laxative?
,a) Emollient
b) Bulk-forming
c) Stimulant
d) Lubricant - correct answer ✔✔ b) Bulk-forming
Reason: Bulk-forming laxatives cause stool to absorb water and swell. Emollients
lubricate stool; lubricants soften stool, making it easier to pass. Stimulants
promote peristalsis by irritating the intestinal mucosa or stimulating nerve endings
in the intestinal wall
The nurse is caring for a client with celiac disease. How should the nurse evaluate
the effectiveness of nutritional therapy?
a) Measure blood urea nitrogen and serum creatinine levels.
b) Measure intake and output.
c) Monitor vital signs every 4 hours.
d) Monitor the appearance, size, and number of stools. - correct answer ✔✔ d)
Monitor the appearance, size, and number of stools.
Reason: When a client with celiac disease is placed on a gluten-free diet, fat,
bulky, foul-smelling stools should be eliminated. This indicates that the disease is
controlled and the client is using nutrients effectively. Taking vital signs, measuring
blood urea nitrogen and serum creatinine levels, and measuring intake and output
don't provide an indication of the effectiveness of diet therapy
,What elements must be proven by a client's attorney in the case of a professional
negligence action?
a) Duty, breach of duty, and damages
b) Duty, damages, and causation
c) Breach of duty, damages, and causation
d) Duty, breach of duty, damages, and causation - correct answer ✔✔ d) Duty,
breach of duty, damages, and causation
Reason: Any professional negligence action must meet certain demands in order
to be considered negligence and result in legal action. They're commonly known
as the four D's: duty of the health care professional to provide care to the person
making the claim, a dereliction (breach) of that duty, damages resulting from that
breach of duty, and evidence that damages were directly due to negligence
(causation)
The infection control nurse is making rounds to ensure that airborne precautions
are being observed while caring for clients with tuberculosis. Which action by the
staff nurse requires further education?
a) The nurse double-bags respiratory secretions.
b) The nurse dons a surgical isolation mask when entering the client's room.
c) The client's meals are served on disposable trays.
d) The nurse gathers disposable client care items. - correct answer ✔✔ b) The
nurse dons a surgical isolation mask when entering the client's room.
, Reason: When entering the room of a client with tuberculosis, the nurse should
wear an N95 particulate respirator mask because surgical isolation masks allow
turbide bacilli to pass through. All trash and waste should be disposed of as
infectious waste. All client care items and meal trays should be disposable
The nurse is caring for a client who underwent internal fixation of the right hip.
Before administering the client's warfarin, the nurse checks the laboratory report
for the client's International Normalized Ratio (INR) results. Which of the following
indicates the therapeutic range for this client?
a) 1.0 to 2.0
b) 2.0 to 3.0
c) 1.5 to 2.0
d) 3.0 to 4.0 - correct answer ✔✔ b) 2.0 to 3.0
Reason: Recent guidelines recommend an INR of 2.0 to 3.0 for clients without
mechanical prosthetic heart valves who are receiving warfarin therapy. For clients
with mechanical prosthetic heart valves, an INR of 2.5 to 3.5 is suggested. An INR
below 2.0 is subtherapeutic with warfarin therapy. An INR above 3.0 in a client
without a prosthetic valve indicates the need to reduce the warfarin dose.
A nurse is caring for a client with multiple myeloma. What is a sign that a client
with multiple myeloma isn't coping well with his prognosis?
a) He shows concern about his family during his treatment.
b) He avoids any conversation concerning his health.
