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LVN NCLEX REVIEW QUESTIONS WITH ANSWERS

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LVN NCLEX REVIEW QUESTIONS WITH ANSWERS

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LVN NCLEX REVIEW QUESTIONS WITH |\ |\ |\ |\ |\




ANSWERS


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
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\

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