LVN NCLEX REVIEW questions with
verified answers rated A+
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 -
correct answer ✔✔ 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."
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 - correct answer ✔✔ 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
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 - correct answer ✔✔ 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.
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) - correct answer ✔✔ 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
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 - correct answer ✔✔ 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.
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. - correct answer ✔✔ 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
b) He avoids any conversation concerning his health.
Reason: A client with multiple myeloma who avoids conversation may be denying his condition,
which can interfere with treatment. Crying is a normal response to his disease. Asking questions
about his prognosis is a normal coping response, as is showing concern for his family. - correct
answer ✔✔ 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.
c) He becomes tearful when discussing his condition.
d) He asks questions about his prognosis.
c) Because the child may cry as data collection proceeds, making auscultation difficult
Reason: Because other data collection procedures may make the child cry, the nurse should
auscultate the child's lungs immediately after inspection. Crying increases the respiratory rate
and creates noise that interferes with clear auscultation - correct answer ✔✔ The nurse
educator is presenting an in-service on pediatric assessments. Why should the educator instruct
nursing staff to inspect first and then auscultate when collecting data on a pediatric clients?
a) Because the nurse's touch may frighten the child
b) Because the nurse's hand or stethoscope may feel cold, making the child recoil
c) Because the child may cry as data collection proceeds, making auscultation difficult
d) Because the nurse's touch may calm the child
verified answers rated A+
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 -
correct answer ✔✔ 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."
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 - correct answer ✔✔ 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
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 - correct answer ✔✔ 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.
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) - correct answer ✔✔ 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
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 - correct answer ✔✔ 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.
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. - correct answer ✔✔ 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
b) He avoids any conversation concerning his health.
Reason: A client with multiple myeloma who avoids conversation may be denying his condition,
which can interfere with treatment. Crying is a normal response to his disease. Asking questions
about his prognosis is a normal coping response, as is showing concern for his family. - correct
answer ✔✔ 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.
c) He becomes tearful when discussing his condition.
d) He asks questions about his prognosis.
c) Because the child may cry as data collection proceeds, making auscultation difficult
Reason: Because other data collection procedures may make the child cry, the nurse should
auscultate the child's lungs immediately after inspection. Crying increases the respiratory rate
and creates noise that interferes with clear auscultation - correct answer ✔✔ The nurse
educator is presenting an in-service on pediatric assessments. Why should the educator instruct
nursing staff to inspect first and then auscultate when collecting data on a pediatric clients?
a) Because the nurse's touch may frighten the child
b) Because the nurse's hand or stethoscope may feel cold, making the child recoil
c) Because the child may cry as data collection proceeds, making auscultation difficult
d) Because the nurse's touch may calm the child
