LVN NCLEX REVIEW QUESTIONS WITH
ACCURATE ANSWERS
Terms in this set (260)
The nurse is assessing the b) "I want to lie skin to skin with my baby for as
psychosocial status of a postpartum long as possible after delivery."
client. Which statement indicates
that the mother is likely to have a Reason: Sustained parent-neonate contact
successful parent-neonate immediately after delivery is most likely
to
attachment? promote parent-neonate attachment. The first
period of neonatal reactivity, which occurs during
a) "My previous experience was so the first hour after delivery, is the ideal time
for awesome!" behavior that promotes attachment, such as
b) "I want to lie skin to skin with my touching, holding, talking, examining, and breast-
baby for as long as possible after feeding. Although parental desire to bond
and
delivery." understanding of the importance of bonding can
c) "Bonding is important to my contribute to parent-neonate attachment,
early baby's development." contact is a prerequisite. A previous positive
d) "I want to bond with my baby childbirth experience may enhance parent-
right away." neonate attachment but is less crucial
than
sustained contact immediately after delivery
A client had a laxative prescribed b) Bulk-forming
that acts by causing stool to absorb
water and swell. Which term Reason: Bulk-forming laxatives cause stool
to describes this type of laxative? absorb water and swell. Emollients
lubricate
stool; lubricants soften stool, making it easier to
a) Emollient pass. Stimulants promote peristalsis by irritating
b) Bulk-forming the intestinal mucosa or stimulating nerve
c) Stimulant endings in the intestinal wall
d) Lubricant
,The nurse is caring for a client with d) Monitor the appearance, size, and number of
celiac disease. How should the stools.
nurse evaluate the effectiveness of
nutritional therapy? Reason: When a client with celiac disease is
placed on a gluten-free diet, fat, bulky, foul-
a) Measure blood urea nitrogen smelling stools should be eliminated. This
and serum creatinine levels. indicates that the disease is controlled and the
b) Measure intake and output. client is using nutrients effectively. Taking vital
c) Monitor vital signs every 4 hours. signs, measuring blood urea nitrogen and serum
d) Monitor the appearance, size, creatinine levels, and measuring intake
and and number of stools. output don't provide an indication of
the
effectiveness of diet therapy
What elements must be proven by ad) Duty, breach of duty, damages, and
causation client's attorney in the case of a
professional negligence action? Reason: Any professional negligence action must
meet certain demands in order to be considered
negligence and result in legal action. They're
a) Duty, breach of duty, and commonly known as the four D's: duty of the
damages health care professional to provide care to the
b) Duty, damages, and causation person making the claim, a dereliction (breach) of
c) Breach of duty, damages, and that duty, damages resulting from that breach
of causation duty, and evidence that damages were directly
d) Duty, breach of duty, damages, due to negligence (causation)
and causation
,The infection control nurse is b) The nurse dons a surgical isolation mask
when making rounds to ensure that entering the client's room.
airborne precautions are being
observed while caring for clients Reason: When entering the room of a client
with with tuberculosis. Which action by tuberculosis, the nurse should wear an
N95
the staff nurse requires further particulate respirator mask because
surgical education? isolation masks allow turbide bacilli to pass
through. All trash and waste should be disposed
a)The nurse double-bags of as infectious waste. All client care items
and respiratory secretions. meal trays should be disposable
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.
The nurse is caring for a client who b) 2.0 to 3.0
underwent internal fixation of the
right hip. Before administering the Reason: Recent guidelines recommend an INR of
client's warfarin, the nurse checks 2.0 to 3.0 for clients without mechanical
the laboratory report for the client's prosthetic heart valves who are receiving
International Normalized Ratio warfarin therapy. For clients with
mechanical (INR) results. Which of the following prosthetic heart valves, an
INR of 2.5 to 3.5 is
indicates the therapeutic range for suggested. An INR below 2.0 is subtherapeutic
this client? with warfarin therapy. An INR above 3.0 in a
client
without a prosthetic valve indicates the need to
a) 1.0 to 2.0 reduce the warfarin dose.
b) 2.0 to 3.0
c) 1.5 to 2.0
d) 3.0 to 4.0
, A nurse is caring for a client with b) He avoids any conversation concerning his
multiple myeloma. What is a sign health.
that a client with multiple myeloma
isn't coping well with his prognosis? Reason: A client with multiple myeloma who
avoids conversation may be denying his
a) He shows concern about his condition, which can interfere with treatment.
family during his treatment. Crying is a normal response to his disease. Asking
b) He avoids any conversation questions about his prognosis is a normal coping
concerning his health. response, as is showing concern for his family.
c) He becomes tearful when
discussing his condition.
d) He asks questions about
his prognosis.
The nurse educator is presenting an c) Because the child may cry as data
collection in-service on pediatric assessments. proceeds, making auscultation
difficult
Why should the educator instruct
nursing staff to inspect first and Reason: Because other data collection
then auscultate when collecting procedures may make the child cry, the nurse
data on a pediatric clients? should auscultate the child's lungs
immediately
after inspection. Crying increases the respiratory
a) Because the nurse's touch may rate and creates noise that interferes with
clear frighten the child auscultation
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
ACCURATE ANSWERS
Terms in this set (260)
The nurse is assessing the b) "I want to lie skin to skin with my baby for as
psychosocial status of a postpartum long as possible after delivery."
client. Which statement indicates
that the mother is likely to have a Reason: Sustained parent-neonate contact
successful parent-neonate immediately after delivery is most likely
to
attachment? promote parent-neonate attachment. The first
period of neonatal reactivity, which occurs during
a) "My previous experience was so the first hour after delivery, is the ideal time
for awesome!" behavior that promotes attachment, such as
b) "I want to lie skin to skin with my touching, holding, talking, examining, and breast-
baby for as long as possible after feeding. Although parental desire to bond
and
delivery." understanding of the importance of bonding can
c) "Bonding is important to my contribute to parent-neonate attachment,
early baby's development." contact is a prerequisite. A previous positive
d) "I want to bond with my baby childbirth experience may enhance parent-
right away." neonate attachment but is less crucial
than
sustained contact immediately after delivery
A client had a laxative prescribed b) Bulk-forming
that acts by causing stool to absorb
water and swell. Which term Reason: Bulk-forming laxatives cause stool
to describes this type of laxative? absorb water and swell. Emollients
lubricate
stool; lubricants soften stool, making it easier to
a) Emollient pass. Stimulants promote peristalsis by irritating
b) Bulk-forming the intestinal mucosa or stimulating nerve
c) Stimulant endings in the intestinal wall
d) Lubricant
,The nurse is caring for a client with d) Monitor the appearance, size, and number of
celiac disease. How should the stools.
nurse evaluate the effectiveness of
nutritional therapy? Reason: When a client with celiac disease is
placed on a gluten-free diet, fat, bulky, foul-
a) Measure blood urea nitrogen smelling stools should be eliminated. This
and serum creatinine levels. indicates that the disease is controlled and the
b) Measure intake and output. client is using nutrients effectively. Taking vital
c) Monitor vital signs every 4 hours. signs, measuring blood urea nitrogen and serum
d) Monitor the appearance, size, creatinine levels, and measuring intake
and and number of stools. output don't provide an indication of
the
effectiveness of diet therapy
What elements must be proven by ad) Duty, breach of duty, damages, and
causation client's attorney in the case of a
professional negligence action? Reason: Any professional negligence action must
meet certain demands in order to be considered
negligence and result in legal action. They're
a) Duty, breach of duty, and commonly known as the four D's: duty of the
damages health care professional to provide care to the
b) Duty, damages, and causation person making the claim, a dereliction (breach) of
c) Breach of duty, damages, and that duty, damages resulting from that breach
of causation duty, and evidence that damages were directly
d) Duty, breach of duty, damages, due to negligence (causation)
and causation
,The infection control nurse is b) The nurse dons a surgical isolation mask
when making rounds to ensure that entering the client's room.
airborne precautions are being
observed while caring for clients Reason: When entering the room of a client
with with tuberculosis. Which action by tuberculosis, the nurse should wear an
N95
the staff nurse requires further particulate respirator mask because
surgical education? isolation masks allow turbide bacilli to pass
through. All trash and waste should be disposed
a)The nurse double-bags of as infectious waste. All client care items
and respiratory secretions. meal trays should be disposable
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.
The nurse is caring for a client who b) 2.0 to 3.0
underwent internal fixation of the
right hip. Before administering the Reason: Recent guidelines recommend an INR of
client's warfarin, the nurse checks 2.0 to 3.0 for clients without mechanical
the laboratory report for the client's prosthetic heart valves who are receiving
International Normalized Ratio warfarin therapy. For clients with
mechanical (INR) results. Which of the following prosthetic heart valves, an
INR of 2.5 to 3.5 is
indicates the therapeutic range for suggested. An INR below 2.0 is subtherapeutic
this client? with warfarin therapy. An INR above 3.0 in a
client
without a prosthetic valve indicates the need to
a) 1.0 to 2.0 reduce the warfarin dose.
b) 2.0 to 3.0
c) 1.5 to 2.0
d) 3.0 to 4.0
, A nurse is caring for a client with b) He avoids any conversation concerning his
multiple myeloma. What is a sign health.
that a client with multiple myeloma
isn't coping well with his prognosis? Reason: A client with multiple myeloma who
avoids conversation may be denying his
a) He shows concern about his condition, which can interfere with treatment.
family during his treatment. Crying is a normal response to his disease. Asking
b) He avoids any conversation questions about his prognosis is a normal coping
concerning his health. response, as is showing concern for his family.
c) He becomes tearful when
discussing his condition.
d) He asks questions about
his prognosis.
The nurse educator is presenting an c) Because the child may cry as data
collection in-service on pediatric assessments. proceeds, making auscultation
difficult
Why should the educator instruct
nursing staff to inspect first and Reason: Because other data collection
then auscultate when collecting procedures may make the child cry, the nurse
data on a pediatric clients? should auscultate the child's lungs
immediately
after inspection. Crying increases the respiratory
a) Because the nurse's touch may rate and creates noise that interferes with
clear frighten the child auscultation
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
