©EVERLY 2024/2025 ALL RIGHTS RESERVED.
LVN NCLEX REVIEW Exam Questions
And Answers (Guaranteed A+)
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." - 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 - 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
1|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
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. - 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 - 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.
2|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
c) The client's meals are served on disposable trays.
d) The nurse gathers disposable client care items. - 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 - 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.
c) He becomes tearful when discussing his condition.
d) He asks questions about his prognosis. - Answer✔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.
3|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
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 - Answer✔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
The nurse is trying to establish rapport with a newly admitted client. Which statements will
facilitate effective communication? Select all that apply.
a) "Why are you crying?"
b) "Tell me about your treatment so far."
c) "What did your physician tell you about your need for hospitalization?"
d) "Everything will be all right."
e) "Did you take your medicine yesterday?" - Answer✔c) "What did your physician tell you
about your need for hospitalization?"
b) "Tell me about your treatment so far
Reason: Giving advice, providing false reassurance, and asking the client why he or she is crying
is judgmental, all of which block rather than promote effective communication with a client.
Asking open-ended questions and using leading questions promote effective communication
A first-term nursing student is preparing to use a stethoscope to auscultate a client's chest. The
nursing instructor asks the student to explain the working of the stethoscope. Which statement,
provided by the student, about a stethoscope with a bell and diaphragm is true?
a) "The diaphragm detects low-pitched sounds best."
b) "The bell detects high-pitched sounds best."
4|Page
LVN NCLEX REVIEW Exam Questions
And Answers (Guaranteed A+)
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." - 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 - 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
1|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
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. - 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 - 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.
2|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
c) The client's meals are served on disposable trays.
d) The nurse gathers disposable client care items. - 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 - 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.
c) He becomes tearful when discussing his condition.
d) He asks questions about his prognosis. - Answer✔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.
3|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
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 - Answer✔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
The nurse is trying to establish rapport with a newly admitted client. Which statements will
facilitate effective communication? Select all that apply.
a) "Why are you crying?"
b) "Tell me about your treatment so far."
c) "What did your physician tell you about your need for hospitalization?"
d) "Everything will be all right."
e) "Did you take your medicine yesterday?" - Answer✔c) "What did your physician tell you
about your need for hospitalization?"
b) "Tell me about your treatment so far
Reason: Giving advice, providing false reassurance, and asking the client why he or she is crying
is judgmental, all of which block rather than promote effective communication with a client.
Asking open-ended questions and using leading questions promote effective communication
A first-term nursing student is preparing to use a stethoscope to auscultate a client's chest. The
nursing instructor asks the student to explain the working of the stethoscope. Which statement,
provided by the student, about a stethoscope with a bell and diaphragm is true?
a) "The diaphragm detects low-pitched sounds best."
b) "The bell detects high-pitched sounds best."
4|Page
