LVN NCLEX REVIEW EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
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
| | | | | | | | |
COMPLETE SOLUTIONS
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
| | | | | | | | |
