NCLEX-PN –QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*CORE DOMAINS*
*Coordinated Care & Management of Care*
*Safety and Infection Control*
*Health Promotion and Maintenance*
*Psychosocial Integrity and Support*
*Basic Care and Comfort Principles*
*Pharmacological and Parenteral Therapies*
*Reduction of Risk Potential*
*Physiological Adaptation & Nursing*
*INTRODUCTION*
The NCLEX-PN assessment is designed to evaluate the competency and clinical
readiness of prospective licensed practical/vocational nurses. This comprehensive
examination focuses on the application of nursing knowledge, prioritizing client safety,
and effective clinical decision-making within the scope of practice. Through a blend of
foundational theory and complex scenario-based questions, candidates must
demonstrate their ability to provide high-quality care across diverse healthcare
,settings. The exam emphasizes critical thinking, ethical standards, and legal
compliance, ensuring that every nurse possesses the essential skills to manage client
needs effectively. This structured assessment serves as a definitive tool for verifying
professional proficiency and ensuring public health safety.
SECTION ONE: QUESTIONS 1–100
1. A licensed practical nurse (LPN) is caring for a client with a new prescription for
digoxin. Which of the following assessments is most critical before administering
the medication?
A. Blood pressure
B. Respiratory rate
🟢 C. Apical pulse
D. Temperature
🔴 RATIONALE: Digoxin is a cardiac glycoside that slows the heart rate; the apical
pulse must be checked for one full minute and the drug held if the heart rate is below
60 bpm.
2. A client is admitted with suspected tuberculosis. Which type of precautions
should the nurse implement?
,A. Contact precautions
B. Droplet precautions
🟢 C. Airborne precautions
D. Standard precautions only
🔴 RATIONALE: Tuberculosis is transmitted via small-particle aerosols that remain
suspended in the air, requiring a negative-pressure room and N95 respirator.
3. Which task is most appropriate for the LPN to delegate to an unlicensed
assistive personnel (UAP)?
🟢 A. Assisting a stable client with ambulation
B. Teaching a client how to use an incentive spirometer
C. Performing an admission skin assessment
D. Administering an initial dose of an antibiotic
🔴 RATIONALE: UAPs can perform routine tasks for stable clients, such as hygiene
and ambulation; assessment, teaching, and medication administration require nursing
license.
4. A client expresses concern about a scheduled surgery and asks the LPN if they
should go through with it. What is the most therapeutic response?
, A. "You should do whatever the doctor recommends."
B. "Don't worry, this surgeon is the best in the facility."
🟢 C. "Tell me more about your specific concerns regarding the surgery."
D. "I wouldn't worry; most people do very well with this procedure."
🔴 RATIONALE: Open-ended communication encourages the client to express
feelings and allows the nurse to identify the specific source of anxiety.
5. What is the primary legal responsibility of the LPN regarding informed consent
for a surgical procedure?
A. Explaining the risks and benefits of the surgery
🟢 B. Witnessing the client's signature on the consent form
C. Obtaining the signature after the client is sedated
D. Choosing which procedure the client should have
🔴 RATIONALE: The surgeon is responsible for explaining the procedure; the
nurse’s role is to witness that the client signed voluntarily and appears competent.
6. A client with type 1 diabetes mellitus is found confused and diaphoretic. Which
action should the nurse take first?
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*CORE DOMAINS*
*Coordinated Care & Management of Care*
*Safety and Infection Control*
*Health Promotion and Maintenance*
*Psychosocial Integrity and Support*
*Basic Care and Comfort Principles*
*Pharmacological and Parenteral Therapies*
*Reduction of Risk Potential*
*Physiological Adaptation & Nursing*
*INTRODUCTION*
The NCLEX-PN assessment is designed to evaluate the competency and clinical
readiness of prospective licensed practical/vocational nurses. This comprehensive
examination focuses on the application of nursing knowledge, prioritizing client safety,
and effective clinical decision-making within the scope of practice. Through a blend of
foundational theory and complex scenario-based questions, candidates must
demonstrate their ability to provide high-quality care across diverse healthcare
,settings. The exam emphasizes critical thinking, ethical standards, and legal
compliance, ensuring that every nurse possesses the essential skills to manage client
needs effectively. This structured assessment serves as a definitive tool for verifying
professional proficiency and ensuring public health safety.
SECTION ONE: QUESTIONS 1–100
1. A licensed practical nurse (LPN) is caring for a client with a new prescription for
digoxin. Which of the following assessments is most critical before administering
the medication?
A. Blood pressure
B. Respiratory rate
🟢 C. Apical pulse
D. Temperature
🔴 RATIONALE: Digoxin is a cardiac glycoside that slows the heart rate; the apical
pulse must be checked for one full minute and the drug held if the heart rate is below
60 bpm.
2. A client is admitted with suspected tuberculosis. Which type of precautions
should the nurse implement?
,A. Contact precautions
B. Droplet precautions
🟢 C. Airborne precautions
D. Standard precautions only
🔴 RATIONALE: Tuberculosis is transmitted via small-particle aerosols that remain
suspended in the air, requiring a negative-pressure room and N95 respirator.
3. Which task is most appropriate for the LPN to delegate to an unlicensed
assistive personnel (UAP)?
🟢 A. Assisting a stable client with ambulation
B. Teaching a client how to use an incentive spirometer
C. Performing an admission skin assessment
D. Administering an initial dose of an antibiotic
🔴 RATIONALE: UAPs can perform routine tasks for stable clients, such as hygiene
and ambulation; assessment, teaching, and medication administration require nursing
license.
4. A client expresses concern about a scheduled surgery and asks the LPN if they
should go through with it. What is the most therapeutic response?
, A. "You should do whatever the doctor recommends."
B. "Don't worry, this surgeon is the best in the facility."
🟢 C. "Tell me more about your specific concerns regarding the surgery."
D. "I wouldn't worry; most people do very well with this procedure."
🔴 RATIONALE: Open-ended communication encourages the client to express
feelings and allows the nurse to identify the specific source of anxiety.
5. What is the primary legal responsibility of the LPN regarding informed consent
for a surgical procedure?
A. Explaining the risks and benefits of the surgery
🟢 B. Witnessing the client's signature on the consent form
C. Obtaining the signature after the client is sedated
D. Choosing which procedure the client should have
🔴 RATIONALE: The surgeon is responsible for explaining the procedure; the
nurse’s role is to witness that the client signed voluntarily and appears competent.
6. A client with type 1 diabetes mellitus is found confused and diaphoretic. Which
action should the nurse take first?
