NCLEX-PN 2026 -- Practical Nurse
with Rationales -- Complete Study Guide
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Topics Covered: ✔ Psychosocial Integrity
✔ Coordinated Care ✔ Basic Care & Comfort
✔ Safety & Infection Control ✔ Pharmacological & Parenteral Therapies
✔ Health Promotion & Maintenance ✔ Coping & Defense Mechanisms
✔ Delegation & Supervision ✔ Nutrition & Mobility
✔ Infection Prevention ✔ IV Therapy & Calculations
✔ Growth & Development
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NCLEX-PN 2026 -- Practical Nurse
with Rationales 2026/2027 -- Q&A with
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Coordinated Care Safety & Infection Control Health Promotion & Maintenance
Psychosocial Integrity Basic Care & Comfort Pharmacological & Parenteral Therapies
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NCLEX-PN 2026 -- Practical Nurse
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, SECTION 1 | Safe Effective Care Environment -- Coordinated Care | Q1-Q15 | NCLEX-PN 2026 -- Practical Nurse
with Rationales 2026/2027
Q1 Question 1 of 85
A 68-year-old patient is admitted for heart failure exacerbation and the licensed practical nurse
(LPN) receives orders from the registered nurse (RN) to administer furosemide 40 mg IV push.
The LPN should take which action first before administering the medication?
A. Check the patient's potassium level
B. Document the medication given
C. Administer the medication immediately
D. Verify the order with the pharmacist
Correct Answer: A
Rationale:
Checking the potassium level is critical before administering furosemide because this loop diuretic
causes potassium loss and hypokalemia can lead to dangerous dysrhythmias. Verifying with the
pharmacist is reasonable but not the first priority, and administering without checking labs could cause
harm.
Q2 Question 2 of 85
A 72-year-old patient with dementia is admitted to a long-term care facility and repeatedly tries to
leave the unit. The LPN should implement which intervention as the most effective approach to
maintain patient safety?
A. Administer a sedative medication as prescribed
B. Place the patient in a room near the nurses' station
C. Lock all exit doors on the unit
D. Apply physical restraints to prevent wandering
Correct Answer: B
Rationale:
Placing the patient near the nurses' station allows for close observation and frequent reorientation
without the ethical and legal concerns associated with restraints. Physical restraints should be a last
resort, sedatives increase fall risk, and locking all exits violates fire safety codes.
NCLEX-PN 2026 -- Practical Nurse with Rationales -- 2026/2027 | Passing Score: pass/fail | Page 4 of 47