CRAM NCLEX-PN Nursing Practice Exam
2026/2027 | Comprehensive NCLEX-PN®
Practice Examination with Complete
Questions & Verified Answers | Latest
Version
1. A nurse is caring for a client with shortness of breath.
What is the priority action?
A. Check blood glucose
B. Place the client in a high-Fowler position
C. Obtain a urine sample
D. Ask about pain level
Answer: B
Rationale: Airway and breathing are the top priorities (ABCs).
2. Which task can the PN safely delegate to an unlicensed
assistive personnel (UAP)?
A. Administer oral medications
B. Perform sterile wound care
C. Measure and record vital signs
D. Assess lung sounds
Answer: C
Rationale: UAPs may perform routine, non-invasive tasks like vital signs.
,3. A client has a blood pressure of 88/50 mmHg. What
should the nurse do FIRST?
A. Notify the provider
B. Recheck the blood pressure
C. Give antihypertensive medication
D. Document the finding
Answer: B
Rationale: Abnormal findings should be verified before taking further action.
4. Which sign indicates hypoglycemia?
A. Fruity breath
B. Excessive thirst
C. Diaphoresis and shakiness
D. Deep, rapid breathing
Answer: C
Rationale: Low blood sugar causes sweating, tremors, and confusion.
5. Which client should the nurse see FIRST?
A. Client with a headache rated 4/10
B. Client with a blood glucose of 68 mg/dL
C. Client waiting for discharge instructions
D. Client requesting pain medication
Answer: B
Rationale: Hypoglycemia is potentially life-threatening.
6. When administering insulin, which site provides the
fastest absorption?
, A. Thigh
B. Arm
C. Abdomen
D. Buttock
Answer: C
Rationale: The abdomen has the most consistent and rapid absorption.
7. Which finding indicates dehydration?
A. Bounding pulse
B. Moist mucous membranes
C. Poor skin turgor
D. Increased urine output
Answer: C
Rationale: Poor skin turgor is a classic sign of dehydration.
8. A client receiving opioids is at risk for which
complication?
A. Hypertension
B. Respiratory depression
C. Hyperglycemia
D. Diarrhea
Answer: B
Rationale: Opioids suppress the respiratory center.
9. Which intervention helps prevent catheter-associated
UTIs?
A. Keeping the drainage bag above bladder level
B. Daily catheter irrigation
C. Maintaining a closed drainage system
D. Disconnecting tubing for urine output measurement
2026/2027 | Comprehensive NCLEX-PN®
Practice Examination with Complete
Questions & Verified Answers | Latest
Version
1. A nurse is caring for a client with shortness of breath.
What is the priority action?
A. Check blood glucose
B. Place the client in a high-Fowler position
C. Obtain a urine sample
D. Ask about pain level
Answer: B
Rationale: Airway and breathing are the top priorities (ABCs).
2. Which task can the PN safely delegate to an unlicensed
assistive personnel (UAP)?
A. Administer oral medications
B. Perform sterile wound care
C. Measure and record vital signs
D. Assess lung sounds
Answer: C
Rationale: UAPs may perform routine, non-invasive tasks like vital signs.
,3. A client has a blood pressure of 88/50 mmHg. What
should the nurse do FIRST?
A. Notify the provider
B. Recheck the blood pressure
C. Give antihypertensive medication
D. Document the finding
Answer: B
Rationale: Abnormal findings should be verified before taking further action.
4. Which sign indicates hypoglycemia?
A. Fruity breath
B. Excessive thirst
C. Diaphoresis and shakiness
D. Deep, rapid breathing
Answer: C
Rationale: Low blood sugar causes sweating, tremors, and confusion.
5. Which client should the nurse see FIRST?
A. Client with a headache rated 4/10
B. Client with a blood glucose of 68 mg/dL
C. Client waiting for discharge instructions
D. Client requesting pain medication
Answer: B
Rationale: Hypoglycemia is potentially life-threatening.
6. When administering insulin, which site provides the
fastest absorption?
, A. Thigh
B. Arm
C. Abdomen
D. Buttock
Answer: C
Rationale: The abdomen has the most consistent and rapid absorption.
7. Which finding indicates dehydration?
A. Bounding pulse
B. Moist mucous membranes
C. Poor skin turgor
D. Increased urine output
Answer: C
Rationale: Poor skin turgor is a classic sign of dehydration.
8. A client receiving opioids is at risk for which
complication?
A. Hypertension
B. Respiratory depression
C. Hyperglycemia
D. Diarrhea
Answer: B
Rationale: Opioids suppress the respiratory center.
9. Which intervention helps prevent catheter-associated
UTIs?
A. Keeping the drainage bag above bladder level
B. Daily catheter irrigation
C. Maintaining a closed drainage system
D. Disconnecting tubing for urine output measurement
