CRAM NCLEX-PN Nursing Practice Exam
2026/2027 | Comprehensive NCLEX-PN®
Practice Examination with Complete
Questions & Verified Answers | Latest
Version
CRAM NCLEX-PN® Practice Exam
2026/2027
Questions 1–30
1. A practical nurse is caring for a client with shortness of breath. Which
action should be performed FIRST?
A. Administer prescribed bronchodilator
B. Place the client in high-Fowler’s position
C. Obtain vital signs
D. Notify the healthcare provider
Correct Answer: B
Rationale:
Positioning improves ventilation immediately and is the priority.
2. Which finding requires immediate reporting to the nurse or provider?
A. Blood pressure 128/78 mmHg
B. Pulse 88 beats/min
,C. Oxygen saturation 88% on room air
D. Temperature 37.2°C (99°F)
Correct Answer: C
Rationale:
Oxygen saturation below 90% indicates hypoxemia.
3. A client receiving IV therapy reports swelling and coolness at the site.
What is the MOST likely complication?
A. Phlebitis
B. Infiltration
C. Infection
D. Thrombosis
Correct Answer: B
Rationale:
Coolness and swelling indicate fluid leaking into surrounding tissue.
4. Which task can the PN safely delegate to unlicensed assistive personnel
(UAP)?
A. Administering oral medications
B. Performing sterile dressing changes
C. Measuring intake and output
D. Teaching incentive spirometry
Correct Answer: C
Rationale:
UAPs may collect routine, non-invasive data.
5. A client with diabetes reports shakiness and sweating. Which action is
PRIORITY?
A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Document findings
, Correct Answer: B
Rationale:
Symptoms suggest hypoglycemia; verify glucose immediately.
6. Which vital sign change is MOST concerning?
A. HR 72 → 84 bpm
B. RR 16 → 28 breaths/min
C. BP 118/76 → 110/70
D. Temp 36.8°C → 37.3°C
Correct Answer: B
Rationale:
A rapid increase in respiratory rate may indicate distress.
7. Which intervention reduces the risk of pressure injuries?
A. Restricting fluids
B. Repositioning every 2 hours
C. Using firm mattresses only
D. Limiting mobility
Correct Answer: B
Rationale:
Frequent repositioning relieves pressure.
8. A client is prescribed digoxin. Which finding should the PN report
immediately?
A. Apical pulse 58 beats/min
B. Blood pressure 132/80
C. Mild ankle edema
D. Urine output 35 mL/hr
Correct Answer: A
Rationale:
Digoxin should be held if pulse is below 60 bpm.
2026/2027 | Comprehensive NCLEX-PN®
Practice Examination with Complete
Questions & Verified Answers | Latest
Version
CRAM NCLEX-PN® Practice Exam
2026/2027
Questions 1–30
1. A practical nurse is caring for a client with shortness of breath. Which
action should be performed FIRST?
A. Administer prescribed bronchodilator
B. Place the client in high-Fowler’s position
C. Obtain vital signs
D. Notify the healthcare provider
Correct Answer: B
Rationale:
Positioning improves ventilation immediately and is the priority.
2. Which finding requires immediate reporting to the nurse or provider?
A. Blood pressure 128/78 mmHg
B. Pulse 88 beats/min
,C. Oxygen saturation 88% on room air
D. Temperature 37.2°C (99°F)
Correct Answer: C
Rationale:
Oxygen saturation below 90% indicates hypoxemia.
3. A client receiving IV therapy reports swelling and coolness at the site.
What is the MOST likely complication?
A. Phlebitis
B. Infiltration
C. Infection
D. Thrombosis
Correct Answer: B
Rationale:
Coolness and swelling indicate fluid leaking into surrounding tissue.
4. Which task can the PN safely delegate to unlicensed assistive personnel
(UAP)?
A. Administering oral medications
B. Performing sterile dressing changes
C. Measuring intake and output
D. Teaching incentive spirometry
Correct Answer: C
Rationale:
UAPs may collect routine, non-invasive data.
5. A client with diabetes reports shakiness and sweating. Which action is
PRIORITY?
A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Document findings
, Correct Answer: B
Rationale:
Symptoms suggest hypoglycemia; verify glucose immediately.
6. Which vital sign change is MOST concerning?
A. HR 72 → 84 bpm
B. RR 16 → 28 breaths/min
C. BP 118/76 → 110/70
D. Temp 36.8°C → 37.3°C
Correct Answer: B
Rationale:
A rapid increase in respiratory rate may indicate distress.
7. Which intervention reduces the risk of pressure injuries?
A. Restricting fluids
B. Repositioning every 2 hours
C. Using firm mattresses only
D. Limiting mobility
Correct Answer: B
Rationale:
Frequent repositioning relieves pressure.
8. A client is prescribed digoxin. Which finding should the PN report
immediately?
A. Apical pulse 58 beats/min
B. Blood pressure 132/80
C. Mild ankle edema
D. Urine output 35 mL/hr
Correct Answer: A
Rationale:
Digoxin should be held if pulse is below 60 bpm.
