NCLEX-PN EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
2026/2027
*Core Domains*
*Safe and Effective Care Environment*
*Health Promotion and Maintenance*
*Psychosocial Integrity*
*Physiological Integrity*
*Pharmacological and Parenteral Therapies*
*Reduction of Risk Potential*
*Basic Care and Comfort*
*Coordinated Care*
*Introduction*
*The purpose of this assessment is to evaluate the clinical competence and readin
SECTION ONE: QUESTIONS 1–100
1. A licensed practical nurse (LPN) is caring for a client with a history of congestive
heart failure. The client reports sudden shortness of breath and has audible crackles
in the lungs. What is the priority nursing action?
,A. Assist the client into a high-Fowler’s position
B. Obtain a 12-lead electrocardiogram
C. Administer the PRN dose of oral furosemide
D. Document the findings in the medical record
🟢 A. Assist the client into a high-Fowler’s position
🔴 Explanation: Elevating the head of the bed to a high-Fowler’s position promotes lung
expansion and reduces venous return to the heart, which is the immediate priority for a
client in respiratory distress.
2. A client is prescribed warfarin for the treatment of deep vein thrombosis. Which
laboratory value should the nurse monitor to evaluate the effectiveness of this
medication?
A. Activated partial thromboplastin time (aPTT)
B. International Normalized Ratio (INR)
C. Platelet count
D. Hemoglobin and Hematocrit
🟢 B. International Normalized Ratio (INR)
🔴 Explanation: INR is the standardized test used to monitor the therapeutic effect of
warfarin. aPTT is used for heparin monitoring.
, 3. The nurse is caring for an older adult client who is at high risk for skin breakdown.
Which intervention is most effective for preventing pressure injuries?
A. Massaging reddened bony prominences daily
B. Repositioning the client at least every 2 hours
C. Using a donut-shaped cushion when the client is sitting
D. Keeping the skin dry by washing with hot water and soap
🟢 B. Repositioning the client at least every 2 hours
🔴 Explanation: Frequent repositioning relieves pressure on tissues. Massaging
reddened areas can cause further tissue damage, and donut cushions concentrate
pressure.
4. A client who is 24 hours postoperative following an abdominal cholecystectomy
refuses to ambulate because of pain. What is the nurse's best response?
A. "You must walk to prevent blood clots, even if it hurts."
B. "I will come back later when you are feeling better."
C. "Let’s administer your prescribed pain medication and try walking in 30 minutes."
D. "I will notify the surgeon that you are refusing to participate in care."
🟢 C. "Let’s administer your prescribed pain medication and try walking in 30 minutes."
, 🔴 Explanation: Pre-medicating the client for pain encourages participation in necessary
postoperative activities like ambulation while addressing the barrier of discomfort.
5. Which of the following clients should the LPN/LVN recognize as being at the highest
risk for developing a healthcare-associated infection (HAI)?
A. A teenager admitted for an appendectomy
B. A middle-aged adult with a well-controlled thyroid disorder
C. An older adult with an indwelling urinary catheter
D. A young adult receiving physical therapy for a fractured arm
🟢 C. An older adult with an indwelling urinary catheter
🔴 Explanation: Invasive devices such as urinary catheters provide a direct portal of entry
for pathogens, and older adults often have diminished immune responses.
6. A client with type 1 diabetes mellitus is found unconscious and diaphoretic. What is
the nurse's immediate action?
A. Administer 15 grams of simple carbohydrates orally
B. Check the client’s blood glucose level
C. Administer intramuscular glucagon
D. Call the healthcare provider for an insulin order
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
2026/2027
*Core Domains*
*Safe and Effective Care Environment*
*Health Promotion and Maintenance*
*Psychosocial Integrity*
*Physiological Integrity*
*Pharmacological and Parenteral Therapies*
*Reduction of Risk Potential*
*Basic Care and Comfort*
*Coordinated Care*
*Introduction*
*The purpose of this assessment is to evaluate the clinical competence and readin
SECTION ONE: QUESTIONS 1–100
1. A licensed practical nurse (LPN) is caring for a client with a history of congestive
heart failure. The client reports sudden shortness of breath and has audible crackles
in the lungs. What is the priority nursing action?
,A. Assist the client into a high-Fowler’s position
B. Obtain a 12-lead electrocardiogram
C. Administer the PRN dose of oral furosemide
D. Document the findings in the medical record
🟢 A. Assist the client into a high-Fowler’s position
🔴 Explanation: Elevating the head of the bed to a high-Fowler’s position promotes lung
expansion and reduces venous return to the heart, which is the immediate priority for a
client in respiratory distress.
2. A client is prescribed warfarin for the treatment of deep vein thrombosis. Which
laboratory value should the nurse monitor to evaluate the effectiveness of this
medication?
A. Activated partial thromboplastin time (aPTT)
B. International Normalized Ratio (INR)
C. Platelet count
D. Hemoglobin and Hematocrit
🟢 B. International Normalized Ratio (INR)
🔴 Explanation: INR is the standardized test used to monitor the therapeutic effect of
warfarin. aPTT is used for heparin monitoring.
, 3. The nurse is caring for an older adult client who is at high risk for skin breakdown.
Which intervention is most effective for preventing pressure injuries?
A. Massaging reddened bony prominences daily
B. Repositioning the client at least every 2 hours
C. Using a donut-shaped cushion when the client is sitting
D. Keeping the skin dry by washing with hot water and soap
🟢 B. Repositioning the client at least every 2 hours
🔴 Explanation: Frequent repositioning relieves pressure on tissues. Massaging
reddened areas can cause further tissue damage, and donut cushions concentrate
pressure.
4. A client who is 24 hours postoperative following an abdominal cholecystectomy
refuses to ambulate because of pain. What is the nurse's best response?
A. "You must walk to prevent blood clots, even if it hurts."
B. "I will come back later when you are feeling better."
C. "Let’s administer your prescribed pain medication and try walking in 30 minutes."
D. "I will notify the surgeon that you are refusing to participate in care."
🟢 C. "Let’s administer your prescribed pain medication and try walking in 30 minutes."
, 🔴 Explanation: Pre-medicating the client for pain encourages participation in necessary
postoperative activities like ambulation while addressing the barrier of discomfort.
5. Which of the following clients should the LPN/LVN recognize as being at the highest
risk for developing a healthcare-associated infection (HAI)?
A. A teenager admitted for an appendectomy
B. A middle-aged adult with a well-controlled thyroid disorder
C. An older adult with an indwelling urinary catheter
D. A young adult receiving physical therapy for a fractured arm
🟢 C. An older adult with an indwelling urinary catheter
🔴 Explanation: Invasive devices such as urinary catheters provide a direct portal of entry
for pathogens, and older adults often have diminished immune responses.
6. A client with type 1 diabetes mellitus is found unconscious and diaphoretic. What is
the nurse's immediate action?
A. Administer 15 grams of simple carbohydrates orally
B. Check the client’s blood glucose level
C. Administer intramuscular glucagon
D. Call the healthcare provider for an insulin order
