NCLEX-PN (National Council Licensure Examination for
Practical/Vocational Nurses Examination Questions
And Correct Answers (Verified Answers) Plus
Rationales 2025/2026 Q&A | Instant Download Pdf
Safe and Effective Care Environment
1. A nurse receives report on four clients. Which client should be
assessed first?
A. Client with a BP of 150/90
B. Client with new onset chest pain
C. Client with a temperature of 38°C (100.4°F)
D. Client scheduled for discharge
Answer: B
Chest pain may indicate a life-threatening cardiac event and requires
immediate assessment.
2. Which task can be delegated to a nursing assistant?
A. Assess pain level
B. Administer oral medication
C. Measure intake and output
D. Provide discharge teaching
Answer: C
Measuring intake and output is within the scope of unlicensed
assistive personnel.
3. Which action by the nurse demonstrates proper patient
identification?
A. Asking the room number
B. Checking the chart only
C. Asking the patient’s name and date of birth
D. Asking a family member
Answer: C
Two identifiers are required for safe patient identification.
,4. A fire alarm sounds. What is the nurse’s first action?
A. Extinguish the fire
B. Rescue clients in immediate danger
C. Close doors
D. Pull the alarm
Answer: B
RACE protocol: Rescue, Alarm, Contain, Extinguish.
5. Which situation requires an incident report?
A. Medication given late
B. Client fall without injury
C. Change in vital signs
D. Client refusal of treatment
Answer: B
Any unexpected event, including falls, requires documentation via
incident report.
Health Promotion and Maintenance
6. Which immunization is recommended annually for adults?
A. MMR
B. Influenza
C. Varicella
D. Hepatitis B
Answer: B
The influenza vaccine is recommended yearly.
7. A pregnant client asks about fetal movement. When is quickening
usually felt?
A. 6 weeks
B. 10 weeks
C. 16–20 weeks
D. 30 weeks
, Answer: C
Quickening typically occurs between 16–20 weeks.
8. Which finding in an infant requires immediate attention?
A. Weight gain of 150 g/week
B. Sunken fontanel
C. Sleeps 16 hours/day
D. Startle reflex present
Answer: B
A sunken fontanel indicates dehydration.
9. Which screening is recommended for women over 40?
A. Pap smear yearly only
B. Mammogram
C. Colonoscopy annually
D. Bone scan monthly
Answer: B
Mammography is recommended beginning at age 40.
10. Which teaching is appropriate for a toddler?
A. Expect sharing behavior
B. Use time-outs for discipline
C. Provide small toys
D. Allow independence without limits
Answer: B
Time-outs are effective for toddlers; small toys are choking hazards.
Psychosocial Integrity
11. A client is crying after diagnosis. What is the best response?
A. “Don’t cry.”
B. “Everything will be fine.”
C. “Tell me how you feel.”
D. Leave the room
Practical/Vocational Nurses Examination Questions
And Correct Answers (Verified Answers) Plus
Rationales 2025/2026 Q&A | Instant Download Pdf
Safe and Effective Care Environment
1. A nurse receives report on four clients. Which client should be
assessed first?
A. Client with a BP of 150/90
B. Client with new onset chest pain
C. Client with a temperature of 38°C (100.4°F)
D. Client scheduled for discharge
Answer: B
Chest pain may indicate a life-threatening cardiac event and requires
immediate assessment.
2. Which task can be delegated to a nursing assistant?
A. Assess pain level
B. Administer oral medication
C. Measure intake and output
D. Provide discharge teaching
Answer: C
Measuring intake and output is within the scope of unlicensed
assistive personnel.
3. Which action by the nurse demonstrates proper patient
identification?
A. Asking the room number
B. Checking the chart only
C. Asking the patient’s name and date of birth
D. Asking a family member
Answer: C
Two identifiers are required for safe patient identification.
,4. A fire alarm sounds. What is the nurse’s first action?
A. Extinguish the fire
B. Rescue clients in immediate danger
C. Close doors
D. Pull the alarm
Answer: B
RACE protocol: Rescue, Alarm, Contain, Extinguish.
5. Which situation requires an incident report?
A. Medication given late
B. Client fall without injury
C. Change in vital signs
D. Client refusal of treatment
Answer: B
Any unexpected event, including falls, requires documentation via
incident report.
Health Promotion and Maintenance
6. Which immunization is recommended annually for adults?
A. MMR
B. Influenza
C. Varicella
D. Hepatitis B
Answer: B
The influenza vaccine is recommended yearly.
7. A pregnant client asks about fetal movement. When is quickening
usually felt?
A. 6 weeks
B. 10 weeks
C. 16–20 weeks
D. 30 weeks
, Answer: C
Quickening typically occurs between 16–20 weeks.
8. Which finding in an infant requires immediate attention?
A. Weight gain of 150 g/week
B. Sunken fontanel
C. Sleeps 16 hours/day
D. Startle reflex present
Answer: B
A sunken fontanel indicates dehydration.
9. Which screening is recommended for women over 40?
A. Pap smear yearly only
B. Mammogram
C. Colonoscopy annually
D. Bone scan monthly
Answer: B
Mammography is recommended beginning at age 40.
10. Which teaching is appropriate for a toddler?
A. Expect sharing behavior
B. Use time-outs for discipline
C. Provide small toys
D. Allow independence without limits
Answer: B
Time-outs are effective for toddlers; small toys are choking hazards.
Psychosocial Integrity
11. A client is crying after diagnosis. What is the best response?
A. “Don’t cry.”
B. “Everything will be fine.”
C. “Tell me how you feel.”
D. Leave the room
