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Free NCLEX-PN (LPN) practice questions with rationales

These NCLEX-PN style questions focus on the practical-nurse scope: data collection rather than full assessment, safe basic care, pharmacology essentials, and knowing when to escalate to the registered nurse. Each item includes a complete rationale.

Question 1Basic Care & Comfort

The practical nurse is repositioning a client who is at risk for pressure injuries. How often should the client be turned while in bed?

Question 2Pharmacology

Before administering digoxin, the practical nurse counts an apical pulse of 52 beats per minute in an adult client. What should the nurse do?

Question 3Safety

Which action best prevents falls for an older adult client hospitalized with weakness?

Question 4Infection Control

Which is the single most effective action to prevent the spread of health-care–associated infection?

Question 5Nutrition

A client with a new prescription for warfarin asks about diet. Which statement shows correct understanding?

Question 6Data Collection

The practical nurse notes a client's urine output has been 20 mL/hr for the last 3 hours. What should the nurse do first?

Question 7Wound Care

Which finding in a surgical wound on postoperative day 3 should be reported immediately?

Question 8Mobility

How should the practical nurse position a cane for a client with left-leg weakness?

Question 9Older Adult Care

A client with dementia becomes agitated during evening care. Which approach should the practical nurse use first?

Question 10Documentation

Which entry is documented correctly in the client record?

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NCLEX-PN study questions, answered

How is the NCLEX-PN different from the NCLEX-RN?
The PN exam emphasizes data collection, safe and effective care within the LPN/LVN scope, and reporting to the RN, while the RN exam places more weight on independent assessment, management of care, and delegation.
How long is the NCLEX-PN?
The NCLEX-PN is computer-adaptive with a minimum of 85 and a maximum of 205 questions, over a maximum of five hours.
Do these questions include Next Gen NCLEX items?
The full LPN bank includes NGN case studies with unfolding items and chart-based reasoning. This free sample uses standard multiple-choice items.

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Practice modeled on published test plans — not real exam items. Not affiliated with NCSBN, AANP, ANCC, or PNCB.