Take a free NCLEX-PN practice questions online: a full 50-question paper with every answer explained, no sign-up, scored by topic. The full 120-question bank and the timed simulator are $14.99 for 30 days.
NCLEX-PN: a 120-question practice bank for the real Healthcare & Pharmacy Certification standard, 3 full papers of 50 questions each with no repeats, every question written to the exam sponsor's published content outline.
Where these questions come from
Every question in this bank cites a source -- primarily NCSBN 2026 NCLEX-PN Test Plan (100%) of this exam's citations.
This practice bank uses multiple-choice and unfolding case-based items. The live NCLEX-PN examination is adaptive (CAT) and may also use extended multiple-response, cloze, matrix, and other next-gen item types.
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The LPN/VN is assigned four clients at the start of shift. Which client should the LPN/VN assess first?
A. A client 2 days post-op appendectomy who reports new sharp abdominal pain rated 8/10.
B. A client with a healing surgical incision asking about discharge diet instructions.
C. A client with well-controlled type 2 diabetes due for a routine fingerstick.
D. A client requesting a warm blanket before a nap.
Show answer and reasoning
Correct answer: A. A client 2 days post-op appendectomy who reports new sharp abdominal pain rated 8/10.
B: Diet teaching is important but not urgent compared to a new acute symptom.
C: A routine, scheduled fingerstick in a stable client is not the priority.
D: Comfort requests are appropriate but not urgent compared with a new severe symptom.
Source: NCSBN 2026 NCLEX-PN Test Plan; category: coordinated-care/prioritization
Under the LPN/VN scope of practice, which task is appropriate to delegate to unlicensed assistive personnel (UAP)?
A. Administering an oral antihypertensive medication.
B. Taking and recording routine vital signs on a stable client.
C. Performing the initial admission assessment.
D. Teaching a client how to self-administer insulin.
Show answer and reasoning
Correct answer: B. Taking and recording routine vital signs on a stable client.
A: Medication administration requires a licensed nurse and cannot be delegated to UAP.
C: Initial assessment is a nursing judgment task that must be performed by a licensed nurse.
D: Client education requires licensed nursing judgment and cannot be delegated to UAP.
Source: NCSBN 2026 NCLEX-PN Test Plan; category: coordinated-care/delegation
The LPN/VN wants to ensure continuity of care for a client being transferred from the ICU to a med-surg floor. What is most important to include in the transfer report?
A. The client's meal preferences from three days ago.
B. The visiting hours policy for the unit.
C. The name of the ICU physician's assistant.
D. Current vital signs, active drips/lines, recent changes in condition, and pending orders or results.
Show answer and reasoning
Correct answer: D. Current vital signs, active drips/lines, recent changes in condition, and pending orders or results.
A: Outdated, non-clinical preferences are not priority transfer information.
B: General unit policy is not specific to this client's safe transfer.
C: Staff names are not essential clinical handoff content.
Source: NCSBN 2026 NCLEX-PN Test Plan; category: coordinated-care/continuity-of-care
An LPN/VN is orienting a nursing student on the unit. Which statement by the student indicates a need for further teaching about the LPN/VN scope of practice?
A. 'I can independently decide to discontinue a client's central line per my own judgment.'
B. 'I can reinforce discharge teaching that the RN already provided.'
C. 'I can collect data during a focused assessment and report findings to the RN.'
D. 'I can administer oral medications once I am checked off on the skill.'
Show answer and reasoning
Correct answer: A. 'I can independently decide to discontinue a client's central line per my own judgment.'
B: Reinforcing existing teaching is an appropriate LPN/VN task, so this statement is correct and needs no correction.
C: Data collection with RN reporting is an appropriate LPN/VN task and needs no correction.
D: Administering oral medications after competency check-off is an appropriate LPN/VN task and needs no correction.
Source: NCSBN 2026 NCLEX-PN Test Plan; category: coordinated-care/scope-of-practice
A client is placed on airborne precautions for suspected tuberculosis. Which action is essential?
A. Wearing a standard surgical mask and keeping the door open for ventilation.
B. Placing the client in a negative-pressure isolation room and wearing an N95 respirator when entering.
C. Placing the client in a positive-pressure room with the door closed.
D. Using only gloves and a gown without a respirator.
Show answer and reasoning
Correct answer: B. Placing the client in a negative-pressure isolation room and wearing an N95 respirator when entering.
A: A surgical mask does not filter airborne droplet nuclei adequately, and an open door risks contaminating the hallway.
C: Positive pressure would push contaminated air out of the room into adjacent areas, which is unsafe.
D: Gloves and a gown alone do not protect against airborne transmission; respiratory protection is required.
Source: NCSBN 2026 NCLEX-PN Test Plan; category: safety/transmission-based-precautions
Where can I take a free NCLEX-PN practice questions online?
Right here. CertQuestUSA's free NCLEX-PN practice questions online is a full 50-question practice paper built to the real exam's domain weights, with every answer explained, with no sign-up and no credit card, and shows your score by topic at the end. The full 120-question bank, with every answer explained and cited to the exam sponsor's published content outline, is $14.99 for a 30-day pass that never renews.
How many questions are on the CertQuestUSA NCLEX-PN practice test?
120 questions total, split into 3 full papers of 50 each with no repeats across papers.
What topics does the NCLEX-PN test cover?
8 domains, with the heaviest weight on Coordinated Care (21%), Pharmacological Therapies (13%), and Safety and Infection Prevention and Control (13%).
Where do CertQuestUSA's NCLEX-PN questions come from?
Primarily NCSBN 2026 NCLEX-PN Test Plan (100%) of this bank's citations -- computed directly from this exam's own question sources, not a generic description.
Is there a free NCLEX-PN practice test?
Yes -- one full 50-question practice paper built to the exam's domain weights, free with no sign-up, with every answer explained and a domain-by-domain score at the end.
