First published: September 5, 2026Last verified: September 5, 2026Reviewed by the CertQuestUSA team
TL;DR
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 citing the real regulation it comes from.
Where these questions come from
Every question in this bank cites a real 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.
Not sure where you stand? Take the free diagnostic — 10 real questions across the exam's domains, no sign-up required, with a domain-by-domain breakdown at the end.
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.
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.
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.
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.'
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.
Source: NCSBN 2026 NCLEX-PN Test Plan; category: safety/transmission-based-precautions
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 diagnostic for NCLEX-PN?
Yes -- 10 real questions across the exam's domains, no sign-up required, with a domain-by-domain breakdown at the end.
