394+ Free NCLEX-PN Practice Questions

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Question 1

Score: 0/0

A client scheduled for surgery has an INR of 3.2. The nurse should:

Proceed with surgical preparation as planned

Notify the surgeon and hold anticoagulants as ordered

Document and continue current medications

Administer additional anticoagulants

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More NCLEX Prep

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Practice Pages

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Study Guides

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Comparisons

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2026 Statistics

Key Facts: NCLEX-PN Exam

85-87%

First-Time Pass Rate

NCSBN

85-205

Questions (CAT)

Adaptive testing

$62,340

LPN Median Salary

BLS 2024

58,700

Annual Job Openings

BLS

968,948

Active LPN Licenses

NCSBN

21%

Coordinated Care

Largest section

The NCLEX-PN has an 85-87% first-time pass rate for US-educated candidates (NCSBN). The exam uses computerized adaptive testing (CAT) with 85-205 questions. The 'Coordinated Care' section accounts for 21% of the exam. With 968,948 active LPN/LVN licenses and 58,700 annual job openings (BLS), practical nursing offers strong career prospects with median salary of $62,340.

Sample NCLEX-PN Practice Questions

Try these sample questions to test your NCLEX-PN exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 394+ question experience with AI tutoring.

1A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is appropriate to delegate?

A.Administering oral medications

B.Measuring and recording vital signs

C.Developing a care plan

D.Assessing a patient's wound

Explanation: Measuring and recording vital signs is within the UAP's scope of practice. Administering medications, developing care plans, and assessing patients are nursing responsibilities that require nursing judgment and cannot be delegated to UAPs.

2A client refuses a blood transfusion based on religious beliefs. The nurse should:

A.Administer the transfusion as ordered

B.Contact the client's family to make the decision

C.Document the refusal and notify the healthcare provider

D.Explain that the refusal could be life-threatening and proceed

Explanation: Competent adults have the right to refuse treatment, even if life-threatening. The nurse must respect this autonomy, document the refusal, and notify the healthcare provider. Administering treatment against the client's wishes violates their rights.

3A nurse is caring for four clients. Which client should the nurse assess first?

A.A client 1 day post-appendectomy with pain level of 4/10

B.A client with diabetes mellitus who has a blood glucose of 180 mg/dL

C.A client with pneumonia who has an oxygen saturation of 88%

D.A client with a urinary tract infection who has a temperature of 100.2°F

Explanation: The client with pneumonia and oxygen saturation of 88% should be assessed first. This is below normal (normal is 95-100%) and indicates respiratory compromise. Use the ABCs (Airway, Breathing, Circulation) for prioritization. Breathing problems take priority.

4The nurse is preparing to delegate tasks for the shift. Which of the 'Five Rights of Delegation' should the nurse consider?

A.Right task, right circumstance, right person, right direction, right supervision

B.Right medication, right dose, right route, right time, right patient

C.Right diagnosis, right treatment, right outcome, right documentation, right billing

D.Right privacy, right access, right disclosure, right amendment, right accounting

Explanation: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. These guide nurses in safely delegating tasks to appropriate personnel.

5A nurse witnesses a colleague remove controlled substances from the medication dispensing system without documenting administration. The nurse should:

A.Confront the colleague directly

B.Wait to see if it happens again

C.Report the incident to the nurse manager

D.Document the observation in the client's chart

Explanation: The nurse has an ethical and legal obligation to report suspected drug diversion to the appropriate authority (nurse manager or supervisor). This protects patients, maintains drug security, and may help the colleague get needed assistance. Confronting alone is inappropriate, and waiting enables continued diversion.

6A client is scheduled for surgery but tells the nurse they don't understand what the surgeon explained. The nurse should:

A.Explain the surgery to the client

B.Have the client sign the consent form anyway

C.Notify the surgeon to clarify the procedure

D.Tell the client their questions aren't important

Explanation: Informed consent requires that the client understands the procedure, risks, benefits, and alternatives. Since the surgeon is responsible for obtaining informed consent, the nurse should notify the surgeon to provide additional clarification. The nurse cannot obtain surgical consent.

7A client with a terminal illness tells the nurse they want to stop all treatment. The client is alert and oriented. The nurse should:

A.Encourage the client to continue treatment

B.Contact the family to change the client's mind

C.Support the client's right to make this decision

D.Tell the client this is not a good decision

Explanation: The principle of autonomy means competent adults have the right to make decisions about their own care, including stopping treatment. The nurse should support this right while ensuring the client understands the implications and has received palliative care options.

8A nurse receives a verbal order from a physician over the phone. The most appropriate action is to:

A.Write the order and sign the physician's name

B.Read back the order and document it with date, time, and signature

C.Wait until the physician arrives to write the order

D.Ask another nurse to listen to the order

Explanation: The nurse should use 'read-back' verification: write the order, read it back to the physician, obtain verification, then document with date, time, 'verbal order by Dr. [name],' and the nurse's signature. This is a patient safety standard.

9A nurse discovers that a medication error occurred on the previous shift. The appropriate action is to:

A.Wait to see if the client shows any adverse effects

B.Report the error and complete an incident report

C.Tell the nurse who made the error to file the report

D.Keep it quiet to protect the colleague

Explanation: Medication errors must be reported immediately for client safety. The nurse should assess the client, notify the healthcare provider, document the error, and complete an incident report. This is not punitive but ensures proper follow-up and quality improvement.

10A client asks to see their medical records. The nurse should:

A.Tell the client they cannot see their records

B.Allow the client to review the records per facility policy

C.Remove certain pages before showing the client

D.Tell the client to contact their lawyer

Explanation: Under HIPAA, clients have the right to access their medical records. The nurse should facilitate this request according to facility policy. Denying access or altering records violates patient rights.

About the NCLEX-PN Exam

The NCLEX-PN is required to become a licensed practical nurse (LPN) or licensed vocational nurse (LVN). It tests competency for entry-level practical nursing practice using computerized adaptive testing (CAT).

Questions

85 scored questions

Time Limit

5 hours maximum

Passing Score

Pass/Fail (Logit)

Exam Fee

$200 (NCSBN)

NCLEX-PN Exam Content Outline

21%

Coordinated Care

Collaboration, continuity of care, client rights, delegation, documentation

13%

Pharmacological Therapies

Medication administration, dosage calculations, adverse effects, IV therapy

13%

Safety & Infection Control

Accident prevention, infection control, emergency response, surgical asepsis

12%

Reduction of Risk Potential

Lab values, diagnostic tests, vital signs, potential complications

12%

Psychosocial Integrity

Therapeutic communication, coping, grief, mental health, crisis intervention

10%

Basic Care & Comfort

Nutrition, mobility, elimination, personal hygiene, comfort measures

10%

Physiological Adaptation

Body system alterations, fluid/electrolyte imbalances, medical emergencies

Health Promotion

Developmental stages, health screening, lifestyle modifications, aging

How to Pass the NCLEX-PN Exam

What You Need to Know

Passing score: Pass/Fail (Logit)
Exam length: 85 questions
Time limit: 5 hours maximum
Exam fee: $200

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

NCLEX-PN Study Tips from Top Performers

1Know your scope of practice - what LPNs can and cannot do independently

2Master medication administration and the five rights

3Understand which tasks can be delegated to UAPs under LPN supervision

4Focus on data collection vs. assessment - LPNs collect, RNs assess

5Practice therapeutic communication techniques

Frequently Asked Questions

What is the NCLEX-PN pass rate?

The NCLEX-PN pass rate for first-time, US-educated candidates is approximately 85-87% (NCSBN data). International candidates have lower pass rates around 35-40%. The exam uses computerized adaptive testing, adjusting difficulty based on your responses.

How is NCLEX-PN different from NCLEX-RN?

The NCLEX-PN tests practical nursing scope, focusing on supervised care, data collection, and basic nursing skills. NCLEX-RN tests more complex assessment, planning, and independent decision-making. LPNs work under RN or physician supervision.

How many questions are on the NCLEX-PN?

The NCLEX-PN has a minimum of 85 questions and maximum of 205. The computer stops when it determines with 95% confidence whether you passed or failed. Most candidates finish with 85-130 questions.

How long should I study for NCLEX-PN?

Plan for 150-250 hours of study over 4-8 weeks after graduation. Complete at least 1,500-2,000 practice questions. Focus on understanding rationales and your scope of practice as an LPN.

Can I become an RN with my LPN license?

Yes! Many LPN-to-RN bridge programs exist, typically taking 1-2 years. After completing the program, you'll take the NCLEX-RN. Your LPN experience gives you a strong foundation for RN studies.

What is the LPN/LVN job outlook?

The BLS projects 5% growth for LPNs with 58,700 annual job openings through 2034. Median salary is $62,340/year. Top-paying states include California, Alaska, and Massachusetts. Many LPNs work in nursing homes, home health, and physician offices.