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NCLEX-PN® STRATEGIES, PRACTICE & REVIEW COMPREHENSIVE EXAM – VERSION 1 {Well-Reviewed & Fully Updated Edition (2026)

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This NCLEX-PN® Comprehensive Exam – Version 1 (2026) is a thoroughly reviewed and improved assessment derived from core NCLEX-PN strategies, test plans, and applied clinical reasoning principles. The exam consists of 150 high-quality NCLEX-style questions with verified answers, designed to evaluate entry-level practical nursing competence across all client-needs categories. The exam emphasizes: Priority-setting and safety Application and analysis-level clinical judgment Integrated nursing concepts Realistic NCLEX-PN question style This resource is ideal for final exam preparation, remediation, self-assessment, and review courses.

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,COMPREHENSIVE NCLEX-PN® EXAM
– VERSION 1
150 QUESTIONS WITH ANSWERS

QUESTIONS 1–25: SAFE & EFFECTIVE CARE ENVIRONMENT

1. Which client should the LPN/LVN assess FIRST after receiving shift
report? A. A client scheduled for discharge later today
B. A client requesting pain medication
C. A client with new-onset confusion and oxygen saturation of
88%
D. A client waiting for laboratory results

2. The LPN/LVN knows that which task can be safely delegated to
unlicensed assistive personnel (UAP)?
A. Administering oral medications

B. Teaching incentive spirometry

C. Obtaining routine vital signs
D. Assessing lung sounds

3. Which action by the LPN/LVN best promotes client safety? A.
Leaving the bed in high position for easy access
B. Applying restraints without an order
C. Ensuring call light is within reach
D. Turning off bed alarms

4. The LPN/LVN should wash hands before and after client contact
primarily to prevent: A. Client anxiety B. Nurse fatigue




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, C. Transmission of microorganisms
D. Medication errors

5. Which situation requires an incident report? A. Medication given
late
B. Client refuses care
C. Client falls without injury
D. Physician changes order

6. Which client assignment is appropriate for the LPN/LVN? A. Newly
admitted unstable client
B. Client requiring initial assessment
C. Client with stable vital signs needing dressing change
D. Client requiring discharge teaching

7. When should the LPN/LVN verify client identity? A. At admission
only
B. Before meals
C. Before any procedure or medication
D. At discharge
8. Which action violates client confidentiality? A. Discussing care
with healthcare team
B. Securing written records
C. Discussing client details in public areas
D. Using client initials

9. The priority nursing action for a fire is: A. Extinguish fire
B. Call maintenance
C. Rescue clients in danger
D. Close windows




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Uploaded on
January 26, 2026
Number of pages
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Written in
2025/2026
Type
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