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,NCLEX-PN® COMPREHENSIVE EXAM – VERSION 2
100 DIFFERENT QUESTIONS WITH ANSWERS &
RATIONALES Updated for 2026 | NCLEX-PN® Aligned
QUESTIONS 1–20: SAFE & EFFECTIVE CARE ENVIRONMENT
1. Which client should the LPN/LVN see first?
A. Client requesting a blanket
B. Post-op client with pain score 4/10
C. Client with new wheezing and shortness of breath
D. Client waiting for discharge papers
Rationale: Airway and breathing take priority over comfort and
administrative needs.
2. Which task is appropriate to delegate to UAP?
A. Teaching crutch use
B. Assessing skin integrity
C. Assisting with toileting
D. Evaluating pain response
Rationale: UAP may assist with routine, non-assessment activities.
3. Which action best prevents patient falls?
A. Bed in high position
B. Slippers without grip
C. Call bell within reach
D. Lights off at night
Rationale: Easy access to the call bell reduces unassisted
ambulation.
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, 4. A medication error occurs when the nurse:
A. Documents late
B. Double-checks dosage
C. Administers medication to the wrong client
D. Clarifies an order
Rationale: Giving medication to the wrong client is a reportable
error.
5. Which situation requires an incident report?
A. Client refuses bath
B. Client slips while ambulating
C. Late meal delivery
D. Family complaint
Rationale: Any unexpected event with potential injury requires
reporting.
6. Which order should be clarified?
A. Acetaminophen 650 mg PO
B. Illegible heparin order
C. Normal saline IV
D. Vital signs q4h
Rationale: Unclear orders must be clarified before implementation.
7. The primary purpose of hand hygiene is to:
A. Improve comfort
B. Prevent transmission of infection
C. Save time
D. Meet policy only
Rationale: Hand hygiene is the most effective infection-control
measure.
8. Which client requires isolation precautions?
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,NCLEX-PN® COMPREHENSIVE EXAM – VERSION 2
100 DIFFERENT QUESTIONS WITH ANSWERS &
RATIONALES Updated for 2026 | NCLEX-PN® Aligned
QUESTIONS 1–20: SAFE & EFFECTIVE CARE ENVIRONMENT
1. Which client should the LPN/LVN see first?
A. Client requesting a blanket
B. Post-op client with pain score 4/10
C. Client with new wheezing and shortness of breath
D. Client waiting for discharge papers
Rationale: Airway and breathing take priority over comfort and
administrative needs.
2. Which task is appropriate to delegate to UAP?
A. Teaching crutch use
B. Assessing skin integrity
C. Assisting with toileting
D. Evaluating pain response
Rationale: UAP may assist with routine, non-assessment activities.
3. Which action best prevents patient falls?
A. Bed in high position
B. Slippers without grip
C. Call bell within reach
D. Lights off at night
Rationale: Easy access to the call bell reduces unassisted
ambulation.
2
, 4. A medication error occurs when the nurse:
A. Documents late
B. Double-checks dosage
C. Administers medication to the wrong client
D. Clarifies an order
Rationale: Giving medication to the wrong client is a reportable
error.
5. Which situation requires an incident report?
A. Client refuses bath
B. Client slips while ambulating
C. Late meal delivery
D. Family complaint
Rationale: Any unexpected event with potential injury requires
reporting.
6. Which order should be clarified?
A. Acetaminophen 650 mg PO
B. Illegible heparin order
C. Normal saline IV
D. Vital signs q4h
Rationale: Unclear orders must be clarified before implementation.
7. The primary purpose of hand hygiene is to:
A. Improve comfort
B. Prevent transmission of infection
C. Save time
D. Meet policy only
Rationale: Hand hygiene is the most effective infection-control
measure.
8. Which client requires isolation precautions?
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