NCLEX-PN Next Generation Practice Exam 2026 Exam questions and
well detailed answers
1. A licensed practical nurse (LPN) is assisting a registered nurse (RN) care for a
group of clients on a medical-surgical unit. Which client is most appropriate for
the LPN to care for?
• A) A newly admitted client experiencing acute unstable angina and dyspnea
• B) A client with a stable chronic tracheostomy requiring routine suctioning
and dressing changes
• C) A client receiving their first unit of packed red blood cells who reports
lower back pain
• D) A client with newly diagnosed type 1 diabetes requiring initial
comprehensive discharge education
Answer: B — LPNs can care for stable clients with predictable outcomes and
perform routine procedures such as tracheostomy care and suctioning, whereas
unstable clients, blood administration, and initial teaching require an RN.
2. Which task can the LPN safely delegate to unlicensed assistive personnel (UAP)?
• A) Assessing breath sounds on a client with asthma exacerbation
• B) Measuring routine vital signs on a stable postoperative client
• C) Administering oral analgesics to a postoperative client
• D) Evaluating the effectiveness of anti-hypertensive medication
Answer: B — UAP can perform delegated routine tasks like measuring vital signs
on stable clients, while assessment, evaluation, and medication administration are
outside UAP scope.
3. According to standard fire safety protocols (RACE acronym), what is the
immediate first action an LPN should take upon discovering a small fire in a client's
bathroom?
• A) Pull the fire alarm switch immediately.
• B) Rescue and remove any clients or personnel in immediate danger from
the room.
,NCLEX-PN Next Generation Practice Exam 2026 Exam questions and
well detailed answers
• C) Close all doors and windows to confine the fire.
• D) Attempt to extinguish the fire with a fire extinguisher.
Answer: B — The first step in the RACE protocol is to Rescue clients in immediate
danger.
4. An LPN witnesses an unlicensed assistive personnel lifting a heavy box by
bending forward at the waist with straight knees. What is the LPN's best
immediate action?
• A) File a formal incident report with human resources at the end of the
shift.
• B) Stop the UAP immediately, educate them on proper body mechanics
(bending at the knees and keeping the load close), and demonstrate safe
lifting.
• C) Report the UAP to the facility director immediately.
• D) Ignore the action since no injury occurred.
Answer: B — Immediate correction and peer education promote a safe work
environment and prevent musculoskeletal injury.
5. A client states an intention to leave the healthcare facility against medical
advice (AMA). What is the LPN's immediate priority action?
• A) Lock the exit doors to prevent the client from leaving.
• B) Notify the supervising RN and healthcare provider immediately, and
discuss the risks of leaving with the client.
• C) Administer a prescribed PRN sedative to calm the client.
• D) Ignore the client and let them leave without documentation.
Answer: B — Competent clients have the right to leave AMA; the LPN must notify
the RN/provider and document the education provided regarding potential risks.
,NCLEX-PN Next Generation Practice Exam 2026 Exam questions and
well detailed answers
6. Which action by an LPN demonstrates correct adherence to standard
precautions?
• A) Wearing sterile gloves for a routine bed bath
• B) Performing hand hygiene before and after direct contact with every client
• C) Recapping used needles before disposal in a sharps container
• D) Wearing a surgical mask when entering the room of a client with latent
tuberculosis
Answer: B — Hand hygiene is the single most effective infection control measure;
recapping needles is dangerous and prohibited, and latent TB does not require a
mask.
7. A client with active pulmonary tuberculosis is admitted to the hospital. Which
type of isolation precaution must the LPN implement?
• A) Standard precautions only
• B) Contact precautions
• C) Droplet precautions
• D) Airborne infection isolation precautions in a negative pressure room
Answer: D — Pulmonary tuberculosis is spread via airborne droplet nuclei,
requiring negative pressure airflow rooms and N95 respirators.
8. Which client requires contact precautions in addition to standard precautions?
• A) A client with active influenza
• B) A client with a draining wound infected with methicillin-resistant
Staphylococcus aureus (MRSA)
• C) A client with measles
• D) A client with bacterial meningitis
, NCLEX-PN Next Generation Practice Exam 2026 Exam questions and
well detailed answers
Answer: B — Contact precautions are required for clients with multidrug-resistant
organisms or draining infected wounds to prevent direct or indirect transmission.
9. An LPN is preparing to administer medications. Which action represents the
"right client" check for medication administration?
• A) Asking the client to state their name and date of birth while checking the
identification band against the medication administration record (MAR)
• B) Checking the client's room number only
• C) Relying on familiarity with the client's face
• D) Asking a visitor who the client is
Answer: A — Using at least two unique client identifiers (name and date of birth)
matched against the MAR ensures client safety.
10. Which ethical principle is demonstrated when an LPN respects a client's
informed refusal of a prescribed blood transfusion?
• A) Beneficence
• B) Nonmaleficence
• C) Autonomy
• D) Justice
Answer: C — Autonomy refers to a competent client's right to make independent
healthcare decisions, including refusing treatment.
11. A client is scheduled for a surgical procedure. Who holds the primary legal
responsibility for obtaining informed consent?
• A) The licensed practical nurse
• B) The operating room technician
• C) The surgeon or healthcare provider performing the procedure
• D) The unit charge nurse
well detailed answers
1. A licensed practical nurse (LPN) is assisting a registered nurse (RN) care for a
group of clients on a medical-surgical unit. Which client is most appropriate for
the LPN to care for?
• A) A newly admitted client experiencing acute unstable angina and dyspnea
• B) A client with a stable chronic tracheostomy requiring routine suctioning
and dressing changes
• C) A client receiving their first unit of packed red blood cells who reports
lower back pain
• D) A client with newly diagnosed type 1 diabetes requiring initial
comprehensive discharge education
Answer: B — LPNs can care for stable clients with predictable outcomes and
perform routine procedures such as tracheostomy care and suctioning, whereas
unstable clients, blood administration, and initial teaching require an RN.
2. Which task can the LPN safely delegate to unlicensed assistive personnel (UAP)?
• A) Assessing breath sounds on a client with asthma exacerbation
• B) Measuring routine vital signs on a stable postoperative client
• C) Administering oral analgesics to a postoperative client
• D) Evaluating the effectiveness of anti-hypertensive medication
Answer: B — UAP can perform delegated routine tasks like measuring vital signs
on stable clients, while assessment, evaluation, and medication administration are
outside UAP scope.
3. According to standard fire safety protocols (RACE acronym), what is the
immediate first action an LPN should take upon discovering a small fire in a client's
bathroom?
• A) Pull the fire alarm switch immediately.
• B) Rescue and remove any clients or personnel in immediate danger from
the room.
,NCLEX-PN Next Generation Practice Exam 2026 Exam questions and
well detailed answers
• C) Close all doors and windows to confine the fire.
• D) Attempt to extinguish the fire with a fire extinguisher.
Answer: B — The first step in the RACE protocol is to Rescue clients in immediate
danger.
4. An LPN witnesses an unlicensed assistive personnel lifting a heavy box by
bending forward at the waist with straight knees. What is the LPN's best
immediate action?
• A) File a formal incident report with human resources at the end of the
shift.
• B) Stop the UAP immediately, educate them on proper body mechanics
(bending at the knees and keeping the load close), and demonstrate safe
lifting.
• C) Report the UAP to the facility director immediately.
• D) Ignore the action since no injury occurred.
Answer: B — Immediate correction and peer education promote a safe work
environment and prevent musculoskeletal injury.
5. A client states an intention to leave the healthcare facility against medical
advice (AMA). What is the LPN's immediate priority action?
• A) Lock the exit doors to prevent the client from leaving.
• B) Notify the supervising RN and healthcare provider immediately, and
discuss the risks of leaving with the client.
• C) Administer a prescribed PRN sedative to calm the client.
• D) Ignore the client and let them leave without documentation.
Answer: B — Competent clients have the right to leave AMA; the LPN must notify
the RN/provider and document the education provided regarding potential risks.
,NCLEX-PN Next Generation Practice Exam 2026 Exam questions and
well detailed answers
6. Which action by an LPN demonstrates correct adherence to standard
precautions?
• A) Wearing sterile gloves for a routine bed bath
• B) Performing hand hygiene before and after direct contact with every client
• C) Recapping used needles before disposal in a sharps container
• D) Wearing a surgical mask when entering the room of a client with latent
tuberculosis
Answer: B — Hand hygiene is the single most effective infection control measure;
recapping needles is dangerous and prohibited, and latent TB does not require a
mask.
7. A client with active pulmonary tuberculosis is admitted to the hospital. Which
type of isolation precaution must the LPN implement?
• A) Standard precautions only
• B) Contact precautions
• C) Droplet precautions
• D) Airborne infection isolation precautions in a negative pressure room
Answer: D — Pulmonary tuberculosis is spread via airborne droplet nuclei,
requiring negative pressure airflow rooms and N95 respirators.
8. Which client requires contact precautions in addition to standard precautions?
• A) A client with active influenza
• B) A client with a draining wound infected with methicillin-resistant
Staphylococcus aureus (MRSA)
• C) A client with measles
• D) A client with bacterial meningitis
, NCLEX-PN Next Generation Practice Exam 2026 Exam questions and
well detailed answers
Answer: B — Contact precautions are required for clients with multidrug-resistant
organisms or draining infected wounds to prevent direct or indirect transmission.
9. An LPN is preparing to administer medications. Which action represents the
"right client" check for medication administration?
• A) Asking the client to state their name and date of birth while checking the
identification band against the medication administration record (MAR)
• B) Checking the client's room number only
• C) Relying on familiarity with the client's face
• D) Asking a visitor who the client is
Answer: A — Using at least two unique client identifiers (name and date of birth)
matched against the MAR ensures client safety.
10. Which ethical principle is demonstrated when an LPN respects a client's
informed refusal of a prescribed blood transfusion?
• A) Beneficence
• B) Nonmaleficence
• C) Autonomy
• D) Justice
Answer: C — Autonomy refers to a competent client's right to make independent
healthcare decisions, including refusing treatment.
11. A client is scheduled for a surgical procedure. Who holds the primary legal
responsibility for obtaining informed consent?
• A) The licensed practical nurse
• B) The operating room technician
• C) The surgeon or healthcare provider performing the procedure
• D) The unit charge nurse
