NCLEX-PN COMPREHENSIVE PRACTICE
EXAMINATION 2026–2027 — STUDY GUIDE | LATEST
UPDATE 2026/2027 | ACTUAL EXAM PRACTICE
QUESTIONS AND ANSWERS | EXAM REVIEW | 100%
CORRECT ANSWERS | VERIFIED SOLUTIONS
This comprehensive practice examination is designed for practical/vocational
nursing graduates preparing for the NCLEX-PN® licensure examination and for
licensed practical/vocational nurses seeking to strengthen clinical competency. The
100-question test reflects the integrated content and cognitive complexity of the
current NCLEX-PN test plan, emphasizing safe and effective care environment,
health promotion and maintenance, psychosocial integrity, and physiological
integrity. Questions evaluate the practical nurse’s ability to collect data, implement
interventions, reinforce teaching, and recognize potential complications within the
scope of LPN/LVN practice. The 2026–2027 edition integrates current clinical
judgment principles and national patient safety standards. Use this review to
assess readiness, identify knowledge gaps, and build confidence for first-attempt
success on the NCLEX-PN. Detailed rationales clarify correct answers and
distractors. This practice tool is intended for self-assessment and review, not as a
substitute for official NCLEX resources.
Table of Contents
I. Coordinated Care and Delegation
II. Safety and Infection Control
III. Health Promotion and Maintenance
IV. Psychosocial Integrity and Coping
V. Basic Care and Comfort
VI. Pharmacological Therapies
VII. Reduction of Risk Potential
VIII. Physiological Adaptation
IX. Clinical Judgment and Data Collection
, 1. A practical nurse is reinforcing teaching with a client who has a new
prescription for warfarin. Which client statement indicates a need for
further teaching?
A) “I will take the medication at the same time every day.”
B) “I will report any unusual bruising or bleeding.”
C) “I can take aspirin for headaches while on warfarin.”
D) “I will keep my appointments for INR checks.”
Correct Answer: C
Aspirin increases bleeding risk when taken with warfarin and should be avoided
unless specifically prescribed. Taking warfarin at a consistent time (A), reporting
bleeding (B), and attending INR appointments (D) are correct practices.
2. A practical nurse is collecting data from a client with suspected deep vein
thrombosis of the left leg. The left calf is swollen, warm, and tender. Which
action should the PN take?
A) Massage the affected leg to reduce swelling
B) Elevate the leg and notify the registered nurse or provider
C) Ambulate the client to promote circulation
D) Apply a tight compression bandage from toe to thigh
Correct Answer: B
Elevating the leg reduces swelling, and the RN or provider must be notified
because the client may need diagnostic testing and anticoagulation. Massaging
(A) or ambulating (C) can dislodge the clot. A tight bandage (D) is not appropriate
for a suspected DVT.
3. A practical nurse is caring for a client with a new colostomy. Which
observation indicates a healthy stoma?
A) Dark purple and dry
B) Beefy red and moist
C) Pale pink and dry
D) Blue-tinged and cool
,Correct Answer: B
A healthy stoma is moist and beefy red due to adequate blood supply. Dark purple
(A), pale pink (C), and blue-tinged (D) indicate poor perfusion or ischemia and
require immediate reporting.
4. A practical nurse is assisting with the care of a client in acute alcohol
withdrawal. The client is diaphoretic and has a heart rate of 120 bpm.
Which medication should the PN anticipate the RN to administer?
A) Haloperidol
B) Lorazepam
C) Disulfiram
D) Naloxone
Correct Answer: B
Benzodiazepines such as lorazepam are first-line for acute alcohol withdrawal to
reduce autonomic hyperactivity and prevent seizures. Haloperidol (A) lowers the
seizure threshold. Disulfiram (C) is for maintenance abstinence. Naloxone (D)
reverses opioids.
5. A practical nurse is collecting data from a client who is 24 hours
postoperative after abdominal surgery. The client reports sudden onset of
shortness of breath and pleuritic chest pain. What is the PN’s priority
action?
A) Ambulate the client
B) Notify the registered nurse or provider immediately
C) Administer prescribed pain medication
D) Instruct the client to use an incentive spirometer
Correct Answer: B
Sudden shortness of breath and pleuritic chest pain after surgery suggest
pulmonary embolism, a life-threatening emergency requiring immediate
notification of the RN or provider. Ambulation (A), pain medication (C), and
incentive spirometry (D) do not address the urgency.
, 6. A practical nurse is reinforcing teaching with a client with type 2 diabetes
about foot care. Which client statement indicates the teaching was
effective?
A) “I will soak my feet in warm water every day.”
B) “I will inspect my feet daily for cuts or blisters.”
C) “I will use a heating pad to keep my feet warm.”
D) “I will go barefoot indoors to let my feet air out.”
Correct Answer: B
Daily foot inspection is essential for early detection of injury and prevention of
ulcers. Soaking (A) can dry the skin, heating pads (C) can burn insensate feet, and
going barefoot (D) increases injury risk.
7. A practical nurse is reinforcing teaching about a low-sodium diet. Which
food choice indicates the client understands the teaching?
A) Canned soup
B) Hot dog
C) Fresh fruit salad
D) Salted pretzels
Correct Answer: C
Fresh fruits are naturally low in sodium. Canned soup (A), hot dogs (B), and salted
pretzels (D) are high in sodium.
8. A practical nurse is caring for a client with a closed head injury. Which
finding should the PN report immediately?
A) Pupils equal and reactive
B) A change in level of consciousness from drowsy to difficult to arouse
C) Mild headache rated 3/10
D) Blood pressure of 120/70 mm Hg
Correct Answer: B
A change in level of consciousness is the earliest and most sensitive indicator of
increasing intracranial pressure and requires immediate reporting. The other
findings are stable or expected.
EXAMINATION 2026–2027 — STUDY GUIDE | LATEST
UPDATE 2026/2027 | ACTUAL EXAM PRACTICE
QUESTIONS AND ANSWERS | EXAM REVIEW | 100%
CORRECT ANSWERS | VERIFIED SOLUTIONS
This comprehensive practice examination is designed for practical/vocational
nursing graduates preparing for the NCLEX-PN® licensure examination and for
licensed practical/vocational nurses seeking to strengthen clinical competency. The
100-question test reflects the integrated content and cognitive complexity of the
current NCLEX-PN test plan, emphasizing safe and effective care environment,
health promotion and maintenance, psychosocial integrity, and physiological
integrity. Questions evaluate the practical nurse’s ability to collect data, implement
interventions, reinforce teaching, and recognize potential complications within the
scope of LPN/LVN practice. The 2026–2027 edition integrates current clinical
judgment principles and national patient safety standards. Use this review to
assess readiness, identify knowledge gaps, and build confidence for first-attempt
success on the NCLEX-PN. Detailed rationales clarify correct answers and
distractors. This practice tool is intended for self-assessment and review, not as a
substitute for official NCLEX resources.
Table of Contents
I. Coordinated Care and Delegation
II. Safety and Infection Control
III. Health Promotion and Maintenance
IV. Psychosocial Integrity and Coping
V. Basic Care and Comfort
VI. Pharmacological Therapies
VII. Reduction of Risk Potential
VIII. Physiological Adaptation
IX. Clinical Judgment and Data Collection
, 1. A practical nurse is reinforcing teaching with a client who has a new
prescription for warfarin. Which client statement indicates a need for
further teaching?
A) “I will take the medication at the same time every day.”
B) “I will report any unusual bruising or bleeding.”
C) “I can take aspirin for headaches while on warfarin.”
D) “I will keep my appointments for INR checks.”
Correct Answer: C
Aspirin increases bleeding risk when taken with warfarin and should be avoided
unless specifically prescribed. Taking warfarin at a consistent time (A), reporting
bleeding (B), and attending INR appointments (D) are correct practices.
2. A practical nurse is collecting data from a client with suspected deep vein
thrombosis of the left leg. The left calf is swollen, warm, and tender. Which
action should the PN take?
A) Massage the affected leg to reduce swelling
B) Elevate the leg and notify the registered nurse or provider
C) Ambulate the client to promote circulation
D) Apply a tight compression bandage from toe to thigh
Correct Answer: B
Elevating the leg reduces swelling, and the RN or provider must be notified
because the client may need diagnostic testing and anticoagulation. Massaging
(A) or ambulating (C) can dislodge the clot. A tight bandage (D) is not appropriate
for a suspected DVT.
3. A practical nurse is caring for a client with a new colostomy. Which
observation indicates a healthy stoma?
A) Dark purple and dry
B) Beefy red and moist
C) Pale pink and dry
D) Blue-tinged and cool
,Correct Answer: B
A healthy stoma is moist and beefy red due to adequate blood supply. Dark purple
(A), pale pink (C), and blue-tinged (D) indicate poor perfusion or ischemia and
require immediate reporting.
4. A practical nurse is assisting with the care of a client in acute alcohol
withdrawal. The client is diaphoretic and has a heart rate of 120 bpm.
Which medication should the PN anticipate the RN to administer?
A) Haloperidol
B) Lorazepam
C) Disulfiram
D) Naloxone
Correct Answer: B
Benzodiazepines such as lorazepam are first-line for acute alcohol withdrawal to
reduce autonomic hyperactivity and prevent seizures. Haloperidol (A) lowers the
seizure threshold. Disulfiram (C) is for maintenance abstinence. Naloxone (D)
reverses opioids.
5. A practical nurse is collecting data from a client who is 24 hours
postoperative after abdominal surgery. The client reports sudden onset of
shortness of breath and pleuritic chest pain. What is the PN’s priority
action?
A) Ambulate the client
B) Notify the registered nurse or provider immediately
C) Administer prescribed pain medication
D) Instruct the client to use an incentive spirometer
Correct Answer: B
Sudden shortness of breath and pleuritic chest pain after surgery suggest
pulmonary embolism, a life-threatening emergency requiring immediate
notification of the RN or provider. Ambulation (A), pain medication (C), and
incentive spirometry (D) do not address the urgency.
, 6. A practical nurse is reinforcing teaching with a client with type 2 diabetes
about foot care. Which client statement indicates the teaching was
effective?
A) “I will soak my feet in warm water every day.”
B) “I will inspect my feet daily for cuts or blisters.”
C) “I will use a heating pad to keep my feet warm.”
D) “I will go barefoot indoors to let my feet air out.”
Correct Answer: B
Daily foot inspection is essential for early detection of injury and prevention of
ulcers. Soaking (A) can dry the skin, heating pads (C) can burn insensate feet, and
going barefoot (D) increases injury risk.
7. A practical nurse is reinforcing teaching about a low-sodium diet. Which
food choice indicates the client understands the teaching?
A) Canned soup
B) Hot dog
C) Fresh fruit salad
D) Salted pretzels
Correct Answer: C
Fresh fruits are naturally low in sodium. Canned soup (A), hot dogs (B), and salted
pretzels (D) are high in sodium.
8. A practical nurse is caring for a client with a closed head injury. Which
finding should the PN report immediately?
A) Pupils equal and reactive
B) A change in level of consciousness from drowsy to difficult to arouse
C) Mild headache rated 3/10
D) Blood pressure of 120/70 mm Hg
Correct Answer: B
A change in level of consciousness is the earliest and most sensitive indicator of
increasing intracranial pressure and requires immediate reporting. The other
findings are stable or expected.
