Nclex-pn study guide 2024 NEW GENERATION
NCLEX QUESTIONS AND ANSWERS FOR NCLEX
PN
Question 1:
A charge nurse is making assignments. Which task is appropriate to delegate to an LPN?
• A. Perform an initial admission assessment on a patient with pneumonia
• B. Administer a PRN enema to a constipated patient
• C. Develop the nursing care plan for a patient with heart failure
• D. Teach a patient how to self-administer insulin
Correct Answer: B
Rationale: LPNs can administer medications (including PRN enemas) and perform stable,
routine treatments. Initial assessment (A) and care plan development (C) require RN-level
assessment and critical thinking. Patient teaching (D) can be reinforced by LPNs, but initial
teaching is typically performed by the RN .
Question 2:
A client is in contact isolation. What personal protective equipment (PPE) is required?
• A. Gown and gloves
• B. Mask and goggles
• C. N95 respirator
• D. Sterile gloves only
Correct Answer: A
Rationale: Contact precautions require gown and gloves to prevent transmission of organisms
through direct contact. Mask and goggles (B) are for droplet precautions. An N95 respirator
(C) is for airborne precautions .
,Question 3:
The LPN is caring for a client who has a central line. Which action is most important for
preventing a catheter-related bloodstream infection?
• A. Change the dressing daily
• B. Use sterile technique when accessing the central line
• C. Flush the line with heparin daily
• D. Apply antibiotic ointment to the insertion site
Correct Answer: B
Rationale: Using sterile technique when accessing a central line is the most important
intervention for preventing infection. The 2026 test plan emphasizes infection prevention and
control. The LPN/LVN should use sterile gloves and sterile supplies when accessing central
lines .
Question 4:
A client with a new diagnosis of schizophrenia is at risk for self-harm. Which intervention
should be included?
• A. Place the client in a room with a roommate who is calm and supportive
• B. Conduct frequent, regular safety checks and remove potential hazards
• C. Allow the client to have all personal belongings to promote comfort
• D. Encourage the client to use the call light for all needs
Correct Answer: B
Rationale: Clients with schizophrenia may experience command hallucinations or impaired
judgment that increases self-harm risk. Environmental safety and frequent monitoring are
essential .
Question 5:
An LPN is caring for a client who has Clostridioides difficile (C. diff). Which infection control
precaution should be implemented?
• A. Droplet precautions
, • B. Airborne precautions
• C. Contact precautions with hand hygiene using soap and water
• D. Standard precautions only
Correct Answer: C
Rationale: C. diff requires contact precautions. Hand hygiene should be performed with soap
and water, as alcohol-based hand sanitizers are not effective against C. diff spores. Droplet
precautions are for respiratory infections. Airborne precautions are for tuberculosis and
measles .
Question 6:
A client develops chills and flank pain during a blood transfusion. What is the priority action?
• A. Slow the infusion rate
• B. Stop the transfusion immediately
• C. Continue monitoring
• D. Administer acetaminophen
Correct Answer: B
Rationale: Chills and flank pain may indicate a hemolytic transfusion reaction, which is a
medical emergency requiring immediate discontinuation of the transfusion .
Question 7:
The PN is monitoring a client receiving a blood transfusion. The client develops chills and a
fever. What is the priority action?
• A. Stop the transfusion
• B. Administer acetaminophen as prescribed
• C. Notify the RN
• D. Slow the transfusion rate
Correct Answer: A
, Rationale: Chills and fever may indicate a transfusion reaction. The first action is to stop the
infusion and maintain the IV line with normal saline. The RN and blood bank are notified after
stopping the transfusion .
Question 8:
The nurse is preparing to administer a medication via a patient-controlled analgesia (PCA)
pump. Which action is most important for preventing medication errors?
• A. Verify the PCA pump settings with the RN and ensure the client understands how to
use the PCA
• B. Program the PCA pump independently
• C. Rely on the client's verbal confirmation of settings
• D. Check vital signs only after the transfusion is complete
Correct Answer: A
Rationale: Verifying the PCA pump settings with the RN and ensuring the client understands
how to use the PCA is critical for preventing medication errors. The LPN/LVN should not
program the PCA pump independently .
Question 9:
A client is at risk for falls. Which intervention is most appropriate?
• A. Keep the bed in the lowest position and ensure the call light is within reach
• B. Apply restraints to prevent the client from getting out of bed
• C. Keep the bed in the highest position to facilitate care
• D. Place clutter around the bed to slow the client down
Correct Answer: A
Rationale: Keeping the bed low and ensuring the call light is within reach are important fall
prevention measures. Restraints should be used as a last resort. The LPN/LVN should also
ensure the client's room is free of clutter .
NCLEX QUESTIONS AND ANSWERS FOR NCLEX
PN
Question 1:
A charge nurse is making assignments. Which task is appropriate to delegate to an LPN?
• A. Perform an initial admission assessment on a patient with pneumonia
• B. Administer a PRN enema to a constipated patient
• C. Develop the nursing care plan for a patient with heart failure
• D. Teach a patient how to self-administer insulin
Correct Answer: B
Rationale: LPNs can administer medications (including PRN enemas) and perform stable,
routine treatments. Initial assessment (A) and care plan development (C) require RN-level
assessment and critical thinking. Patient teaching (D) can be reinforced by LPNs, but initial
teaching is typically performed by the RN .
Question 2:
A client is in contact isolation. What personal protective equipment (PPE) is required?
• A. Gown and gloves
• B. Mask and goggles
• C. N95 respirator
• D. Sterile gloves only
Correct Answer: A
Rationale: Contact precautions require gown and gloves to prevent transmission of organisms
through direct contact. Mask and goggles (B) are for droplet precautions. An N95 respirator
(C) is for airborne precautions .
,Question 3:
The LPN is caring for a client who has a central line. Which action is most important for
preventing a catheter-related bloodstream infection?
• A. Change the dressing daily
• B. Use sterile technique when accessing the central line
• C. Flush the line with heparin daily
• D. Apply antibiotic ointment to the insertion site
Correct Answer: B
Rationale: Using sterile technique when accessing a central line is the most important
intervention for preventing infection. The 2026 test plan emphasizes infection prevention and
control. The LPN/LVN should use sterile gloves and sterile supplies when accessing central
lines .
Question 4:
A client with a new diagnosis of schizophrenia is at risk for self-harm. Which intervention
should be included?
• A. Place the client in a room with a roommate who is calm and supportive
• B. Conduct frequent, regular safety checks and remove potential hazards
• C. Allow the client to have all personal belongings to promote comfort
• D. Encourage the client to use the call light for all needs
Correct Answer: B
Rationale: Clients with schizophrenia may experience command hallucinations or impaired
judgment that increases self-harm risk. Environmental safety and frequent monitoring are
essential .
Question 5:
An LPN is caring for a client who has Clostridioides difficile (C. diff). Which infection control
precaution should be implemented?
• A. Droplet precautions
, • B. Airborne precautions
• C. Contact precautions with hand hygiene using soap and water
• D. Standard precautions only
Correct Answer: C
Rationale: C. diff requires contact precautions. Hand hygiene should be performed with soap
and water, as alcohol-based hand sanitizers are not effective against C. diff spores. Droplet
precautions are for respiratory infections. Airborne precautions are for tuberculosis and
measles .
Question 6:
A client develops chills and flank pain during a blood transfusion. What is the priority action?
• A. Slow the infusion rate
• B. Stop the transfusion immediately
• C. Continue monitoring
• D. Administer acetaminophen
Correct Answer: B
Rationale: Chills and flank pain may indicate a hemolytic transfusion reaction, which is a
medical emergency requiring immediate discontinuation of the transfusion .
Question 7:
The PN is monitoring a client receiving a blood transfusion. The client develops chills and a
fever. What is the priority action?
• A. Stop the transfusion
• B. Administer acetaminophen as prescribed
• C. Notify the RN
• D. Slow the transfusion rate
Correct Answer: A
, Rationale: Chills and fever may indicate a transfusion reaction. The first action is to stop the
infusion and maintain the IV line with normal saline. The RN and blood bank are notified after
stopping the transfusion .
Question 8:
The nurse is preparing to administer a medication via a patient-controlled analgesia (PCA)
pump. Which action is most important for preventing medication errors?
• A. Verify the PCA pump settings with the RN and ensure the client understands how to
use the PCA
• B. Program the PCA pump independently
• C. Rely on the client's verbal confirmation of settings
• D. Check vital signs only after the transfusion is complete
Correct Answer: A
Rationale: Verifying the PCA pump settings with the RN and ensuring the client understands
how to use the PCA is critical for preventing medication errors. The LPN/LVN should not
program the PCA pump independently .
Question 9:
A client is at risk for falls. Which intervention is most appropriate?
• A. Keep the bed in the lowest position and ensure the call light is within reach
• B. Apply restraints to prevent the client from getting out of bed
• C. Keep the bed in the highest position to facilitate care
• D. Place clutter around the bed to slow the client down
Correct Answer: A
Rationale: Keeping the bed low and ensuring the call light is within reach are important fall
prevention measures. Restraints should be used as a last resort. The LPN/LVN should also
ensure the client's room is free of clutter .
