C O M P R E H E N S I V E P R AC T I C E E X A M I N AT I O N
NCLEX PN
Practice Exam
2026
180 multiple-choice questions with comprehensive
rationales covering all client needs categories.
Designed to reflect the latest NCLEX PN test plan and
Next Generation NCLEX clinical judgment standards
for first-attempt success.
180 Questions | Full Rationales | All Client Needs
LATE ST 2026 EDI TI ON
,
,NCLEX PN Practice Exam 2026 180 Questions with Full Rationales
NCLEX PN PRACTICE EXAM 2026
180 Multiple-Choice Questions with Full Rationales
Total Questions Question Type Format
180 Multiple Choice (4 options) Questions + Rationales
CLIENT NEEDS CATEGORIES COVERED
Category Focus Areas Questions
Safe and Effective Care Environment Coordinated Care + Safety and Infection Control 40 questions
Health Promotion and Maintenance Growth, development, prevention, early detection 30 questions
Psychosocial Integrity Coping, mental health, cultural diversity 25 questions
Physiological Integrity Basic Care, Pharmacology, Risk Reduction, Adaptation 85 questions
HOW TO USE THIS EXAM
1. Read each question carefully before selecting your answer.
2. Select the BEST answer from the four options provided (A, B, C, or D).
3. After answering, review the detailed rationale that explains why the correct answer is right and why each
distractor is wrong.
4. Focus on understanding the underlying nursing principles rather than memorizing specific answers.
5. This exam covers the full NCLEX PN test plan at the practical nursing scope of practice level.
6. Questions are organized by client needs category but represent a single continuous exam experience.
BEGIN EXAM
Page 1
, NCLEX PN Practice Exam 2026 180 Questions with Full Rationales
SAFE AND EFFECTIVE CARE ENVIRONMENT: COORDINATED CARE
QUESTION 1
The licensed practical nurse (LPN) is caring for a client who is 2 hours
postoperative following a cholecystectomy. Which finding should the nurse report
to the registered nurse (RN) immediately?
A. The client reports pain at the incision site rated as 4 on a 0-10 scale
B. The client's abdominal dressing has a small amount of serosanguineous
drainage
D. The client's temperature is 101.2F (38.4C) with increased restlessness Correct
C. The client
has not voided since returning from the recovery room
Correct Answer: D
Rationale: A temperature of 101.2F (38.4C) combined with increased restlessness
at 2 hours postoperative is a sign of a potential complication such as infection or
atelectasis and must be reported to the RN immediately. This finding requires
prompt evaluation and intervention. Option A is expected after surgery; pain
management is appropriate within protocol. Option B describes minimal, expected
drainage on a fresh surgical dressing. Option C is common in the immediate
postoperative period due to anesthesia effects; interventions such as encouraging
fluid intake and monitoring intake and output are within LPN scope.
QUESTION 2
The LPN is assigned to care for four clients. Which task should the nurse delegate to
the unlicensed assistive personnel (UAP)?
A. Measuring the output from a newly inserted Foley catheter for a client with
renal failure
C. Applying a sequential compression device to a client who just returned from surgery Correct
B. Feeding a client with dysphagia who has an order for pureed foods and nectar-
thickened liquids
D. Recording the intake and output for a client receiving IV fluids and a blood
transfusion
Correct Answer: C
Rationale: Applying a sequential compression device is a standardized, non-
Page 2
NCLEX PN
Practice Exam
2026
180 multiple-choice questions with comprehensive
rationales covering all client needs categories.
Designed to reflect the latest NCLEX PN test plan and
Next Generation NCLEX clinical judgment standards
for first-attempt success.
180 Questions | Full Rationales | All Client Needs
LATE ST 2026 EDI TI ON
,
,NCLEX PN Practice Exam 2026 180 Questions with Full Rationales
NCLEX PN PRACTICE EXAM 2026
180 Multiple-Choice Questions with Full Rationales
Total Questions Question Type Format
180 Multiple Choice (4 options) Questions + Rationales
CLIENT NEEDS CATEGORIES COVERED
Category Focus Areas Questions
Safe and Effective Care Environment Coordinated Care + Safety and Infection Control 40 questions
Health Promotion and Maintenance Growth, development, prevention, early detection 30 questions
Psychosocial Integrity Coping, mental health, cultural diversity 25 questions
Physiological Integrity Basic Care, Pharmacology, Risk Reduction, Adaptation 85 questions
HOW TO USE THIS EXAM
1. Read each question carefully before selecting your answer.
2. Select the BEST answer from the four options provided (A, B, C, or D).
3. After answering, review the detailed rationale that explains why the correct answer is right and why each
distractor is wrong.
4. Focus on understanding the underlying nursing principles rather than memorizing specific answers.
5. This exam covers the full NCLEX PN test plan at the practical nursing scope of practice level.
6. Questions are organized by client needs category but represent a single continuous exam experience.
BEGIN EXAM
Page 1
, NCLEX PN Practice Exam 2026 180 Questions with Full Rationales
SAFE AND EFFECTIVE CARE ENVIRONMENT: COORDINATED CARE
QUESTION 1
The licensed practical nurse (LPN) is caring for a client who is 2 hours
postoperative following a cholecystectomy. Which finding should the nurse report
to the registered nurse (RN) immediately?
A. The client reports pain at the incision site rated as 4 on a 0-10 scale
B. The client's abdominal dressing has a small amount of serosanguineous
drainage
D. The client's temperature is 101.2F (38.4C) with increased restlessness Correct
C. The client
has not voided since returning from the recovery room
Correct Answer: D
Rationale: A temperature of 101.2F (38.4C) combined with increased restlessness
at 2 hours postoperative is a sign of a potential complication such as infection or
atelectasis and must be reported to the RN immediately. This finding requires
prompt evaluation and intervention. Option A is expected after surgery; pain
management is appropriate within protocol. Option B describes minimal, expected
drainage on a fresh surgical dressing. Option C is common in the immediate
postoperative period due to anesthesia effects; interventions such as encouraging
fluid intake and monitoring intake and output are within LPN scope.
QUESTION 2
The LPN is assigned to care for four clients. Which task should the nurse delegate to
the unlicensed assistive personnel (UAP)?
A. Measuring the output from a newly inserted Foley catheter for a client with
renal failure
C. Applying a sequential compression device to a client who just returned from surgery Correct
B. Feeding a client with dysphagia who has an order for pureed foods and nectar-
thickened liquids
D. Recording the intake and output for a client receiving IV fluids and a blood
transfusion
Correct Answer: C
Rationale: Applying a sequential compression device is a standardized, non-
Page 2
