NCLEX PN Practice Exam 2026 70 Questions | Multiple Choice
NCLEX PN Practice Exam 2026
70 Multiple-Choice Questions with Answer Key and Rationales
Instructions: Select the best answer for each question. Each question has four
options (A, B, C, D). Only one answer is correct.
Time Limit: 3 hours | Passing Standard: Adjusted by CAT algorithm
1. A licensed practical nurse (LPN) is caring for a client who is being discharged
home after a total hip replacement. Which of the following statements by the
client indicates an understanding of the discharge instructions?
A. I will sit with my legs crossed to prevent stiffness
B. I will use an elevated toilet seat and a shower chair at home
C. I will bend at the waist to pick up objects from the floor
D. I will sleep on my side without a pillow between my legs
2. The LPN is receiving a shift report on four clients. Which client should the nurse
assess first?
A. A client who is scheduled for a colonoscopy in 2 hours and reports nausea
B. A client with heart failure who has gained 2 kg in the past 2 days and has
bilateral ankle edema
C. A client with type 2 diabetes whose morning blood glucose is 210 mg/dL
D. A client who is 1 day postoperative following a laparoscopic
cholecystectomy and reports pain at 4/10
3. An LPN is delegating tasks to an unlicensed assistive personnel (UAP). Which
of the following tasks is appropriate to delegate?
A. Measuring the intake and output for a client with a Foley catheter
B. Performing the initial admission assessment on a newly transferred client
C. Administering oral medications to a stable client
D. Evaluating the effectiveness of a new pain management regimen
4. A client with end-stage renal disease tells the nurse, 'I do not want to continue
dialysis anymore. I just want to be comfortable.' What is the nurse's best
response?
A. You should not give up; dialysis is keeping you alive
B. I will notify your health care provider so we can discuss your wishes
Page 1
,NCLEX PN Practice Exam 2026 70 Questions | Multiple Choice
C. You might feel differently once you get used to the treatment schedule
D. Let me call your family so they can help convince you to continue
5. The LPN is reviewing the medical record of a client admitted with
dehydration. Which of the following findings should the nurse report to
the registered nurse (RN) immediately?
A. Blood pressure 110/70 mmHg, pulse 88/min
B. Urine output of 30 mL over the past 2 hours
C. Dry mucous membranes and decreased skin turgor
D. Client reports feeling thirsty and asks for water
Page 2
,NCLEX PN Practice Exam 2026 70 Questions | Multiple Choice
6. An LPN is caring for a client who has a new prescription for a clear liquid diet.
Which of the following items should the nurse tell the client is permitted on this
diet?
A. Orange juice with pulp
B. Chicken broth
C. Ice cream
D. Cream of wheat cereal
7. A client is being transferred
from the intensive care unit to the medical-
surgical unit. Which of the following actions should the LPN take during the
transfer?
A. Provide a verbal report to the receiving nurse using the SBAR format
B. Withhold all medications until the receiving nurse completes the assessment
C. Send the client's medical record ahead so the receiving nurse can review it
alone
D. Ask the family to leave before the transport team arrives
8. The LPN is caring for a client who has just been informed of a new cancer
diagnosis. The client says, 'I cannot deal with this right now. I need to be alone.'
What is the best nursing action?
A. Insist that the client talk about their feelings to process the news
B. Respect the client's request and check on them frequently
C. Call the chaplain immediately to provide spiritual counseling
D. Explain the treatment plan in detail to give the client hope
9. An LPN is caring for a client who is on contact precautions. Which of the
following actions should the nurse take?
A. Wear a gown and gloves when entering the client's room
B. Place the client in
a negative-pressure room
C. Wear an N95 respirator when within 3 feet of the client
D. Keep the door to the client's room open at all times
10. The LPN is reviewing the laboratory results for a client who is receiving
heparin therapy. Which result should the nurse report to the RN immediately?
A. aPTT of 45 seconds
B. aPTT of 90 seconds
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, NCLEX PN Practice Exam 2026 70 Questions | Multiple Choice
C. Platelet
count of 220,000/mm3
D. Hemoglobin of 12.5 g/dL
11. A client with chronic obstructive pulmonary disease (COPD) is being
discharged with home oxygen therapy. Which of the following instructions
should the LPN include in the discharge teaching?
A. You may use petroleum-based lip balm to prevent dry nasal passages
B. Keep the oxygen equipment at least 10 feet away from open flames
C. Adjust the oxygen flow rate to 6 L/min if you feel short of breath
D. You should avoid traveling by airplane while using supplemental oxygen
Page 4
NCLEX PN Practice Exam 2026
70 Multiple-Choice Questions with Answer Key and Rationales
Instructions: Select the best answer for each question. Each question has four
options (A, B, C, D). Only one answer is correct.
Time Limit: 3 hours | Passing Standard: Adjusted by CAT algorithm
1. A licensed practical nurse (LPN) is caring for a client who is being discharged
home after a total hip replacement. Which of the following statements by the
client indicates an understanding of the discharge instructions?
A. I will sit with my legs crossed to prevent stiffness
B. I will use an elevated toilet seat and a shower chair at home
C. I will bend at the waist to pick up objects from the floor
D. I will sleep on my side without a pillow between my legs
2. The LPN is receiving a shift report on four clients. Which client should the nurse
assess first?
A. A client who is scheduled for a colonoscopy in 2 hours and reports nausea
B. A client with heart failure who has gained 2 kg in the past 2 days and has
bilateral ankle edema
C. A client with type 2 diabetes whose morning blood glucose is 210 mg/dL
D. A client who is 1 day postoperative following a laparoscopic
cholecystectomy and reports pain at 4/10
3. An LPN is delegating tasks to an unlicensed assistive personnel (UAP). Which
of the following tasks is appropriate to delegate?
A. Measuring the intake and output for a client with a Foley catheter
B. Performing the initial admission assessment on a newly transferred client
C. Administering oral medications to a stable client
D. Evaluating the effectiveness of a new pain management regimen
4. A client with end-stage renal disease tells the nurse, 'I do not want to continue
dialysis anymore. I just want to be comfortable.' What is the nurse's best
response?
A. You should not give up; dialysis is keeping you alive
B. I will notify your health care provider so we can discuss your wishes
Page 1
,NCLEX PN Practice Exam 2026 70 Questions | Multiple Choice
C. You might feel differently once you get used to the treatment schedule
D. Let me call your family so they can help convince you to continue
5. The LPN is reviewing the medical record of a client admitted with
dehydration. Which of the following findings should the nurse report to
the registered nurse (RN) immediately?
A. Blood pressure 110/70 mmHg, pulse 88/min
B. Urine output of 30 mL over the past 2 hours
C. Dry mucous membranes and decreased skin turgor
D. Client reports feeling thirsty and asks for water
Page 2
,NCLEX PN Practice Exam 2026 70 Questions | Multiple Choice
6. An LPN is caring for a client who has a new prescription for a clear liquid diet.
Which of the following items should the nurse tell the client is permitted on this
diet?
A. Orange juice with pulp
B. Chicken broth
C. Ice cream
D. Cream of wheat cereal
7. A client is being transferred
from the intensive care unit to the medical-
surgical unit. Which of the following actions should the LPN take during the
transfer?
A. Provide a verbal report to the receiving nurse using the SBAR format
B. Withhold all medications until the receiving nurse completes the assessment
C. Send the client's medical record ahead so the receiving nurse can review it
alone
D. Ask the family to leave before the transport team arrives
8. The LPN is caring for a client who has just been informed of a new cancer
diagnosis. The client says, 'I cannot deal with this right now. I need to be alone.'
What is the best nursing action?
A. Insist that the client talk about their feelings to process the news
B. Respect the client's request and check on them frequently
C. Call the chaplain immediately to provide spiritual counseling
D. Explain the treatment plan in detail to give the client hope
9. An LPN is caring for a client who is on contact precautions. Which of the
following actions should the nurse take?
A. Wear a gown and gloves when entering the client's room
B. Place the client in
a negative-pressure room
C. Wear an N95 respirator when within 3 feet of the client
D. Keep the door to the client's room open at all times
10. The LPN is reviewing the laboratory results for a client who is receiving
heparin therapy. Which result should the nurse report to the RN immediately?
A. aPTT of 45 seconds
B. aPTT of 90 seconds
Page 3
, NCLEX PN Practice Exam 2026 70 Questions | Multiple Choice
C. Platelet
count of 220,000/mm3
D. Hemoglobin of 12.5 g/dL
11. A client with chronic obstructive pulmonary disease (COPD) is being
discharged with home oxygen therapy. Which of the following instructions
should the LPN include in the discharge teaching?
A. You may use petroleum-based lip balm to prevent dry nasal passages
B. Keep the oxygen equipment at least 10 feet away from open flames
C. Adjust the oxygen flow rate to 6 L/min if you feel short of breath
D. You should avoid traveling by airplane while using supplemental oxygen
Page 4
