N C L E X- P N P R AC T I C E E X A M
NCLEXPN
Exam2026
150 multiple-choice questions with full rationales covering all
content areas of the latest NCLEX PN test plan. Designed to
guarantee your first-attempt success.
L AT E S T N C L E X P N E X A M P R E PA R AT I O N | 2 0 2 6 E D I
TI ON
,NCLEX PN Exam 2026 — Practice Questions Page 1
NCLEX PN Exam 2026
150 Multiple-Choice Questions with Answers and Full Rationales
Question 1
The PN is caring for a client 2 days post-cholecystectomy. Which task is most
appropriate to delegate to the UAP?
A. Assessing the surgical incision for signs of infection
B. Measuring and recording intake and output
C. Evaluating the client response to pain medication
D. Teaching deep-breathing exercises
Correct Answer: B. Measuring and recording intake and output
Rationale: Intake and output measurement is a standardized non-invasive task within
the UAP scope of practice. Assessment evaluation and teaching require nursing
judgment and licensure and cannot be delegated to unlicensed personnel.
Question 2
The PN receives morning lab results for four clients. Which result should the PN report
to the RN first?
A. Potassium 3.6 mEq/L for a client on loop diuretics
B. Sodium 136 mEq/L for a client with diarrhea
C. Blood glucose 260 mg/dL for a client with type 2 diabetes
D. Hemoglobin 11.2 g/dL for a client 2 days postoperative
Correct Answer: C. Blood glucose 260 mg/dL for a client with type 2 diabetes
Rationale: A blood glucose of 260 mg/dL is significantly elevated and requires
immediate intervention to prevent hyperglycemic complications such as diabetic
ketoacidosis. The other values are mildly abnormal but do not represent the same
level of acute risk.
Question 3
A client is scheduled for a colonoscopy and asks the PN to explain the procedure. What
is the best response?
A. Explain the procedure in detail since the PN knows the process
B. Tell the client the physician will explain and obtain consent
C. Provide a brochure about colonoscopy and let the client read it
D. Advise the client that consent is not needed for this procedure
150 Multiple-Choice Questions with Answers and Full Rationales
,NCLEX PN Exam 2026 — Practice Questions Page 2
Correct Answer: B. Tell the client the physician will explain and obtain consent
Rationale: The physician performing the procedure is responsible for obtaining
informed consent and explaining risks benefits and alternatives. The PN can
reinforce information but should not be the primary source of pre-procedure teaching
for consent purposes.
Question 4
A client with terminal cancer has a do-not-resuscitate (DNR) order. The family
demands that everything possible be done. What should the PN do?
A. Follow the family request and begin resuscitation if needed
B. Honor the DNR order and discuss family concerns with the RN
C. Ask the family member to leave the room immediately
D. Call the hospital administrator to resolve the dispute
Correct Answer: B. Honor the DNR order and discuss family concerns with the
RN
150 Multiple-Choice Questions with Answers and Full Rationales
, NCLEX PN Exam 2026 — Practice Questions Page 3
Rationale: A DNR order is a legal document reflecting the client own wishes and
must be respected. The PN should honor the order while involving the RN to
facilitate communication with the family about their concerns.
Question 5
The PN administers the wrong medication to a client. The client is not harmed. What is
the PN first action?
A. Complete an incident report and place it in the client chart
B. Assess the client and notify the RN and prescriber immediately
C. Document the error in the nursing notes only
D. Wait to see if the client shows adverse effects before reporting
Correct Answer: B. Assess the client and notify the RN and prescriber
immediately
Rationale: The priority is client safety so the PN must first assess the client and
notify the RN and prescriber regardless of whether harm is apparent. An incident
report should be completed per facility policy but is never placed in the client medical
record.
Question 6
Which action by the PN best prevents medication errors?
A. Administering medications from memory for commonly prescribed drugs
B. Checking the medication label against the MAR at least three times
C. Relying on the pharmacy to catch any prescribing errors
D. Asking the client what medication they usually take at home
Correct Answer: B. Checking the medication label against the MAR at least three
times
Rationale: The three-check system (when removing preparing and returning the
medication) is a standard safety practice that catches errors at multiple points.
Relying on memory the pharmacy alone or client recollection introduces
unnecessary risk.
Question 7
The PN is preparing a client with heart failure for discharge. Which statement
indicates the need for further teaching?
A. I will weigh myself every morning and call my doctor if I gain 3 pounds in a day
B. I will take my furosemide every morning even if I feel well
C. I can drink as much fluid as I want since I am taking a water pill
150 Multiple-Choice Questions with Answers and Full Rationales
NCLEXPN
Exam2026
150 multiple-choice questions with full rationales covering all
content areas of the latest NCLEX PN test plan. Designed to
guarantee your first-attempt success.
L AT E S T N C L E X P N E X A M P R E PA R AT I O N | 2 0 2 6 E D I
TI ON
,NCLEX PN Exam 2026 — Practice Questions Page 1
NCLEX PN Exam 2026
150 Multiple-Choice Questions with Answers and Full Rationales
Question 1
The PN is caring for a client 2 days post-cholecystectomy. Which task is most
appropriate to delegate to the UAP?
A. Assessing the surgical incision for signs of infection
B. Measuring and recording intake and output
C. Evaluating the client response to pain medication
D. Teaching deep-breathing exercises
Correct Answer: B. Measuring and recording intake and output
Rationale: Intake and output measurement is a standardized non-invasive task within
the UAP scope of practice. Assessment evaluation and teaching require nursing
judgment and licensure and cannot be delegated to unlicensed personnel.
Question 2
The PN receives morning lab results for four clients. Which result should the PN report
to the RN first?
A. Potassium 3.6 mEq/L for a client on loop diuretics
B. Sodium 136 mEq/L for a client with diarrhea
C. Blood glucose 260 mg/dL for a client with type 2 diabetes
D. Hemoglobin 11.2 g/dL for a client 2 days postoperative
Correct Answer: C. Blood glucose 260 mg/dL for a client with type 2 diabetes
Rationale: A blood glucose of 260 mg/dL is significantly elevated and requires
immediate intervention to prevent hyperglycemic complications such as diabetic
ketoacidosis. The other values are mildly abnormal but do not represent the same
level of acute risk.
Question 3
A client is scheduled for a colonoscopy and asks the PN to explain the procedure. What
is the best response?
A. Explain the procedure in detail since the PN knows the process
B. Tell the client the physician will explain and obtain consent
C. Provide a brochure about colonoscopy and let the client read it
D. Advise the client that consent is not needed for this procedure
150 Multiple-Choice Questions with Answers and Full Rationales
,NCLEX PN Exam 2026 — Practice Questions Page 2
Correct Answer: B. Tell the client the physician will explain and obtain consent
Rationale: The physician performing the procedure is responsible for obtaining
informed consent and explaining risks benefits and alternatives. The PN can
reinforce information but should not be the primary source of pre-procedure teaching
for consent purposes.
Question 4
A client with terminal cancer has a do-not-resuscitate (DNR) order. The family
demands that everything possible be done. What should the PN do?
A. Follow the family request and begin resuscitation if needed
B. Honor the DNR order and discuss family concerns with the RN
C. Ask the family member to leave the room immediately
D. Call the hospital administrator to resolve the dispute
Correct Answer: B. Honor the DNR order and discuss family concerns with the
RN
150 Multiple-Choice Questions with Answers and Full Rationales
, NCLEX PN Exam 2026 — Practice Questions Page 3
Rationale: A DNR order is a legal document reflecting the client own wishes and
must be respected. The PN should honor the order while involving the RN to
facilitate communication with the family about their concerns.
Question 5
The PN administers the wrong medication to a client. The client is not harmed. What is
the PN first action?
A. Complete an incident report and place it in the client chart
B. Assess the client and notify the RN and prescriber immediately
C. Document the error in the nursing notes only
D. Wait to see if the client shows adverse effects before reporting
Correct Answer: B. Assess the client and notify the RN and prescriber
immediately
Rationale: The priority is client safety so the PN must first assess the client and
notify the RN and prescriber regardless of whether harm is apparent. An incident
report should be completed per facility policy but is never placed in the client medical
record.
Question 6
Which action by the PN best prevents medication errors?
A. Administering medications from memory for commonly prescribed drugs
B. Checking the medication label against the MAR at least three times
C. Relying on the pharmacy to catch any prescribing errors
D. Asking the client what medication they usually take at home
Correct Answer: B. Checking the medication label against the MAR at least three
times
Rationale: The three-check system (when removing preparing and returning the
medication) is a standard safety practice that catches errors at multiple points.
Relying on memory the pharmacy alone or client recollection introduces
unnecessary risk.
Question 7
The PN is preparing a client with heart failure for discharge. Which statement
indicates the need for further teaching?
A. I will weigh myself every morning and call my doctor if I gain 3 pounds in a day
B. I will take my furosemide every morning even if I feel well
C. I can drink as much fluid as I want since I am taking a water pill
150 Multiple-Choice Questions with Answers and Full Rationales
