NCLEX-PN Practice Exam 2025: Free NCLEX-PN
Questions, Correct Answers & Detailed Rationales |
Complete LPN/LVN Test Prep Guide for First-Time Pass
Success
Prepare for the NCLEX-PN with the best free practice exam questions, correct answers,
and detailed rationales. This complete test prep guide includes sample questions, mock
exams, and essential study resources to help LPN/LVN candidates pass the NCLEX-PN on
their first attempt.
• NCLEX-PN practice exam
• NCLEX-PN practice questions
• NCLEX-PN test prep
• NCLEX-PN exam review
. A nurse is reinforcing teaching about warfarin. Which food should the client
avoid in large quantities?
A. Bananas
B. Apples
,C. Oranges
D. Spinach
Rationale: Spinach contains vitamin K, which interferes with warfarin
effectiveness, leading to reduced anticoagulation.
. A nurse is caring for a client with a nasogastric tube for gastric
decompression. Which finding requires immediate intervention?
A. Greenish drainage
B. Occasional coughing
C. Absent bowel sounds and firm abdomen
D. Small air bubbles in tubing
Rationale: Absent bowel sounds and firm abdomen may indicate
obstruction or perforation, which require prompt assessment.
6. A client receiving IV potassium reports burning at the IV site. What is the
nurse’s best action?
A. Stop the infusion and assess the site
B. Apply warm compress
C. Slow the infusion rate
D. Continue as prescribed
Rationale: Burning may indicate infiltration or phlebitis; the infusion should
be stopped and the site assessed to prevent tissue damage.
,7. Which client should the nurse see first?
A. Client with blood glucose of 200 mg/dL
B. Client with potassium of 2.9 mEq/L
C. Client with sodium of 148 mEq/L
D. Client with hemoglobin of 10 g/dL
Rationale: Hypokalemia can cause life-threatening cardiac dysrhythmias
and requires immediate attention.
1. A nurse is caring for a client with heart failure who is prescribed
furosemide. Which laboratory value should the nurse monitor most closely?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Rationale: Furosemide is a loop diuretic that can cause potassium loss,
leading to hypokalemia. Monitoring potassium prevents cardiac
complications.
2. The nurse is reinforcing teaching for a client with diabetes mellitus about
foot care. Which instruction is appropriate? A. Soak feet daily in hot water
, B. Inspect feet daily for cuts or blisters
C. Cut toenails close to the skin
D. Apply lotion between the toes
Rationale: Daily inspection prevents infection and early detection of injury.
Soaking or applying lotion between toes increases infection risk.
3. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The
nurse notes increasing drowsiness. What action should the nurse take first?
A. Lower the oxygen flow rate
B. Notify the healthcare provider
C. Obtain a pulse oximetry reading
D. Encourage coughing and deep breathing
Rationale: High oxygen flow can suppress respiratory drive in COPD clients;
reducing the rate helps restore hypoxic stimulus.
8. A nurse is reinforcing discharge teaching for a client after a
cholecystectomy. Which statement indicates understanding?
A. “I can eat fried foods when I feel better.”
B. “I should avoid walking for 2 weeks.”
C. “I will follow a low-fat diet.”
D. “I should remove the dressing daily.”
Questions, Correct Answers & Detailed Rationales |
Complete LPN/LVN Test Prep Guide for First-Time Pass
Success
Prepare for the NCLEX-PN with the best free practice exam questions, correct answers,
and detailed rationales. This complete test prep guide includes sample questions, mock
exams, and essential study resources to help LPN/LVN candidates pass the NCLEX-PN on
their first attempt.
• NCLEX-PN practice exam
• NCLEX-PN practice questions
• NCLEX-PN test prep
• NCLEX-PN exam review
. A nurse is reinforcing teaching about warfarin. Which food should the client
avoid in large quantities?
A. Bananas
B. Apples
,C. Oranges
D. Spinach
Rationale: Spinach contains vitamin K, which interferes with warfarin
effectiveness, leading to reduced anticoagulation.
. A nurse is caring for a client with a nasogastric tube for gastric
decompression. Which finding requires immediate intervention?
A. Greenish drainage
B. Occasional coughing
C. Absent bowel sounds and firm abdomen
D. Small air bubbles in tubing
Rationale: Absent bowel sounds and firm abdomen may indicate
obstruction or perforation, which require prompt assessment.
6. A client receiving IV potassium reports burning at the IV site. What is the
nurse’s best action?
A. Stop the infusion and assess the site
B. Apply warm compress
C. Slow the infusion rate
D. Continue as prescribed
Rationale: Burning may indicate infiltration or phlebitis; the infusion should
be stopped and the site assessed to prevent tissue damage.
,7. Which client should the nurse see first?
A. Client with blood glucose of 200 mg/dL
B. Client with potassium of 2.9 mEq/L
C. Client with sodium of 148 mEq/L
D. Client with hemoglobin of 10 g/dL
Rationale: Hypokalemia can cause life-threatening cardiac dysrhythmias
and requires immediate attention.
1. A nurse is caring for a client with heart failure who is prescribed
furosemide. Which laboratory value should the nurse monitor most closely?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Rationale: Furosemide is a loop diuretic that can cause potassium loss,
leading to hypokalemia. Monitoring potassium prevents cardiac
complications.
2. The nurse is reinforcing teaching for a client with diabetes mellitus about
foot care. Which instruction is appropriate? A. Soak feet daily in hot water
, B. Inspect feet daily for cuts or blisters
C. Cut toenails close to the skin
D. Apply lotion between the toes
Rationale: Daily inspection prevents infection and early detection of injury.
Soaking or applying lotion between toes increases infection risk.
3. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The
nurse notes increasing drowsiness. What action should the nurse take first?
A. Lower the oxygen flow rate
B. Notify the healthcare provider
C. Obtain a pulse oximetry reading
D. Encourage coughing and deep breathing
Rationale: High oxygen flow can suppress respiratory drive in COPD clients;
reducing the rate helps restore hypoxic stimulus.
8. A nurse is reinforcing discharge teaching for a client after a
cholecystectomy. Which statement indicates understanding?
A. “I can eat fried foods when I feel better.”
B. “I should avoid walking for 2 weeks.”
C. “I will follow a low-fat diet.”
D. “I should remove the dressing daily.”
