NCLEX PN 2026/2027 Latest Release ACTUAL
EXAM 2026/2027 | Complete Exam-Style Questions
with Detailed Rationales | 100% Verified Pass
Guaranteed – A+ Graded
Client Needs: Coordinated Care and Safety & Infection Control (Questions 1–25)
Q1: A practical nurse working on a long-term care unit is supervising an assistive personnel
(AP) for the shift. Which task is appropriate for the PN to delegate to the AP?
A. Teaching a resident how to safely use a walker for the first time
B. Obtaining routine morning vital signs on a stable resident [CORRECT]
C. Assessing a new resident's skin condition during the admission process
D. Interpreting a resident's blood glucose reading and adjusting insulin
Correct Answer: B
Rationale: The best answer is collecting routine vital signs on a stable resident, since data
collection on stable clients is a classic task within the AP's scope. Teaching, assessment, and
interpreting results with treatment decisions all require nursing judgment, so those remain
with licensed staff.
Q2: The charge RN is making assignments for the day shift. Which task is appropriate to
assign to an experienced LPN/LVN?
A. Completing the initial admission assessment on a newly admitted client
B. Developing the master care plan for a client with a complex sacral wound
C. Administering scheduled oral medications to a group of stable clients [CORRECT]
D. Administering IV push morphine through a client's central line
Correct Answer: C
Rationale: This choice is correct because giving scheduled oral medications to stable clients
is well within LPN/LVN scope of practice. The initial comprehensive assessment, care
planning for complex needs, and IV push medications are RN-level responsibilities.
Q3: A client scheduled for surgery this morning tells the PN, "I signed the form, but honestly
I'm still not sure what they're going to do to me." Which action should the PN take first?
A. Notify the surgeon so the procedure can be explained again before the client goes any
further [CORRECT]
B. Explain the surgical steps to the client in simple, easy language
C. Send the client to the operating room since the form is already signed
D. Document that the client verbalized understanding of the surgery
Correct Answer: A
Rationale: Informed consent is the provider's responsibility to explain, and a client who
doesn't understand has not truly consented. The PN acts as the client's advocate by getting
the surgeon back to the bedside before anything else happens.
,Q4: Which action is within the PN's role during the informed consent process?
A. Explaining the risks, benefits, and alternatives of the procedure
B. Witnessing the client's signature on the consent form [CORRECT]
C. Determining whether the client is legally competent to consent
D. Obtaining the signature when the provider is tied up in surgery
Correct Answer: B
Rationale: This aligns with the nurse's role of verifying that the client understands and is
signing voluntarily, then witnessing the signature. Explaining risks and benefits and judging
competence belong to the provider, and a consent form is never obtained by the nurse
alone.
Q5: A competent 82-year-old client with terminal cancer tells the PN she is done with
chemotherapy and wants comfort care only. Her daughters pull the PN aside and ask her to
change their mother's mind. Which action best demonstrates advocacy?
A. Encouraging the client to consider how her daughters would feel
B. Telling the daughters that only the physician can make this decision
C. Suggesting the client try two more treatments before deciding
D. Arranging a family meeting so the client's wishes can be heard and respected [CORRECT]
Correct Answer: D
Rationale: This matches the principle that advocacy means supporting a competent client's
right to choose and making sure her voice is actually heard. A family meeting brings
everyone together with the client at the center rather than pressuring her in either
direction.
Q6: A visitor walks up to the nurses' station and says, "My neighbor is here somewhere —
how is she doing?" Which response by the PN protects the client's privacy?
A. "I'm not able to share information about clients. Let me see if she'd like to speak with
you." [CORRECT]
B. "She's resting comfortably after a good night — come back at 2."
C. "Hold on, let me pull up her chart and check."
D. "She's doing great; her surgery went really well."
Correct Answer: A
Rationale: Confirming that a person is a client, or sharing any details at all, is a privacy
breach. Declining politely while offering to relay a request keeps information protected
without being rude to the visitor.
Q7: The PN takes report on four clients at the start of the shift. Which client should the PN
see first?
A. A client with a new prescription for a vitamin B12 injection due at noon
B. A client whose surgical dressing shows a few quarter-sized spots of old drainage
C. A client who just finished ambulating in the hallway and is now short of breath [CORRECT]
D. A client waiting for help to walk to the bathroom
Correct Answer: C
Rationale: The best answer is the client with new shortness of breath, because airway and
breathing problems always come first in prioritization. The other needs are real, but none
are immediately life-threatening, so they follow once the client in distress is stable.
, Q8: The PN receives an order for a medication dose that is far above the usual range. When
the PN questions it, the provider says, "Give it anyway." What should the PN do next?
A. Administer the medication and document the verbal instruction
B. Withhold the medication and report the concern through the chain of command
[CORRECT]
C. Ask the pharmacist to rewrite the order at a safer dose
D. Give half the dose now and reassess the client afterward
Correct Answer: B
Rationale: A nurse should never carry out an order believed to be unsafe, no matter who
insists. Withholding the dose and escalating through the chain of command protects both
the client and the nurse's license.
Q9: Which handoff statement best follows the SBAR format?
A. "Room 412 is easy — you'll figure him out fast, everything's in the chart."
B. "Mr. Lee in 412 had a decent day, vitals were fine, see you tomorrow."
C. "Mr. Lee in 412 is stable, no complaints, no changes, nothing new."
D. "Mr. Lee in 412, a 68-year-old admitted with heart failure, has respirations of 28 with
crackles in both bases. I think he's retaining fluid, and I recommend you monitor his
breathing closely tonight." [CORRECT]
Correct Answer: D
Rationale: This choice is correct because SBAR moves through Situation, Background,
Assessment, and Recommendation, and that final recommendation is what nurses most
often leave out. The complete statement gives the oncoming nurse both the clinical picture
and a clear expectation for the shift.
Q10: The PN is preparing a client with a new colostomy for discharge. Which instruction best
supports continuity of care?
A. "Your family will help you figure the pouch out as you go."
B. "Here is your follow-up appointment date and the phone number for the home health
nurse who will visit." [CORRECT]
C. "Take this booklet home and read it whenever you get around to it."
D. "Call 911 if any questions come up after you get home."
Correct Answer: B
Rationale: This aligns with continuity of care, which means the client leaves with concrete
connections — a scheduled follow-up and a named home health contact. Vague advice like
reading a booklet eventually or calling 911 with questions leaves real gaps in support.
Q11: An LPN/LVN floats from a long-term care unit to a medical-surgical unit. Which client
assignment is most appropriate for the float nurse?
A. A client just admitted from the emergency department needing a full head-to-toe
assessment
B. A client in septic shock receiving titrated vasopressor medications
C. A client with a long-standing tracheostomy who needs routine suctioning and stoma care
[CORRECT]
D. A client receiving his first unit of packed red blood cells
Correct Answer: C
EXAM 2026/2027 | Complete Exam-Style Questions
with Detailed Rationales | 100% Verified Pass
Guaranteed – A+ Graded
Client Needs: Coordinated Care and Safety & Infection Control (Questions 1–25)
Q1: A practical nurse working on a long-term care unit is supervising an assistive personnel
(AP) for the shift. Which task is appropriate for the PN to delegate to the AP?
A. Teaching a resident how to safely use a walker for the first time
B. Obtaining routine morning vital signs on a stable resident [CORRECT]
C. Assessing a new resident's skin condition during the admission process
D. Interpreting a resident's blood glucose reading and adjusting insulin
Correct Answer: B
Rationale: The best answer is collecting routine vital signs on a stable resident, since data
collection on stable clients is a classic task within the AP's scope. Teaching, assessment, and
interpreting results with treatment decisions all require nursing judgment, so those remain
with licensed staff.
Q2: The charge RN is making assignments for the day shift. Which task is appropriate to
assign to an experienced LPN/LVN?
A. Completing the initial admission assessment on a newly admitted client
B. Developing the master care plan for a client with a complex sacral wound
C. Administering scheduled oral medications to a group of stable clients [CORRECT]
D. Administering IV push morphine through a client's central line
Correct Answer: C
Rationale: This choice is correct because giving scheduled oral medications to stable clients
is well within LPN/LVN scope of practice. The initial comprehensive assessment, care
planning for complex needs, and IV push medications are RN-level responsibilities.
Q3: A client scheduled for surgery this morning tells the PN, "I signed the form, but honestly
I'm still not sure what they're going to do to me." Which action should the PN take first?
A. Notify the surgeon so the procedure can be explained again before the client goes any
further [CORRECT]
B. Explain the surgical steps to the client in simple, easy language
C. Send the client to the operating room since the form is already signed
D. Document that the client verbalized understanding of the surgery
Correct Answer: A
Rationale: Informed consent is the provider's responsibility to explain, and a client who
doesn't understand has not truly consented. The PN acts as the client's advocate by getting
the surgeon back to the bedside before anything else happens.
,Q4: Which action is within the PN's role during the informed consent process?
A. Explaining the risks, benefits, and alternatives of the procedure
B. Witnessing the client's signature on the consent form [CORRECT]
C. Determining whether the client is legally competent to consent
D. Obtaining the signature when the provider is tied up in surgery
Correct Answer: B
Rationale: This aligns with the nurse's role of verifying that the client understands and is
signing voluntarily, then witnessing the signature. Explaining risks and benefits and judging
competence belong to the provider, and a consent form is never obtained by the nurse
alone.
Q5: A competent 82-year-old client with terminal cancer tells the PN she is done with
chemotherapy and wants comfort care only. Her daughters pull the PN aside and ask her to
change their mother's mind. Which action best demonstrates advocacy?
A. Encouraging the client to consider how her daughters would feel
B. Telling the daughters that only the physician can make this decision
C. Suggesting the client try two more treatments before deciding
D. Arranging a family meeting so the client's wishes can be heard and respected [CORRECT]
Correct Answer: D
Rationale: This matches the principle that advocacy means supporting a competent client's
right to choose and making sure her voice is actually heard. A family meeting brings
everyone together with the client at the center rather than pressuring her in either
direction.
Q6: A visitor walks up to the nurses' station and says, "My neighbor is here somewhere —
how is she doing?" Which response by the PN protects the client's privacy?
A. "I'm not able to share information about clients. Let me see if she'd like to speak with
you." [CORRECT]
B. "She's resting comfortably after a good night — come back at 2."
C. "Hold on, let me pull up her chart and check."
D. "She's doing great; her surgery went really well."
Correct Answer: A
Rationale: Confirming that a person is a client, or sharing any details at all, is a privacy
breach. Declining politely while offering to relay a request keeps information protected
without being rude to the visitor.
Q7: The PN takes report on four clients at the start of the shift. Which client should the PN
see first?
A. A client with a new prescription for a vitamin B12 injection due at noon
B. A client whose surgical dressing shows a few quarter-sized spots of old drainage
C. A client who just finished ambulating in the hallway and is now short of breath [CORRECT]
D. A client waiting for help to walk to the bathroom
Correct Answer: C
Rationale: The best answer is the client with new shortness of breath, because airway and
breathing problems always come first in prioritization. The other needs are real, but none
are immediately life-threatening, so they follow once the client in distress is stable.
, Q8: The PN receives an order for a medication dose that is far above the usual range. When
the PN questions it, the provider says, "Give it anyway." What should the PN do next?
A. Administer the medication and document the verbal instruction
B. Withhold the medication and report the concern through the chain of command
[CORRECT]
C. Ask the pharmacist to rewrite the order at a safer dose
D. Give half the dose now and reassess the client afterward
Correct Answer: B
Rationale: A nurse should never carry out an order believed to be unsafe, no matter who
insists. Withholding the dose and escalating through the chain of command protects both
the client and the nurse's license.
Q9: Which handoff statement best follows the SBAR format?
A. "Room 412 is easy — you'll figure him out fast, everything's in the chart."
B. "Mr. Lee in 412 had a decent day, vitals were fine, see you tomorrow."
C. "Mr. Lee in 412 is stable, no complaints, no changes, nothing new."
D. "Mr. Lee in 412, a 68-year-old admitted with heart failure, has respirations of 28 with
crackles in both bases. I think he's retaining fluid, and I recommend you monitor his
breathing closely tonight." [CORRECT]
Correct Answer: D
Rationale: This choice is correct because SBAR moves through Situation, Background,
Assessment, and Recommendation, and that final recommendation is what nurses most
often leave out. The complete statement gives the oncoming nurse both the clinical picture
and a clear expectation for the shift.
Q10: The PN is preparing a client with a new colostomy for discharge. Which instruction best
supports continuity of care?
A. "Your family will help you figure the pouch out as you go."
B. "Here is your follow-up appointment date and the phone number for the home health
nurse who will visit." [CORRECT]
C. "Take this booklet home and read it whenever you get around to it."
D. "Call 911 if any questions come up after you get home."
Correct Answer: B
Rationale: This aligns with continuity of care, which means the client leaves with concrete
connections — a scheduled follow-up and a named home health contact. Vague advice like
reading a booklet eventually or calling 911 with questions leaves real gaps in support.
Q11: An LPN/LVN floats from a long-term care unit to a medical-surgical unit. Which client
assignment is most appropriate for the float nurse?
A. A client just admitted from the emergency department needing a full head-to-toe
assessment
B. A client in septic shock receiving titrated vasopressor medications
C. A client with a long-standing tracheostomy who needs routine suctioning and stoma care
[CORRECT]
D. A client receiving his first unit of packed red blood cells
Correct Answer: C
