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NCSBN | NATIONAL COUNCIL OF STATE BOARDS OF NURSING
NCLEX-PN | Practical/Vocational Nurse Licensure
NCLEX-PN — Comprehensive Written Exam
NCLEX-PN Comprehensive Examination
INSTITUTION NCSBN | National Council of State Boards of Nursing
PROGRAM NCLEX-PN
EXAM TITLE NCLEX-PN COMPREHENSIVE ACTUAL EXAM 2026/2027 | Verified Questions
COURSE TITLE NCLEX-PN Comprehensive Examination
COURSE CODE NCLEX-PN
ACADEMIC YEAR 2026/2027
TOTAL QUESTIONS 180 Questions
© BestSellerStuvia
Academic Year 2026/2027
NCLEX-PN | 2026/2027
ACTUAL QUESTIONS
Domain 1: Safe and Effective Care Environment — Coordinated Care
Question 1. Which task is most appropriate for the LPN/LVN to assign to an unlicensed assistive
personnel (UAP)?
A. Assisting a stable client with ambulation to the bathroom
B. Administering oral medications
C. Performing a sterile dressing change
D. Teaching a client about a new medication
Correct Answer: A
Rationale: Ambulation of a stable client is within the UAP scope. Medication administration, sterile procedures, and
teaching require licensed personnel.
Question 2. A client is being discharged after a total hip arthroplasty. Which instruction should the
LPN/LVN reinforce regarding hip precautions?
A. Cross the legs at the ankles when sitting
B. Avoid bending the hip greater than 90 degrees
C. Sleep on the operative side for the first week
D. Remove the abduction pillow when in bed
Correct Answer: B
Rationale: Clients are taught to avoid hip flexion greater than 90 degrees to prevent dislocation of the prosthesis.
Question 3. Which client should the LPN/LVN see first after receiving shift report?
A. A client with a blood pressure of 128/78 mm Hg requesting a PRN analgesic
B. A client scheduled for discharge later today who needs teaching reinforcement
© BestSellerStuvia | | NCLEX-PN | Academic Year 2026/2027
, © BestSellerStuvia |
C. A client who had a stroke 2 days ago with a new onset of facial droop and slurred speech
D. A client with a healing stage 2 pressure injury who needs a dressing change
Correct Answer: C
Rationale: New neurologic changes after a stroke suggest possible extension or complication and require immediate
assessment and notification of the RN or provider.
Question 4. When collaborating with the interdisciplinary team, which information is most important
for the LPN/LVN to communicate about a client with diabetes?
A. The client's favorite foods
B. The client's preference for a morning shower
C. The number of visitors the client received yesterday
D. A blood glucose reading of 48 mg/dL that was treated with glucose gel
Correct Answer: D
Rationale: A hypoglycemic episode is clinically significant and must be reported so the team can adjust the care plan
and prevent recurrence.
Question 5. Which action demonstrates appropriate prioritization using the ABC framework?
A. Ensuring a patent airway before addressing a blood pressure of 90/60 mm Hg
B. Administering a scheduled antibiotic before assessing respiratory status
C. Completing documentation before responding to a client's call light
D. Passing meal trays before checking a client's oxygen saturation
Correct Answer: A
Rationale: Airway takes precedence over circulation and other needs in the ABC prioritization framework.
Question 6. An LPN/LVN is caring for a client who has a living will. What is the nurse's primary
responsibility regarding this document?
A. Rewrite the living will to match current facility policy
B. Ensure the document is accessible in the medical record and that the care team is aware of the client's wishes
C. Discard the living will if the client becomes unresponsive
D. Ask the family to override the living will if they disagree
Correct Answer: B
Rationale: The nurse supports the client's advance directive by ensuring it is part of the record and that the team knows
the stated preferences.
Question 7. Which statement by a newly licensed LPN/LVN indicates understanding of the chain of
command?
A. I will contact the hospital administrator first about a medication error
B. I will wait until the end of the shift to report any concerns
C. I will notify my charge nurse or supervising RN when a client's condition changes unexpectedly
D. I will discuss all clinical decisions only with the client's family
Correct Answer: C
Rationale: The chain of command begins with the immediate supervisor (charge nurse or RN) when clinical issues arise.
Question 8. A client refuses a prescribed medication. What is the LPN/LVN's most appropriate initial
action?
A. Force the client to take the medication
B. Hide the medication in the client's food
C. Tell the client that refusal is not allowed
D. Document the refusal and notify the RN or provider according to facility protocol
Correct Answer: D
Rationale: Clients have the right to refuse treatment. The nurse documents the refusal and notifies the appropriate
licensed professional.
© BestSellerStuvia | | NCLEX-PN | Academic Year 2026/2027
, © BestSellerStuvia |
Question 9. Which activity is within the typical scope of the LPN/LVN when contributing to the plan of
care?
A. Collecting data and reporting findings that help the RN revise the plan of care
B. Independently diagnosing medical conditions
C. Prescribing medications
D. Performing surgery
Correct Answer: A
Rationale: LPN/LVNs collect and report data that inform the RN's development and revision of the nursing plan of care.
Question 10. When receiving a telephone order from a provider, which action is essential?
A. Implement the order before reading it back
B. Write down the order, read it back for confirmation, and obtain the provider's signature according to policy
C. Ask another nurse to take the order instead
D. Document the order only after the provider visits
Correct Answer: B
Rationale: Read-back verification reduces medication and treatment errors associated with verbal or telephone orders.
Question 11. Which client is the best candidate for discharge teaching reinforcement by the LPN/LVN?
A. A client newly diagnosed with complex multi-organ failure
B. A client in acute respiratory distress
C. A stable client with hypertension who needs reinforcement of lifestyle modifications previously taught by the RN
D. A client who just returned from the operating room
Correct Answer: C
Rationale: Reinforcement of previously taught material for a stable client is appropriate for the LPN/LVN role.
Question 12. What is the primary purpose of an incident (occurrence) report?
A. To punish the staff member involved
B. To become part of the client's permanent medical record for billing
C. To replace the need for notification of the provider
D. To document an unexpected event for quality improvement and risk management
Correct Answer: D
Rationale: Incident reports support organizational learning and risk reduction; they are not used for discipline or as a
substitute for clinical notification.
Question 13. Which task should the LPN/LVN perform rather than delegate to a UAP?
A. Performing a focused assessment of a client who reports new chest pain
B. Taking routine vital signs on a stable client
C. Assisting with feeding a client without swallowing difficulties
D. Making an unoccupied bed
Correct Answer: A
Rationale: New chest pain requires licensed assessment; routine tasks on stable clients may be delegated.
Question 14. A client asks the LPN/LVN to keep information about a new diagnosis confidential from the
family. What is the best response?
A. I must tell your family everything
B. I will respect your wishes regarding confidentiality within the limits of the law and facility policy
C. I will only tell your spouse
D. Confidentiality does not apply in the hospital
Correct Answer: B
Rationale: Nurses protect client confidentiality while adhering to legal and policy requirements for disclosure.
Question 15. Which action best supports continuity of care during shift handoff?
© BestSellerStuvia | | NCLEX-PN | Academic Year 2026/2027
, © BestSellerStuvia |
A. Providing a brief, structured report that includes current status, recent changes, and pending tasks
B. Discussing only the clients who are stable
C. Omitting laboratory results to save time
D. Leaving the report for the oncoming nurse to read later without verbal communication
Correct Answer: C
Rationale: Structured handoff communication reduces omissions and supports safe transitions of care.
Question 16. An LPN/LVN notices that a client's advance directive is not in the chart. What is the priority
action?
A. Ignore the absence of the document
B. Write a new advance directive for the client
C. Ask the family to make all decisions without further inquiry
D. Notify the RN or charge nurse so that the document can be located or the client can be asked about wishes
Correct Answer: D
Rationale: Missing advance directive information should be escalated so that the client's wishes can be clarified and
documented.
Question 17. Which situation requires the LPN/LVN to notify the supervising RN immediately?
A. A client develops sudden shortness of breath and oxygen saturation of 88% on room air
B. A client requests a different brand of soap
C. A client asks what time meals are served
D. A client wants the television channel changed
Correct Answer: A
Rationale: Acute respiratory compromise requires prompt licensed assessment and intervention.
Question 18. What is the primary purpose of the nursing process for the LPN/LVN?
A. To replace the need for provider orders
B. To provide a systematic framework for collecting data, contributing to planning, implementing care, and evaluating
outcomes within the LPN/LVN scope
C. To diagnose medical conditions independently
D. To bill for nursing services
Correct Answer: B
Rationale: The nursing process organizes LPN/LVN contributions to care within the limits of the practical nursing role.
Question 19. Which statement about informed consent is correct for the LPN/LVN role?
A. The LPN/LVN may obtain informed consent for surgical procedures independently
B. The LPN/LVN may alter the consent form if the client has questions
C. The LPN/LVN may witness the client's signature on a consent form after the provider has explained the procedure
D. Informed consent is not required for any procedure
Correct Answer: C
Rationale: Witnessing a signature after the provider has obtained informed consent is within the LPN/LVN role in
many settings.
Question 20. A client is scheduled for transfer to a long-term care facility. Which information is most
important to include in the transfer report?
A. The client's favorite television program
B. The number of family members who visited
C. The client's opinion of the hospital food
D. Current medications, recent vital signs, code status, and open wounds or infections
Correct Answer: D
Rationale: Clinical status, medications, code status, and infection or wound information are essential for safe continuity
of care.
© BestSellerStuvia | | NCLEX-PN | Academic Year 2026/2027
NCSBN | NATIONAL COUNCIL OF STATE BOARDS OF NURSING
NCLEX-PN | Practical/Vocational Nurse Licensure
NCLEX-PN — Comprehensive Written Exam
NCLEX-PN Comprehensive Examination
INSTITUTION NCSBN | National Council of State Boards of Nursing
PROGRAM NCLEX-PN
EXAM TITLE NCLEX-PN COMPREHENSIVE ACTUAL EXAM 2026/2027 | Verified Questions
COURSE TITLE NCLEX-PN Comprehensive Examination
COURSE CODE NCLEX-PN
ACADEMIC YEAR 2026/2027
TOTAL QUESTIONS 180 Questions
© BestSellerStuvia
Academic Year 2026/2027
NCLEX-PN | 2026/2027
ACTUAL QUESTIONS
Domain 1: Safe and Effective Care Environment — Coordinated Care
Question 1. Which task is most appropriate for the LPN/LVN to assign to an unlicensed assistive
personnel (UAP)?
A. Assisting a stable client with ambulation to the bathroom
B. Administering oral medications
C. Performing a sterile dressing change
D. Teaching a client about a new medication
Correct Answer: A
Rationale: Ambulation of a stable client is within the UAP scope. Medication administration, sterile procedures, and
teaching require licensed personnel.
Question 2. A client is being discharged after a total hip arthroplasty. Which instruction should the
LPN/LVN reinforce regarding hip precautions?
A. Cross the legs at the ankles when sitting
B. Avoid bending the hip greater than 90 degrees
C. Sleep on the operative side for the first week
D. Remove the abduction pillow when in bed
Correct Answer: B
Rationale: Clients are taught to avoid hip flexion greater than 90 degrees to prevent dislocation of the prosthesis.
Question 3. Which client should the LPN/LVN see first after receiving shift report?
A. A client with a blood pressure of 128/78 mm Hg requesting a PRN analgesic
B. A client scheduled for discharge later today who needs teaching reinforcement
© BestSellerStuvia | | NCLEX-PN | Academic Year 2026/2027
, © BestSellerStuvia |
C. A client who had a stroke 2 days ago with a new onset of facial droop and slurred speech
D. A client with a healing stage 2 pressure injury who needs a dressing change
Correct Answer: C
Rationale: New neurologic changes after a stroke suggest possible extension or complication and require immediate
assessment and notification of the RN or provider.
Question 4. When collaborating with the interdisciplinary team, which information is most important
for the LPN/LVN to communicate about a client with diabetes?
A. The client's favorite foods
B. The client's preference for a morning shower
C. The number of visitors the client received yesterday
D. A blood glucose reading of 48 mg/dL that was treated with glucose gel
Correct Answer: D
Rationale: A hypoglycemic episode is clinically significant and must be reported so the team can adjust the care plan
and prevent recurrence.
Question 5. Which action demonstrates appropriate prioritization using the ABC framework?
A. Ensuring a patent airway before addressing a blood pressure of 90/60 mm Hg
B. Administering a scheduled antibiotic before assessing respiratory status
C. Completing documentation before responding to a client's call light
D. Passing meal trays before checking a client's oxygen saturation
Correct Answer: A
Rationale: Airway takes precedence over circulation and other needs in the ABC prioritization framework.
Question 6. An LPN/LVN is caring for a client who has a living will. What is the nurse's primary
responsibility regarding this document?
A. Rewrite the living will to match current facility policy
B. Ensure the document is accessible in the medical record and that the care team is aware of the client's wishes
C. Discard the living will if the client becomes unresponsive
D. Ask the family to override the living will if they disagree
Correct Answer: B
Rationale: The nurse supports the client's advance directive by ensuring it is part of the record and that the team knows
the stated preferences.
Question 7. Which statement by a newly licensed LPN/LVN indicates understanding of the chain of
command?
A. I will contact the hospital administrator first about a medication error
B. I will wait until the end of the shift to report any concerns
C. I will notify my charge nurse or supervising RN when a client's condition changes unexpectedly
D. I will discuss all clinical decisions only with the client's family
Correct Answer: C
Rationale: The chain of command begins with the immediate supervisor (charge nurse or RN) when clinical issues arise.
Question 8. A client refuses a prescribed medication. What is the LPN/LVN's most appropriate initial
action?
A. Force the client to take the medication
B. Hide the medication in the client's food
C. Tell the client that refusal is not allowed
D. Document the refusal and notify the RN or provider according to facility protocol
Correct Answer: D
Rationale: Clients have the right to refuse treatment. The nurse documents the refusal and notifies the appropriate
licensed professional.
© BestSellerStuvia | | NCLEX-PN | Academic Year 2026/2027
, © BestSellerStuvia |
Question 9. Which activity is within the typical scope of the LPN/LVN when contributing to the plan of
care?
A. Collecting data and reporting findings that help the RN revise the plan of care
B. Independently diagnosing medical conditions
C. Prescribing medications
D. Performing surgery
Correct Answer: A
Rationale: LPN/LVNs collect and report data that inform the RN's development and revision of the nursing plan of care.
Question 10. When receiving a telephone order from a provider, which action is essential?
A. Implement the order before reading it back
B. Write down the order, read it back for confirmation, and obtain the provider's signature according to policy
C. Ask another nurse to take the order instead
D. Document the order only after the provider visits
Correct Answer: B
Rationale: Read-back verification reduces medication and treatment errors associated with verbal or telephone orders.
Question 11. Which client is the best candidate for discharge teaching reinforcement by the LPN/LVN?
A. A client newly diagnosed with complex multi-organ failure
B. A client in acute respiratory distress
C. A stable client with hypertension who needs reinforcement of lifestyle modifications previously taught by the RN
D. A client who just returned from the operating room
Correct Answer: C
Rationale: Reinforcement of previously taught material for a stable client is appropriate for the LPN/LVN role.
Question 12. What is the primary purpose of an incident (occurrence) report?
A. To punish the staff member involved
B. To become part of the client's permanent medical record for billing
C. To replace the need for notification of the provider
D. To document an unexpected event for quality improvement and risk management
Correct Answer: D
Rationale: Incident reports support organizational learning and risk reduction; they are not used for discipline or as a
substitute for clinical notification.
Question 13. Which task should the LPN/LVN perform rather than delegate to a UAP?
A. Performing a focused assessment of a client who reports new chest pain
B. Taking routine vital signs on a stable client
C. Assisting with feeding a client without swallowing difficulties
D. Making an unoccupied bed
Correct Answer: A
Rationale: New chest pain requires licensed assessment; routine tasks on stable clients may be delegated.
Question 14. A client asks the LPN/LVN to keep information about a new diagnosis confidential from the
family. What is the best response?
A. I must tell your family everything
B. I will respect your wishes regarding confidentiality within the limits of the law and facility policy
C. I will only tell your spouse
D. Confidentiality does not apply in the hospital
Correct Answer: B
Rationale: Nurses protect client confidentiality while adhering to legal and policy requirements for disclosure.
Question 15. Which action best supports continuity of care during shift handoff?
© BestSellerStuvia | | NCLEX-PN | Academic Year 2026/2027
, © BestSellerStuvia |
A. Providing a brief, structured report that includes current status, recent changes, and pending tasks
B. Discussing only the clients who are stable
C. Omitting laboratory results to save time
D. Leaving the report for the oncoming nurse to read later without verbal communication
Correct Answer: C
Rationale: Structured handoff communication reduces omissions and supports safe transitions of care.
Question 16. An LPN/LVN notices that a client's advance directive is not in the chart. What is the priority
action?
A. Ignore the absence of the document
B. Write a new advance directive for the client
C. Ask the family to make all decisions without further inquiry
D. Notify the RN or charge nurse so that the document can be located or the client can be asked about wishes
Correct Answer: D
Rationale: Missing advance directive information should be escalated so that the client's wishes can be clarified and
documented.
Question 17. Which situation requires the LPN/LVN to notify the supervising RN immediately?
A. A client develops sudden shortness of breath and oxygen saturation of 88% on room air
B. A client requests a different brand of soap
C. A client asks what time meals are served
D. A client wants the television channel changed
Correct Answer: A
Rationale: Acute respiratory compromise requires prompt licensed assessment and intervention.
Question 18. What is the primary purpose of the nursing process for the LPN/LVN?
A. To replace the need for provider orders
B. To provide a systematic framework for collecting data, contributing to planning, implementing care, and evaluating
outcomes within the LPN/LVN scope
C. To diagnose medical conditions independently
D. To bill for nursing services
Correct Answer: B
Rationale: The nursing process organizes LPN/LVN contributions to care within the limits of the practical nursing role.
Question 19. Which statement about informed consent is correct for the LPN/LVN role?
A. The LPN/LVN may obtain informed consent for surgical procedures independently
B. The LPN/LVN may alter the consent form if the client has questions
C. The LPN/LVN may witness the client's signature on a consent form after the provider has explained the procedure
D. Informed consent is not required for any procedure
Correct Answer: C
Rationale: Witnessing a signature after the provider has obtained informed consent is within the LPN/LVN role in
many settings.
Question 20. A client is scheduled for transfer to a long-term care facility. Which information is most
important to include in the transfer report?
A. The client's favorite television program
B. The number of family members who visited
C. The client's opinion of the hospital food
D. Current medications, recent vital signs, code status, and open wounds or infections
Correct Answer: D
Rationale: Clinical status, medications, code status, and infection or wound information are essential for safe continuity
of care.
© BestSellerStuvia | | NCLEX-PN | Academic Year 2026/2027
