NCLEX-PN PRACTICE EXAMINATION
100 QUESTIONS WITH ANSWERS AND RATIONALES
2026–2027 TESTING CYCLE
SECTION 1: COORDINATED CARE (Questions 1–15)
Question 1: A licensed practical/vocational nurse (LPN/LVN) is caring for a client who has a
new prescription for a blood transfusion. Which of the following actions should the LPN/LVN
take FIRST?
Answer: Verify the prescription with the provider and ensure informed consent is obtained.
Rationale: The LPN/LVN must verify the prescription and ensure informed consent is obtained
before a blood transfusion. Obtaining the blood product and priming the tubing occur later.
Assessing vital signs is important but should be done after consent and verification. The
LPN/LVN cannot initiate a blood transfusion independently; they work under the supervision of
the RN or provider.
Question 2: A charge nurse is delegating tasks to an LPN/LVN and an unlicensed assistive
personnel (UAP). Which of the following tasks is appropriate to delegate to the LPN/LVN?
Answer: Administering a scheduled oral medication to a stable client.
,Rationale: LPN/LVNs can administer oral medications to stable clients. Teaching a client about
a new diagnosis requires RN-level assessment and education. Performing a head-to-toe
assessment requires RN-level assessment. Developing a plan of care is the RN's responsibility.
Delegation must consider the scope of practice, the stability of the client, and the complexity of
the task.
Question 3: An LPN/LVN is assigned to care for four clients. Which client should the
LPN/LVN assess FIRST?
Answer: A client with chest pain who is diaphoretic and reports shortness of breath.
Rationale: The client with chest pain, diaphoresis, and shortness of breath is experiencing a
potential myocardial infarction and requires immediate assessment and intervention. This is a
life-threatening situation. The other clients are stable and can be assessed later. The LPN/LVN
should report findings to the RN immediately.
Question 4: An LPN/LVN is preparing a client for discharge. Which of the following actions
demonstrates effective care coordination?
Answer: Providing the client with a list of community resources and follow-up appointments.
,Rationale: Effective care coordination includes providing the client with resources and follow-
up appointments to ensure continuity of care. The LPN/LVN should reinforce teaching provided
by the RN. Documenting the client's response is a component of evaluation, not coordination.
Question 5: An LPN/LVN is caring for a client who refuses a prescribed medication. Which of
the following actions should the LPN/LVN take?
Answer: Inform the client of the risks of refusing the medication, document the refusal, and
notify the provider.
Rationale: The LPN/LVN must respect the client's right to refuse treatment, inform them of the
risks, document the refusal, and notify the provider. Administering the medication against the
client's will is unethical and illegal. The LPN/LVN should not attempt to hide the medication or
coerce the client.
Question 6: An LPN/LVN is caring for a client who is being discharged after a stroke. Which of
the following actions is most important for preventing falls?
Answer: Ensure the client's home is free of tripping hazards and that assistive devices are
available.
Rationale: Stroke survivors are at high risk for falls due to weakness and impaired mobility.
Ensuring a safe home environment and providing assistive devices is the most important
, intervention. The LPN/LVN should reinforce teaching provided by the RN about fall prevention
strategies.
Question 7: An LPN/LVN is caring for a client who speaks a different language. Which of the
following actions is most appropriate?
Answer: Use a certified medical interpreter to communicate with the client.
Rationale: The 2026 test plan emphasizes the legal and policy-driven use of interpreter services.
Using a certified medical interpreter ensures accurate communication. Family members may not
accurately interpret medical information. The LPN/LVN should not rely on gestures or written
materials alone.
Question 8: An LPN/LVN is caring for a client who has an advance directive. Which of the
following actions is appropriate?
Answer: Follow the client's wishes as documented in the advance directive.
Rationale: The LPN/LVN must respect the client's advance directive. If the client's wishes are
unclear, the LPN/LVN should consult the RN or provider. The family does not have the authority
to override the client's documented wishes unless they are the designated healthcare proxy.
100 QUESTIONS WITH ANSWERS AND RATIONALES
2026–2027 TESTING CYCLE
SECTION 1: COORDINATED CARE (Questions 1–15)
Question 1: A licensed practical/vocational nurse (LPN/LVN) is caring for a client who has a
new prescription for a blood transfusion. Which of the following actions should the LPN/LVN
take FIRST?
Answer: Verify the prescription with the provider and ensure informed consent is obtained.
Rationale: The LPN/LVN must verify the prescription and ensure informed consent is obtained
before a blood transfusion. Obtaining the blood product and priming the tubing occur later.
Assessing vital signs is important but should be done after consent and verification. The
LPN/LVN cannot initiate a blood transfusion independently; they work under the supervision of
the RN or provider.
Question 2: A charge nurse is delegating tasks to an LPN/LVN and an unlicensed assistive
personnel (UAP). Which of the following tasks is appropriate to delegate to the LPN/LVN?
Answer: Administering a scheduled oral medication to a stable client.
,Rationale: LPN/LVNs can administer oral medications to stable clients. Teaching a client about
a new diagnosis requires RN-level assessment and education. Performing a head-to-toe
assessment requires RN-level assessment. Developing a plan of care is the RN's responsibility.
Delegation must consider the scope of practice, the stability of the client, and the complexity of
the task.
Question 3: An LPN/LVN is assigned to care for four clients. Which client should the
LPN/LVN assess FIRST?
Answer: A client with chest pain who is diaphoretic and reports shortness of breath.
Rationale: The client with chest pain, diaphoresis, and shortness of breath is experiencing a
potential myocardial infarction and requires immediate assessment and intervention. This is a
life-threatening situation. The other clients are stable and can be assessed later. The LPN/LVN
should report findings to the RN immediately.
Question 4: An LPN/LVN is preparing a client for discharge. Which of the following actions
demonstrates effective care coordination?
Answer: Providing the client with a list of community resources and follow-up appointments.
,Rationale: Effective care coordination includes providing the client with resources and follow-
up appointments to ensure continuity of care. The LPN/LVN should reinforce teaching provided
by the RN. Documenting the client's response is a component of evaluation, not coordination.
Question 5: An LPN/LVN is caring for a client who refuses a prescribed medication. Which of
the following actions should the LPN/LVN take?
Answer: Inform the client of the risks of refusing the medication, document the refusal, and
notify the provider.
Rationale: The LPN/LVN must respect the client's right to refuse treatment, inform them of the
risks, document the refusal, and notify the provider. Administering the medication against the
client's will is unethical and illegal. The LPN/LVN should not attempt to hide the medication or
coerce the client.
Question 6: An LPN/LVN is caring for a client who is being discharged after a stroke. Which of
the following actions is most important for preventing falls?
Answer: Ensure the client's home is free of tripping hazards and that assistive devices are
available.
Rationale: Stroke survivors are at high risk for falls due to weakness and impaired mobility.
Ensuring a safe home environment and providing assistive devices is the most important
, intervention. The LPN/LVN should reinforce teaching provided by the RN about fall prevention
strategies.
Question 7: An LPN/LVN is caring for a client who speaks a different language. Which of the
following actions is most appropriate?
Answer: Use a certified medical interpreter to communicate with the client.
Rationale: The 2026 test plan emphasizes the legal and policy-driven use of interpreter services.
Using a certified medical interpreter ensures accurate communication. Family members may not
accurately interpret medical information. The LPN/LVN should not rely on gestures or written
materials alone.
Question 8: An LPN/LVN is caring for a client who has an advance directive. Which of the
following actions is appropriate?
Answer: Follow the client's wishes as documented in the advance directive.
Rationale: The LPN/LVN must respect the client's advance directive. If the client's wishes are
unclear, the LPN/LVN should consult the RN or provider. The family does not have the authority
to override the client's documented wishes unless they are the designated healthcare proxy.
