ADVANCED NCLEX-PN EXAM 2026–
2027
(150 QUESTIONS AND CORRECT
ANSWERS)
ALREADY GRADED A+ | 100%
VERIFIED
Nursing | National Council of State Boards of Nursing (NCSBN)
Key Domains: Safe and Effective Care Environment, Health Promotion and Maintenance,
Psychosocial Integrity, Physiological Integrity, Clinical Judgment, and Next Generation
NCLEX (NGN) Item Types
Introduction
This structured Advanced NCLEX-PN Exam format for 2026–2027 provides the complete
layout for generating high-quality exam-style questions with correct answers and
rationales. It emphasizes safe and effective care, health promotion, psychosocial and
physiological integrity, and advanced clinical judgment critical to professional practical
nursing practice and successful NCSBN licensure.
Answer Format
All correct answers appear in bold and cyan, accompanied by concise rationales explaining
safety/clinical reasoning, code adherence, and why alternative options are less appropriate.
Note: The actual NCLEX-PN is a Computerized Adaptive Test (CAT) ranging from 85 to 205
questions. This practice exam contains 150 comprehensive questions representing all major
content areas and difficulty levels you may encounter.
,Question 1: A licensed practical nurse (LPN) is caring for a client who has just returned
from surgery. Which task can the LPN delegate to the unlicensed assistive personnel (UAP)?
• A. Assessing the surgical incision for signs of infection
• B. Measuring and recording vital signs
• C. Evaluating the client's pain level
• D. Teaching the client about postoperative care
Correct Answer: B
Rationale: Measuring and recording vital signs is within the UAP's scope of practice.
Assessment, evaluation, and teaching are nursing responsibilities that cannot be delegated
to UAPs.
Question 2: The nurse is reviewing the assignment for the day. Which client assignment is
most appropriate for the LPN?
• A. A client requiring initial admission assessment
• B. A stable client requiring dressing changes and medication administration
• C. A client with unstable condition requiring frequent assessments
• D. A client requiring development of a new care plan
Correct Answer: B
Rationale: LPNs can care for stable clients with predictable outcomes, including
performing dressing changes and administering medications. Initial assessments, unstable
clients, and care plan development require RN-level practice.
Question 3: A client asks to see their medical record. What is the nurse's best response?
• A. 'I'll get the chart for you right away.'
• B. 'You need to ask your doctor about that.'
• C. 'I'll contact the nurse manager to discuss the process for accessing your medical
record.'
• D. 'Medical records are confidential and cannot be shown to patients.'
Correct Answer: C
Rationale: Clients have a legal right to access their medical records, but facilities have
specific procedures for this request. The nurse should follow facility policy and involve
appropriate personnel.
,Question 4: Which action demonstrates proper documentation in the client's medical
record?
• A. Documenting care at the end of the shift
• B. Using correction fluid to fix an error
• C. Recording the time, date, and signature for each entry
• D. Using abbreviations not on the approved list
Correct Answer: C
Rationale: Proper documentation includes time, date, and signature for each entry.
Documentation should be timely, errors should be corrected per policy (not with correction
fluid), and only approved abbreviations should be used.
Question 5: The nurse receives a telephone order from a physician. What is the most
appropriate action?
• A. Implement the order immediately
• B. Read back the order to the physician for verification
• C. Wait until the physician arrives to verify the order
• D. Have another nurse take the order
Correct Answer: B
Rationale: Read-back verification is a safety standard for telephone orders to prevent
errors. The nurse should read back the complete order and receive verbal confirmation
before implementation.
, Question 6: A client is being discharged but does not understand the discharge
instructions. What is the nurse's priority action?
• A. Provide written instructions and discharge the client
• B. Reassess the client's learning needs and provide additional teaching
• C. Have the family member sign that instructions were given
• D. Document that the client refused teaching
Correct Answer: B
Rationale: The nurse must ensure the client understands discharge instructions before
discharge. Reassessing learning needs and providing additional teaching ensures safe
transition to home.
Question 7: Which situation requires the nurse to obtain informed consent?
• A. Administering oral medications
• B. Performing a surgical procedure
• C. Taking vital signs
• D. Providing routine hygiene care
Correct Answer: B
Rationale: Invasive procedures, surgeries, and treatments with significant risks require
informed consent. Routine care and standard procedures do not require formal informed
consent.
Question 8: The nurse witnesses a client signing an informed consent form. What is the
nurse's responsibility?
• A. Explain the procedure to the client
• B. Verify that the client is competent and signing voluntarily
• C. Obtain the physician's signature
• D. Ensure the family agrees with the procedure
Correct Answer: B
Rationale: The nurse's role as witness is to verify the client's identity, competency, and
voluntary signature. The physician is responsible for explaining the procedure and
obtaining informed consent.
2027
(150 QUESTIONS AND CORRECT
ANSWERS)
ALREADY GRADED A+ | 100%
VERIFIED
Nursing | National Council of State Boards of Nursing (NCSBN)
Key Domains: Safe and Effective Care Environment, Health Promotion and Maintenance,
Psychosocial Integrity, Physiological Integrity, Clinical Judgment, and Next Generation
NCLEX (NGN) Item Types
Introduction
This structured Advanced NCLEX-PN Exam format for 2026–2027 provides the complete
layout for generating high-quality exam-style questions with correct answers and
rationales. It emphasizes safe and effective care, health promotion, psychosocial and
physiological integrity, and advanced clinical judgment critical to professional practical
nursing practice and successful NCSBN licensure.
Answer Format
All correct answers appear in bold and cyan, accompanied by concise rationales explaining
safety/clinical reasoning, code adherence, and why alternative options are less appropriate.
Note: The actual NCLEX-PN is a Computerized Adaptive Test (CAT) ranging from 85 to 205
questions. This practice exam contains 150 comprehensive questions representing all major
content areas and difficulty levels you may encounter.
,Question 1: A licensed practical nurse (LPN) is caring for a client who has just returned
from surgery. Which task can the LPN delegate to the unlicensed assistive personnel (UAP)?
• A. Assessing the surgical incision for signs of infection
• B. Measuring and recording vital signs
• C. Evaluating the client's pain level
• D. Teaching the client about postoperative care
Correct Answer: B
Rationale: Measuring and recording vital signs is within the UAP's scope of practice.
Assessment, evaluation, and teaching are nursing responsibilities that cannot be delegated
to UAPs.
Question 2: The nurse is reviewing the assignment for the day. Which client assignment is
most appropriate for the LPN?
• A. A client requiring initial admission assessment
• B. A stable client requiring dressing changes and medication administration
• C. A client with unstable condition requiring frequent assessments
• D. A client requiring development of a new care plan
Correct Answer: B
Rationale: LPNs can care for stable clients with predictable outcomes, including
performing dressing changes and administering medications. Initial assessments, unstable
clients, and care plan development require RN-level practice.
Question 3: A client asks to see their medical record. What is the nurse's best response?
• A. 'I'll get the chart for you right away.'
• B. 'You need to ask your doctor about that.'
• C. 'I'll contact the nurse manager to discuss the process for accessing your medical
record.'
• D. 'Medical records are confidential and cannot be shown to patients.'
Correct Answer: C
Rationale: Clients have a legal right to access their medical records, but facilities have
specific procedures for this request. The nurse should follow facility policy and involve
appropriate personnel.
,Question 4: Which action demonstrates proper documentation in the client's medical
record?
• A. Documenting care at the end of the shift
• B. Using correction fluid to fix an error
• C. Recording the time, date, and signature for each entry
• D. Using abbreviations not on the approved list
Correct Answer: C
Rationale: Proper documentation includes time, date, and signature for each entry.
Documentation should be timely, errors should be corrected per policy (not with correction
fluid), and only approved abbreviations should be used.
Question 5: The nurse receives a telephone order from a physician. What is the most
appropriate action?
• A. Implement the order immediately
• B. Read back the order to the physician for verification
• C. Wait until the physician arrives to verify the order
• D. Have another nurse take the order
Correct Answer: B
Rationale: Read-back verification is a safety standard for telephone orders to prevent
errors. The nurse should read back the complete order and receive verbal confirmation
before implementation.
, Question 6: A client is being discharged but does not understand the discharge
instructions. What is the nurse's priority action?
• A. Provide written instructions and discharge the client
• B. Reassess the client's learning needs and provide additional teaching
• C. Have the family member sign that instructions were given
• D. Document that the client refused teaching
Correct Answer: B
Rationale: The nurse must ensure the client understands discharge instructions before
discharge. Reassessing learning needs and providing additional teaching ensures safe
transition to home.
Question 7: Which situation requires the nurse to obtain informed consent?
• A. Administering oral medications
• B. Performing a surgical procedure
• C. Taking vital signs
• D. Providing routine hygiene care
Correct Answer: B
Rationale: Invasive procedures, surgeries, and treatments with significant risks require
informed consent. Routine care and standard procedures do not require formal informed
consent.
Question 8: The nurse witnesses a client signing an informed consent form. What is the
nurse's responsibility?
• A. Explain the procedure to the client
• B. Verify that the client is competent and signing voluntarily
• C. Obtain the physician's signature
• D. Ensure the family agrees with the procedure
Correct Answer: B
Rationale: The nurse's role as witness is to verify the client's identity, competency, and
voluntary signature. The physician is responsible for explaining the procedure and
obtaining informed consent.
