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Latest NCLEX-PN Exam 2026: Comprehensive Practice
Questions and Answers | 100% Pass Guaranteed |
Graded A+
1. An LPN is reinforcing teaching for a client prescribed a new antihypertensive medication. Which
action is most appropriate for the LPN to take regarding the client's medication education?
A. Independently develop the teaching plan and provide it to the client without review.
B. Ask the registered nurse for a copy of the standardized teaching plan and follow it exactly.
C. Review the registered nurse's teaching plan, then reinforce the key points with the client.
D. Delegate the teaching task to a nursing assistant who has more time.
☑ Correct Answer: C
☑ Explanation: LPNs/LVNs function under the direction of an RN or provider. The LPN's role in
client education is to reinforce and supplement the teaching already initiated by the RN. The LPN cannot
independently design a comprehensive teaching plan but can effectively review and reinforce the
provided information, clarifying concepts and answering questions to solidify the client's understanding.
Option C aligns with the LPN's scope of practice and the coordinated care principles outlined in the
NCLEX-PN test plan .
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2. A client who is 2 days post-operative from a cholecystectomy is being prepared for discharge.
Which statement by the client indicates a correct understanding of the LPN's role in their discharge
plan?
A. "My nurse will make sure I understand my new diet before I go home."
B. "I will need to see my primary care physician to get all my medications changed."
C. "The charge nurse will call the ambulance to take me home."
D. "The LPN is in charge of scheduling my follow-up appointment."
☑ Correct Answer: A
☑ Explanation: A key part of coordinated care is ensuring client understanding and continuity.
The LPN plays a vital role in reinforcing teaching provided by the RN to ensure the client is prepared for
self-care at home . Option A reflects the LPN's role in reinforcing and confirming understanding of
discharge instructions. Options B, C, and D describe functions that are not typically delegated to an LPN,
as they involve independent medical decisions or coordination that falls under the RN's or case
manager's responsibilities.
3. The LPN is caring for a client with a urinary tract infection. The client has been prescribed an
antibiotic. Which of the following actions is a primary responsibility of the LPN?
A. Interpreting the client's complete blood count (CBC) to monitor for infection.
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B. Administering the prescribed antibiotic and monitoring for therapeutic and adverse effects.
C. Discontinuing the medication if the client reports a mild headache.
D. Ordering a urine culture to confirm the infection.
☑ Correct Answer: B
☑ Explanation: According to the NCLEX-PN test plan, a core competency is the safe and
effective administration of medications, which includes monitoring for therapeutic effects, adverse
reactions, and side effects . The LPN is responsible for administering the medication as prescribed and
observing the client for expected outcomes and potential complications. Options A and D describe
assessments and diagnostic tests that require advanced clinical judgment and are typically performed by
RNs or providers, not LPNs. Option C is incorrect; a headache is a minor side effect that should be
documented and reported, but the LPN cannot independently discontinue a prescribed medication.
4. A client with a history of hypertension is receiving a loop diuretic. The LPN should prioritize
monitoring the client for which of the following adverse effects?
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypercalcemia
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☑ Correct Answer: A
☑ Explanation: Pharmacological therapies, which are a subcategory of Physiological Integrity,
require the LPN to monitor for expected drug actions and adverse effects . Loop diuretics are known to
cause significant excretion of potassium, which can lead to hypokalemia (low serum potassium).
Therefore, monitoring serum potassium and observing for signs of hypokalemia (such as cardiac
arrhythmias or muscle weakness) is a critical priority. Other options are not the primary adverse effects
associated with loop diuretics.
5. The LPN is providing care to a client who has been placed in restraints per a physician's order.
Which action by the LPN demonstrates correct understanding of client rights and safety?
A. Applying the restraints so they are snug, to prevent injury.
B. Releasing the restraints and providing range-of-motion exercises every four hours.
C. Documenting the client's behavior and the need for continued restraint use.
D. Leaving the restraints in place during mealtime for the client's safety.
☑ Correct Answer: C
☑ Explanation: The NCLEX-PN emphasizes the legal and ethical principles of care, including
client rights and safety . An LPN is responsible for accurately documenting the care provided and the
Latest NCLEX-PN Exam 2026: Comprehensive Practice
Questions and Answers | 100% Pass Guaranteed |
Graded A+
1. An LPN is reinforcing teaching for a client prescribed a new antihypertensive medication. Which
action is most appropriate for the LPN to take regarding the client's medication education?
A. Independently develop the teaching plan and provide it to the client without review.
B. Ask the registered nurse for a copy of the standardized teaching plan and follow it exactly.
C. Review the registered nurse's teaching plan, then reinforce the key points with the client.
D. Delegate the teaching task to a nursing assistant who has more time.
☑ Correct Answer: C
☑ Explanation: LPNs/LVNs function under the direction of an RN or provider. The LPN's role in
client education is to reinforce and supplement the teaching already initiated by the RN. The LPN cannot
independently design a comprehensive teaching plan but can effectively review and reinforce the
provided information, clarifying concepts and answering questions to solidify the client's understanding.
Option C aligns with the LPN's scope of practice and the coordinated care principles outlined in the
NCLEX-PN test plan .
,2
2. A client who is 2 days post-operative from a cholecystectomy is being prepared for discharge.
Which statement by the client indicates a correct understanding of the LPN's role in their discharge
plan?
A. "My nurse will make sure I understand my new diet before I go home."
B. "I will need to see my primary care physician to get all my medications changed."
C. "The charge nurse will call the ambulance to take me home."
D. "The LPN is in charge of scheduling my follow-up appointment."
☑ Correct Answer: A
☑ Explanation: A key part of coordinated care is ensuring client understanding and continuity.
The LPN plays a vital role in reinforcing teaching provided by the RN to ensure the client is prepared for
self-care at home . Option A reflects the LPN's role in reinforcing and confirming understanding of
discharge instructions. Options B, C, and D describe functions that are not typically delegated to an LPN,
as they involve independent medical decisions or coordination that falls under the RN's or case
manager's responsibilities.
3. The LPN is caring for a client with a urinary tract infection. The client has been prescribed an
antibiotic. Which of the following actions is a primary responsibility of the LPN?
A. Interpreting the client's complete blood count (CBC) to monitor for infection.
,3
B. Administering the prescribed antibiotic and monitoring for therapeutic and adverse effects.
C. Discontinuing the medication if the client reports a mild headache.
D. Ordering a urine culture to confirm the infection.
☑ Correct Answer: B
☑ Explanation: According to the NCLEX-PN test plan, a core competency is the safe and
effective administration of medications, which includes monitoring for therapeutic effects, adverse
reactions, and side effects . The LPN is responsible for administering the medication as prescribed and
observing the client for expected outcomes and potential complications. Options A and D describe
assessments and diagnostic tests that require advanced clinical judgment and are typically performed by
RNs or providers, not LPNs. Option C is incorrect; a headache is a minor side effect that should be
documented and reported, but the LPN cannot independently discontinue a prescribed medication.
4. A client with a history of hypertension is receiving a loop diuretic. The LPN should prioritize
monitoring the client for which of the following adverse effects?
A. Hypokalemia
B. Hyperkalemia
C. Hypernatremia
D. Hypercalcemia
, 4
☑ Correct Answer: A
☑ Explanation: Pharmacological therapies, which are a subcategory of Physiological Integrity,
require the LPN to monitor for expected drug actions and adverse effects . Loop diuretics are known to
cause significant excretion of potassium, which can lead to hypokalemia (low serum potassium).
Therefore, monitoring serum potassium and observing for signs of hypokalemia (such as cardiac
arrhythmias or muscle weakness) is a critical priority. Other options are not the primary adverse effects
associated with loop diuretics.
5. The LPN is providing care to a client who has been placed in restraints per a physician's order.
Which action by the LPN demonstrates correct understanding of client rights and safety?
A. Applying the restraints so they are snug, to prevent injury.
B. Releasing the restraints and providing range-of-motion exercises every four hours.
C. Documenting the client's behavior and the need for continued restraint use.
D. Leaving the restraints in place during mealtime for the client's safety.
☑ Correct Answer: C
☑ Explanation: The NCLEX-PN emphasizes the legal and ethical principles of care, including
client rights and safety . An LPN is responsible for accurately documenting the care provided and the
