NCLEX PN EXAM NEWEST 2026 ACTUAL
EXAM TEST BANK 300 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
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,Core Domains
Safe and Effective Care Environment: Coordinated Care
Safe and Effective Care Environment: Safety and Infection
Prevention and Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
Introduction
The NCLEX-PN examination assesses the knowledge, skills, and
clinical judgment required of entry-level practical/vocational nurses.
The exam evaluates competencies across Client Needs categories,
emphasizing safe, effective care delivery within the LPN/VN scope of
practice. Test items include multiple-choice and scenario-based
formats designed to measure real-world application and decision-
,making. Candidates must demonstrate foundational nursing
knowledge, applied professional skills, regulatory compliance,
ethical standards, and critical thinking. The examination prioritizes
the ability to collect data, recognize changes in client status,
prioritize care, and collaborate effectively within the healthcare
team.
1. A practical nurse (PN) is collecting data on a client admitted with
dehydration. Which finding should the PN report to the registered
nurse (RN) immediately?
A. Urine specific gravity of 1.025
B. Heart rate of 118 beats/min
C. Dry mucous membranes
D. Blood pressure of 106/68 mm Hg
Correct answer: B
RATIONALE: A heart rate of 118 beats/min in a dehydrated client
indicates compensatory tachycardia and possible hypovolemic shock,
requiring immediate RN notification. Urine specific gravity of 1.025 is
consistent with dehydration but is an expected finding. Dry mucous
membranes are a common sign of mild dehydration. A blood pressure of
106/68 mm Hg is within acceptable limits and does not indicate
immediate danger.
2. A PN is reinforcing teaching to a client prescribed furosemide.
Which statement by the client indicates understanding of dietary
considerations?
, A. "I will increase my intake of bananas and oranges."
B. "I will take this medication at bedtime."
C. "I will limit my fluid intake to 500 mL per day."
D. "I will avoid foods high in vitamin K."
Correct answer: A
RATIONALE: Furosemide is a loop diuretic that causes potassium
loss. Clients should increase intake of potassium-rich foods such as
bananas and oranges. Taking furosemide at bedtime would cause
nocturia and sleep disruption. Fluid restriction is not a standard
instruction unless specifically prescribed. Vitamin K restrictions are
relevant to warfarin, not furosemide.
3. A PN is assisting with the care of a client who had a percutaneous
liver biopsy. Which finding indicates a complication requiring
immediate intervention?
A. Mild pain at the biopsy site
B. Heart rate 122 beats/min and blood pressure 88/52 mm Hg
C. Small amount of serosanguineous drainage on the dressing
D. Client reports feeling anxious
Correct answer: B
RATIONALE: Tachycardia and hypotension following liver biopsy
indicate possible hemorrhage, a serious complication within the first 24
hours. Mild site pain is expected. A small amount of drainage is normal.
Anxiety alone does not indicate a complication but requires further
assessment.
EXAM TEST BANK 300 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
,Core Domains
Safe and Effective Care Environment: Coordinated Care
Safe and Effective Care Environment: Safety and Infection
Prevention and Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
Introduction
The NCLEX-PN examination assesses the knowledge, skills, and
clinical judgment required of entry-level practical/vocational nurses.
The exam evaluates competencies across Client Needs categories,
emphasizing safe, effective care delivery within the LPN/VN scope of
practice. Test items include multiple-choice and scenario-based
formats designed to measure real-world application and decision-
,making. Candidates must demonstrate foundational nursing
knowledge, applied professional skills, regulatory compliance,
ethical standards, and critical thinking. The examination prioritizes
the ability to collect data, recognize changes in client status,
prioritize care, and collaborate effectively within the healthcare
team.
1. A practical nurse (PN) is collecting data on a client admitted with
dehydration. Which finding should the PN report to the registered
nurse (RN) immediately?
A. Urine specific gravity of 1.025
B. Heart rate of 118 beats/min
C. Dry mucous membranes
D. Blood pressure of 106/68 mm Hg
Correct answer: B
RATIONALE: A heart rate of 118 beats/min in a dehydrated client
indicates compensatory tachycardia and possible hypovolemic shock,
requiring immediate RN notification. Urine specific gravity of 1.025 is
consistent with dehydration but is an expected finding. Dry mucous
membranes are a common sign of mild dehydration. A blood pressure of
106/68 mm Hg is within acceptable limits and does not indicate
immediate danger.
2. A PN is reinforcing teaching to a client prescribed furosemide.
Which statement by the client indicates understanding of dietary
considerations?
, A. "I will increase my intake of bananas and oranges."
B. "I will take this medication at bedtime."
C. "I will limit my fluid intake to 500 mL per day."
D. "I will avoid foods high in vitamin K."
Correct answer: A
RATIONALE: Furosemide is a loop diuretic that causes potassium
loss. Clients should increase intake of potassium-rich foods such as
bananas and oranges. Taking furosemide at bedtime would cause
nocturia and sleep disruption. Fluid restriction is not a standard
instruction unless specifically prescribed. Vitamin K restrictions are
relevant to warfarin, not furosemide.
3. A PN is assisting with the care of a client who had a percutaneous
liver biopsy. Which finding indicates a complication requiring
immediate intervention?
A. Mild pain at the biopsy site
B. Heart rate 122 beats/min and blood pressure 88/52 mm Hg
C. Small amount of serosanguineous drainage on the dressing
D. Client reports feeling anxious
Correct answer: B
RATIONALE: Tachycardia and hypotension following liver biopsy
indicate possible hemorrhage, a serious complication within the first 24
hours. Mild site pain is expected. A small amount of drainage is normal.
Anxiety alone does not indicate a complication but requires further
assessment.
