NCLEX PN EXAM QUESTIONS AND CORRECT
ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | QUESTIONS 1–150 | ORIGINAL PRACTICE EXAM
150
150 150
NCLEX-PN-style practice
Correct answers Rationales
questions
Format: Computer-based testing style with four answer choices, correct answer, and an italicized
rationale.
Important: These are original study/practice questions. They are not official NCLEX questions, screenshots, recalled items, or leaked
exam content, and no guarantee of passing is made. The 2026 NCSBN NCLEX-PN Test Plan supports stand-alone items, case studies,
and multiple item formats.
Reference basis: National Council of State Boards of Nursing (NCSBN), 2026 NCLEX-PN Test Plan.
NCLEX-PN 2026 Practice Q&A — Original Study Material Page 1
, ANSWER KEY — QUESTIONS 1–150
1. B 2. B 3. A 4. B 5. B
6. B 7. A 8. C 9. C 10. A
11. D 12. B 13. B 14. D 15. D
16. B 17. B 18. A 19. D 20. B
21. A 22. A 23. D 24. B 25. A
26. B 27. D 28. B 29. C 30. D
31. C 32. B 33. A 34. D 35. C
36. B 37. A 38. A 39. C 40. B
41. A 42. D 43. C 44. B 45. A
46. D 47. C 48. B 49. A 50. D
51. C 52. B 53. A 54. D 55. C
56. B 57. A 58. D 59. C 60. B
61. A 62. D 63. C 64. B 65. A
66. D 67. C 68. B 69. A 70. D
71. C 72. B 73. A 74. D 75. C
76. B 77. A 78. D 79. C 80. B
81. A 82. D 83. C 84. B 85. A
86. D 87. C 88. B 89. A 90. D
91. C 92. B 93. A 94. D 95. C
96. B 97. A 98. D 99. C 100. B
101. A 102. D 103. C 104. B 105. A
106. D 107. C 108. B 109. A 110. D
111. C 112. B 113. A 114. D 115. C
116. B 117. A 118. D 119. C 120. B
121. A 122. D 123. C 124. B 125. A
126. D 127. C 128. B 129. A 130. D
131. C 132. B 133. A 134. D 135. C
136. B 137. A 138. D 139. C 140. B
141. A 142. D 143. C 144. B 145. A
146. D 147. C 148. B 149. A 150. D
NCLEX-PN 2026 Practice Q&A — Original Study Material Page 2
, NCLEX-PN PRACTICE EXAM Question 1 of 150
A client with heart failure has new crackles, dyspnea, and a 2-kg weight gain in 2 days.
Which action should the practical nurse take first?
A. Encourage oral fluids
B. Place the client in high-Fowler position
C. Offer a high-sodium snack
D. Assist the client to ambulate
Correct Answer: B
Rationale: The priority is to improve ventilation and reduce pulmonary congestion. High-Fowler
positioning promotes lung expansion and decreases venous return, which can ease dyspnea.
Study note: Select the safest priority action first. When a life-threatening airway, breathing, circulation, or acute safety problem is present,
address it before routine needs.
NCLEX-PN 2026 Practice Q&A — Original Study Material Page 3
, NCLEX-PN PRACTICE EXAM Question 2 of 150
A client receiving digoxin reports nausea and seeing yellow halos. Which finding is
most concerning?
A. Potassium 4.2 mEq/L
B. Visual changes
C. Respirations 18/min
D. Pulse 88/min
Correct Answer: B
Rationale: Visual disturbances and gastrointestinal symptoms can indicate digoxin toxicity. The
medication should be held and the prescriber notified according to facility policy.
Study note: Select the safest priority action first. When a life-threatening airway, breathing, circulation, or acute safety problem is present,
address it before routine needs.
NCLEX-PN 2026 Practice Q&A — Original Study Material Page 4
ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | QUESTIONS 1–150 | ORIGINAL PRACTICE EXAM
150
150 150
NCLEX-PN-style practice
Correct answers Rationales
questions
Format: Computer-based testing style with four answer choices, correct answer, and an italicized
rationale.
Important: These are original study/practice questions. They are not official NCLEX questions, screenshots, recalled items, or leaked
exam content, and no guarantee of passing is made. The 2026 NCSBN NCLEX-PN Test Plan supports stand-alone items, case studies,
and multiple item formats.
Reference basis: National Council of State Boards of Nursing (NCSBN), 2026 NCLEX-PN Test Plan.
NCLEX-PN 2026 Practice Q&A — Original Study Material Page 1
, ANSWER KEY — QUESTIONS 1–150
1. B 2. B 3. A 4. B 5. B
6. B 7. A 8. C 9. C 10. A
11. D 12. B 13. B 14. D 15. D
16. B 17. B 18. A 19. D 20. B
21. A 22. A 23. D 24. B 25. A
26. B 27. D 28. B 29. C 30. D
31. C 32. B 33. A 34. D 35. C
36. B 37. A 38. A 39. C 40. B
41. A 42. D 43. C 44. B 45. A
46. D 47. C 48. B 49. A 50. D
51. C 52. B 53. A 54. D 55. C
56. B 57. A 58. D 59. C 60. B
61. A 62. D 63. C 64. B 65. A
66. D 67. C 68. B 69. A 70. D
71. C 72. B 73. A 74. D 75. C
76. B 77. A 78. D 79. C 80. B
81. A 82. D 83. C 84. B 85. A
86. D 87. C 88. B 89. A 90. D
91. C 92. B 93. A 94. D 95. C
96. B 97. A 98. D 99. C 100. B
101. A 102. D 103. C 104. B 105. A
106. D 107. C 108. B 109. A 110. D
111. C 112. B 113. A 114. D 115. C
116. B 117. A 118. D 119. C 120. B
121. A 122. D 123. C 124. B 125. A
126. D 127. C 128. B 129. A 130. D
131. C 132. B 133. A 134. D 135. C
136. B 137. A 138. D 139. C 140. B
141. A 142. D 143. C 144. B 145. A
146. D 147. C 148. B 149. A 150. D
NCLEX-PN 2026 Practice Q&A — Original Study Material Page 2
, NCLEX-PN PRACTICE EXAM Question 1 of 150
A client with heart failure has new crackles, dyspnea, and a 2-kg weight gain in 2 days.
Which action should the practical nurse take first?
A. Encourage oral fluids
B. Place the client in high-Fowler position
C. Offer a high-sodium snack
D. Assist the client to ambulate
Correct Answer: B
Rationale: The priority is to improve ventilation and reduce pulmonary congestion. High-Fowler
positioning promotes lung expansion and decreases venous return, which can ease dyspnea.
Study note: Select the safest priority action first. When a life-threatening airway, breathing, circulation, or acute safety problem is present,
address it before routine needs.
NCLEX-PN 2026 Practice Q&A — Original Study Material Page 3
, NCLEX-PN PRACTICE EXAM Question 2 of 150
A client receiving digoxin reports nausea and seeing yellow halos. Which finding is
most concerning?
A. Potassium 4.2 mEq/L
B. Visual changes
C. Respirations 18/min
D. Pulse 88/min
Correct Answer: B
Rationale: Visual disturbances and gastrointestinal symptoms can indicate digoxin toxicity. The
medication should be held and the prescriber notified according to facility policy.
Study note: Select the safest priority action first. When a life-threatening airway, breathing, circulation, or acute safety problem is present,
address it before routine needs.
NCLEX-PN 2026 Practice Q&A — Original Study Material Page 4
