PN FUNDAMENTALS PROCTORED TEST BANK EXAM | 2025/2026
Actual Practical/Vocational Nursing Fundamentals Proctored Exam with Complete
Questions & Verified Answers | NCLEX-PN® Aligned
Overview
This 2025/2026 updated resource contains the actual PN Fundamentals Proctored Test
Bank Exam with the exact 120 questions and verified answers, following current nursing
program standards, NCLEX-PN® test plans, and evidence-based nursing fundamentals
practice for practical/vocational nursing students.
Key Features
• Actual proctored exam format with the official 120 questions
• Comprehensive coverage of nursing fundamentals and basic care competencies
• NCLEX-PN® style questions including prioritization, delegation, and safety
scenarios
• Updated 2025/2026 nursing standards and evidence-based practice guidelines
• Detailed rationales for all correct and incorrect answer choices
Core Content Areas (120 Total Questions)
• Nursing Process & Clinical Judgment (15 Qs)
• Infection Control & Aseptic Technique (18 Qs)
• Vital Signs & Basic Assessment (15 Qs)
• Medication Administration & Safety (20 Qs)
• Basic Care & Comfort Measures (15 Qs)
• Mobility & Safety Protocols (12 Qs)
• Nutrition & Fluid Balance (10 Qs)
• Oxygenation & Basic Respiratory Care (8 Qs)
• Elimination & Specimen Collection (7 Qs)
Answer Format
Correct answers are marked in bold green and include:
• Nursing process application (assessment, diagnosis, planning, implementation,
evaluation)
• Safety principle explanations (fall prevention, infection control, medication rights)
• Basic calculation steps for dosage and intravenous flow rates
• Delegation guidelines based on PN/LVN scope of practice
• Therapeutic communication techniques for nurse-patient interactions
• Documentation standards and legal considerations
,Updates for 2025/2026
• Reflects 2025-2026 NCLEX-PN® test plan changes
• Updated CDC infection prevention guidelines for healthcare settings
• Enhanced cultural competence standards in patient care
• New emphasis on telehealth nursing fundamentals
• Revised patient safety goals from The Joint Commission
• Updated basic life support (BLS) protocols per AHA 2025 guidelines
• Integrated Next Generation NCLEX (NGN) item types for practical nursing
• New documentation requirements for electronic health records
Question 1
Which action by the practical nurse (PN) best demonstrates adherence to the "right
route" of medication administration?
A. Verifying the patient’s name and date of birth before giving the medication
B. Checking the medication order against the MAR
C. Administering a subcutaneous injection using a 25-gauge, 5/8-inch needle
D. Documenting the medication immediately after administration
Rationale: The “right route” requires using the correct technique and equipment for the
prescribed route. A 25-gauge, 5/8-inch needle is appropriate for subcutaneous injections.
Option A addresses the “right patient,” B the “right medication,” and D the “right
documentation.”
Question 2
A PN is preparing to perform hand hygiene before inserting a urinary catheter.
Which technique is most appropriate?
A. Using hand sanitizer for 10 seconds
B. Washing hands with soap and water for 10 seconds
C. Performing surgical hand scrub with antimicrobial soap for 2–6 minutes
D. Using alcohol-based hand rub before donning sterile gloves
Rationale: Inserting a urinary catheter is a sterile procedure requiring surgical asepsis. Per
2025 CDC guidelines, a surgical hand scrub with antimicrobial soap is required before
donning sterile gloves. Hand sanitizer is insufficient for sterile procedures.
Question 3
Which finding should the PN report immediately when assessing a patient’s vital
signs?
A. Oral temperature of 99.0°F (37.2°C)
B. Respiratory rate of 16 breaths per minute
C. Blood pressure of 120/80 mm Hg
D. Oxygen saturation of 88% on room air
, Rationale: Normal oxygen saturation on room air is 95–100%. A reading of 88% indicates
hypoxemia and requires immediate intervention (e.g., supplemental oxygen, notify
RN/physician). The other values are within normal limits.
Question 4
Before administering a medication, the PN realizes the dose is higher than the usual
recommended range. What should the PN do first?
A. Administer the medication as ordered
B. Consult with another PN
C. Contact the prescribing provider to clarify the order
D. Document the concern in the patient’s chart
Rationale: The PN has a legal and ethical responsibility to question any order that appears
unsafe. The first step is to contact the prescriber to clarify or correct the order.
Administering an incorrect dose could cause harm.
Question 5
Which statement by the PN demonstrates therapeutic communication when a patient
expresses fear about surgery?
A. “Don’t worry—everything will be fine.”
B. “The surgeon is very experienced.”
C. “Tell me more about what’s concerning you.”
D. “You’ll be asleep during the whole thing.”
Rationale: Therapeutic communication uses open-ended questions to encourage expression
of feelings. Option C invites the patient to share concerns without dismissing or minimizing
them. Options A, B, and D are non-therapeutic (reassurance, giving advice, changing the
subject).
Question 6
Which action is essential when applying anti-embolism stockings to a postoperative
patient?
A. Apply the stockings after the patient has been sitting for 30 minutes
B. Roll the stocking down to the ankle for comfort
C. Ensure the patient’s legs are elevated and dry before application
D. Apply lotion to the legs before putting on the stockings
Rationale: Anti-embolism stockings should be applied in the morning before edema develops.
Legs must be dry and elevated to reduce swelling. Lotion should not be used, as it can cause
skin breakdown. Stockings must be smooth without wrinkles or rolled edges.
Question 7
The PN is caring for a patient on contact precautions for Clostridioides difficile.
Which action is appropriate?
A. Wearing a surgical mask when within 3 feet of the patient
B. Using alcohol-based hand sanitizer after glove removal
C. Washing hands with soap and water after glove removal
D. Placing the patient in a negative-pressure room
Actual Practical/Vocational Nursing Fundamentals Proctored Exam with Complete
Questions & Verified Answers | NCLEX-PN® Aligned
Overview
This 2025/2026 updated resource contains the actual PN Fundamentals Proctored Test
Bank Exam with the exact 120 questions and verified answers, following current nursing
program standards, NCLEX-PN® test plans, and evidence-based nursing fundamentals
practice for practical/vocational nursing students.
Key Features
• Actual proctored exam format with the official 120 questions
• Comprehensive coverage of nursing fundamentals and basic care competencies
• NCLEX-PN® style questions including prioritization, delegation, and safety
scenarios
• Updated 2025/2026 nursing standards and evidence-based practice guidelines
• Detailed rationales for all correct and incorrect answer choices
Core Content Areas (120 Total Questions)
• Nursing Process & Clinical Judgment (15 Qs)
• Infection Control & Aseptic Technique (18 Qs)
• Vital Signs & Basic Assessment (15 Qs)
• Medication Administration & Safety (20 Qs)
• Basic Care & Comfort Measures (15 Qs)
• Mobility & Safety Protocols (12 Qs)
• Nutrition & Fluid Balance (10 Qs)
• Oxygenation & Basic Respiratory Care (8 Qs)
• Elimination & Specimen Collection (7 Qs)
Answer Format
Correct answers are marked in bold green and include:
• Nursing process application (assessment, diagnosis, planning, implementation,
evaluation)
• Safety principle explanations (fall prevention, infection control, medication rights)
• Basic calculation steps for dosage and intravenous flow rates
• Delegation guidelines based on PN/LVN scope of practice
• Therapeutic communication techniques for nurse-patient interactions
• Documentation standards and legal considerations
,Updates for 2025/2026
• Reflects 2025-2026 NCLEX-PN® test plan changes
• Updated CDC infection prevention guidelines for healthcare settings
• Enhanced cultural competence standards in patient care
• New emphasis on telehealth nursing fundamentals
• Revised patient safety goals from The Joint Commission
• Updated basic life support (BLS) protocols per AHA 2025 guidelines
• Integrated Next Generation NCLEX (NGN) item types for practical nursing
• New documentation requirements for electronic health records
Question 1
Which action by the practical nurse (PN) best demonstrates adherence to the "right
route" of medication administration?
A. Verifying the patient’s name and date of birth before giving the medication
B. Checking the medication order against the MAR
C. Administering a subcutaneous injection using a 25-gauge, 5/8-inch needle
D. Documenting the medication immediately after administration
Rationale: The “right route” requires using the correct technique and equipment for the
prescribed route. A 25-gauge, 5/8-inch needle is appropriate for subcutaneous injections.
Option A addresses the “right patient,” B the “right medication,” and D the “right
documentation.”
Question 2
A PN is preparing to perform hand hygiene before inserting a urinary catheter.
Which technique is most appropriate?
A. Using hand sanitizer for 10 seconds
B. Washing hands with soap and water for 10 seconds
C. Performing surgical hand scrub with antimicrobial soap for 2–6 minutes
D. Using alcohol-based hand rub before donning sterile gloves
Rationale: Inserting a urinary catheter is a sterile procedure requiring surgical asepsis. Per
2025 CDC guidelines, a surgical hand scrub with antimicrobial soap is required before
donning sterile gloves. Hand sanitizer is insufficient for sterile procedures.
Question 3
Which finding should the PN report immediately when assessing a patient’s vital
signs?
A. Oral temperature of 99.0°F (37.2°C)
B. Respiratory rate of 16 breaths per minute
C. Blood pressure of 120/80 mm Hg
D. Oxygen saturation of 88% on room air
, Rationale: Normal oxygen saturation on room air is 95–100%. A reading of 88% indicates
hypoxemia and requires immediate intervention (e.g., supplemental oxygen, notify
RN/physician). The other values are within normal limits.
Question 4
Before administering a medication, the PN realizes the dose is higher than the usual
recommended range. What should the PN do first?
A. Administer the medication as ordered
B. Consult with another PN
C. Contact the prescribing provider to clarify the order
D. Document the concern in the patient’s chart
Rationale: The PN has a legal and ethical responsibility to question any order that appears
unsafe. The first step is to contact the prescriber to clarify or correct the order.
Administering an incorrect dose could cause harm.
Question 5
Which statement by the PN demonstrates therapeutic communication when a patient
expresses fear about surgery?
A. “Don’t worry—everything will be fine.”
B. “The surgeon is very experienced.”
C. “Tell me more about what’s concerning you.”
D. “You’ll be asleep during the whole thing.”
Rationale: Therapeutic communication uses open-ended questions to encourage expression
of feelings. Option C invites the patient to share concerns without dismissing or minimizing
them. Options A, B, and D are non-therapeutic (reassurance, giving advice, changing the
subject).
Question 6
Which action is essential when applying anti-embolism stockings to a postoperative
patient?
A. Apply the stockings after the patient has been sitting for 30 minutes
B. Roll the stocking down to the ankle for comfort
C. Ensure the patient’s legs are elevated and dry before application
D. Apply lotion to the legs before putting on the stockings
Rationale: Anti-embolism stockings should be applied in the morning before edema develops.
Legs must be dry and elevated to reduce swelling. Lotion should not be used, as it can cause
skin breakdown. Stockings must be smooth without wrinkles or rolled edges.
Question 7
The PN is caring for a patient on contact precautions for Clostridioides difficile.
Which action is appropriate?
A. Wearing a surgical mask when within 3 feet of the patient
B. Using alcohol-based hand sanitizer after glove removal
C. Washing hands with soap and water after glove removal
D. Placing the patient in a negative-pressure room
