NCLEX-PN Exam 2025/2026 –
Complete Practical Nursing
Review: 100 Practice
Questions with Detailed
Rationales | Latest NGN Test
Plan | LPN/LVN Study Guide
1|Page
,CATEGORY 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
Coordinated Care (Questions 1-10)
Question 1
A licensed practical nurse (LPN) is assigned to care for a group of clients
under the supervision of a registered nurse (RN). Which task is most
appropriate for the LPN to delegate to unlicensed assistive personnel (UAP)?
A. Assess the client's response to pain medication
B. Measure vital signs on a stable postoperative client
C. Teach a client how to perform wound care at home
D. Evaluate the effectiveness of a new diuretic medication
Correct Answer: B
Rationale: The LPN functions under the supervision of an RN and can
delegate certain tasks to UAP. Measuring vital signs on a stable client is within
the UAP's scope of practice. Assessment (A), teaching (C), and evaluation (D)
require nursing judgment and must be performed by licensed nursing
personnel (LPN or RN). The LPN should prioritize tasks based on client acuity
and assign appropriate duties to UAP while retaining responsibility for client
outcomes.
Question 2
A client asks the LPN about the results of their laboratory tests. The
2|Page
,healthcare provider has not yet discussed the results with the client. Which
response by the nurse is most appropriate?
A. "Your potassium level is slightly low, but don't worry about it."
B. "I'm not able to discuss your results. Please wait for your healthcare
provider."
C. "The results are normal except for one value that needs monitoring."
D. "Let me get your chart so we can review the results together."
Correct Answer: B
Rationale: The LPN must work within their scope of practice and legal
boundaries. Discussing diagnostic test results with clients is generally the
responsibility of the healthcare provider or RN who has the complete context
for interpretation. The LPN should respectfully decline to discuss results and
direct the client to the appropriate provider. This maintains professional
boundaries and prevents miscommunication or incomplete information
sharing.
Question 3
A client with a new diagnosis of diabetes mellitus is being discharged. Which
statement by the client indicates an understanding of the discharge teaching?
A. "I will skip my insulin if I don't feel like eating."
B. "I can stop taking my medication once my blood sugar is normal."
C. "I will call my healthcare provider if my blood sugar is consistently above
250 mg/dL."
D. "I only need to check my blood sugar when I feel sick."
3|Page
, Correct Answer: C
Rationale: Client teaching is effective when the client can identify when to
seek medical attention. Consistently elevated blood glucose (above 250
mg/dL) requires provider notification for possible treatment adjustment.
Options A, B, and D demonstrate misunderstanding: insulin should never be
skipped, diabetes medications are lifelong, and blood glucose monitoring
should be performed regularly, not just when symptoms occur.
Question 4
The LPN is assisting with the admission of a client who speaks limited English.
A family member offers to interpret. Which action by the nurse is most
appropriate?
A. Accept the family member's offer to save time
B. Request a hospital-approved medical interpreter
C. Use gestures and simple English phrases only
D. Ask the client to write down their questions
Correct Answer: B
Rationale: Using a hospital-approved medical interpreter is the standard of
care when language barriers exist. Family members may not accurately
interpret medical information due to lack of medical terminology knowledge,
emotional involvement, or potential for filtering information. Professional
interpreters ensure accurate communication and maintain client
confidentiality. This supports the client's right to informed consent and
quality care.
4|Page
Complete Practical Nursing
Review: 100 Practice
Questions with Detailed
Rationales | Latest NGN Test
Plan | LPN/LVN Study Guide
1|Page
,CATEGORY 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
Coordinated Care (Questions 1-10)
Question 1
A licensed practical nurse (LPN) is assigned to care for a group of clients
under the supervision of a registered nurse (RN). Which task is most
appropriate for the LPN to delegate to unlicensed assistive personnel (UAP)?
A. Assess the client's response to pain medication
B. Measure vital signs on a stable postoperative client
C. Teach a client how to perform wound care at home
D. Evaluate the effectiveness of a new diuretic medication
Correct Answer: B
Rationale: The LPN functions under the supervision of an RN and can
delegate certain tasks to UAP. Measuring vital signs on a stable client is within
the UAP's scope of practice. Assessment (A), teaching (C), and evaluation (D)
require nursing judgment and must be performed by licensed nursing
personnel (LPN or RN). The LPN should prioritize tasks based on client acuity
and assign appropriate duties to UAP while retaining responsibility for client
outcomes.
Question 2
A client asks the LPN about the results of their laboratory tests. The
2|Page
,healthcare provider has not yet discussed the results with the client. Which
response by the nurse is most appropriate?
A. "Your potassium level is slightly low, but don't worry about it."
B. "I'm not able to discuss your results. Please wait for your healthcare
provider."
C. "The results are normal except for one value that needs monitoring."
D. "Let me get your chart so we can review the results together."
Correct Answer: B
Rationale: The LPN must work within their scope of practice and legal
boundaries. Discussing diagnostic test results with clients is generally the
responsibility of the healthcare provider or RN who has the complete context
for interpretation. The LPN should respectfully decline to discuss results and
direct the client to the appropriate provider. This maintains professional
boundaries and prevents miscommunication or incomplete information
sharing.
Question 3
A client with a new diagnosis of diabetes mellitus is being discharged. Which
statement by the client indicates an understanding of the discharge teaching?
A. "I will skip my insulin if I don't feel like eating."
B. "I can stop taking my medication once my blood sugar is normal."
C. "I will call my healthcare provider if my blood sugar is consistently above
250 mg/dL."
D. "I only need to check my blood sugar when I feel sick."
3|Page
, Correct Answer: C
Rationale: Client teaching is effective when the client can identify when to
seek medical attention. Consistently elevated blood glucose (above 250
mg/dL) requires provider notification for possible treatment adjustment.
Options A, B, and D demonstrate misunderstanding: insulin should never be
skipped, diabetes medications are lifelong, and blood glucose monitoring
should be performed regularly, not just when symptoms occur.
Question 4
The LPN is assisting with the admission of a client who speaks limited English.
A family member offers to interpret. Which action by the nurse is most
appropriate?
A. Accept the family member's offer to save time
B. Request a hospital-approved medical interpreter
C. Use gestures and simple English phrases only
D. Ask the client to write down their questions
Correct Answer: B
Rationale: Using a hospital-approved medical interpreter is the standard of
care when language barriers exist. Family members may not accurately
interpret medical information due to lack of medical terminology knowledge,
emotional involvement, or potential for filtering information. Professional
interpreters ensure accurate communication and maintain client
confidentiality. This supports the client's right to informed consent and
quality care.
4|Page
