NCLEX-PN PRACTICE QUESTIONS
WITH ANSWERS AND RATIONALES
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
1. Safe and Effective Care Environment
2. Health Promotion and Maintenance
3. Psychosocial Integrity
4. Physiological Integrity: Basic Care and Comfort
5. Physiological Integrity: Pharmacological and Parenteral
Therapies
6. Physiological Integrity: Reduction of Risk Potential
7. Physiological Integrity: Physiological Adaptation
8. Coordinated Care and Prioritization
9. Maternal and Newborn Care
10. Pediatric Nursing Care
Introduction
The NCLEX-PN Practice Examination is designed to assess the
knowledge, clinical judgment, and safe decision-making required
of practical nurses. The examination evaluates foundational
nursing principles, medication administration, infection control,
maternal-newborn care, pediatric care, mental health, and
management of care. Candidates are assessed on their ability to
prioritize client needs, recognize complications, implement safe
interventions, and evaluate outcomes. The exam utilizes multiple-
,choice and scenario-based questions to emphasize real-world
application, critical thinking, and adherence to legal and ethical
standards. This comprehensive test bank prepares candidates for
the NCLEX-PN by reinforcing essential nursing concepts and
promoting safe, effective, and compassionate care.
Section One: Questions 1–100
1. A nurse is caring for a client with a new colostomy.
Which statement indicates the client needs further
teaching?
A. "I will empty the pouch when it is one-third full."
B. "I will use a skin barrier to protect the skin."
C. "I will change the pouch every day."
D. "I will clean the stoma with mild soap and water."
Correct answer: C
RATIONALE: A colostomy pouch should be changed every 3 to
7 days, not daily. Daily changes can irritate the skin. The other
statements are correct.
2. A nurse is assessing a client with dehydration. Which
finding is most indicative of fluid volume deficit?
A. Bounding pulse
B. Crackles in the lungs
C. Dry mucous membranes and poor skin turgor
D. Weight gain
Correct answer: C
RATIONALE: Dry mucous membranes and poor skin turgor are
classic signs of dehydration. Bounding pulse, crackles, and weight
gain indicate fluid overload.
,3. A client is prescribed digoxin. Which finding indicates
digoxin toxicity?
A. Heart rate of 58 bpm
B. Nausea and visual disturbances
C. Blood pressure of 120/80 mm Hg
D. Respiratory rate of 18
Correct answer: B
RATIONALE: Nausea, vomiting, and visual disturbances
(yellow-green halos) are signs of digoxin toxicity. Bradycardia
may also occur but is not specific.
4. A nurse is preparing to administer an intramuscular
injection to an infant. Which site is preferred?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Correct answer: C
RATIONALE: The vastus lateralis is the preferred IM site for
infants because it is well-developed and has few major nerves
and blood vessels.
5. A client with COPD is prescribed home oxygen. Which
instruction is most important?
A. Increase oxygen flow during sleep
B. Avoid smoking and open flames
C. Use oxygen only when short of breath
D. Store oxygen in the basement
Correct answer: B
, RATIONALE: Oxygen is a fire hazard. Clients must avoid
smoking and open flames and store oxygen safely.
6. A nurse is caring for a client with a new tracheostomy.
Which finding requires immediate intervention?
A. Pink, frothy secretions
B. Small amount of serosanguineous drainage
C. Mild discomfort at the site
D. Hoarse voice
Correct answer: A
RATIONALE: Pink, frothy secretions may indicate pulmonary
edema or bleeding, requiring immediate evaluation.
7. A client with heart failure is prescribed furosemide.
Which laboratory value should the nurse monitor?
A. Serum potassium
B. Serum sodium
C. Serum calcium
D. Serum magnesium
Correct answer: A
RATIONALE: Furosemide is a loop diuretic that can cause
hypokalemia. Serum potassium should be monitored closely.
8. A nurse is teaching a client about a low-sodium diet.
Which food should the client avoid?
A. Fresh fruit
B. Canned soup
C. Steamed vegetables
D. Grilled chicken
Correct answer: B
WITH ANSWERS AND RATIONALES
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
1. Safe and Effective Care Environment
2. Health Promotion and Maintenance
3. Psychosocial Integrity
4. Physiological Integrity: Basic Care and Comfort
5. Physiological Integrity: Pharmacological and Parenteral
Therapies
6. Physiological Integrity: Reduction of Risk Potential
7. Physiological Integrity: Physiological Adaptation
8. Coordinated Care and Prioritization
9. Maternal and Newborn Care
10. Pediatric Nursing Care
Introduction
The NCLEX-PN Practice Examination is designed to assess the
knowledge, clinical judgment, and safe decision-making required
of practical nurses. The examination evaluates foundational
nursing principles, medication administration, infection control,
maternal-newborn care, pediatric care, mental health, and
management of care. Candidates are assessed on their ability to
prioritize client needs, recognize complications, implement safe
interventions, and evaluate outcomes. The exam utilizes multiple-
,choice and scenario-based questions to emphasize real-world
application, critical thinking, and adherence to legal and ethical
standards. This comprehensive test bank prepares candidates for
the NCLEX-PN by reinforcing essential nursing concepts and
promoting safe, effective, and compassionate care.
Section One: Questions 1–100
1. A nurse is caring for a client with a new colostomy.
Which statement indicates the client needs further
teaching?
A. "I will empty the pouch when it is one-third full."
B. "I will use a skin barrier to protect the skin."
C. "I will change the pouch every day."
D. "I will clean the stoma with mild soap and water."
Correct answer: C
RATIONALE: A colostomy pouch should be changed every 3 to
7 days, not daily. Daily changes can irritate the skin. The other
statements are correct.
2. A nurse is assessing a client with dehydration. Which
finding is most indicative of fluid volume deficit?
A. Bounding pulse
B. Crackles in the lungs
C. Dry mucous membranes and poor skin turgor
D. Weight gain
Correct answer: C
RATIONALE: Dry mucous membranes and poor skin turgor are
classic signs of dehydration. Bounding pulse, crackles, and weight
gain indicate fluid overload.
,3. A client is prescribed digoxin. Which finding indicates
digoxin toxicity?
A. Heart rate of 58 bpm
B. Nausea and visual disturbances
C. Blood pressure of 120/80 mm Hg
D. Respiratory rate of 18
Correct answer: B
RATIONALE: Nausea, vomiting, and visual disturbances
(yellow-green halos) are signs of digoxin toxicity. Bradycardia
may also occur but is not specific.
4. A nurse is preparing to administer an intramuscular
injection to an infant. Which site is preferred?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Correct answer: C
RATIONALE: The vastus lateralis is the preferred IM site for
infants because it is well-developed and has few major nerves
and blood vessels.
5. A client with COPD is prescribed home oxygen. Which
instruction is most important?
A. Increase oxygen flow during sleep
B. Avoid smoking and open flames
C. Use oxygen only when short of breath
D. Store oxygen in the basement
Correct answer: B
, RATIONALE: Oxygen is a fire hazard. Clients must avoid
smoking and open flames and store oxygen safely.
6. A nurse is caring for a client with a new tracheostomy.
Which finding requires immediate intervention?
A. Pink, frothy secretions
B. Small amount of serosanguineous drainage
C. Mild discomfort at the site
D. Hoarse voice
Correct answer: A
RATIONALE: Pink, frothy secretions may indicate pulmonary
edema or bleeding, requiring immediate evaluation.
7. A client with heart failure is prescribed furosemide.
Which laboratory value should the nurse monitor?
A. Serum potassium
B. Serum sodium
C. Serum calcium
D. Serum magnesium
Correct answer: A
RATIONALE: Furosemide is a loop diuretic that can cause
hypokalemia. Serum potassium should be monitored closely.
8. A nurse is teaching a client about a low-sodium diet.
Which food should the client avoid?
A. Fresh fruit
B. Canned soup
C. Steamed vegetables
D. Grilled chicken
Correct answer: B
