“NCLEX-PN Comprehensive Licensure Exam 2025 — 200+
Practice Questions With Correct Answers & Detailed
Rationals | Complete LPN Review Guide (A+ Rated)”
“Prepare for the NCLEX-PN with this A+ graded 2025 comprehensive licensure exam guide.
Includes 200+ high-yield LPN practice questions, correct answers, and detailed rationales
covering pharmacology, fundamentals, medical-surgical, maternity, pediatrics, and mental health.
Perfect for first-time and repeat NCLEX-PN test-takers.”
• NCLEX-PN exam questions with detailed rationales
• Best study guide for NCLEX-PN 2025
• How to pass the NCLEX-PN on the first attempt
• NCLEX-PN comprehensive review questions A+ graded
• Complete practical nursing licensure practice exam
• NCLEX-PN next generation style questions
• NCLEX-PN content mastery practice test
,Which task is appropriate for the PN to delegate to an unlicensed assistive
personnel (UAP)?
A. Administering oral medications
B. Teaching incentive spirometry
C. Ambulating a stable postoperative client
D. Assessing pain level
Correct Answer: C. Ambulating a stable client
Rationale: UAP can perform non-invasive, routine tasks. Medication
administration, assessment, and teaching are outside UAP scope.
A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The
PN notes increasing somnolence. What should the PN do first?
A. Increase oxygen flow
B. Notify the RN/provider
C. Encourage deep breathing
D. Turn the client to the side
Correct Answer: B. Notify the RN/provider
Rationale: COPD clients can retain CO₂ at higher O₂ flow rates → increasing
somnolence is a sign of CO₂ narcosis. Requires immediate reporting.
A client with heart failure is receiving furosemide. Which finding requires
the PN to notify the RN or provider immediately?
A. Dry mouth
B. Leg cramps
C. Mild fatigue
D. Increased urination
Correct Answer: B. Leg cramps
,Rationale: Leg cramps may indicate hypokalemia, a serious adverse effect of
loop diuretics that can lead to arrhythmias. Requires rapid reporting.
2. A postoperative client reports sharp pain at the surgical site when
coughing. What is the priority PN action?
A. Encourage deep breathing
B. Offer an opioid
C. Splint the incision with a pillow
D. Call the surgeon
Correct Answer: C. Splint the incision
Rationale: Splinting reduces strain on the incision and prevents dehiscence while
still promoting airway clearance.
5. A client with diabetes has a blood glucose of 58 mg/dL and is awake but
shaky. What should the PN give first?
A. 4 oz orange juice
B. 50% dextrose IV
C. Glucagon IM
D. A high-protein snack
Correct Answer: A. 4 oz orange juice
Rationale: Conscious hypoglycemia → give fast-acting oral carbohydrate.
6. The PN is reinforcing teaching about digoxin. Which statement indicates
understanding?
A. “I will take it if my pulse is above 50.”
B. “I will check my apical pulse for 1 minute.”
C. “I can take an antacid at the same time.”
D. “Blurred vision is normal.”
, Correct Answer: B. Check apical pulse
Rationale: Digoxin is held if the pulse is <60 bpm. Antacids decrease absorption.
Blurred vision is a toxicity sign.
7. A client with pneumonia has thick secretions. What should the PN
encourage?
A. Increased fluid intake
B. Restrict fluids
C. Deep breathing only
D. Use of anticholinergic medications
Correct Answer: A. Increase fluids
Rationale: Hydration thins secretions → easier airway clearance.
8. The PN receives four clients. Which should be assessed first?
A. Post-op appendectomy reporting 6/10 pain
B. COPD client with O₂ sat of 88%
C. Client needing morning meds
D. Diabetic client due for fasting blood glucose
Correct Answer: B. COPD client
Rationale: Oxygen saturation <90% is an immediate threat.
9. Which action is appropriate when collecting a sterile urine specimen
from a Foley catheter?
A. Drain specimen from the bag
B. Clamp the tubing and use port
C. Remove catheter and collect midstream
D. Wipe port with water
Correct Answer: B. Clamp and collect from port
Practice Questions With Correct Answers & Detailed
Rationals | Complete LPN Review Guide (A+ Rated)”
“Prepare for the NCLEX-PN with this A+ graded 2025 comprehensive licensure exam guide.
Includes 200+ high-yield LPN practice questions, correct answers, and detailed rationales
covering pharmacology, fundamentals, medical-surgical, maternity, pediatrics, and mental health.
Perfect for first-time and repeat NCLEX-PN test-takers.”
• NCLEX-PN exam questions with detailed rationales
• Best study guide for NCLEX-PN 2025
• How to pass the NCLEX-PN on the first attempt
• NCLEX-PN comprehensive review questions A+ graded
• Complete practical nursing licensure practice exam
• NCLEX-PN next generation style questions
• NCLEX-PN content mastery practice test
,Which task is appropriate for the PN to delegate to an unlicensed assistive
personnel (UAP)?
A. Administering oral medications
B. Teaching incentive spirometry
C. Ambulating a stable postoperative client
D. Assessing pain level
Correct Answer: C. Ambulating a stable client
Rationale: UAP can perform non-invasive, routine tasks. Medication
administration, assessment, and teaching are outside UAP scope.
A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The
PN notes increasing somnolence. What should the PN do first?
A. Increase oxygen flow
B. Notify the RN/provider
C. Encourage deep breathing
D. Turn the client to the side
Correct Answer: B. Notify the RN/provider
Rationale: COPD clients can retain CO₂ at higher O₂ flow rates → increasing
somnolence is a sign of CO₂ narcosis. Requires immediate reporting.
A client with heart failure is receiving furosemide. Which finding requires
the PN to notify the RN or provider immediately?
A. Dry mouth
B. Leg cramps
C. Mild fatigue
D. Increased urination
Correct Answer: B. Leg cramps
,Rationale: Leg cramps may indicate hypokalemia, a serious adverse effect of
loop diuretics that can lead to arrhythmias. Requires rapid reporting.
2. A postoperative client reports sharp pain at the surgical site when
coughing. What is the priority PN action?
A. Encourage deep breathing
B. Offer an opioid
C. Splint the incision with a pillow
D. Call the surgeon
Correct Answer: C. Splint the incision
Rationale: Splinting reduces strain on the incision and prevents dehiscence while
still promoting airway clearance.
5. A client with diabetes has a blood glucose of 58 mg/dL and is awake but
shaky. What should the PN give first?
A. 4 oz orange juice
B. 50% dextrose IV
C. Glucagon IM
D. A high-protein snack
Correct Answer: A. 4 oz orange juice
Rationale: Conscious hypoglycemia → give fast-acting oral carbohydrate.
6. The PN is reinforcing teaching about digoxin. Which statement indicates
understanding?
A. “I will take it if my pulse is above 50.”
B. “I will check my apical pulse for 1 minute.”
C. “I can take an antacid at the same time.”
D. “Blurred vision is normal.”
, Correct Answer: B. Check apical pulse
Rationale: Digoxin is held if the pulse is <60 bpm. Antacids decrease absorption.
Blurred vision is a toxicity sign.
7. A client with pneumonia has thick secretions. What should the PN
encourage?
A. Increased fluid intake
B. Restrict fluids
C. Deep breathing only
D. Use of anticholinergic medications
Correct Answer: A. Increase fluids
Rationale: Hydration thins secretions → easier airway clearance.
8. The PN receives four clients. Which should be assessed first?
A. Post-op appendectomy reporting 6/10 pain
B. COPD client with O₂ sat of 88%
C. Client needing morning meds
D. Diabetic client due for fasting blood glucose
Correct Answer: B. COPD client
Rationale: Oxygen saturation <90% is an immediate threat.
9. Which action is appropriate when collecting a sterile urine specimen
from a Foley catheter?
A. Drain specimen from the bag
B. Clamp the tubing and use port
C. Remove catheter and collect midstream
D. Wipe port with water
Correct Answer: B. Clamp and collect from port
