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NCLEX PN Exam Questions & Answers 2026 (1–10)

NCLEX PN practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.

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  1. Q1A client tells the LPN/LVN that he has a living will stating he does not want resuscitation. Which action by the LPN/LVN is most appropriate?

    • AReassure the client that his wishes will automatically be honored.
    • BContact the physician without notifying the RN.
    • CImmediately write a do-not-resuscitate order in the chart.
    • DInform the supervising RN and document the client's statement.
    Show answer

    ✓ Correct answer: D. Inform the supervising RN and document the client's statement.

    The LPN/LVN's role is to report and document client statements regarding advance directives to the RN, who then coordinates follow-through with the physician and facility policy.

  2. Q2When delegating a task to unlicensed assistive personnel (UAP), which client is MOST appropriate for the LPN/LVN to assign to UAP for morning care?

    • AA client admitted overnight with a new diagnosis of stroke.
    • BA client who returned from abdominal surgery two hours ago.
    • CA client with stable chronic heart failure awaiting discharge.
    • DA client receiving IV insulin for diabetic ketoacidosis.
    Show answer

    ✓ Correct answer: C. A client with stable chronic heart failure awaiting discharge.

    Delegation to UAP is appropriate for stable clients with predictable care needs; a stable client with chronic heart failure awaiting discharge poses the lowest risk of acute deterioration during routine morning care.

  3. Q3A client scheduled for a surgical procedure states he does not fully understand what the surgeon explained. Which action is correct for the LPN/LVN?

    • AObtain the client's signature on the informed consent form and note the concern.
    • BExplain the surgical procedure in detail to satisfy the client's questions.
    • CNotify the surgeon that the client needs further explanation before signing consent.
    • DAsk the client's family member to sign on the client's behalf.
    Show answer

    ✓ Correct answer: C. Notify the surgeon that the client needs further explanation before signing consent.

    Informed consent is the physician's responsibility; the LPN/LVN must notify the surgeon when a client does not understand the procedure so that adequate information can be provided before consent is obtained.

  4. Q4According to Maslow's hierarchy of needs, which client should the LPN/LVN assess FIRST?

    • AA client who is anxious about a scheduled biopsy.
    • BA client whose oxygen saturation has dropped to 88%.
    • CA client requesting pain medication rated 4 out of 10.
    • DA client asking for help ambulating to the bathroom.
    Show answer

    ✓ Correct answer: B. A client whose oxygen saturation has dropped to 88%.

    Oxygenation is the most fundamental physiological need at the base of Maslow's hierarchy, making a drop in oxygen saturation the highest priority over pain, anxiety, or mobility.

  5. Q5A client asks the LPN/LVN to share his diagnosis with his adult daughter who is visiting. The LPN/LVN should:

    • ADecline because all health information is always strictly confidential from family.
    • BShare the diagnosis only after confirming the client has given permission.
    • CRefer the daughter directly to the medical records department.
    • DShare the diagnosis because the daughter is immediate family.
    Show answer

    ✓ Correct answer: B. Share the diagnosis only after confirming the client has given permission.

    Under HIPAA, a competent adult client must explicitly consent before protected health information is disclosed to family members, even those who are present at the bedside.

  6. Q6An LPN/LVN working in a long-term care facility receives assignments for four residents. Using ABCs prioritization, which resident should be assessed FIRST?

    • AA resident with osteoarthritis who rates hip pain as 6 out of 10.
    • BA resident with COPD who is using accessory muscles to breathe.
    • CA resident with a urinary tract infection who reports burning on urination.
    • DA resident with type 2 diabetes who skipped breakfast.
    Show answer

    ✓ Correct answer: B. A resident with COPD who is using accessory muscles to breathe.

    Use of accessory muscles indicates impaired breathing (the 'B' in ABCs), placing this resident at immediate risk for respiratory failure and requiring priority assessment over infection, a missed meal, or chronic pain.

  7. Q7The LPN/LVN is caring for a client and recognizes a pattern of worsening assessment data. Which step of the nursing process does this represent?

    • APlanning
    • BImplementation
    • CEvaluation
    • DDiagnosis
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    ✓ Correct answer: C. Evaluation

    Evaluation involves comparing the client's current response to expected outcomes and identifying changes or trends, which guides revision of the care plan.

  8. Q8An LPN/LVN discovers that a confused, non-English-speaking client signed a surgical consent form without an interpreter present. The LPN/LVN should:

    • ADocument that the client appeared to understand the consent process.
    • BNotify the RN and surgeon immediately so consent can be obtained properly.
    • CAsk a bilingual family member to re-explain the procedure and witness the signature.
    • DProceed with pre-operative care because the form has already been signed.
    Show answer

    ✓ Correct answer: B. Notify the RN and surgeon immediately so consent can be obtained properly.

    Valid informed consent requires that the client understand the information provided; when a language barrier and altered cognition are present, the nurse must escalate to ensure legally and ethically valid consent is obtained.

  9. Q9Which task falls WITHIN the scope of practice of the LPN/LVN and should NOT be delegated upward to the RN?

    • APerforming the initial comprehensive nursing assessment on a newly admitted client.
    • BAdministering a scheduled oral medication to a stable client and documenting the outcome.
    • CInterpreting a client's complex change-of-condition data to modify care plan goals.
    • DDeveloping and updating the individualized nursing care plan.
    Show answer

    ✓ Correct answer: B. Administering a scheduled oral medication to a stable client and documenting the outcome.

    Administering scheduled medications to stable clients and documenting the response is a core LPN/LVN competency, whereas initial assessment, care plan development, and complex clinical interpretation are RN-level responsibilities.

  10. Q10A client with terminal cancer has a valid do-not-resuscitate (DNR) order. During the shift the client becomes pulseless. The LPN/LVN should:

    • ABegin CPR while calling the RN to confirm the DNR order.
    • BCall the physician for a verbal order to confirm the DNR before withholding CPR.
    • CWithhold CPR, notify the RN immediately, and provide comfort measures.
    • DAsk the family present at the bedside to decide whether to resuscitate.
    Show answer

    ✓ Correct answer: C. Withhold CPR, notify the RN immediately, and provide comfort measures.

    A valid, signed DNR order is a legally binding directive; the LPN/LVN must honor it by withholding resuscitation, promptly notifying the RN, and focusing on comfort-oriented care.

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