NCLEX PN Exam Questions & Answers 2026 (21–30)

Question 1

The LPN is caring for a client in contact precautions for methicillin-resistant Staphylococcus aureus (MRSA) wound infection. In what order should the LPN don personal protective equipment (PPE) before entering the room?

TheoryPractice · Accepted Answer

Gown, mask or eye protection (if indicated), then gloves. CDC donning sequence is gown first (to protect clothing), then mask/eye protection if needed, then gloves last so that gloves can cover the gown cuffs and remain the outermost layer touching contaminated surfaces.

Question 2

An older adult client is assessed as high risk for falls. Which intervention is MOST important for the LPN to implement?

TheoryPractice · Accepted Answer

Ensuring the call light is within reach and explaining how to use it before leaving the room. Call-light accessibility and client education are foundational fall-prevention measures; raising all four side rails is considered a restraint and can increase fall risk if the client attempts to climb over them, while restraints require a provider order and are a last resort.

Question 3

While handling a chemotherapy spill on the floor, the LPN should follow which hazardous material safety principle?

TheoryPractice · Accepted Answer

Don chemotherapy-rated (chemo-safe) PPE and use a designated spill kit per facility protocol. Chemotherapy agents are hazardous drugs (NIOSH definition) and require dedicated PPE including double chemotherapy-rated gloves, a gown, and eye protection, along with a designated cytotoxic spill kit for containment and disposal in a labeled hazardous waste container.

Question 4

A client develops a needlestick injury after the LPN recaps a used syringe. What should the LPN do FIRST after the injury?

TheoryPractice · Accepted Answer

Wash the site thoroughly with soap and water. The immediate first action after a needlestick is to wash the wound thoroughly with soap and water to mechanically reduce pathogen load; reporting, testing, and follow-up care are performed after initial wound management.

Question 5

A client diagnosed with varicella (chickenpox) is admitted to the hospital. Which precaution type(s) does the LPN anticipate implementing?

TheoryPractice · Accepted Answer

Airborne AND contact precautions simultaneously. Varicella-zoster virus is transmitted both via airborne particles (requiring N95 and negative-pressure room) and via direct contact with skin lesions, so both airborne and contact precautions are required concurrently per CDC guidelines.

Question 6

The LPN is assisting with a procedure that requires a sterile field. After setting up the field, the LPN notices that the sterile drape has become wet from spilled sterile saline. Which action is correct?

TheoryPractice · Accepted Answer

Consider the entire sterile field contaminated and set up a new one. A wet sterile field is considered contaminated because moisture creates a pathway for microorganisms to wick through (strike-through contamination), even if the liquid itself was sterile; the entire field must be discarded and a new one established.

Question 7

A client on droplet precautions for influenza needs to be transported to radiology. Which action by the LPN demonstrates correct infection control during transport?

TheoryPractice · Accepted Answer

The client wears a surgical mask during transport and staff follow standard precautions. When transporting a client on droplet precautions, the client places a surgical mask over their nose and mouth to contain respiratory secretions; transport staff and radiology personnel then observe standard precautions, as the mask on the client limits source transmission.

Question 8

The LPN discovers that a colleague disposed of a used lancet in a regular trash bin rather than a sharps container. Using the correct chain of reporting, which action should the LPN take FIRST?

TheoryPractice · Accepted Answer

Report the unsafe practice to the charge nurse and follow facility incident-reporting protocol. Improper sharps disposal is a patient-safety and bloodborne-pathogen incident that must be escalated through the chain of command (charge nurse) and documented via the facility's incident-reporting system; retrieving the sharp without proper PPE creates additional exposure risk, and charting it in the client's record is inappropriate.

Question 9

A practical nurse is reinforcing teaching about recommended immunizations for a healthy 2-month-old infant. Which vaccine is routinely administered at this visit?

TheoryPractice · Accepted Answer

Diphtheria, tetanus, and acellular pertussis (DTaP). DTaP is part of the primary immunization series given at 2, 4, and 6 months; MMR and varicella are not given until 12–15 months, and HPV is not recommended until ages 11–12 years.

Question 10

A nurse is collecting data on a 4-year-old child's developmental milestones. Which behavior is expected at this age?

TheoryPractice · Accepted Answer

Drawing a person with at least four body parts. By age 4, most children can draw a person with four or more recognizable body parts, which is a well-established fine-motor and cognitive milestone for this age group.

NCLEX PN Exam Questions & Answers 2026 (21–30)

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