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Free NCLEX-PN Practice Questions

10 free, exam-style National Council Licensure Examination for Practical/Vocational Nurses (NCLEX-PN) (NCLEX-PN) practice questions with answers and explanations. No signup required. Work through them below, then take the full free NCLEX-PN practice test to study every exam domain.

The NCLEX-PN exam has 150 questions and runs 5 hours.

These 10 free NCLEX-PN questions are organized by exam domain, so you can see how each part of the National Council Licensure Examination for Practical/Vocational Nurses (NCLEX-PN) blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Coordinated Care (18-24%)

Question 1

An RN must assign four clients to an LPN/LVN on a medical-surgical unit. Which client is the MOST appropriate for the LPN/LVN to care for?

  1. A client admitted one hour ago who needs an admission assessment
  2. A client with stable heart failure who needs scheduled oral medications
  3. A client newly diagnosed with diabetes who needs initial teaching
  4. A client whose blood pressure has been dropping over the last hour
Show answer & explanation

Correct answer: B - A client with stable heart failure who needs scheduled oral medications

Question 2

The LPN/LVN is caring for four clients. Which client should the nurse assess FIRST?

  1. A client one day after surgery who is reporting incisional pain of 6 out of 10
  2. A client with pneumonia who has a temperature of 38.3°C (100.9°F)
  3. A client who had abdominal surgery and now reports new, sudden shortness of breath
  4. A client with a chronic wound awaiting a scheduled dressing change
Show answer & explanation

Correct answer: C - A client who had abdominal surgery and now reports new, sudden shortness of breath

Question 3

A client scheduled for surgery tomorrow tells the LPN/LVN, "I'm not really sure what they're going to do to me." Which action by the nurse is MOST appropriate?

  1. Explain the surgical procedure and its risks to the client
  2. Reassure the client that the surgeon does this operation often
  3. Notify the RN and surgeon that the client has questions before signing
  4. Ask the client to sign the consent form and talk to the surgeon later
Show answer & explanation

Correct answer: C - Notify the RN and surgeon that the client has questions before signing

Domain 2: Safety and Infection Prevention and Control (10-16%)

Question 4

A client is placed on contact precautions for Clostridioides difficile (C. difficile). Which action by the nurse demonstrates correct infection control?

  1. Clean the hands with alcohol-based hand sanitizer after care
  2. Wear an N95 respirator when entering the client's room
  3. Wash the hands with soap and water after removing gloves
  4. Place a surgical mask on the client when leaving the room
Show answer & explanation

Correct answer: C - Wash the hands with soap and water after removing gloves

Question 5

The nurse is removing personal protective equipment after caring for a client in isolation. Which item should be removed FIRST?

  1. Gloves
  2. Gown
  3. Goggles
  4. Mask
Show answer & explanation

Correct answer: A - Gloves

Domain 6: Pharmacological Therapies (10-16%)

Question 6

A provider orders potassium chloride 20 mEq for a client whose potassium level is 3.0 mEq/L. Which action by the LPN/LVN is correct?

  1. Administer the potassium chloride by slow IV push over 2 minutes
  2. Question the order, because potassium chloride is never given by IV push
  3. Give the dose intramuscularly into a large muscle to speed absorption
  4. Hold the dose because the potassium level is within the normal range
Show answer & explanation

Correct answer: B - Question the order, because potassium chloride is never given by IV push

Question 7

An IV of 1,000 mL of 0.9% sodium chloride is prescribed to infuse over 8 hours by infusion pump. The nurse should set the pump to deliver how many mL per hour?

  1. 80 mL/hr
  2. 100 mL/hr
  3. 125 mL/hr
  4. 150 mL/hr
Show answer & explanation

Correct answer: C - 125 mL/hr

Question 8

A client who takes digoxin reports nausea, loss of appetite, and seeing yellow-green halos around lights. Before contacting the provider, which assessment is MOST important for the nurse to perform?

  1. Measure the client's blood pressure in both arms
  2. Count the apical heart rate for one full minute
  3. Check the client's oral temperature
  4. Assess the client's pupil size and reaction to light
Show answer & explanation

Correct answer: B - Count the apical heart rate for one full minute

Question 9

The nurse is preparing to draw up NPH (intermediate-acting) and regular (short-acting) insulin in the same syringe. Which step is correct?

  1. Draw up the NPH insulin first, then the regular insulin
  2. Draw up the regular insulin first, then the NPH insulin
  3. Shake both vials vigorously before withdrawing the doses
  4. Draw the two insulins into two separate syringes only
Show answer & explanation

Correct answer: B - Draw up the regular insulin first, then the NPH insulin

Domain 7: Reduction of Risk Potential (9-15%)

Question 10

The nurse reviews lab results and finds a client's serum potassium is 2.8 mEq/L. Which finding should the nurse monitor for as a priority?

  1. Cardiac dysrhythmias
  2. Increased deep tendon reflexes
  3. Muscle spasms and tetany
  4. Elevated blood pressure
Show answer & explanation

Correct answer: A - Cardiac dysrhythmias

The rest of the NCLEX-PN blueprint

The NCLEX-PN exam also covers these domains. Drill them in the full free practice test:

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