NCLEX-PN · Practice
Free NCLEX-PN Practice Questions (2026) with Rationales
Free NCLEX-PN style practice questions for LPN/LVN candidates with full rationales, plus the practical-nurse scope of practice and a smart answering strategy for prioritisation and Select All That Apply.
Last updated 25 October 2026
The NCLEX-PN licenses Licensed Practical/Vocational Nurses (LPN/LVN). Many items turn on the PN scope of practice, so keep this lens in mind: the LPN collects data, reinforces teaching, reports changes to the RN, and works under RN/provider supervision.
Practice questions
1. (Delegation) Which task is appropriate for the LPN to delegate to a nursing assistant (UAP)?
- A. Teaching a client about a new diet
- B. Assisting a stable client with a bath
- C. Administering an oral medication
- D. Evaluating a client's response to treatment
Answer: B. UAP may perform routine, stable, predictable tasks such as hygiene. Teaching, medication administration, and evaluation require a nurse's judgment and cannot be delegated to UAP.
2. (Scope / escalation) An LPN finds that a client's blood pressure has dropped sharply and the client is now confused. What is the best action?
- A. Independently change the plan of care
- B. Wait and recheck in one hour
- C. Report the change promptly to the supervising RN
- D. Document it and take no further action
Answer: C. A sharp change with new confusion suggests instability. The LPN reports to the RN, who assesses and determines the plan — the LPN does not independently manage an unstable client.
3. (Pharmacology) Before giving digoxin to an adult, the LPN checks the apical pulse and it is 52 bpm. The LPN should:
- A. Give the dose as ordered
- B. Hold the dose and notify the prescriber
- C. Give a double dose to raise the pulse
- D. Recheck in 4 hours and give then
Answer: B. Digoxin slows the heart. For an adult, hold the dose and notify the prescriber if the apical pulse is below 60 bpm.
4. (Emergency) A conscious client with diabetes is shaky and sweaty, and a fingerstick glucose is 54 mg/dL. The LPN should:
- A. Administer insulin
- B. Withhold all food and observe
- C. Give about 15 g of a fast-acting carbohydrate and recheck in 15 minutes
- D. Have the client exercise
Answer: C. For conscious hypoglycemia, give ~15 g of fast-acting carbohydrate, recheck in ~15 minutes, and notify the RN. Insulin or exercise would lower glucose further.
A simple answering method
- Read the stem and decide exactly what is asked (first action? what to report? what to delegate?).
- Report/escalate to the RN when the client is unstable or the task is outside the LPN scope.
- Eliminate clearly wrong options; be wary of absolutes ("always", "never").
- On SATA, select only what you can defend.
Verify before you test
NCLEX-PN test plans are set by the NCSBN. Always confirm current details on the official NCSBN website.
Ready to start practising?
Practise with the NCLEX-PN course (free daily questions) — free daily questions, every answer explained.
Open the course →Frequently asked questions
Are these NCLEX-PN practice questions free?
Yes. You can practise free NCLEX-PN style questions with rationales on ReviseMint, with a set of free questions each day and no card needed.
What makes NCLEX-PN questions different from NCLEX-RN?
Many NCLEX-PN items turn on the LPN/LVN scope: collecting data (rather than performing comprehensive assessments), reinforcing teaching, reporting changes to the RN, and working under supervision.
How should I answer NCLEX-PN delegation questions?
Delegate only routine, stable, predictable tasks (like hygiene or routine vital signs) to UAP. Never delegate assessment, teaching, evaluation, or medication administration, and report unstable clients to the RN.
How do I treat conscious hypoglycemia on the NCLEX-PN?
For a conscious client with hypoglycemia, give about 15 grams of a fast-acting carbohydrate, recheck the glucose in about 15 minutes, and notify the RN.
Related guides
Get the free exam starter pack
A study checklist and our best OET, IELTS & NCLEX guides — straight to your inbox. No spam.