NCLEX-PN Practice Questions

This NCLEX-PN practice question pack gives you 140 original items written the way the exam asks them, from the LPN/LVN point of view, with a full rationale for every single answer. Built for practical and vocational nursing students who already have a review book and want more questions in the real exam's formats.

37 pages. 140 practice items: 122 stand-alone items grouped by the eight Client Needs subcategories of the current NCSBN PN test plan, in the test plan's proportions, plus 3 Next Generation NCLEX case studies of 6 items each. Answer key with a rationale for all 140 items.

WHAT'S INSIDE
• A one-page summary of how the NCLEX-PN is built, timed and scored (85 to 150 items, 5 hours, case studies, partial-credit scoring, pass/fail rules, retakes)
• Coordinated Care (23 items): assigning to assistive personnel, what to report to the RN, client rights, consent, confidentiality, documentation, priorities
• Safety and Infection Prevention and Control (16 items): precautions, PPE order, hand hygiene, restraints, falls, fire and oxygen safety, seizures, sharps
• Health Promotion and Maintenance (11 items): vaccines, safe sleep, car seats, milestones, screening ages, blood pressure categories, pregnancy warning signs
• Psychosocial Integrity (14 items): therapeutic communication, suicide precautions, withdrawal, delirium, abuse reporting, grief, culture, crisis
• Basic Care and Comfort (12 items): canes and stairs, hip precautions, positioning, ostomy and catheter care, nutrition, sleep, comfort measures
• Pharmacological Therapies (18 items): 5 dosage calculations plus digoxin, warfarin, enoxaparin, heparin, insulin mixing, metformin, levothyroxine, nitroglycerin, phenytoin, MAOIs, vancomycin, transfusion reactions, opioids
• Reduction of Risk Potential (15 items): labs to report, DVT, compartment syndrome, rising intracranial pressure, shock, post-procedure care, specimens
• Physiological Adaptation (13 items): stroke, heart attack, DKA, hyponatremia, autonomic dysreflexia, anaphylaxis, choking, magnesium toxicity, hypoglycemia
• 3 NGN case studies (low blood glucose, calf pain after knee replacement, new confusion in an older adult) that follow the six clinical judgment steps
• Six item formats: multiple choice, select all that apply, ordered response, fill-in-the-blank calculation, matrix and cloze
• A score sheet, a weak-area map back to the test plan, and a sources page

HOW IT'S BUILT
• Every item is original and written for the LPN/LVN role: collecting data, reinforcing teaching, contributing to the plan and reporting to the RN
• Every rationale explains why the right answer is right and why each wrong option is wrong
• Item mix follows the current NCSBN NCLEX-PN Test Plan subcategory weights
• Clinical facts checked against FDA drug labels, CDC guidance, NIH MedlinePlus, the AHA, the AAP and the USPSTF

HOW YOU GET IT
One PDF, letter size. Print at home or study on a tablet or phone.

This is an independent study aid created to supplement, not replace, your nursing coursework and review materials. BusyExamPrep is not affiliated with or endorsed by NCSBN, Pearson VUE or any nursing program. Always follow your facility's policies, your instructors and a licensed provider's orders in clinical practice.
For personal study use only. Please do not resell, share, or redistribute the files.