Free NCLEX-PN Practice Test – Part 18 (50 Questions) Updated 2026

1. A 42-year-old female client asks the practical nurse when she should begin having mammograms. According to current screening guidelines, what is the MOST appropriate response by the PN?

2. The practical nurse is preparing to administer an intramuscular vaccine to a 12-month-old toddler. Which site and technique should the nurse use?

3. A client with limited mobility is admitted to the unit. The licensed practical nurse is calculating the Braden Scale score. Which of the following findings would result in the LOWEST score for the “moisture” category?

4. A client with panic disorder is experiencing an acute panic attack. Which nursing intervention has the highest priority?

5. When labeling a container of hazardous material, which information is REQUIRED according to OSHA standards?

6. A 45-year-old client with major depressive disorder was admitted yesterday after expressing suicidal ideation with a plan to overdose on medications. The client has a history of two previous suicide attempts, lives alone, recently lost their job, and has chronic back pain. The practical nurse is reviewing the client’s risk factors. Which combination of findings places this client at HIGHEST risk for completed suicide?

7. The practical nurse is assisting with a newborn assessment immediately after delivery. Which Apgar score component is assessed at 1 and 5 minutes of life? Select all that apply.

8. A client with a spinal cord injury at T3 is being educated about preventing autonomic dysreflexia. Which instruction should the PN include in the teaching plan? (Select all that apply.)

9. A nurse is caring for a client with heart failure who is on a fluid restriction of 1500 mL per day. Which statement by the client indicates a need for further teaching?

10. The LPN is conducting a health screening for a 16-year-old adolescent. Which question is MOST important to include when assessing for substance use risk?

11. The nurse is reinforcing teaching about osteoporosis prevention to a 68-year-old female client. Which nutrient is most important to include in the dietary teaching?

12. A 45-year-old patient with alcohol use disorder is being discharged after a 5-day hospitalization for acute pancreatitis. The patient states, “I’ve learned my lesson. I’m never drinking again.” Which response by the nurse is MOST appropriate?

13. A nurse is preparing to insert a peripheral IV catheter. Which action best demonstrates aseptic technique during the procedure?

14. A client has been on bed rest for 5 days. Which complication of immobility should the LPN monitor for MOST closely?

15. A client is scheduled for surgery tomorrow morning. The nurse is reviewing the preoperative checklist. Which finding requires immediate follow-up before the client can proceed to surgery?

16. The nurse is teaching a client about home blood glucose monitoring. What is the target fasting blood glucose range for most adults with diabetes?

17. A visitor arrives to see a client on Contact Precautions for methicillin-resistant Staphylococcus aureus (MRSA) in a wound. Which instruction should the practical nurse provide to the visitor?

18. The practical nurse is assigned to provide oral care to an unconscious client. The client has a gag reflex but is unable to swallow independently. Which intervention is most appropriate for this client?

19. A client with schizophrenia is experiencing a flat affect and speaks very little, giving one-word answers. The LPN recognizes these as:

20. An 88-year-old female client tells the nurse, “I don’t feel like eating much anymore. Food just doesn’t taste the same.” Which age-related change best explains this client’s complaint?

21. Which color container should be used for disposal of items contaminated with blood or body fluids that are NOT sharps?

22. A community health nurse is developing a health promotion program for a low-income neighborhood with limited access to fresh produce and safe exercise areas. Which intervention should the nurse prioritize?

23. A parent calls the clinic asking what to do after their 3-year-old child swallowed an unknown amount of household cleaning solution. What is the LPN/LVN’s BEST response?

24. A practical nurse is reinforcing teaching about testicular self-examination (TSE) to a 25-year-old male client. Which instruction should the nurse include?

25. A client with type 2 diabetes mellitus asks the practical nurse about carbohydrate intake. Which statement indicates correct understanding of diabetic diet teaching?

26. A chemical spill occurs in the hospital laboratory, and the LPN is asked to assist with cleanup. The LPN has not been trained in hazardous materials response. What should the nurse do?

27. A patient in the emergency department is pacing, speaking rapidly, and clenching their fists. They shout, “You people don’t understand! I can’t stay here!” Which nursing intervention is MOST appropriate initially?

28. A practical nurse is preparing to don personal protective equipment (PPE) before entering an isolation room for a patient on contact precautions. In what order should the nurse apply the PPE?

29. The LPN is ambulating a post-operative client who reports sudden calf pain. The LPN observes that the client’s right calf is red, warm, and swollen compared to the left leg. What is the LPN’s PRIORITY action?

30. A nurse is preparing to dispose of a scalpels used during a minor procedure. The scalpel has a detachable blade. What is the safest approach?

31. A nurse is monitoring a client who is receiving a blood transfusion. Fifteen minutes after the transfusion began, the client reports lower back pain and appears flushed. The nurse’s FIRST action should be to:

32. The practical nurse is teaching a postpartum client about expected lochia changes. Which statement accurately describes the normal progression of lochia?

33. ### Question
A client with a spinal cord injury at the T4 level is brought to the emergency department. The nurse notes hypotension, bradycardia, and warm, dry skin. The nurse should recognize these findings as characteristic of which type of shock?

34. When measuring blood pressure using a manual sphygmomanometer, which Korotkoff sound represents the systolic blood pressure reading?

35. A client on the psychiatric unit tells the practical nurse, “I’ve been thinking a lot about ending it all, but

36. A client who experienced a miscarriage at 10 weeks gestation is crying and states, “It’s just as well. I wasn’t ready to be a parent anyway.” What is the most therapeutic response by the LPN?

37. A client with a nasogastric (NG) tube on low intermittent suction for 3 days has become confused and irritable. The PN suspects metabolic alkalosis and anticipates the provider will order which laboratory test?

38. A client is recovering from hip replacement surgery and is ready to begin ambulation. The LPN is assisting the client from a sitting position on the side of the bed. What is the FIRST action the LPN should take before helping the client stand?

39. A client admitted for surgery reports drinking a pint of vodka daily for the past 5 years. The last drink was 8 hours ago. Which finding should the practical nurse report immediately to the RN?

40. A nurse discovers a small mercury spill from a broken thermometer in a client’s room. What is the appropriate action?

41. A patient with benzodiazepine dependence says, “I’ve been taking Xanax for anxiety for years. My doctor said I can just stop now that my anxiety is better.” Which nursing response is MOST appropriate?

42. A practical nurse is teaching new parents about newborn reflexes. The parent asks why their baby turns their head toward anything that touches the cheek. Which reflex is the nurse describing, and what is the appropriate response?

43. A nurse is teaching a client about medications that affect sleep. Which statement by the nurse is correct regarding diuretics?

44. During a postpartum home visit on day 5, a client tells the practical nurse she feels overwhelmed, has been crying daily, and cannot sleep even when the baby sleeps. She mentions she does not feel like herself but does not have thoughts of harming herself or the baby. Her mother is visiting to help, and she has been eating and showering regularly. Which condition does the nurse suspect, and what is the priority action?

45. A client with a bleeding disorder is admitted to the hospital. Which intervention should the practical nurse include in the plan of care to minimize bleeding risk?

46. A client with major depressive disorder is participating in group therapy for the first time. The client sits silently with arms crossed and says nothing. After the session, the client tells the practical nurse, “I don’t belong here. Everyone else has problems they can talk about, but I just can’t do it.” Which nursing intervention best addresses the client’s statement?

47. A 45-year-old patient with HIV (CD4 count 180 cells/mm³) presents for routine vaccinations. The patient received all childhood vaccines but has not received any vaccines in 20 years. The patient had chickenpox as a child. Which vaccines should the practical nurse prepare to administer? Select all that apply and determine the best approach.

48. A licensed practical nurse is monitoring a client with rheumatoid arthritis. Which assessment finding is MOST characteristic of this condition?

49. A licensed practical nurse is performing neurovascular checks on a client with a cast on the right forearm. Which finding requires IMMEDIATE notification of the registered nurse or provider?

50. A nurse is caring for a patient receiving chemotherapy who has developed neutropenia. The patient’s absolute neutrophil count (ANC) is 400 cells/mm³. Which precaution should the LPN/LVN implement?