NCLEX-PN Practice Test: Free LPN/LVN Questions with Case Studies and NGN Items, 2026 Test Plan
615 practice questions for the NCLEX-PN, the licensing exam for practical and vocational nurses, written to the 2026 PN test plan and checked against the LPN/VN scope of practice. They come in the formats the real exam uses since the Next Generation NCLEX: multiple choice, select all that apply, matrix grids, drop-down sentences, highlight-the-chart, bow-ties, and 13 unfolding case studies, three of them set in long-term care, rehab and home health, where many LPN/VNs work. They follow the eight Client Needs categories, weighted like the PN exam, with Coordinated Care the biggest. Multi-part questions earn partial credit the way NCSBN scores them, and every answer explains why the best choice is best and why each other choice lost, and names its source.
The real test: Computerized adaptive, like the RN exam: 85 to 150 questions in up to 5 hours. The minimum 85 are 52 stand-alone questions, 3 case studies of 6 questions and 15 unscored pretest questions, written to the LPN/VN scope of practice. It stops once it is 95% sure you are above or below NCSBN's passing standard, at 150 questions, or when time runs out; there is no percent to pass. Multi-part questions earn partial credit. Our practice test is the minimum-length exam, 70 scored questions with 3 whole case studies plus 15 unscored, with a 60% practice mark of the points.
Here: 615 questions. Our own practice questions on the 2026 NCLEX-PN test plan, written from open nursing textbooks (Open RN and OpenStax, CC BY 4.0) and U.S. government sources (CDC, FDA, NIH, AHRQ), with every answer's source named. Topics are the eight Client Needs categories plus case studies. Not NCSBN's questions and never recalled exam items. Free.
"On the test" is the rough share of a 70-question test for each topic, following the exam's published weights.
10 sample questions
The nurse sees a UAP taking a blood pressure with a cuff that is clearly too small for the client's arm. What should the nurse do?
A.Take over every blood pressure on the unit for the rest of the shift
B.Have the UAP wait 5 minutes and recheck with the same cuff on the same arm
C.Show the UAP how to pick the right cuff size, then have them recheck it
D.Record the reading, since a small cuff changes the number only slightly
Show answer
C. Show the UAP how to pick the right cuff size, then have them recheck it
MOC-46 · Coordinated Care
Several clients on a unit have sudden vomiting and diarrhea, and norovirus is suspected. Which cleaning practice is correct?
A.Use a quaternary ammonium wipe, since it kills most germs on contact
B.Wipe surfaces with alcohol pads after each episode of vomiting or diarrhea
C.Clean only the bathrooms and leave bed rails for later
D.Clean surfaces with a bleach-based product the facility approves
Show answer
D. Clean surfaces with a bleach-based product the facility approves
SIP-34 · Safety and Infection Prevention and Control
At a 2-month well-baby visit, which milestone does the nurse expect?
A.Picks up a pea with thumb and finger
B.Rolls from back to front
C.Sits without support
D.Smiles socially at people
Show answer
D. Smiles socially at people
HPM-01 · Health Promotion and Maintenance
A client says, "I'm really scared about my surgery tomorrow." What is the nurse's best response?
A."Let me bring you a booklet that explains what to expect."
B."You sound scared. What worries you most about tomorrow?"
C."Why do you feel scared when it's such a routine surgery?"
D."Your surgeon has done this operation hundreds of times."
Show answer
B. "You sound scared. What worries you most about tomorrow?"
PSY-01 · Psychosocial Integrity
A client with left-leg weakness is learning to use a cane. Which technique is correct?
A.Hold the cane in the right hand and move it forward with the left leg
B.Hold the cane in the left hand so it props up the weaker leg directly
C.Hold the cane in the right hand and swing it ahead with the right leg
D.Step out first with the right leg, then bring the cane up to meet it
Show answer
A. Hold the cane in the right hand and move it forward with the left leg
BCC-01 · Basic Care and Comfort
The nurse is preparing to give digoxin 0.125 mg to a client with heart failure and atrial fibrillation. Which assessment must the nurse do right before giving it?
A.Lung sounds in all lobes
B.Apical pulse for 1 full minute
C.Blood pressure lying and standing
D.Radial pulse for 30 seconds, doubled
Show answer
B. Apical pulse for 1 full minute
PHA-01 · Pharmacological Therapies
The nurse reviews the morning labs for a client admitted with pneumonia. Which result should the nurse report to the provider right away?
A.Sodium 138 mEq/L
B.BUN 16 mg/dL
C.Fasting glucose 96 mg/dL
D.Potassium 6.1 mEq/L
Show answer
D. Potassium 6.1 mEq/L
RRP-01 · Reduction of Risk Potential
A client taking furosemide has a potassium of 2.9 mEq/L. Which ECG change does the nurse expect to see?
A.A shortened QT interval with a short ST segment
B.Tall, narrow, peaked T waves in most leads
C.Flattened T waves with a U wave after them
D.A widened QRS that merges into a sine-wave pattern
Show answer
C. Flattened T waves with a U wave after them
PHYS-01 · Physiological Adaptation
When should discharge planning begin for a client admitted with a new stroke?
A.Once the client can walk and no longer needs any help with care
B.At admission, as soon as the client's needs are first assessed
C.The day the provider writes the discharge order for the client
D.After the client's family asks for help getting ready for home
Show answer
B. At admission, as soon as the client's needs are first assessed
MOC-48 · Coordinated Care
A client in a long-term care facility is diagnosed with scabies. Which action is correct?
A.Wait to treat the roommate until the roommate starts to itch
B.Use droplet precautions until the itching and the rash completely stop
C.Use contact precautions and treat close contacts as ordered
D.Place the client in a negative-pressure room for 24 hours
Show answer
C. Use contact precautions and treat close contacts as ordered
SIP-35 · Safety and Infection Prevention and Control