A bank of 215 exam style questions for practical nursing students preparing for the NCLEX PN. Every answer comes with a four part rationale: why the correct answer is right, why the others are wrong, the principle behind it, and the takeaway to remember.
Sample question 1. ROLE: A newly admitted client needs an initial comprehensive assessment, a care plan, and a nursing diagnosis. Which of these may the LPN/LVN appropriately carry out under RN supervision?
A. Write the nursing diagnosis
B. Collect data and contribute findings to the RN
C. Develop the initial care plan
D. Complete the initial comprehensive assessment
Answer: B. Correct: The LPN collects data and reports findings, while the RN owns the initial comprehensive assessment, the nursing diagnosis, and the care plan. Why the other choices are wrong: developing the initial plan, writing the nursing diagnosis, and performing the initial comprehensive assessment all require RN judgment. Principle: the LPN contributes data and implements care under RN direction. Takeaway: LPN gathers data, the RN diagnoses and plans.
Sample question 2. ROLE: The LPN notices a client's blood pressure has dropped sharply since the last reading. What is the priority action?
A. Revise the plan of care independently
B. Document it and continue the shift
C. Report the change to the supervising RN now
D. Recheck at the next scheduled time
Answer: C. Correct: A significant change in condition is reported to the supervising RN right away so the team can act. Why the other choices are wrong: waiting until the next scheduled reading delays care, revising the plan alone is outside LPN scope, and documenting without reporting leaves a worsening change unaddressed. Principle: the LPN escalates significant changes promptly rather than acting independently. Takeaway: a sharp change goes to the RN now.
Sample question 3. ROLE: Which task is OUTSIDE the LPN/LVN scope and should stay with the RN?
A. Reinforcing client teaching the RN started
B. Formulating the nursing diagnosis and initial plan
C. Collecting data on a stable client
D. Administering a routine oral medication
Answer: B. Correct: Formulating the nursing diagnosis and the initial plan requires RN judgment and stays with the RN. Why the other choices are wrong: reinforcing teaching, giving routine oral medications, and collecting data on a stable client are all within LPN scope. Principle: the nursing process steps of diagnosis, planning, and initial assessment belong to the RN. Takeaway: diagnosing and planning are RN work, not LPN work.
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215 questions for this exam, in Live Test, Study Mode, Flashcards, and MyTutor, a personal AI style tutor that teaches one concept at a time.
A readiness score that tells you honestly whether you are prepared, plus your weak areas by topic.
Every question read aloud if you want it, and a new free Question of the Day every day.
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