NCLEX-PN®
practice questions.
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Answer the first 3 of 7. See each rationale. No account needed.
A 22-year-old woman is seen in the outpatient surgical clinic for a scheduled dressing change 4 days after an appendectomy. Her vital signs are BP 118/72 mmHg, HR 84/min, RR 16/min, SpO2 99% on room air, and temperature 37.0°C (98.6°F); she is alert and oriented. The LPN removes the old dressing using aseptic technique and finds the incision edges separated with a loop of bowel visible in the wound bed. There is no active bleeding. The client reports mild discomfort but denies nausea. What should the LPN do first?
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NCLEX-PN® practice for LPN and LVN students, organized around the 2026 PN test plan.
The NCLEX-PN® has its own blueprint and practical-nurse scope. Practice with PN questions, adaptive difficulty, and a rationale after every answer.
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Last updated August 1, 2026
How NCLEX-PN® practice
works.
Practice questions built for the PN blueprint
Every session pulls from NCLEX-PN®-style questions weighted toward Coordinated Care, Safety, and the practical nurse scope. Pick a topic or let Lily focus on your weakest areas.
Get instant rationales after every question
Each rationale explains the correct answer and every other option. Difficulty adjusts from your recent answers.
Track your NCLEX-PN® study plan by topic
Review results across the client-needs categories and start your next session from a topic that needs more practice.
What makes the
NCLEX-PN® different.
The practical nurse exam is not a shorter RN exam. It has its own 2026 blueprint. Here is what StudyWithLily practices differently.
Coordinated Care leads the blueprint
The NCLEX-PN® puts more weight on Coordinated Care than the RN exam. You practice the LPN/LVN version of delegation, supervision, and care coordination, where you receive direction and reinforce the plan of care rather than lead it.
Built around the practical nurse scope
PN questions center on data collection, reinforcing teaching, and assisting with the care plan under RN or provider direction. Study With Lily frames scenarios the way the 2026 PN test plan does, not the RN way.
Same Next Gen question formats
The NCLEX-PN® uses the same Next Gen formats as the RN exam: SBA (single best answer), SATA (select all that apply), Matrix, Drop-Down Cloze, BowTie, and Unfolding Case Studies. You practice every one, so nothing on test day is a surprise.
NCLEX-PN® questions.
Is the NCLEX-PN® different from the NCLEX-RN®?
Yes. The NCLEX-PN® is a separate exam for practical and vocational nurses, built on its own 2026 test plan. It puts more weight on Coordinated Care and frames scenarios around the LPN/LVN scope of practice: data collection, reinforcing the care plan, and working under RN or provider direction rather than leading care. Both exams use the same Next Gen question formats: SBA, SATA, Matrix, Drop-Down Cloze, BowTie, and Unfolding Case Studies.
Does Study With Lily cover the 2026 NCLEX-PN® test plan?
Yes. Study With Lily is built on the official 2026 NCLEX-PN® test plan structure. Practice is organized by the same client-needs categories the exam uses, weighted toward Coordinated Care the way the PN blueprint is, and it includes every core Next Gen question format.
Is Study With Lily free for NCLEX-PN® prep?
You can start free with no credit card. The free tier includes 150 total practice questions a month, including up to 30 Coursework questions, adaptive difficulty, instant rationales, and SBA, SATA, Matrix, and Drop-Down Cloze. Full Access is $15/month for unlimited standard practice and adds unlimited NGN questions (BowTie and Unfolding Case Studies). Cancel anytime.
Does this work for LVN students too?
Yes. LVN (licensed vocational nurse) is the title used in California and Texas, and LVN students sit for the NCLEX-PN®. Choose the PN exam in Study With Lily to practice from the PN test plan.
What question types are on the NCLEX-PN®?
The NCLEX-PN® uses the Next Gen formats: SBA (single best answer), SATA (select all that apply), Matrix, Drop-Down Cloze, BowTie, and Unfolding Case Studies. Study With Lily rotates all of them into your sessions based on your difficulty level and the topic you're studying.
How is this different from UWorld or Kaplan for LPN students?
Study With Lily's Full Access costs $15/month and combines adaptive NCLEX-PN® practice with Coursework Mode. Upload LPN or LVN program notes when you want questions matched to class material.
I'm bridging from LPN to RN. Should I use this page?
If you're sitting for the NCLEX-PN®, this is the right page. If you're in an LPN-to-RN bridge program and preparing for the NCLEX-RN®, head to our LPN-to-RN bridge page instead, which focuses on the RN-level clinical judgment the RN exam tests.
Bridging to RN?
Already an LPN or LVN and heading toward your RN license? Your boards change to the NCLEX-RN®. Here is where to go next.
Related: NCLEX-PN® vs NCLEX-RN® · Next Gen question types · the 2026 test plan · pricing
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study plan today.
Adaptive practice built for the 2026 PN test plan, with every Next Gen format and instant rationales. Free to start, no credit card required. Curious what goes into each question? See exactly how we build them.
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Study With Lily is an independent study tool. NCLEX-PN® and NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing (NCSBN®). Study With Lily is not affiliated with or endorsed by NCSBN. Questions are not served raw. Lily runs nursing-specific quality gates for format, answer structure, rationale coverage, NCLEX® classification, duplicate scenarios, and unsafe clinical answer patterns before questions reach practice. Questions are original practice items and are not derived from actual NCLEX® exam content. Study With Lily is built for exam preparation, not patient-care decisions. Confirm clinical guidance with current authoritative sources.
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