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Free NCLEX-PN practice · Health

NCLEX-PN practice test: free questions and the scope rules the exam keeps testing

The NCLEX-PN is a computerized adaptive exam of 85 to 150 items over five hours, scored on its own scale against its own passing standard rather than the RN one. NCSBN reported 88.4% of first-time US-educated candidates passing in 2024, averaging 99 items each. Registration is 200 USD for US licensure.

Formally the National Council Licensure Examination for Practical Nurses. Awarding body: National Council of State Boards of Nursing. Neuron Trainer is an independent study app and is not affiliated with, endorsed by or sponsored by the organization that owns this exam.

NCLEX-PN at a glance, with the source for every line

Every row below is quoted from a document published by NCSBN and carries the date we checked it. Where NCSBN publishes nothing, the row says so instead of quoting a number from somewhere else.

Format
A variable-length computerized adaptive test. The NCLEX is not offered in paper-and-pencil or oral formats.Source: NCSBN, 2026 NCLEX Examination Candidate Bulletin, verified 7 August 2026
Number of items
Anywhere from 85 to 150 items.Source: NCSBN, 2026 NCLEX Examination Candidate Bulletin, verified 7 August 2026
Time limit
Five hours, including the introductory screen and every break you take.Source: NCSBN, 2026 NCLEX Examination Candidate Bulletin, verified 7 August 2026
Registration fee
200 USD for US licensure.Source: NCSBN, 2026 NCLEX Examination Candidate Bulletin, verified 7 August 2026
Retake policy
Up to eight attempts a year, with at least 45 test-free days between examinations, unless your nursing regulatory body sets a tighter limit.Source: NCSBN, 2026 NCLEX Examination Candidate Bulletin, verified 7 August 2026
Pass rate
88.4% of first-time, US-educated candidates passed in January to December 2024 (44,693 of 50,570). Repeat US-educated candidates passed at 41.9%.Source: NCSBN, 2024 NCLEX Examination Statistics (Research Brief Vol. 94), verified 7 August 2026NCSBN publishes an annual examination statistics brief. This expires earlier than the 12-month default because the 2025 brief supersedes it.
Typical exam length
First-time US-educated candidates averaged 99 items and 2 hours 17 minutes in 2024. 67.8% finished at the minimum number of items.Source: NCSBN, 2024 NCLEX Examination Statistics (Research Brief Vol. 94), verified 7 August 2026NCSBN publishes an annual examination statistics brief. This expires earlier than the 12-month default because the 2025 brief supersedes it.
Passing standard
No percentage is published. The exam is scored against its own passing standard, set by the NCSBN Board of Directors and reevaluated every three years. A candidate must perform at or above that standard, and NCSBN states there is no fixed percentage of candidates that pass or fail.Source: NCSBN, 2026 NCLEX Examination Candidate Bulletin (The Passing Standard), verified 7 August 2026NCSBN states the NCLEX-RN and NCLEX-PN reflect different scopes of practice, are scored on separate scales and have respective passing standards.
How long it is valid
Not published by NCSBN. The 2026 NCLEX Examination Candidate Bulletin does not state a validity period for a passing result or a license renewal cycle. It directs candidates to their nursing regulatory body for questions about licensure.Checked against: NCSBN, 2026 NCLEX Examination Candidate Bulletin, verified 7 August 2026

Always verify: registration, eligibility and retake rules run through your nursing regulatory body as well as NCSBN, and they differ by jurisdiction. Scope of practice for LPNs and LVNs is set by your state nurse practice act, not by NCSBN, so confirm both before you register and before you rely on any scope rule you read here.

What our NCLEX-PN question bank covers

What this app's question bank covers — our own category shares across 632 questions, not NCSBN's published blueprint.
CategoryQuestions in our bankShare of our bank
Coordinated Care
Delegation, supervision, advocacy, referrals, informed consent, ethical practice
13421.2%
Safety & Infection Control
Standard precautions, accident prevention, emergency response, error reporting
8213%
Health Promotion & Maintenance
Aging process, antepartum, postpartum, newborn, health screening
579%
Psychosocial Integrity
Abuse, behavioral interventions, coping, end-of-life, grief
7712.2%
Basic Care & Comfort
Assistive devices, elimination, mobility, nutrition, rest/sleep
629.8%
Pharmacological Therapies
Adverse effects, dosage calculations, medication administration, IV therapy
8213%
Reduction of Risk & Physiological Adaptation
Lab values, monitoring, system assessments, medical emergencies
13821.8%

Scroll the table sideways to see every column.

Try it

4 questions from our NCLEX-PN bank

Four questions from our NCLEX-PN bank, covering coordinated care, physiological adaptation, pharmacology and safety. Each shows its full explanation as soon as you answer, including why the other options are wrong.

NCLEX-PN · Free practice Every answer explained. No signup, no email wall.
  1. Question 1 of 4

    A client is being admitted to the medical-surgical unit. Which action is OUTSIDE the scope of practice for the LPN?
    Answer and explanation

    Correct answer: Completing the initial comprehensive admission assessment independently

    Most state nurse practice acts reserve the comprehensive, independent initial admission assessment and formulation of the plan of care for the RN, since it requires synthesizing complex data into a nursing diagnosis and care plan. The LPN appropriately collects vital signs, reinforces established teaching, and documents subjective data such as allergies, but cannot independently perform or sign off on the initial comprehensive assessment.

  2. Question 2 of 4

    A client taking warfarin for atrial fibrillation has an INR of 4.6. The therapeutic range for this client is 2.0 to 3.0. Which action should the nurse take first?
    Answer and explanation

    Correct answer: Withhold the warfarin dose and notify the health care provider

    An INR of 4.6 is above the therapeutic range of 2.0-3.0 and signals excessive anticoagulation with high bleeding risk. The nurse should withhold the next dose and notify the provider so the dose can be adjusted or reversal considered. Giving the scheduled dose would worsen the supratherapeutic level. Green leafy vegetables contain vitamin K, which would lower rather than raise INR, making that recommendation irrelevant to an already elevated result. Rechecking in a week delays urgent intervention.

  3. Question 3 of 4

    A client taking warfarin (Coumadin) asks the LPN which food choice is safe to eat regularly. Which response is most appropriate?
    Answer and explanation

    Correct answer: "You may eat a consistent amount of leafy greens each week."

    Warfarin teaching focuses on maintaining a consistent daily vitamin K intake rather than eliminating it, since stable intake keeps INR levels predictable. Advising complete avoidance is unnecessary and can cause nutritional gaps. Increasing kale and spinach intake would raise vitamin K levels and could decrease warfarin's effectiveness, raising clot risk. The statement that vitamin K increases the medication's effect is factually reversed; vitamin K antagonizes warfarin and lowers its anticoagulant effect, so fluctuating intake is what destabilizes therapy.

  4. Question 4 of 4

    The nurse administers a double dose of insulin to a client due to a transcription error. What is the nurse's FIRST action?
    Answer and explanation

    Correct answer: Assess the client's blood glucose and clinical status

    The immediate priority after any medication error is client assessment to identify and treat physiologic consequences, in this case checking blood glucose and monitoring for signs of hypoglycemia. Only after the client is stabilized should the nurse notify the prescriber, complete an incident report through the facility's quality/risk management process, and document objective findings in the chart without referencing the incident report itself. Family notification follows provider notification and is not the first priority action.

What actually trips people up

Scope of practice is the single biggest theme

Coordinated Care is 134 questions in our bank, the largest category, and most of them turn on one question: is this action inside the LPN role or reserved for the RN? Comprehensive initial assessment and formulating the plan of care generally sit with the RN. Reinforcing teaching that the RN already gave, collecting vital signs and documenting stated allergies generally sit with the LPN. Candidates who study the content but not the boundary lose points across the whole exam.

Reinforce is not the same verb as teach

The PN exam separates initiating client education from reinforcing education already provided. Answer options are often written so that one is teaching and one is reinforcing, and only the second is defensible for an LPN. Read the verb before you read the content.

Reduction of Risk and Physiological Adaptation is where the emergencies live

This category is 138 questions in our bank and it carries the seizure, hemorrhage, respiratory distress and lab-value scenarios. These items reward a rehearsed first action: side-lying and protect the head, never anything in the mouth. If your first response is rehearsed it survives the stress of exam day.

Medication teaching questions test consistency, not avoidance

The warfarin question is the archetype. The safe answer is a consistent weekly intake of leafy greens, not eliminating them and not loading up on them. A lot of pharmacology on this exam is really about steady state, and the distractors are usually the two extremes.

Psychosocial items feel obvious until every option is kind

Psychosocial Integrity is 77 questions in our bank and it’s the category people skip because the answers sound like common sense. On the exam all four options are warm, and only one is open-ended, present-focused and hands the conversation back to the client. Reassurance and problem-solving are almost never the first response.

A five-week study plan

Five weeks is a realistic target from the end of a practical nursing program. Build it around the Client Needs categories, and put scope of practice at the center from day one.

Week 1: Baseline and scope.

Smart Quiz across every category, then drill Coordinated Care hard. Learn the RN and LPN boundary as a rule you can state out loud, because it decides dozens of items.

Weeks 2 to 3: Risk and adaptation.

Reduction of Risk and Physiological Adaptation daily, with emphasis on rehearsed first actions in emergencies and on lab values presented inside scenarios rather than as ranges to recite.

Week 4: Pharmacology and psychosocial.

Pharmacological Therapies plus Psychosocial Integrity, which is 77 questions in our bank and is easy to under-study because it feels intuitive until the options are all plausible.

Week 5: Simulate.

Run the fixed-length 120-question timed simulation, review every miss by category, and use the AI tutor on anything you got right without being able to say why.

The last few days: Alternate formats and rest.

Our bank ships 126 multi-select and 70 ordering items. Spend a session on those so the wrapper is familiar, then stop. Book when your readiness score holds across every category.

Is the NCLEX-PN hard?

NCSBN publishes the outcome. In 2024, 88.4% of first-time US-educated candidates passed and 41.9% of repeat candidates did. As with the RN exam, the gap between those two numbers is the point: most well-prepared first-time candidates clear it, and a retake is materially harder.

The difficulty is concentrated in judgment rather than recall. The exam adapts, so it’ll keep handing you items near the edge of your ability and you’ll feel uncertain the whole way through. Our bank mirrors that: 382 of the 632 questions sit at difficulty 3 or 4, and they cluster in Coordinated Care and Reduction of Risk, the two largest categories.

What people underestimate is how often the hard part is the role rather than the medicine. You can know the correct intervention and still miss the item because a registered nurse is the one who performs it. That’s a learnable rule, not a knowledge gap, and it’s the cheapest set of points on the exam to go and collect.

How the NCLEX-PN differs from the exams beside it

The NCLEX-PN is the scope exam. It shares the adaptive format and the five-hour limit with the NCLEX-RN, but the content is organized around what a practical nurse does under supervision rather than what a registered nurse decides independently, and our bank reflects that with Coordinated Care and Reduction of Risk as the two dominant categories. If you’re choosing between preparing for the PN and the RN exam, the difference isn’t difficulty, it’s the role the questions assume you hold. Against the CEN, both NCLEX exams are entry-level and general where the CEN is specialty and assumes years in an emergency department.

Questions people actually ask about the NCLEX-PN

How many questions are on the NCLEX-PN?

Anywhere from 85 to 150 items, because the exam is adaptive. In 2024 the average first-time US-educated candidate answered 99 items, and roughly two thirds finished at the minimum number of items.

What is a passing score on the NCLEX-PN?

No percentage is published. The NCLEX-PN is scored on its own scale against its own passing standard, set by the NCSBN Board of Directors and reevaluated every three years. NCSBN states the two NCLEX exams reflect different scopes of practice and have respective passing standards, so an RN cutoff would not apply here anyway.

Is the NCLEX-PN hard?

Most prepared first-time candidates clear it: NCSBN reported 88.4% passing in 2024 against 41.9% of repeat candidates. The medicine is rarely the obstacle. The obstacle is the role, because you can know the correct intervention and still miss the item when a registered nurse is the one who performs it.

How long should I study for the NCLEX-PN?

Five weeks of daily work is a realistic target once your training is behind you. Put the LPN and RN boundary first rather than last, because it decides items in every category rather than only in coordinated care. Judge readiness one category at a time rather than by a single overall number.

What is the difference between the NCLEX-PN and the NCLEX-RN?

Both are adaptive, five hours, and 85 to 150 items. The PN exam is built around the practical nurse role, so it leans on coordinated care and scope boundaries where the RN exam leans on independent assessment and delegation.

What is the NCLEX-PN pass rate?

NCSBN reported 88.4% for first-time, US-educated candidates across 2024, and 41.9% for repeat US-educated candidates. Preparing properly for the first attempt is worth far more than a retake plan.

How long is the NCLEX-PN?

Five hours, regardless of how many items you receive. The total includes the introductory screen and all breaks, so the clock runs on the session rather than on the questions.

Are these real NCLEX-PN questions?

No. That would violate exam security rules. They’re original questions written to the same categories, format and difficulty, and every one carries a full explanation of the reasoning.

Practice another Health exam

Nursing, allied health & medical certifications. Every one of these pages is built the same way: sourced facts, an honest admission where the sponsor publishes nothing, and free practice questions.

The app

Practice the NCLEX-PN in the app

Readiness is reported per content area, which matters more here than it sounds. The areas where a defensible action still sits outside LPN scope are the ones that stay red longest, and a single overall percentage hides exactly those. Topic Drill isolates one of the seven areas and Smart Quiz keeps returning to the ones you miss. The bank is 632 questions, 126 of them multi-select and 70 ordering, and the Exam Simulator runs a fixed-length 120-question timed paper. Fixed-length, not adaptive: it rehearses pace and stamina, not the real scoring engine. An AI tutor explains any question in plain English, and a calculator is available for dosage items. NCLEX-PN Test Prep 2026 went live on the App Store on 8 August 2026, free to download. Nobody has rated it yet, so there is no star average to show you. It is free to start, with Premium for unlimited practice.

  • Smart Quiz — keeps returning to the categories you keep missing
  • Topic Drill — one category at a time, on its own
  • Exam Simulator — a fixed-length timed paper (120 questions in 240 minutes, as this app sets it). It does not get harder as you go; the length and the mix are fixed.
  • AI tutor — re-explains any question in plain English
  • Progress tracking, reported per category
  • On-screen calculator
  • Study reminders
  • Light and dark themes

The app calls you ready at 65% on its own simulator. That is an in-app practice target we chose, not NCSBN's passing standard.

Get NCLEX-PN Test Prep 2026 free on the App Store (opens in a new tab)

Listed on the App Store as NCLEX-PN Test Prep 2026. Free to download; Premium unlocks the full bank and unlimited tutor explanations.

Know the boundary before test day.

Drilling weighted to the content areas you keep missing, full timed simulations, and an AI tutor that explains exactly why an answer sat outside LPN scope.

Download free on the App Store (opens in a new tab)

Sources, and when we last checked them

This page was last reviewed on . The 8 facts quoted above were last checked against their sources on . Where NCSBN publishes nothing, the table above says so rather than guessing.

NCLEX and NCLEX-PN are registered trademarks of the National Council of State Boards of Nursing, Inc. (NCSBN). Neuron Trainer is an independent study app and is not affiliated with, endorsed by or sponsored by NCSBN.