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The NCLEX-PN examination is the National Council Licensure Examination for Licensed Practical Nurses. In the past, a similar examination was referred to as the “State Board” for a nursing license. Passing the NCLEX-PN examination gives your state the authority to grant you a nursing license after the completion of a state approved school for practical nursing.

The content of the NCLEX-PN Test Plan consists of four major sections, each of which test your knowledge, skills and abilities to meet these client needs. These categories, or sections, and the percentage of questions you should expect to see in this examination are:

Safe and Effective Care Environment
Coordinated Care (16% to 22%)
Safety and Infection Control (10% to16%)
Health Promotion and Maintenance (7% to 13%)
Psychosocial Integrity (8% to 14%)
Physiological Integrity
Basic Care and Comfort (7% to 13%)
Pharmacological Therapies (11% to 17%)
Reduction of Risk Potential (10% to 16%)
Physiological Adaptation (7% to 13%)
In addition to the above categories, the questions will also contain ongoing essential themes and skills such as clinical problem solving using the nursing process, communication, caring/compassion, teaching/learning and documentation.

Lastly, most of the questions are multiple choices questions with four items, only one of which is correct. Others are alternative format questions such as choosing all the items where more than one item is correct, fill in the blanks and listing priorities or steps in a procedure from the first to the last. You will see all types of questions in our practice examination for licensed practical nurses.

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NO.1 A male client is experiencing extreme distress. He begins to pace up and down the corridor.
What nursing intervention is appropriate when communicating with the pacing client?
A. Increase the level of his supervision.
B. Walk with him as he paces.
C. Ask him to sit down. Speak slowly and use short, simple sentences.
D. Help him to recognize his anxiety.
Answer: B

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Explanation:
(A) The nurse should not ask him to sit down. Pacing is the activity he has chosen to deal with his
anxiety. The nurse dealing with this client should speak slowly and with short, simplesentences. (B)
The client may already recognize the anxiety and is attempting to deal with it. (C) Walk with the client
as he paces. This gives support while he uses anxiety-generated energy. (D) Increasing the level of
supervision may be appropriate after he stops pacing. It would minimize self-injury and/or loss of
control.

NO.2 Which one of the following is considered a reliable indicator for assessing the adequacy of
fluid resuscitation in a 3-year-old child who suffered partial- and fullthickness burns to 25% of her
body?
A. Edema
B. Bulging fontanelle
C. Hypertension
D. Urine output
Answer: D
Explanation:
(A) Urinary output is a reliable indicator of renal perfusion, which in turn indicates that fluid
resuscitation is adequate. IV fluids are adjusted based on the urinary output of the child during fluid
resuscitation. (B) Edema is an indication of increased capillary permeability following a burn injury.
(C) Hypertension is an indicator of fluid volume excess. (D) Fontanelles close by 18 months of age.