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NurseSim exams / United States

NCLEX-PN: format and practice

NCSBN (National Council of State Boards of Nursing). United States

What the exam is

NCLEX-PN is the adaptive licensing exam for practical and vocational nurses (LPN or LVN).

Regulator: NCSBN (National Council of State Boards of Nursing). Country: United States.

Who takes it

Graduates of practical or vocational nursing programmes who want an LPN or LVN licence in a US state or territory.

Format, as the regulator publishes it

ItemWhat the regulator says
QuestionsBetween 85 and 150 items [1]
TimeA five-hour period [1]

NurseSim's questions are written at registered-nurse level, so the practical-nurse scope is narrower than some of them assume.

How NurseSim covers it

NurseSim has 300 questions written for this exam, plus the shared pool of 4,354 registered-nurse questions: 4,654 in the practice pool. It offers 5 full-length mock exams that share no question.

Every answer comes with the reasoning behind it, and you can sit timed mock exams. Free: 5 questions a day, no card needed. NCLEX-PN is the name of an examination of NCSBN, which is not affiliated with this program and has not endorsed it.

One question from the bank

Try it.

Try oneGerontology

A practical nurse is caring for an 82-year-old client admitted with pneumonia. Yesterday the client was oriented. This morning the client cannot say the date, is picking at the bed linens, and has a respiratory rate of 24 breaths per minute and an SpO2 of 90% on room air. What is the best action?

  1. AReorient the client and record that confusion is common in hospitalized older adults
  2. BReport the new confusion and the oxygen saturation to the RN promptly
  3. CRecheck the SpO2 after breakfast and report it only if it falls below 85%
  4. DApply soft wrist restraints so the client does not pull at the bed linens or equipment

Answer: B. In older adults, new confusion is often the first sign of hypoxia, infection or sepsis. A change in mental status with a low saturation needs prompt report so the RN can assess and obtain prescriptions for treatment.

Pass prices

One Pass opens all 20 exams.

In euro, Danish VAT included, paid once.

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Read next

Sources

  1. NCSBN 2026 PN test plan

Facts read on 16 October 2026 in the pages above. Regulators change rules and fees: confirm with them before you book. NurseSim is an independent study aid, not affiliated with or endorsed by the regulator.