NCLEX-PN and NCLEX-RN are different credentials from different certifying bodies: the NCLEX-PN (National Council Licensure Examination for Practical Nurses) is administered by NCSBN, while the NCLEX-RN (National Council Licensure Examination for Registered Nurses) is administered by NCSBN. Which one fits depends on your role and career direction — the official eligibility rules and exam outlines (linked below) are the deciding documents. Here is a side-by-side view, plus free practice questions for both so you can feel the difference yourself.
| NCLEX-PN | NCLEX-RN | |
|---|---|---|
| Full credential name | National Council Licensure Examination for Practical Nurses | National Council Licensure Examination for Registered Nurses |
| Certifying body | NCSBN | NCSBN |
| Practice deck on MedFlashCard | 1019 flashcards | 1030 flashcards |
| Free preview | 30 free NCLEX-PN cards | 30 free NCLEX-RN cards |
The quickest way to judge which exam fits you is to answer real questions from each. These are genuine cards from both decks:
A patient with a valid Do Not Resuscitate (DNR) order tells the LPN\, I've changed my mind. I want to live if my heart stops. What is the LPN's priority action?
Show answer →Immediately honor the patient's verbal request to revoke the DNR and notify the healthcare provider to update the medical orders. Patients have the legal right to revoke or change Advance Directives at any time\, regardless of written status. Strategy: Verbal revocation is legally binding in the clinical setting; the LPN must ensure the entire team is notified immediately.
An RN has just completed initial teaching for a patient with a new colostomy. What is the appropriate role for the LPN? A) Modifying the teaching plan. B) Reinforcing the steps of bag changes. C) Evaluating the patient's readiness to learn. D) Choosing the educational materials.
Show answer →B is correct. LPNs reinforce teaching that has already been established by the RN. They cannot create the plan, choose the materials, or perform the initial evaluation of learning readiness. Strategy: LPN = Reinforcement; RN = Initial Teaching/Evaluation.
A client has a Do Not Intubate (DNI) order but is not a Do Not Resuscitate (DNR). The client develops life-threatening ventricular tachycardia. What is the nurse's correct action?
Show answer →The nurse should initiate the ACLS protocol, including chest compressions and defibrillation, but omit endotracheal intubation. Rationale: DNR and DNI are distinct orders. A DNI only prohibits the insertion of an artificial airway. It does not prohibit other resuscitative efforts like CPR, cardioversion, or vasopressors. NCLEX Tip: Read the specific order carefully. DNI is not DNR. If the heart stops, you do CPR; if they stop breathing, you use a bag-valve-mask but do not intubate.
A nurse uses a personal smartphone to take a photo of a patient's unique Stage 4 pressure injury for educational purposes, ensuring the patient's face is not visible. Is this a HIPAA violation?
Show answer →Yes, this is a major HIPAA violation. Using a personal device to capture or store Patient Health Information (PHI), including photos of wounds or anatomy, is strictly prohibited. Even without a face, unique clinical features can be identifiers. PHI should only be documented using facility-approved equipment and stored in the secure Electronic Health Record (EHR). NCLEX Strategy: HIPAA violations on the exam often involve social media or personal technology. If the device isn't hospital-issued and the purpose isn't direct clinical care, it's almost always a violation.
They are independent credentials from NCSBN and NCSBN respectively; many professionals hold more than one certification. Check each body's eligibility requirements on the official sites linked above.
They test different bodies of knowledge, so difficulty depends on your background. Try free practice questions for both on this page — the one that feels further from your daily work will need more prep time.
Always use the certifying bodies directly: NCSBN for the NCLEX-PN and NCSBN for the NCLEX-RN. Links to both official sites are on this page.
Eligibility rules, fees, question counts and passing standards are set by the certifying body and change over time. Always confirm them at the source before you apply or schedule your exam — our flashcards are practice material, not the official handbook.