(LPN) Certified Practical Nurse Practice Test

β–Ά

LPN: upcoming dates and official changes
  • Apr 1, 2026: The 2026 NCLEX-PN Test Plan is effective April 1, 2026 through March 31, 2029. (National Council of State Boards of Nursing)
  • Updated Oct 19, 2026: Number of questions is now 85–150 items (previously 85–150 items; computerized adaptive examination).
  • Updated Oct 19, 2026: Exam fee is now $350 USD for registrations from Feb 1, 2027 (previously $200 USD registration fee).

Facts verified Oct 19, 2026 against National Council of State Boards of Nursing. Dates that have passed are removed automatically.

Facts verified Oct 19, 2026 against National Council of State Boards of Nursing. Dates that have passed are removed automatically.

LPN Exam at a Glance

ItemDetailOfficial source
Number of questions85–150 itemsNational Council of State Boards of Nursing
Exam fee$350 USD for registrations from Feb 1, 2027National Council of State Boards of Nursing
DeliveryPearson VUE test centers, U.S. and internationalNational Council of State Boards of Nursing
EligibilityEligibility is determined by the nursing regulatory bodyNational Council of State Boards of Nursing
Score releaseOfficial results within six weeks; Quick Results after 2 business days where offeredNational Council of State Boards of Nursing
Registration deadlineRegistration stays open 365 days for the board to determine eligibilityNational Council of State Boards of Nursing
Testing windowAuthorization to Test window set by the board; average 90 daysNational Council of State Boards of Nursing

Facts verified Oct 19, 2026 against National Council of State Boards of Nursing. Dates that have passed are removed automatically.

A travel LPN salary in 2026 averages $1,400 to $2,600 per week, well above the BLS median LPN wage of $64,400 a year (May 2025). Experienced practical nurses in crisis-staffing assignments can earn over $3,000 weekly during peak demand periods. Travel LPNs earn roughly 30 to 60 percent more than staff licensed practical nurses, thanks to housing stipends, meal allowances, and completion bonuses bundled into every contract. If you hold an active LPN or LVN license and have at least one year of clinical experience, travel nursing offers one of the fastest ways to dramatically increase your annual income without returning to school for an RN bridge program. Practice with the free Certified Practical Nurse practice test on PracticeTestGeeks (550+ questions with answer explanations).

Compensation packages for travel licensed practical nurses break down into two parts: a taxable hourly rate (typically $18 to $32 per hour) and non-taxable stipends covering lodging, meals, and incidentals. When combined into a blended weekly rate, top contracts in California, Massachusetts, and Alaska routinely exceed $2,400 per week. Skilled nursing facilities, correctional health, and home health agencies are currently the largest employers of travel LPNs, with long-term care driving roughly 70 percent of available assignments nationwide in 2026.

Travel LPN pay has remained strong despite the post-pandemic normalization of nursing rates. While RN crisis pay has fallen significantly from 2021 peaks, LPN travel rates have held steady because the nursing shortage in skilled nursing, memory care, and rehabilitation settings continues to deepen. The Bureau of Labor Statistics projects 3 percent job growth for LPNs from 2025 to 2035, but long-term care vacancy rates remain above 12 percent in many regions, forcing facilities to pay travel premiums to maintain minimum staffing ratios required by Medicare and Medicaid.

Geographic flexibility is the single biggest lever for boosting your travel LPN salary. Nurses willing to accept rural, remote, or hard-to-fill assignments in states like North Dakota, Wyoming, and Vermont can negotiate weekly rates 25 to 40 percent above urban averages. Compact license holders (those credentialed through the Nurse Licensure Compact) gain instant access to 43 participating jurisdictions without paying for individual endorsements, which can save $300 to $1,500 in licensing fees per assignment and dramatically shorten the time between contracts.

This complete guide breaks down exactly what travel LPNs earn in 2026, including hourly versus stipend pay structures, top-paying states and specialties, contract benefits, tax implications of the tax-home rule, and proven negotiation tactics. We also cover how to evaluate competing agency offers, what questions to ask recruiters about extension bonuses and guaranteed hours, and how to transition from a staff LPN role into your first travel assignment. Whether you're just starting to explore travel or actively comparing contracts, the numbers and strategies below will help you maximize every paycheck.

Before diving into the data, it helps to understand that travel LPN compensation is highly transactional and changes weekly based on facility census, seasonal demand, and regional staffing crises. Rates posted in January often look nothing like rates in July, and a single hurricane, flu surge, or facility audit can spike pay by 20 percent overnight in affected markets. Reading pay packages line by line β€” and knowing which numbers are negotiable β€” is what separates LPNs who earn $70,000 a year from those who clear $110,000 doing the exact same clinical work.

If you want to test your clinical knowledge before applying to your first travel contract, our lpn practice test covers the same core competencies recruiters and facility hiring managers screen for during phone interviews. Strong skills assessment scores translate directly into higher contract offers, faster placements, and access to premium assignments that lower-tier LPNs never see posted publicly.

Free Certified Practical Nurse Study Tools

Interactive Certified Practical Nurse resources on PracticeTestGeeks, free to start:

Travel LPN Salary by the Numbers (2026)

πŸ’°
$1,950
Average Weekly Pay
πŸ“Š
$101K
Annual Earning Potential
⏱️
13 wks
Standard Contract Length
🌐
43
Compact Jurisdictions
πŸ†
$3,200
Top Crisis Rate
Test Your LPN Skills β€” Free Travel LPN Salary Prep Quiz

Top-Paying States for Travel LPNs in 2026

🌴
$2,450/wk
California
🦞
$2,380/wk
Massachusetts
❄️
$2,640/wk
Alaska
πŸ—½
$2,290/wk
New York
🌲
$2,180/wk
Washington
🀠
$2,050/wk
Texas

Understanding how travel LPN pay is structured is the first step to evaluating whether an agency offer is actually competitive. Every travel contract splits compensation into two distinct buckets: taxable wages (your base hourly rate) and non-taxable reimbursements (housing, meals, and incidentals stipends). The IRS requires agencies to keep taxable wages at or above local prevailing rates for licensed practical nurses, which is why your hourly rate may look low at $20 to $25 per hour even when your blended weekly pay exceeds $2,000.

The non-taxable portion is calculated using GSA (General Services Administration) per diem rates for the assignment city, and these stipends can range from $800 to $1,800 weekly depending on local cost of living. San Francisco, Boston, Seattle, and Honolulu carry the highest housing stipends, often above $2,500 per month, while rural Midwest assignments may offer $1,400 to $1,800 monthly. To legally claim these tax-free stipends, you must maintain a permanent tax home (a residence you pay duplicated expenses to maintain) and travel away from it for work.

Most travel LPN contracts guarantee 36 or 40 hours per week, with overtime kicking in after 40. Some skilled nursing facility contracts offer 48-hour weeks (12-hour shifts, four days on) with built-in overtime, which can push weekly gross pay above $2,800 for the same 13-week commitment. Watch the guaranteed hours clause carefully β€” facilities that cancel shifts due to low census can leave you with no income for the missed day unless your contract specifies you'll be paid for guaranteed hours regardless of cancellation.

Completion bonuses are another major component of total compensation and typically range from $500 to $2,500 per contract, paid out at the end of the assignment if you complete every scheduled shift. Extension bonuses (offered when you re-sign for another 13 weeks at the same facility) often run $1,000 to $3,000 and are one of the easiest ways to push annual earnings above $120,000 without the hassle of repeatedly searching for new contracts, completing new credentialing packets, or relocating every three months.

Sign-on and referral bonuses round out the financial picture. New travelers signing with a major agency for the first time frequently receive $500 to $1,500 sign-on bonuses, and referring another LPN who completes a contract typically pays out $500 to $1,000. These one-time payments aren't life-changing individually, but stacked across an active travel year they can add $3,000 to $6,000 in extra income β€” essentially a free month of rent or a fully paid vacation between assignments.

Agency markup is the silent factor that determines how much of the facility's bill rate actually reaches your paycheck. Hospitals and SNFs pay agencies a bill rate between $55 and $95 per hour for travel LPNs, and the agency keeps 20 to 35 percent as their margin. Transparent agencies will disclose their markup or at least negotiate openly; opaque agencies hide it and pay below-market rates. Working with two or three agencies simultaneously and comparing offers on the same job order is the simplest way to ensure you're not leaving money on the table.

Before committing to your first travel contract, refresh your clinical fundamentals with our wound care certification for lpn β€” specialty credentials like WCC or CWCA can add $3 to $7 per hour to your travel rate and unlock premium assignments at long-term acute care hospitals and dedicated wound centers.

LPN Practice Test Questions

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Travel LPN Salary by Setting and Specialty

πŸ“‹ Skilled Nursing

Skilled nursing facilities (SNFs) and long-term care centers are the largest employers of travel LPNs, accounting for roughly 70 percent of all open assignments nationwide. Weekly pay typically ranges from $1,650 to $2,200, with charge nurse roles paying an additional $3 to $6 per hour. Most SNF contracts run 13 weeks with optional extensions, and many facilities offer guaranteed 40-hour weeks plus overtime opportunities during weekend and holiday coverage gaps.

The clinical workload in SNF travel assignments is high-volume but predictable: medication passes for 20 to 30 residents per shift, treatments, charting, family communication, and supervision of CNAs. Travel LPNs who excel in skilled nursing typically have strong time management, geriatric assessment skills, and comfort with electronic health records like PointClickCare or MatrixCare. Specialty units like memory care and ventilator wings command 10 to 15 percent premium pay over standard long-term care floors.

πŸ“‹ Correctional Health

Correctional facility assignments β€” county jails, state prisons, and federal detention centers β€” consistently rank among the highest-paying settings for travel LPNs, with weekly rates between $2,100 and $2,800. The pay premium reflects the security environment, structured shift work, and the relative shortage of nurses willing to work behind the wire. Most contracts run 13 or 26 weeks and require completion of facility-specific security training during your first week on assignment.

Clinical responsibilities in corrections include sick call triage, chronic disease management, medication administration, intake screenings, and emergency response. Many correctional LPN roles are appealing because there are no families, no acute trauma, and a clear chain of command. Federal Bureau of Prisons contracts pay the highest, but state and county facilities offer faster onboarding and shorter credentialing windows for travelers without prior correctional experience.

πŸ“‹ Home Health & Hospice

Home health and hospice travel contracts offer the most schedule flexibility and pay between $1,500 and $2,000 weekly, with per-visit pay structures that reward efficient travelers who can complete six to eight visits per day. Mileage reimbursement adds $0.65 to $0.70 per mile, which in rural assignments can add $150 to $300 per week on top of base pay. Many agencies offer hybrid pay models combining a base hourly rate with per-visit bonuses.

Hospice assignments specifically tend to be longer (often 26 weeks) because of the continuity-of-care relationships built with patients and families. Travel LPNs in hospice handle symptom management, comfort care, family education, and after-hours on-call coverage. Strong communication skills and emotional resilience are required, but the work is deeply meaningful and the pay is consistent year-round without the seasonal swings common in acute hospital settings.

Is Travel LPN Work Worth the Pay Boost?

Pros

  • Weekly pay 30-60% higher than staff LPN positions in the same city
  • Tax-free housing and meal stipends increase take-home dramatically
  • Ability to test new specialties and facility types every 13 weeks
  • Geographic flexibility β€” work in any state with NLC compact license
  • Completion and extension bonuses add $2,000-$5,000 per contract
  • Build a diverse resume that strengthens future job applications
  • Avoid burnout by leaving toxic units instead of being stuck

Cons

  • No employer-paid health insurance during gaps between contracts
  • Must maintain a tax home and duplicated expenses to claim stipends
  • Limited retirement matching compared to staff positions
  • Float pool assignments and last-minute schedule changes are common
  • Licensing fees for non-compact states can cost $200-$500 each
  • Holiday and PTO coverage is not paid unless explicitly negotiated
  • Cancelled shifts without guaranteed hours mean lost income

Pros and Cons at a Glance

ProsCons
Tax-free housing and meal stipends increase take-home dramaticallyNo employer-paid health insurance during gaps between contracts
Geographic flexibility β€” work in any state with NLC compact licenseMust maintain a tax home and duplicated expenses to claim stipends
Build a diverse resume that strengthens future job applicationsLimited retirement matching compared to staff positions
Avoid burnout by leaving toxic units instead of being stuckFloat pool assignments and last-minute schedule changes are common

Checklist to Maximize Your Travel LPN Salary

Apply to at least three reputable travel nursing agencies simultaneously
Obtain Nurse Licensure Compact (NLC) multistate license if eligible
Earn one specialty certification (IV, wound care, or geriatric)
Maintain BLS, ACLS, or PALS depending on assignment type
Set up a verified tax home with duplicated lease or mortgage expenses
Track every mile, license fee, and credentialing expense for deductions
Negotiate guaranteed hours and cancellation pay into every contract
Request extension bonuses 4 weeks before contract end date
Build a digital credential file with immunizations, BLS, and references
Save 25-30% of every paycheck for self-employment and quarterly taxes
Stack three agencies, never one.

The single biggest predictor of high travel LPN earnings is working with multiple agencies simultaneously. Each agency has exclusive contracts with different facilities, and rates for the exact same job at the same hospital can vary by $400 to $800 per week between agencies. Get pay packages in writing, compare line by line, and let recruiters know you're shopping β€” most will improve their offer within 24 hours to win your placement.

Benefits packages for travel LPNs vary dramatically by agency, and understanding what's included (and what's missing) is critical when comparing offers. Major national agencies like Aya Healthcare, Cross Country, AMN, and Medical Solutions typically offer day-one health insurance through Cigna or United Healthcare with employee premiums between $35 and $90 per week. Dental and vision coverage are usually optional add-ons at $8 to $15 weekly. Smaller regional agencies may not offer health benefits at all, expecting travelers to buy individual marketplace plans or stay on a spouse's policy.

Retirement benefits for travel LPNs are notoriously thin. Most agencies offer a 401(k) but match at 25 to 50 percent of contributions up to a modest cap (often 4 percent of taxable wages only, not stipends). Because stipends make up such a large portion of your total pay, your effective retirement match works out to roughly 1 to 2 percent of your gross income β€” far below the 4 to 6 percent typical at staff positions. Many experienced travelers open a Solo 401(k) or SEP-IRA on the side and contribute aggressively to make up the difference.

The tax home rule is the most misunderstood and most important concept in travel nursing. To legally receive tax-free housing and meal stipends, the IRS requires you to maintain a permanent residence (your tax home) and to pay duplicated living expenses while traveling away from it for work. This typically means keeping a lease, mortgage, or paid-utility room at your parents' or relative's home year-round. Nurses who don't maintain a true tax home are classified as itinerant workers and lose all stipend tax benefits β€” meaning every dollar of pay becomes fully taxable.

State income tax planning can swing your annual take-home by $5,000 to $10,000. Florida, Texas, Tennessee, Washington, Nevada, South Dakota, and Wyoming have no state income tax, making them attractive both as assignment locations and as tax-home states. California, Hawaii, New York, and New Jersey have the highest state income tax burdens, so working in those states from a no-tax tax home can be especially valuable. Always consult a CPA who specializes in travel nursing taxes β€” the $300 annual fee easily pays for itself in deductions and audit protection.

License portability through the Nurse Licensure Compact (NLC) is one of the most underrated financial tools in travel nursing. As of October 2026, 43 jurisdictions participate in the compact (per the official Nurse Licensure Compact map), meaning an LPN/LVN with a multistate license can practice across all of them without paying for individual endorsements. Non-compact states like California, New York, Oregon, and Massachusetts require state-specific licensure that can cost $200 to $500 and take 4 to 12 weeks to process β€” significant friction that limits your ability to chase the highest-paying contracts.

Per diem and meal allowances are calculated using GSA tables that update annually each October. For fiscal years 2026 and 2027, GSA meals and incidentals (M&IE) tiers run from $68 per day in standard areas up to $92 per day in the highest-cost locations. Some agencies pass through the full GSA amount, while others pay 80 percent and pocket the difference. Always ask recruiters for a stipend breakdown showing housing, M&IE, and travel reimbursement separately β€” opacity here is a red flag.

Travel reimbursement covers the cost of getting to and from your assignment and typically pays $500 to $1,500 per contract, split between sign-on and completion. Cross-country drives or flights to Hawaii and Alaska usually qualify for higher reimbursements. Keep every gas, hotel, and airline receipt from your travel days β€” these are deductible business expenses if you itemize, and they're often missed by travelers who assume the agency reimbursement covers everything.

Negotiating your first travel LPN contract feels intimidating, but recruiters expect it and the conversation is rarely as adversarial as it looks. Start by getting three competing offers for assignments in similar markets, then ask each recruiter to itemize their pay package: taxable hourly rate, weekly housing stipend, weekly M&IE stipend, guaranteed hours, overtime rate, completion bonus, travel reimbursement, and any sign-on bonuses. Once you have apples-to-apples numbers, you'll quickly see which agency is offering the best total compensation versus which is hiding margin behind vague language.

The single most powerful negotiation phrase is: "Agency X is offering me $2,250 weekly for a similar contract β€” can you match or beat that?" Recruiters can usually find another $50 to $200 per week if pushed, especially in the final 48 hours before a contract submission deadline. Don't be afraid to walk away from a low offer β€” there are always more contracts being posted, and saying no to a bad deal protects your bill rate at that facility for future submissions.

Specialty certifications are the most reliable long-term lever for higher pay. IV therapy certification adds $2 to $4 per hour at most SNF and home health assignments. Wound care certification (WCC or CWCA) opens doors to long-term acute care hospitals paying $2,800+ weekly. Geriatric Nursing Assistant certification, dementia care training, and ventilator competency each add 5 to 12 percent to your hourly rate at specialty facilities. The $400 to $1,200 investment in a certification typically pays for itself within the first two contracts.

Building strong relationships with two or three preferred recruiters pays dividends over time. Recruiters who know your preferences, license states, and ideal contract length will send you premium assignments before they're posted publicly. They'll also fight harder for your raises and extension bonuses because they want to keep you on their roster. Treat recruiters like business partners β€” be responsive, send updated paperwork promptly, and refer other LPNs you trust. Reputation in this industry travels faster than you'd think.

Extension contracts are the easiest money in travel nursing. After completing your first 13 weeks, the facility already knows you, your credentialing is current, and you're functioning as a full team member. Extending typically pays the same or slightly better than your initial contract, with an extension bonus of $1,000 to $3,000 layered on top. Many travelers stack two or three extensions at the same facility to build a year of consistent income without the overhead of starting over.

Plan your transition strategically by exploring lpn programs near me if you're considering bridging to RN β€” many travel LPNs use 6 to 12 months of travel income to fund an LPN-to-RN bridge program in cash, then return to travel at RN rates that average $2,800 to $3,400 weekly. The compound effect of travel income plus an RN license can transform your career trajectory within two years.

Finally, protect your mental and physical health by building rest weeks into your annual schedule. Most successful long-term travelers work 42 to 46 weeks per year, leaving 6 to 10 weeks for travel between assignments, family time, and recovery. Working 52 weeks straight is financially tempting but burns out even the most resilient nurses within 18 to 24 months. The travel LPNs who sustain $100,000+ annual income for 5 or 10 years are the ones who treat rest as a non-negotiable part of the business plan.

Practice LPN Coordinated Care Questions for Travel Interviews

Practical preparation for your first travel LPN assignment begins 60 to 90 days before your target start date. Begin by gathering all clinical documentation: copies of your LPN/LVN license, BLS certification card, recent physical exam (within 12 months), titers or vaccination records for MMR, varicella, hepatitis B, and Tdap, a current TB skin test or QuantiFERON blood test, and a 10-panel drug screen result no older than 90 days. Storing these in a single cloud folder makes submitting to agencies a 10-minute task instead of a multi-week scramble.

Update your resume to highlight quantifiable clinical metrics that recruiters and hiring managers actually evaluate. Instead of writing "administered medications," write "administered 30+ medication passes per shift to long-term care residents using PointClickCare EHR." Specifics about patient ratios, charting systems, specialty populations served, and supervisory responsibilities differentiate strong travel candidates from generic applicants. Two well-crafted pages of metrics-driven content outperform five pages of vague responsibility lists every single time.

References matter more in travel nursing than in any other LPN role. Most agencies require three professional references β€” typically a charge nurse, DON, or direct supervisor from the last 12 to 24 months. Reach out to your references before applying so they're not blindsided by reference check calls. Ask them to highlight your reliability, clinical judgment, and ability to integrate quickly into new teams. A reference who emphasizes your adaptability and independence wins you premium assignments faster than one who only confirms employment dates.

Skills checklists are agency forms (often 8 to 15 pages) where you rate your proficiency in dozens of clinical tasks: IV starts, wound care, tracheostomy management, G-tube feeding, urinary catheterization, blood glucose monitoring, and many more. Be honest but generous β€” "performs independently" applies if you can do the task without supervision even if you don't do it daily. Underrating yourself eliminates premium assignments; over-rating yourself sets up clinical failures that end contracts early and damage your reputation across the agency network.

Financial preparation deserves equal attention to clinical preparation. Open a high-yield savings account dedicated to taxes, and transfer 25 to 30 percent of every paycheck into it for quarterly estimated tax payments. Set aside an additional 3 to 6 months of living expenses as a contract gap fund β€” even active travelers occasionally have a 2 to 4 week gap between assignments, and emergency expenses don't pause just because your last contract ended. Disability insurance through your agency or a private carrier is also worth investigating, since LPNs depend entirely on physical ability to earn.

For your first assignment, prioritize a facility within driving distance of your tax home rather than chasing the highest-paying remote contract. A 6-hour drive lets you return home for true off-weeks, troubleshoot housing issues quickly, and recover from the steep learning curve of travel nursing with less stress. After completing your first contract successfully, you'll have credentials on file, agency relationships established, and the confidence to accept assignments anywhere in the country β€” including the high-paying Alaska, Hawaii, and California contracts that scare off less-experienced travelers.

Test your readiness with timed practice exams covering all eight NCLEX-PN content areas before phone interviews with hiring managers. Many facilities use brief clinical skills assessments during the screening call, and confidence in answering scenario-based questions about delegation, prioritization, and medication safety directly translates into stronger offers. Travel LPNs who score above 85% on practice quizzes consistently secure top-tier assignments, while those who fumble basic safety questions often receive lowball offers or no callbacks at all.

If you are still a new graduate, your earning clock starts when you pass the NCLEX-PN. The NCSBN 2026 NCLEX-PN Test Plan sets the exam at 85 to 150 items in five hours, scored against a fixed standard rather than a percentage:

"The NCSBN Board of Directors voted in December 2022, to uphold the current passing standard of -0.18 logits for the NCLEX-PN Examination through March 31, 2029." β€” National Council of State Boards of Nursing (NCSBN), NCLEX Passing Standard (2026) (source)

To register: (1) sign up with Pearson using your nursing program code, an email address and a card for the $200 fee ($350 from February 1, 2027); (2) wait for your nursing regulatory body to make you eligible, after which Pearson emails your Authorization to Test; (3) schedule your appointment within the ATT validity dates, which average 90 days. Official NCLEX registration.

Sample Certified Practical Nurse Practice Questions

Try these questions from our free Certified Practical Nurse practice tests. The correct answer and an explanation follow each question.

  1. An LPN is admitting a new client to a substance abuse treatment facility. During the initial interview, the client becomes defensive and states, 'I don't have a problem. I can quit anytime I want.' What is the LPN's most appropriate action?

    • A. Confront the client with evidence of their substance abuse problem.
    • B. Document the client's statement as denial and continue the admission process.
    • C. Explain the negative health consequences of continued substance use.
    • D. Agree with the client to build rapport and trust.

    Answer: B. Document the client's statement as denial and continue the admission process.

    Denial is a common coping mechanism in clients with substance use disorders. The LPN's role is to remain non-judgmental, accurately document the client's statements and behaviors, and proceed with the established admission protocol. Confronting the client can create a barrier to the therapeutic relationship.

  2. An LPN in a pediatric clinic is assessing a toddler with numerous bruises in various stages of healing on their trunk and back. The parent states the child is clumsy and falls a lot. Which of the following actions is the LPN's legal responsibility?

    • A. Document the findings and ask the parent to return in one week.
    • B. Confront the parent about the suspicious nature of the injuries.
    • C. Tell the parent to implement better safety measures at home.
    • D. Report the suspected child abuse to the appropriate authorities.

    Answer: D. Report the suspected child abuse to the appropriate authorities.

    Nurses are mandated reporters. When there is a suspicion of child abuse, such as bruises in locations not typically associated with accidental falls, the LPN has a legal and ethical obligation to report their findings to Child Protective Services or the designated state agency for investigation.

  3. A patient newly diagnosed with cancer states, 'Why bother treating it β€” I'm going to die anyway.' What stage of grief does this statement best reflect?

    • A. Depression
    • B. Denial
    • C. Bargaining
    • D. Acceptance

    Answer: A. Depression

    Hopelessness and withdrawal of effort are hallmarks of the depression stage in KΓΌbler-Ross's grief model.

  4. A patient states, 'I feel like I'm watching myself from across the room.' The LPN recognizes this as:

    • A. Depersonalization
    • B. Hallucination
    • C. Derealization
    • D. Illusion

    Answer: A. Depersonalization

    Depersonalization is the feeling of being detached from or an outside observer of one's own thoughts, feelings, or body.

Take the full Certified Practical Nurse practice test

LPN Questions and Answers

How much does a travel LPN make per week in 2026?

Travel LPNs earn an average of $1,950 per week in 2026, with a typical range of $1,400 to $2,600 weekly depending on state, specialty, and contract length. Crisis-staffing assignments in remote areas or high-demand markets can exceed $3,000 weekly. Total compensation includes a taxable hourly rate of $18 to $32 per hour plus non-taxable housing and meal stipends that often double or triple take-home pay.

What states pay travel LPNs the most?

Alaska currently leads with average weekly pay around $2,640, followed by California ($2,450), Massachusetts ($2,380), New York ($2,290), and Washington ($2,180). Pay varies based on local cost of living, license requirements, and facility demand. Rural and remote assignments in any state typically pay 25 to 40 percent more than urban contracts due to staffing shortages and travel premiums.

Do travel LPNs need a compact license?

A Nurse Licensure Compact (NLC) multistate license is highly recommended but not required. The compact covers 43 jurisdictions as of October 2026, allowing you to work in any participating state without additional licensing fees or wait times. For non-compact states like California, Oregon, and Massachusetts, you'll need to apply for state-specific endorsement, which costs $200 to $500 and takes 4 to 12 weeks to process.

How long are travel LPN contracts?

Standard travel LPN contracts are 13 weeks (about three months), though lengths range from 8 to 26 weeks depending on facility needs. Short-term crisis contracts may last 4 to 8 weeks at premium rates. Extension contracts allow you to stay at the same facility for additional 13-week increments and typically include $1,000 to $3,000 extension bonuses, making them one of the most reliable ways to maximize annual income.

What benefits do travel LPN agencies offer?

Major agencies typically offer day-one health insurance ($35-$90 weekly premium), dental and vision options, 401(k) with limited matching, free continuing education, license and certification reimbursement, travel reimbursement of $500-$1,500 per contract, and completion bonuses of $500-$2,500. Smaller agencies may offer fewer benefits but sometimes pay higher hourly rates, so always compare total compensation packages side by side.

Are travel LPN stipends really tax-free?

Yes, but only if you maintain a legitimate tax home β€” a permanent residence where you pay duplicated living expenses while traveling. Tax-free stipends cover lodging, meals, and incidentals based on GSA per diem rates for each assignment city. Without a verified tax home, the IRS reclassifies stipends as taxable wages, potentially creating thousands in back taxes. Always consult a CPA who specializes in travel nursing taxes.

How do I become a travel LPN?

You need an active LPN/LVN license, BLS certification, and at least one year of recent clinical experience (most agencies require 12 to 24 months in your target specialty). Apply with multiple travel agencies, complete skills checklists and reference checks, gather immunization and health documentation, and obtain a compact license if eligible. The full process from first application to first contract typically takes 4 to 8 weeks.

Can travel LPNs work in hospitals?

Yes, though hospital-based travel LPN assignments are less common than skilled nursing, correctional, and home health roles. Many acute-care hospitals have phased out LPN positions in favor of all-RN staffing models, but rural hospitals, critical access hospitals, and rehabilitation hospitals still hire travel LPNs regularly. These assignments typically pay $1,800 to $2,400 weekly and require strong med-surg, telemetry, or step-down experience to qualify.

What specialty pays the most for travel LPNs?

Correctional health consistently pays the highest at $2,100 to $2,800 weekly, followed by long-term acute care (LTACH), specialty wound care centers, and ventilator units at $2,000 to $2,500 weekly. Memory care and behavioral health units pay 10 to 15 percent above standard SNF rates. Earning specialty certifications like wound care (WCC), IV therapy, or geriatric nursing can add $3 to $7 per hour to your travel rate across all settings.

Is travel LPN work worth it financially?

For most LPNs, yes β€” travel work increases annual income by $25,000 to $50,000 compared to staff positions, depending on location and contract volume. However, you'll lose employer-paid benefits, retirement matching, paid time off, and job stability. Travel works best for LPNs who are debt-motivated, geographically flexible, financially disciplined enough to handle 1099-style tax planning, and willing to maintain a real tax home with duplicated expenses.

How many questions are on the LPN - Certified Practical Nurse in 2026?

85 to 150. The NCLEX-PN, the exam behind every LPN license a travel agency asks for, is computer adaptive, so it stops once it can make a pass/fail decision. Fifteen of the items are unscored pretest questions, and three clinical judgment case studies of six items each are included.

What is the LPN - Certified Practical Nurse passing score?

-0.18 logits. NCLEX-PN results are pass/fail, not a percentage. The exam ends when the computer is 95% certain your ability is above or below that standard, which NCSBN has kept in place through March 31, 2029.

How much does the LPN - Certified Practical Nurse cost?

$200 USD to register for the NCLEX-PN for U.S. licensure, rising to $350 on February 1, 2027. International test centers add a $150 scheduling fee, and your state board of nursing charges its own license application fee on top.

How long is the LPN - Certified Practical Nurse?

5 hours. That is the maximum NCLEX-PN sitting, and candidates answer between 85 and 150 items in it. Many finish early because the adaptive exam shuts off as soon as it reaches a confident result.

What topics are on the LPN - Certified Practical Nurse?

8 content areas under the 2026 NCLEX-PN Test Plan: Coordinated Care (18–24%), Safety and Infection Prevention and Control (10–16%), Pharmacological Therapies (10–16%), Psychosocial Integrity (9–15%), Reduction of Risk Potential (9–15%), Basic Care and Comfort (7–13%), Physiological Adaptation (7–13%) and Health Promotion and Maintenance (6–12%).

When is the next LPN - Certified Practical Nurse registration deadline?

January 31, 2027 is the last day to register at the $200 fee; from February 1, 2027 it costs $350. There are no fixed test dates. You test year-round once your nursing board makes you eligible and Pearson emails your Authorization to Test, which averages 90 days.

What is the median LPN salary before travel stipends?

$64,400 per year, or $30.96 per hour, according to the U.S. Bureau of Labor Statistics for May 2025. Travel contracts add tax-free housing and meal stipends on top of a taxable hourly rate, which is why weekly travel packages run well above staff pay.
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