NCLEX Practice Questions Test Bank for Free (2022 Update)
Welcome to our collection of low-cost NCLEX practice questions to help you achieve success on your NCLEX-RN exam! This updated guide for 2022 includes 1,000+ practice questions, a primer on the NCLEX-RN exam, frequently asked questions about the NCLEX, question types, the NCLEX-RN test plan, and test-taking tips and strategies.
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NCLEX-RN Practice Questions Test Bank
We have included more than 1,000+ NCLEX practice questions covering different nursing topics for this nursing test bank! We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each question to reinforce learning.
We recommend you do all practice questions before you take the actual exam. Doing so will help reduce your test anxiety and help identify nursing topics you need to review. To make the most of the practice exams, try to minimize mistakes to less than 15 questions and take your time answering the questions, especially when reading the rationales.
Included NCLEX-RN question sets for this nursing test bank are as follows:
- Comprehensive NCLEX-RN Practice Questions | Set 1 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 2 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 3 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 4 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 5 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 6 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 7 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 8 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 9 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 10 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 11 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 12 (75 Questions)
- More practice questions available at our Nursing Test Bank.
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FULL-TEXT Comprehensive NCLEX-RN Practice Quiz Test Bank (900 Questions)
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1. NCLEX-RN Practice Questions Set 1 (75 Questions)
NCLEX-RN Practice Questions Set 1 (75 Questions)
This is the first set of 75 questions for your NCLEX-RN practice
- Current
- Review
- Answered
- 1. QuestionWhile assessing a one-month-old infant, which of the findings warrants further investigation by the nurse? Select all that apply.
- A. Abdominal respirations
- B. Irregular breathing rate
- C. Inspiratory grunt
- D. Increased heart rate with crying
- E. Nasal flaring
- F. Cyanosis
- G. Asymmetric chest movement
- 2. QuestionA nurse is to administer meperidine hydrochloride (Demerol) 100 mg, atropine sulfate (Atropisol) 0.4 mg, and promethazine hydrochloride (Phenergan) 50 mg IM to a preoperative client. List the order in which the nurse must carry out the following actions prior to the administration of preoperative medications.
- Instruct the client to remain in bed
- Raise the side rails on the bed
- Place the call bell within reach
- Have the client empty bladder
- 3. QuestionA 32-year-old pregnant woman comes to the clinic for her prenatal visit. The nurse gathers data about her obstetric history, which includes 3-year-old twins at home and a miscarriage 10 years ago at 12 weeks gestation. How would the nurse accurately document this information? Fill in the blanks.
- Answer: Gravida para
- 4. QuestionWhich individual is at the greatest risk for developing hypertension?
- A. 45-year-old African-American attorney
- B. 60-year-old Asian-American shop owner
- C. 40-year-old Caucasian nurse
- D. 55-year-old Hispanic teacher
- 5. QuestionA 15-year-old female who ingested 15 tablets of maximum strength acetaminophen 45 minutes ago is rushed to the emergency department. Which of these orders should the nurse do first?
- A. Gastric lavage
- B. Administer acetylcysteine (Mucomyst) orally
- C. Start an IV Dextrose 5% with 0.33% normal saline to keep the vein open
- D. Have the patient drink activated charcoal mixed with water
- 6. QuestionWhich complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?
- A. Angina at rest
- B. Thrombus formation
- C. Dizziness
- D. Falling blood pressure
- 7. QuestionA client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is:
- A. Maintain fluid and electrolyte balance
- B. Control nausea
- C. Manage pain
- D. Prevent urinary tract infection
- 8. QuestionWhat would the nurse expect to see while assessing the growth of children during their school-age years?
- A. Decreasing amounts of body fat and muscle mass
- B. Little change in body appearance from year to year
- C. Progressive height increase of 4 inches each year
- D. Yearly weight gain of about 5.5 pounds per year
- 9. QuestionAt a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to:
- A. Go get a blood pressure check within the next 15 minutes
- B. Check blood pressure again in two (2) months
- C. See the healthcare provider immediately
- D. Visit the health care provider within one (1) week for a BP check
- 10. QuestionThe hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for a new admission?
- A. A middle-aged client with a history of being ventilator dependent for over seven (7) years and admitted with bacterial pneumonia five days ago.
- B. A young adult with diabetes mellitus Type 2 for over ten (10) years and admitted with antibiotic-induced diarrhea 24 hours ago.
- C. An elderly client with a history of hypertension, hypercholesterolemia, and lupus, and was admitted with Stevens-Johnson syndrome that morning.
- D. An adolescent with a positive HIV test and admitted for acute cellulitis of the lower leg 48 hours ago.
- 11. QuestionA 25-year-old male client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:
- A. Should be taken in the morning
- B. May decrease the client’s energy level
- C. Must be stored in a dark container
- D. Will decrease the client’s heart rate
- 12. QuestionA 3-year-old child was brought to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling, and suprasternal retractions. What should the nurse do first?
- A. Prepare the child for X-ray of upper airways
- B. Examine the child’s throat
- C. Collect a sputum specimen
- D. Notify the healthcare provider of the child’s status
- 13. QuestionIn children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school-age child for evaluation?
- A. Polyphagia
- B. Dehydration
- C. Bedwetting
- D. Weight loss
- 14. QuestionA client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition most frequently follows which type of infection?
- A. Trichomoniasis
- B. Chlamydia
- C. Staphylococcus
- D. Streptococcus
- 15. QuestionA registered nurse who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN?
- A. A middle-aged client who says “I took too many diet pills” and “my heart feels like it is racing out of my chest.”
- B. A young adult who says “I hear songs from heaven. I need money for beer. I quit drinking two (2) days ago for my family. Why are my arms and legs jerking?”
- C. An adolescent who has been on pain medications terminal cancer with an initial assessment finding pupils and a relaxed respiratory rate of 11,
- D. An elderly client who reports having taken a “large crack hit” 10 minutes prior to walking into the emergency room.
- 16. QuestionWhen teaching a client with coronary artery disease about nutrition, the nurse should emphasize:
- A. Eating three (3) balanced meals a day
- B. Adding complex carbohydrates
- C. Avoiding very heavy meals
- D. Limiting sodium to 7 gms per day
- 17. QuestionWhich of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus PRN for pain breakthrough for morphine drip is not working?
- A. The client complains of discomfort at the IV insertion site
- B. The client states “I just can’t get relief from my pain.”
- C. The level of the drug is 100 ml at 8 AM and is 80 ml at noon
- D. The level of the drug is 100 ml at 8 AM and is 50 ml at noon
- 18. QuestionThe nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse’s response?
- A. Electrical energy fields
- B. Spinal column manipulation
- C. Mind-body balance
- D. Exercise of joints
- 19. QuestionThe nurse is performing a neurological assessment on a client post right cerebrovascular accident. Which finding, if observed by the nurse, would warrant immediate attention?
- A. Decrease in the level of consciousness
- B. Loss of bladder control
- C. Altered sensation to stimuli
- D. Emotional lability
- 20. QuestionA child who has recently been diagnosed with cystic fibrosis is in a pediatric clinic where a nurse is performing an assessment. Which later finding of this disease would the nurse not expect to see at this time?
- A. Positive sweat test
- B. Bulky greasy stools
- C. Moist, productive cough
- D. Meconium ileus
- 21. QuestionThe home health nurse visits a male client to provide wound care and finds the client lethargic and confused. His wife states he fell down the stairs two (2) hours ago. The nurse should
- A. Place a call to the client’s health care provider for instructions
- B. Send him to the emergency room for evaluation
- C. Reassure the client’s wife that the symptoms are transient
- D. Instruct the client’s wife to call the doctor if his symptoms become worse
- 22. QuestionWhich of the following should the nurse implement to prepare a client for a KUB (Kidney, Ureter, Bladder) radiography test?
- A. Client must be NPO before the examination
- B. Enema to be administered prior to the examination
- C. Medicate client with furosemide 20 mg IV 30 minutes prior to the examination
- D. No special orders are necessary for this examination
- 23. QuestionThe nurse is giving discharge teaching to a client seven (7) days post-myocardial infarction. He asks the nurse why he must wait six (6) weeks before having sexual intercourse. What is the best response by the nurse to this question?
- A. “You need to regain your strength before attempting such exertion.”
- B. “When you can climb 2 flights of stairs without problems, it is generally safe.”
- C. “Have a glass of wine to relax you, then you can try to have sex.”
- 24. QuestionA triage nurse has these four (4) clients arrive in the emergency department within 15 minutes. Which client should the triage nurse send back to be seen first?
- A. A 2-month-old infant with a history of rolling off the bed and has bulging fontanelle with crying
- B. A teenager who got a singed beard while camping
- C. An elderly client with complaints of frequent liquid brown colored stools
- D. A middle-aged client with intermittent pain behind the right scapula
- 25. QuestionWhile planning care for a toddler, the nurse teaches the parents about the expected developmental changes for this age. Which statement by the mother shows that she understands the child’s developmental needs?
- A. “I want to protect my child from any falls.”
- B. “I will set limits on exploring the house.”
- C. “I understand the need to use those new skills.”
- D. “I intend to keep control over our child.”
- 26. QuestionThe nurse is preparing to administer an enteral feeding to a client via a nasogastric feeding tube. The most important action of the nurse is:
- A. Verify correct placement of the tube
- B. Check that the feeding solution matches the dietary order
- C. Aspirate abdominal contents to determine the amount of last feeding remaining in stomach
- D. Ensure that feeding solution is at room temperature
- 27. QuestionThe nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?
- A. Narrowed QRS complex
- B. Shortened “PR” interval
- C. Tall peaked “T” waves
- D. Prominent “U” waves
- 28. QuestionA nurse prepares to care for a 4-year-old newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more attention to the function of which area of the body?
- A. All striated muscles
- B. The cerebellum
- C. The kidneys
- D. The leg bones
- 29. QuestionThe nurse anticipates that for a family who practices Chinese medicine the priority goal would be to:
- A. Achieve harmony
- B. Maintain a balance of energy
- C. Respect life
- D. Restore yin and yang
- 30. QuestionDuring an assessment of a client with cardiomyopathy, the nurse finds that the systolic blood pressure has decreased from 145 to 110 mm Hg and the heart rate has risen from 72 to 96 beats per minute and the client complains of periodic dizzy spells. The nurse instructs the client to:
- A. Increase fluids that are high in protein
- B. Restrict fluids
- C. Force fluids and reassess blood pressure
- D. Limit fluids to non-caffeine beverages
- 31. QuestionThe nurse prepares the client for the insertion of a pulmonary artery catheter (Swan-Ganz catheter). The nurse teaches the client that the catheter will be inserted to provide information about:
- A. Stroke volume
- B. Cardiac output
- C. Venous pressure
- D. Left ventricular functioning
- 32. QuestionA nurse enters a client’s room to discover that the client has no pulse or respirations. After calling for help, the first action the nurse should take is:
- A. Start a peripheral IV
- B. Initiate high-quality chest compressions
- C. Establish an airway
- D. Obtain the crash cart
- 33. QuestionA client is receiving digoxin (Lanoxin) 0.25 mg daily. The health care provider has written a new order to give metoprolol (Lopressor) 25 mg B.I.D. In assessing the client prior to administering the medications, which of the following should the nurse report immediately to the health care provider?
- A. Blood pressure 94/60 mm Hg
- B. Heart rate 76 bpm
- C. Urine output 50 ml/hour
- D. Respiratory rate 16 bpm
- 34. QuestionThe nurse practicing in a maternity setting recognizes that the postmature fetus is at risk due to:
- A. Excessive fetal weight
- B. Low blood sugar levels
- C. Depletion of subcutaneous fat
- D. Progressive placental insufficiency
- 35. QuestionThe nurse is caring for a client who had a total hip replacement seven (7) days ago. Which statement by the client requires the nurse’s immediate attention?
- A. I have bad muscle spasms in my lower leg of the affected extremity.
- B. “I just can’t ‘catch my breath’ over the past few minutes and I think I am in grave danger.”
- C. “I have to use the bedpan to pass my water at least every 1 to 2 hours.”
- D. “It seems that the pain medication is not working as well today.”
- 36. QuestionA 33-year-old male client with heart failure has been taking furosemide for the past week. Which of the following assessment cues below may indicate the client is experiencing a negative side effect from the medication?
- A. Weight gain of 5 pounds
- B. Edema of the ankles
- C. Gastric irritability
- D. Decreased appetite
- 37. QuestionThe nurse is caring for a 27-year-old female client with venous stasis ulcer. Which nursing intervention would be most effective in promoting healing?
- A. Apply dressing using sterile technique
- B. Improve the client’s nutrition status
- C. Initiate limb compression therapy
- D. Begin proteolytic debridement
- 38. QuestionWhich of these statements best describes the characteristics of an effective reward-feedback system?
- A. Specific feedback is given as close to the event as possible
- B. Staff is given feedback in equal amounts over time
- C. Positive statements are to precede a negative statement
- D. Performance goals should be higher than what is attainable
- 39. QuestionThe nurse is providing information to a client with multiple sclerosis on performing exercises and physical activities. The nurse determines the client needs additional teaching if the client makes which statements? Select all that apply.
- A. “I can lift weights and do resistance training.”
- B. “I should exercise to the point of exhaustion.”
- C. “I can include aerobic exercises in my routine.”
- D. “Proper stretching should be done before starting my routine.”
- E. “I should exercise continuously without rest.”
- 40. QuestionDuring the evaluation of the quality of home care for a client with Alzheimer’s disease, the priority for the nurse is to reinforce which statement by a family member?
- A. “At least two (2) full meals a day are eaten.”
- B. “We go to a group discussion every week at our community center.”
- C. “We have safety bars installed in the bathroom and have 24-hour alarms on the doors.”
- D. “The medication is not a problem to have it taken three (3) times a day.”
- 41. QuestionA nurse is reviewing a patient’s medication during shift change. Which of the following medications would be contraindicated if the patient were pregnant? Select all that apply.
- A. Warfarin (Coumadin)
- B. Finasteride (Propecia, Proscar)
- C. Celecoxib (Celebrex)
- D. Clonidine (Catapres)
- E. Transdermal nicotine (Habitrol)
- F. Clofazimine(Lamprene)
- 42. QuestionA nurse is reviewing a patient’s past medical history (PMH). The history indicates the patient has photosensitive reactions to medications. Which of the following drugs is associated with photosensitive reactions? Select all that apply.
- A. Ciprofloxacin (Cipro)
- B. Sulfonamide
- C. Norfloxacin (Noroxin)
- D. Sulfamethoxazole and Trimethoprim (Bactrim)
- E. Isotretinoin (Accutane)
- F. Nitro-Dur patch
- 43. QuestionA patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following of the patient’s medication does not cause urine discoloration?
- A. Sulfasalazine
- B. Levodopa
- C. Phenolphthalein
- D. Aspirin
- 44. QuestionYou are responsible for reviewing the nursing unit’s refrigerator. Which of the following drugs, if found inside the fridge, should be removed?
- A. Nadolol (Corgard)
- B. Opened (in-use) Humulin N injection
- C. Urokinase (Kinlytic)
- D. Epoetin alfa IV (Epogen)
- 45. QuestionA 34-year-old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?
- A. IgA
- B. IgD
- C. IgE
- D. IgG
- 46. QuestionA second-year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most significant action that the nursing student should take?
- A. Immediately see a social worker
- B. Start prophylactic AZT treatment
- C. Start prophylactic Pentamidine treatment
- D. Seek counseling
- 47. QuestionA thirty-five-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?
- A. Atherosclerosis
- B. Diabetic nephropathy
- C. Autonomic neuropathy
- D. Somatic neuropathy
- 48. QuestionYou are taking the history of a 14-year-old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?
- A. Multiple sclerosis
- B. Anorexia nervosa
- C. Bulimia nervosa
- D. Systemic sclerosis
- 49. QuestionA 24-year-old female is admitted to the ER due to confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Based on the presenting signs and symptoms, which of the following would you most likely suspect?
- A. Diverticulosis
- B. Hypercalcemia
- C. Hypocalcemia
- D. Irritable bowel syndrome
- 50. QuestionRhogam is most often used to treat____ mothers that have a ____ infant.
- A. RH positive, RH positive
- B. RH positive, RH negative
- C. RH negative, RH positive
- D. RH negative, RH negative
- 51. QuestionA new mother has some questions about phenylketonuria (PKU). Which of the following statements made by a nurse is not correct regarding PKU?
- A. A Guthrie test can check the necessary lab values
- B. The urine has a high concentration of phenyl pyruvic acid
- C. Mental deficits are often present with PKU
- D. The effects of PKU are reversible
- 52. QuestionA patient has taken an overdose of aspirin. Which of the following should a nurse must closely monitor for during acute management of this patient?
- A. Onset of pulmonary edema
- B. Metabolic alkalosis
- C. Respiratory alkalosis
- D. Parkinson’s disease type symptoms
- 53. QuestionA 50-year-old blind and deaf patient has been admitted to your floor. As the charge nurse, your primary responsibility for this patient is?
- A. Let others know about the patient’s deficits.
- B. Communicate with your supervisor your patient safety concerns.
- C. Continuously update the patient on the social environment.
- D. Provide a secure environment for the patient.
- 54. QuestionA patient is getting discharged from a skilled nursing facility (SNF). The patient has a history of severe COPD and PVD. The patient is primarily concerned about his ability to breathe easily. Which of the following would be the best instruction for this patient?
- A. Deep breathing techniques to increase oxygen levels.
- B. Cough regularly and deeply to clear airway passages.
- C. Cough following bronchodilator utilization.
- D. Decrease CO2 levels by increased oxygen take output during meals.
- 55. QuestionA nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?
- A. Slow pulse rate
- B. Weight gain
- C. Decreased systolic pressure
- D. Irregular WBC lab values
- 56. QuestionA mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?
- A. Simian crease
- B. Brachycephaly
- C. Oily skin
- D. Hypotonicity
- 57. QuestionA client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following?
- A. Observe for neurological changes
- B. Monitor for any signs of renal failure
- C. Check the food diary
- D. Observe for signs of bleeding
- 58. QuestionA patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?”
- A. Green vegetables and liver
- B. Yellow vegetables and red meat
- C. Carrots
- D. Milk
- 59. QuestionA nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans?
- A. S. pneumoniae
- B. H. influenzae
- C. N. meningitidis
- D. Cl. difficile
- 60. QuestionA nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long do red blood cells live in my body? The correct response is:
- A. The life span of RBC is 45 days
- B. The life span of RBC is 60 days
- C. The life span of RBC is 90 days
- D. The life span of RBC is 120 days
- 61. QuestionA 65-year-old man has been admitted to the hospital for spinal stenosis surgery. When should the discharge training and planning begin for this patient?
- A. Following surgery
- B. Upon admission
- C. Within 48 hours of discharge
- D. Preoperative discussion
- 62. QuestionA 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson’s psychosocial development stages, the child is in which stage?
- A. Trust vs. mistrust
- B. Initiative vs. guilt
- C. Autonomy vs. shame and doubt
- D. Intimacy vs. isolation
- 63. QuestionA toddler is 26 months old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the toddler in?
- A. Trust vs. mistrust
- B. Initiative vs. guilt
- C. Autonomy vs. shame and doubt
- D. Intimacy vs. isolation
- 64. QuestionA young adult is 20 years old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the adult in?
- A. Trust vs. mistrust
- B. Initiative vs. guilt
- C. Autonomy vs. shame
- D. Intimacy vs. isolation
- 65. QuestionA nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?
- A. 11-year-old male: 90 BPM, 22 RPM, 100/70 mmHg
- B. 13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg
- C. 5-year-old male: 102 BPM, 24 RPM, 90/65 mmHg
- D. 6-year-old female: 100 BPM, 26 RPM, 90/70 mmHg
- 66. QuestionWhen you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?
- A. Amitriptyline (Elavil)
- B. Calcitonin
- C. Pergolide mesylate (Permax)
- D. Verapamil (Calan)
- 67. QuestionWhich of the following conditions would a nurse not administer erythromycin?
- A. Campylobacteriosis infection
- B. Legionnaires disease
- C. Pneumonia
- D. Multiple Sclerosis
- 68. QuestionA patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?
- A. Decreased HR
- B. Paresthesias
- C. Muscle weakness of the extremities
- D. Migraines
- 69. QuestionA patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute?
- A. Vomiting
- B. Extreme Thirst
- C. Weight gain
- D. Acetone breath smell
- 70. QuestionA patient’s chart indicates a history of meningitis. Which of the following would you expect to see with this patient if this condition were acute?
- A. Increased appetite
- B. Vomiting
- C. Fever
- D. Poor tolerance of light
- 71. QuestionA nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition?
- A. Yersinia pestis
- B. Helicobacter pylori
- C. Vibrio cholerae
- D. Haemophilus aegyptius
- 72. QuestionA nurse is reviewing a patient’s chart and notices that the patient suffers from Lyme disease. Which of the following microorganisms is related to this condition?
- A. Borrelia burgdorferi
- B. Streptococcus pyogenes
- C. Bacillus anthracis
- D. Enterococcus faecalis
- 73. QuestionA fragile 87-year-old female has recently been admitted to the hospital with increased confusion and falls over the last two (2) weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed?
- A. CBC (Complete blood count)
- B. ECG (electrocardiogram)
- C. Thyroid function tests
- D. CT scan
- 74. QuestionAn 85-year-old male has been losing mobility and gaining weight over the last two (2) months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed?
- A. CBC (complete blood count)
- B. ECG (electrocardiogram)
- C. Thyroid function tests
- D. CT scan
- 75. QuestionA 20-year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first?
- A. Blood sugar check
- B. CT scan
- C. Blood cultures
- D. Arterial blood gases
1. NCLEX-RN Practice Questions Set 1 (75 Questions)
NextNCLEX-RN Practice Questions Set 2 (75 Questions)
What is NCLEX?
NCLEX stands for National Council Licensing Examination. It is a test to determine if the candidate possesses the minimum level of knowledge necessary to perform safe and effective entry-level nursing care. The NCLEX-RN (for registered nurses) and the NCLEX-PN (for practical/vocational nurses) are examinations prepared by the National Council of State Boards of Nursing (NCSBN), whose mandate is to protect the public from unsafe nursing care. The NCSBN members include nursing regulatory bodies in the 50 states of the US, the District of Columbia, and four US territories.
How to Register for the NCLEX?
So you’ve finally decided to take the NCLEX, the next step is registration or application for the exam. The following are the steps on how to register for the NCLEX, including some tips:
- Application to the Nursing Regulatory Board (NRB).The initial step in the registration process is to submit your application to the state board of nursing in the state in which you intend to obtain licensure. Inquire with your board of nursing regarding the specific registration process as requirements may vary from state to state.
- Registration with Pearson VUE.Once you have received the confirmation from the board of nursing that you have met all of their state requirements, proceed, register, and pay the fee to take the NCLEX with Pearson VUE. Follow the registration instructions and complete the forms precisely and accurately.
- Authorization to Test.If you were made eligible by the licensure board, you will receive an Authorization to Test (ATT) form from Pearson VUE. You must test within the validity dates (an average of 90 days) on the ATT. There are no extensions or you’ll have to register and pay the fee again. Your ATT contains critical information like your test authorization number, validity date, and candidate identification number.
- Schedule your Exam Appointment.The next step is to schedule a testing date, time, and location at Pearson VUE. The NCLEX will take place at a testing center, you can make an exam appointment online or by telephone. You will receive a confirmation via email of your appointment with the date and time you choose including the directions to the testing center.
*Changing Your Exam Appointment. You can change your appointment to test via Pearson VUE or by calling the candidate services. Rules for scheduling, rescheduling, and unscheduling are explained further here. Failing to arrive for the examination or failure to cancel your appointment to test without providing notice will forfeit your examination fee and you’ll have to register and pay again. - On Exam Day.Arrive at the testing center on your exam appointment date at least 30 minutes before the schedule. You must have your ATT and acceptable identification (driver’s license, passport, etc) that is valid, not expired, and contains your photo and signature.
- Processing Results.You will receive your official results from the board of nursing after six weeks.
Computer Adaptive Test (CAT)
Like most standardized tests today, the NCLEX is administered by a computer. The NCLEX uses a computer adaptive test (CAT), which reacts to your answers to determine your competence level. The selection of questions is based on the NCLEX-RN test plan and by the level of item difficulty.
Every time you answer a question, the computer reevaluates your ability based on all the previous answers and the difficulty of those test items. Your first question is relatively easy; if you selected a correct answer, the computer supplies you with a more difficult question from its question bank. If you have selected an incorrect answer, the computer gives you an easier question. This process continues throughout the examination until the test plan requirements are met, and the computer can determine your level of competence. ADVERTISEMENTS
Additionally, there is no option to skip a question, you must answer it, or the test will not move on. You cannot go back and review previous questions and change answers.
NCLEX-RN Test Plan
The NCLEX test plan is a content guideline to determine the distribution of test questions. NCSBN uses the “Client Needs” categories to ensure that the NCLEX covers a full spectrum of nursing activities. It is a summary of the content and scope of the NCLEX to serve as a guide for candidates preparing for the exam and to direct item writers in the development of items.
The content of the NCLEX-RN is organized into four major Client Needs categories: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity. Some of these categories are divided further into subcategories.
Below is the NCLEX-RN test plan effective as of April 2019 to March 2022:
| Safe and Effective Care Environment | |
| Management of Care | 17-23% |
| Safety and Infection Control | 9-15% |
| Health Promotion and Maintenance | 6-12% |
| Psychosocial Integrity | 6-12% |
| Physiological Integrity | |
| Basic Care and Comfort | 6-12% |
| Pharmacological and Parenteral Therapies | 12-18% |
| Reduction of Risk Potential | 9-15% |
| Physiological Adaptation | 11-17% |
Safe and Effective Care Environment
There are two subcategories under Safe and Effective Care Environment.
- Management of Care (17-23%) category includes content that tests the nurse’s knowledge and ability to direct nursing care that enhances the care delivery setting in order to protect clients, significant others, and health care personnel.
- Safety and Infection Control (9-15%) category includes content that tests the nurse’s ability required to protect clients, families, and health care personnel from health and environmental hazards.
Health Promotion and Maintenance
Health Promotion and Maintenance (6-12%) category includes content that tests the nurse’s ability to provide and direct nursing care of the client that incorporates knowledge of expected growth and development, preventing and early detection of health problems, and strategies to achieve optimal health.
Psychosocial Integrity
The Psychosocial Integrity category (6-12%) is content related to the promotion and support for the emotional, mental, and social well-being of the client experiencing stressful events and clients with acute or chronic mental illness.
Physiological Integrity
In the Physiological Integrity category are items that test the nurse’s ability to promote physical health and wellness by providing care and comfort, reducing risk potential, and managing health alterations. There are four subcategories under Physiological Integrity.
- Basic Care and Comfort (6-12%) are content to test the nurse’s ability to provide comfort and assistance to the client in the performance of activities of daily living.
- Pharmacological and Parenteral Therapies (12-18%) category includes content to test the nurse’s ability to administer medications and parenteral therapies (IV therapy, blood administration, and blood products).
- Reduction of Risk Potential (9-15%) category includes content to tests the nurse’s ability to prevent complications or health problems related to the client’s condition or prescribed treatments or procedures.
- Physiological Adaptation (11-17%) category includes questions that test the nurse’s ability to provide care to clients with acute, chronic, or life-threatening conditions.
Item Writers for NCLEX
Who writes questions for the NCLEX? The NCSBN sets the criteria and selection process for item writers who are registered nurses. Many of them are nursing educators who hold an advanced degree in nursing, so if you’ve completed an accredited nursing program, you have already taken several tests written by nurses with backgrounds similar to those who write for the NCLEX.
Testing Time
The maximum testing time for the NCLEX-RN is six (6) hours, and there is no time limit for each NCLEX question. The exam time includes all the tutorials and all the breaks. The first break is offered after two (2) hours, and the second break is offered after 3.5 hours of testing. All breaks are optional, and most test-takers may not need the full-time allotment to complete the examination.ADVERTISEMENTS
How to Pass the NCLEX?
The NCSBN indicates that these three rules govern pass-or-fail decisions: 95% Confidence Interval Rule, Maximum-Length Exam Rule, and Run-Out-Of-Time Rule.
95% Confidence Interval Rule
In this scenario, the computer stops administering test questions when it is 95% certain that your ability is clearly above the passing standard or clearly below the passing standard.
Maximum-Length Exam
When your ability is close to the passing standard, the computer continues to give you items until the maximum number of items is reached. At this point, the computer disregards the 95% confidence rule and decides whether you pass or fail by your final ability estimate. If your final ability estimate is above the passing standard, you pass; if it is below, you fail.
Run-Out-Of-Time (R.O.O.T.) Rule
When you run out of time before reaching the maximum amount of items, the computer has not been able to decide whether you passed or failed with 95% certainty and has to use an alternate rule. You fail if you have not answered the minimum number of required questions. If you have at least answered the minimum amount of items, the computer reviews your last 60 questions. If your ability estimate was consistently above the passing standard on the last 60 questions, you pass. If your ability dropped below the passing standard, even once, during your last 60 questions, you fail.
How many question are on the NCLEX?
For the NCLEX-RN, the minimum number of questions you need to answer is 75, while the maximum number in the test is 265. Regardless of the number of questions you answer, you are given 15 experimental questions (pretest questions). Pretest questions are indistinguishable from other questions on the test, not indicated as such, are being tested for future examination, and not counted against your score.
Question Types in the NCLEX-RN
Although most NCLEX items are multiple-choice, there are other formats as well. You may be administered multiple-choice items and questions written in alternate formats. These formats may include: multiple-response or select all that apply, fill-in-the-blank calculation, ordered response, hotspot, figure, chart or exhibit, graphic, audio, and video.
Multiple-Choice Questions
Many questions on the NCLEX are in multiple-choice format. This traditional text-based question will provide you data about the client’s situation, and you can only select one correct answer from the given four options. Multiple-choice questions may vary and include: audio clips, graphics, exhibits, or charts.
Chart or Exhibit Questions
A chart or exhibit is presented along with a problem. You’ll be provided with three tabs or buttons that you need to click to obtain the information needed to answer the question. Select the correct choice among four multiple-choice answer options.
Graphic Option
In this format, four multiple-choice answer options are pictures rather than text. Each option is preceded by a circle that you need to click to represent your answer.
Audio
In an audio question format, you’ll be required to listen to a sound to answer the question. You’ll need to use the headset provided and click on the sound icon for it to play. You’ll be able to listen to the sound as many times as necessary. Choose the correct choice from among four multiple-choice answer options.
Video
For the video question format, you must view an animation or a video clip to answer the following question. Select the correct choice among four multiple-choice answer options.
Select All That Apply or Multiple-Response
Multiple-response or select all that apply (SATA) alternate format question requires you to choose all correct answer options that relate to the information asked by the question. There are usually more than four possible answer options. No partial credit is given in scoring these items (i.e., selecting only 3 out of the 5 correct choices), so you must select all correct answers for the item to be counted as correct.
Tips when answering Select All That Apply Questions
- You’ll know it’s a multiple-response or SATA question because you’ll explicitly be instructed to “Select all that apply.”
- Treat each answer choice as a True or False by rewording the question and proceed to answer each option by responding with a “yes” or “no”. Go down the list of answer options one by one and ask yourself if it’s a correct answer.
- Consider each choice as a possible answer separate to other choices. Never group or assume they are linked together.
Fill-in-the-Blank
The fill-in-the-blank question format is usually used for medication calculation, IV flow rate calculation, or determining the intake-output of a client. You’ll be asked to perform a calculation in this question format and type in your answer in the blank space provided.
- Always follow the specific directions as noted on the screen.
- There will be an on-screen calculator on the computer for you to use.
- Do not put any words, units of measurements, commas, or spaces with your answer, type only the number. Only the number goes into the box.
- Rounding an answer should be done at the end of the calculation or as what the question specified, and if necessary, type in the decimal point.
Ordered-Response
In an ordered-response question format, you’ll be asked to use the computer mouse to drag and drop your nursing actions in order or priority. Based on the information presented, determine what you’ll do first, second, third, and so forth. Directions are provided with the question.
Tips when answering Ordered-Response questions
- Questions are usually about nursing procedures. Imagine yourself performing the procedure to help you answer these questions.
- You’ll have to place the options in correct order by clicking an option and dragging it on the box on the right. You can rearrange them before you hit submit for your final answer.
Hotspot
A picture or graphic will be presented along with a question. This could contain a chart, a table, or an illustration where you’ll be asked to point or click on a specific area. Figures may also appear along with a multiple-choice question. Be as precise as possible when marking the location.
Tips when answering Hotspot questions
- Mostly used to evaluate your knowledge of anatomy, physiology, and pathophysiology.
- Locate anatomical landmarks to help you select the location needed by the item.
Want to test-drive the NCLEX? We highly recommend you complete the online tutorial by the NCSBN to help you familiarize yourself with the different question types for the NCLEX.
Want more practice questions?
84 thoughts on “NCLEX Practice Questions Test Bank for Free (2022 Update)”
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