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NCLEX RN Practice Test

National Council Licensure Examination for Registered Nurses

Use the form below to configure your NCLEX RN Practice Test. The practice test can be configured to only include certain exam objectives and domains. You can choose between 5-100 questions and set a time limit.

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NCLEX RN Information

The NCLEX-RN is a test that nurses must pass to become a Registered Nurse (RN). It stands for the National Council Licensure Examination for Registered Nurses. The exam is designed to see if you have the knowledge and skills needed to care for patients safely and effectively.

The NCLEX-RN is not like the tests you may have taken in school. It doesn’t just ask you to remember facts. Instead, it checks how well you can apply what you know to real-life nursing situations.

Who Needs to Take the NCLEX-RN?

Anyone who wants to become a Registered Nurse in the United States or Canada must pass the NCLEX-RN. After finishing a nursing program, either at the associate or bachelor’s level, students take this exam to get their nursing license.

What is on the NCLEX-RN?

The NCLEX-RN covers many topics, all related to patient care. The test is divided into four main areas:

  1. Safe and Effective Care Environment

    • This includes how to keep patients safe, prevent infections, and manage care.
  2. Health Promotion and Maintenance

    • Questions focus on how to help patients stay healthy, like teaching about proper nutrition or prenatal care.
  3. Psychosocial Integrity

    • These questions check how you handle the emotional and mental health needs of patients.
  4. Physiological Integrity

    • This is the largest section and tests your knowledge of medical conditions, treatments, and how to help patients recover.

How is the NCLEX-RN Structured?

The test is computer-based and uses a method called Computer Adaptive Testing (CAT). This means the questions get harder or easier based on how well you’re doing.

  • The exam can have between 75 to 145 questions.
  • You have up to 5 hours to finish, including breaks.

The test ends when the system is sure you either passed or failed. It’s designed to find out your skill level as quickly as possible.

How Can You Prepare?

Preparing for the NCLEX-RN takes time and effort. Here are some tips to help you get ready:

  1. Understand the Test Plan

    • The test plan tells you what topics will be on the exam. Make sure you know the major areas.
  2. Practice Questions

    • Doing practice questions can help you understand how the test works. Look for questions that explain why the right answer is correct.
  3. Create a Study Schedule

    • Break your studying into small chunks. Focus on one topic at a time.
  4. Use Review Materials

    • Many books, online courses, and apps are made to help students study for the NCLEX-RN.
  5. Take Care of Yourself

    • Get enough sleep, eat healthy meals, and take breaks while studying. A clear mind helps you do better.

What Happens After the Test?

If you pass the NCLEX-RN, you’ll get your nursing license. This means you can work as a Registered Nurse. If you don’t pass, you can take the test again after 45 days. Many people pass on their second try with extra preparation.

Free NCLEX RN Practice Test

Press start when you are ready, or press Change to modify any settings for the practice test.

  • Questions: 15
  • Time: Unlimited
  • Included Topics:
    Safe and Effective Care Environment
    Health Promotion and Maintenance
    Psychosocial Integrity
    Physiological Integrity
Question 1 of 15

During the third trimester, lying on the back for an extended period can lead to reduced fetal oxygenation and maternal dizziness.

  • False

  • True

Question 2 of 15

Applying heat therapy is an appropriate non-pharmacological intervention for a client experiencing localized muscular pain.

  • False

  • True

Question 3 of 15

A nurse is preparing to discharge a client who recently underwent surgery. Which of the following actions should the nurse prioritize to ensure client safety during the discharge process?

  • Ensure that the client’s follow-up appointment is scheduled and communicated.

  • Confirm the client’s understanding of discharge instructions and provide additional resources.

  • Finalize the discharge documentation and sign it before releasing the client.

  • Verify that the client’s caregiver has arrived before completing the discharge process.

Question 4 of 15

A nurse is assessing a client recently diagnosed with a chronic illness. The client reports working long hours at multiple jobs and feels worried about managing their health while supporting their family. What is the nurse's priority intervention to address the client's concerns?

  • Encourage the client to reduce their work hours to focus more on their health.

  • Collaborate with a social worker to help the client find resources for managing occupational and health challenges.

  • Teach the client relaxation techniques to manage stress from their work and family responsibilities.

  • Provide coaching on lifestyle changes to help the client balance their family and work commitments.

Question 5 of 15

A nurse is caring for a client who becomes agitated and verbally aggressive in a group setting. Which intervention is most appropriate to use as part of a behavioral management strategy?

  • Redirect the client to a calmer and less stimulating environment.

  • Discipline the client to discourage further aggressive behavior.

  • Provide verbal education about appropriate behavior in the middle of their agitation.

  • Restrict the client from leaving the group setting until they stop being agitated.

Question 6 of 15

A nurse is teaching a 70-year-old client about dietary habits to maintain bone health. Which of the following reflects the most appropriate daily calcium intake recommendation?

  • 1,000 mg of calcium daily.

  • 800 mg of calcium daily.

  • 1,500 mg of calcium daily.

  • 1,200 mg of calcium daily.

Question 7 of 15

A nurse is preparing to assist a client with limited mobility from the bed to a wheelchair. What strategy should the nurse use to minimize their risk of injury during this task?

  • Keep the bed height low to prevent accidental falls during the transfer.

  • Manually lift the client, ensuring adequate upper body strength is used.

  • Use a transfer belt to assist with mobility.

  • Maintain a static position while rotating at the waist to move the client.

Question 8 of 15

A client who is recovering from abdominal surgery reports feeling discomfort and bloating. Upon further assessment, the nurse notes hypoactive bowel sounds and no bowel movement in the past three days. What is the nurse's most appropriate intervention to address this condition?

  • Offer an enema to reduce the feelings of bloating.

  • Manage oral fluid intake to avoid abdominal distension.

  • Encourage the client to increase ambulation.

  • Administer a laxative to relieve the discomfort.

Question 9 of 15

A nurse is preparing to administer digoxin to a client with a history of heart failure. Which of the following findings should prompt the nurse to withhold the medication and notify the healthcare provider?

  • Elevated liver enzyme levels

  • Serum potassium level of 2.9 mEq/L

  • Hemoglobin level of 11.8 g/dL

  • Heart rate of 82 bpm

Question 10 of 15

A nurse is reviewing an updated facility policy regarding the prevention of hospital-acquired infections (HAIs). What action should the nurse take to best integrate this resource into client care?

  • Seek clarification from the nurse manager regarding the updated policy before making changes.

  • Notify health care providers about the policy update without changing client care practices.

  • Continue following current practices until issues with client outcomes are identified.

  • Implement the updated policy while delivering client care to align with evidence-based practices.

Question 11 of 15

A nurse is providing discharge teaching to a client who is prescribed a new medication. What action should the nurse emphasize to ensure safe medication administration at home?

  • Read the medication label each time before taking it.

  • Store medications loosely in a visible location for easy access.

  • Use common household utensils to measure liquid medications.

  • Memorize the size and color of the medication.

Question 12 of 15

A client who sustained a recent injury expresses frustration and says, 'This is so unfair. I don't know how I'll ever get back to my normal life.' What is the most appropriate therapeutic response by the nurse?

  • You shouldn’t think negatively. Focus on staying positive, and everything will fall into place.

  • Most people recover from this quickly. Let’s talk about your treatment plan instead.

  • It sounds like you’re feeling overwhelmed. Can you tell me more about what’s worrying you?

  • You’ll be fine soon. Everyone has setbacks at some point in their life.

Question 13 of 15

A nurse is educating the parents of a 6-year-old child who recently started attending school. The parents express concerns about their child’s safety and health while at school. Which recommendation is the most appropriate for the nurse to provide?

  • Provide education about traffic safety when walking or riding a bicycle to and from school.

  • Emphasize the importance of packing nutrient-rich snacks and ensuring adequate hydration throughout the school day.

  • Discuss strategies for preventing bullying, such as informing a trusted adult about concerning situations.

  • Teach the child about consistent hand hygiene practices, such as washing hands before meals and after playing outdoors.

Question 14 of 15

A 6-year-old child is brought to the emergency department by their caregiver, who states the child fell from a playground structure. On examination, the child has bruises on their arms, abdomen, and back at different stages of healing. The caregiver becomes defensive and provides vague explanations when asked about the child’s injuries. What should the nurse do next?

  • Ask the child privately about how the injuries occurred.

  • Provide the caregiver with education on injury prevention strategies.

  • Document the findings and observe for further signs of abuse.

  • Report suspected abuse to the CPA according to facility policy.

Question 15 of 15

A nurse is caring for a client with a newly implanted pacing device. Which finding requires immediate notification to the healthcare provider?

  • An absence of a palpable pulse matching the pacemaker's programmed rate

  • Client complains of fatigue following pacemaker implantation

  • Mild redness at the pacemaker insertion site

  • Client reports minor discomfort in the chest area