NCLEX Practice Test

This NCLEX practice test helps you prepare for the NCLEX-RN (National Council Licensure Examination for Registered Nurses) administered by the NCSBN. The Next Generation NCLEX introduced new item types that assess clinical judgment. Use these sample questions to practice nursing concepts and decision-making skills.

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Sample NCLEX questions

Try these practice questions to test your knowledge. Select an answer to see if you got it right.

NCLEX Sample Questions

Practice quiz

1. A nurse is assessing a client who reports chest pain. Which assessment finding requires immediate intervention?

2. Which action demonstrates proper use of standard precautions?

3. A client with diabetes has a blood glucose of 52 mg/dL and is conscious. What is the priority nursing action?

4. When delegating tasks to unlicensed assistive personnel (UAP), which task is appropriate?

5. A client is receiving IV potassium chloride. Which assessment is most important before administration?

6. Which client should the nurse see first?

7. A nurse is teaching a client about warfarin therapy. Which client statement indicates understanding?

8. Which intervention helps prevent pressure injuries in a bedridden client?

9. A client with depression tells the nurse, "I don't want to be a burden anymore." What is the nurse's priority response?

10. A client is prescribed furosemide. Which electrolyte imbalance should the nurse monitor for?

11. A nurse receives a phone order from a physician. Which action is appropriate?

12. Which finding in a newborn requires immediate notification of the healthcare provider?

0 of 12 answered

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Exam at a glance

The NCLEX-RN is the licensure exam required to practice as a registered nurse in the United States and Canada. Developed by the National Council of State Boards of Nursing (NCSBN), the exam uses computer adaptive testing (CAT) to assess nursing competency.

Detail	Information
Question range	85 to 150 questions
Time limit	5 hours maximum
Format	Computer adaptive testing (CAT) with Next Generation item types
Test plan	Based on Client Needs framework

Source: NCLEX · Last reviewed Oct 22, 2026

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NCLEX content areas

Safe and Effective Care Environment

Management of care, safety and infection control, coordinating care, and maintaining client safety.

Health Promotion and Maintenance

Prevention, early detection, and lifestyle choices that promote health across the lifespan.

Psychosocial Integrity

Mental health, coping mechanisms, therapeutic communication, and crisis intervention.

Physiological Integrity

Basic care, pharmacology, parenteral therapies, reduction of risk potential, and physiological adaptation.

Study tips for NCLEX

Learn the NCSBN Clinical Judgment Model

Next Generation NCLEX tests clinical judgment. Understand the six steps: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, evaluate outcomes.

Master prioritization

Use frameworks like ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy to prioritize client needs.

Practice new item types

NGN includes extended multiple-response, drag-and-drop, and case studies. Familiarize yourself with these formats.

Focus on safety

Safe care is essential. Know delegation rules, infection control, medication safety, and fall prevention.

Review pharmacology

Know drug classifications, common medications, adverse effects, and nursing interventions.

Clear answers

NCLEX FAQ

How many questions are on the NCLEX?+

The NCLEX-RN has a minimum of 85 questions and a maximum of 150 questions. The computer adaptive testing format adjusts based on your performance.

What is the Next Generation NCLEX?+

The Next Generation NCLEX (NGN) introduced new item types that measure clinical judgment. These include case studies with multiple questions and items requiring clinical decision-making.

How long do I have to complete the NCLEX?+

You have a maximum of 5 hours to complete the NCLEX-RN, including breaks. The exam may end earlier if the computer determines your competency level.

What score do I need to pass the NCLEX?+

The NCLEX uses a pass/fail system, not a numerical score. The computer determines when you have demonstrated competency above or below the passing standard.

Can I retake the NCLEX if I fail?+

Yes, you can retake the NCLEX after a waiting period (typically 45-90 days depending on your state board). Check with your state's requirements for specific retake policies.

What should I focus on when studying for the NCLEX?+

Focus on the Client Needs categories, clinical judgment, and prioritization. Safe and Effective Care Environment and Physiological Integrity make up the majority of the exam.

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