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NextGen NCLEX Test Bank

The purpose of this project was to develop a repository of nextgen nclex questions that can be accessed by all faculty and students in maryland..

The questions can be used by faculty to prepare students to understand the new format of Next Generation (NextGen) test items that are like those that will be used by the National Council of State Boards of Nursing (NCSBN) licensing exam beginning in April 2023 to test students’ ability to make clinical judgments.

Disclaimer: The items in the test bank are accessible to all through this nonsecure website. The test questions are not recommended to be used for summative assessments.

The test bank is composed of case studies with six questions each that follow the NCSBN Clinical Judgment Measurement Model steps:

  • recognize cues
  • analyze cues
  • prioritize hypotheses
  • generate solutions
  • take action
  • evaluate outcomes.

In addition, seven questions for reviewing bow-tie or trend items are included. All case studies were subjected to rigorous review both by the project team and subject matter experts.

The names of the case studies are provided with hyperlinks to all items.

  • Using the Maryland NextGen Test Bank
  • Student Instructions for Using the Test Bank

NCLEX Next Gen Test Bank

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Next Generation NCLEX

The NCLEX exam, short for National Council Licensure Examination , is the licensing exam that nurse graduates must pass in order to legally practice nursing in the United States, Canada, and Australia.

Practical (or vocational) nurse graduates must pass the NCLEX-PN exam, and registered nurse graduates must pass the NCLEX-RN exam.

If you’re a nursing student who expects to graduate in the spring of 2023 or later, there are huge changes taking place with the NCLEX exam that you’ll want to know about.

Next Generation NCLEX (NGN)

The National Council of State Boards of Nursing (NCSBN) plans to release a new format of NCLEX called the Next Generation NCLEX , or NGN for short.

When Will The Next Generation NCLEX Go Into Effect?

The NCSBN plans to release the new Next Generation NCLEX format on April 1, 2023. So, unless the release date changes, those of you graduating in spring 2023 or later will likely get the new format.

What is the Next Generation NCLEX? What’s Changing?

All exam details are subject to change before the actual release date. However, one of the big changes that you’ll find on the Next Generation NCLEX is a shift toward case studies (also called scenarios) to help assess the critical thinking ability of test takers.

What’s a case study? It’s a created scenario that could happen in the real world of nursing that assesses the test taker’s ability to handle a particular nursing situation. The test taker is given information about a patient, their diagnosis, current assessment findings, medications, lab results, and a presenting problem.

Based on this information, the testing candidate will be asked several questions on how the nurse would response or deal with the situation. This type of question requires much more critical thinking and nursing knowledge, and it assess whether the person will be able to deliver good, quality patient care.

There will be approximately three case studies with 6 questions each, for a total of 18 items [3], in addition to other types of questions.

There will also be five new item types on the Next Generation NCLEX, including the following:

Extended Multiple Response – Although multiple response items such as SATA questions are on the current NCLEX, “Extended Multiple Response” will expand on the number of options for each question.

Extended Multiple Response, Next Generation NCLEX, NCLEX exam, NCLEX changes, NCLEX questions

Extended Drag and Drop – These question types require you to drag a response into one of the blank answer spaces, and test takers will now have to determine whether they should use some or all of the options available.

Enhanced Drag and Drop, Next Generation NCLEX, NCLEX exam, NCLEX questions

Cloze (Drop-Down) – these are the drop-down options that allow you to select a correct response, and there can now be multiple drop-down boxes in a Cloze question type.

Next Generation NCLEX, Close Drop-Down Question, NCLEX Question, Next Generation NCLEX questions

Enhanced Hot Spot – this enhanced item type allows you to select (or highlight) the relevant words or phrases from a sample medical record that correspond to the question.

Enhanced Hot Spot, Next Generation NCLEX, Highlighting NCLEX Question, NCLEX Changes

Matrix / Grid – this item type features rows and columns with options that the candidate must select.

Matrix, Grid, Next Generation NCLEX, NCLEX changes, NCLEX sample questions

Next Generation NCLEX Scoring Changes

If any of that NCLEX news makes you nervous, I have some good news: the Next Generation NCLEX is also changing their scoring model to a polytomous scoring model, which means that you can now get partial credit on some questions with multiple inputs. This is different from the regular NCLEX model, which marked questions as “full credit” or “no credit” only.

And yes, this does include those dreaded “select all that apply” (SATA) questions!

The Next Generation NCLEX will use three different scoring models, depending on the question type [2]:

0/1 scoring means you earn a point for each correct option selected, and zero points when you select an incorrect option. The points are then added together for a total question score. This scoring type is used on questions such as multiple choice, matrix multiple choice, multiple response where you select a specified number of answers (select N), drop-down cloze, drop-down table, and bowtie questions.

Next Generation NCLEX, Next Generation NCLEX changes, NCLEX 0 1 scoring

+/- scoring means that you can earn a point when you select a correct option, but lose a point when you select an incorrect option. This method is used with select all that apply multiple response questions, matrix multiple response, and MR grouping questions.

Next Generation NCLEX, plus minus scoring, NCLEX scoring changes

Rationale scoring means that you only earn points when you select a response that reflects a proper understanding of the rationale of the question. In this format, you will select the paired options that logically follow (Example: A leads to B). Both options must be selected correctly to earn a point.

Rationale scoring, nclex next generation, nclex exam, scoring changes,ngn

How Many Questions are on the Next Generation NCLEX?

Each candidate will receive a minimum of 85 and a maximum of 150 questions on the exam. However, 15 of those questions are pretest questions that are not scored, so test takers can expect between 70-135 questions that are actually scored on the Next Generation NCLEX exam [3].

The exact number of questions a test taker will receive varies because the NCLEX uses Computerized Adaptive Testing (CAT), which continues to provide questions of different difficulty levels based on the test taker’s previous responses.

The test taker will continue to receive questions until the computer can determine with 95% confidence that the individual either passed or failed the exam. The exam will also stop once time is up or the person reaches the maximum number of questions (135).

How Long Do I Have to Complete the Next Generation NCLEX Exam?

You will have 5 hours to complete the Next Generation NCLEX exam.

Can You Use a Calculator on NCLEX?

NCLEX currently allows you to use a provided calculator on the test screen, and this will likely continue for the Next Generation NCLEX.

Don’t Be Intimidated by the Next Generation NCLEX (NGN)

I know that some of you are stressed out about this new NCLEX format, but I don’t think you should worry about it at all.

Unlike the meme below, the NCSBN is not some evil organization with an agenda to torture nursing students with the fear of forever failing NCLEX. Instead, these individuals are professionals who want to ensure that you’re equipped with the proper knowledge so that you can offer great care and succeed in practice.

nclex meme, nursing meme, nursing school meme, nursing student meme, next generation nclex, memes

They have a very strict process whereby nursing instructors actually develop questions. Then those questions are peer-reviewed by actual nurses in practice, and they even pretest questions and gather statistics to ensure that the exam is accurate and ready to administer.

So this isn’t something slapped together on a whim by people who know nothing about the nursing profession. It is a long, reviewed process that is continually improved based on feedback and statistics.

How Should Nursing Students Prepare for the Next Generation NCLEX (NGN)?

So how should you prepare for the Next Generation NCLEX right now as a nursing student? First, so many people are asking, “What’s changing with NCLEX?” It’s great to know what’s coming and how the questions will be formatted, and I do think practicing some questions in similar NCLEX format can be helpful.

(For the record, the NCSBN even offers a mock NCLEX exam with actual questions from previous exams that you can take at NCLEX.com for a fee if you want to practice before the actual test.)

However, I wouldn’t spend too much time stressing about the new NCLEX format changes.

If you really want to succeed on NCLEX, you need to ask this question, ”What is NOT going to change about NCLEX?” And what’s not changing is the fact that they are trying to ensure that you know enough about nursing to think critically and make the right clinical decisions so that you can provide safe and effective patient care.

So your study strategy needs to have that focus from day one. How do you do that? I would still offer the same advice that I offered in my recent NCLEX Study Plan video.

1. Start studying as early as possible . I started studying hard during the break before my last semester.

2. Prioritize your weak areas . I talked about how you can assess your strengths and weaknesses through software and so forth.

3. Practice many NCLEX-style questions . I would practice 90-100 questions almost every day.

4. Go back and review questions and topics you keep missing . Look at the pathophysiology of diseases on questions you missed. Look up medications and their mechanism of action, and so forth. Go back and study those important details.

5. Switch between review lectures , textbooks, and notes when you are not practicing questions to help you understand the content in different ways. Your brain will appreciate the switch to different studying formats. In other words, when you are tired of reading, watch a lecture that covers similar topics.

In my review lectures , I always try to help you to understand not just the way something is done, but the “why” something is done. I spend time trying to explain the patho and rationale behind things so that you’ll understand it more deeply and be able to think critically on exams and in real-life nursing practice.

That’s the key to really passing NCLEX. They want you to know enough about nursing to think critically and make the right clinical decisions.

And if you put in the time to understanding those things, it doesn’t matter whether you get a drag and drop, hot spot question, select all that apply, or whatever. You’ll have the knowledge in your head, and you will be able to sift through and choose the correct option(s).

Final Thoughts on Next Generation NCLEX

In conclusion, don’t waste time worrying about the changes coming in Next Generation NCLEX . Instead, stay the course and put in the time studying and practicing questions, and you’re going to do great!

Even if you do fail your first time around, you have the opportunity to take it again, so go into the exam with confidence!

References:

1. https://www.ncsbn.org/11436.htm

2. https://www.ncsbn.org/15991.htm

3. https://www.ncsbn.org/16013.htm

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Writing Next Generation NCLEX-Style Case Study Questions

By Susan Sportsman, PhD, RN, ANEF, FAAN

Recently, our blog featured tips for developing Next Generation NCLEX (NGN)-style questions, particularly the revision of test questions faculty already include on their examinations. Revising these questions provides a strategy to adapt current test items to reflect the NGN process, since these knowledge questions represent many questions on the NGN exam.

Now let’s turn our attention to writing NGN Case Study questions . Although only three case studies will be on the NGN examination, all test-takers must respond to the six questions embedded in these case studies, regardless of how many total questions they receive. Case Studies are complex and require some thinking to create. However, I think they are fun to write—the exercise is very much like writing (a truly short) short story! Here are some suggestions for getting started.

  • Begin with the objective(s) that emphasize the content you want students to apply. Keep in mind that the point of case studies (and NGN questions in general) is to evaluate how well students can apply content to a specific clinical situation.
  • Develop a clinical problem that students must address that represents the objective(s) in your course. Ideas for this this problem might come from:
  • Clinical situations highlighted in past tests (or in test banks to which you have access).
  • Your own clinical experiences-or those of your colleagues.
  • Content outlined in the NCLEX Test Design.
  • Case Studies you use for class discussion or assignments for students.
  • NCSBN’s Top Priority Knowledge Statements or Skills
  • The introduction to the case study scenario should include:
  • Client demographics (age, gender, brief and relevant social history)
  • Client history
  • Relevant environmental factors, such as where the client lives (own home, LTC facility, etc.)
  • Normal/abnormal findings (e.g., Physical assessment findings, V/S, Lab values, psychological behaviors)
  • Time considerations for the nurse/client
  • Client/Nurse Interaction
  • Recognize Cues: What matters most?
  • Analyze Cues: What could it mean?
  • Prioritize Hypothesis: Where do I go to start
  • Generate Solution: What can I do?
  • Take Action: What will I do?
  • Evaluate Outcomes: Did it help?

Remember that the case study should represent situations that are appropriate for the level of student you are testing.  Later in the curriculum the questions should represent clinical judgment that a novice nurse is expected to use in actual practice.

Starting the Process of Writing a Case Study

As you begin to write your own case studies, an example might be helpful in integrating the NGN components into an actual case study. The case study below was written for students in an early nursing clinical course, such as Fundamental in Nursing. In addition, the NGN Resources website also provides examples of case studies written at the level of a novice nurse.

Note: The templates we developed for this post can be found on our Resources page . Feel free to use them.

nclex case study questions reddit

#1. Recognize Cues (Drag and Drop)

Drag & Drop the 4 cues the RN observed the initial assessment which require following up.

nclex case study questions reddit

#2. Analyze Cues (Select All that Apply-N)

The RN is concerned about the client’s confusion. Identify factors that may be causes for this confusion. a. Hospital Environment  * b. Early indication of Alzheimer’s Disease c. Use of Morphine for control of Pain  * d. Anesthesia  * e. Reduction in O2 f. Limited Sleep

nclex case study questions reddit

#3. Prioritize Hypothesis (CLOZE)

Complete the following sentence by choosing from the following lists of options:

nclex case study questions reddit

#4. Generate Solutions (Matrix)

Confusion continues to be a problem for the client on day three post-surgery.

Which of the possible interventions to the problem are indicated and which are contraindicated?

nclex case study questions reddit

The RN notifies the surgeon of elevated TPR, drainage at surgical site, and pain and received orders.

#5. Take Action (Highlighting)

Upon receiving the following physician orders, highlight those which the nurse should implement right away.

nclex case study questions reddit

#6. Evaluate Outcomes (Matrix)

The nurse has performed the interventions as ordered by the physician for the client. For each assessment finding, click to specify if the finding indicates that the client’s condition has improved, has not changed, or become worse.

nclex case study questions reddit

Case study questions are an important part of the NGN emphasis on measuring test-takers’ clinical judgment competence. Hopefully, the example above will give you some ideas for developing your own case study questions. You may notice that these questions are not exactly formatted like those on the NGN website. Currently, most of us do not have the necessary software to completely mimic the NGN questions. But simple templates can come close. Please don’t let the differences in the format of these questions stop you from using case study questions in your testing and classroom teaching.  Remember, the point of the NGN testing process is to assess new graduates’ ability to use good clinical judgment in a variety of clinical situations.  Giving students the opportunity to practice clinical judgment is key to their success on NCLEX and in clinical practice.

Silvestri, L. (2020) Higher-Cognitive Level Test Question:  A Starting Point for Creating Next Generation NCLEX Test Questions. White Paper. Elsevier.

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NCLEX Practice Questions Test Bank for Free

NCLEX-RN_

Welcome to our collection of free NCLEX practice questions to help you achieve success on your NCLEX-RN exam! This updated guide for 2024 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.

Table of Contents

Nclex-rn practice questions test bank, what is nclex.

  • What is Next Generation NCLEX (NGN)? 

Safe and Effective Care Environment

  • Health Promotion and Maintenance 
  • Psychosocial Integrity 

Physiological Integrity

Clinical judgment, integrated processes, item writers for nclex, computer adaptive test (cat), 95% confidence interval rule, maximum-length exam, run-out-of-time (r.o.o.t.) rule, zero/one (0/1) scoring, plus/minus (+/-) scoring, rationale scoring, pretest items, testing time, unfolding case study, stand-alone items, multiple response select all that apply.

  • Multiple Response Select N 

Multiple Response Grouping

  • Highlight in Text 

Highlight in Table

Matrix multiple response, matrix multiple choice.

  • Drag and Drop Cloze 

Drag and Drop Rationale

Drop down cloze, drop down rationale, drop down in table, chart or exhibit questions, graphic option, select all that apply or multiple-response, fill-in-the-blank, ordered-response, how to register for the nclex, nclex-rn resources, want more practice questions, recommended resources.

Looking for the complete collection of practice questions? For more NCLEX practice questions, please visit our Nursing Test Bank here .

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.

Quiz Guidelines

Before you start, here are some examination guidelines and reminders you must read:

  • Practice Exams : Engage with our Practice Exams to hone your skills in a supportive, low-pressure environment. These exams provide immediate feedback and explanations, helping you grasp core concepts, identify improvement areas, and build confidence in your knowledge and abilities.
  • You’re given 2 minutes per item.
  • For Challenge Exams, click on the “Start Quiz” button to start the quiz.
  • Complete the quiz : Ensure that you answer the entire quiz. Only after you’ve answered every item will the score and rationales be shown.
  • Learn from the rationales : After each quiz, click on the “View Questions” button to understand the explanation for each answer.
  • Free access : Guess what? Our test banks are 100% FREE. Skip the hassle – no sign-ups or registrations here. A sincere promise from Nurseslabs: we have not and won’t ever request your credit card details or personal info for our practice questions. We’re dedicated to keeping this service accessible and cost-free, especially for our amazing students and nurses. So, take the leap and elevate your career hassle-free!
  • Share your thoughts : We’d love your feedback, scores, and questions! Please share them in the comments below.

Included NCLEX-RN question sets for this nursing test bank are as follows. Please click on the links below and you’ll be redirected to the quiz page:

NEW UPDATE: Introducing Challenge Exams and Practice Exams

Engage with these new modes to enhance your learning journey, each tailored to meet different needs and propel you towards academic achievement.

  • Dive into Practice Exam Mode for a supportive learning experience. Here, real-time feedback aids in understanding core concepts and building confidence. It’s your space for growth and preparation.
  • Step up to Challenge Exam Mode to test your mastery. With rigorous questions, a leaderboard, and a timer, it’s designed to assess your readiness and foster a competitive spirit.

Test your mastery with these Challenge Exams :

Build your confidence and grasp core concepts with these Practice Exams :

The National Council Licensing Examination (NCLEX) is a comprehensive test administered by the National Council of State Boards of Nursing (NCSBN). It assesses whether candidates possess the necessary knowledge and skills to provide safe and effective nursing care at the entry level. The NCLEX is available in two versions: the NCLEX-RN for registered nurses and the NCLEX-PN for practical/vocational nurses.

The NCSBN, composed of nursing regulatory bodies from all 50 states in the US, the District of Columbia, and four US territories, is responsible for safeguarding the public by ensuring safe nursing care. It sets the standards and guidelines for nursing licensure and develops the NCLEX examinations.

Becoming a registered nurse (RN) requires meeting specific licensure requirements determined by the licensing authorities in each jurisdiction governed by the NCSBN. One of these requirements is passing the NCLEX-RN, which evaluates the competencies necessary for practicing safely and effectively as an entry-level RN. The NCLEX-RN is used by member boards of nursing and many Canadian nursing regulatory bodies to inform their licensure decisions.

What is Next Generation NCLEX (NGN)?

The Next Generation NCLEX (NGN) is currently in effect this April 2023 for RN and LPN /LVN candidates. The change in the NCLEX is driven by the need to adapt to the increasing complexity of client care, advancements in healthcare practice, and the demand for safe clinical decision-making. The NGN aims to address the declining ability of new nursing graduates to make safe clinical decisions by integrating clinical judgment as a key competency. The NGN test format will remain adaptive but with fewer test items. Candidates will encounter Unfolding Case Studies and Stand-Alone Items , scored using partial credit with three different scoring rules. These changes in the NGN aim to assess critical thinking and the ability to make safe clinical judgments during various phases of client care.

In summary, the following are the key changes between the previous NCLEX format and the Next Generation NCLEX (NGN): 

  • Same adaptive test format but reduced number of items. The Next Generation NCLEX (NGN) will retain the adaptive test format, similar to the current NCLEX, but with fewer test items. Candidates will answer between 85 and 150 items, with 15 as pretest or unscored items. 
  • Case studies. All candidates will encounter three (3) Unfolding Case Studies, each consisting of six test items (a total of 18 items). Clinical situation information will be presented to candidates in a medical record format resembling a table-like structure. These situations are designed to assess their ability to think critically and make safe clinical decisions across different phases of client care. In addition to the case studies, some candidates may have Stand-Alone Items for their NGN exam.
  • New NGN item types. The NGN exam will feature new item types, which include questions in unfolding cases and stand-alone items, highlight, cloze, matrix, bow-tie, drag and drop, and extended multiple responses. 
  • Scoring differences. NGN test items will be scored differently compared to the current NCLEX. They will utilize partial credit scoring with three different scoring rules: the 0/1 scoring rule, the +/- scoring rule, and the rationale scoring rule. These are explained further below. 

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 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.  Additionally, to assess the knowledge, skills, abilities, and clinical judgment necessary for entry-level nursing practice, the NCLEX-RN Test Plan utilizes Bloom’s taxonomy for the cognitive domain. This taxonomy provides a foundation for writing and coding examination items, focusing on application-level or higher-level cognitive abilities that require advanced thought processing.

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, and Physiological Integrity. Some of these categories are divided further into subcategories. Below is the NCLEX-RN test plan effective as of April 2023 until March 2026: 

There are two subcategories under Safe and Effective Care Environment.

  • Management of Care category includes content that tests the nurse’s knowledge and ability to direct nursing care that enhances the care delivery setting to protect clients, significant others, and healthcare personnel. 
  • Safety and Infection Control category includes content that tests the nurse’s ability required to protect clients, families, and healthcare personnel from health and environmental hazards. 

Health Promotion and Maintenance

Health Promotion and Maintenance category includes content that tests the nurse’s ability to provide and direct nursing care to 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 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 . 

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 are content to test the nurse’s ability to provide comfort and assistance to the client in performing activities of daily living . 
  • Pharmacological and Parenteral Therapies 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 category includes content to test the nurse’s ability to prevent complications or health problems related to the client’s condition or prescribed treatments or procedures. 
  • Physiological Adaptation category includes questions that test the nurse’s ability to provide care to clients with acute, chronic, or life-threatening conditions. 

Clinical judgment is a central component of the NCLEX-RN Test Plan, reflecting the evolving demands and complexity of nursing practice. Nurses must engage in an iterative, multi-step process that utilizes nursing knowledge to observe and assess situations, identify client concerns, and generate evidence-based solutions to ensure safe client care. Clinical judgment questions are represented through Unfolding Case Studies or individual Stand-Alone Items , with case studies addressing each step of clinical judgment. The following are the six clinical judgment cognitive skills: 

  • Recognize cues “What matters most?” Identifying relevant and important information from various sources, such as medical history, laboratory studies, and vital signs.
  • Analyze cues “What could it mean?” Organizing and connecting recognized cues to the client’s clinical presentation.
  • Prioritize hypotheses “Where do I start?”   Evaluating and prioritizing hypotheses based on urgency, likelihood, risk, difficulty, time constraints, and other factors.
  • Generate solutions “What can I do?” Identifying expected outcomes and using hypotheses to define a set of interventions aligned with the expected outcomes.
  • Take action “What will I do?” Implementing the highest-priority solution(s) identified.
  • Evaluate outcomes “Did it help?” Comparing observed outcomes to expected outcomes to assess the effectiveness of interventions.

Additionally, In contrast to the nursing process or ADPIE , the NCSBN focuses on AAPIE ( assessment , analysis, planning, intervention, evaluation), wherein nursing diagnosis is not tested at the current NGN because it is not considered a universal language used in health care or the nursing profession. In nursing practice and for the NGN, students must use their pathophysiology knowledge to analyze client assessments and connect them with common conditions in healthcare settings. 

Integral to nursing practice, several processes are integrated throughout the Client Needs categories and subcategories:

  • Caring. In an atmosphere of mutual respect and trust, nurses interact with clients, providing encouragement, hope, support, and compassion to help achieve desired outcomes.
  • Clinical Judgment . An observed outcome of critical thinking and decision-making, clinical judgment (discussed above) is a dynamic and iterative process. It involves using nursing knowledge to observe and assess situations, prioritize client concerns, generate evidence-based solutions, and deliver safe client care.
  • Communication and Documentation. Verbal and nonverbal interactions between nurses, clients, significant others, and the healthcare team. Accurate and comprehensive documentation ensures adherence to practice standards and accountability in care provision.
  • Culture and Spirituality. Recognizing and considering the unique preferences, standards of care, and legal considerations of clients (individuals, families, groups, and populations) in the context of their culture and spirituality.
  • Nursing Process. A systematic approach to client care encompassing assessment, analysis, planning, implementation, and evaluation.
  • Teaching/Learning. Facilitating acquiring knowledge, skills, and abilities that promote behavioral change.

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 with an advanced degrees 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.

The NCLEX-RN is a crucial step for registered nurse (RN) candidates seeking licensure. Administered through computerized adaptive testing ( CAT ), this examination utilizes computer technology and measurement theory to create a personalized and accurate assessment of each candidate’s knowledge and skills. 

The CAT system employed in the NCLEX-RN ensures that each candidate receives a unique examination tailored to their abilities. As the test progresses, the computer selects items from a large item pool based on the candidate’s previous answers. These items are classified according to the test plan categories, difficulty levels, and clinical judgment steps. The CAT system continually recalculates the candidate’s ability estimate and selects subsequent items accordingly, creating an exam that aligns with the NCLEX-RN Test Plan requirements. This dynamic approach allows candidates to demonstrate their competence effectively.

Additionally, unlike traditional fixed-length exams, which assign the same items to all candidates, CAT selects items based on the candidate’s ability, resulting in a more accurate assessment. The CAT scoring algorithm estimates the candidate’s ability by considering all previous answers and the difficulty level of those items. By administering items that challenge the candidate appropriately, the exam gathers maximum information about their ability.

Pass or Fail Decisions: How to Pass the NCLEX?

Passing the NCLEX-RN requires you, the candidate, to meet a specific passing standard established by the NCSBN Board of Directors (BOD). The passing standard represents the minimum ability level necessary for safe and effective entry-level nursing practice. The BOD reevaluates this standard every three years, considering various factors such as a standard-setting exercise conducted by experts and psychometricians, historical data on candidate performance, and information on the educational readiness of aspiring nurses. Once the passing standard is set, it is uniformly applied to all candidates during the scoring process. The NCSBN indicates that these three rules govern pass-or-fail decisions: the 95% Confidence Interval Rule , Maximum-Length Exam Rule , and Run-Out-Of-Time 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. 

When your ability is close to the passing standard, the CAT gives 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. 

In the event that a candidate runs out of time before completing the maximum number of items and the computer has not reached a 95% certainty regarding the candidate’s pass or fail status, alternative criteria come into play.

  • If the candidate has not answered the minimum required number of items, the candidate will automatically fail.
  • If the candidate has answered at least the minimum required number of items, the final ability estimate will be determined based on all the responses given before the exam time expires. If the score meets or exceeds the passing standard, the candidate will pass. Otherwise, the candidate will fail.

New Scoring System in the Next Generation NCLEX

The Next Generation NCLEX (NGN) incorporates different item formats, and for items that have multiple correct answers, partial credit scoring is implemented . Unlike the previous exam format, where items are scored as either all correct or all incorrect, the NGN will use polytomous scoring models to evaluate partial understanding. For example, in the previous version of NCLEX (multiple response) SATA (select-all-that-apply) items, only endorsing all the correct options results in a correct score. However, the new approach will acknowledge partial understanding, allowing differentiation between candidates with different numbers of correct options. This change will provide a more accurate assessment of candidates’ knowledge, skills, and abilities.

Three methods are used to assign partial credit for these items: plus/minus scoring, zero/one scoring, and rationale scoring. Understanding the scoring models is crucial for NCLEX-RN takers to know how their answers are evaluated and how scores are determined.

The 0/1 scoring rule is used for multiple-choice items. Choosing the correct option earns one point while selecting an incorrect option gives a score of zero. This rule applies to single response items, including the example multiple-choice item.

The +/– scoring rule measures a candidate’s ability to identify relevant information. It assigns points for correct options and deducts points for incorrect options. It is used for multi-point items, and the total score is calculated by adding correct options and subtracting incorrect ones. The lowest possible score is zero. This rule is applied to NGN question types such as multiple-response and select all that apply.

The rationale scoring rule is used for questions that assess paired information. To earn a score of one point, both answer options must be correct. If either option is incorrect, the score is 0.

How Many Questions Are on the NCLEX?

All RN candidates must answer a minimum of 85 items , while a maximum of 150 items be administered during the five-hour time allotment. Each NCLEX-RN exam includes 15 pretest items (unscored), which are indistinguishable from operational (scored) items.

To ensure the effectiveness of computerized adaptive testing (CAT) in the NCLEX, the difficulty level of each item needs to be determined beforehand. This is achieved by administering these items as pretest items to a large group of NCLEX candidates. Since the difficulty of pretest items is initially unknown, they are not part of your score and are not considered when evaluating a candidate’s ability or determining pass-fail outcomes. Once a sufficient number of responses are collected, the pretest items undergo statistical analysis and calibration. If they meet the required NCLEX statistical standards, they can be used as operational items in future exams. Therefore, candidates must approach every item with their best effort, regardless of whether it is a pretest or an operational item.

The length of the NCLEX-RN examination varies for each candidate based on their responses, but there is a five-hour time limit for the exam, including all breaks. To ensure completion within the allotted time, candidates must maintain a reasonable pace, spending approximately one to two minutes per item . It’s important to note that the length of the examination does not determine pass or fail outcomes; candidates can succeed or fail regardless of the examination’s duration.

Case Studies in NGN

The Next Generation NCLEX (NGN) has introduced case studies that present practical clinical scenarios and include test items aligned with six cognitive abilities of the clinical judgment model. The scenario can occur in various settings, and the client’s outcome can vary, including improvement, stability, or decline with complications. Laboratory results, if included, are presented in a table, and abnormal values are highlighted with an “L” or “H”. There are two types of case studies: Unfolding Case Study with six test items assessing specific skills and Stand-Alone Items with a single test item independent of a case study.

An Unfolding Case Study presents a realistic client situation with evolving data resembling a medical record. It includes multiple phases over time, reflecting changes in the client’s condition. The case study evaluates all six cognitive skills of the clinical judgment model through six questions. Each test-taker receives three (3) unfolding case studies, totaling 18 items across those cases. 

Stand-Alone Items are case studies with a single question, with the item presented as a bow-tie or a trend question type. Candidates who take more than the minimum number of items on the NCLEX receive around six to seven stand-alone cases. 

Question Types in the NCLEX-RN

The different question types for the NCLEX-RN include the following: 

Extended Multiple Response

In Extended Multiple Response item types, test-takers can choose one or more options in Multiple Response Select All That Apply, select a specific number of items in Multiple Response Select N, or choose options from different groupings presented in a table in Multiple Response Grouping, with scoring rules based on the selected type. Extended multiple response may include the following formats:

The Multiple Response Select All That Apply item type allows test-takers to choose one or more answer options. It uses the +/- Scoring Rule, where selecting correct information earns points (+1), and selecting incorrect information results in points deducted (-1). The maximum points achievable are equal to the number of correct options, and the minimum score is 0, with no negative scores. The item must have a minimum of five options and can have up to ten options, with the possibility of all ten options being correct.

Multiple Response Select N

The Multiple Response Select N item type informs the test-taker about the specific number of items (N) that can be selected. The question provides a range of options, with a minimum of five and a maximum of ten options. It uses the 0/1 Scoring Rule, where each correct response earns 1 point, while any incorrect response results in 0 points.

The Multiple Response Grouping utilizes a table to present options, with a minimum of two and a maximum of five groupings. Each grouping consists of a minimum of two and a maximum of four options, ensuring an equal number of options within each grouping. Test-takers are required to select at least one option from each grouping. The item follows the +/- Scoring Rule, meaning there is no negative score per grouping. The total score for the item is determined by summing the points earned within each grouping. The maximum score achievable equals the number of keys (N).

For this NGN item type, the test-taker is presented with information and must highlight specific parts of the information provided.  Highlight question type include the following formats:

Highlight in Text

It involves a paragraph of information where the test-taker must select (highlight) specific parts of the text based on the question’s requirements. The item can include a maximum of ten options for selection and uses the +/- Scoring Rule. 

The Highlight in Table item type involves a table of information. The candidate is tasked with selecting (highlighting) specific parts of the text within the table based on the question’s prompt. The item can include a maximum of ten options for selection. The table has two columns, including a header, and can have up to five rows. This item type uses the +/- Scoring Rule. 

Matrix/Grid

In the Matrix NGN item type, test-takers are presented with a grid-like structure to which they must respond. There are two variations: Matrix Multiple Response, where each column can have multiple correct responses, and Matrix Multiple Choice, where test-takers select one answer option per row. Extended multiple response may include the following formats:

The Matrix Multiple Response item type consists of response columns, where each column can have multiple correct responses. The item can have between two and ten columns and four to seven rows. In each column, at least one response option must be selected, but it is possible to select one or more responses per column. The item follows the +/- Scoring Rule, with no negative score per column. The total score for the item is determined by summing the points earned within each column. The maximum score achievable is equal to the number of keys (N).

The item includes a minimum of four rows and a maximum of ten rows. It can have either two or three options/columns. Test-takers are allowed to select one answer option per row. The item follows the 0/1 scoring rule, where the test-taker earns 1 point for each correct response and 0 points for incorrect responses. The total score for the item is obtained by summing the scores over the rows. The maximum score achievable is equal to the number of rows.

Drag and Drop

In the Drag and Drop NGN question type, test-takers are presented with options to drag and drop into specific targets. There are two variations: Drag and Drop Cloze, where options are placed in response targets to complete sentences and Drag and Drop Rationale, where options are matched to causes and effects. Drag and drop may include the following formats:

Drag and Drop Cloze

The Drag and Drop Cloze item type includes a range of four to ten options. It can have one or more response targets where the options are dragged to. The item must have a minimum of one sentence with one target per sentence and up to five sentences, each with one target per sentence. The item follows the 0/1 Scoring Rule, where a correct response earns 1 point and incorrect responses earn 0 points. The total score is obtained by summing the scores across all targets, with the maximum score achievable being the number of targets.

The Drag and Drop Rationale type involves one sentence with one cause and one effect or one sentence with one cause and two effects. The sentence can be a single dyad (one sentence with two targets) or a single triad (one sentence with three targets). Each drag & drop target can have three to five options. The item follows the Rationale Scoring Rule where both answer options must be correct to earn a point. 

The Drop Down question type in NGN includes three variations: Drop Down Cloze, Drop Down Rationale, and Drop Down in Table. Drop down may include the following formats:

The Drop Down Cloze item type presents one or two sentences of information that require completion using drop-down options. Each drop-down can contain three to five options. The item must have a minimum of one sentence with one drop-down per sentence and can include up to five sentences, each with one drop-down. The item follows the 0/1 Scoring Rule, where the score is calculated by summing the correct responses across all drop-downs. The maximum score achievable is equal to the number of drop-downs.

The Drop Down Rationale item type presents either one sentence with one cause and one effect or one sentence with one cause and two effects. Each drop-down can contain three to five options. The scoring follows the Rationale Scoring Rule, where X and Y must be correct to earn one point. The maximum points that can be earned are 1 point for a dyad (one sentence with two targets) and 2 points for a triad (one sentence with three targets).

The Drop Down in Table item type presents a table of information with drop-down options located in various parts of the table. The item must have a minimum of three columns and three rows and a maximum of five columns and four rows. One column serves as the header column. Each row contains one drop-down. The item follows the 0/1 Scoring Rule, where the score is calculated by summing the correct responses across all drop-downs. The maximum score achievable is equal to the number of drop-downs.

The Bow-tie item type is visually designed to resemble a bow-tie shape. It consists of five options on the left side, five options on the right side, and four options in the middle well of the bow-tie. The item addresses all of the cognitive skills within a single item. The Bow-tie item follows the 0/1 scoring rule. The left and right wells have two answer options each, while the middle well has one answer option, resulting in a maximum possible score of 5 points. Each correct response earns 1 point, while incorrect responses earn 0 points.

The Trend item type presents information in a medical record or flow sheet format that spans over time, requiring the test-taker to analyze information across different points in time. The item addresses multiple cognitive skills within a single item. It can utilize any NGN item type except for the bow-tie. The scoring rule for the Trend item depends on the specific item type used.

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.

Multiple-choice question format for the NCLEX

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. 

Chart or Exhibit Alternate Format for the NCLEX

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.

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. 

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. 

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. 

Select All That Apply Question format for the NCLEX

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.

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. 

Fill-in-the-Blank question format for the NCLEX

Tips when answering Fill-in-the-Blank

  • 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. 

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. 

Ordered-response question format for the NCLEX

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.

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. 

Hotspot Alternate Question Format for the NCLEX

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.

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.

Important list and resources you need to know if you’re taking the NCLEX: 

  • 2023 NCLEX Candidate Bulletin. This resource is a comprehensive guide for the NCLEX, providing essential information and contact details for candidates. It covers registration procedures, test fees, scheduling, testing accommodations, exam rules, and what to bring to the test site. The guide also includes details on the check-in process, breaks, technical issues, and the testing environment. It explains the results reporting process and retake-policy and provides information on the content, development, and test plans of the NCLEX. Additionally, it discusses the passing standard, item formats, and decision rules for passing or failing the exam.
  • Sample Questions and Exam Preview. Get a headstart on your exam preparation with these sample test packs by the NCSBN. 
  • Candidate Tutorial. With the new item types, we highly recommend testing how the Next Generation NCLEX (NGN) works. This tutorial guides you on interacting with different question types in your NCLEX exam. It provides a representative sample of items you may encounter during the test, allowing you to practice their functionality.

Please visit our Nursing Test Bank page if you’re looking to answer more practice questions from different topics and different question formats.

Recommended books and resources for your NCLEX success:

Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy .

Saunders Comprehensive Review for the NCLEX-RN Saunders Comprehensive Review for the NCLEX-RN Examination is often referred to as the best nursing exam review book ever. More than 5,700 practice questions are available in the text. Detailed test-taking strategies are provided for each question, with hints for analyzing and uncovering the correct answer option.

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Strategies for Student Success on the Next Generation NCLEX® (NGN) Test Items Next Generation NCLEX®-style practice questions of all types are illustrated through stand-alone case studies and unfolding case studies. NCSBN Clinical Judgment Measurement Model (NCJMM) is included throughout with case scenarios that integrate the six clinical judgment cognitive skills.

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Saunders Q & A Review for the NCLEX-RN® Examination This edition contains over 6,000 practice questions with each question containing a test-taking strategy and justifications for correct and incorrect answers to enhance review. Questions are organized according to the most recent NCLEX-RN test blueprint Client Needs and Integrated Processes. Questions are written at higher cognitive levels (applying, analyzing, synthesizing, evaluating, and creating) than those on the test itself.

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NCLEX-RN Prep Plus by Kaplan The NCLEX-RN Prep Plus from Kaplan employs expert critical thinking techniques and targeted sample questions. This edition identifies seven types of NGN questions and explains in detail how to approach and answer each type. In addition, it provides 10 critical thinking pathways for analyzing exam questions.

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Illustrated Study Guide for the NCLEX-RN® Exam The 10th edition of the Illustrated Study Guide for the NCLEX-RN Exam, 10th Edition. This study guide gives you a robust, visual, less-intimidating way to remember key facts. 2,500 review questions are now included on the Evolve companion website. 25 additional illustrations and mnemonics make the book more appealing than ever.

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NCLEX RN Examination Prep Flashcards (2023 Edition) NCLEX RN Exam Review FlashCards Study Guide with Practice Test Questions [Full-Color Cards] from Test Prep Books. These flashcards are ready for use, allowing you to begin studying immediately. Each flash card is color-coded for easy subject identification.

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165 thoughts on “NCLEX Practice Questions Test Bank for Free”

How much are you charging for it?

Thanks for being generous

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Thanks Matt Vera for your utmost effort in helping nurses to pass the exam

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Although I just started nursing school the i formation is mind blowing and very useful for me already. Thank you for your generosity. I will be using all the practice quizzes and test to prepare myself. Thank you again.

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Planning to start this process, I think this will be so helpful to me. Thankyou very much

Thank you so much Nurse matt vera for this qbank,most beneficial, God bless you., if I may ask for some videos or pictures associated with the questions, will also help e.g lung sounds,abdominal sound etc thank you

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My name is Daniel m Johnson from Tanzania I’m holding diploma in nursing and midwifery I’m looking for different nurse from different country so as we can share ideas and experience since I’m student I need to no much thing about nursing ….any one who is touched to please help me I wish to be came a good nurse and help different people from different society

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You’re most welcome! :)

i just want to confirm for #39 it state pt need additional teaching so E should also be included to the answer cause it was contraindicated to MS right? . thank you :)

Yes, this has been corrected. Thank you! :)

Very informative and helpful. Thank you so much Sir/ madam

Thank you for providing regarding NCLEX preparation

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Number 58 of NCLEX test 5 does not have the answers listed.

Hi Rebekah, this is now fixed. Thank you for letting us know!

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Thank you Matt Vera for providing information free of charge

Any advice of how well you can do on these question to build up your confidence?

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Thanks alot.I,ve got a question What score ranges would be considered a Pass? I scored 69.33% overall. is that a Pass???

75% and above, from the analysis I got from a test after getting below 75

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Question 16 on practice test 9 asked about assessment during L sided CHF, yet the correct answer pertained to right sided HF. Just wanted to let you know…. Thanks for the practice questions! Appreciate all the work put into this.

Question 41 of NCLEX-RN Test 2 has two C choices. Thanks.

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Thank you Matt for this practice test. Now I know my strength and weaknesses and will concentrate of the system that needs for further study. Can I practice more in practice test no 2? Please allow me to go trough with it. Kudos to you and your staff.

Hi this is what i got, im so nervous due to my nclex exam its gonna be this coming oct. Its doesnt say pass or not.

Your score 48% Categories Basic Care and Comfort 100% Health Promotion and Maintenance 53.85% Pharmacological and Parenteral Therapies 26.67% Physiological Adaptation 54.55% Psychosocial Integrity 100% Reduction of Risk Potential 36.36% Safety and Infection Control 100%

Thanks so much for this useful information. God bless you.

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The Practice tests are excellent. The rationales are all well-explained which I love because it gives me more knowledge and insight. Thank you for creating this website free of us. Remain blessed.

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I remain speechless but mostly grateful for your unconditional helpful assistance for this awesome richly throughout profound tool and opportunity given to me to increase my confidence, strengthen my knowledge, and be ready for my upcoming exam. Your questions and rationales are beyond my expectations. You are a God’ sent angel. Thank You. God Bless you. I will be forever grateful to you for making my dream come true! 🙌

This website can help me to review for NCLEX and it is for free! Thank you so much!

Amazing and really awesome job to you Matt and your entire team, may God replenish your source for giving us this for free. I have recommended to all my friends and family. Remain blessed and stay safe.

That’s very kind of you. Thank you so much! Bless you!

Your test questions have greatly helped me pass my NCLEX. I passed my NCLEX today and thank you to Nurseslabs. I came across this website by accident and I do not know how but it was divine intervention. I will definitely recommend Nurseslabs to my friends. The quality of the questions and rationales were very good and you would not think this is all for free the kind of work that came with it.

Kudos Nurseslabs and wishing all the future test takers all the best!

Wow Sam, congrats! What materials did you use other than nurseslabs? I’ve been answering nurseslabs also. My exam is on June. I hope I could also make it.

Thank you for this NCLEX sample test,as tool to determine areas i need to review/focus on for the proper exams.

This website can help me to review for NCLEX Thank you so much!

I just wanna ask why is that there are no more rationale posted after answering the question unlike before. Thanks by the way for the free and great Q & A bank. ❤

Sorry, we’re currently having some performance issues with that setup. Until we can resolve it, we have set each quiz to show results and rationales only after you have finished all the questions. Thank you for your understanding.

Hello, how do I get my score after taking the test to know if I am doing well or not

Hi, after you’re done answering all questions, the final item will direct you to the “Quiz Summary,” from there, click on the “Finish Quiz” button to get your final score.

Very great tool to study for the NCLEX. I passed my exam just by focusing on the questions and rationales provided here.

That’s great! Congratulations!

Thank you so much. It’s very helpful. God bless you…

Thank you for being generous. This is a big help.

I got 55/75.

Thank you so much for making this site.

Very helpful. Thank you and God bless…

Thank you so much, Nurse Matt for your generosity. Helping your fellow nurses and aspiring nurses to work abroad is such a selfless and noble act. God bless you and your team!

Thank you for your kind words, JB! Will pass on this message to the team. :) God bless!

The rationale after the question will really help us a lot specially when you are just using the question via online.

Hi Romel, we have temporarily changed this setting so that results and rationales will show only after you’ve finished the quiz. This is because we’re having some performance issues when using the previous setting. We’ll revert the changes once we’re sure the problem is resolved. Thanks for understanding!

I didn’t get my results after answering the 75 questions. Please why?

Hi Esther, did you click on the “Finish Quiz” button?

Thanks for all these questions where/how can i check my answers to these questions?

After answering the last item of the quiz, you’ll be redirected to the quiz summary. From there, click on the “Finish Quiz” button to view your score and results. You can also click on the “View Questions” button to review your answers and read the rationales.

Hi, thanks for providing so much useful information and all the test banks!

In RN practice Quiz 1:75 questions, for question 70, wonder if the correct phrase would be “would you NOT expect”?

Hi Cecilia, thanks for letting us know. We have corrected the question. Thank you! 🥰

Thank you for allowing me to practice the nurseslabs questions. The rationales are well explained. Thank you!

Thank you Ruth. Hope you’ve learned a lot from our practice questions. 🥰

God bless you

My name is Samuel. I just started with the RN practice questions. Thank you for the opportunity.

Hi, thank you so much for your generosity. Using this to prepare for my NCLEX and find it very informative. I will keep you posted on how it goes on the D-day

Frequently throughout the quiz, ARDS is given as “Adult Respiratory Distress Syndrome” instead of “Acute Respiratory Distress Syndrome”. This needs to be corrected.

Hi Bella, thanks for bringing this up.

Technically both terms are correct since “adult respiratory distress syndrome” is an earlier name referred to “acute respiratory distress syndrome” to differentiate it from respiratory distress syndrome in neonates and children. For the sake of uniformity, we have edited them to “acute respiratory distress syndrome”. You can read more about it here: https://doi.org/10.1164/ajrccm.149.3.7509706

This is so kind a gesture, remain blessed .The information is very understandable and helpful

I just wanted to thank you for taking the time to generate this website, this is really helpful and is free. God bless you

Thank you for your support and guide toward my nclex preparation.

Thanks for your generosity. I hope to pass my NCCLEX just on the first attempt Grateful for all your help

thanks for the help

Hi Sir, kindly explain why this question – The client with hyperemesis gravidarum is at risk for developing: Metabolic Acidosis is the answer. Thank you.

Quite familiar with the content. Thanks for this selfless initiative.

It has been a nice experience.

I love these practical questions. So helpful.

Thanks very much this is a good help for all students

Thank you for mett this free test which i have passed yesterday afternoon so ,it is greatest pleasure which will help me

Thank you so much for this great initiative.

Thanks for being kind God bless you

thank you for your help and kindness. It’s difficult to go back to school after 22 years of practice as a RN to take the test where you must cover a vast knowledge, which you do not use in everyday working (depends on the special field you are working. so I really appreciate your effort and dedication.

Matt Vera and all those helping us through this free medium, May God richly bless you abundantly. And may all your good desires come through

Hello Vera, I would start by thanking you for the great job you’ve done by helping us in our preparation for the exams. secondly would wish to know wther you have audio clips for lung, heart and abdominal sounds. thank you in advance and if any kindly let mh know pls.

What should we be scoring on these practice questions to let us know that we’re ready for the NCLEX

Do you have LPN test also?

Hi, please visit NCLEX-PN Practice Questions & Test Bank (200 Questions)

Thank you so much Nurse Matt you just don’t know how nurseslabs helped me in my nursing career and i even recommended nurseslabs to some of my friends. God bless you😊

Hi Matt, Thank you for this, indeed very helpful practice questions. Just a query though it says here to limit wrong answers to 15 or less? So is that the passing mark ? about 75-80%

Yes, that is correct. :)

Thank you so much for the practice questions. I learned a lot and it helped me to understand why I was getting my answers wrong. I used Kaplan and Saunders but it wasn’t helping me. I feel more confident than ever to retake my boards.

thank you…. wish this help a lot to my daughter to passed please pray for her God bless!!!

hi Matt, can l still use these question banks to study for the new NGN questions

Hi nurse Matt, May I gave all the questions please, need to prepare study for exam after been off school over 30 years, realize it for not giving up not try again, thank you 🙏

Thank you so much Nurselabs! I passed my NCLEX-RN exam using only your practice 75 question per day questions bank. I have a tight budget and not able to purchased online review and I just focused in answering your practice questions in just 2 weeks!!! Thank you for helping nurses! God Bless you more!

I want to practices questions

Hello Thanks so much for your good heart and good wish for us to practice and pass the NCLEX. Well appreciated. Please after your update I can’t get the answers and rationale to the 75 questions. This will help me to know my ability and where am lagging behind. Please how can this be rectified Thanks Hope

Hi Hope, did you finished all of the questions for the quiz? Your score together with the correct answers and rationale will only show after you’ve completed the whole quiz.

Hello Vera I finished all 75 questions submitted but no answer or rationale came up. I tried upto 3 times same. Even my friend I shared your content with complained of same thing, answers not coming. Please what can we do to access the answers and rationale Thanks Hope

What particular quiz?

Hello, great resource! I am a nurse that wants to help student nurses reach their full potential as nurses and pass the nclex. I would like to utilize your tests and quizzes to help my students learn to critically think through the questions and learn how to put their nursing knowledge to use. Would you allow me to utilize your questions in my content?

Thank you for the kind words! It’s awesome to hear that you’re dedicated to helping student nurses thrive. 🌟

Absolutely, you’re more than welcome to utilize our tests and quizzes for your students! We believe in collaborative efforts to strengthen the nursing community. Just ensure to give appropriate credit when using the content.

Out of curiosity, are there specific areas or topics you find students struggle with the most when preparing for the NCLEX? Maybe we can work together to create even more targeted resources!

Best of luck with your mission to guide the next generation of nurses!

Hi, I am studying for med surg 1 and med surg 2 upcoming exam. Need to pass both exams.

Sounds like you’ve got a busy study schedule ahead! MedSurg can be challenging, but with the right resources and dedication, you’ve got this. If you need specific materials, tips, or just a morale boost, don’t hesitate to reach out. Else, you can do practice all MedSurg exams on our Nursing Test Banks . Rooting for you to ace both exams! 💪

thank you so much… a big help

Hi Glacier and what a nice name!

You’re welcome! Really glad to hear the NCLEX practice questions were a big help. If you’ve got any other areas you’re prepping for or need more practice with, just let me know. Here to support your journey!

Thanks a lot @nurseslabs for this initiative I really believe by the time I sit my exam I will be a great nurse than ever before. I am learning a lot from the questions and explanation.

Hey Charles, You’re very welcome! I’m thrilled to hear that you’re finding our initiative helpful in your journey to becoming a great nurse. Remember, continuous learning is a key part of nursing practice, and it’s fantastic to see your dedication to it. If you ever come across any challenging topics or have questions about specific nursing concepts, please don’t hesitate to reach out. We’re here to support you every step of the way. Keep up the excellent work, and you’ll do great on your exam! 📖🏥🌟

Much help for beginners like us

Thank you so much Nurseslabs, I made it!!! Your practice exams, especially the rationales helped me a LOT…thank you!!!

Wow, that’s awesome news! 🌟 Huge congrats on making it through – your hard work and dedication really paid off. It’s super cool to hear how our practice exams and rationales played a part in getting you across the finish line.

Remember, this is just the beginning of an amazing journey in nursing. The field’s always changing and growing, and so will you. Keep that enthusiasm and curiosity going strong!

If you ever need a hand or just want to share your journey as you dive into your nursing career, give us a shout. We’re always here to cheer you on and lend support.

Big congrats again and best of luck out there!

Thanks for the information

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FAQs About the Next Generation NCLEX (NGN)

Student nurses preparing to test after April 1st are understandably nervous as they are the first to encounter the new NGN exam. The purpose of this article is to explain what makes the NGN different. This should help you prepare for the exam better. Students NCLEX Article

  • #Next Generation Nclex

Updated: Feb 15   Published Jan 18, 2023

FAQs About the Next Generation NCLEX (NGN)

Why is the NCLEX changing?

The National Council of State Boards of Nursing (NCSBN) developed and reviews the national NCLEX exam every three years. Reasons that led to the revision of the NCLEX include:

  • increased technology. 
  • higher acuity patients.
  • recognition that new grads need increased clinical judgment to practice safely.

The primary impetus for the new exam is the third bullet point, clinical judgment. New grads need clinical judgment and critical thinking skills. Can testing measure critical thinking ability? According to the NCSBN, NGN test items (test questions) better evaluate clinical judgment.

Never before has the exam been based on a clinical judgment model that measures critical thinking. What matters is not just information. It's the application of knowledge. These new items are based on NCSBN's Clinical Judgment Measurement Model (NCJMM) ( 1 ) . which reflects the nursing process (assess, plan, implement, evaluate).

NGN items based on the NCCJMM measure the test taker's ability to:

  • recognize cues.
  • analyze cues.
  • prioritize hypotheses.
  • generate solutions.
  • take action.
  • evaluate outcomes.

What is different about the NGN?

The revised exam retains much of the traditional format, but significant changes exist. In addition to testing for clinical judgment, changes include:

  • partial credit scoring ( 1 ) .  Partial credit scoring is good news for test-takers. The NGN gives partial credit for some select-all-that-apply (SATA) items.
  • a shift towards case studies. Case studies are less didactic and more applicable to real-life situations. Throughout the NGN case study exam portion, clinical judgment is assessed.
  • inclusion of bowtie-type questions. Bowties cover all six aspects of the NCJMM. Read more on bowtie NCLEX questions .

What type of test questions should I expect?

According to the NCSBN ( 1 ) , the new question types include:

  • extended multiple responses (SATA, Select N, multiple group response).
  • drag and drop.
  • cloze or drop-down (choose a word or phrase from a drop-down list to complete a blank).
  • highlight (read a section and highlight specific findings). 
  • matrix/Grid (multiple responses).
  • Bowtie items. When written out on the screen, it resembles a bowtie. The bowtie layout shows antecedents on the left side, with outcomes on the right side. Test takers match the antecedents with outcomes.

Is the NGN harder?

The NGN will not necessarily be more challenging for all candidates. There is a decided emphasis on critical thinking, which is new. 

Whether it's harder depends on the test taker's ability to think critically. When faced with a large amount of information, can the test-taker recognize what is essential?

Why do I get different test questions than my classmates?

NCSBN uses computer-adaptive testing (CAT). CAT is not new. CAT algorithms adapt questions to past answers and estimate ability by analyzing previous responses. 

Exams are unique. Candidates receive a slightly more challenging or less challenging question based on their last answer. 

  • Incorrect answers lead to easier questions.
  • Correct answers lead to harder questions.

How many questions are on the NGN?

According to the NCSBN (1)

  • the minimum number of questions is 85 (includes 15 non-scored questions).
  • the maximum number of questions is 150 (includes 15 non-scored questions)
  • non-scored questions are dispersed throughout the test.
  • non-scored questions are not labeled as such.
  • the total test time is 5 hours.
  • the test keeps giving questions until there's a 95 percent certainty of passing.
  • the test shuts off if you have answered the maximum number of questions or run out of time.
  • if you run out of time, you can still pass if your total responses are above the passing standard and you've answered the minimum number of questions.

How can I prepare for the NGN?

Practicing questions similar to NGN questions is the best approach. 

There are many review sources available. When purchasing a test review product, use a reputable company that specializes in NCLEX review. 

When studying, take the time to understand the material thoroughly. Effective NGN preparation involves more than memorizing information because what matters most is how the knowledge is applied.

  • Practice as many NGN-type questions as possible. Practice is active, as compared to reading, which is passive.
  • Choose questions that provide rationales and performance tracking.
  • Use quizzes.
  • Use self-assessment tests.

During the test:

  • review all choices before selecting an answer.
  • reread the stem if necessary. Don't rush. The time limit is five hours.

What are the NGN case studies like?

According to NCSBN, every candidate receives a minimum of three case studies, each with six questions, for a total of 18 questions from case studies ( 1 ) .

Test-takers receive an unfolding clinical scenario. The six questions associated with each scenario are sequential. Each question builds on the previous question ( 4 ) .

The case study information is always available during the questions, so there is no need to memorize the initial case study information.

The bolded bulleted words are six steps from NCSBN's NCJMM ( 4 ) .

  • Recognize cues in the scenario. Cues are signs and trends that a problem exists. Cues include abnormal vital signs, assessment findings, chief complaints, patient history, lab values out of range, and more.
  • Analyze the cues . Think- what is the most pertinent clinical information? What data stands out? Ignore information that is not relevant. As an example, let's say the most prevalent and significant cues are cardiac in nature.
  • Prioritize hypotheses . What condition or explanation is most likely? The patient may have multiple problems, but which problem represents the highest risk? You may determine the patient is at the highest risk for myocardial infarction.
  • Generate solutions . What outcomes are needed, and how can you achieve them? There will be multiple potential interventions. Some may be strictly nursing interventions; others may require an order.
  • Take action . Address and prioritize your actions. From the options, you may choose to start an IV, monitor the heart rhythm, obtain an EKG, and administer morphine.  
  • Evaluate the outcomes . As an example, evaluate if giving morphine helped with the chest pain.

Good luck to the next generation of nursing students. Go in with confidence and positivity and visualize yourself writing RN after your name!

1. Betts, J., Muntean, W., Doyoung, K. Shu-Chuan Kao, S. Next Generation NCLEX®: Test Design in Next Generation. From NCLEX News. Winter 2022 edition. https://www.NCSBN.org/public-files/NGN_Winter22_English_Final.pdf Retrieved January 15, 2023. 

2. How different is NGN NCLEX? Educator Blog. December 1, 2022. https://atitesting.com/educator/blog/knowledge/2022/12/01/different-from-current-NCLEX Retrieved January 15, 2023. 

3. NGN Case Study. From Next Generation NCLEX News. Summer 2020. https://NCSBN.org/public-files/NGN_Spring20_Eng_02.pdf Retrieved January 15, 2023. 

4. Nurse FAQs for Educators. https://www.NCSBN.org/exams/next-generation-NCLEX/NGN+FAQS/ngn-faqs-for-educators.page Retrieved January 15, 2023.

About Nurse Beth, MSN

Hi! Nice to meet you! I especially love helping new nurses. I am currently a nurse writer with a background in Staff Development, Telemetry and ICU.

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KittyLVN2

2 Articles; 66 Posts

I am using Archer/Klimek and various other sources to prepare for the NCLEX. My scores on NextGen questions are ALWAYS 30% higher than my peers compared to the classic questions. Basically, all of the information seems to be there just waiting for you to evaluate it - which is, of course - the point. People need to relax about NextGen - they are actually pretty entertaining! It's like being presented with a puzzle and trying to figure out how to pull at the pieces together. (And I don't even LIKE puzzles.. 🙂 )

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The NCLEX practice questions that will help you ace your exam

Nursing education is overdue for an upgrade. This is it. Skyrocket your chances of passing the 2024 NCLEX exam with these ultra-realistic practice tests.

All NGN question types & formats • Organized by NCLEX topics • Detailed rationales for all answers • Expert-authored • Up-to-date with current NCLEX standards

Master your 2024 Next-Gen NCLEX-PN exam with ultra-realistic practice questions tailored just for you. Dive into our computer-adaptive Exam Simulator. Gain strategic insights and test-taking tactics for your nursing licensure exam.

Welcome to Nurse Plus Flashcards, a proven tool to enhance your NCLEX exam preparation. Utilize our flashcards to improve recall and focus on areas that need further study.

  • Physiological
  • Psychosocial

Health Promotion

Safe and effective care.

  • Exam Simulator

Basic Care & Comfort

Basic care & comfort 1.

Questions cover Medical Emergencies, Changes/Abnormalities in Vital Signs, Arterial Blood Gases, Potential for Complications of Procedures, and Patient Positions.

Basic Care & Comfort 2

Questions cover Total Parenteral Nutrition, Intravenous Therapy, Laboratory Values, Blood and Blood Products, Alterations in Body Systems.

Basic Care & Comfort Marathon

This Marathon is your last step before moving on to the next level. It contains all 114 questions from the Basic Care & Comfort tests and will cycle through your missed questions until you answer each one correctly.

Meet Our Experts

At Nurse Plus Academy, your success is guided by leading professionals. Our Nursing Adviser, Winona Suzanne Ball , RN, MHS from Governors State University, IL, brings 30+ years of clinical expertise and educational acumen to our curriculum design. Every piece of content is meticulously reviewed by Steven Litvintchouk , our full-time copyeditor and researcher, and a respected Full Member of the American Copy Editors Society (ACES).

Pharmacological & Parenteral Therapies

Pharmacological & parenteral therapies 1.

Covers must-know topics like Pathophysiology, Unexpected Response to Therapies, Dosage Calculation, and Pharmacological Pain Management.

Pharmacological & Parenteral Therapies 2

The topics covered in this NCLEX-RN practice test include Medication Administration, Hemodynamics, Pathophysiology, and Lab Values.

Pharmacological & Parenteral Therapies 3

This members-only question set covers dosage calculations, intravenous drip rates, medication allergies, side effects, and therapeutic drug levels.

Pharmacological & Parenteral Therapies 4

Sample questions on insulin administration, dosage calculations, laboratory values, IV solutions, over-the-counter (OTC) medications, and client education.

Drug Dosage Calculation Test

Here are 50 Pharmacological Calculation problems: dosages, IV rates, drug reconstitution, common measurements, and percentage strength.

Pharmacological & Parenteral Therapies Marathon

Contains all 249 questions from the Pharmacological & Parenteral Therapies tests and will cycle through your missed questions until you answer each one correctly.

Reduction of Risk Potential

Risk potential reduction 1.

Test your knowledge on arterial blood gases (ABGs), laboratory values, breath sounds, blood administration, and client education.

Risk Potential Reduction 2

This practice test asks about post-operative care, abnormal laboratory values, inserting nasogastric (NG) tubes, and client education.

Risk Potential Reduction 3

Answer questions on emergency interventions, Glasgow Coma Scale, infant and pediatric care, and personal protective equipment (PPE).

Reduction of Risk Potential 4

Take this practice test to answer questions on arterial blood gas values, risk factors for developing a deep vein thrombosis, pre-operative education, and measuring kidney function.

Reduction of Risk Potential Marathon

Your last step before proceeding to the next section. It contains all 207 questions from the Reduction of Risk Potential tests and will cycle through your missed questions until you answer each one correctly.

Physiological Adaptation

Physiological adaptation 1.

This practice test covers electrocardiogram (ECG) rhythm strips, disease pathophysiology, respiratory system interventions, and nutrition education.

Physiological Adaptation 2

Questions about neurological disorders, cardiac conditions, components of an ECG tracing, deep vein thrombosis, and pediatric issues.

Physiological Adaptation 3

Here are questions about post-operative care, drainage methods, prenatal and delivery situations, and Emergency Department client cases.

Physiological Adaptation 4

This practice test has questions about Nagele’s Rule, laboratory results, signs & symptoms of disorders, and ECG interpretation.

Physiological Adaptation Marathon

Your last step before proceeding to the next section. It contains all 198 questions from the Physiological Adaptation tests and will cycle through your missed questions until you answer each one correctly.

Psychosocial Integrity

Psychosocial integrity 1.

Topics covered in this practice test include Coping Mechanisms, Sensory/Perceptual Alterations, Therapeutic Medications, Cultural Awareness and Mental Health Concepts.

Psychosocial Integrity 2

Some of the psychosocial topics covered by these practice questions include Therapeutic environment, Behavioral interventions, Depression, Substance abuse and Mental health disorders.

Psychosocial Integrity 3

Some of the NCLEX topics covered by these practice questions include Mental health concepts, Behavioral interventions, Substance abuse disorders, Abuse/Neglect and Sensory/Perceptual alterations.

Psychosocial Integrity 4

Psychosocial integrity 5.

Some of the NCLEX topics covered by these questions include Mental health concepts, Behavioral interventions, Substance abuse disorders, Abuse/Neglect and Sensory/Perceptual alterations.

Psychosocial Integrity Marathon

Psychosocial Marathon is your last step before moving on to the next level. It contains all 215 questions from the Psychosocial Integrity tests and will cycle through your missed questions until you answer each one correctly.

  • Health Promotion and Maintenance

Health Promotion and Maintenance 1

In this test, there are 45 questions that include antenatal care, self-care, developmental stages, aging process and newborn care.

Health Promotion and Maintenance 2

To help you prepare, this practice test has 45 questions covering developmental stages and transitions, disease prevention, intranatal care, high-risk behaviors and health promotion.

Health Promotion and Maintenance 3

In this practice test, you will find questions in the following subcategories: high-risk behavior, intranatal care, lifestyle choices, developmental stages and physical assessment.

Health Promotion and Maintenance 4

The 45 questions in this practice test include the following subcategories: self-care, intra- and postpartum care, aging process, lifestyle choices and physical assessment.

Health Promotion and Maintenance 5

The subcategories included in this Health Promotion and Maintenance practice test are developmental stages and transitions, aging process, prenatal care, health promotion/disease prevention and newborn care.

Health Promotion and Maintenance Marathon

Health Promotion and Maintenance Marathon is your last step before moving on to the next level. It contains all 225 questions from the Health Promotion and Maintenance tests and will cycle through your missed questions until you answer each one correctly.

Management of Care

Management of care 1.

Questions cover prioritizing and delegating client care, legal issues, informed consent, and role of the case manager.

Management of Care 2

Topics in this practice test include scope of practice, client advocacy, legal terms, ethics, and informed consent.

Management of Care 3

Challenges you on quality improvement, chain-of-command, HIPAA, legal aspects of informed consent, and ethics.

Management of Care Marathon

Your last step before moving on to the next section. It contains all 157 questions from Management of Care tests and will cycle through your missed questions until you answer each one correctly. When you miss a question, you’ll see it again at the very end.

What’s Your Time and Sanity Worth?

Sure you can study the dusty textbooks, but they don’t give you a pass guarantee. We do. Pass your NCLEX exam using our fast and efficient method, or it’s free.

Safety & Infection Control

Safety & infection control 1.

Topics include fall risks, trauma situations, needlesticks, isolation protocols, and clarifying HCP medication orders.

Safety & Infection Control 2

Covers home safety, nursing care outside acute settings, client identification, hand hygiene, and medication issues.

Safety & Infection Control 3

Questions cover pediatric situations, fire safety procedures, disease transmission, client education, and nursing assessment.

Safety & Infection Control Marathon

Your last step before moving on to the next section. It contains all 155 from Safety & Infection Control tests and will cycle through your missed questions until you answer each one correctly.

Next Generation NCLEX

Extended multiple response (emr).

The extended multiple-response items allow candidates to choose more than one answer. It is similar to the traditional NCLEX multiple response; however, there are more answer options.

Extended Drag and Drop

Extended drag-and-drop items ask candidates to move or place responses into answer spaces. This type is similar to the current NCLEX ordered response question format, except that they may not use all the answer choices.

Cloze (Drop-Down)

Cloze (drop-down) items ask candidates to select an option from a drop-down list. On the NGN, there may be more than one drop-down list in the cloze question.

Enhanced Hot Spot (Highlighting)

Enhanced hot spot items let candidates choose their answers by highlighting certain words or phrases. For example, they may read a nursing note, medical history, or medication record and then be asked to highlight areas or lines that answer the test question.

Matrix Multiple Choice (Matrix MC)

Matrix grid items allow candidates to select multiple answers on a chart. Each row or column may require a response. This question type may give a scenario with client data and then require test-takers to judge the findings by checking appropriate boxes in a supporting table.

Matrix Multiple Response (Matrix MR)

Case studies 1-2.

Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions.

Case Studies 3-4

Case studies 5-6, case studies 7-8, case studies 9-10, case studies 11-12, select all that apply (sata) questions, select all that apply test 1.

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

Select All That Apply Test 2

Select all that apply test 3, select all that apply test 4, select all that apply test 5, select all that apply test 6, select all that apply test 7.

One more set of SATA (select-all-that-apply) questions — one of the hardest NCLEX exam preparation question types. These are the dreaded “multiple response” questions where you’ll be required to select all answer choices that apply.

NCLEX-RN Exam Simulator

Just like the real NCLEX-RN exam! This NCLEX Simulator mimics the experience and the actual algorithms used on the official NCLEX® exam. It uses computer adaptive testing (CAT) to measure the competencies needed to perform safely and effectively as a newly licensed, entry-level nurse. You’ll get different questions based on how you answered previous questions. You’ll answer a minimum of 85 questions to a maximum of 150 questions.

Pediatric Nursing

Pediatric test 1.

This free test covers routine wellness checks, SIDS, FTT, and more.

Pediatric Test 2

25 questions on Infant Mortality Rate, immunizations, and CoA.

Pediatric Test 3

Topics covered: developmental stages, childhood viral infections, and more.

Pediatric Test 4

Covers must-know topics like parent education, home assessment, and Erikson’s stages of psychosocial development.

Pediatric Test 5

Topics covered include temper tantrums, child’s nutritional needs, and discharge instructions.

Pediatric Test 6

Covers developmental delays, nurse’s best responses in certain situations, and congenital birth defects.

Pediatric Test 7

This members-only test covers bedwetting, assessing neonates, and overdose treatments.

Pediatric Test 8

Questions on parent education, routine check-ups, and anxiety in children.

Pediatric Test 9

Contains 25 questions on interventions, pathologies, and proper dosages.

Pediatric Test 10

Questions about diet recommendations, developmental delay, and administering medication.

Pediatric Test 11

Topics covered: certain age characteristics, pain rating scale, and developing a care plan.

Pediatric Test 12

Includes questions on infant routine exams, respiratory assessments, and appropriate interventions.

Pediatric SATA Test

This test contains 33 Select-All-That-Apply (SATA) questions, where multiple answer options are possible.

NCLEX-PN Exam Simulator

  • Physiological Integrity

This practice test covers client nutrition, post-operative care, client with a colostomy, post-mortem care, and nursing assessment.

Pharmacological Therapies

Questions include dosage calculations, drug interactions, insulin administration, adverse effects, blood transfusions, and client education.

Drug Dosage Calculations

40 Pharmacological Calculation problems: dosages, IV rates, drug reconstitution, common measurements, and percentage strength.

Topics include vital sign assessment, laboratory values, disease risk factors, client positioning, and neurovascular complications.

This practice test covers pressure ulcers, chronic disorders, acute and trauma situations, client education, and health promotion.

Physiological Integrity Marathon

Contains all 280 questions from the Physiological Integrity tests and will cycle through your missed questions until you answer each one correctly.

This practice test includes questions about therapeutic responses to client anxiety, developmental stages of life, cultural considerations, and substance abuse.

This NCLEX-PN practice test includes questions about Alzheimer’s Disease and dementia, mental health terms and situations, and therapeutic interventions by the nurse.

Topics covered in this NCLEX-PN practice test include therapeutic responses to major life events, different types of abuse, and mental health terms.

Psychosocial Marathon is your last step before moving on to the next level. It contains all 95 questions from the Psychosocial Integrity tests and will cycle through your missed questions until you answer each one correctly.

This practice test includes questions about Developmental Stages, Client Teaching in Clinical and Community Settings, and Common Health Conditions.

This NCLEX-PN practice test has questions about Clinical and Community Education, Nutrition, Preventive medicine, Ethics, and Lifestyle.

Health Promotion and Maintenance Marathon is your last step before moving on to the next level. It contains all 66 questions from the Health Promotion and Maintenance tests and will cycle through your missed questions until you answer each one correctly.

Coordinated Care

Topics for this test include client prioritization, delegation, informed consent, ethics, HIPAA Privacy Act, and Advance Directives.

Questions cover disease transmission, preventing infections, fire safety, hand hygiene, client allergies, and CDC precautions.

Safe and Effective Care Environment Marathon

Safe and Effective Care Environment Marathon is your last step before moving on to the next level. It contains all 121 questions from the Safe and Effective Care Environment tests and will cycle through your missed questions until you answer each one correctly.

SATA (Select All That Apply) Test 1

Sata (select all that apply) test 2, sata (select all that apply) test 3, sata (select all that apply) test 4, sata (select all that apply) test 5.

Just like the real NCLEX-PN exam! This NCLEX Simulator mimics the experience and the actual algorithms used on the official NCLEX® exam. It uses computer adaptive testing (CAT) to measure the competencies needed to perform safely and effectively as a newly licensed, entry-level nurse. You’ll get different questions based on how you answered previous questions. You’ll answer a minimum of 85 questions to a maximum of 150 questions.

Safe & Effective Environment

Terms & abbreviations.

Over 80 questions for the state NCLEX exam

Over 100 questions for the state NCLEX exam

Over 70 questions for the state NCLEX exam

  • Safe and Effective Care Environment

Free & Premium NCLEX Test Practice

More effective than traditional nursing classes. Every practice test is based on authentic exam questions, and you can study at your own pace. We'll shuffle the questions every time you restart a test.

No Registration or Login Required

In the free mode, your test progress is saved without an account, even if you close your browser. No usernames or passwords to remember - just frictionless NCLEX training.

NCLEX Simulator - Just Like the Real Test

See if you're ready for the real thing with the computer adaptive NCLEX Simulator that mimics the actual algorithms used on the NCLEX® exam. Same number of questions and format as the RN exam.

7 Strategies for NCLEX Review

Start preparing for your National Council Licensure Examination (NCLEX) about 3 or 4 months before the exam.

Take several NCLEX practice tests per day (between 80 and 100 questions) to keep you focused.

Make sure you cover all the topics and skills that will appear on the official exam.

Study to learn and understand, not to memorize. Read every practice question carefully before selecting the answer.

Take notes. Taking notes on the questions you need to study will reinforce your learning.

Read the rationales for the correct answers. You likely remember all this from your nursing school!

If you don’t know the answer right away, try to eliminate one or two of the choices.

NCLEX practice questions: How it works

The best way to study for your examination is to practice answering questions similar to those you’ll find on the actual test.

Our questions are based on the same categories that are included in the official exam provided by the National Council of State Boards of Nursing (NCSBN):

nclex case study questions reddit

Maximize your study time

You can take our practice tests as many times as you like. Study to learn and understand, not to memorize.

Like flashcards, only easier

Each time you restart a practice test, the questions and their possible answers are randomly shuffled so that you are learning facts, not the order of the questions.

nclex case study questions reddit

Scientifically proven

Research has shown that studying in the same way that you’ll be tested can increase your self-assurance as well as your ability to answer the test questions.

We’ve designed our practice tests to duplicate the exam experience so that it becomes familiar to you.

Our questions cover all the topics and skills that appear on the official 2024 Registered Nurse and Practical Nurse exams.

Nurses are angels in comfortable shoes

Smart hints.

Short tips, available right when you need them. You decide whether to see them. So you'll know all about things like semi-fowler's position or Erikson's stages .

Explanations

Detailed rationales for the correct answers. Displayed not only when you make a mistake but also when you answer correctly, so you remember it better.

NCLEX Exam Simulator

Designed to simulate the actual NCLEX-RN experience in every way. The most efficient way to practice for the real exam.

Immediate Feedback

No need to wait until you reach the end of the test to see if your answer is right.

If you make a mistake, we'll let you know right away.

Frequently asked questions

If I’m not sure about which option is best, should I guess?

Random guessing on the NCLEX will lower your score. If you don’t know the answer right away, try to eliminate one or two of the choices. On Nurse.plus practice tests, if you’re not sure, or if the question has new information that you haven’t seen before, click on the Hint button below the fourth answer option. You’ll get a clue to help you figure out the correct answer.

How can the Nurse Plus Academy help me study?

Research shows that practice tests are valuable tools in helping you prepare to sit for your NCLEX. They can decrease anxiety about test-taking: the more practice tests you take, the better you become at reading the questions and developing a strategy for choosing the best answer. They also identify your areas of strength and weakness. We recommend a regular study schedule, starting 2-3 months before your examination. In addition to practice testing, we offer a Nursing Terminology section where you can see definitions for the most popular NCLEX terms such as Sims position , rule of nines , 12 cranial nerves or what normal saline and d5w are .

When do I get the score for my practice test?

Your score is constantly displayed. Before you begin, the numbered grid is grey. As you take each NCLEX practice test, just look at the grid to see how well you are doing. Each grey square in the grid will turn green or red, depending if your answer to the question is right or wrong. With each question, the squares of the grid will turn green with your correct answers or red with the incorrect ones.

How are the practice tests arranged?

Each of our practice tests falls into one of the four NCLEX healthcare categories: Physiological Integrity, Safe and Effective Care Environment, Health Promotion and Maintenance, and Psychosocial Integrity. Each category includes practice tests that cover the subcategories. We also plan to offer tests that will take all the questions and split them into specific topics, such as pharmacology, laboratory tests, medical emergencies, etc.

Where do these questions come from?

These questions resemble those on the NCLEX. We designed them to simulate the real exam provided by the National Council of State Boards of Nursing (NCSBN). Many of the questions were created by our authors. Others were kindly provided by the Khan Academy under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License.

What happens if I get a question wrong?

If the answer is correct, you will see a green checkmark and can go to the next question. It it’s wrong, you will see a red “x” and the correct answer. The rationale for the correct answer will also show, so you can read it and find out more. Taking notes on the questions you need to study will reinforce your learning.

Do I need to register to access the tests or the results?

No. You don't need an account to access our NCLEX practice tests or the results. We use a browser cookie to remember your progress so that you can safely close your browser window and come back at any time to the exact point at which you left off. No usernames or passwords to remember!

Is there a passing score for the practice tests?

We’ve set the passing score for the practice tests at 50%. The NCLEX-RN and NCLEX-PN are pass/fail examinations designed to determine if you have an entry-level knowledge of nursing. While we can’t promise that getting 50% or higher on the Nurse Plus practice test guarantees that you will pass your NCLEX, you'll have an indication of subjects that you know, as well as those that need more study.

Can I take a practice test more than once?

Absolutely! Our practice tests work the same way as flash cards. Each time you retake any of the tests, the questions and options will automatically shuffle into a different order. Random ordering is a proven learning method.

What if I don’t understand a question or agree with an answer?

We’re always glad to hear from Nurse Plus users. If a question can be improved or corrected, please let us know. Send us an email at [email protected]. We review all comments and respond to users as soon as possible.

NCLEX Tips and Tricks

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Nikole Bourgeois

How I Studied and PASSED NCLEX-RN with 5 EASY tips!

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Learn how to pass NCLEX in 75 questions!

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The Nurse Plus Academy is a part of Elegant E-Learning, Inc., a twelve-year-old company with a proven track record of revolutionizing online education. Our flagship site, Driving-Tests.org, is now in its twelfth year of operation as a trusted web presence for US learner drivers. It fills a niche in the driver education and driver safety marketplace by making free permit practice tests, written by experts, available to anyone who wants to study.

With Nurse Plus and CNA Plus, we're on a mission to help you pass your NCLEX and CNA tests. These sites provide practice tests that simulate the official exams provided by the National Council of State Boards of Nursing (NCSBN).

IMAGES

  1. Next Generation NCLEX Case Study Sample Questions and Answers

    nclex case study questions reddit

  2. Writing Next Generation NCLEX-Style Case Study Questions

    nclex case study questions reddit

  3. Next Generation NCLEX (NGN): Questions, Changes, and a Study Guide Plan

    nclex case study questions reddit

  4. Solved B NCLEX-Style End-of-Chapter Clinical Case Study

    nclex case study questions reddit

  5. How to Study for the NCLEX®

    nclex case study questions reddit

  6. NCLEX Next Generation: Case Study Questions

    nclex case study questions reddit

VIDEO

  1. The best choice for NCLEX prep

  2. Practicing Case Study for the NEW NCLEX

  3. Practicing Case Study Questions for the NEW NCLEX

  4. Myocardial Infarction Case Study Nursing: NCLEX WED EP7

  5. NCLEX Case Study with Rationales

  6. What are the NEW Styles of Questions on the Next Generation NCLEX

COMMENTS

  1. Passed NGN 1st attempt at 85 Questions! My experience, some ...

    You will definitely benefit from studying!! But personally I felt that, (with the exception of the case studies), I was guessing on 90% of the questions. As many others who have taken the NGN have mentioned, NCLEX questions are extremely vague in comparison to some study materials out there, particularly UWorld.

  2. Passed the NCLEX in 85 questions. Was convinced I failed. Here ...

    The only thing I used was ATI Boardvitals. Did 2,500 practice questions in the two weeks leading up to the NCLEX. Thought I'd see a lot of the same content in the NCLEX questions. Boy was I wrong. I will say that practice questions are great for getting your mind in critical thinking mode, but I don't feel like I learned anymore from them.

  3. Comprehensive guide for how I passed my NCLEX (incl photos ...

    Re: My study calendar and tactics: HERE IS MY STUDY CALENDAR. Ignore the blue text. I gave up on trying to use Saunders in conjunction with uworld very early. The black text are the sections I did questions on in uworld. I found it easier to do questions in 10 question chunks at first, then take notes & repeat til 50.

  4. Got a lot of case studies on the NCLEX…is that bad? : r/NCLEX

    i had the exact same thing. i took the nclex 2 weeks ago and left in TEARS and swearing i failed. i had 85 w and about 6-7 cases studies and then stand alone questions as well. my friend took it the day before and had way less case studies then me. we both passed!! don't worry, do the trick. i didn't do the trick and i regret it because it would've calmed me down.

  5. Next Generation NCLEX (NGN): Basic Need-to-Know and What to Expect

    Starting April 1, 2023, the NCLEX will have a minimum of 85 questions (maximum of 150) that will be needed to determine a passing score. In regard to the MINIMUM amount of questions, at least 18 of those questions will be from 3 separate six-question NGN case studies (6 + 6 + 6 = 18). 52 of the remaining questions will be standalone items, and ...

  6. r/NCLEX: A Place to Discuss, Support, & Share Information

    Took my NCLEX earlier today and it shut off at 150. I feel extremely defeated and feel like I failed. The questions felt very hard and unfamiliar. A lot of them were about topics I KNEW but then the answers were just stuff I had never seen/studied. Had a decent amount of SATA, NGN, and case study questions. Update: I passed!!!

  7. Questions for those who retested : r/PassNclex

    Welcome to PASS NCLEX! This subreddit is about the NCLEX exam. If you have taken this exam, share your experience and tips with others. If you are going to take the exam, explore the subreddit and ask questions.

  8. Next Generation NCLEX Study Tips for Case Studies

    Conclusion of Study Tips for NGN Case Studies. In summary, the best way to prepare for the case studies on the Next Generation NCLEX is to actually understand the disease holistically, which means digging into the pathophysiology first, and then allowing that to flow to the signs and symptoms, medications, patient education, and so forth.

  9. Next Generation NCLEX Case Study Sample Questions

    Next Generation NCLEX Case Study Review Questions Video. NGN Case Study Sample Questions and Answers. First, let's take a look at our case study summary below: Case Study Summary: A 68-year-old male is admitted with shortness of breath. He reports difficulty breathing with activity, lying down, or while sleeping. He states that in order to ...

  10. NextGen NCLEX Test Bank

    The test bank is composed of case studies with six questions each that follow the NCSBN Clinical Judgment Measurement Model steps: recognize cues. analyze cues. prioritize hypotheses. generate solutions. take action. evaluate outcomes. In addition, seven questions for reviewing bow-tie or trend items are included.

  11. Next Generation NCLEX (NGN): Questions, Changes, and a Study Guide Plan

    There will be approximately three case studies with 6 questions each, for a total of 18 items [3], in addition to other types of questions. There will also be five new item types on the Next Generation NCLEX, including the following: Extended Multiple Response - Although multiple response items such as SATA questions are on the current NCLEX ...

  12. Writing Next Generation NCLEX-Style Case Study Questions

    Client/Nurse Interaction. The six questions in the case study should focus on the application of one of the cognitive skills highlighted in the Clinical Judgment Measurement Model (CJMM). Silvestri (2020) identifies questions that test-writers (and test-takers) ask themselves to understand each of the six cognitive skills.

  13. Next Generation NCLEX: Case Studies 5-6

    Next Generation NCLEX: Case Studies 5-6. Nurse Plus Academy is excited to offer a new Next-Generation NCLEX (NGN) practice test to help NCLEX applicants prepare for the upcoming changes to the exam. The NGN is designed to better measure a candidate's clinical judgment and will include innovative item types such as extended multiple response ...

  14. Next Gen NCLEX® (NGN): Free Nursing Educator Resources

    How to Write a Next Generation NCLEX® Case Study. The new question types on the Next Gen NCLEX® will include case study information. The NGN case study is designed to provide data for the student to utilize in applying the clinical judgment measurement model. The model identifies six cognitive processes a nursing graduate must master.

  15. Key Strategies to Answer Next Gen NCLEX Case Study Questions

    For both the Registered Nurse (RN) and Practical Nurse (PN) exam, the Next Gen NCLEX takes up to 5 hours to complete and has up to 150 questions. Test takers must answer at least 85 questions, with 70 scored and 15 unscored. If the test taker answers all 150 questions, 135 of those are scored, and 15 are unscored.

  16. NCLEX Practice Questions: #1 Free NCLEX Test Bank 2024

    Updated on January 21, 2024. By Matt Vera BSN, R.N. Welcome to our collection of free NCLEX practice questions to help you achieve success on your NCLEX-RN exam! This updated guide for 2023 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 ...

  17. FAQs About the Next Generation NCLEX (NGN)

    a shift towards case studies. Case studies are less didactic and more applicable to real-life situations. Throughout the NGN case study exam portion, clinical judgment is assessed. inclusion of bowtie-type questions. Bowties cover all six aspects of the NCJMM. Read more on bowtie NCLEX questions. What type of test questions should I expect?

  18. Next Generation NCLEX Practice Test: Case Studies 3-4

    Our practice test follows the NGN's minimum and maximum length of the exam, which is 85 to 150 questions, with 70 to 135 scored and 15 unscored questions. Candidates can take up to five hours to complete the exam, with the NGN case studies being delivered according to the computerized adaptive test (CAT) model.

  19. Next Gen NCLEX Question Types: Stand-alone vs. Case Study

    The Next-gen NCLEX (NGN) will be implementing the new format for test-takers starting in April of 2023. This module looks at stand-alone and case study questions, techniques on how to answer these ...

  20. NEW NCLEX / CASE STUDY EXAMPLE

    In this video, you'll be able to practice a Case Study example that will be on the NEXT GEN NCLEX (NGN)! An Example of a Case Study Question that will be add...

  21. Free NCLEX Practice Questions: NCLEX Test Bank 2024

    Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions. 104-115. questions. ... The site provides NCLEX practice questions that are based on the materials developed by 2024 National Council of State Boards of Nursing and are similar to those you'll find on the official exam. Nurse ...