Hardest Questions

Easiest Questions

Welcome to the largest collection of NCLEX Questions anywhere online.

Our mission at NRSNG is to provide you with the tools and confidence you need to succeed in nursing school, on the NCLEX®, and in your life as a nurse.

One essential “road block” to becoming an RN is the NCLEX-RN® exam that is taken upon graduation from nursing school. Many people refer to the test as the licensing exam because without this test you are not legally allowed to obtain a job as a nurse.

The key to successfully passing is to take as many mock NCLEX® questions as you can find.

Our recommendation is that you start taking practice exams and quizzes from the first day of nursing school focusing on the content you are covering with each semester.

You should continue this throughout your entire program slowly building on the number of questions you take daily until after you complete your program you are taking 100 or more each day.

The NRSNG NCLEX® Questions Study Plan

Here is our suggested question study plan as you prepare to take the NCLEX®. This plan is focused primarily on practice questions rather than content. For content review please visit our courses, podcasts, videos, cheatsheets, etc . . .

Step 1: Focus on Current Study Areas

It can be tempting to take random quizzes as soon as you start nursing school. This is flawed however because you are going to get unrealistic results and feedback as there is no way you will be able to answer pharmacology questions if you haven’t taken your Nursing Pharmacology course yet.

The problem is MOST apps don’t provide you with the ability to sort out questions into appropriate categories . . . and those that do allow sorting don’t allow you to sort into ENOUGH or the RIGHT categories to be helpful regardless of what you are studying.

That’s not our method! We have sorted our questions into 21 categories so that you can start practicing regardless of what you want to study.

Choose Your Question Categories:

Nursing Categories (Click to Start Practicing)

NCSBN NCLEX® Categories

Step 2: Read Rationales and the Re-Read

One of the most important concepts of test prep is reading and analyzing the rationales.

As I prepared for the NCLEX® and for the CCRN I spent the majority of my time reading through the rationales.

While taking NCLEX® questions you should spend the majority of your time reading, taking notes on, referencing, and analyzing each rationale. If you get a question wrong it can be easy just skip over it and move on, instead dive into the rationale and look over each element.

Step 3: Take Practice Questions EVERY Day

Get Started with NCLEX Practice Questions

Repetition is the key here.

There are only so many things that you will learn in your nursing education.

As such, there are only so many questions that you can be asked . . . I mean how many ways can you be asked about the symptoms of hyperkalemia?

Taking NCLEX® questions every day will help in a couple of ways:

  • Expose you to commonly asked questions and themes
  • Make you familiar with the wording
  • Help you identify strengths and weaknesses

You should work to scale up the number of questions as your progress through your program. As a brand new student your focus should be learning HOW to be a nursing student (schedule, time management, and critical thinking).

At this point in your journey start by taking maybe 10 or so questions a day.

Each semester increase the number by 10 questions so that by the end of your program you are up to 50 questions.

Once you graduate increase the number to 100-200 questions a day as you prepare for the NCLEX®.

Try to schedule the exam within 45 days of graduation while the information is fresh.

If you use this method you will feel comfortable with the content that will be covered as well as feel confident in the TYPES of questions and wording.

And . . . be easy on yourself.

You don’t have to be scoring perfectly on exams and quizzes from day one.

In fact, you never have to score perfectly. What really matters is that you are improving. The best way to guarantee improvement is repetition.

Step 4: Focus on Areas You Are Struggling With

Focus on the Nursing Categories and Subjects You Are Weak In

As humans, by nature, we enjoy focusing on and spending time doing things at which we consider ourselves “good”.

Think about it . . . we want to feel validated and like we are good at stuff.

The best way to achieve these feelings is to keep doing things that we already know we can do well.

So how does this apply to nursing school?

After working with literally hundreds of thousands of nursing students in nearly 200 countries, one of the most common mistakes I see students make is doubting themselves and being afraid to “make a bad grade”.

When you take a quiz over an area you are struggling with or not familiar with . . . you are going to make bad marks. That’s just a fact. However, as you continue to work through those “struggle areas” they will soon become your strengths.

Finding your weak areas is easy with NursingPracticeQuestions.com. With advanced statistics by category you know exactly where you need to focus.

Where to Find Free NCLEX® Practice Questions

You’re there! Our webapp Nursing Practice Questions (NPQ) was built with the nursing student in mind.

Get started with a free account, select the area you want to study, and start taking free questions now! We’ve even listed out a number of the questions you’ll see below:

Sample List of Practice Questions Inside:

Question TitleNursing CategoryNCLEX CategoryDifficulty
A patient is recovering from surgery and has been placed in the post-anesthesia care unit for monitoring. The patient is going to be discharged to extended care in one of the hospital units. Which condition would require that the nurse monitor the patient further before discharging him?FundamentalsManagement of Care
A 56-year-old patient has been admitted to the hospital with Cruetzfeldt-Jakob disease. Based on the nurse's knowledge of this condition, the nurse knows which of the following signs or symptoms might be present? Select all that apply.NeuroPhysiological Adaptation
A patient with type 1 diabetes has developed peripheral neuropathy as the result of his disease. The nurse has given him a nursing diagnosis of Altered Sensory Perception because of this complication. What nursing interventions would be most appropriate? Select all that apply.Endocrine / MetabolicPhysiological Adaptation
A family who consists of two parents and their children, ages 2 and 4 years, would most likely perform which of the following developmental tasks?OB / PedsHealth Promotion and Maintenance
Which of the following is the most important thing to ask a client who has fallen and bumped their head?PharmacologyPharmacological and Parenteral Therapies
Which of the following ethnic backgrounds are at highest risk of developing prostate cancer?OncologyHealth Promotion and Maintenance
A patient is demonstrating catatonic schizophrenia. Which of the following characteristics would the nurse most likely see with this condition?Mental HealthPsychosocial Integrity
Which best describes the nurse's role in social justice when caring for a patient?FundamentalsManagement of Care
The nursing staff at a local hospital have complained about the changes in computerized documentation in their unit. The nurse manager tries to explain why electronic documentation can be beneficial. Which best describes a benefit of using computerized nursing documentation? Select all that apply.FundamentalsManagement of Care
The client is suffering from atrial fibrillation. What can you tell the client about the disease? Select all that apply.CardiacPhysiological Adaptation
A patient has been brought in to the emergency room with complaints of abdominal pain. The nurse performs a focused abdominal assessment. Which of the following is an element of the inspection portion of the exam? Select all that apply.GI / GUHealth Promotion and Maintenance
Common treatments for internal ear infections include what? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A nurse who works in the health office at a community college is seeing a student who has a history of diabetes. The patient tells the nurse that she does not feel well. The nurse checks her blood glucose levels and gets a result of 51 mg/dL. What signs or symptoms would the nurse expect to see with this blood glucose level? Select all that apply.Endocrine / MetabolicReduction of Risk Potential
A nurse has received an order to give a patient his next medication STAT. Which action should the nurse perform first when receiving this type of order?PharmacologyPharmacological and Parenteral Therapies
The nurse has the following tasks: Administer medication, perform an assessment, feed a patient, take vital signs, and give a bed bath. What tasks can the nurse delegate to the Nursing Aid?Prioritization / DelegationSafety and Infection Control
Which characteristics best describe a democratic nurse manager?FundamentalsManagement of Care
A 61-year-old patient is planning to undergo surgery in the morning. The physician writes an order that says, "Prepare patient for upcoming TURP." Based on this order, the nurse knows that the patient will be having surgery on his:Ethical / LegalManagement of Care
A client has a history of addiction to alcohol. What medication class should be avoided for chronic treatment of anxiety?Mental HealthManagement of Care
A pregnant patient who is in labor has an epidural placed because she will be undergoing a cesarean section. The epidural remains in place for the next 24 hours after delivery. Which of the listed side effects is most commonly associated with an epidural following cesarean section?OB / PedsPharmacological and Parenteral Therapies
A nurse is working with a patient who has schizophrenia. The patient is demonstrating clang associations. Which of the following statements by the patient best displays this speech alteration?Mental HealthPsychosocial Integrity
The doctor has ordered a hypotonic IV solution to manage the client’s condition. Based on your knowledge of fluid and electrolytes, you know that hypotonic IV solutions are given in what type of situation?PharmacologyManagement of Care
Identify which of the following medications are for thyroid regulationPharmacologyPharmacological and Parenteral Therapies
A 70-year-old client is worried about developing dementia because his father had Alzheimer's disease at an early age. What lifestyle interventions would the nurse recommend that would potentially reduce this patients risk of dementia? Select all that apply.Mental HealthHealth Promotion and Maintenance
A postpartum patient has been prescribed Nubain to take in the first 24 hours after delivery. Which best describes the purpose of this medication?OB / PedsPharmacological and Parenteral Therapies
Following the client’s mastectomy, the nurse is positioning the affected arm. What is the most appropriate question to ask?OB / PedsBasic Care and Comfort
The client is believed to have a renal calculus. Common symptoms of a renal calculus include the following:Endocrine / MetabolicManagement of Care
A patient has been diagnosed with atherosclerosis and suffers intermittent episodes of angina. He has started in a cardiac rehabilitation program and the nurse is helping him develop coping mechanisms that would most likely help him with accepting his situation. Which intervention would the nurse use to help the patient develop coping mechanisms in this situation?CardiacPsychosocial Integrity
A nurse is assisting with placement of a laryngeal mask airway (LMA) in a patient who has been brought in to the emergency department. Which of the following tasks are included as part of correctly inserting this device? Select all that apply.RespiratoryPhysiological Adaptation
A nurse is working with a patient who has a central catheter in place that is measuring central venous pressure. When looking at the waveform, the nurse understands that the x descent of the wave means:CardiacPhysiological Adaptation
A nurse is caring for a client with right-sided paralysis who has excess oral secretions. The nurse must frequently use a suction catheter to clear the patients secretions. Which action best demonstrates that the nurse is using suction safely?NeuroSafety and Infection Control
A 22-year-old patient has suffered a spinal cord injury in which he is experiencing spinal shock and cannot feel his legs. Twenty-four hours after the injury, the patient tells the nurse, This will be good for me. I can handle this and I'm doing fine. Which response from the nurse is most likely indicated?NeuroPsychosocial Integrity
While caring for a patient in a rehabilitation center who has self-care deficit related to bathing and hygiene, the nurse assists the patient finding loose clothing to wear that snaps easily in the front. Which of the following best describes the rationale for this?FundamentalsHealth Promotion and Maintenance
According to the World Health Organization Pain Management Ladder, if a patient has a pain intensity that is classified as moderate-to-severe pain, which type of medication should the patient receive? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
The hospice team has not been able to relieve the client’s pain after many tries. One caregiver expresses concern to another that the pain is not real. What do you say to explain about the pain? It is:Ethical / LegalBasic Care and Comfort
The nurse is preparing a client for their thoracentesis. Which position should the client be in for the proceedure?FundamentalsManagement of Care
Which of the following best describes cost-utility analysis as used in the healthcare system and within nursing?FundamentalsManagement of Care
The ethical concept of respecting the patient and allowing him to make his own healthcare decisions is:Ethical / LegalManagement of Care
While admitting a 10-year-old patient to the hospital, the nurse reviews several policies and instructions with the child and his parents. Which of the following should the nurse include when admitting this patient?OB / PedsManagement of Care
A physician has written the following order: Give hydromorphone 1 cc IV prn pain. Which of the following aspects of the order would most likely cause a medication error?PharmacologySafety and Infection Control
A client is going through a major life crisis. Which self-care recommendations should the nurse make to help the client cope with stress? Select all that apply.Mental HealthPsychosocial Integrity
A nurse is caring for a female patient whom the nurse suspects has been injured from physical abuse by her friend. Which actions of the nurse are most appropriate in this situation? Select all that apply.Ethical / LegalPsychosocial Integrity
A 67-year-old patient with COPD is being assessed by a home care nurse. The patient uses supplemental oxygen and has a portable tank in the home. The nurse provides teaching to the patient about safely using home oxygen. Which action by the patient indicates that more teaching is needed?RespiratorySafety and Infection Control
When preparing to administer a medication to a patient, the nurse takes the dose out of a locked cart that keeps an electronic count of how many medications have been dispensed from the unit. Which of the following medication distribution systems is this nurse most likely using?PharmacologyPharmacological and Parenteral Therapies
Which condition would most likely indicate administration of parenteral nutrition in a post-op cardiac patient?PharmacologyPharmacological and Parenteral Therapies
When the nurse shines a light in a client’s right eye, what is a normal response in the left eye?NeuroBasic Care and Comfort
A nurse is caring for a patient who has been diagnosed with bipolar disorder, type I. Which best describes the difference between bipolar type I and type II?Mental HealthPsychosocial Integrity
A nurse is teaching a patient with bursitis about how to walk with a cane. The nurse knows that the patient understands how to use the cane properly when the patient demonstrates:MusculoskeletalPhysiological Adaptation
A nurse is caring for a patient who is undergoing pharmacological stress testing for a patient with a cardiac condition who cannot use a treadmill. The nurse administers a dose of adenosine. Which of the following Physiological responses would indicate an adverse effect of the adenosine and would require nursing intervention? Select all that apply.CardiacReduction of Risk Potential
A 25-year-old pregnant woman is being seen for excess nausea and vomiting during her first trimester of pregnancy. Which of the following factors must be present for a diagnosis of hyperemesis gravidarum?OB / PedsHealth Promotion and Maintenance
An infant born at 35 weeks' gestation is being cared for under close observation by the nurse. Two hours after birth, the nurse checks the infant's blood glucose level and gets a result of 35 mg/dL. Which intervention of the nurse is most appropriate in this situation?OB / PedsReduction of Risk Potential