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 76-year-old female patient is seen for an enlarged mass on the front of her neck. She is diagnosed with a goiter. Based on the nurse's understanding of this condition, the nurse knows that a simple goiter is most likely caused by:Endocrine / MetabolicPhysiological Adaptation
The client has received instructions after cataract surgery. What statement by the client indicates an understanding of the discharge instructions?FundamentalsManagement of Care
A nurse manager who works in the medical-surgical unit makes decisions several times a day to ensure that the appropriate staff members on the unit care for patients based on their skill mix, number, and experience level. This is best described as:Prioritization / DelegationManagement of Care
A client has lost 15 percent of his body weight within 12 hours. In treating the client for this hypovolemic condition, you recognize that the client’s diagnosis is what?LabsManagement of Care
A patient who is 28 weeks' gestation undergoes a non-stress test when she noticed that the baby hasn't moved recently. The results are considered reactive. What does this mean?OB / PedsReduction of Risk Potential
A nursing assistant has told the nurse that she is working with that she does not want to do the tasks she has been assigned. Select all of the following characteristics of a delegatee that would inhibit delegation.Prioritization / DelegationManagement of Care
Which best describes the development of cachexia in a patient with stomach cancer?OncologyBasic Care and Comfort
A nurse is caring for a patient in crisis who has endured a physical assault. The nurse would expect to see which behavior associated with the integration phase of crisis? Select all that apply.Mental HealthPsychosocial Integrity
A patient who has undergone a laparoscopic cholecystectomy is getting ready to be dismissed from the hospital. Which information would the nurse provide as part of post-op instructions for this patient? Select all that apply.GI / GUReduction of Risk Potential
A nurse is teaching a class about the HIPAA Privacy Rule to a group of colleagues for a continuing education course. Which of the following would the nurse instruct the class about that is a myth associated with HIPAA? Select all that apply.Ethical / LegalManagement of Care
A patient has been prescribed an aminoglycoside antibiotic for an infection. Which of the following information about side effects of this medication is most appropriate for the nurse to give to this patient?PharmacologyPharmacological and Parenteral Therapies
A patient with insulinoma is suffering from mental confusion and cognitive impairment. Which action of the nurse best demonstrates that she is respecting the client's dignity?Mental HealthManagement of Care
A patient comes in to the hospital in severe pain and is diagnosed with a 2 mm kidney stone. Which best describes how the nurse would teach this patient about treatment?GI / GUPhysiological Adaptation
A patient is hospitalized for symptoms of chronic bronchopulmonary disease. The physician orders 20% acetylcysteine solution administered via nebulizer. This medication is most likely administered for help with symptoms of:RespiratoryPharmacological and Parenteral Therapies
A nurse is caring for a 78-year-old patient with severe, debilitating rheumatoid arthritis who lives at home with her spouse. The nurse assesses the patient’s level of safety in her home. Which aspects should be included as part of the home safety assessment? Select all that apply.Hematologic / ImmunologySafety and Infection Control
A nurse is working in the emergency room when the hospital is notified of a nearby plane crash. Most of the victims will be transported to the hospital. The nurse is working as part of the triage team. Select those patients that would be the highest priority. Select all that apply.Prioritization / DelegationSafety and Infection Control
Within the brain, the exterior meningeal layer is known as the:NeuroReduction of Risk Potential
A nurse is demonstrating how to use a metered-dose inhaler to a patient with asthma. Which of the following elements should the nurse include as part of this teaching? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
You are caring for an infant with Hirschprung’s disease who has just had surgery. What do you tell the parent?GI / GUPhysiological Adaptation
A patient with a history of malnutrition has skin breakdown in several areas with bony prominences. The nurse first determines the patients age in the initial assessment. Which best describes the rationale for this measure?IntegumentaryBasic Care and Comfort
A 68-year-old patient with COPD is being seen for pulmonary rehabilitation. The nurse is instructing the patient about exercise guidelines while he manages his disease. Which information must the nurse include as part of exercise guidelines for this patient?RespiratoryHealth Promotion and Maintenance
A nurse is administering medication to a patient in the hospital. Which best describes an example of a consideration by the nurse during the evaluation phase of medication administration?PharmacologyPharmacological and Parenteral Therapies
A 68-year-old patient is being seen because of problems with memory loss. Which best describes an example of the difference between normal memory changes with aging vs. dementia?Mental HealthPsychosocial Integrity
A nurse is caring for a patient who has Streptococcus pneumoniae infection. Which best explains why the nurse must report this condition to public health officials?Hematologic / ImmunologySafety and Infection Control
A nurse is performing a gastric lavage on a patient. The nurse has placed the nasogastric tube, positioned the patient, and instilled 200 mL of warm water into the tubing. Which step does the nurse perform next?GI / GUPhysiological Adaptation
A nurse is leaving the hospital after her shift when a pregnant woman in the parking lot approaches her and asks for help. She tells the nurse, “This baby is coming right now!” What actions should the nurse perform in response? Select all that apply.OB / PedsPhysiological Adaptation
A 56-year-old patient with cancer is going home from the hospital with a Hickman catheter in place. Which information does the nurse need to include when teaching the patient about managing this type of central line?PharmacologyPharmacological and Parenteral Therapies
Which best describes the recommendations from the American Cancer Society regarding initial screening for cervical cancer?OncologyHealth Promotion and Maintenance
A patient with Cushing syndrome has become more withdrawn from friends and relatives because of changes in her appearance. Upon admission to the healthcare center, the nurse gives the patient a nursing diagnosis of Social Isolation related to discomfort with others and feelings of rejection by other people. Which of the following nursing interventions is most appropriate in this situation?Endocrine / MetabolicPsychosocial Integrity
The client has been diagnosed with chronic renal failure. What is the most common complication of chronic renal failure?Endocrine / MetabolicManagement of Care
The nurse is giving insulin to a client with diabetes for what purpose?Endocrine / MetabolicPharmacological and Parenteral Therapies
A 23-year-old patient requires chest physiotherapy while he is in the hospital being treated for cystic fibrosis. The nurse assists the respiratory therapist by helping the patient with postural drainage. Which best describes this process?RespiratoryPhysiological Adaptation
A patient is undergoing behavioral therapy through counseling for some of his manic behaviors he exhibits during episodes of bipolar disorder. Which best describes how cognitive-behavioral therapy is used as treatment for this patient?Mental HealthPsychosocial Integrity
A patient has been injured in an accident and needs treatment for an arm fracture. The patient has a history of substance abuse and requests only Tylenol for pain. The physician orders the nurse to administer narcotics for the patients pain because of the fracture. Which best describes the first step of the nurse in managing this situation?MusculoskeletalManagement of Care
A client is at an increased risk of pressure ulcers in which situations? Select all that apply.IntegumentarySafety and Infection Control
What does the nurse recommend in order to prevent injuries to the eyes? Select all that apply.FundamentalsPhysiological Adaptation
A nurse who works in a long-term care facility has been certified as a wound and ostomy nurse. Based on the nurse's knowledge, the nurse knows that which of the following situations would increase a person's risk for pressure ulcers? Select all that apply.IntegumentaryReduction of Risk Potential
A nurse is helping a patient who is in bed to move up toward the head of the bed. The patient uses an overhead bar to help with moving up in the bed. Which best explains how this bar will help prevent risk to the patient?FundamentalsSafety and Infection Control
A 38-year-old client tells the nurse that she has difficulty falling asleep and she is only able to sleep a couple of hours each night while in the hospital. Which of the following describes a difference between sleep and induced sedation through medication? Select all that apply.PharmacologyBasic Care and Comfort
A 35-year-old client is undergoing a bronchoscopy procedure to evaluate a mass in his airway. Following the procedure, the nurse periodically assesses the patients cough and gag reflexes. Which best describes the rationale for this action?RespiratoryHealth Promotion and Maintenance
The parents of a 3-year-old child with an upper respiratory illness want to bring a healer into the hospital to practice acupuncture on the child, which they believe will help to heal him. Which of the following responses of the nurse is accurate in this situation?OB / PedsManagement of Care
Which of the following types of IV fluids is an example of a hypertonic solution?PharmacologyPharmacological and Parenteral Therapies
Following a cesarean section in which general anesthesia was required, a patient receives metoclopramide (Reglan) IV from the nurse. Which best describes the purpose of this administration?OB / PedsPharmacological and Parenteral Therapies
A psychiatric and mental health nurse is working with a family who is undergoing group therapy. Which action from the nurse best demonstrates the view of the family as a unit?Mental HealthPsychosocial Integrity
A stoma nurse is caring for a patient who is planning to undergo surgery for placement of a colostomy. The nurse explains that it is important to choose the most appropriate site for the stoma. The patient asks, What difference does it make where the stoma goes? Which response from the nurse is accurate?GI / GUReduction of Risk Potential
A nurse must deliver a shock to a patient in cardiac arrest by using an AED. Which describes the amount of energy delivered with the first shock on an adult patient?CardiacPhysiological Adaptation
A 67-year-old patient with heart disease must have a cardiac stress test to assess heart valve function. Besides a physician, which of the following healthcare staff members may perform the stress test on this patient? Select all that apply.CardiacManagement of Care
A patient is being discharged to home after having a tracheostomy placed. Which information should the nurse give to the patient about using humidity with the trach in place?RespiratoryPhysiological Adaptation
Select all of the following that describe the difference between a nurse’s ethics and a nurse’s morals.Ethical / LegalManagement of Care
A patient with heart disease recently had an internal cardiac defibrillator implanted to provide a shock if his heart should stop beating. The patient admits to the nurse that he feels anxious about having the device in place because of what it is supposed to do. Which response from the nurse is most appropriate?CardiacPsychosocial Integrity