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
The nurse is caring for an infant that has been diagnosed with menningitis, the nurse notices buldging fontanels, distended scalp veins, and the infant is irritable with a high pitched cry. Which of the following interventions can the nurse do to decrease the Intracranial Pressure (ICP) in this infant?OB/PedsPhysiological Adaptation
Which sleep disorder is associated with cataplexy?NeuroBasic Care and Comfort
A patient undergoing a surgical procedure has been given a nursing diagnosis of Knowledge Deficit as evidenced by his inability to follow through on instructions and inability to verbalize the purpose of the procedure. Which of the following nursing interventions is most appropriate?FundamentalsReduction of Risk Potential
A nurse has worked on an ethics committee to determine the best course of action for a patient who is dying. The nurse considers the pros and cons of the decision to help with making a choice. Which best describes the distinction of using a pro/con list when making an ethical decision?Ethical / LegalManagement of Care
A nurse working in the newborn nursery is caring for an infant who was born 3 hours ago. The infant's axillary temperature is 97.0F and the nurse notes that his respiratory rate is 60/minute. Which action of the nurse is most appropriate?OB / PedsHealth Promotion and Maintenance
A patient with acute decompensated heart failure has been prescribed intravenous diuretic medications to control fluid and congestion. Which nursing intervention would the nurse need to perform in order to best monitor fluid and electrolyte balance in this patient?CardiacBasic Care and Comfort
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 36-year-old man was brought in to the hospital after being injured during a physical assault. Identify all of the following appropriate nursing interventions for dealing with a patient who is in the acute stage of crisis.Mental HealthPsychosocial Integrity
The parents of a 10-month-old baby have started feeding their child solid foods from baby food jars. The parents want to feed their child more table foods and they ask the nurse about this. Which response from the nurse is accurate?OB / PedsHealth Promotion and Maintenance
The client has vascular access routes made of grafts for hemodialysis. What is the most common complication?Endocrine / MetabolicManagement of Care
A registered nurse is working on a busy medical-surgical unit. She decides to delegate the task of collecting vital signs of a recent post-op patient to the LPN who is working with her. This situation is the best example of what type of right according to the five rights of delegation?Prioritization / DelegationManagement of Care
Following a patients first session of hemodialysis, the nurse is providing information to the patient and his family about his care at home. Which information should the patient be aware of that will prevent damage to the hemodialysis fistula site?Endocrine / MetabolicManagement of Care
A patient with pancreatic cancer will be using total parenteral nutrition at home. The nurse is providing discharge teaching for the patient about how to use TPN after he leaves the hospital. The nurse should teach the patient which of the following information?OncologyPharmacological and Parenteral Therapies
A nurse is talking with a 65-year-old patient about his care after his diagnosis with liver cancer. The nurse tells the patient that he can receive palliative care and the patient responds by saying, I won't have that kind of care. I'm going to fight this cancer with everything I have! Which response from the nurse is accurate?OncologyPsychosocial Integrity
A public health nurse is reviewing elements of crisis intervention that she has used in the community. Which of the following is an example of a community-level crisis event? Select all that apply.Mental HealthPsychosocial Integrity
A school nurse participates in monthly fire drills in which all students are to file out of the building. What best describes the nurse's role during a fire drill?FundamentalsSafety and Infection Control
A client is complaining of burning upon urination. The urinalyisis shows that the client has a Urinary Tract Infection. Which of the following medicstins would be an appropriate medication to treat the clients UTI?PharmacologyPharmacological and Parenteral Therapies
A client is having a nose bleed (Epistaxis), how should the nurse instruct the patient to position themselves?FundamentalsManagement of Care
A patient who is a vegan has requested a new food tray because he does not want to eat what has been served. Which of the following foods can be included on a food tray for a patient who is a vegan? Select all that apply.FundamentalsBasic Care and Comfort
A patient who is 37 weeks' pregnant has collapsed in the hallway of the hospital. A nurse responds and notes that the patient does not have a heart rate. Which intervention must be modified because of this patients pregnancy in order to respond to this situation?OB / PedsPhysiological Adaptation
The nurse is caring for an Alzheimer’s patient who is taking quetiapine (Seroquel) for paranoid ideations. Which adverse reactions should the nurse look out for? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
The nurse is educating the family members of a client on brain damage and how it will effect the client. The nurse states the client will have attention, sensation, and body awareness deficits. Which area of the brain has been affected?NeuroHealth Promotion and Maintenance
A 46-year-old patient was involved in a motorcycle accident and comes in to the emergency department with rib fractures and a flail chest. The physician orders to set up for treatment utilizing pneumatic stabilization. Which actions would be included as part of this treatment? Select all that apply.RespiratoryPhysiological Adaptation
A patient is recovering from a total knee replacement surgery and the nurse asks him if he is having pain. The patient shakes his head no and averts his eyes while a tear runs down his cheek. This patient is demonstrating which type of signal?FundamentalsPsychosocial Integrity
A nurse is caring for a client with Tubulopathy. The nurse knows that this client needs to monitor lab work for which of the following organs?LabsPhysiological Adaptation
A patient who was diagnosed with heart failure has developed cardiogenic shock as a complication of his condition and needs an intra-aortic balloon pump placed. Based on the nurse's knowledge of this device, the nurse understands that this device is best described in which manner?CardiacBasic Care and Comfort
A nurse is preparing to administer whole blood to a patient on the medical-surgical unit in the hospital. The nurse has hung a bag of normal saline, primed the tubing, and connected it to the patients IV line. Which action would the nurse perform next?PharmacologyPharmacological and Parenteral Therapies
A nurse manager is trying to deal with staff that do not want to work overtime, but the nursing unit is full of patients and there are not enough workers. What strategies would be most appropriate when dealing with this situation as a manager? Select all that apply.Ethical / LegalManagement of Care
A nurse who is working in the recovery room is caring for a patient who has recently had cardiac surgery. The patient has received a significant amount of opioid analgesics for pain control. The nurse is monitoring the patients vital signs and notes the following: HR 68bpm, RR 6/min, BP 90/60 mmHg. Which of the following medications would the nurse most likely need to administer?PharmacologyPhysiological Adaptation
Parts of the nursing interventions in caring for an acute MI client are what? Select all that apply.CardiacPhysiological Adaptation
A nurse is caring for a 13-year-old girl who is sexually active and whose partner is her 19-year-old boyfriend. The girl asks the nurse not to tell her parents about her sexual activity. This patients situation is best described as:OB / PedsManagement of Care
A nurse is helping a patient to remove his dentures from the top of the mouth. Which best describes how the nurse should assist?FundamentalsBasic Care and Comfort
A patient with a diabetic wound requires secondary wound closure as part of wound treatment. What elements consist of secondary wound closure? Select all that apply.Hematologic / ImmunologyPhysiological Adaptation
A nurse is caring for a patient in the ICU who requires a ventilator, several IV pumps, and a feeding tube. Which action would best explain how the nurse ensures patient safety while using this equipment?FundamentalsSafety and Infection Control
A patient refuses to take her antihypertensive medication because she says she can’t swallow pills and that they probably would not work anyway because her body is used to high blood pressure. What defense mechanism is she using?Mental HealthPsychosocial Integrity
The nurse is going to administer digoxin to the client, which of the following vital sign would cause the nurse to hold the digoxin?PharmacologyPharmacological and Parenteral Therapies
Which of the following is an example of staff development? Select all that apply.FundamentalsManagement of Care
A palliative care nurse is counseling a patient who is suffering from cancer. Which statement by the patient indicates that more education is needed about the treatment he receives through palliative care?OncologyBasic Care and Comfort
Ipratropium (Atrovent) is a medication used to treat bronchial spasm. You tell the client that its mechanism of action is what?PharmacologyPharmacological and Parenteral Therapies
A nurse is performing a neurological assessment on a 15-year-old teen who is having a routine physical exam. The nurse checks the patients cranial nerves and asks the adolescent to identify different smells with his eyes closed. This best represents assessment of which cranial nerve?NeuroHealth Promotion and Maintenance
Which best describes how gender impacts medication dose and prescribing information?PharmacologyPharmacological and Parenteral Therapies
A patient is undergoing knee arthroscopy and is preparing for the anesthetic. The anesthesiologist places a regional block to anesthetize the area. Which of the following nerve blocks would the physician most likely use in this situation?MusculoskeletalPhysiological Adaptation
A patient with a history of aggression requires medical management to control his behavior. The nurse performs an intake assessment of this patient when he is admitted to the hospital. Which information should be included as part of the initial assessment?Mental HealthPhysiological Adaptation
A 45-year-old diabetic patient has been brought in for care of diabetic ketoacidosis. His blood glucose levels are 367 mg/dL and his blood pH is 7.28. Which of the following respiratory rates would the nurse expect to see in this situation?Endocrine / MetabolicReduction of Risk Potential
A child with a history of acute leukemia is brought into the emergency department with a fever of 101.3F. The nurse is performing the initial assessment. Which action is the highest priority for the nurse to perform?OncologyPhysiological Adaptation
A patient who sustained a fractured arm requires range-of-motion exercises to promote circulation. The nurse assists the patient to perform active range of motion. Which of the following best describes how this motion is performed?MusculoskeletalBasic Care and Comfort
What is an important developmental activity in a school-age child?OB / PedsHealth Promotion and Maintenance
A nurse is caring for a patient who requires intravenous fluids to prevent fluid and electrolyte imbalance. The nurse has developed a clinical pathway to direct care of this patient. What best describes the purpose of a clinical pathway?LabsManagement of Care
A patient in the hospital tells the nurse that she is having difficulties sleeping because the nursing unit is so noisy. Which nursing intervention related to the patients environment can help with controlling noise to allow this patient to sleep?Mental HealthPsychosocial Integrity
A nurse is caring for a client who had coded, the nurse administered epinephrine at 22:40. When can the next epinephrine be administered?PharmacologyManagement of Care