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 client has been diagnosed with Bell’s palsy. What is a priority nursing intervention?NeuroPhysiological Adaptation
A patient who has undergone a hysterectomy is experiencing pain after the procedure. The nurse ensures that other distractions and stressors in the room are removed by keeping the door closed and the lights low. Which best describes the rationale for this?GI / GUReduction of Risk Potential
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
When discussing teamwork in the cardiac OR, which definition best describes collective efficacy on the part of team members?Prioritization / DelegationManagement of Care
A healthcare office provides immunizations for children and adults in the community. The nurse is preparing Vaccine Information Sheets (VIS) to give to patients about the vaccines. Another nurse tells her, Those forms are optional. You do not have to give those out if you do not want to. Which response from the nurse is accurate?Ethical / LegalHealth Promotion and Maintenance
A patient who has suffered a traumatic brain injury (TBI) has developed diabetes insipidus. A home health nurse is seeing the patient in his home to help him manage his care at home. Which of the following teaching points would the nurse offer to help prevent injury in this patient?NeuroSafety and Infection Control
A nurse is working with a family who homeschools their three children and also cares for an aging parent with Alzheimer's in the home. Which statement by the family best indicates that they are considering the needs of the older adult who is receiving care in the home?NeuroHealth Promotion and Maintenance
Drugs used in adrenal insufficiency include which of the following? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
The client is being evaluated for a low calcium condition. Clinical manifestations of low calcium include the following. Select all that apply.LabsManagement of Care
A nurse is caring for a patient with self-care deficit related to dressing and grooming. Which of the following nursing interventions is most appropriate? Select all that apply.FundamentalsHealth Promotion and Maintenance
A nurse is taking a medical history on a patient who is an adolescent. The nurse must ask the patient if he has a history of street drug use, but she realizes that it is a potentially sensitive subject. Which of the following best describes the permission-giving technique when interviewing this patient?OB / PedsHealth Promotion and Maintenance
A patient who had a total knee replacement has returned from the surgical procedure with a CPM machine in place for range-of-motion exercise. The client asks the nurse why he needs to wear the machine. Which of the following responses from the nurse is correct?MusculoskeletalReduction of Risk Potential
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 59-year-old patient is suffering from severe pain, numbness, and tingling in the lower legs and feet as a result of diabetic peripheral neuropathy. Which type of non-pharmacological intervention would be most appropriate for pain management in this patient?NeuroBasic Care and Comfort
A 78-year-old patient complains to the nurse that as he gets older, he has more difficulty with accepting change. Which of the following changes are not a normal part of the aging process? Select all that apply.Mental HealthPsychosocial Integrity
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 is assisting a physician with obtaining informed consent from a patient who will have surgery. Which of the following does the physician need to describe during this process? Select all that apply.Ethical / LegalManagement of Care
In the care of the blind client, the nurse should engage in the following behaviors. Select all that apply.FundamentalsPhysiological Adaptation
A nurse is assessing a patient who is being admitted to the hospital from home for surgery on his knee. Which part of the assessment would be included with an admission assessment but not with a focused assessment?MusculoskeletalReduction of Risk Potential
The client wants to go home. What will you tell them about the type of care they will receive at home?Ethical / LegalBasic Care and Comfort
A nurse is taking a class about disaster management and learning about hazard analysis. Which of the following is an example of a human-caused disaster?FundamentalsSafety and Infection Control
Which of the following are classified as reasons for performing a bronchoscopy? Select all that apply.RespiratoryReduction of Risk Potential
A patient who has had a stroke has developed dysphagia and is having trouble getting enough food. The nurse assesses the patients swallowing ability. Which action would the nurse include to effectively assess this patients swallowing?NeuroBasic Care and Comfort
A nurse is caring for a patient whose death is imminent. The family is at the bedside and are very upset and crying over the patient. The nurse wants to say something to comfort the family. Which of the following statements is most appropriate?FundamentalsPsychosocial Integrity
A client has acute renal failure. What is the most severe complication of acute renal failure?Endocrine / MetabolicManagement of Care
A patient who is 16 weeks' pregnant is at the healthcare provider's office for a routine prenatal exam. The nurse is educating the patient about pregnancy-related body changes that will most likely occur in the next several months. Which best describes a condition that affects the musculoskeletal system that occurs during pregnancy?OB / PedsHealth Promotion and Maintenance
Which best describes the appearance of Charcot foot in a diabetic patient?Endocrine / MetabolicBasic Care and Comfort
A patient with chronic airway disease has been prescribed theophylline. Which best describes the mechanism of action of theophylline in the body? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
Part of the nurse’s teaching for an acute MI client includes what?CardiacPhysiological Adaptation
A patient is being admitted to the hospital for a surgical procedure. During the admission process, the nurse teaches the family about how to call for the rapid response team. Which information given by the nurse provides the most accurate explanation of when to use the rapid response team?FundamentalsSafety and Infection Control
A patient who has recovered from cancer surgery requires lymphedema therapy. Which best describes activities that would take place with this type of therapy?OncologyBasic Care and Comfort
Which of the following factors predisposes a patient to developing pulmonary edema? Select all that apply.RespiratoryPhysiological Adaptation
A patient with fever and productive cough has been admitted to the healthcare facility. Which precautions would the staff utilize that would best implement infection control in this situation? Select all that apply.RespiratorySafety and Infection Control
A patient has arrived at the primary care clinic with complaints of chest pain for the past 3 hours. The patient states that the pain radiates from his chest to his left arm and rates the pain as a 7 on a numeric rating scale of 0-10. Which of the following questions should the nurse ask to determine the quality of the patients pain?CardiacBasic Care and Comfort
A nurse who is caring for a patient on the cardiac unit gets the following order from a physician: Paxil 75mg po daily. The nurse knows that the patient does not have a history of depression, but he does have a clotting disorder and has been taking Plavix at home. Which of the following interventions should the nurse perform?PharmacologySafety and Infection Control
A nurse needs to assess a patients back and listen to posterior lung sounds. In which position would it be most appropriate to place this patient?RespiratoryHealth Promotion and Maintenance
A patient is in labor with her 4th baby and has had some complications during the process. The physician has ordered oxytocin to stimulate uterine contractions and needs to use forceps to deliver the baby. The baby is 9 lbs., 15 oz. Based on these factors, which postpartum complication is this patient at highest risk of developing?OB / PedsHealth Promotion and Maintenance
A patient has been given the nursing diagnosis of Powerlessness related to his behavior associated with drug abuse. The nurse assesses how the patient normally solves his problems. Which best describes the patients outcome after this intervention?Mental HealthPsychosocial Integrity
A nurse is administering an IV medication as a piggyback to a standard IV infusion using a smart IV pump. Which of the following is a true statement regarding smart IV pumps? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A patient has been given a prescription for prn allergy relief to take at home. Which of the following considerations would the nurse include when teaching this patient about taking the drug at home? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A nurse is helping a patient to take a shower by using a shower trolley. Which of the following is associated with using this mechanism for showering a patient? Select all that apply.FundamentalsBasic Care and Comfort
A 71-year-old patient is undergoing coronary artery bypass grafting for coronary artery disease. The surgical team who is caring for the patient has all worked together before for a number of different cardiac surgeries. Each team member understands and recognizes the roles, responsibilities, and strengths of the other team members so that everyone does their part to provide accurate and consistent patient care during the procedure. This understanding of the members of the surgical group is called:CardiacManagement of Care
A nurse case manager is working in a healthcare unit and determines if a particular patient is eligible to receive case management services before discharge. Which step of the nursing case management process does this activity best describe?FundamentalsManagement of Care
A nurse is working in the OR and assisting on a case in which a patient is having a tumor removed. Which principles should the nurse utilize that demonstrate proper handling of specimens removed during surgery? Select all that apply.FundamentalsSafety and Infection Control
A patient with DKA has been admitted to the hospital for treatment. The nurse has given this patient a nursing diagnosis of Risk for Infection. Which interventions would be most appropriate for this diagnosis? Select all that apply.Endocrine / MetabolicReduction of Risk Potential
Which of the following is an example of a trade name for a tunneled central catheter? Select all that apply.CardiacPharmacological and Parenteral Therapies
A patient is upset about the treatment he has received while in the hospital. He wants to leave AMA. The nurse should inform him that it is his right to leave the hospital but should also include what information when he refuses care? Select all that apply.Ethical / LegalManagement of Care
The physician who is working on an interdisciplinary team wants to teach the other team members about a patients' nosocomial illness. Which best describes the physician’s role in assessment of the patient while on this team? Select all that apply.Prioritization / DelegationManagement of Care
The client needs something to decrease the acidity of the stomach. What class of medications can be used? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
What should be included in a transfer report from the surgery unit to the floor? Select all that apply.Prioritization / DelegationSafety and Infection Control