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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 with insomnia has asked the nurse about how to improve his sleep. The nurse tells the patient to establish a sleep schedule. The nurse would best evaluate the effectiveness of this recommendation by:Mental HealthPsychosocial Integrity
Mallik (1997) concludes from her review that the core condition which demands advocacy action is the vulnerability of the client in two respects: personal vulnerability and also vulnerability to risks inherent in the institutional processes to which the client is exposed. Which best describes an example of how a patient would experience personal vulnerability?FundamentalsManagement of Care
A patient who is being treated in the psychiatric unit is refusing to take a shower. When the nurse enters the room in the morning, she tells the patient that it is time to dress and clean up. The patient refuses again. Which response of the nurse is most appropriate?Mental HealthPsychosocial Integrity
A nurse case manager is reviewing a patient’s discharge information with him as he is being dismissed from the hospital. Select all of the following elements of the discharge instructions that are related to community care.Prioritization / DelegationManagement of Care
A nurse is caring for a patient with insomnia. The nurse has given this patient a nursing diagnosis of Sleep Pattern Disturbance. Which of the following would be an appropriate outcome for this nursing diagnosis? Select all that apply.FundamentalsBasic Care and Comfort
A 26-year-old female patient has a diagnosis of polycythemia vera and aplastic anemia. When caring for this patient, which of the following lab results would the nurse expect to see?Hematologic / ImmunologyReduction of Risk Potential
A 68-year-old patient complains to the nurse that she has been struggling with constipation. The nurse is discussing the different causes of constipation with this client. Which of the following best describes slow-transit constipation? Select all that apply.GI / GUBasic Care and Comfort
A 54-year-old patient who has suffered from a head trauma has developed seizures as a result of his condition. The patient is afraid that he will have a seizure when he is away from home. Which information should the nurse give to this patient that will help him to manage this situation?NeuroSafety and Infection Control
Which best describes the purpose of using tall man letters in medication names?PharmacologySafety and Infection Control
Nine hours after a Cardiologist has been consulted, the client asks, is the Cardiologist ever going to come see me? What is the most appropriate response from the nurse?Prioritization / DelegationManagement of Care
A patient with a history of kidney disease is being seen for symptoms of muscle weakness and fatigue. The nurse checks the patient’s blood chemistry levels and notes that his potassium levels are 6.8 mmol/L. Which interventions would be involved in management of this lab level? Select all that apply.LabsReduction of Risk Potential
A nurse on a medical unit of the hospital has been designated as an informal leader of a group of peers. The nurse recognizes that there is a difference between informal and formal leadership. Which of the following best describe the differences between leadership and management? Select all that apply.FundamentalsManagement of Care
A client has an AST of 44. The nurse recognizes this to be a consideration for the failure of which organ?LabsPhysiological Adaptation
According to standards set by the United Nations Educational, Cultural and Scientific Organization (UNESCO), which of the following is an example of a bioethical principle?Ethical / LegalManagement of Care
Which of the following medications only treats the symptoms of a UTI but does not cure the infection?PharmacologyPharmacological and Parenteral Therapies
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 in the healthcare clinic complains of feeling dizzy when he stands up after sitting for a period. The patient’s blood pressure is 136/78 mmHg while sitting and 102/58 mmHg after standing up. Which types of treatment goals are most appropriate in this situation? Select all that apply.CardiacReduction of Risk Potential
A home care nurse is working with a patient who is recovering from surgery at home. The patient has significant hearing loss and must wear hearing aids. Which information should the nurse provide for this patient that would most likely uphold his safety in the home during recovery?FundamentalsSafety and Infection Control
Which best describes a normal hemoglobin level for a 4-year-old child?LabsReduction of Risk Potential
A process that moves solutes from an area of higher concentration to an area of lower concentration is known as:PharmacologyPharmacological and Parenteral Therapies
A patient has been hospitalized for symptoms of abdominal pain and diarrhea following exacerbation of stress. The nurse is teaching the patient about ways to minimize environmental stress in her life. Which statement from the patient indicates that teaching has been effective?GI / GUPsychosocial Integrity
A nurse is flushing a patients central line when the patient starts to cough and his oxygen saturations drop. The nurse suspects that the patient has developed an air embolism. Which interventions could most likely have prevented this situation? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
Prior to the client’s colonoscopy, the nursing tasks include the following. Select all that apply.GI / GUManagement of Care
A patient who is receiving a blood transfusion has developed symptoms of circulatory overload. Which of the following nursing interventions are most appropriate in this situation? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A nurse has just administered a dose of antibiotic through a patient’s central line and is getting ready to flush the line. Which of the following principles should the nurse keep in mind when flushing a central line? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A good treatment for cerumen impaction is what?PharmacologyPharmacological and Parenteral Therapies
When caring for a client with aortic iliac disease where should the nurse should assess the pulse to obtain the best data?CardiacManagement of Care
A nurse is helping a family where the mother has Alzheimer's disease and is being cared for in the home by her daughter. Which of the following safety principles should the nurse tell the daughter about how to best keep her mother safe?NeuroSafety and Infection Control
A nurse is caring for a 3-year-old child who has been diagnosed with pertussis. Which of the following information should the nurse give to the family to prevent spread of this infection?OB / PedsPhysiological Adaptation
A nurse is helping a patient to get up out of bed after hip replacement surgery. Which action would the nurse implement that would most likely prevent a fall in this patient?MusculoskeletalSafety and Infection Control
The client has been diagnosed with myopia. What does the nurse tell the client to expect in the form of treatment?FundamentalsPhysiological Adaptation
Keratolytic medication does what?PharmacologyPharmacological and Parenteral Therapies
The nurse is examining a client who reports they have pain in the RUQ of their abdomen. The nurse knows which of the following is located in the RUQ?GI / GUBasic Care and Comfort
A patient with chronic diarrhea tells the nurse that she wants to start taking probiotics to regulate her digestive system. In which products are probiotics most commonly found? Select all that apply.GI / GUBasic Care and Comfort
After becoming alert and oriented to person place time and situation post grand mal siezure, the client informs the nurse that they haven't been taking their antisiezure medications due to not having enough money to buy them. Which of the following medication does the client take for their siezures?PharmacologyPharmacological and Parenteral Therapies
A nurse is caring for an unconscious patient to perform oral hygiene. Which of the following principles would the nurse follow that are associated with oral hygiene in an unconscious patient? Select all that apply.FundamentalsBasic Care and Comfort
A patient has been brought into the recovery room after undergoing abdominal surgery. Several minutes after arrival, the nurse notes that the patients hands and feet are cool, his capillary refill is 6 seconds, and he has a dropping blood pressure. Which response from the nurse is most appropriate?CardiacReduction of Risk Potential
A nurse in a long-term care facility has many clients who have difficulties with urinary incontinence and immobility. Which methods could the nurse implement that would most likely reduce moisture content on the skin of these patients? Select all that apply.IntegumentaryBasic Care and Comfort
A group of healthcare workers is conducting a meeting about discharge planning for a patient who will return to the long-term care facility after being in the hospital for surgery. Which best describes the role of the dietitian on the team?Prioritization / DelegationManagement of Care
A nurse administrator is working to improve delegation standards within the healthcare facility. Which of the following would be an example of how this administrator would utilize the ‘right circumstances’ of delegation? Select all that apply.Prioritization / DelegationManagement of Care
A nurse is caring for a patient who has been severely burned and who is in the ICU. According to Maslow’s hierarchy of needs, which of the following actions demonstrates that the nurse is meeting the patient’s highest priority needs? Select all that apply.Prioritization / DelegationManagement of Care
Which of the following best describes the action of beta-blockers as cardiac medications?PharmacologyPharmacological and Parenteral Therapies
A patient who has been abusing heroin is brought in to the hospital by a friend for treatment. The nurse gives the patient a nursing diagnosis of Denial because of the patients lack of concern about his condition and his delay in seeking care. Select all of the following appropriate interventions for this nursing diagnosis.Mental HealthPsychosocial Integrity
After a renal angiography, what should the nurse do?Endocrine / MetabolicManagement of Care
What structure is being identified in this image?Endocrine / MetabolicManagement of Care
Beta blockers work on the heart by doing what?PharmacologyPharmacological and Parenteral Therapies
A child was injured in an accident and has become a paraplegic. The child must use crutches on a permanent basis, most likely for the rest of his life. Which type of crutches would most commonly be used in this situation?MusculoskeletalBasic Care and Comfort
A nurse is caring for a client who has come to the emergency department after cutting himself intentionally. The patient tells the nurse that he is depressed and upset because his girlfriend broke up with him. During the patient assessment, the nurse tries to identify if the patient has any coping skills. Which of the following questions should the nurse ask this patient to elicit this information?Mental HealthPsychosocial Integrity
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
A 74-year-old patient has suffered a myocardial infarction; the critical care team places the patient into a state of hypothermia as part of treatment. Which best describes why hypothermia is used after cardiac arrest?CardiacPhysiological Adaptation