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 client has been diagnosed with shingles, what precautions should be implemented?FundamentalsSafety and Infection Control
A client is 41 weeks pregnant and in labor. The client is unable to lay down on the stretcher due to such immense pain. Which of the following medication does the nurse anticipate to be ordered for this client?PharmacologyPharmacological and Parenteral Therapies
The nurse is administering Ulnar peripheral nerve stimulation to a client. The nurse knows the electrodes are placed properly when which of the following is observed?FundamentalsManagement of Care
A 60-year-old patient with coronary artery disease is being seen at a cardiology clinic for care. The nurse performs the intake assessment and asks the patient some questions about his health history. Which of the following questions would assess for signs of chronic stressors in the patients life?CardiacPsychosocial Integrity
The nurse is ordering from the cafeteria for their client who is on clear liquids. Which of the following would be not appropriate to order for the client?FundamentalsManagement of Care
The client has accidentally received twice the normal dose of a medication that was administered on the previous shift. What should the nurse discovering the error do first?PharmacologySafety and Infection Control
A nurse is caring for a patient who has had a seizure in his room. Which of the following steps would the nurse utilize as part of critical thinking to respond to this situation? Select all that apply.NeuroSafety and Infection Control
The client is suspected of having a sinus arrhythmia. How do you explain it to the client?CardiacPhysiological Adaptation
A patient who is receiving TPN has a nursing diagnosis of Altered Nutrition: Less Than Body Requirements. Which of the following nursing interventions are most appropriate for this diagnosis? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A patient is undergoing abdominal surgery in the operating room and is positioned supine with his arms at his sides. Which best describes the rationale for this arm position?FundamentalsReduction of Risk Potential
Identify the area where each heartbeat originates in a healthy heart.CardiacManagement of Care
A nurse is caring for a patient who is recovering from surgery and who has a wound drain in place. The drainage coming from the wound is dark green in color. Which term best describes this type of drainage?IntegumentaryPhysiological Adaptation
A nurse is preparing to start her shift at the hospital and is considering which patients are highest priority for her to see first. Which of the following patients would be considered second level priority for the nurse to see? Select all that apply.Prioritization / DelegationManagement of Care
The client is under airborne precautions. What is a priority item for the nurse?FundamentalsSafety and Infection Control
A patient who has been diagnosed with stomach cancer is experiencing severe stress related to her diagnosis. Which best describes how psychological stress affects a patient with cancer?OncologyPsychosocial Integrity
A 48-year-old patient has been diagnosed with pancreatic cancer. The patient talks to the nurse about his diagnosis and says, How could this have happened to me? Which of the following has been shown to be a risk factor for development of pancreatic cancer? Select all that apply.OncologyHealth Promotion and Maintenance
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
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 diabetic patient is talking with a nurse about his diet and what foods he should avoid. The patient asks the nurse if he can drink alcohol. Which response from the nurse would be correct?Endocrine / MetabolicBasic Care and Comfort
The nurse is caring for a client with severe liver cirrhosis. What are some appropriate nursing interventions? Select all that apply.GI / GUPhysiological Adaptation
A 31-year-old pregnant patient comes into the clinic for an oral glucose tolerance test at 28 weeks' gestation. After taking the test, the nurse notes that the patients blood glucose levels are 180 mg/dL at 2 hours after the test. Which type of diagnosis is this result associated with?OB / PedsReduction of Risk Potential
A client is in the second stage of labor. The nurse tells the client to concentrate on a mental image that helps her relax and manage the pain of labor. Which stress-reduction technique is being used?OB / PedsPsychosocial Integrity
The nurse is administering facial peripheral nerve stimulation to a client. The nurse knows the electrodes are placed properly when which of the following is observed?FundamentalsManagement of Care
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
Which of the following actions requires the use of standard precautions? Select all that apply.Hematologic / ImmunologySafety and Infection Control
Which of the following patients would be at high risk of developing pre-eclampsia? Select all that apply.OB / PedsHealth Promotion and Maintenance
A patient with bipolar disorder has been prescribed carbamazepine for control of disease symptoms. The nurse should anticipate using which intervention to control side effects of this drug?PharmacologyPharmacological and Parenteral Therapies
The doctor orders an emergency intubation using roccuronium. Which of the following client conditions will prolong the elimination of roccuronium from the clients body?PharmacologyPharmacological and Parenteral Therapies
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
In which situation would a nurse most likely use a pressure sleeve when administering IV fluids?PharmacologyPharmacological and Parenteral Therapies
Which of the following patients are at most risk for sepsis?FundamentalsPhysiological 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 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
The nurse is reviewing the acronym RACE used for fire safety. The nurse knows the E stands for which of the following?FundamentalsSafety and Infection Control
A nurse is caring for a client who is experiencing eye movements that are out of sync with each other. The nurse knows this is called?FundamentalsManagement of Care
A nurse is caring for a patient who recently had blood testing for HIV. The results of the test came back as HIV-positive. According to standards set by HIPAA, which of the actions of the nurse is most appropriate?Ethical / LegalManagement of Care
Which situation best demonstrates that the nurse is delegating a task to a nursing assistant according to the right task as a right of delegation?Prioritization / DelegationManagement of Care
A nurse is caring for a patient with varicella zoster who requires airborne isolation precautions. The nurse is instructing the patient and his family about how to prevent transmission of the disease while he is in the hospital. Which directions should the nurse provide as part of this teaching? Select all that apply.Hematologic / ImmunologySafety and Infection Control
A nurse is caring for a client that is healing from an achillies tendon surgery. The nurse is practicing active range of motion with the client and notes the patient is still unable to point their toes down to the floor. The nurse shoulkd chart this as which of the following?MusculoskeletalPhysiological Adaptation
A patient who is being admitted to the hospital tells the nurse that she wants her sister to be her surrogate decision maker. Select all of the following that describe a health care surrogate.Ethical / LegalManagement of Care
A 69-year-old patient is struggling with feelings of depression. She tells the nurse that she feels sad because she is getting older. Which information would best educate this client about her condition?Mental HealthPsychosocial Integrity
A nurse is working in the emergency department when a patient is brought in via ambulance for care. The nurse glances at the patient and realizes that there are many factors to consider regarding his care and she needs to focus on one area to begin. Which of the following questions should the nurse ask herself to determine the first priority intervention where she should begin her care?Prioritization / DelegationManagement of Care
A nurse is caring for a patient who has a chronic wound. The nurse notes that pus has accumulated in the wound bed. Which best describes how pus contributes to delayed wound healing?IntegumentaryReduction of Risk Potential
A nurse comes on to her shift in the ICU where she is assigned a patient who has experienced a head injury. The patient requires a ventilator and has a monitor in place to check his intracranial pressure. As the nurse enters the room, the pressure monitor alarms that the patient’s intracranial pressure is rising. In response, the nurse should:NeuroPhysiological Adaptation
A nurse is caring for a patient who is recovering from surgery and is in pain at the incision site. The nurse has administered some medications to help control the patients pain, but she holds off from administering more because she does not want the patients respiratory rate to drop. Which is another example of a reason why some nurses fail to utilize appropriate pain management techniques when caring for a patient in pain?Ethical / LegalBasic Care and Comfort
The client is being given penicillin. What side effects should the nurse be looking out for? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A client has been admitted to the hospital for a cardiac stress test. The client asks the nurse what this test involves. What is the best response by the nurse?CardiologyBasic Care and Comfort
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
Which of the following lab would the nurse need to assess if a patient is hypocalemic?Hematologic / ImmunologyPharmacological and Parenteral Therapies
A nurse is caring for a patient who weight 450 lbs. Which best describes this patients risk of skin breakdown because of her weight?IntegumentaryBasic Care and Comfort