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 nurse is caring for a patient with schizophrenia who tells her he believes that everyone else in the inpatient unit is secretly laughing at him behind his back. Which response should the nurse give to this patient?Mental HealthPsychosocial Integrity
A patient who has been a farmer for 40 years comes into the clinic for care because he is having breathing problems. The patient has developed severe breathing problems in reaction to exposure to hay on his farm and his alveoli have become inflamed and irritated in response. This condition is best known as:RespiratorySafety and Infection Control
A patient with severe depression is undergoing electroconvulsive therapy. The patient has a hemodynamic monitor and a monitor of intracranial pressure in place during the procedure. Just after the patient receives the electrical stimulus, the nurse notes that the intracranial pressure increases. Which action is the best response of the nurse?Mental HealthReduction of Risk Potential
A client has taken an overdose of acetaminophen (Tylenol). What is the most common serious adverse reaction you need to look out for?PharmacologyPharmacological and Parenteral Therapies
A client is in need of an emergency tracheostomy. What does this involve?RespiratoryPhysiological Adaptation
A 95 year old male reports he isn't feeling very well, but that he took all of his medications today. The nurse asks the patient when he took the medications and the patient is fuzzy on the details stating, "I don't know if I took them this morning or at lunch." The nurse notes that the patient takes a baby aspirin everyday and metoprolol. The nurse knows that if the patient took his metoprolol multiple times by accident today that the patient could possibly have overdosed on the medication. What is the next step the nurse should take?PharmacologyPharmacological and Parenteral Therapies
A nurse is caring for a patient who has cancer and has been suffering from pain. Which of the following describes breakthrough pain as experienced by a patient? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
The nurse is preparing the medications for a client. The client has ordered .25 mg of Xanax 3 times daily. The medication comes in 0.5 mg tabs. How many tabs will the nurse administer total for the day?PharmacologyPharmacological and Parenteral Therapies
A patient who is dying of cancer is being cared for by a hospice nurse. Which action best describes how the nurse cares for his family?OncologyPsychosocial Integrity
A patient who has been suffering from severe diarrhea has developed hypokalemia and cardiac arrhythmias as a result. Which of the following treatments would most likely be ordered for this patient to correct the situation?LabsBasic Care and Comfort
Which of the following clients would you see first?Prioritization / DelegationManagement of Care
The client is a teen with right lower quadrant abdominal pain, nausea and a fever of 101.5 degrees Fahrenheit. What does the nurse do prior to the diagnosis?GI / GUPhysiological Adaptation
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 nurse who works at an OB/GYN office is caring for a client who is 32 weeks' pregnant. Which of the following tests would the nurse ensure that the patient receives during her 3rd trimester? Select all that apply.OB / PedsHealth Promotion and Maintenance
A nurse must perform gastric lavage for a newborn infant who has had feeding difficulties. Which principles would the nurse consider when performing this procedure? Select all that apply.OB / PedsPhysiological Adaptation
A nurse is counseling a patient who has been diagnosed with depression to attend a support group as part of treatment. Which best describes how the nurse would explain what to expect for the patient?Mental HealthPsychosocial Integrity
When examining a 1 year old’s ear with an otoscope, the nurse does what to visualize the tympanic membrane?OB / PedsBasic Care and Comfort
A patient who suffered a traumatic brain injury last year has developed narcolepsy and excessive daytime sleepiness. Which of the following side effects of this condition would the nurse most likely expect to see in this patient?NeuroBasic Care and Comfort
A nurse is caring for a patient who is recovering from a myocardial infarction and has many medications and procedures scheduled. The nurse must delegate some of the patient care tasks to an LPN who is working on the unit with her. Which of the following components must the nurse consider when deciding what to delegate?CardiacManagement of Care
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 is struggling with feelings of grief and loss after the death of her father. The patient is planning to move in with her mother and help her in her home. Which best describes how this patient is experiencing role reversal?Mental HealthPsychosocial Integrity
Which of the following principles of using personal protective equipment (PPE) is correct?FundamentalsSafety and Infection Control
A nurse is caring for a client with increased BNP. Which organ does the nurse need to be concerned about?LabsPhysiological Adaptation
A nurse is helping a family whose father is dying of cancer. The nurse notes that one of the grown children in the family does not want to talk about the situation and often leaves the room when the group discusses topics about their father's funeral. The mother tells the nurse, I am so hurt that my son will not talk to us! He must be angry. Which response from the nurse is most appropriate?Mental HealthPsychosocial Integrity
A nurse is caring for a patient who has angina. She notes that he has a prescription for nitroglycerin sublingual tablets. Based on the nurse's understanding of this medication, the nurse knows that this medication works by:PharmacologyPharmacological and Parenteral Therapies
A nurse is caring for a patient who has developed cardiogenic shock after developing heart failure. The nurse enters the patients room and finds that he has an altered level of consciousness, he has jugular venous distention, and his heart rate is 122 bpm. Which of the following interventions would be a priority for the nurse to perform first?CardiacManagement of Care
A nurse is speaking with a patient who was brought to the hospital after cutting herself intentionally. Which questions from the nurse would most likely help the client to identify her coping skills? Select all that apply.Mental HealthPsychosocial Integrity
A 66-year-old patient has become dehydrated after being outside in the sun for too long. The patient complains of feeling dizzy and lightheaded. Which of the following nursing diagnoses is most appropriate in this situation?GI / GUBasic Care and Comfort
A patient asks the nurse about spinal cord stimulation as a method of pain control. Which of the following describes an element of this type of pain management? Select all that apply.PharmacologyBasic Care and Comfort
The nurse is charting a skin assessment on the newly admitted client. The client has a fairly firm bump on their right arm that needs to be expressed. The nurse should chart this using what terminology?IntegumentaryManagement of Care
A 25-year-old patient in the ICU is being treated for acute respiratory distress syndrome (ARDS). The patient is on a ventilator and requires 80 percent FiO2. Which information would the nurse most likely need to report about the patient to the respiratory therapist working with her?RespiratoryManagement of Care
A nurse is helping a patient to take a shower. The patient needs to use grab bars in the shower while the nurse helps. Which of the following patients would most likely be able to use a handrail in the shower? Select all that apply.FundamentalsBasic Care and Comfort
A nurse is teaching a patient with venous insufficiency about application and use of TED hose to promote circulation and venous return. Which of the following statements by the client indicates that more teaching is needed?CardiacBasic Care and Comfort
A nurse is employed at an acute care clinic and is caring for a patient who has been brought in with diabetic ketoacidosis. The patient has a respiratory rate of 36/minute and labored, heart rate of 120 bpm, and blood pressure of 130/86 mmHg. The patients blood glucose level is 260 mg/dL and he is confused and has high ketone levels. In which order should the nurse manage this patients condition?Endocrine / MetabolicManagement of Care
A nurse is caring for a patient who recently sustained a fracture in his lower leg. The patient requires immobilization during the healing process. Which of the following nursing interventions is most appropriate during the first 48 hours after the injury?MusculoskeletalReduction of Risk Potential
Which of the following is an example of intragroup conflict in the healthcare environment?Ethical / LegalManagement of Care
The parents of a newborn want to speak with a nurse about the chances of their child developing sickle cell disease, since they both have family histories of the condition. Which information should the nurse provide to this family about testing?OB / PedsHealth Promotion and Maintenance
The client has just had a colonoscopy. After a colonoscopy, what are the nursing tasks required? Select all that apply.GI / GUManagement of Care
A postpartum patient is recovering after delivery of a baby 24 hours ago. The physician has ordered a glycosylated hemoglobin level since the patient had gestational diabetes during pregnancy. In this situation, the glycosylated hemoglobin level would be which level to be considered normal in this patient?OB / PedsReduction of Risk Potential
A nurse has an order for meclizine (PO) to give to a patient prn dizziness. Which of the following factors would the nurse consider before administering this medication? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A 79-year-old patient has an appointment at a dermatology office for a skin assessment and removal of a suspicious mole. The nurse assesses the patients skin texture and turgor. Which types of skin lesions would the nurse most likely see in an older adult? Select all that apply.IntegumentaryReduction of Risk Potential
A mother tells the nurse that she gave her child 2 teaspoons of Tylenol. The nurse knows this is how many mL?PharmacologyPharmacological and Parenteral Therapies
A patient with cancer has been prescribed medical cannabis. For which cancer symptom is this substance most likely prescribed?OncologyPharmacological and Parenteral Therapies
A nurse is working with the family of a 1-day-old infant who was born prematurely and who is dying. Which of the following interventions would most likely demonstrate that the nurse recognizes the family's grief in this situation?OB / PedsPsychosocial Integrity
The risk manager is responsible for which actions? Select all that apply.Prioritization / DelegationSafety and Infection Control
A home care nurse is working with a patient who has been diagnosed with diabetes. The nurse is providing instructions to the patient about how to dispose of items that have blood on them. Which of the following describes a sharps disposal system that should be in the patient’s home when the home health nurse is providing care? Select all that apply.Endocrine / MetabolicSafety and Infection Control
A 47-year-old patient has been brought to the emergency department after falling from a roof. His breathing is labored, and he has a respiratory rate of 28 per minute with oxygen saturations of 90 percent on room air. His chest x-ray shows a right-sided pneumothorax. Which describes the nurse's role in assisting with a chest tube insertion?RespiratoryPhysiological Adaptation
A 67-year-old patient has been suffering from alcohol abuse and has developed severe hypokalemia with a potassium level of 2.9 mEq/L. An hour after admission to the hospital, the patient develops a cardiac dysrhythmia because of his potassium levels. The rhythm on the monitor shows pulseless electrical activity (PEA). Which action should the nurse perform next?LabsPhysiological Adaptation
A nurse is preparing to administer Klonopin to a patient who tells her that he doesn't want the drug and refuses to take it. Which action should the nurse perform in response? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
A nurse is employed working in a busy cardiac unit, caring for patients recovering from cardiac surgery. In order to best prioritize her time, which element should the nurse make as part of her work routine in order to best organize her time? Select all that apply.CardiacManagement of Care