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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 client attends a routine physical exam at the primary care clinic. The patient tells the nurse that he wants to start using complementary therapy to support his health. Which response from the nurse would be most informative about complementary therapies for this patient?FundamentalsHealth Promotion and Maintenance
A nurse is caring for a patient who was recently diagnosed with diabetes and is receiving treatment for hypoglycemia. The nurse gives the patient a nursing diagnosis of Fear related to the diabetes diagnosis based on the patients behavior and sense of anxiety when she talks about managing her disease. What type of nursing intervention is most applicable for this nursing diagnosis?Endocrine / MetabolicPsychosocial Integrity
A nurse is talking with a patient who is preparing to have surgery. The nurse is performing a pre-operative assessment to determine the patient’s potential response to surgery. Which of the following are elements of the psychosocial pre-op assessment? Select all that apply.Mental HealthReduction of Risk Potential
Which best describes the purpose of an incident report?Ethical / LegalSafety and Infection Control
In assessing a child with a learning disability, what is part of the assessment?OB / PedsHealth Promotion and Maintenance
Glucagon is used for what purpose? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
The client is scheduled to be evaluated for the possibility of having GERD. Diagnostic tests for GERD include the following. Select all that apply.GI / GUManagement of Care
A nurse is caring for a patient with a nursing diagnosis of Pain related to a back injury. In addition to assessing the intensity of the patients pain, the nurse monitors for changes in vital signs and other appearances of pain from the patient. Which of the following describes the most likely rationale for this?PharmacologyPharmacological and Parenteral Therapies
A nurse is caring for a patient who is using invasive hemodynamic monitoring. Which best describes a normal range for central venous pressure?CardiacPhysiological Adaptation
A nurse is positioning a patient on the table in the operating suite while preparing him for surgery. Which of the following principles would the nurse follow when properly positioning this patient? Select all that apply.FundamentalsBasic Care and Comfort
After a renal angiography, what should the nurse do?Endocrine / MetabolicManagement of Care
A nurse needs to insert a nasogastric tube into a patients nose per physician orders. After inserting the tube, what describes an appropriate method of securing the tube so that it does not come out? Select all that apply.GI / GUReduction of Risk Potential
A nurse is counseling a patient who has hypertension and type 2 diabetes. During the initial assessment, the nurse notes that the patient has a blood pressure of 148/92 mmHg, a BMI of 28, and a blood glucose level of 161 mg/dL. Which of the following information about lifestyle changes would be most beneficial to help control this patients state of health?Endocrine / MetabolicBasic Care and Comfort
A patient wants to participate in a research study about diabetes. Which of the following information is provided when obtaining informed consent for participation? Select all that apply.Endocrine / MetabolicManagement of Care
A client comes into the emergency department for overdose on heroin. What medication should the nurse prepare for this client?PharmacologyPharmacological and Parenteral Therapies
The client is in the last stages of labor. The nurse helps her focus on deep breathing and reducing the tension in her muscles during the contractions. What stress-reduction technique is being used?OB / PedsPsychosocial Integrity
A patient with a gastric ileus is on bed rest and has a nasogastric tube in place. Which actions should the nurse perform that would best prevent aspiration of stomach contents in this patient? Select all that apply.GI / GUReduction of Risk Potential
A patient suffered an adverse event from improper administration of a medication by a nurse. The nurse filled out an incident report that described the situation. Which best explains what the nurse should do with the incident report after completing it?PharmacologySafety and Infection Control
The client needs advice about doing a breast self-exam. What do you tell her? Select all that apply.OncologyManagement of Care
A patient with malnutrition is receiving TPN for nutrient replacement. The nurse uses aseptic technique when preparing the TPN solution. Which best describes the rationale for this action?GI / GUPharmacological and Parenteral Therapies
A patient with diabetes is being seen for symptoms of DKA. What actions should the nurse expect to be ordered as initial treatment? Select all that apply.Endocrine / MetabolicManagement of Care
Which of the following best describes ataxic breathing?RespiratoryReduction of Risk Potential
A nurse is caring for a patient with hearing loss who has forgotten his hearing aids at home. Which method of communication would the nurse most likely use to communicate with this patient?FundamentalsBasic Care and Comfort
A 56-year-old patient is talking with a nurse about his health; the patient has been a smoker for 30 years and is talking about quitting. The nurse is advising the patient about how quitting smoking can reduce the risk of certain types of cancer. Smoking is related to an increased risk of which of the following types of cancer?OncologyHealth Promotion and Maintenance
The client you are taking care of has cystic fibrosis. What nursing interventions should you do? Select all that apply.RespiratoryPhysiological Adaptation
In which situation would packed red blood cells most likely be administered in an adult patient? Select all that apply.PharmacologyPharmacological and Parenteral Therapies
Which of the following is a true statement regarding prescription and administration of schedule I controlled substances?PharmacologyPharmacological and Parenteral Therapies
A nurse is working with a patient who wants to quit smoking before becoming pregnant. The nurse is using the concept of motivational interviewing to work with the client toward making changes. Which statement by the nurse would best elicit change talk from the client when being used with motivational interviewing?OB / PedsPsychosocial Integrity
A nurse is working in the medical-surgical unit when the code alarm goes off, signifying that one of the patients on the unit is in cardiac arrest. The nurse steps in to the room to help with the code and starts to provide chest compressions to the patient. Which of the following elements are part of providing external chest compressions during CPR? Select all that apply.Prioritization / DelegationPhysiological Adaptation
A 70-year-old woman is at the primary care clinic for a routine physical exam. The nurse is talking to the patient about changes in her nutrition needs as an older adult. Which type of nutrient is the patient at greatest risk of missing?GI / GUHealth Promotion and Maintenance
A patient is being seen for treatment of depression after suffering from chronic back pain. The physician has prescribed duloxetine. The patient asks the nurse, "What kind of side effects does this medicine cause?" Which response from the nurse is correct?PharmacologyPharmacological and Parenteral Therapies
Which of the following medications is a beta-blocker?PharmacologyPharmacological and Parenteral Therapies
During insertion of a pulmonary artery catheter, the nurse watches the patients cardiac monitor for changes in the waveform. As the nurse is assisting the physician with obtaining a wedge pressure, the nurse notes that the procedure has caused ventricular tachycardia. What the is the first action in response?CardiacPhysiological Adaptation
A nurse is preparing to assist with placement of a central venous catheter for a patient who is in the hospital. Which of the following considerations would the physician take when selecting a site for catheter placement? Select all that apply.CardiacPharmacological and Parenteral Therapies
A client is hospitalized for a sickle cell crisis. What type of transfusion should they get if they are anemic?Hematologic / ImmunologyManagement of Care
A 48-year-old patient has been diagnosed with diabetes. The nurse is discussing use of a medical alert bracelet for the patient to wear. Which of the following is a true statement regarding a medical alert bracelet for a diabetic patient?Endocrine / MetabolicSafety and Infection Control
Provision 1 of the ANA Code of Ethics states, The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes or the nature of health problems. Which of the following best represents the nurse upholding this portion of the Code?Ethical / LegalManagement of Care
A client is undergoing a clinical interview as part of diagnostic testing for bipolar disorder. Which best describes why a clinical interview would be conducted?Mental HealthReduction of Risk Potential
A nurse is assisting the anesthesiologist to prepare to intubate a patient just before surgery. Which of the following injuries is associated with intubation as part of general surgery?FundamentalsSafety and Infection Control
A nurse is working with a patient who had bowel surgery with placement of a colostomy one month ago. The patient has not had any complications following colostomy surgery so far. Which nutritional recommendation should the nurse give that is appropriate for a patient in this stage of recovery?GI / GUPhysiological Adaptation
An immobile client has developed an area of skin breakdown on his hip. The nurse recognizes that there are several factors that potentially contributed to this skin breakdown. Select all of the following extrinsic factors that would have contributed to skin breakdown in a patient.IntegumentaryBasic Care and Comfort
A nurse is working with a patient who is considering participating in a research study. Which of the following describes the circumstances in which the patient should provide informed consent in this situation? Select all that apply.Ethical / LegalManagement of Care
After giving Actigall with a client who has gallbladder disease, the nurse expects the priority outcome to be what?GI / GUPharmacological and Parenteral Therapies
A client has been receiving IV theophylline and the doctor discontinues the medication to begin an immediate-release form of the medication. When should the first dose of the oral medication be given?PharmacologyPharmacological and Parenteral Therapies
A nurse who works in a surgical unit is part of a team that cares for a hallway of patients. The nurse is the team leader and has several LPNs who work with her. Which of the following tasks could be delegated to an LPN by the RN? Select all that apply.Prioritization / DelegationManagement of Care
A 7-year-old patient has been admitted to the hospital for a respiratory infection. The results of the patients ABG show that he has respiratory alkalosis. Which of the following signs or symptoms would the nurse see in this situation? Select all that apply.OB / PedsPhysiological Adaptation
A patient wants to leave the healthcare facility against the advice of the physician and the nurse. Which of the following situations constitutes a time when a patient can legally be forced to stay in a healthcare facility against his will?Ethical / LegalManagement of Care
The client is being treated for acute pyelonephritis. You explain the client that the risk factors for acute pyelonephritis include the following. Select all that apply.Endocrine / MetabolicManagement of Care
The infant can bring objects to its mouth at will. At what age is the child likely to be?OB / PedsHealth Promotion and Maintenance
During an intake assessment for new patient in the primary care clinic, the nurse notes that the patient’s blood pressure is 162/98 mmHg. Which actions should the nurse take in response to this blood pressure? Select all that apply.CardiacReduction of Risk Potential