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 teaching a class about the HIPAA Privacy Rule to a group of colleagues for a continuing education course. Which of the following would the nurse instruct the class about that is a myth associated with HIPAA? Select all that apply.Ethical / LegalManagement of Care
The priority nursing intervention to prevent seizures is what?NeuroPhysiological Adaptation
Which sleep disorder is associated with cataplexy?NeuroBasic Care and Comfort
A physician is performing rapid sequence intubation on a trauma patient in the emergency room. Which of the following medications would the nurse administer to induce muscle relaxation in the patient?RespiratoryPhysiological Adaptation
A 58-year-old patient with multiple sclerosis is suffering from bowel incontinence after having a stroke. Which intervention would most likely help the patient to manage this condition?GI / GUBasic Care and Comfort
The parents of a 13-year-old are talking with a nurse about the importance of church attendance in the life of their child. The nurse encourages the couple to continue to practice their religion to have an impact on their child. In which would this most affect the child?OB / PedsHealth Promotion and Maintenance
You are caring for an infant who has had surgery for pyloric stenosis. What is a priority nursing intervention?GI / GUPhysiological Adaptation
A patient with lupus is in the hospital for complications of his condition. Which of the following principles are associated with patient empowerment that would promote this patient’s levels of self-care? Select all that apply.LabsHealth Promotion and Maintenance
When a client is restrained, the placement of the restraint and the condition of the patient should be assessed at what intervals?Ethical / LegalBasic Care and Comfort
A nurse has attended the birth of an infant; after the baby is born, the physician hands the infant to the nurse to begin the assessment. The baby is pale and is not crying; he takes an occasional breath by gasping and his heart rate is 58 bpm after 60 seconds. Which action should the nurse perform next?OB / PedsPhysiological Adaptation
A 27-year-old patient with hemophilia is seen at the care clinic with acute hemarthrosis. Which of the following best describes this condition?Hematologic / ImmunologyReduction of Risk Potential
The nurse is preparing a presentation on stress and anxiety. What does she include as part of her presentation? Select all that apply.Mental HealthPsychosocial Integrity
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
The mother of a 3-year-old child tells the nurse that her child seems so different at this age when compared to her older brother at 3 years old. Which response from the nurse is correct in educating this parent about her child's developmental progress?OB / PedsHealth Promotion and Maintenance
A patient who is receiving radiation treatments in the head and neck complains of a dry mouth after treatment. Which information would the nurse most likely give this patient?OncologyPhysiological Adaptation
A physician orders a CBC for a male patient who has been admitted to the hospital for pneumonia. Which of the following results would be considered abnormal on the CBC? Select all that apply.RespiratoryReduction of Risk Potential
A nurse had to write an incident report after accidentally administering insulin to a patient, even though no harm was done. Which persons should receive a copy of the incident report after it is complete? Select all that apply.PharmacologySafety and Infection Control
Two hours after receiving a transfusion of whole blood, a patient develops an anaphylactic transfusion reaction. During this reaction, the nurse would most likely expect to see:Hematologic / ImmunologyPharmacological and Parenteral Therapies
A patient who is recovering from heart surgery has orders to be moved to the cardiac step-down unit and placed on telemetry since he is ambulatory. Which information regarding nursing care of the patient on telemetry is true? Select all that apply.CardiacPhysiological Adaptation
Which of the following is a true statement regarding negotiation in the conflict resolution process?Ethical / LegalManagement of Care
Which of the following situations would involve mandatory reporting?Ethical / LegalManagement of Care
Which best describes the purpose of an incident report?Ethical / LegalSafety and Infection Control
A patient who is 39 weeks’ gestation comes into the hospital and tells the nurse that she believes she is in labor. The nurse assesses the patient and determines that she is in the first stage of labor. Which of the following are associated with this stage of labor? Select all that apply.OB / PedsHealth Promotion and Maintenance
A nurse must measure systemic vascular resistance for a patient with hypovolemic shock. The patient has a central catheter and his mean arterial pressure (MAP) is 100 mmHg. His central venous pressure is 0 mmHg and his cardiac output is 8.0 l/min. Calculate this patients systemic vascular resistance (SVR).CardiacPhysiological Adaptation
The nurse chooses the best antacid for the client because of which characteristic?PharmacologyPharmacological and Parenteral Therapies
A recovery room nurse is caring for a patient who is recovering from anesthesia after colon surgery. The nurse is providing IV fluids of ½ NS at a rate of 150 mL/hr to the patient. In order to avoid complications associated with fluid administration, which intervention would the nurse most likely perform?GI / GUPhysiological Adaptation
A 28-year-old patient has been diagnosed with type 2 diabetes. The nurse is talking with her about her diet, such as what foods to include and what foods to avoid. Which statement made by the patient indicates that more teaching is needed?Endocrine / MetabolicBasic Care and Comfort
A nurse is working on part of a research team that is developing medications for sickle cell anemia. The nurse is working with a 10-year-old child who would be a candidate for the research. When the nurse asks the child and her parents about the research, the child does not want to participate, but the parents say that it is okay. Which of the following is an accurate response in this situation?Hematologic / ImmunologyManagement of Care
The client has trigeminal neuralgia. What are some nursing interventions to help the client? Select all that apply.NeuroPhysiological Adaptation
A nurse is performing a cardiovascular assessment on a patient who has been in a motor vehicle accident. Which signs or symptoms would the nurse expect to see with stimulation of the sympathetic nervous system? Select all that apply.CardiacReduction of Risk Potential
Which of the following orders would the nurse most likely expect to see in the first 24 hours for a patient who is recovering from a cesarean section with spinal anesthesia?OB / PedsPhysiological Adaptation
Which of the following best describes the purpose of a job description?FundamentalsManagement of Care
A nurse is working with a patient who uses oxygen in the home. The nurse wants to teach the patient about how to prevent fires while using oxygen. Which statement from the nurse is correct?FundamentalsSafety and Infection Control
A physician has ordered 1,000 units of heparin to be infused IV over an hour. The medication is available as 10,000 units in 500 mL of 0.9% NaCl. What is the rate per hour that the nurse should administer the medication?PharmacologyPharmacological and Parenteral Therapies
A 15-year-old patient suffered a radial fracture and the physician applied a plaster cast to the arm. What information would the nurse give to this patient and his family about cast care during this time? Select all that apply.MusculoskeletalPhysiological Adaptation
For which type of wound would a nurse most likely apply a transparent dressing?Hematologic / ImmunologyPhysiological Adaptation
Which of the following medications would most likely be used in the management of postpartum depression?OB / PedsPharmacological and Parenteral Therapies
A patient undergoing a CABG requires a blood transfusion for management of post-operative hemorrhage. The nurse has placed the order for packed red blood cells and received the unit from the blood bank. When the unit arrives, the nurse checks the bag to ensure that it is intact and correct. Which of the following would require the nurse to return the unit back to the blood bank unused?CardiacPharmacological and Parenteral Therapies
Which is an example of a qualitative open-ended question that the nurse may use in therapeutic communication with the patient?FundamentalsPsychosocial Integrity
A patient who is struggling with alcohol abuse has developed peripheral neuropathy and is suffering from numbness and tingling in the arms and legs. The nurse is helping the client to understand his condition. Which best describes the connection between alcohol abuse and peripheral neuropathy?Mental HealthPsychosocial Integrity
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
A nurse administered a blood transfusion to a patient that was unknowingly contaminated with bacteria. Which of the following signs or symptoms would a patient most likely exhibit with a reaction to bacterial contamination of a blood product?PharmacologyPharmacological and Parenteral Therapies
A patient with acute decompensated heart failure has been prescribed intravenous diuretic medications to control fluid and congestion. Which nursing intervention would the nurse need to perform in order to best monitor fluid and electrolyte balance in this patient?CardiacBasic Care and Comfort
The parents of a 2-year-old boy who died of leukemia are experiencing intense grief in the months following his death. Which of the following is a factor that would affect how these parents experience grief?OncologyPsychosocial Integrity
A 68-year-old patient with COPD is being seen for pulmonary rehabilitation. The nurse is instructing the patient about exercise guidelines while he manages his disease. Which information must the nurse include as part of exercise guidelines for this patient?RespiratoryHealth Promotion and Maintenance
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 patient is preparing to undergo a radical prostatectomy. During the pre-operative visit, the patient asks the nurse, When do I get to eat again? Which response from the nurse is accurate?GI / GUHealth Promotion and Maintenance
What is true of children with fetal alcohol syndrome (FAS)?OB / PedsHealth Promotion and Maintenance
Which best describes a component of attending while listening?FundamentalsPsychosocial Integrity
A nurse is performing a comprehensive assessment on an older adult who is being admitted to the hospital. Which best describes how the nurse would assess the patients goals for care in this situation?FundamentalsHealth Promotion and Maintenance