NCLEX-RN practice questions
4,022 questions across 24 topics, each with the correct answer and an explanation. Free to read.
NGN case studies
Clinical judgment
5 questions- A client is 1 day post-op after an open abdominal surgery. Which finding requires the nurse's immediate…
- Which findings are early signs of hypoxia in an adult? Select all that apply.
- A 72-year-old client is admitted from a long-term care facility with a urinary tract infection. Highlight…
- A client with heart failure started furosemide 40 mg PO daily 2 days ago. For each finding, indicate whether…
- A 24-year-old client with type 1 diabetes has been vomiting for 2 days. Findings: blood glucose 486 mg/dL,…
Prioritization
4 questionsPharmacology
206 questions- Before giving digoxin 0.125 mg PO, the nurse counts an apical pulse of 54/min in an adult client. What…
- Which statements belong in teaching for a client starting warfarin? Select all that apply.
- A client receiving a continuous heparin infusion develops significant bleeding. Which medication should the…
- The provider prescribes digoxin 0.25 mg PO. Available: 0.125 mg tablets. How many tablets should the nurse…
- A heparin infusion of 25,000 units in 250 mL D5W runs at 10 mL/hr. How many units per hour is the client…
Safety & infection control
4 questions- A client is admitted with suspected pulmonary tuberculosis. Which precautions should the nurse implement?
- Which actions are appropriate for a client with *Clostridioides difficile* infection? Select all that apply.
- Put the steps for putting on personal protective equipment in the correct order.
- A client with dementia has repeatedly tried to get out of bed alone at night. What is the nurse's best…
Delegation & assignment
3 questionsAdult health / medical-surgical nursing
200 questions- A 68-year-old client on a medical-surgical unit is being evaluated for rapidly worsening vital signs.…
- A 68-year-old client on a medical-surgical unit is being evaluated for uncontrolled hyperglycemia. The nurse…
- A 68-year-old client on a medical-surgical unit is being evaluated for pancytopenia after chemotherapy.…
- A 45-year-old client in the emergency department is being evaluated for heart failure exacerbation.…
- A 68-year-old client on a medical-surgical unit is being evaluated for uncontrolled hyperglycemia.…
Anatomy & Physiology I/II
200 questions- A 73-year-old client on a telemetry unit is being evaluated for nursing care related to homeostasis and…
- A 45-year-old client in the emergency department is being evaluated for nursing care related to endocrine…
- A 59-year-old client in the intensive care unit is being evaluated for nursing care related to…
- A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to cardiac…
- A 59-year-old client in the intensive care unit is being evaluated for nursing care related to…
Chemistry or biochemistry basics
200 questions- A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to acids, bases,…
- A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to buffers and…
- After nursing care for nursing care related to acids, bases, and ph, the nurse evaluates the client…
- A 62-year-old client on a postoperative unit is being evaluated for nursing care related to buffers and…
- A 59-year-old client in the intensive care unit is being evaluated for nursing care related to acids, bases,…
Clinical judgment / Next Gen NCLEX case studies
200 questions- An RN prioritizing care after a change in status is being evaluated for nursing care related to analyze…
- The RN is caring for a stable client who needs routine assistance related to nursing care related to…
- The nurse reviewing updated assessment data is being evaluated for nursing care related to generate…
- A client in an unfolding case study is being evaluated for nursing care related to matrix and bow-tie item…
- The nurse reviewing updated assessment data is being evaluated for nursing care related to case study…
Community / public health nursing
200 questions- The home health nurse during an initial home visit is being evaluated for community health nursing and…
- The school nurse during a vaccination clinic is being evaluated for community health nursing and…
- The community health nurse at a public health clinic is being evaluated for community health nursing and…
- The community health nurse at a public health clinic is being evaluated for community health nursing and…
- After nursing care for community health nursing and epidemiology basics, the nurse evaluates the client…
Ethics, legal nursing, delegation, prioritization
200 questions- A 58-year-old client on a telemetry unit is being evaluated for nursing care related to advance directives.…
- A 39-year-old client in the emergency department is being evaluated for nursing care related to…
- A 64-year-old client on a medical-surgical unit is being evaluated for nursing care related to beneficence…
- A 64-year-old client on a medical-surgical unit is being evaluated for nursing care related to autonomy and…
- A 39-year-old client in the emergency department is being evaluated for nursing care related to…
Health assessment
200 questions- A 66-year-old client in an outpatient clinic is being evaluated for cardiovascular assessment during…
- A 66-year-old client in an outpatient clinic is being evaluated for focused reassessment during…
- A 66-year-old client in an outpatient clinic is being evaluated for abdominal assessment during…
- A 74-year-old client on a medical-surgical unit is being evaluated for nursing care related to general…
- A 74-year-old client on a medical-surgical unit is being evaluated for nursing care related to general…
Informatics and healthcare technology
200 questions- The RN using the electronic health record is being evaluated for technology-supported nursing care and…
- The RN is caring for a stable client who needs routine assistance related to technology-supported nursing…
- The telehealth nurse during a virtual follow-up visit is being evaluated for technology-supported nursing…
- The RN is caring for a stable client who needs routine assistance related to technology-supported nursing…
- The telehealth nurse during a virtual follow-up visit is being evaluated for barcode medication…
Leadership and management
200 questions- The nurse manager during a busy day shift is being evaluated for nursing care related to assignment to lpn…
- The nurse manager during a busy day shift is being evaluated for nursing care related to change management.…
- The RN is caring for a stable client who needs routine assistance related to nursing care related to…
- The nurse manager during a busy day shift is being evaluated for nursing care related to delegation to…
- The RN on a telemetry unit is being evaluated for nursing care related to conflict management. The nurse…
Maternal-newborn nursing
200 questions- A 29-year-old client in labor and delivery is being evaluated for labor with external fetal monitoring.…
- A 29-year-old client in labor and delivery is being evaluated for active labor. The nurse reviews this…
- A postpartum client on the mother-baby unit is being evaluated for breastfeeding initiation. Assessment data…
- A newborn is due for the first hepatitis B vaccine and vitamin K. The parent refuses both. What is the…
- A 29-year-old client in labor and delivery is being evaluated for active labor. Assessment data include…
Microbiology
200 questions- A 71-year-old client in a long-term care facility is being evaluated for nursing care related to bacteria,…
- A 52-year-old client on a medical-surgical unit is being evaluated for nursing care related to reservoirs…
- After nursing care for nursing care related to antimicrobial resistance, the nurse evaluates the client…
- A 52-year-old client on a medical-surgical unit is being evaluated for nursing care related to reservoirs…
- A 71-year-old client in a long-term care facility is being evaluated for nursing care related to bacteria,…
Nursing fundamentals
200 questions- An 82-year-old client on a medical-surgical unit is being evaluated for high fall risk on a medical unit.…
- The RN is caring for a stable client who needs routine assistance related to nursing care related to…
- A 55-year-old client after abdominal surgery is being evaluated for nursing care related to hygiene and…
- A 55-year-old client after abdominal surgery is being evaluated for nursing care related to mobility and…
- A 70-year-old client in a rehabilitation facility is being evaluated for high fall risk on a medical unit.…
Nutrition
200 questions- A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to dysphagia and…
- A 58-year-old client after a stroke is being evaluated for nursing care related to enteral nutrition.…
- A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to dysphagia and…
- A 63-year-old client with chronic kidney disease is being evaluated for nursing care related to enteral…
- A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to hydration and…
Pathophysiology
200 questions- A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to electrolyte…
- A 59-year-old client in the intensive care unit is being evaluated for clotting and bleeding disorder.…
- A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to endocrine…
- A 62-year-old client on a postoperative unit is being evaluated for nursing care related to endocrine…
- A 68-year-old client on a medical-surgical unit is being evaluated for clotting and bleeding disorder.…
Pediatric nursing
200 questions- An 8-year-old child in the pediatric unit is being evaluated for pediatric injury prevention. Assessment…
- After nursing care for pediatric injury prevention, the nurse evaluates the client response. Which action…
- An 8-year-old child in the pediatric unit is being evaluated for dehydration from vomiting and diarrhea.…
- A 2-year-old toddler in the emergency department is being evaluated for newly diagnosed congenital heart…
- After nursing care for dehydration from vomiting and diarrhea, the nurse evaluates the client response.…
Professional nursing practice (clinical transition)
200 questions- A new graduate nurse working with a preceptor is being evaluated for transition-to-practice skills and…
- The RN is caring for a stable client who needs routine assistance related to transition-to-practice skills…
- A senior nursing student during a supervised medication pass is being evaluated for transition-to-practice…
- The student nurse during simulation debriefing is being evaluated for transition-to-practice skills and…
- A new graduate nurse working with a preceptor is being evaluated for medication pass safety. Assessment data…
Psychiatric / mental health nursing
200 questions- A 16-year-old adolescent on an adolescent psychiatric unit is being evaluated for agitation on an inpatient…
- A 42-year-old client in a crisis stabilization unit is being evaluated for acute emotional crisis.…
- A 42-year-old client in a crisis stabilization unit is being evaluated for involuntary hold status.…
- The RN is caring for a stable client who needs routine assistance related to involuntary hold status. Which…
- A 16-year-old adolescent on an adolescent psychiatric unit is being evaluated for acute emotional crisis.…
Psychology / lifespan development
200 questions- A 16-year-old adolescent at a primary care visit is being evaluated for developmental expectations for…
- A 16-year-old adolescent at a primary care visit is being evaluated for developmental expectations for…
- A client in an outpatient clinic is being evaluated for nursing care related to family systems. Assessment…
- A 6-month-old infant at a well-child visit is being evaluated for developmental expectations for infant…
- A client in an outpatient clinic is being evaluated for nursing care related to grief and coping. Assessment…
Statistics or evidence-based practice
200 questions- The quality-improvement nurse reviewing fall-rate data is being evaluated for evidence-based practice and…
- The RN is caring for a stable client who needs routine assistance related to evidence-based practice and…
- The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and bias and…
- The RN evaluating a clinical practice guideline is being evaluated for evidence-based practice and outcome…
- The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and outcome…