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NCLEX-RN & NCLEX-LPN

NCLEX practice questions with rationales

Try free NCLEX practice questions below, written the way the exam asks them. Each one comes with a rationale that explains why the right answer is right and why the others are wrong.

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  • Every NCLEX format, including NGN
  • Rationales for every answer
  • RN and LPN question banks

Why practice questions matter more than rereading

The NCLEX tests clinical judgement: what you would do first, what to report and what to leave to someone else. Answering questions, then reading why each option is right or wrong, trains exactly that.

Our question bank is written by NCLEX tutors and grouped by subject and Client Needs category, so you can practise the areas you are weakest in instead of starting over every time.

Every question format on the exam

You meet each format in practice before you meet it on test day, including the Next Generation NCLEX (NGN) items:

  • Single choice and select all that apply (SATA)
  • Extended multiple response, ordering and fill in the blank (dosage calculations)
  • Matrix, drop-down cloze, highlight, drag and drop and bow-tie items
  • Six-question NGN case studies with charts, nurses' notes and vital signs

Tests built around you

Choose the subjects, difficulty and number of questions, then draw from new questions, ones you are still learning, ones to review or ones you flagged. Take them in tutor mode to see the rationale after each answer, or timed to rehearse under pressure.

Every test is kept with its review, your scores by subject and how you compare with other learners, so you can see your progress week by week.

Free samples

Free NCLEX practice questions

Answer each one, then open the rationale to check your thinking.

  1. NCLEX-RNPhysiological Adaptation · Single choice

    1. Two hours after a total thyroidectomy, a client reports tingling around the mouth and in the fingertips. What should the nurse do first?

    • A Check for Chvostek and Trousseau signs
    • B Offer warm fluids to soothe the throat
    • C Lower the head of the bed to flat
    • D Document it as an expected finding
    Show answer and rationale

    Answer: A

    Tingling around the mouth and fingertips points to hypocalcemia from injury to the parathyroid glands during surgery. Assess for Chvostek and Trousseau signs, report to the provider and keep IV calcium gluconate available. Keeping the head raised protects the airway, so lying flat is wrong, and this finding is never "expected".

  2. NCLEX-RNPharmacology · Select all that apply

    2. A client takes digoxin daily. Which findings suggest digoxin toxicity? Select all that apply.

    • A Nausea and vomiting
    • B Yellow-green halos around lights
    • C Apical pulse of 52/min
    • D Loss of appetite
    • E Increased urine output
    Show answer and rationale

    Answer: A, B, C, D

    Early digoxin toxicity shows as anorexia, nausea and vomiting, then visual changes (blurred vision, yellow-green halos) and bradycardia or dysrhythmias. Hold the dose for an apical pulse under 60/min in an adult and check the digoxin and potassium levels; low potassium raises the risk of toxicity. Urine output is not a sign.

  3. NCLEX-LPNPhysiological Adaptation · Single choice

    3. A client with type 1 diabetes is shaky and sweaty. The blood glucose is 58 mg/dL, and the client is alert and able to swallow. What should the practical nurse do first?

    • A Give 15 g of fast-acting carbohydrate, such as 120 mL (4 oz) of fruit juice
    • B Give the next scheduled dose of insulin
    • C Give glucagon intramuscularly
    • D Recheck the blood glucose in one hour
    Show answer and rationale

    Answer: A

    Follow the 15-15 rule: 15 g of fast-acting carbohydrate, then recheck the glucose in 15 minutes and repeat if it is still under 70 mg/dL. Glucagon is for a client who cannot swallow safely, and insulin would lower the glucose further.

  4. NCLEX-LPNPharmacological Therapies · Fill in the blank

    4. Amoxicillin 500 mg by mouth is prescribed. The suspension available is 250 mg per 5 mL. How many mL should the nurse give?

    Show answer and rationale

    Answer: 10 mL

    Desired over have, times volume: 500 mg ÷ 250 mg × 5 mL = 10 mL.

FAQ

Questions about NCLEX practice questions

Are these NCLEX practice questions free?

The sample questions on this page are free. Creating an account is free too; the full question bank, case studies and adaptive exams come with an exams subscription for NCLEX-RN or NCLEX-LPN.

How many practice questions should I do before the NCLEX?

Quality beats quantity: read every rationale, including for the questions you got right. Most learners do a set of questions every day and keep going until their adaptive exam results say they are likely to pass.

Do you have Next Generation NCLEX (NGN) questions?

Yes. The bank includes NGN case studies and standalone NGN items: matrix, drop-down cloze, highlight, drag and drop and bow-tie, scored with partial credit like the real exam.

More NCLEX prep

NCLEX-RN practice examsRegistered nurse question bank, case studies and readiness exams.NCLEX-LPN practice questionsA separate PN question bank, notes and classes for practical nurses.NCLEX CAT examHow computerized adaptive testing decides a pass, and how to practise it.NCLEX online classesLive review classes with tutors, recorded to watch again.NCLEX study notesTutor-written notes for every NCLEX subject and topic.

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