NCLEX-RN Practice Exams and Question Bank

A question bank for registered nurses

The NCLEX-RN module has its own subjects, questions, notes and classes, separate from the LPN module. Questions follow the NCLEX-RN test plan and its Client Needs categories: management of care, safety and infection control, pharmacological therapies, physiological adaptation and more.

Custom tests by subject, difficulty and length
Tutor mode with rationales, or timed mode like test day
Retake what you are still learning and skip what you have mastered

Practice exams that follow the real NCLEX-RN

Adaptive Exams follow the NCLEX rules: from 85 to 150 questions within five hours, each question chosen from how you answered the last, and the exam stopping once it is 95% sure whether you are above or below the passing standard.

CAT Exams are 85-question practice exams with questions you will not see anywhere else in the bank, untimed and with the rationale after each answer, so you can learn as you go.

NGN case studies for clinical judgement

Next Generation NCLEX case studies unfold over six questions, with the client's chart, nurses' notes, vital signs and lab results. They are scored with partial credit, the NCLEX way, so you can see which step of clinical judgement needs work.

Free samples

Try NCLEX-RN practice questions

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

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".
NCLEX-RNPharmacology · Single choice
2. A client taking warfarin has an INR of 5.2 and no signs of bleeding. Which action should the nurse take?
- A Give the scheduled dose of warfarin
- B Hold the warfarin and notify the provider
- C Give protamine sulfate
- D Encourage more green leafy vegetables
Show answer and rationale
Answer: B
The usual therapeutic INR on warfarin is 2 to 3, so 5.2 puts the client at risk of bleeding. Hold the dose and notify the provider, who may prescribe vitamin K. Protamine reverses heparin, not warfarin, and changing vitamin K intake without a prescription makes the INR harder to control.
NCLEX-RNPharmacology · Select all that apply
3. 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.
NCLEX-RNManagement of Care · Single choice
4. The registered nurse is planning care with an assistive personnel (AP). Which task is appropriate to delegate to the AP?
- A Teach a newly diagnosed client to use a glucometer
- B Assess a client who reports new chest pain
- C Measure vital signs of a stable client on day 2 after surgery
- D Evaluate a client's response to IV pain medicine
Show answer and rationale
Answer: C
Routine tasks with predictable outcomes for stable clients, such as vital signs, can be delegated. Teaching, assessment and evaluation stay with the registered nurse, and a client with new chest pain is unstable.

FAQ

Questions about NCLEX-RN practice exams

How is the NCLEX-RN different from the NCLEX-LPN?

The NCLEX-RN tests the registered nurse role: assessment, care planning, delegation and managing care. The NCLEX-PN tests the practical nurse role. Each has its own module here, with its own questions and notes.

How do I know I am ready for the NCLEX-RN?

Take an Adaptive Exam. It applies the NCLEX pass/fail rules to your answers and shows your chance of passing, so you can book the exam when your results are consistently above the standard.

Can I take practice exams on my phone?

Yes. Everything works in the browser on your phone or computer, with no app to install.

More NCLEX prep

NCLEX practice questionsFree sample questions with rationales, and how our question bank works.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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NCLEX-RN practice exams and question bank

A question bank for registered nurses

Practice exams that follow the real NCLEX-RN

NGN case studies for clinical judgement

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

2. A client taking warfarin has an INR of 5.2 and no signs of bleeding. Which action should the nurse take?

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

4. The registered nurse is planning care with an assistive personnel (AP). Which task is appropriate to delegate to the AP?

More NCLEX prep

Start preparing for the NCLEX today