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NCLEX-RN Exam Questions

Exam Name: NCLEX National Council Licensure Examination(NCLEX-RN) Exam
Exam Code: NCLEX-RN
Related Certification(s): NCLEX Certifications
Certification Provider: NCLEX
Number of NCLEX-RN practice questions in our database: 860 (updated: Nov. 04, 2026)
Expected NCLEX-RN Exam Topics, as suggested by NCLEX :
  • Topic 1: Safe and Effective Care Environment: This section of the exam measures skills of Registered Nurses and covers how to manage client care while maintaining a safe and effective healthcare environment. It includes Management of Care, which assesses coordination with interdisciplinary teams, delegation, legal responsibilities, and resource utilization. It also includes Safety and Infection Control, focusing on minimizing risk to clients and staff through infection prevention, safe equipment use, emergency procedures, and addressing environmental hazards.
  • Topic 2: Health Promotion and Maintenance: This section of the exam measures skills of Clinical Nurse Educators and covers strategies to support wellness and prevent disease. It includes client education across age groups, prenatal and postnatal care, and community health promotion. Nurses are tested on performing screenings, recognizing risk factors, and adapting education based on learning needs and readiness.
  • Topic 3: Psychosocial Integrity: This section of the exam measures skills of Mental Health Nurses and covers emotional, mental, and social well-being. It includes assessing psychological needs, substance use, abuse, grief, and coping challenges. The nurse must use therapeutic communication, recognize psychosocial stressors, and support clients with behavioral disorders while maintaining cultural sensitivity.
  • Topic 4: Physiological Integrity: This section of the exam measures skills of Acute Care Nurses and focuses on maintaining physical health through four subdomains. Basic Care and Comfort assesses support with daily living tasks and comfort measures. Pharmacological and Parenteral Therapies covers safe medication administration and client monitoring. Reduction of Risk Potential evaluates the ability to detect and prevent complications. Physiological Adaptation tests management of clients with acute, chronic, or life-threatening health conditions using clinical interventions.
Disscuss NCLEX NCLEX-RN Topics, Questions or Ask Anything Related
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Jason Collins

1 month ago
I managed to pass the NCLEX RN by tightening up pharmacological and parenteral therapies, especially side effects, contraindications, and IV complications. I wrote quick rationales for every missed question, and that pattern review paid off during the exam.
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James Johnson

2 months ago
A colleague who passed told me the Physiological Adaptation items often came as crisis-management vignettes where you must pick priorities for a patient in shock or with acute respiratory distress. Those are tricky because they require integrating vitals, labs and expected pathophysiology, so review common lab changes, ABG interpretation, and the immediate nursing actions for different types of shock.
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Michelle Rodriguez

2 months ago
Basic care and comfort questions surprised me because they were often about safety, mobility, and realistic nursing priorities rather than textbook details. I passed the NCLEX RN by thinking through what I would do first at the bedside before choosing an answer.
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Emily Robinson

3 months ago
I cleared the exam and Pharmacological and Parenteral Therapies questions were often calculation or priority questions, like choosing the correct IV infusion rate or identifying a dangerous drug interaction from a short medication list. What helped me was drilling dose calculations, common adverse effects and antidotes, and learning which meds need monitoring labs so you can eliminate wrong answer traps.
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Donald Green

4 months ago
I passed the NCLEX RN after focusing on psychosocial integrity and therapeutic communication, which was trickier than memorizing facts. Practicing how to respond without judgment and when to escalate care made a real difference on test day.
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Thomas Turner

4 months ago
I managed to pass the NCLEX and one of the toughest sets were Psychosocial Integrity questions that presented emotional crises where you had to prioritize therapeutic communication and patient safety. Those vignette-style items can hinge on subtle language, so study suicide risk cues, de-escalation phrases, and the difference between therapeutic and nontherapeutic responses, and thanks Pass4Success for a concise question bank that helped me practice under time pressure.
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Eric Parker

5 months ago
I managed to pass the NCLEX RN once I built a simple weekly plan that rotated health promotion with physiological adaptation, so I was not cramming one area at a time. The exam felt broad, but the fundamentals showed up everywhere.
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Edward Anderson

5 months ago
After I cleared the exam I remembered a lot of Health Promotion and Maintenance items, especially questions that asked which screening or immunization schedule fits a specific age and risk profile. Those questions were often presented as brief vignettes, so memorize key ages for screenings and developmental milestones and practice differentiating routine care from urgent referrals.
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Kenneth Smith

6 months ago
I passed the NCLEX RN by drilling safety and infection control scenarios, especially prioritization and isolation precautions, since those questions were more nuanced than I expected. Doing timed sets helped me stop overthinking and choose the safest action first.
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Angela Robinson

6 months ago
I recently passed the NCLEX and saw several scenario questions testing Safety and Infection Control, like choosing the correct transmission-based precautions for different diseases. The tricky part was subtle wording about airborne versus droplet spread, so focus on routes of transmission, proper donning and doffing order, and chain of infection to make decisions quickly.
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Linda Turner

6 months ago
Heads-up Physiological Adaptation prioritization questions that mix respiratory and cardiac issues confused me. I found it helpful to say ABCs out loud and eliminate answers that didn't address the most immediate threat.
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Richard Morris

6 months ago
Interestingly a few safety and infection control questions focused on the correct sequence for donning and doffing PPE, so practicing the steps out loud made them easier.
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Susan Roberts

6 months ago
Honestly on the NCLEX I had several items like that and using ABC plus assessing airway breathing circulation before reading distractors saved time.
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Angela Cook

6 months ago
Also ABG interpretation showed up in a way that expected you to link results to respiratory versus metabolic causes instead of just memorizing numbers.
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Karen White

6 months ago
Remember select all that apply items in psychosocial integrity asked you to pick interventions that matched the client's coping stage rather than every possible correct statement.
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Andrew Garcia

6 months ago
Sometimes NCLEX-RN pharmacology questions combined side effects with the correct nursing action so I made a quick two-column chart while studying which helped with recall.
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Michal

7 months ago
Pass4Success practice tests were essential for me. One tip? Don't just memorize, understand the rationale behind the answers - it'll serve you better.
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Candida

7 months ago
Passed NCLEX and feeling on top of the world! Pass4Success's prep was a game-changer.
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Jose

7 months ago
Client-centered care and ethics got messy in multi-part questions. Pass4Success practice helped me map care plans fast.
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Staci

8 months ago
Overjoyed to announce that I passed the NCLEX-RN! Pass4Success practice questions were a key part of my preparation. One question that left me uncertain was about infection control precautions, specifically which type of isolation is required for tuberculosis. I wasn't sure, but I still succeeded.
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Felix

8 months ago
NCLEX prep made easy with Pass4Success. Their questions matched the real exam so well!
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Boris

8 months ago
Passing the NCLEX-RN was a proud moment, and pass4success practice exams were a big part of my success. My advice? Stay calm and focused during the exam.
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Antonette

9 months ago
I passed the NCLEX-RN, and I'm over the moon! The practice questions from Pass4Success were crucial. There was a question about the nursing process and the correct order of steps. I had to think hard about it, but I managed to pass regardless.
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Francesco

9 months ago
Thrilled to share that I passed the NCLEX-RN! The Pass4Success questions were invaluable. A challenging question I encountered was about electrolyte imbalances, specifically the symptoms of hyperkalemia. I hesitated but moved on, and I'm glad I did.
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Desire

9 months ago
I found the abnormal labs and electrolyte imbalances tricky. Pass4Success practice gave quick-recall drills that saved time on exam day.
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Taryn

9 months ago
Just got my NCLEX results - I passed! Couldn't have done it without Pass4Success's help.
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Tayna

9 months ago
I did it! Passing the NCLEX-RN feels amazing. Pass4Success practice questions were a big part of my study routine. One question that puzzled me was about the legal responsibilities of a nurse when witnessing a patient's signature on a consent form. I was unsure of the exact protocol, but I still passed.
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Charlette

10 months ago
The safety and infection control section was immune to memorization. Pass4Success practice prepared you with scenario-based prompts that mirrored real questions.
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Angella

10 months ago
Pass4Success practice tests were the best way for me to prepare. One tip? Revise effectively by creating mind maps or diagrams to visualize key concepts.
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Lucina

10 months ago
My first thoughts were fear and overwhelm, but pass4success helped me build a solid rhythm with focused reviews, and I felt ready to take the exam. Keep going—your perseverance will pay off.
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Noble

10 months ago
NCLEX conquered! Pass4Success's study materials were key to my success in such a short time.
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Kimberely

11 months ago
Pass4Success practice exams helped me identify my weak areas and really nail down the content. Remember, don't panic - trust your knowledge and instincts.
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Kate

11 months ago
Incredible news! I passed the NCLEX-RN exam. The Pass4Success practice questions were a great help. There was a question about therapeutic communication techniques, specifically how to respond to a patient expressing anxiety. I wasn't completely confident in my choice, but it all worked out.
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Lemuel

11 months ago
So relieved to have passed NCLEX! Pass4Success's exam prep was worth every penny.
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Lindsey

11 months ago
I was utterly nervous before the NCLEX, doubting my readiness, but pass4success gave me structured practice and clear confidence boosters, and now I'm celebrating. You've got this—trust the process and stay steady.
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Malcolm

12 months ago
I passed the NCLEX-RN, and it feels surreal! Thanks to Pass4Success for their practice questions. One question that caught me off guard was about the pathophysiology of diabetes mellitus. It asked about the differences between Type 1 and Type 2 diabetes, and I was a bit unsure, but I managed to get through.
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Xochitl

1 year ago
Feeling ecstatic after passing the NCLEX-RN! The Pass4Success questions were instrumental in my preparation. I remember a question about the stages of labor and the specific signs of each stage. It was detailed, and I second-guessed myself, but I'm glad it didn't hold me back.
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Kerry

1 year ago
I struggled with prioritization and SATA questions. Pass4Success practice exams trained me to pick the most urgent actions first, not the easiest answer.
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Ilene

1 year ago
Passing the NCLEX-RN was a huge relief, and Pass4Success practice tests were crucial. My advice? Focus on understanding the rationale behind answers, not just memorizing.
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Janey

1 year ago
The pharmacology calculations were brutal—I kept misreading dosage questions. Pass4Success practice exams helped me drill unit conversions until I could do them in my sleep.
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Larae

1 year ago
Pass4Success practice exams were a game-changer for me! One tip - manage your time wisely during the exam, don't get stuck on any one question.
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Maryann

1 year ago
NCLEX wasn't as scary as I thought, thanks to Pass4Success's realistic practice questions.
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Michell

1 year ago
Passed NCLEX on my first try! Pass4Success's materials were crucial for my quick preparation.
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Jolanda

1 year ago
I can't believe I did it! Passing the NCLEX-RN was a huge milestone for me. The practice questions from Pass4Success were incredibly helpful. There was this tricky question about patient safety and fall prevention strategies. It asked which intervention would be most effective in reducing fall risk for an elderly patient. I hesitated a bit but moved on, and it all worked out in the end.
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Galen

1 year ago
NCLEX success! Pass4Success's practice questions were a lifesaver in my last-minute prep.
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Aleshia

1 year ago
Wow, what a journey it has been! I just passed the NCLEX-RN exam, and I couldn't be happier. The Pass4Success practice questions were a lifesaver. One question that really stumped me was about the pharmacokinetics of a specific medication. I remember it asked about the half-life and how it affects dosing intervals. I wasn't entirely sure of the answer, but thankfully, I still managed to pass.
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Felton

1 year ago
Couldn't believe how well-prepared I felt for NCLEX. Thanks, Pass4Success, for the comprehensive question bank!
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Tenesha

1 year ago
NCLEX done and dusted! Pass4Success made it possible with their targeted study materials.
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Herminia

1 year ago
Management of care questions test your ability to prioritize and delegate. Pass4Success's scenario-based questions really prepared me for this aspect of the exam.
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Reyes

1 year ago
Just passed my NCLEX-RN! So grateful for Pass4Success's exam prep. Their questions were spot-on!
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Free NCLEX NCLEX-RN Exam Actual Questions

Note: Premium Questions for NCLEX-RN were last updated On Nov. 04, 2026 (see below)

Question #1

A mother frantically calls the emergency room (ER) asking what to do about her 3-year-old girl who was found eating pills out of a bottle in the medicine cabinet. The ER nurse tells the mother to:

Reveal Solution Hide Solution
Correct Answer: D

(A) Before giving any emetic, the substance ingested must be known. (B) At least 8 oz of water should be administered along with ipecac syrup to increase volume in the stomach and facilitate vomiting. (C) Water alone will not induce vomiting. An emetic is necessary to facilitate vomiting. (D) Vomiting should never be induced in an unconscious client because of the risk of aspiration.


Question #2

A depressed client is seen at the mental health center for follow-up after an attempted suicide 1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to occur within:

Reveal Solution Hide Solution
Correct Answer: B

(A) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication. (B) This answer is correct. Because MAO inhibitors are slow to act, it takes 2--4 weeks before improvement of symptoms is noted. (C) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication. (D) This answer is incorrect. Therapeutic effects of the medication are noted within 1 month of drug therapy.


Question #3

The health team needs to realize that the compulsive concern with cleanliness that a client with severe anxiety exhibits is most likely an attempt to:

Reveal Solution Hide Solution
Correct Answer: A

(A) These behaviors are attempts to relieve anxiety. (B) Avoidance is not a pattern in the obsessive client. (C) Although these behaviors may seem to manipulate others, that is not the purpose behind the activity. (D) Inflated self-esteem is not a characteristic of the severely anxious client.


Question #4

The FHR pattern in a laboring client begins to show early decelerations. The nurse would best respond by:

Reveal Solution Hide Solution
Correct Answer: C

(A) Early decelerations are reassuring and do not warrant notification of the physician. (B) Because early decelerations is a reassuring pattern, it would not be necessary to change the client's position. (C) Early decelerations warrant the continuation of close FHR monitoring to distinguish them from more ominous signs. (D) O2 is not warranted in this situation, but it is warranted in situations involving variable and/or late decelerations.


Question #5

A physician's order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 20 mEq/15 mL.

What dosage should the nurse administer to the infant?

Reveal Solution Hide Solution
Correct Answer: C

(A) This answer is a miscalculation. (B) This answer is a miscalculation. (C) 1.33 mEq = 1 mL, then 1.5 mL X=1.99, or 2 mEq. (D) Information is adequate for calculation.



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