NCLEX-RN Practice Test | 5200+ Free Practice Questions

What You Get on This Page

This NCLEX-RN practice hub is built to simulate the real exam experience while allowing targeted improvement. You can practice full-length adaptive-style exams, drill specific NCLEX domains, master Next-Gen NCLEX (NGN) case studies, and strengthen high-yield topics that decide pass or fail.

✔ Realistic clinical questions
✔ Result after exam with answer review
✔ Pass–fail performance analysis
✔ Question & answer PDFs with rationales

NCLEX-RN Full-Length Practice Tests (150 Questions)

These full-length exams are designed to build exam stamina, pacing, and real-world clinical judgment. Questions are mixed across all NCLEX client needs categories—just like the actual exam.

Domain Wise Practice Tests (40 Questions Each)

Every domain-wise test contains 40 questions and is designed for focused improvement in the exact NCLEX client needs categories. You get instant results, plus question-and-answer PDFs with rationales so you can learn the “why” behind safe decisions.

✔ Instant result
✔ Question and answer in PDF, with rationale

NGN Case Studies Practice Tests

Every NGN topic includes 5 case studies, and every case study contains 6 questions (Total 30 questions per topic). These are designed to train Next-Gen NCLEX clinical judgment in real scenario sequences.

✔ Instant result
✔ Question and answer in PDF, with rationale

Topic Wise Practice Tests

Every test has 25 questions and is built for fast, high-yield drilling. These sets are ideal when you want focused practice on the most frequently tested NCLEX skills (prioritization, delegation, safety, med administration, labs, fluids, sepsis, etc.).

✔ Every test has 25 questions
✔ Instant result
✔ Question and answer in PDF

Topic Wise Questions (Every Topic Has 30 Questions With Answer)

These topic-wise question sets are designed for repetition and mastery. If you want to drill a single concept until your accuracy becomes automatic, this is the section to use.

Bonus Questions PDF

Download extra NCLEX-RN practice resources in PDF format for offline review and repetition.

NCLEX-RN Exam Overview (What you’re actually walking into)

The NCLEX-RN is not a typical “study a book, memorize facts, pass the test” type of exam. It’s designed to decide whether you can make safe decisions for real patients in real clinical situations—especially when you’re under pressure, time is limited, and the information is incomplete.

Unlike many standard exams, the NCLEX adapts to you while you’re taking it. That means the test is not trying to see how many questions you can answer; it’s trying to determine whether your level of clinical judgment and safety stays consistently above the passing standard.

Computer Adaptive Testing (CAT) — what it means for you

CAT means the exam adjusts the difficulty based on how you answer:

• When you answer correctly, the next question may become more challenging.
• When you answer incorrectly, the next question may become easier or may test the same concept in a different way.
• The goal is not to “get a high score.” The goal is to prove competence and safe decision-making consistently.

In practical terms, this is why the NCLEX can feel unpredictable. One question might be straightforward, and the next might feel extremely difficult—even if you’re doing well. That’s normal.

Question count and time — keep your mindset flexible

The NCLEX has a minimum and maximum number of questions, and a time limit. Because the exam adapts, two candidates can have very different experiences:

• Some will finish closer to the minimum.
• Some will go much longer.
• Finishing early doesn’t automatically mean you passed.
• Continuing longer doesn’t automatically mean you failed.

The best strategy is not to “aim for a number.” Instead, aim for consistent decision-making: patient safety, correct prioritization, and solid nursing judgment.

NGN item types (Next-Gen NCLEX) — what’s new

The Next-Gen NCLEX emphasizes clinical judgment. You’ll see question types that require you to think like a nurse, not like a student. These may include:

• Case studies (multi-question sets)
• Bow-tie questions
• Matrix multiple response
• Extended SATA (Select All That Apply)
• Drop-down reasoning items
• Highlight text
• Drag-and-drop / sequencing

These question types are meant to simulate what happens in practice: you assess, identify risks, recognize what matters most, decide what to do, and evaluate outcomes.

NCLEX-RN Blueprint and Detailed Syllabus

The NCLEX-RN blueprint is the exam’s “map.” It defines exactly what the exam is designed to measure and how nurses are evaluated for safe, entry-level practice. When you study using the blueprint, you stop memorizing isolated facts and start focusing on clinical judgment, prioritization, delegation, and patient safety—the areas that truly determine pass or fail.

The NCLEX-RN is built around Client Needs categories, Integrated Processes, and Clinical Judgment (Next-Gen NCLEX). Each candidate’s exam is adaptive, so the exact number of questions per category may vary slightly, but the overall distribution remains consistent.

Official Content Distribution (Portion %)

Safe and Effective Care Environment
25–37% of the exam
• Management of Care: 15–21%
• Safety and Infection Control: 10–16%

Health Promotion and Maintenance
6–12%

Psychosocial Integrity
6–12%

Physiological Integrity
36–62%
• Basic Care and Comfort: 6–12%
• Pharmacological and Parenteral Therapies: 13–19%
• Reduction of Risk Potential: 9–15%
• Physiological Adaptation: 11–17%

Clinical Judgment / NGN Focus
• 3 NGN case studies (18 total items)
• Additional stand-alone clinical judgment items throughout the exam
• Partial-credit scoring on select NGN item types

1) Safe and Effective Care Environment

This category evaluates whether you can manage care safely, work within your RN scope, and protect patients, staff, and the healthcare system. These questions heavily influence pass/fail outcomes.

A) Management of Care (15–21%)

This is one of the highest-weighted areas on the NCLEX and directly reflects real RN responsibilities.

Key syllabus areas:

• Prioritization and triage
o Identifying the most urgent patient
o Unstable vs stable, acute vs chronic, safety threats first
• Delegation and assignment
o Appropriate task delegation to UAP and LPN/LVN
o Understanding RN-only responsibilities (assessment, teaching, evaluation)
• Coordination of care
o Continuity of care across settings
o Discharge planning and follow-up care basics
• Legal and ethical practice
o Informed consent and refusal of treatment
o Advance directives, DNR orders, and patient autonomy
o Confidentiality and HIPAA principles
• Advocacy and case management
o Protecting patient rights
o Using interdisciplinary resources effectively
• Leadership and communication
o Conflict resolution and team coordination
o Responding to unsafe practice and incident reporting

Common NCLEX question focus:

• Which patient should the nurse see first?
• Which task can be delegated?
• Which situation requires RN intervention?
• Which action violates scope of practice?

B) Safety and Infection Control (10–16%)

This area focuses entirely on preventing patient harm. NCLEX repeatedly tests safety principles using different clinical scenarios.

Key syllabus areas:

• Standard and transmission-based precautions
o Contact, droplet, and airborne precautions
• Personal Protective Equipment (PPE)
o Correct selection and sequence of use
• Hand hygiene and asepsis
o Medical vs surgical asepsis concepts
• Fall prevention and mobility safety
o Risk identification and preventive interventions
• Restraints and patient safety
o Least restrictive use and monitoring requirements
• Environmental and equipment safety
o Oxygen safety, electrical safety, emergency preparedness
• Hazardous materials
o Sharps safety and exposure prevention
• Error prevention and incident reporting
o Near-miss recognition and safety reporting

2) Health Promotion and Maintenance (6–12%)

This category evaluates your ability to maintain health, detect early risk, and provide appropriate education across the lifespan.

Key syllabus areas:

• Growth and development
o Normal milestones and expected findings by age
o Identification of developmental delays
• Preventive care and screenings
o Risk factor identification
o Health promotion strategies
• Prenatal, intrapartum, and postpartum care
o Teaching priorities and warning signs
• Newborn care
o Normal vs abnormal newborn findings
• Patient education
o Teaching strategies
o Readiness to learn and barriers to education

Common NCLEX question focus:

• Which finding is expected for age?
• Which teaching statement indicates understanding?
• Which symptom requires immediate follow-up?

3) Psychosocial Integrity (6–12%)

This section tests your ability to support mental health, ensure emotional safety, and communicate therapeutically.

Key syllabus areas:

• Therapeutic communication
o Open-ended questions and empathy
o Avoiding non-therapeutic responses
• Crisis intervention
o Suicide risk assessment and safety precautions
• Mental health disorders
o Anxiety, depression, bipolar disorder, schizophrenia
• Stress, coping, and grief
o Normal vs maladaptive responses
• Abuse, neglect, and violence
o Recognition of red flags and safety planning
• Cultural competence
o Respect for beliefs and values in care delivery

4) Physiological Integrity

This category forms the largest portion of the NCLEX and focuses on physical health, complications, and emergency response.

A) Basic Care and Comfort (6–12%)

Key syllabus areas:

• Hygiene, skin care, and pressure injury prevention
• Nutrition and hydration
• Elimination needs
• Mobility, positioning, and assistive devices
• Sleep and rest
• Palliative and comfort care principles

B) Pharmacological and Parenteral Therapies (13–19%)

This is a high-risk, high-weight category that emphasizes medication safety over memorization.

Key syllabus areas:

• Safe medication administration
• Adverse effect recognition
• High-alert medications (insulin, anticoagulants)
• IV therapy and central line care
• Blood product administration
• TPN therapy basics
• Medication calculations and interactions
• Patient education and monitoring

C) Reduction of Risk Potential (9–15%)

This area focuses on early recognition of complications and appropriate monitoring.

Key syllabus areas:

• Diagnostic testing and nursing responsibilities
• Laboratory value interpretation
• Post-procedure and postoperative complications
• Vital signs and trend analysis
• Neurological, cardiac, and respiratory monitoring
• Early escalation of care

D) Physiological Adaptation (11–17%)

This section evaluates your response to acute and chronic physiological changes.

Key syllabus areas:

• Fluid, electrolyte, and acid–base imbalances
• Shock and sepsis
• Respiratory failure and oxygenation
• Cardiac emergencies
• Neurological disorders and seizures
• Endocrine emergencies (DKA, hypoglycemia)
• Renal failure
• Burns, trauma, and emergency care

Integrated Processes (How the NCLEX Thinks Across All Categories)

Across every Client Needs area, the NCLEX continuously evaluates whether you can:

• Apply the nursing process correctly
• Prioritize patient safety
• Use sound clinical judgment
• Communicate and document effectively
• Teach patients and families appropriately
• Provide culturally competent care

Clinical Judgment (Next-Gen NCLEX Focus)

The Next-Gen NCLEX rewards nurses who can:

• Recognize what information is most important
• Identify early deterioration
• Anticipate complications
• Take the safest action first
• Evaluate whether interventions were effective

NGN case studies require you to think in real clinical sequences, not isolated facts—exactly how safe nurses practice.

NCLEX Registration (Step-by-step, with practical tips)

Registration can feel confusing the first time because there are multiple steps and different organizations involved. The clean way to think about it is: permission + registration + scheduling.

Step 1: Apply to your nursing regulatory body (BON / regulatory authority)

Before you can test, you need eligibility. This usually involves:

• Submitting an application to your Board of Nursing (or equivalent authority)
• Providing required documents (education, ID, background checks, etc.)
• Paying the required fees (varies)

Tip: Start this early. Many delays happen here—not because of the exam, but because documents take time.

Step 2: Register for the NCLEX with the testing organization

You’ll complete the registration and pay the testing fee. Make sure:

• Your name matches your identification documents exactly.
• Your email is correct and accessible (you will rely on it).

Step 3: Receive your authorization to test (ATT)

Once you’re approved, you’ll receive your ATT (Authorization to Test). This is basically your “ticket” to schedule an exam date.

Tip: When you get your ATT, schedule as soon as your readiness plan allows. Desired dates can fill quickly.

Step 4: Schedule your testing appointment

Pick:

• A testing center
• A date and time
• A realistic plan for the final 2–3 weeks before the exam (practice tests + review)

Step 5: Prepare your exam-day checklist

• Correct ID (exact match to registration name)
• Know the location and travel time
• Sleep, hydration, and nutrition plan (don’t underestimate this)
• A calm pacing strategy for the test

How the NCLEX is Scored (What “passing” actually depends on)

This is the section most students misunderstand—so learning it correctly can reduce panic and improve performance.

The NCLEX is a competency decision, not a percentage score

You do not “score 80% and pass.” Instead, the exam determines whether your performance is consistently above the passing standard.

CAT scoring concept (simple explanation)

As you answer questions, the system estimates your ability level. The exam continues until it can make a confident decision that you are:

• Consistently above the standard (pass), or
• Consistently below the standard (fail), or
• It reaches the maximum and uses your overall performance to decide.

This is why the exam can stop early or continue longer.

NGN scoring and partial credit (what changes)

NGN-style questions can involve multi-step reasoning, so scoring may allow partial credit on certain item types. What that means for learners:

• You’re rewarded for correct clinical reasoning even if not every selection is perfect.
• But careless guessing becomes more costly because multiple-response items punish sloppy logic.

How to use this: In NGN case studies, you should slow down slightly, organize your reasoning, and answer like a nurse writing a safe plan—not like a student hunting for a keyword.

What’s Inside This NCLEX-RN Question Bank (and why it’s built this way)

This page is designed to give you three things NCLEX candidates need but rarely get in one place:

1. Realistic practice (timed sets and exam-length tests)
2. Targeted improvement (domain-wise and topic-wise drills)
3. Clinical judgment training (NGN case studies with reasoning)

Full-Length Tests (150 questions)

These are for building stamina, pacing, and exam-day confidence. Each test simulates the experience of making safe decisions across multiple systems and categories without knowing what’s coming next.

Domain-Wise Practice Tests (40 questions each)

Best when you know your weak areas and want focused improvement before returning to mixed practice.

NGN Case Study Practice Sets

NGN sets train clinical judgment in context. You learn to recognize cues, identify priorities, choose safe actions, and evaluate outcomes—exactly how nurses think in real practice.

Topic-Wise Practice Tests (25 questions each)

These are high-yield drills for the skills NCLEX repeats constantly, such as prioritization, delegation, infection control, medication safety, lab interpretation, and shock/sepsis recognition.

Topic-Wise Question Sets (30 questions each)

Ideal for repetition and mastery. These sets help build recognition patterns and strengthen safe decision-making.

How to Study for the NCLEX-RN Using This Page

Most NCLEX candidates don’t fail because they didn’t study enough. They fail because they studied in a way that didn’t match how the NCLEX thinks.

Step 1: Practice like the exam tests you

• Mixed practice teaches adaptability
• Timed practice builds pacing
• Case studies build clinical judgment

Step 2: Review like a nurse, not like a student

After each test, review in this order:

1. Why was the correct option safest?
2. What patient harm would the wrong options cause?
3. What clue in the stem mattered most?
4. What should I do next time if this shows up again?

Step 3: Track patterns (not just topics)

Instead of “I missed cardiac questions,” track patterns like unstable vs stable prioritization, medication safety errors, infection isolation mistakes, or rushing through SATA logic.

Step 4: Retest weak areas

Attempt → Review rationale → Note weak area → Re-test topic/domain → Return to mixed/full-length practice

Study Plans

7-Day Rapid Review Plan

Daily target: 100–150 questions/day
Structure:

• 40 domain-wise questions (weak category)
• 25 topic-wise questions (prioritization/safety)
• 35–85 mixed questions
• Review rationales the same day

Day 6 or 7: Take one full-length test and do a deep review.

14-Day Balanced Plan

Daily target: 60–100 questions/day

• 4 days domain-wise + topic-wise
• 2 days mixed practice
• 1 day NGN case studies

End of each week: Full-length test + targeted remediation

30-Day Mastery Plan

Daily target: 40–75 questions/day

• Week 1: Domain foundations + topic-wise safety
• Week 2: Mixed sets + NGN practice
• Week 3: Full-length test + remediation
• Week 4: Final polishing + confidence building

Rule: Never skip review. That’s where learning locks in.

FAQ

1. Are these NCLEX questions free?

   Yes. This page organizes free NCLEX-RN practice resources across full-length exams, domain-wise tests, NGN case studies, and topic-wise sets.

2. Are these questions similar to the real NCLEX?

   They are written to match NCLEX-style clinical reasoning: safety-first, prioritization-focused, and centered on nursing judgment.

3. Do you include NGN-style questions?

   Yes. NGN case studies are included and designed to train multi-step clinical judgment.

4. How many questions should I do per day?

   • 40–75/day for a 30-day plan
   • 60–100/day for a 14-day plan
   • 100–150/day for a 7-day push

5. Should I start with topic-wise or full-length tests?

   Start with topic-wise and domain-wise if you’re early in prep. Shift to mixed and full-length tests as your exam approaches.

6. Do the tests give instant results and review?

   Yes. You receive results after the exam plus answer review to identify weaknesses quickly.

7. Can repeat test takers use this effectively?

   Yes. Repeat test takers benefit most from NGN practice, prioritization drills, and structured review—exactly how this page is designed.

8. Do I need a study book with this?

   A book can help fill content gaps, but practice questions and rationales should be your main strategy.