2023 Edition

Practice Exam for the NCLEX-RN

Take this free practice exam to get a sample of the types of questions that are on the NCLEX-RN exam.

The actual NCLEX exam includes these categories: Basic Nursing Care, Management and Practice Directives, Preventing Risks and Complications, Caring for Acute and Chronic Conditions, Safety, Mental Health, Pharmacology and Growth and Development.

To prepare for your RN licensure exam, see the complete Practice Exam for the NCLEX-RN with 800 questions, written by nursing experts and medical writers, Eileen Johnson, RN, MSN, and medical writer Meg Brannagan, RN, BSN.


Basic Nursing Care

1. In which of the following ways can the nurse promote the sense of taste for an older adult?
2. Which of the following is classified as a prerenal condition that affects urinary elimination?
3. A nurse is assessing an African American client for risks of a pressure ulcer. Which of the following best describes what the nurse might find with an early pressure ulcer in this client?

Management and Practice Directives

4. At the beginning of the shift, a nurse receives report for her daily assignment. Which of the following situations should the nurse give first priority?
5. Mr. W has orders for a physical therapy consult. The nurse contacts the appropriate department but 12 hours later, no one has come to see the client. Which is the most appropriate action of the nurse?
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6. The "B" in the SBAR acronym stands for:

Preventing Risks and Complications

7. Which of the following nursing interventions is appropriate for a client who is suffering from a fever?
8. A client has started sweating profusely due to intense heat. His overall fluid volume is low and he has developed electrolyte imbalance. This client is most likely suffering from:
9. A nurse is attempting to assess a client's pulse in his foot. She palpates the pulse on the anterior aspect of his ankle, below the lower end of the medial malleolus. Which type of pulse is this nurse taking?

Caring for Acute or Chronic Conditions

10. Mrs. J is in the adult ICU on a ventilator. The nurse caring for her recognizes that her endotracheal tube needs suctioning. Based on the nurse's understanding of this procedure, what level of pressure should the nurse apply while suctioning?
11. The nurse caring for Mrs. J is prepared to suction her endotracheal tube. Which of the following interventions will reduce hypoxia during this procedure?
12. Which of the following conditions is a contraindication for performing a diagnostic peritoneal lavage?


13. Which of the following is an example of client handling equipment?
14. Which practice will help to reduce the risk of a needlestick injury?
15. Which of the following is an organizational factor that affects workplace violence directed at nurses?

Mental Health

16. A client has been diagnosed with a form of terminal cancer and has started receiving hospice care. The nurse notes that both the client and his family avoid talking about the diagnosis. All attempts at discussion result in changing the subject. The nurse recognizes that this family is exhibiting:
17. A nurse is preparing to talk about body changes with a client who just had a bilateral mastectomy. Which of the following actions of the nurse is most appropriate during this discussion?
18. A nurse is attempting to speak with a client about his personal feelings of self-esteem and self-concept. Which of the following questions is most appropriate for assessing a client's personal identity?


19. A drug form in which medication particles are instilled into a liquid and combined through agitation of the solution is called:
20. Following a dose of medication, a client develops inflamed mucous membranes and nasal discharge. What type of minor reaction is this client experiencing?
21. Mr. Y is receiving medication through a catheter that has been placed into the subarachnoid space of his spinal column. What route of medication administration is this called?

Growth and Development

22. Which of the following complications is associated with premature rupture of membranes in the pregnant client?
23. A nurse is caring for a child whose parents live in a home with several other unrelated children and adults. Some of the people who live in the home have visited and the nurse discovers that this group all shares finances and living conditions. What type of family is this most likely an example of?
24. A nurse is educating a female client about progesterone. Which of the following information is appropriate to include in this teaching?

NCLEX-RN Practice

Quality starts with who wrote the material.
Our practice exam writer
Eileen Johnson, RN, MSN
is a registered nurse and medical writer who has worked in nursing for over 20 years. Eileen was an item writer for the Board of Certification of Emergency Nursing.

Alene Burke, RN, MSN
is a registered nurse since 1976. She is a multidisciplinary nursing educator who has taught nurses for the last 25 years and developed college level curriculum.

Chelsea Homich, RN, MSN
is a nurse educator at the Pittsburgh Technical Institute where she teaches nursing students foundational nursing courses.

Meg Brannagan, RN, BSN
is a medical writer, specializing in courses and curriculum designed for practicing nurses. She has practiced clinical nursing and medical writing for over 12 years.