2023 Edition

NCLEX-RN Practice Test

Take this free  NCLEX-RN practice exam to see what types of questions 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 licensure exam, see the complete NCLEX-RN Practice Exam with 800 questions by nursing experts and medical writers, Eileen Johnson, RN, MSN, Alene Burke, RN, MSN, and Meg Brannagan, RN, BSN.


1. A nurse is putting together an educational seminar on advance directives. What information would be included in the materials?
2. A nurse is advising a patient with Chronic Fatigue Syndrome on infection control procedures. Which of the following statements by the patient indicates that the patient understands the advice?
3. Which of the following would be an expected finding in an age assessment of a 2 year old?
4. A patient's spouse died three months ago. The patient says "I would like my friend Tom to have my collection of artwork because I don't need to look at them anymore". Which of the following responses by the nurse would be proper?
5. A nurse is instructing a patient on the use of a walker. Which of the following would be included in the instructions?
6. A patient, who weighs 200 pounds, has a prescription for a Dopamine Drip at 5 mcg/kg/min. There is 400 mg per 500 ml D5W on hand. The nurse should administer __________ milliliters to the patient each hour.
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7. A patient is to get an MRI of the abdomen. Which of the following instructions should the nurse give the patient?
8. Which of the following symptoms would support a diagnosis of Crohn's disease?
9. A nurse is teaching a staff seminar on patient confidentiality. Which of the following statements would be included in the presentation?
10. A patient has a prescription for Tylenol at 650mg every 6 hours. A nurse only has 325mg pills of Tylenol available. How many pills would be administered every 6 hours?
11. A patient is suffering from heart failure. Which of the following would be recommended by a nurse as part of the patient's health care plan?
12. A patient has had diarrhea for the past 72 hours. Which of the symptoms would support a diagnosis of hypovolemia?
13. The spouse of a patient in a long term treatment facility asks a nurse for information about the patient's treatment plan. The nurse should respond as follows?
14. Which of the following infectious control methods should be used when caring for a patient with bacterial pneumonia?
15. A patient is brought to the emergency room by her spouse. The patient's injuries are indicative of physical abuse. Which of the following actions should be taken by the nurse?
16. Which of the following advisements should a patient suffering from GERG receive?
17. A patient, who weighs 143 pounds, has a prescription for Garamycin at two mg/kg, IV, every eight hours. There is 100 mg in 50 ml solution on hand. The nurse should administer __________ milliliters to the patient with each dose.
18. A patient is not to eat or drink anything 24 hours before a colonoscopy.
19. Which of the following symptoms would a patient exhibit with hyperthyroidism?
20. A patient is having a tonic-clonic seizure. A nurse should take which of the following steps?
21. A patient with a history of schizophrenia says "The medical staff is secretly employed by the CIA to take me out." The nurse should respond as follows:
22. Which of the following patients should a nurse recognize as having an increased risk of breast cancer while doing breast cancer screening?
23. A patient is scheduled for surgery to have his appendix out due to acute appendicitis. The patient says "I don't think I need surgery now because I feel better." A nurse should respond as follows:
24. While preparing for discharge, a patient makes the statement to the nurse, "I'm not sure I will be able to take care of myself at home." Who is the most appropriate team member to report this statement?
25. A nurse just started a blood transfusion for a patient with a Hemoglobin of 6. The patient says, "I feel hot, my stomach hurts, and I am having difficulty breathing." What should be the nurses first action?
26. The patient has only one IV site with a continuous infusion of Lactated Ringers solution. The provider has prescribed Ceftriaxone 100 mg in Normal Saline 50 ml to be given IV now. What should be the nurse's first action?
27. Which of the following lab tests would be considered Point of Care testing?
28. The nurse enters the room of a patient complaining of lower back pain after a left hip replacement surgery. What non-pharmacological intervention would not be appropriate?
29. The nurse notices a CNA using an alcohol-based hand sanitizer after walking out of a room marked as Enteric Contact Precautions. What should the nurse's response be?
30. A nurse is making a Home Health visit at a home of an elderly couple. The wife states regarding her husband, the patient, "He always sits in that chair all day long." Which of the following should the nurse consider the patient at risk for?
31. Which of the following statements to the Type 2 Diabetic patient by the nurse is correct?
32. A patient is being discharged with a new diagnosis of Congestive Heart Failure. Which of the following statements made by the patient indicate understanding of the diagnosis?
33. A nurse working in the telemetry unit receives a call that a patient's EKG rhythm has transitioned into Atrial Fibrillation. Which medication is the patient likely to receive long-term in relation to this diagnosis?
34. A patient has Incentive Spirometry ordered QID x 10 breaths after a cholecystectomy. The patient is asking why they need to perform this action. Which of the following would Not be a reason the patient should use the Incentive Spirometer?
35. A nurse is changing the dressing for a post-op Bilateral Knee Amputation patient. The nurse notes the patient refuses to look at the limb while the dressing is being changed but asks the nurse about their personal life instead. Which nursing care plan should the nurse implement for the patient related to this action?
36. Which method should be the last resort in assisting a patient who is experiencing mild anxiety?

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.