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NCLEX NCLEX-RN Practice Test Questions Answers

Exam Code: NCLEX-RN (Updated 860 Q&As with Explanation)
Exam Name: National Council Licensure Examination(NCLEX-RN)
Last Update: 09-Sep-2025
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Questions Include:

  • Single Choice: 860 Q&A's

  • NCLEX-RN Overview

    NCLEX NCLEX-RN Exam Overview

    Category Details
    Certification Name NCLEX-RN – National Council Licensure Examination for Registered Nurses
    Target Audience Individuals who have completed an accredited nursing program and wish to become licensed registered nurses (RNs) in the United States.
    Purpose The NCLEX-RN exam evaluates the knowledge, skills, and abilities required for entry-level nursing practice. It ensures that candidates are prepared to provide safe and effective care.
    Exam Duration Up to 6 hours
    Number of Questions 75 to 265 questions
    Passing Score Variable passing standard based on the Computerized Adaptive Testing (CAT) methodology. Typically, candidates need to correctly answer at least 75% of the questions.
    Exam Format Computerized Adaptive Test (CAT)
    Exam Delivery Online, at Pearson VUE test centers
    Exam Cost $200 (USD)
    Languages Available English, Spanish
    Prerequisites Completion of an accredited nursing program, meeting state board eligibility requirements.
    Key Topics Covered 1. Safe and Effective Care Environment
    2. Health Promotion and Maintenance
    3. Psychosocial Integrity
    4. Physiological Integrity
    Preparation Resources 1. NCLEX-RN Review Courses
    2. NCLEX Practice Exams
    3. NCLEX-RN Study Guides
    4. NCLEX Preparation Books
    5. Hands-on clinical practice
    Validity Period Permanent (no expiration for the certification once passed)
    Retake Policy Candidates who do not pass may retake the exam after 45 days, but they must wait at least 45 days between attempts.

     

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    NCLEX NCLEX-RN Exam Topics Breakdown

    Domain Weight (%) Topics Covered
    1. Safe and Effective Care Environment 17-23% - Management of care (e.g., patient safety, delegation, and prioritization)
    - Safety and infection control
    2. Health Promotion and Maintenance 6-12% - Health promotion for patients across the lifespan
    - Preventative care and wellness
    3. Psychosocial Integrity 6-12% - Coping mechanisms and mental health
    - Patient advocacy, grief, and loss
    4. Physiological Integrity 38-62% - Basic care and comfort
    - Pharmacological therapies
    - Physiological adaptation
    - Reduction of risk potential
    Subcategories under Physiological Integrity   - Medical-surgical nursing (e.g., cardiovascular, respiratory, gastrointestinal)
    - Maternal and newborn care
    - Pediatric nursing
    - Adult health management

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    The NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized exam used by state boards of nursing in the U.S. and Canada to determine if a candidate is ready to practice as an entry-level registered nurse. Passing the NCLEX-RN is mandatory for nursing licensure.

    Yes, the NCLEX-RN is considered a challenging exam due to its adaptive format and clinical reasoning requirements. However, with structured preparation using real questions, PDF study materials, and practice tests from Solution2Pass, passing on your first attempt becomes much more achievable.

    The NCLEX-RN exam includes the following major topics:

    • Management of Care

    • Safety and Infection Control

    • Health Promotion and Maintenance

    • Psychosocial Integrity

    • Basic Care and Comfort

    • Pharmacological and Parenteral Therapies

    • Reduction of Risk Potential

    • Physiological Adaptation
      Solution2Pass provides targeted exam questions for all these categories.

    The NCLEX-RN exam uses a computerized adaptive testing (CAT) format, where the number of questions can vary between 85 and 150, including 15 unscored questions. The test adapts based on your answers to determine your competency level.

    The NCLEX-RN uses a pass/fail system based on 95% confidence interval rule. The test ends when the system determines with 95% confidence that you are clearly above or below the passing standard. The number of questions alone doesn’t determine the outcome—accuracy and consistency do.

    You are allowed 5 hours to complete the NCLEX-RN exam, which includes time for a tutorial and two optional breaks. The test length depends on your performance due to its adaptive nature.

    Solution2Pass provides high-quality PDF questions, practice tests, and real exam questions specifically designed for the NCLEX-RN exam. Our exam dumps and questions with answers simulate the real test environment, helping candidates reinforce concepts and improve their test-taking skills.

    Yes, all NCLEX-RN practice questions and exam dumps from Solution2Pass are regularly updated to reflect the latest NCSBN test plan. Our expert team ensures accuracy, relevancy, and real-exam simulation to help candidates succeed.

    NCLEX-RN Questions and Answers

    Question # 1

    A client is experiencing visual problems at school. She has complained of difficulty seeing the blackboard and squinting. She no longer likes to participate in physical activities such as softball. The client has displayed possible classic symptoms of which refractive error?

    A.

    Astigmatism

    B.

    Hyperopia

    C.

    Myopia

    D.

    Amblyopia

    Question # 2

    A 72-year-old male client had the Foley catheter that was inserted during the transurethral resection of his prostate removed today. He is concerned about the urinary incontinence he is having since removal of the Foley catheter. The nurse explains that:

    A.

    He should not be concerned about it because it will resolve quickly

    B.

    This is usually temporary

    C.

    The nurse will keep him dry, and he should notify the nurse when this happens

    D.

    This is related to the bladder spasms and will soon stop

    Question # 3

    A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?

    A.

    “Do you get along well with your family?”

    B.

    “Do you communicate with your parents?”

    C.

    “You don’t hate your family, do you?”

    D.

    “What is it like between you and your family?”

    Question # 4

    A 22-year-old client presents with a diagnosis of antisocial personality disorder and a history of using drugs, writing numerous checks with insufficient funds, and stealing. He appears charming and intelligent, and the other clients are impressed and want to be liked by him. The greatest problem that may arise from this situation is that:

    A.

    He will manipulate the other clients for his own benefit

    B.

    He will cause the other clients to become psychotic

    C.

    He will become delusional and hallucinate as a result of the excess attention given to him by peers

    D.

    He may exhibit self-mutilative behavior

    Question # 5

    A 32-year-old female client is being treated for Guillain- Barré syndrome. She complains of gradually increasing muscle weakness over the past several days. She has noticed an increased difficulty in ambulating and fell yesterday. When conducting a nursing assessment, which finding would indicate a need for immediate further evaluation?

    A.

    Complaints of a headache

    B.

    Loss of superficial and deep tendon reflexes

    C.

    Complaints of shortness of breath

    D.

    Facial paralysis

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