Free NCLEX Practice Questions: Pass Your Exam with Confidence

Ace your NCLEX exam with the Nurse Plus Academy! Expert-authored questions mirror the actual test format and content, come with detailed rationales, and are organized by NCLEX topics, ensuring you have the knowledge and confidence to succeed on exam day.

Master your 2024 Next-Gen NCLEX-PN exam with ultra-realistic practice questions tailored just for you. Dive into our computer-adaptive Exam Simulator. Gain strategic insights and test-taking tactics for your nursing licensure exam.

Welcome to Nurse Plus Flashcards, a proven tool to enhance your NCLEX exam preparation. Utilize our flashcards to improve recall and focus on areas that need further study.

Basic Care & Comfort

Basic Care & Comfort 1

Questions cover Medical Emergencies, Changes/Abnormalities in Vital Signs, Arterial Blood Gases, Potential for Complications of Procedures, and Patient Positions.

Basic Care & Comfort 2

Questions cover Total Parenteral Nutrition, Intravenous Therapy, Laboratory Values, Blood and Blood Products, Alterations in Body Systems.

Basic Care & Comfort Marathon

This Marathon is your last step before moving on to the next level. It contains all 114 questions from the Basic Care & Comfort tests and will cycle through your missed questions until you answer each one correctly.

Meet Our Experts

At Nurse Plus Academy, your success is guided by leading professionals. Our Nursing Adviser, Winona Suzanne Ball, RN, MHS from Governors State University, IL, brings 30+ years of clinical expertise and educational acumen to our curriculum design. Every piece of content is meticulously reviewed by Steven Litvintchouk, our full-time copyeditor and researcher, and a respected Full Member of the American Copy Editors Society (ACES).

Pharmacological & Parenteral Therapies

Pharmacological & Parenteral Therapies 1

Covers must-know topics like Pathophysiology, Unexpected Response to Therapies, Dosage Calculation, and Pharmacological Pain Management.

Pharmacological & Parenteral Therapies 2

The topics covered in this NCLEX-RN practice test include Medication Administration, Hemodynamics, Pathophysiology, and Lab Values.

Pharmacological & Parenteral Therapies 3

This members-only question set covers dosage calculations, intravenous drip rates, medication allergies, side effects, and therapeutic drug levels.

Pharmacological & Parenteral Therapies 4

Sample questions on insulin administration, dosage calculations, laboratory values, IV solutions, over-the-counter (OTC) medications, and client education.

Drug Dosage Calculation Test

Here are 50 Pharmacological Calculation problems: dosages, IV rates, drug reconstitution, common measurements, and percentage strength.

Pharmacological & Parenteral Therapies Marathon

Contains all 248 questions from the Pharmacological & Parenteral Therapies tests and will cycle through your missed questions until you answer each one correctly.

Reduction of Risk Potential

Risk Potential Reduction 1

Test your knowledge on arterial blood gases (ABGs), laboratory values, breath sounds, blood administration, and client education.

Risk Potential Reduction 2

This practice test asks about post-operative care, abnormal laboratory values, inserting nasogastric (NG) tubes, and client education.

Risk Potential Reduction 3

Answer questions on emergency interventions, Glasgow Coma Scale, infant and pediatric care, and personal protective equipment (PPE).

Reduction of Risk Potential 4

Take this practice test to answer questions on arterial blood gas values, risk factors for developing a deep vein thrombosis, pre-operative education, and measuring kidney function.

Reduction of Risk Potential Marathon

Your last step before proceeding to the next section. It contains all 207 questions from the Reduction of Risk Potential tests and will cycle through your missed questions until you answer each one correctly.

Physiological Adaptation

Physiological Adaptation 1

This practice test covers electrocardiogram (ECG) rhythm strips, disease pathophysiology, respiratory system interventions, and nutrition education.

Physiological Adaptation 2

Questions about neurological disorders, cardiac conditions, components of an ECG tracing, deep vein thrombosis, and pediatric issues.

Physiological Adaptation 3

Here are questions about post-operative care, drainage methods, prenatal and delivery situations, and Emergency Department client cases.

Physiological Adaptation 4

This practice test has questions about Nagele’s Rule, laboratory results, signs & symptoms of disorders, and ECG interpretation.

Physiological Adaptation Marathon

Your last step before proceeding to the next section. It contains all 198 questions from the Physiological Adaptation tests and will cycle through your missed questions until you answer each one correctly.

Psychosocial Integrity

Psychosocial Integrity 1

Topics covered in this practice test include Coping Mechanisms, Sensory/Perceptual Alterations, Therapeutic Medications, Cultural Awareness and Mental Health Concepts.

Psychosocial Integrity 2

Some of the psychosocial topics covered by these practice questions include Therapeutic environment, Behavioral interventions, Depression, Substance abuse and Mental health disorders.

Psychosocial Integrity 3

Some of the NCLEX topics covered by these practice questions include Mental health concepts, Behavioral interventions, Substance abuse disorders, Abuse/Neglect and Sensory/Perceptual alterations.

Psychosocial Integrity 4

Some of the NCLEX topics covered by these practice questions include Mental health concepts, Behavioral interventions, Substance abuse disorders, Abuse/Neglect and Sensory/Perceptual alterations.

Psychosocial Integrity 5

Some of the NCLEX topics covered by these questions include Mental health concepts, Behavioral interventions, Substance abuse disorders, Abuse/Neglect and Sensory/Perceptual alterations.

Psychosocial Integrity Marathon

Psychosocial Marathon is your last step before moving on to the next level. It contains all 215 questions from the Psychosocial Integrity tests and will cycle through your missed questions until you answer each one correctly.

Health Promotion and Maintenance

Health Promotion and Maintenance 1

In this test, there are 45 questions that include antenatal care, self-care, developmental stages, aging process and newborn care.

Health Promotion and Maintenance 2

To help you prepare, this practice test has 45 questions covering developmental stages and transitions, disease prevention, intranatal care, high-risk behaviors and health promotion.

Health Promotion and Maintenance 3

In this practice test, you will find questions in the following subcategories: high-risk behavior, intranatal care, lifestyle choices, developmental stages and physical assessment.

Health Promotion and Maintenance 4

The 45 questions in this practice test include the following subcategories: self-care, intra- and postpartum care, aging process, lifestyle choices and physical assessment.

Health Promotion and Maintenance 5

The subcategories included in this Health Promotion and Maintenance practice test are developmental stages and transitions, aging process, prenatal care, health promotion/disease prevention and newborn care.

Health Promotion and Maintenance Marathon

Health Promotion and Maintenance Marathon is your last step before moving on to the next level. It contains all 225 questions from the Health Promotion and Maintenance tests and will cycle through your missed questions until you answer each one correctly.

Management of Care

Management of Care 1

Questions cover prioritizing and delegating client care, legal issues, informed consent, and role of the case manager.

Management of Care 2

Topics in this practice test include scope of practice, client advocacy, legal terms, ethics, and informed consent.

Management of Care 3

Challenges you on quality improvement, chain-of-command, HIPAA, legal aspects of informed consent, and ethics.

Management of Care Marathon

Your last step before moving on to the next section. It contains all 157 questions from Management of Care tests and will cycle through your missed questions until you answer each one correctly. When you miss a question, you’ll see it again at the very end.

What’s Your Time and Sanity Worth?

Sure you can study the dusty textbooks, but they don’t give you a pass guarantee. We do. Pass your NCLEX exam using our fast and efficient method, or it’s free.

Safety & Infection Control

Safety & Infection Control 1

Topics include fall risks, trauma situations, needlesticks, isolation protocols, and clarifying HCP medication orders.

Safety & Infection Control 2

Covers home safety, nursing care outside acute settings, client identification, hand hygiene, and medication issues.

Safety & Infection Control 3

Questions cover pediatric situations, fire safety procedures, disease transmission, client education, and nursing assessment.

Safety & Infection Control Marathon

Your last step before moving on to the next section. It contains all 155 from Safety & Infection Control tests and will cycle through your missed questions until you answer each one correctly.

Next Generation NCLEX

Extended Multiple Response (EMR)

The extended multiple-response items allow candidates to choose more than one answer. It is similar to the traditional NCLEX multiple response; however, there are more answer options.

Extended Drag and Drop

Extended drag-and-drop items ask candidates to move or place responses into answer spaces. This type is similar to the current NCLEX ordered response question format, except that they may not use all the answer choices.

Cloze (drop-down) items ask candidates to select an option from a drop-down list. On the NGN, there may be more than one drop-down list in the cloze question.

Enhanced Hot Spot (Highlighting)

Enhanced hot spot items let candidates choose their answers by highlighting certain words or phrases. For example, they may read a nursing note, medical history, or medication record and then be asked to highlight areas or lines that answer the test question.

Matrix Multiple Choice (Matrix MC)

Matrix grid items allow candidates to select multiple answers on a chart. Each row or column may require a response. This question type may give a scenario with client data and then require test-takers to judge the findings by checking appropriate boxes in a supporting table.

Matrix Multiple Response (Matrix MR)

Matrix grid items allow candidates to select multiple answers on a chart. Each row or column may require a response. This question type may give a scenario with client data and then require test-takers to judge the findings by checking appropriate boxes in a supporting table.

Case Studies 1-2

Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions.

Case Studies 3-4

Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions.

Case Studies 5-6

Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions.

Case Studies 7-8

Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions.

Case Studies 9-10

Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions.

Case Studies 11-12

Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions.

Select All That Apply (SATA) questions

Select All That Apply Test 1

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

Select All That Apply Test 2

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

Select All That Apply Test 3

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

Select All That Apply Test 4

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

Select All That Apply Test 5

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

Select All That Apply Test 6

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

Select All That Apply Test 7

One more set of SATA (select-all-that-apply) questions — one of the hardest NCLEX exam preparation question types. These are the dreaded “multiple response” questions where you’ll be required to select all answer choices that apply.

NCLEX-RN Exam Simulator

NCLEX-RN Exam Simulator

Just like the real NCLEX-RN exam! This NCLEX Simulator mimics the experience and the actual algorithms used on the official NCLEX® exam. It uses computer adaptive testing (CAT) to measure the competencies needed to perform safely and effectively as a newly licensed, entry-level nurse. You’ll get different questions based on how you answered previous questions. You’ll answer a minimum of 85 questions to a maximum of 150 questions.

Pediatric Nursing

Even though the NCLEX exam doesn't have Pediatrics as a separate category, we still feel it's an important enough topic to cover in more depth. The practice tests below may contain some questions from our other categories, and completing the Pediatric test doesn't affect your overall Passing Probability score.

Pediatric Test 1

This free test covers routine wellness checks, SIDS, FTT, and more.

Pediatric Test 2

25 questions on Infant Mortality Rate, immunizations, and CoA.

Pediatric Test 3

Topics covered: developmental stages, childhood viral infections, and more.

Pediatric Test 4

Covers must-know topics like parent education, home assessment, and Erikson’s stages of psychosocial development.

Pediatric Test 5

Topics covered include temper tantrums, child’s nutritional needs, and discharge instructions.

Pediatric Test 6

Covers developmental delays, nurse’s best responses in certain situations, and congenital birth defects.

Pediatric Test 7

This members-only test covers bedwetting, assessing neonates, and overdose treatments.

Pediatric Test 8

Questions on parent education, routine check-ups, and anxiety in children.

Pediatric Test 9

Contains 25 questions on interventions, pathologies, and proper dosages.

Pediatric Test 10

Questions about diet recommendations, developmental delay, and administering medication.

Pediatric Test 11

Topics covered: certain age characteristics, pain rating scale, and developing a care plan.

Pediatric Test 12

Includes questions on infant routine exams, respiratory assessments, and appropriate interventions.

Select All That Apply (SATA) questions

Pediatric SATA Test

This test contains 33 Select-All-That-Apply (SATA) questions, where multiple answer options are possible.

• Physiological
• Psychosocial
• Health Promotion
• Safe and Effective Care
• SATA
• NCLEX-PN Exam Simulator

Physiological Integrity

Basic Care & Comfort

This practice test covers client nutrition, post-operative care, client with a colostomy, post-mortem care, and nursing assessment.

Questions include dosage calculations, drug interactions, insulin administration, adverse effects, blood transfusions, and client education.

Drug Dosage Calculations

40 Pharmacological Calculation problems: dosages, IV rates, drug reconstitution, common measurements, and percentage strength.

Reduction of Risk Potential

Topics include vital sign assessment, laboratory values, disease risk factors, client positioning, and neurovascular complications.

This practice test covers pressure ulcers, chronic disorders, acute and trauma situations, client education, and health promotion.

Physiological Integrity Marathon

Contains all 280 questions from the Physiological Integrity tests and will cycle through your missed questions until you answer each one correctly.

Psychosocial Integrity

Psychosocial Integrity 1

This practice test includes questions about therapeutic responses to client anxiety, developmental stages of life, cultural considerations, and substance abuse.

Psychosocial Integrity 2

This NCLEX-PN practice test includes questions about Alzheimer’s Disease and dementia, mental health terms and situations, and therapeutic interventions by the nurse.

Psychosocial Integrity 3

Topics covered in this NCLEX-PN practice test include therapeutic responses to major life events, different types of abuse, and mental health terms.

Psychosocial Integrity Marathon

Psychosocial Marathon is your last step before moving on to the next level. It contains all 95 questions from the Psychosocial Integrity tests and will cycle through your missed questions until you answer each one correctly.

Health Promotion and Maintenance

Health Promotion and Maintenance 1

This practice test includes questions about Developmental Stages, Client Teaching in Clinical and Community Settings, and Common Health Conditions.

Health Promotion and Maintenance 2

This NCLEX-PN practice test has questions about Clinical and Community Education, Nutrition, Preventive medicine, Ethics, and Lifestyle.

Health Promotion and Maintenance Marathon

Health Promotion and Maintenance Marathon is your last step before moving on to the next level. It contains all 66 questions from the Health Promotion and Maintenance tests and will cycle through your missed questions until you answer each one correctly.

Safe and Effective Care

Topics for this test include client prioritization, delegation, informed consent, ethics, HIPAA Privacy Act, and Advance Directives.

Safety & Infection Control

Questions cover disease transmission, preventing infections, fire safety, hand hygiene, client allergies, and CDC precautions.

Safe and Effective Care Environment Marathon

Safe and Effective Care Environment Marathon is your last step before moving on to the next level. It contains all 121 questions from the Safe and Effective Care Environment tests and will cycle through your missed questions until you answer each one correctly.

Select All That Apply (SATA) questions

SATA (Select All That Apply) Test 1

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

SATA (Select All That Apply) Test 2

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

SATA (Select All That Apply) Test 3

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

SATA (Select All That Apply) Test 4

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

SATA (Select All That Apply) Test 5

SATA nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there’s no partial credit).

NCLEX-PN Exam Simulator

NCLEX-PN Exam Simulator

Just like the real NCLEX-PN exam! This NCLEX Simulator mimics the experience and the actual algorithms used on the official NCLEX® exam. It uses computer adaptive testing (CAT) to measure the competencies needed to perform safely and effectively as a newly licensed, entry-level nurse. You’ll get different questions based on how you answered previous questions. You’ll answer a minimum of 85 questions to a maximum of 150 questions.

Safe & Effective Environment

Health Promotion

Psychosocial Integrity

Physiological Integrity

Terms & Abbreviations

Health Promotion and Maintenance

Over 80 questions for the state NCLEX exam

Physiological Integrity

Over 100 questions for the state NCLEX exam

Psychosocial Integrity

Over 70 questions for the state NCLEX exam

Safe and Effective Care Environment

Over 80 questions for the state NCLEX exam

Free & Premium Test Practice

More effective than traditional nursing classes. Every practice test is based on authentic exam questions, and you can study at your own pace. We'll shuffle the questions every time you restart a test.

No Registration or Login Required

In the free mode, your test progress is saved without an account, even if you close your browser. No usernames or passwords to remember - just frictionless NCLEX training.

Just Like the Real Test

See if you're ready for the real thing with the computer adaptive NCLEX Simulator that mimics the actual algorithms used on the NCLEX® exam. Same number of questions and format as the RN exam.

7 Steps to Passing

Start preparing for your National Council Licensure Examination (NCLEX) about 3 or 4 months before the exam.

Study to learn and understand, not to memorize. Read every practice question carefully before selecting the answer.

How it works

• Physiological Integrity
• Safe and Effective Care Environment
• Health Promotion and Maintenance
• Psychosocial

Maximize your study time

You can take our practice tests as many times as you like. Study to learn and understand, not to memorize.

Like flashcards, only easier

Each time you restart a practice test, the questions and their possible answers are randomly shuffled so that you are learning facts, not the order of the questions.

Scientifically proven

Research has shown that studying in the same way that you’ll be tested can increase your self-assurance as well as your ability to answer the test questions.

We’ve designed our practice tests to duplicate the exam experience so that it becomes familiar to you.

Our questions cover all the topics and skills that appear on the official 2024 Registered Nurse and Practical Nurse exams.

Nurses are angels in comfortable shoes

Smart hints

Short tips, available right when you need them. You decide whether to see them. So you'll know all about things like semi-fowler's position or Erikson's stages.

Explanations

Detailed rationales for the correct answers. Displayed not only when you make a mistake but also when you answer correctly, so you remember it better.

NCLEX Exam Simulator

Designed to simulate the actual NCLEX-RN experience in every way. The most efficient way to practice for the real exam.

Immediate Feedback

No need to wait until you reach the end of the test to see if your answer is right.

If you make a mistake, we'll let you know right away.

Frequently asked questions

If I’m not sure about which option is best, should I guess?

Random guessing on the NCLEX will lower your score. If you don’t know the answer right away, try to eliminate one or two of the choices. On Nurse.plus practice tests, if you’re not sure, or if the question has new information that you haven’t seen before, click on the Hint button below the fourth answer option. You’ll get a clue to help you figure out the correct answer.

How can the Nurse Plus Academy help me study?

Research shows that practice tests are valuable tools in helping you prepare to sit for your NCLEX. They can decrease anxiety about test-taking: the more practice tests you take, the better you become at reading the questions and developing a strategy for choosing the best answer. They also identify your areas of strength and weakness. We recommend a regular study schedule, starting 2-3 months before your examination. In addition to practice testing, we offer a Nursing Terminology section where you can see definitions for the most popular NCLEX terms such as Sims position, rule of nines, 12 cranial nerves or what normal saline and d5w are.

When do I get the score for my practice test?

Your score is constantly displayed. Before you begin, the numbered grid is grey. As you take each NCLEX practice test, just look at the grid to see how well you are doing. Each grey square in the grid will turn green or red, depending if your answer to the question is right or wrong. With each question, the squares of the grid will turn green with your correct answers or red with the incorrect ones.

How are the practice tests arranged?

Each of our practice tests falls into one of the four NCLEX healthcare categories: Physiological Integrity, Safe and Effective Care Environment, Health Promotion and Maintenance, and Psychosocial Integrity. Each category includes practice tests that cover the subcategories. We also plan to offer tests that will take all the questions and split them into specific topics, such as pharmacology, laboratory tests, medical emergencies, etc.

Where do these questions come from?

These questions resemble those on the NCLEX. We designed them to simulate the real exam provided by the National Council of State Boards of Nursing (NCSBN). Many of the questions were created by our authors. Others were kindly provided by the Khan Academy under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License.

What happens if I get a question wrong?

If the answer is correct, you will see a green checkmark and can go to the next question. It it’s wrong, you will see a red “x” and the correct answer. The rationale for the correct answer will also show, so you can read it and find out more. Taking notes on the questions you need to study will reinforce your learning.

Do I need to register to access the tests or the results?

No. You don't need an account to access our NCLEX practice tests or the results. We use a browser cookie to remember your progress so that you can safely close your browser window and come back at any time to the exact point at which you left off. No usernames or passwords to remember!

Is there a passing score for the practice tests?

We’ve set the passing score for the practice tests at 50%. The NCLEX-RN and NCLEX-PN are pass/fail examinations designed to determine if you have an entry-level knowledge of nursing. While we can’t promise that getting 50% or higher on the Nurse Plus practice test guarantees that you will pass your NCLEX, you'll have an indication of subjects that you know, as well as those that need more study.

Can I take a practice test more than once?

Absolutely! Our practice tests work the same way as flash cards. Each time you retake any of the tests, the questions and options will automatically shuffle into a different order. Random ordering is a proven learning method.

What if I don’t understand a question or agree with an answer?

We’re always glad to hear from Nurse Plus users. If a question can be improved or corrected, please let us know. Send us an email at hello@nurse.plus. We review all comments and respond to users as soon as possible.