How to Use This Practice Tool
Filter by Category
Use the category buttons to focus on a specific NCLEX content area — pharmacology, med-surg, OB, pediatrics, psychiatric, or management. Questions shuffle randomly each session so you see them in a different order every time.
Read the Rationale
After submitting each answer, a full rationale explains why the correct answer is right and why the distractors are wrong. This is the most valuable part — understanding the reasoning is how you build clinical judgment, not just memorize answers.
SATA Questions
Select-All-That-Apply questions are marked with a purple badge. For SATA, every correct option must be selected and no incorrect options can be selected to get credit. This mirrors the NCLEX-RN scoring where partial credit is not given for traditional SATA questions.
What Score to Aim For
The NCLEX does not report a pass/fail percentage directly — it uses computerized adaptive testing (CAT). As a general benchmark, consistently scoring 75%+ on practice questions that require critical thinking suggests readiness. If you score below 60%, review the rationales carefully before moving on.
What This Tool Covers
Questions span the eight NCLEX Client Needs categories:
Safe and Effective Care Environment
Management of Care (17–23% of RN exam): delegation, prioritization, informed consent, advance directives, client rights, ethical and legal issues. Safety and Infection Control (9–15%): standard precautions, transmission-based precautions, safe medication administration, error prevention.
Health Promotion and Maintenance (6–12%)
Growth and development, immunizations, health screening, disease prevention, and lifestyle counseling across the lifespan — including pediatric milestones and prenatal care.
Psychosocial Integrity (6–12%)
Therapeutic communication, mental health disorders, substance use, crisis intervention, grief, cultural competence, and end-of-life care.
Physiological Integrity
Basic Care and Comfort (6–12%): nutrition, elimination, mobility, pain management. Pharmacological Therapies (12–18%): drug classifications, adverse effects, antidotes, monitoring parameters — the highest-yield section for most test-takers. Reduction of Risk Potential (9–15%): lab values, diagnostic tests, complications, vital sign interpretation. Physiological Adaptation (11–17%): fluid/electrolyte imbalances, acute care management, emergencies.
How to use it: 3 steps
Choose your focus
Start with all 67 questions or tap a category: pharmacology (15), med-surg (20), OB and maternity (8), pediatrics (8), psychiatric (8) or management (8). The questions in that set are shuffled into a new order.
Practice and answer
Pick an answer, or several on select-all-that-apply items, and press Check answer. The page tells you right away if you're right or wrong and shows the rationale.
Review your score
At the end of the set you see your percentage, the number right and wrong, and where you fall against a 75% readiness benchmark. Press Practice again to reshuffle, or switch categories to work on a weak area.
What You Get
Single-answer and SATA questions
62 single-answer multiple choice questions and 5 select-all-that-apply questions. The NGN case-study formats (bow-tie, matrix/grid, cloze, hot spot and drag-and-drop) are not included.
Full rationales for every question
Not just "A is correct." Each rationale explains the reasoning behind the right answer and usually why the distractors are wrong, which is the critical thinking the NCLEX tests.
Six practice categories
Pharmacology, med-surg, OB and maternity, pediatrics, psychiatric and management. Filter by any one of them, or practice all 67 together.
Free, no signup
No daily limit, no subscription and no account. The bank is a fixed set of 67 questions, reshuffled every time you restart, so you can repeat it until the reasoning sticks.
Frequently Asked Questions
Are these NCLEX questions NGN format?
Not in the item-type sense. The Next Generation NCLEX (NGN), which launched in April 2023, added case-study item types: extended multiple response, extended drag-and-drop, cloze (drop-down), enhanced hot spot (highlighting), matrix/grid and bow-tie. This bank does not include those formats. Its 67 questions are single-answer and select-all-that-apply (SATA) items written in the clinical-judgment style NGN emphasizes: recognizing cues, prioritizing and choosing a safe action. For NGN case studies, use a review course or the NGN examples NCSBN publishes.
How many NCLEX practice questions can I access?
67. The bank is fixed: 15 pharmacology, 20 med-surg, 8 OB and maternity, 8 pediatrics, 8 psychiatric and 8 management questions. You can practice all of them or one category at a time, as often as you like, and the order is shuffled every time you restart. That is far smaller than paid banks like UWorld or Kaplan, which have thousands of questions, so treat it as a free check on your reasoning rather than a full question bank.
How is this NCLEX question bank different from UWorld?
UWorld charges $299 for full access and has a large bank of questions that are psychometrically validated by testing experts, with detailed rationales and performance tracking. This page is a fixed bank of 67 questions with rationales, free and with no signup. The trade-off: these questions are not psychometrically validated, and your results are not saved between sessions. Use this tool to supplement, not replace, a structured review course.
What topics do these NCLEX questions cover?
The 67 questions are split across six categories: pharmacology, med-surg, OB and maternity, pediatrics, psychiatric and management. Between them they touch several NCLEX client needs areas, such as Management of Care, Pharmacological and Parenteral Therapies, Physiological Adaptation and Psychosocial Integrity. You can filter by those six categories, but you cannot request a specific body system, drug class or item type.
Do these questions have full rationales?
Yes. Every question has a written rationale that appears after you check your answer. It explains why the correct answer is right and usually why the distractors are wrong, often with the underlying pathophysiology or priority rule. The rationales are fixed text, so you cannot ask follow-up questions. If a concept is still unclear, look it up in a content review book such as Saunders.
Are these real NCLEX questions?
These are original NCLEX-style questions written by a BSN-prepared RN with 12+ years of clinical experience. They are not taken from any licensed question bank. They are modeled after the types of questions NCSBN uses on the current exam and reflect the clinical judgment focus of the Next Generation NCLEX (NGN).
Is this enough to pass the NCLEX?
No single resource is sufficient on its own. Use this tool to reinforce concepts, practice test-taking strategy, and identify weak areas. For comprehensive NCLEX preparation, pair this with a structured review course (UWorld, ATI, Kaplan), content review (Saunders), and simulated full-length exams. The NCLEX tests clinical judgment — prioritization, delegation, and safety — not just content recall.
What is the NGN (Next Generation NCLEX)?
The NGN launched in April 2023 and emphasizes clinical judgment using six new item types: extended multiple response, extended drag-and-drop, cloze (drop-down), enhanced hot spot (highlighting), matrix/grid, and bow-tie questions. The Clinical Judgment Measurement Model (CJMM) underpins NGN — it tests your ability to recognize cues, analyze information, prioritize hypotheses, generate solutions, take action, and evaluate outcomes. Standard multiple choice and SATA questions remain on the exam alongside NGN items.
How many questions are on the actual NCLEX-RN?
The NCLEX-RN uses computerized adaptive testing (CAT). The minimum number of questions is 75 and the maximum is 145. The exam stops when the computer determines with 95% confidence that the candidate is above or below the passing standard. There is also a maximum time of 5 hours. The NCLEX-PN ranges from 85–150 questions.
What is the NCLEX-RN pass rate?
According to NCSBN data, the first-attempt pass rate for U.S.-educated NCLEX-RN candidates was approximately 83% in 2024. Internationally educated nurses had a significantly lower first-attempt pass rate of around 43%. Repeat test-takers had a pass rate of about 40–45%. The NGN transition in 2023 initially caused pass rates to dip before stabilizing.
Related Tools & Guides
Data Sources
- NCSBN — Next Generation NCLEX (NGN) Test Plan 2023
- NCSBN — NCLEX Candidate Performance Report
- U.S. Department of Health & Human Services — State Boards of Nursing Directory
This tool is for educational purposes only and does not replace institutional clinical protocols, provider orders, or clinical judgment. Always verify clinical information against your facility's current policies and guidelines. Do not use this tool as a substitute for professional clinical training.