Take a free NCLEX-RN practice questions online: a full 50-question paper with every answer explained, no sign-up, scored by topic. The full 300-question bank and the timed simulator are $14.99 for 30 days.
NCLEX-RN: a 300-question practice bank for the real Healthcare & Pharmacy Certification standard, 6 full papers of 50 questions each with no repeats, every question written to the exam sponsor's published content outline.
Where these questions come from
Every question in this bank cites a source -- primarily NCSBN 2026 NCLEX-RN Test Plan (100%) of this exam's citations.
This practice bank uses multiple-choice and unfolding case-based items. The live NCLEX-RN examination is adaptive (CAT) and may also use extended multiple-response, cloze, matrix, and other next-gen item types.
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A UAP reports that a client who was alert is now difficult to arouse. Which RN action has priority?
A. Ask the UAP to repeat the neurologic check in 30 minutes.
B. Document the report before going to the bedside.
C. Immediately assess the client and activate the appropriate escalation pathway for deterioration.
D. Wait for routine rounds so the provider can assess the client.
Show answer and reasoning
Correct answer: C. Immediately assess the client and activate the appropriate escalation pathway for deterioration.
A: Ask the UAP to repeat the neurologic check in 30 minutes. is incorrect. Repeating later delays evaluation of a potentially life-threatening change.
B: Document the report before going to the bedside. is incorrect. Documentation follows immediate assessment and stabilization of an acute change.
D: Wait for routine rounds so the provider can assess the client. is incorrect. Routine rounds are inappropriate when the client has acutely deteriorated.
Source: NCSBN 2026 NCLEX-RN Test Plan; objective: respond-to-deterioration
Four clients arrive at shift change. Which client should the RN assess first?
A. A client 1 hour after thyroidectomy with new inspiratory stridor.
B. A client with chronic heart failure requesting a low-sodium menu review.
C. A client awaiting discharge who needs a routine dressing demonstration.
D. A client with stable atrial fibrillation asking when morning medications are due.
Show answer and reasoning
Correct answer: A. A client 1 hour after thyroidectomy with new inspiratory stridor.
B: A client with chronic heart failure requesting a low-sodium menu review. is incorrect. Diet teaching is important but does not outrank an acute airway threat.
C: A client awaiting discharge who needs a routine dressing demonstration. is incorrect. Routine discharge teaching can wait while an unstable airway is evaluated.
D: A client with stable atrial fibrillation asking when morning medications are due. is incorrect. A stable chronic rhythm and scheduling question are not the immediate threat.
Source: NCSBN 2026 NCLEX-RN Test Plan; objective: prioritize-acute-airway
The RN is assigning care to an experienced UAP. Which task is appropriate to delegate?
A. Perform the initial pain assessment and select interventions for a newly admitted client.
B. Obtain and record routine vital signs for a stable postoperative client, reporting specified limits.
C. Teach and evaluate incentive-spirometer technique for a client after surgery.
D. Evaluate the client's sedation and whether IV morphine relieved the reported pain.
Show answer and reasoning
Correct answer: B. Obtain and record routine vital signs for a stable postoperative client, reporting specified limits.
A: Perform the initial pain assessment and select interventions for a newly admitted client. is incorrect. An initial assessment requires RN judgment and establishes the nursing plan.
C: Teach and evaluate incentive-spirometer technique for a client after surgery. is incorrect. Teaching incentive spirometry requires the nurse to assess learning needs, explain technique, and evaluate the client's performance.
D: Evaluate the client's sedation and whether IV morphine relieved the reported pain. is incorrect. Determining sedation and analgesic effectiveness requires licensed assessment and interpretation of the client's response.
Source: NCSBN 2026 NCLEX-RN Test Plan; objective: delegate-stable-routine-task
A competent client says the surgeon has not answered questions about tomorrow's procedure. What should the RN do?
A. Explain the surgical risks independently and obtain the client's signature.
B. Ask the spouse to sign because the procedure is already scheduled.
C. Administer the prescribed sedative before revisiting the consent discussion.
D. Pause preparation and notify the surgeon that the client needs further explanation before consenting.
Show answer and reasoning
Correct answer: D. Pause preparation and notify the surgeon that the client needs further explanation before consenting.
A: Explain the surgical risks independently and obtain the client's signature. is incorrect. The RN may witness consent but should not replace the procedural provider's explanation.
B: Ask the spouse to sign because the procedure is already scheduled. is incorrect. A competent adult makes the decision; scheduling does not transfer authority to a spouse.
C: Administer the prescribed sedative before revisiting the consent discussion. is incorrect. Sedation can impair decision-making and must not precede unresolved consent.
Source: NCSBN 2026 NCLEX-RN Test Plan; objective: informed-consent-advocacy
A float RN is unfamiliar with a specialized infusion device. Which charge-nurse assignment is best?
A. Assign the float RN stable clients whose care uses familiar skills and provide unit resources.
B. Assign the float RN the client receiving the specialized infusion without support.
C. Give the float RN the highest-acuity assignment because all RNs hold the same license.
D. Require the float RN to accept the device assignment and learn by trial during care.
Show answer and reasoning
Correct answer: A. Assign the float RN stable clients whose care uses familiar skills and provide unit resources.
B: Assign the float RN the client receiving the specialized infusion without support. is incorrect. Unfamiliar high-risk equipment requires competency support before independent assignment.
C: Give the float RN the highest-acuity assignment because all RNs hold the same license. is incorrect. Licensure alone does not establish competence with every specialty procedure.
D: Require the float RN to accept the device assignment and learn by trial during care. is incorrect. Trial during client care creates avoidable risk and is not competency validation.
Source: NCSBN 2026 NCLEX-RN Test Plan; objective: safe-staff-assignment
Where can I take a free NCLEX-RN practice questions online?
Right here. CertQuestUSA's free NCLEX-RN practice questions online is a full 50-question practice paper built to the real exam's domain weights, with every answer explained, with no sign-up and no credit card, and shows your score by topic at the end. The full 300-question bank, with every answer explained and cited to the exam sponsor's published content outline, is $14.99 for a 30-day pass that never renews.
How many questions are on the CertQuestUSA NCLEX-RN practice test?
300 questions total, split into 6 full papers of 50 each with no repeats across papers.
What topics does the NCLEX-RN test cover?
8 domains, with the heaviest weight on Management of Care (18%), Pharmacological and Parenteral Therapies (16%), and Physiological Adaptation (14%).
Where do CertQuestUSA's NCLEX-RN questions come from?
Primarily NCSBN 2026 NCLEX-RN Test Plan (100%) of this bank's citations -- computed directly from this exam's own question sources, not a generic description.
Is there a free NCLEX-RN practice test?
Yes -- one full 50-question practice paper built to the exam's domain weights, free with no sign-up, with every answer explained and a domain-by-domain score at the end.
