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NCLEX-RN

First published: September 2, 2026Last verified: September 2, 2026Reviewed by the CertQuestUSA team
TL;DR

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 citing the real regulation it comes from.

Where these questions come from

Every question in this bank cites a real 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.
Not sure where you stand? Take the free diagnostic — 10 real questions across the exam's domains, no sign-up required, with a domain-by-domain breakdown at the end.
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6
full papers, no repeats
50
questions per paper
300
questions in the bank
What this exam covers
5 real sample questions
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.
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.
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.
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.
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.
Source: NCSBN 2026 NCLEX-RN Test Plan; objective: safe-staff-assignment
Real-world data for this exam
Registered Nurses: real median wageMay 2025$97,550/yrPart of the real CNA / Nursing Assistant career pathExplore ›

Frequently asked questions

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 diagnostic for NCLEX-RN?
Yes -- 10 real questions across the exam's domains, no sign-up required, with a domain-by-domain breakdown at the end.
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