Free NCLEX (National Council Licensure Examination) Exam Questions and Answers
The Next Generation NCLEX launched on 1 April 2023 and the change was structural, not cosmetic: case studies now sit at the centre of it, testing clinical judgement through NCSBN's model of recognising and analysing cues, prioritising hypotheses, generating solutions, taking action and evaluating outcomes. The exam is computer-adaptive with no fixed length — a minimum of 85 items and a maximum of 150, inside a five-hour limit that includes breaks, and identical for RN and PN. Of that minimum, eighteen items form three six-item case studies and fifteen are unscored pretest questions. There is no score to report: NCSBN returns pass or fail, decided by a confidence-interval rule rather than a percentage.
The first 10 questions on this page are free to read, answers included — no account and no card. A plan opens the rest of the bank, the full timed practice test and your weak-topic reporting.
Last updated: September 11, 2026
- Provider
- Medical and Health Licensing
- Questions in our bank
- 1000+
- Free to read
- First 10, with answers
- Official page
- Official Exam website
- Our test mode duration & pass mark
- 130 mins · 70%
- Verified answers
- Reviewed weekly
Recommended: Switch to Test Mode to start a practice test that simulates the real exam experience.
Question #1
A nurse is providing education to a patient with hypertension. Which dietary recommendation should the nurse include?
Please select an optionIncorrectCorrect answer: C
Limiting alcohol can help manage blood pressure and improve overall health.
Was this answer correct?Question #2
A patient is experiencing shortness of breath and wheezing. What should the nurse assess first?
Please select an optionIncorrectCorrect answer: D
Assessing oxygen saturation provides immediate information on the patientÕs respiratory status.
Was this answer correct?Question #3
Which action should a nurse take when caring for a patient receiving opioid pain medication?
Please select an optionIncorrectCorrect answer: C
Opioids can cause constipation, so monitoring bowel habits is essential.
Was this answer correct?Question #4
A nurse is caring for a patient with a newly inserted central venous catheter. What is the priority nursing intervention?
Please select an optionIncorrectCorrect answer: A
Assessing the insertion site for bleeding is crucial immediately after catheter placement.
Was this answer correct?Question #5
When teaching a patient about insulin administration, which statement by the patient indicates a need for further teaching?
Please select an optionIncorrectCorrect answer: D
Insulin should be injected into the subcutaneous tissue, not muscle, to ensure proper absorption.
Was this answer correct?Question #6
A nurse is assessing a patient with diabetes mellitus. Which finding is a priority?
Please select an optionIncorrectCorrect answer: B
A deep, labored breathing pattern may indicate diabetic ketoacidosis and is a priority finding.
Was this answer correct?Question #7
During a blood transfusion, a patient develops fever and chills. What action should the nurse take first?
Please select an optionIncorrectCorrect answer: B
The first action is to stop the transfusion to prevent further complications.
Was this answer correct?Question #8
A nurse is teaching a patient about the use of a peak flow meter. What should the nurse include?
Please select an optionIncorrectCorrect answer: D
A peak flow meter is used to measure peak expiratory flow rate, which helps monitor respiratory status.
Was this answer correct?Question #9
A patient with a history of heart failure is admitted with pulmonary edema. What is the priority nursing intervention?
Please select an optionIncorrectCorrect answer: B
Administering diuretics is the priority intervention to reduce fluid overload in heart failure.
Was this answer correct?Question #10
A nurse assesses a patient with jaundice. Which finding would the nurse expect?
Please select an optionIncorrectCorrect answer: A
Jaundice is characterized by yellowing of the skin and sclera due to elevated bilirubin levels.
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FAQ
Learn More: https://www.gmc-uk.org/registration-and-licensing/join-our-registers/plab
- Q1: What is the NCLEX (National Council Licensure Examination) exam?
- A: NCLEX (National Council Licensure Examination) is a Medical and Health Licensing certification exam. Judging by the questions in our bank, it concentrates on nurse, patient, caring, nursing and intervention.
- Q2: What topics does the NCLEX (National Council Licensure Examination) exam cover?
- A: Questions in our NCLEX (National Council Licensure Examination) bank cluster around nurse, patient, caring, nursing, intervention, teaching, disease and prescribed. Working through the full set is the quickest way to find which of these you are weakest on.
- Q3: How should I prepare for NCLEX (National Council Licensure Examination)?
- A: Work through the NCLEX (National Council Licensure Examination) practice questions here, checking your answer on each one, then sit the practice test to rehearse the exam under timed conditions before the real thing.
- Q4: Are these real NCLEX (National Council Licensure Examination) exam questions?
- A: They are drawn from officially released past questions and from community members who have sat NCLEX (National Council Licensure Examination). Answers are verified and updated weekly.
- Q5: Where do I register for the NCLEX (National Council Licensure Examination) exam?
- A: Register through Medical and Health Licensing directly at https://www.nclex.com/. Exampractice is not affiliated with Medical and Health Licensing and does not administer the exam.
- Q6: Is there a free NCLEX (National Council Licensure Examination) sample?
- A: Yes. Every NCLEX (National Council Licensure Examination) page shows a free sample of real questions. Upgrading opens the full bank and the practice test.