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.
Candidates comparing NCLEX (National Council Licensure Examination) exam dumps, ExamTopics and other practice tests use this page for the answers and explanations behind each question. Download the free PDF, then sit the timed exam simulation before booking with Medical and Health Licensing.
Last updated: September 27, 2026
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Question #2
A patient is experiencing shortness of breath and wheezing. What should the nurse assess first?
Correct answer: D
Explanation
Assessing oxygen saturation provides immediate information on the patientÕs respiratory status.
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Discussion
Explain your reasoning, not just the letterBrowse the free questions by topic
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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 medication. 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.