NCLEX-RN Practice Questions

This NCLEX-RN practice question pack gives you 150 original Next Generation NCLEX style items with a full rationale for every answer, organized by the eight Client Needs categories of the current NCSBN test plan. Built for nursing students and new grads who already have a study guide and want more practice in the exact formats the real exam uses.

45 pages. 150 practice items. 6 unfolding case studies. A rationale for every item.

WHAT'S INSIDE
• A one-page guide to how the real NCLEX-RN works: adaptive testing, 85 to 150 items, the 5-hour limit, pass or fail rules and how partial credit scoring (plus/minus, zero/one and rationale scoring) works
• 114 stand-alone items grouped by category in the exam's own proportions: Management of Care, Safety and Infection Prevention and Control, Health Promotion and Maintenance, Psychosocial Integrity, Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction of Risk Potential and Physiological Adaptation
• Every item type on the exam: multiple choice, select all that apply, ordered response, fill-in-the-blank dosage calculations, matrix tables, cloze drop-down sentences and highlight passages
• 6 unfolding case studies (sepsis, diabetic ketoacidosis, stroke, postpartum hemorrhage, pediatric dehydration and heart failure), 6 items each, following the six steps of the Clinical Judgment Measurement Model
• An answer key that explains why the right answer is right and why each wrong option is wrong, with the clinical rule behind it
• A printable score sheet, a how-to-read-your-score page and a weak-area map back to the test plan topics
• A sources page listing the guidelines every clinical fact was checked against

HOW IT'S BUILT
• Item counts sit at the midpoint of each official category range, so your practice mirrors the real exam mix
• Multiple-choice answer letters are balanced, SATA items have 5 or 6 options, and every calculation is worked out step by step in the key
• Clinical facts checked against primary sources: NCSBN, CDC, DailyMed prescribing information, MedlinePlus reference ranges, the American Heart Association, the Surviving Sepsis Campaign and the ADA hyperglycemic crises consensus

HOW YOU GET IT
One PDF, letter size. Print at home or study on a tablet or phone. Mark answers on the score sheet so you can repeat each set.

This is an independent study aid created to supplement, not replace, your nursing coursework and review materials. BusyExamPrep is not affiliated with or endorsed by NCSBN, Pearson VUE or any nursing program. Every item is original practice content; none is an actual exam item. Always follow your facility's policies, your instructors and a licensed provider's orders in clinical practice.
For personal study use only. Please do not resell, share, or redistribute the files.