Pass the NCLEX-RN with confidence
178 practice questions on management of care, safety and infection control, health promotion, mental health, pharmacology and physiological care, each with a plain-English explanation of the clinical reasoning. Then take 85-question practice exams with each area in its test plan share.
Practice by section
The NCLEX-RN test plan has eight Client Needs categories. We group them into six practice areas, and each practice exam gives every area its share of the 2026 test plan. Practice one area at a time, or take a full 85-question practice exam.
Management of Care 31 questions
Prioritizing by acuity, delegation and assignment, informed consent, advance directives, client rights and advocacy, confidentiality and HIPAA, handoff and SBAR, legal and ethical practice, triage, referrals and verifying orders.
Safety and Infection Prevention and Control 23 questions
Hand hygiene, standard, contact, droplet, airborne and enhanced barrier precautions, PPE, client identification, falls, restraints, seizure and fire safety, hazardous drugs and radiation, allergies, errors and workplace safety.
Health Promotion and Psychosocial Integrity 31 questions
Pregnancy, labor and postpartum care, newborn care and safe sleep, growth and development, screening, client teaching, therapeutic communication, suicide risk, substance withdrawal, mental health disorders, dementia, abuse and end-of-life care.
Pharmacological and Parenteral Therapies 31 questions
High-alert drugs, anticoagulants and antidotes, insulin, cardiac, diuretic, psychiatric and anti-infective drugs, adverse effects, blood transfusion, parenteral nutrition and dosage calculations.
Basic Care and Reduction of Risk Potential 37 questions
Tube feeding, skin and pressure injuries, mobility aids, orthopedic devices, comfort and pain, elimination, IV and catheter care, procedures and sedation, pre- and postoperative care, lab values, ABGs and fetal monitoring.
Physiological Adaptation 25 questions
Chest tubes, ventilators and suctioning, emergencies and CPR, diabetes crises, heart failure, stroke, increased intracranial pressure, spinal cord injury, burns, electrolyte and endocrine disorders, dialysis, ostomies and phototherapy.
What full access includes
- All 178 questions across the eight Client Needs categories of the 2026 NCLEX-RN test plan
- An explanation for every answer, with the guideline, drug label or priority rule behind it
- Unlimited full 85-question practice exams, with each area in its test plan share
- Practice exams for each area, including dosage calculation questions
- A review of every question you missed at the end of each exam
- Works on your phone, tablet or computer, with no app or account
Full access
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About the NCLEX-RN exam
Who takes the NCLEX-RN?
Graduates of approved registered nursing programs who want a nursing license in the United States, Canada or Australia. You apply to your nursing regulatory body, register with Pearson VUE and can schedule the exam once the board makes you eligible.
How is the NCLEX-RN structured?
It is a computerized adaptive test with 85 to 150 items and a 5-hour limit that includes breaks. Every exam has 15 unscored pretest items and three clinical judgment case studies of six items each. Items follow the 2026 test plan's Client Needs categories, from Management of Care (15 to 21%) to Basic Care and Comfort (6 to 12%). You can't go back to an earlier item.
What score do I need to pass?
There is no percentage to hit. The computer picks each item based on your earlier answers and stops when it is 95% sure your ability is above or below the passing standard set by NCSBN. Results are pass or fail. Our practice exams are fixed-length, so we use 70% correct (60 of 85) as a benchmark.
Do these questions look like the real exam?
Ours are all single-best-answer multiple choice. The real NCLEX-RN also uses case studies and formats such as select all that apply, matrix, drop-down, highlight, bow-tie and drag-and-drop. Our questions practice the same clinical judgment and content, such as prioritizing, delegating and spotting complications, but you should also try the NCLEX tutorial and sample items on nclex.com to get used to those formats.
How much does the exam cost?
NCSBN lists the NCLEX registration fee as $200 for US licensure, rising to $350 on February 1, 2027. Your nursing board also charges its own licensure fee. Check nclex.com and your board for current fees.
Is this the official exam?
No. This is practice material to help you prepare. The NCLEX is developed by NCSBN and given at Pearson VUE test centers. This site is not affiliated with NCSBN, Pearson VUE or any nursing board, and our questions are not real exam questions.