📌 How to Use This Practice Test
Treat this exactly like the real exam: set a 90-minute timer, answer without looking up any answers, and review every rationale after completion. This is the only way it prepares you.
[Interactive: 75-Question NCLEX-RN CAT-Style Practice Test — Timed with Score Report]
Sample Questions (Preview)
Here are 5 sample questions from the full 75-question test:
Question 1
A nurse is caring for a client who is 2 hours post-operative following a total hip replacement. The client reports pain of 9/10. Which action should the nurse take FIRST?
✓ Correct: Administer the prescribed PRN opioid analgesic
Post-operative pain management is a priority nursing responsibility. With a reported pain of 9/10, the first action is to administer the prescribed PRN analgesic. Repositioning and ice are supportive but secondary. The surgeon notification is not required unless pain is unresponsive to medication. Assess, then act — pain 9/10 triggers the prescribed medication protocol first.
Post-operative pain management is a priority nursing responsibility. With a reported pain of 9/10, the first action is to administer the prescribed PRN analgesic. Repositioning and ice are supportive but secondary. The surgeon notification is not required unless pain is unresponsive to medication. Assess, then act — pain 9/10 triggers the prescribed medication protocol first.
Question 2
A nurse is teaching a client with newly diagnosed type 2 diabetes about foot care. Which statement by the client indicates a need for further teaching?
✓ Correct: I will soak my feet in hot water to improve circulation
Soaking feet in hot water is contraindicated for diabetic clients due to peripheral neuropathy — impaired sensation means they cannot feel if the water is burning them, and burns heal poorly with poor circulation. This statement indicates a need for further teaching. All other statements reflect correct diabetes foot care practices.
Soaking feet in hot water is contraindicated for diabetic clients due to peripheral neuropathy — impaired sensation means they cannot feel if the water is burning them, and burns heal poorly with poor circulation. This statement indicates a need for further teaching. All other statements reflect correct diabetes foot care practices.
Question 3
A nurse is preparing to administer a blood transfusion. Which action is the PRIORITY before beginning the transfusion?
✓ Correct: Check the blood product with another nurse at the bedside
Verifying the blood product with another licensed nurse is the safety-critical step before any transfusion. This dual-verification process checks: patient identity, blood type, unit number, and expiration date. This prevents potentially fatal transfusion reactions. While baseline vitals and patient education are important, they occur after or simultaneously with this verification.
Verifying the blood product with another licensed nurse is the safety-critical step before any transfusion. This dual-verification process checks: patient identity, blood type, unit number, and expiration date. This prevents potentially fatal transfusion reactions. While baseline vitals and patient education are important, they occur after or simultaneously with this verification.
Question 4
A client with chronic kidney disease has a potassium level of 5.8 mEq/L. Which food should the nurse teach the client to AVOID?
✓ Correct: Bananas
Bananas are high in potassium (about 422mg per banana) and are contraindicated for clients with hyperkalaemia or chronic kidney disease who need to restrict potassium intake. Clients with CKD must avoid high-potassium foods: bananas, oranges, potatoes, tomatoes, and avocados. White rice, apples, and pasta are relatively low-potassium alternatives.
Bananas are high in potassium (about 422mg per banana) and are contraindicated for clients with hyperkalaemia or chronic kidney disease who need to restrict potassium intake. Clients with CKD must avoid high-potassium foods: bananas, oranges, potatoes, tomatoes, and avocados. White rice, apples, and pasta are relatively low-potassium alternatives.
Question 5
A nurse enters a client's room and finds the client unresponsive and not breathing normally. After calling for help, what is the nurse's NEXT action?
✓ Correct: Check for a carotid pulse for up to 10 seconds
Per current AHA BLS guidelines, after calling for help the nurse checks for a pulse (up to 10 seconds). If no pulse is detected, immediately begin chest compressions at 30:2 ratio. The sequence is: Call for help → Check pulse (max 10 sec) → If no pulse, start CPR → Apply AED as soon as available. Starting chest compressions before checking pulse is incorrect.
Per current AHA BLS guidelines, after calling for help the nurse checks for a pulse (up to 10 seconds). If no pulse is detected, immediately begin chest compressions at 30:2 ratio. The sequence is: Call for help → Check pulse (max 10 sec) → If no pulse, start CPR → Apply AED as soon as available. Starting chest compressions before checking pulse is incorrect.
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About CAT-Style Testing
The real NCLEX uses Computer Adaptive Testing (CAT) — the exam adjusts difficulty based on your answers. Our practice test simulates this by starting at moderate difficulty and adjusting based on your performance pattern.
Learn more: How NCLEX CAT Works →