NCLEX Practice Test 2026 Questions - Nursing Exam Test
Free NCLEX practice test with questions and answer explanations. Prepare for the 2026 exam with instant scoring.

The NCLEX Study Guide to Pass the Exam
| Client Needs | ||
| Safe and Effective Care Environment - the nurse encourages the achievement of client outcomes. He/she gives and directs nursing care that boosts the care delivery setting to protect clients and healthcare staff. | ||
| Subcategories | Description | Percentage of Items from Each Category/Subcategory |
| Management of Care | The nurse gives and directs nursing care that boosts the care delivery setting to protect clients and healthcare staff. | 17–23% |
| Safety and Infection Control | The nurse protects clients and healthcare staff from health and environmental hazards. | 9–15% |
| Health Promotion and Maintenance - The nurse gives and directs nursing care of the client by using knowledge of expected growth and development; early detection and prevention of health problems, and techniques to achieve optimal health. | 6-12% | |
| Psychosocial Integrity - The nurse gives and directs nursing care that encourages and supports the mental, emotional, and social well-being of the client who is experiencing stressful events. He/she also helps clients with acute or chronic mental illness. | 6-12% | |
| Physiological Integrity - The nurse encourages physical health and wellness by giving care and comfort. He/she reduces client risk potential and manages health alterations. | ||
| Subcategories | Description | Percentage of Items from Each Category/Subcategory |
| Basic Care and Comfort | The nurse offers comfort and assistance in the performance of daily living activities. | 6–12% |
| Pharmacological and Parenteral Therapies | The nurse gives care by administering medications and parenteral therapies. | 12–18% |
| Reduction of Risk Potential | The nurse reduces the chances that clients will develop health complications or problems in relation to existing conditions, treatments or procedures. | 9–15% |
| Physiological Adaptation | The nurse manages and offers care for clients with chronic, acute, or life-threatening physical health conditions. | 11–17% |
- Nursing Process - scientific reasoning approach to client care. It contains analysis, implementation, assessment, evaluation, and planning.
- Caring - a collaborative environment between the nurse and the client that has an atmosphere of trust and mutual respect.
- Communication and Documentation - interactions that are verbal and nonverbal between the nurse, client, healthcare staff, and client’s family and friends. All of the events related to client care are recorded either in written or electronic form.
- Teaching/ Learning - promotion of changed behavior through the facilitation of the acquisition of knowledge, skills, and abilities.
- Culture and Spirituality - interaction of the nurse and the client that acknowledges the unique, client-reported, and individual preferences to client care.
| Client Needs | ||
| Safe and Effective Care Environment - The practical/vocational nurse gives nursing care that contributes to boosting the health care delivery setting and protects clients and healthcare staff. | ||
| Subcategories | Description | Percentage of Items from Each Category/Subcategory |
| Coordinated Care | The LPN/VN works with healthcare team members to help successful client care. | 18–24% |
| Safety and Infection Control | The LPN/VN play a part in protecting clients and healthcare staff from environmental and health hazards. | 10–16% |
| Health Promotion and Maintenance - The practical/vocational nurse provides nursing care for clients by using knowledge of expected growth and development, and early detection and prevention of health problems. | 6-12% | |
| Psychosocial Integrity - The practical/vocational nurse gives care by assisting with the promotion and support of the mental, emotional, and social well-being of clients. | 9–15% | |
| Physiological Integrity - The practical/vocational nurse assists in the encouragement of physical health and well-being. He/she provides care and comfort, reduces risk potential for clients, and assists them with the management of health alterations. | ||
| Subcategories | Description | Percentage of Items from Each Category/Subcategory |
| Basic Care and Comfort | The LPN/VN gives comfort to clients and assists in the performance of daily living activities. | 7–13% |
| Pharmacological Therapies | The LPN/VN gives care such as administering medications and monitoring clients who are receiving parenteral therapies. | 10–16% |
| Reduction of Risk Potential | The LPN/VN reduces the chances of clients developing health complications or problems in relation to treatments, procedures, or existing conditions. | 9–15% |
| Physiological Adaptation | The LPN/VN participates in giving care for clients with chronic, acute, or life-threatening physical health conditions. | 7–13% |
- Clinical Problem-solving Process (Nursing Process) - scientific reasoning approach to client care. It contains data collection, implementation, evaluation, and planning.
- Caring - a collaborative environment between the practical/vocational nurse and the client that has an atmosphere of trust and mutual respect.
- Communication and Documentation - interactions that are verbal and nonverbal between the practical/vocational nurse, client, healthcare staff, and client’s family and friends. All of the events related to client care are recorded either in written or electronic form.
- Teaching/ Learning - assisting in the promotion of changed behavior through the facilitation of the acquisition of knowledge, skills, and attitudes.
- Culture and Spirituality - interaction of the nurse and the client that acknowledges the unique, client-reported, and individual preferences to client care.
- For licensed practical or vocational nurses, an accredited LPN or LVN certificate program.
- For registered nurses, an accredited associate’s degree in nursing or a bachelor’s degree.
- You should research the eligibility requirements and the format of the NCLEX.
- You should always prepare in advance and never cram.
- You should get as many study resources as you can.
- You should get ready for the exam day.
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- NCLEX Practice Exam 1
NCLEX: upcoming dates and official changes
- Apr 1, 2026: The 2026 NCLEX-RN and NCLEX-PN test plans took effect April 1, 2026, and remain effective through March 31, 2029. (National Council of State Boards of Nursing)
- Updated Oct 24, 2026: Eligibility is now Candidate must be declared eligible by the nursing regulatory body (NRB), then register with Pearson (previously Determined by the nursing regulatory body).
- Updated Oct 24, 2026: Time limit is now 5 hours, including breaks (previously 5 hours, including breaks).
- Updated Oct 24, 2026: Retake policy is now Up to eight attempts a year; at least 45 days between attempts (previously Up to eight attempts annually; 45-day wait; stricter local rules may apply).
Facts verified Oct 24, 2026 against National Council of State Boards of Nursing. Dates that have passed are removed automatically.
- The NCLEX-RN and NCLEX-PN each contain anywhere from 85 to 150 items. (National Council of State Boards of Nursing)
- Candidates have five hours to complete the NCLEX, including breaks. (National Council of State Boards of Nursing)
- The same NCLEX registration fee applies to every registration, including retakes. (National Council of State Boards of Nursing)
- The NCSBN retake policy allows candidates to take the NCLEX eight times a year, with at least 45 test-free days between exams, unless the jurisdiction sets stricter limits. (National Council of State Boards of Nursing)
- Each NCLEX Authorization to Test is valid for a period set by the nursing regulatory body, averaging 90 days, and cannot be extended. (National Council of State Boards of Nursing)
- The NCLEX is administered in person at Pearson Professional Centers. (National Council of State Boards of Nursing)
- To take the NCLEX, a candidate must first be declared eligible by their nursing regulatory body and then register with Pearson to receive an Authorization to Test. (National Council of State Boards of Nursing)
- NCLEX official results come only from the nursing regulatory body and are sent to candidates within six weeks after the exam. (National Council of State Boards of Nursing)
Facts verified Oct 24, 2026 against National Council of State Boards of Nursing. Dates that have passed are removed automatically.
NCLEX Exam at a Glance
| Item | Detail | Official source |
|---|---|---|
| Number of questions | 85–150 questions (RN and PN) | National Council of State Boards of Nursing |
| Time limit | 5 hours, including breaks | National Council of State Boards of Nursing |
| Retake fee | Same registration fee for each retake | National Council of State Boards of Nursing |
| Retake policy | Up to eight attempts a year; at least 45 days between attempts | National Council of State Boards of Nursing |
| Validity | Authorization to Test averages 90 days; set by the NRB | National Council of State Boards of Nursing |
| Delivery | In person at Pearson Professional Centers | National Council of State Boards of Nursing |
| Eligibility | Candidate must be declared eligible by the nursing regulatory body (NRB), then register with Pearson | National Council of State Boards of Nursing |
| Score release | Official results within six weeks, from the NRB | National Council of State Boards of Nursing |
| Registration deadline | Test within your Authorization to Test dates; no extensions | National Council of State Boards of Nursing |
Facts verified Oct 24, 2026 against National Council of State Boards of Nursing. Dates that have passed are removed automatically.
Free NCLEX Study Tools
Interactive NCLEX resources on PracticeTestGeeks, free to start:
- NCLEX Practice Exam 1 — 40 questions with instant scoring and answer explanations
- NCLEX flashcards — review key terms and concepts card by card
- NCLEX study guide — topic-by-topic overview of what the exam covers
- NCLEX cheat sheet — one-page printable summary for last-minute review
Did You Know? Passing the NCLEX exam on your first attempt saves both time and money. Start with diagnostic practice tests to identify your weak areas.
- ✓Confirm your exam appointment and location
- ✓Bring required identification documents
- ✓Arrive 30 minutes early to check in
- ✓Read each question carefully before answering
- ✓Flag difficult questions and return to them later
- ✓Manage your time — don't spend too long on one question
- ✓Review flagged questions before submitting

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- +Validates your knowledge and skills objectively
- +Increases job market competitiveness
- +Provides structured learning goals
- +Networking opportunities with other certified professionals
- −Study materials can be expensive
- −Exam anxiety can affect performance
- −Requires dedicated preparation time
- −Retake fees apply if you don't pass
Sample NCLEX Practice Questions
Try these questions from our free NCLEX practice tests. The correct answer and an explanation follow each question.
A licensed practical nurse is attending an agency orientation meeting about the nursing model of practice implemented in the facility. The nurse is told that the nursing model is a team nursing approach. The nurse understands that which of the following is a characteristic of this type of nursing model of practice?
- A. A task approach method is used to provide care to clients.
- B. Managed care concepts and tools are used when providing client care.
- C. Nursing staff are led by a nurse when providing care to a group of clients.
- D. A single registered nurse is responsible for providing nursing care to a group of clients.
Answer: C. Nursing staff are led by a nurse when providing care to a group of clients.
Administering an additional dose of bumetanide, a potent diuretic, significantly increases the client's risk for hypotension and fluid volume deficit, which can lead to falls. The nurse's failure to adequately educate the client about these risks and the importance of calling for assistance, combined with a lack of immediate follow-up after administering the medication, constitutes a breach in the standard of care. These omissions directly contributed to the client's fall and injury, supporting a malpractice claim.
The RN is supervising a nursing team of one LPN and one nursing assistant (NA). Which task is appropriate to delegate to the LPN?
- A. Perform the initial nursing assessment for a newly admitted client
- B. Administer a scheduled oral medication to a stable post-op client
- C. Develop the nursing care plan for a client with a complex wound
- D. Evaluate the client's understanding of discharge teaching
Answer: B. Administer a scheduled oral medication to a stable post-op client
LPN scope of practice includes administering medications (oral, IM, subcutaneous, topical — IV varies by state) to stable clients. Initial assessments, care plan development, and evaluation of client teaching are within the RN scope and cannot be delegated to an LPN. The RN retains accountability for all delegated tasks.
A client with MRSA is on contact precautions. A nursing assistant is about to enter the room to deliver a meal tray. Which PPE should the nursing assistant wear?
- A. Surgical mask and eye protection only
- B. Gloves and gown
- C. N95 respirator and gloves
- D. No PPE is required for meal delivery only
Answer: B. Gloves and gown
Contact precautions require gloves and gown upon entering the room, regardless of the nature of the task. MRSA is spread by direct and indirect contact. An N95 is required for airborne precautions (e.g., TB, measles), not contact precautions.
A client is receiving total parenteral nutrition (TPN). Which nursing assessment is most important for monitoring metabolic complications?
- A. Daily weight
- B. Capillary blood glucose every 4–6 hours
- C. Serum albumin weekly
- D. Urine specific gravity
Answer: B. Capillary blood glucose every 4–6 hours
TPN contains high concentrations of dextrose, which can cause hyperglycemia. Blood glucose monitoring every 4–6 hours (or per protocol) is the most critical metabolic monitoring in TPN clients. Hyperglycemia impairs immune function and can cause osmotic diuresis. Insulin may be added to the TPN bag or given as sliding-scale coverage.
How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- pearsonvue.com — Exam information · verified Nov 2026
- nclex.com — Eligibility, score validity, registration deadline, retake fee, test dates, score release, exam format, retake policy, passing score, test delivery · verified Nov 2026