Welcome to our collection of free NCLEX practice questions to help you achieve success on your NCLEX-RN exam! Included in this updated guide for 2021 are 1,000+ practice questions, a primer on what is the NCLEX-RN exam, frequently asked questions about the NCLEX, question types, the NCLEX-RN test plan, and test-taking tips and strategies.
Looking for the complete collection of practice questions?
Please visit our Nursing Test Bank.
NCLEX-RN Practice Questions Test Bank
For this nursing test bank, we have included more than 1,000+ NCLEX practice questions covering different nursing topics! We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each questions to reinforce learning.
We recommend you do all practice questions before you take the actual exam. Doing so will help reduce your test anxiety and help identify nursing topics you need to review. To make the most of the practice exams, try to minimize mistakes to less than 15 questions and make sure to take your time in answering the questions especially when reading the rationales.
Included NCLEX-RN question sets for this nursing test bank are as follows:
- Comprehensive NCLEX-RN Practice Questions | Set 1 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 2 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 3 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 4 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 5 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 6 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 7 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 8 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 9 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 10 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 11 (75 Questions)
- Comprehensive NCLEX-RN Practice Questions | Set 12 (75 Questions) NEW!
- More coming soon!
- Read and understand each question before choosing the best answer.
- Since this is a review, answers and rationales are shown after you click on the "Check" button.
- There is no time limit, answer the questions at your own pace.
- Once all questions are answered, you'll be prompted to click the "Quiz Summary" button where you'll be shown the questions you've answered or placed under "Review". Click on the "Finish Quiz" button to show your rating.
- After the quiz, please make sure to read the questions and rationales again by click on the "View Questions" button.
- Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below!
NCLEX-RN Practice Questions Set 10 (75 Questions)
This is the 10th set of practice questions for our NCLEX-RN nursing test bank series.
0 of 75 Questions completed
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
0 of 75 Questions answered correctly
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
- Basic Care and Comfort 0%
- Health Promotion and Maintenance 0%
- Management of Care 0%
- Pharmacological and Parenteral Therapies 0%
- Physiological Adaptation 0%
- Physiological Integrity 0%
- Psychosocial Integrity 0%
- Reduction of Risk Potential 0%
- Safety and Infection Control 0%
Congratulations, you have completed this quiz!
Looking for the rationales? Please click on the “View Questions” button below to review your answers and read through the rationales for each question.
Question 1 of 75
The nurse should visit which of the following clients first?CorrectIncorrect
Question 2 of 75
A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:CorrectIncorrect
Question 3 of 75
Cataracts result in the opacity of the crystalline lens. Which of the following best explains the functions of the lens?CorrectIncorrect
Question 4 of 75
A client who has glaucoma is to have miotic eye drops instilled in both eyes. The nurse knows that the purpose of the medication is to:CorrectIncorrect
Question 5 of 75
A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?CorrectIncorrect
Question 6 of 75
The client with color blindness will most likely have problems distinguishing which of the following colors?CorrectIncorrect
Question 7 of 75
The client with a pacemaker should be taught to:CorrectIncorrect
Question 8 of 75
The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:CorrectIncorrect
Question 9 of 75
Which of the following diet instructions should be given to the client with recurring urinary tract infections?CorrectIncorrect
Question 10 of 75
The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?CorrectIncorrect
Question 11 of 75
The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?CorrectIncorrect
Question 12 of 75
A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:CorrectIncorrect
Question 13 of 75
The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?CorrectIncorrect
Question 14 of 75
The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?CorrectIncorrect
Question 15 of 75
The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:CorrectIncorrect
Question 16 of 75
A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?CorrectIncorrect
Question 17 of 75
A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:CorrectIncorrect
Question 18 of 75
A primigravida, age 42, is 6 weeks pregnant. Based on the client’s age, her infant is at risk for:CorrectIncorrect
Question 19 of 75
A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:CorrectIncorrect
Question 20 of 75
A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:CorrectIncorrect
Question 21 of 75
Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?CorrectIncorrect
Question 22 of 75
A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:CorrectIncorrect
Question 23 of 75
A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:CorrectIncorrect
Question 24 of 75
The nurse is responsible for performing a neonatal assessment on a full-term infant. At 1 minute, the nurse would expect to find:CorrectIncorrect
Question 25 of 75
A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:CorrectIncorrect
Question 26 of 75
A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:CorrectIncorrect
Question 27 of 75
An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at 1 year?CorrectIncorrect
Question 28 of 75
A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:CorrectIncorrect
Question 29 of 75
A full-term male has hypospadias. Which statement describes hypospadias?CorrectIncorrect
Question 30 of 75
A gravida 3 para 2 is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8 cm dilated, with complete effacement. The priority nursing diagnosis at this time is:CorrectIncorrect
Question 31 of 75
The client with varicella will most likely have an order for which category of medication?CorrectIncorrect
Question 32 of 75
A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?CorrectIncorrect
Question 33 of 75
Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?CorrectIncorrect
Question 34 of 75
A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?CorrectIncorrect
Question 35 of 75
The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:CorrectIncorrect
Question 36 of 75
A patient arrives at the emergency department complaining of midsternal chest pain. Which of the following nursing actions should take priority?CorrectIncorrect
Question 37 of 75
A patient has been hospitalized with pneumonia and is about to be discharged. A nurse provides discharge instructions to a patient and his family. Which misunderstanding by the family indicates the need for more detailed information?CorrectIncorrect
Question 38 of 75
A nurse is caring for an elderly Vietnamese patient in the terminal stages of lung cancer. Many family members are in the room around the clock performing unusual rituals and bringing ethnic foods. Which of the following actions should the nurse take?CorrectIncorrect
Question 39 of 75
The charge nurse on the cardiac unit is planning assignments for the day. Which of the following is the most appropriate assignment for the float nurse that has been reassigned from labor and delivery?CorrectIncorrect
Question 40 of 75
A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?CorrectIncorrect
Question 41 of 75
An infant with congestive heart failure is receiving diuretic therapy at home. Which of the following symptoms would indicate that the dosage may need to be increased?CorrectIncorrect
Question 42 of 75
A patient taking dilantin (Phenytoin) for a seizure disorder is experiencing breakthrough seizures. A blood sample is taken to determine the serum drug level. Which of the following would indicate a sub-therapeutic level?CorrectIncorrect
Question 43 of 75
A patient arrives at the emergency department complaining of back pain. He reports taking at least 3 acetaminophen tablets every three hours for the past week without relief. Which of the following symptoms suggests acetaminophen toxicity?CorrectIncorrect
Question 44 of 75
A nurse is caring for a cancer patient receiving subcutaneous morphine sulfate for pain. Which of the following nursing actions is most important in the care of this patient?CorrectIncorrect
Question 45 of 75
A patient arrives at the emergency department with severe lower leg pain after a fall in a touch football game. Following routine triage, which of the following is the appropriate next step in assessment and treatment?CorrectIncorrect
Question 46 of 75
A nurse caring for several patients in the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?CorrectIncorrect
Question 47 of 75
A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient?CorrectIncorrect
Question 48 of 75
A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed?CorrectIncorrect
Question 49 of 75
A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect?CorrectIncorrect
Question 50 of 75
A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included on the nursing care plan?CorrectIncorrect
Question 51 of 75
A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education?CorrectIncorrect
Question 52 of 75
A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient?CorrectIncorrect
Question 53 of 75
A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s disease. Which of the following symptoms is typical of Hodgkin’s disease?CorrectIncorrect
Question 54 of 75
The Hodgkin’s disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin’s disease were correct, which of the following cells would the pathologist expect to find?CorrectIncorrect
Question 55 of 75
A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?CorrectIncorrect
Question 56 of 75
A mother complains to the clinic nurse that her 2 ½-year-old son is not yet toilet trained. She is particularly concerned that, although he reliably uses the potty seat for bowel movements, he isn’t able to hold his urine for long periods. Which of the following statements by the nurse is correct?CorrectIncorrect
Question 57 of 75
The mother of a 14-month-old child reports to the nurse that her child will not fall asleep at night without a bottle of milk in the crib and often wakes during the night asking for another. Which of the following instructions by the nurse is correct?CorrectIncorrect
Question 58 of 75
Which of the following actions is not appropriate in the care of a 2-month-old infant?CorrectIncorrect
Question 59 of 75
An older patient asks a nurse to recommend strategies to prevent constipation. Which of the following suggestions would be helpful? Note: More than one answer may be correct. Select all that apply.CorrectIncorrect
Question 60 of 75
A child is admitted to the hospital with suspected rheumatic fever. Which of the following observations is not confirming the diagnosis?CorrectIncorrect
Question 61 of 75
A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform?CorrectIncorrect
Question 62 of 75
A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct?CorrectIncorrect
Question 63 of 75
A patient received surgery and chemotherapy for colon cancer, completing therapy 3 months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations would account for her symptoms?CorrectIncorrect
Question 64 of 75
A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the following nutritional advice is appropriate?CorrectIncorrect
Question 65 of 75
A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement?CorrectIncorrect
Question 66 of 75
Emergency department triage is an important nursing function. A nurse working the evening shift is presented with four patients at the same time. Which of the following patients should be assigned the highest priority?CorrectIncorrect
Question 67 of 75
A patient is admitted to the hospital with a calcium level of 6.0 mg/dL. Which of the following symptoms would you not expect to see in this patient?CorrectIncorrect
Question 68 of 75
A nurse cares for a patient who has a nasogastric tube attached to low suction because of a suspected bowel obstruction. Which of the following arterial blood gas results might be expected in this patient?CorrectIncorrect
Question 69 of 75
A patient is admitted to the hospital for routine elective surgery. Included in the list of current medications is warfarin (Coumadin) at a high dose. Concerned about the possible effects of the drug, particularly in a patient scheduled for surgery, the nurse anticipates which of the following actions?CorrectIncorrect
Question 70 of 75
The following lab results are received for a patient. Which of the following results are abnormal? Select all that apply.CorrectIncorrect
Question 71 of 75
A nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?CorrectIncorrect
Question 72 of 75
A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started?CorrectIncorrect
Question 73 of 75
A two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child’s symptoms?CorrectIncorrect
Question 74 of 75
A toddler has recently been diagnosed with cerebral palsy. Which of the following information should the nurse provide to the parents? Note: More than one answer may be correct. Select all that apply.CorrectIncorrect
Question 75 of 75
A child has recently been diagnosed with Duchenne’s muscular dystrophy. The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information?CorrectIncorrect
What is NCLEX?
NCLEX stands for National Council Licensing Examination, it is a test to determine if the candidate possesses the minimum level of knowledge necessary to perform safe and effective entry-level nursing care. The NCLEX-RN (for registered nurses) and the NCLEX-PN (for practical/vocational nurses) are examinations prepared by the National Council of State Boards of Nursing (NCSBN) whose mandate is to protect the public from unsafe nursing care. The NCSBN members include nursing regulatory bodies in the 50 states of the US, the District of Columbia and four US territories.
NCLEX Changes for 2020: The NCSBN introduced a few modifications for the NCLEX examinations. For the summary of these modifications, please visit this link.
How to Register for the NCLEX?
So you’ve finally made the decision to take the NCLEX, the next step is registration or application for the exam. The following are the steps on how to register for the NCLEX including some tips:
- Application to the Nursing Regulatory Board (NRB).The initial step in the registration process is to submit your application to the state board of nursing in the state in which you intend to obtain licensure. Inquire with your board of nursing regarding the specific registration process as requirements may vary from state to state.
- Registration with Pearson VUE.Once you have received the confirmation from the board of nursing that you have met all of their state requirements, proceed, register, and pay the fee to take the NCLEX with Pearson VUE. Follow the registration instructions and complete the forms precisely and accurately.
- Authorization to Test.If you were made eligible by the licensure board, you will receive an Authorization to Test (ATT) form from Pearson VUE. You must test within the validity dates (an average of 90 days) on the ATT. There are no extensions or you’ll have to register and pay the fee again. Your ATT contains critical information like your test authorization number, validity date, and candidate identification number.
- Schedule your Exam Appointment.The next step is to schedule a testing date, time, and location at Pearson VUE. The NCLEX will take place at a testing center, you can make an exam appointment online or by telephone. You will receive a confirmation via email of your appointment with the date and time you choose including the directions to the testing center.
*Changing Your Exam Appointment. You can change your appointment to test via Pearson VUE or by calling the candidate services. Rules for scheduling, rescheduling, and unscheduling are explained further here. Failing to arrive for the examination or failure to cancel your appointment to test without providing notice will forfeit your examination fee and you’ll have to register and pay again.
- On Exam Day.Arrive at the testing center on your exam appointment date at least 30 minutes before the schedule. You must have your ATT and acceptable identification (driver’s license, passport, etc) that is valid, not expired, and contains your photo and signature.
- Processing Results.You will receive your official results from the board of nursing after six weeks.
Computer Adaptive Test (CAT)
Like most standardized tests today, the NCLEX is administered by a computer. The NCLEX uses computer adaptive test (CAT) which reacts to the answers you give to determine your level of competence. The selection of questions is based on the NCLEX-RN test plan and by the level of item difficulty.
Every time you answer a question, the computer reevaluates your ability based on all the previous answers and difficulty of those test items. Your first question is relatively easy, if you selected a correct answer, the computer supplies you with a more difficult question from its question bank. If you have selected an incorrect answer, the computer gives you an easier question. This process continues throughout the examination until the test plan requirements are met and the computer is able to determine your level of competence.
Additionally, there is no option to skip a question, you must answer it or the test will not move on. You cannot go back and review previous questions and change answers.
NCLEX-RN Test Plan
The NCLEX test plan is a content guideline to determine the distribution of test questions. NCSBN uses the “Client Needs” categories to ensure that a full spectrum of nursing activities is covered by the NCLEX. It is a summary of the content and scope of the NCLEX to serve as a guide for candidates preparing for the exam and to direct item writers in the development of items.
The content of the NCLEX-RN is organized into four major Client Needs categories which include: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity. Some of these categories are divided further into subcategories.
Below is the NCLEX-RN test plan effective as of April 2019 to March 2022:
|Safe and Effective Care Environment|
|Management of Care||17-23%|
|Safety and Infection Control||9-15%|
|Health Promotion and Maintenance||6-12%|
|Basic Care and Comfort||6-12%|
|Pharmacological and Parenteral Therapies||12-18%|
|Reduction of Risk Potential||9-15%|
Safe and Effective Care Environment
There are two subcategories under Safe and Effective Care Environment.
- Management of Care (17-23%) category includes content that tests the nurse’s knowledge and ability to direct nursing care that enhances the care delivery setting in order to protect clients, significant others, and health care personnel.
- Safety and Infection Control (9-15%) category includes content that tests the nurse’s ability required to protect clients, families, and health care personnel from health and environmental hazards.
Health Promotion and Maintenance
Health Promotion and Maintenance (6-12%) category includes content that tests the nurse’s ability to provide and direct nursing care of the client that incorporates knowledge of expected growth and development; preventing and early detection of health problems, and strategies to achieve optimal health.
The Psychosocial Integrity category (6-12%) are content related to the promotion and support for emotional, mental, and social well-being of the client experiencing stressful events, as well as clients with acute or chronic mental illness.
In the Physiological Integrity category are items that test the nurse’s ability to promote physical health and wellness by providing care and comfort, reducing risk potential and managing health alterations. There are four subcategories under Physiological Integrity.
- Basic Care and Comfort (6-12%) are content to test the nurse’s ability to provide comfort and assistance to the client in the performance of activities of daily living.
- Pharmacological and Parenteral Therapies (12-18%) category includes content to test the nurse’s ability to administer medications and parenteral therapies (IV therapy, blood administration, and blood products).
- Reduction of Risk Potential (9-15%) category includes content to tests the nurse’s ability to prevent complications or health problems related to the client’s condition or prescribed treatments or procedures.
- Physiological Adaptation (11-17%) category includes questions that test the nurse’s ability to provide care to clients with acute, chronic, or life-threatening conditions.
Item Writers for NCLEX
Who writes questions for the NCLEX? The NCSBN sets the criteria and selection process for item writers who are registered nurses. Many of them are nursing educators who hold an advanced degree in nursing so if you’ve completed an accredited nursing program, you have already taken several tests written by nurses with backgrounds similar to those who write for the NCLEX.
The maximum testing time for the NCLEX-RN is six (6) hours and there is no time limit for each individual NCLEX question. The exam time includes all the tutorials and all the breaks. The first break is offered after two (2) hours, the second break is offered after 3.5 hours of testing. All breaks are optional and most test-takers may not need the full time to complete the examination.
How to Pass the NCLEX?
The NCSBN indicates that a pass-or-fail decision is governed by these three rules: 95% Confidence Interval Rule, Maximum-Length Exam Rule, and Run-Out-Of-Time Rule.
95% Confidence Interval Rule
In this scenario, the computer stops administering test questions when it is 95% certain that your ability is clearly above the passing standard or clearly below the passing standard.
When your ability is close to the passing standard, the computer continues to give you items until the maximum number of items is reached. At this point, the computer disregards the 95% confidence rule and decides whether you pass or fail by your final ability estimate. If your final ability estimate is above the passing standard, you pass; if it is below, you fail.
Run-Out-Of-Time (R.O.O.T.) Rule
When you run out of time before reaching the maximum amount of items, the computer has not been able to decide whether you passed or failed with 95% certainty and has to use an alternate rule. If you have not answered the minimum number of required questions, you fail. If you have at least answered the minimum amount of items, the computer reviews your last 60 questions. If your ability estimate was consistently above the passing standard on the last 60 questions, you pass. If your ability dropped below the passing standard, even once, during your last 60 questions, you fail.
How many question are on the NCLEX?
For the NCLEX-RN, the minimum number of questions you need to answer is 75 while the maximum number in the test is 265. Regardless of the total number of questions you answer, you are given 15 questions that are experimental (pretest questions). Pretest questions are indistinguishable from other questions on the test, not indicated as such, are being tested for future examination and not counted against your score.
Question Types in the NCLEX-RN
Although most NCLEX items are multiple-choice, there are other formats as well. You may be administered multiple-choice items and questions written in alternate formats. These formats may include: multiple-response or select all that apply, fill-in-the-blank calculation, ordered response, hotspot, figure, chart or exhibit, graphic, audio, and video.
Many questions on the NCLEX are in multiple-choice format. This traditional text-based question will provide you data about the client’s situation and you can only select one correct answer from the given four options. Multiple-choice questions may vary and include: audio clips, graphics, exhibits or charts.
Chart or Exhibit Questions
A chart or exhibit is presented along with a problem. You’ll be provided with three tabs or buttons that you need to click to obtain the information needed to answer the question. Select the correct choice among four multiple-choice answer options.
In this format, four multiple-choice answer options are pictures rather than text. Each option is preceded by a circle that you need to click to represent your answer.
In an audio question format, you’ll be required to listen to a sound to answer the question. You’ll need to use the headset provided and click on the sound icon for it to play. You’ll be able to listen to the sound as many times as necessary. Choose the correct choice from among four multiple-choice answer options.
For the video question format, you are required to view an animation or a video clip to answer the following question. Select the correct choice among four multiple-choice answer options.
Select All That Apply or Multiple-Response
Multiple-response or select all that apply (SATA) alternate format question requires you to choose all correct answer options that relate to the information asked by the question. There are usually more than four possible answer options. No partial credit is given in the scoring of these items (i.e., selecting only 3 out of the 5 correct choices) so you must select all correct answers for the item to be counted as correct.
Tips when answering Select All That Apply Questions
- You’ll know it’s a multiple-response or SATA question because you’ll explicitly be instructed to “Select all that apply.”
- Treat each answer choice as a True or False by rewording the question and proceed to answer each option by responding with a “yes” or “no”. Go down the list of answer options one by one and ask yourself if it’s a correct answer.
- Consider each choice as a possible answer separate to other choices. Never group or assume they are linked together.
The fill-in-the-blank question format is usually used for medication calculation, IV flow rate calculation, or determining the intake-output of a client. In this question format, you’ll be asked to perform a calculation and type in your answer in the blank space provided.
Tips when answering Fill-in-the-Blank
- Always follow the specific directions as noted on the screen.
- There will be an on-screen calculator on the computer for you to use.
- Do not put any words, units of measurements, commas, or spaces with your answer, type only the number. Only the number goes into the box.
- Rounding an answer should be done at the end of the calculation or as what the question specified, and if necessary, type in the decimal point.
In an ordered-response question format, you’ll be asked to use the computer mouse to drag and drop your nursing actions in order or priority. Based on the information presented, determine what you’ll do first, second, third, and so forth. Directions are provided with the question.
Tips when answering Ordered-Response questions
- Questions are usually about nursing procedures. Imagine yourself performing the procedure to help you answer these questions.
- You’ll have to place the options in correct order by clicking an option and dragging it on the box on the right. You can rearrange them before you hit submit for your final answer.
A picture or graphic will be presented along with a question. This could contain a chart, a table, or an illustration where you’ll be asked to point or click on a specific area. Figures may also appear along with a multiple-choice question. Be as precise as possible when marking the location.
Tips when answering Hotspot questions
- Mostly used to evaluate your knowledge of anatomy, physiology, and pathophysiology.
- Locate anatomical landmarks to help you select the location needed by the item.
Want to test-drive the NCLEX? We highly recommend you complete the online tutorial by the NCSBN to help you familiarize yourself with the different question types for the NCLEX.