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!
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NCLEX-RN Practice Questions Set 11 (75 Questions)
Welcome to another set of NCLEX-RN practice questions. This is the 11th set. If you’ve made it this far, you have answered 825 NCLEX practice questions so far.
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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
A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings?CorrectIncorrect
Question 2 of 75
A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is not recommended?CorrectIncorrect
Question 3 of 75
A patient with a history of diabetes mellitus is in the second postoperative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient’s symptoms?CorrectIncorrect
Question 4 of 75
A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern?CorrectIncorrect
Question 5 of 75
A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? Select all that apply.CorrectIncorrect
Question 6 of 75
A patient on the cardiac telemetry unit unexpectedly goes into ventricular fibrillation. The advanced cardiac life support team prepares to defibrillate. Which of the following choices indicates the correct placement of the conductive gel pads?CorrectIncorrect
Question 7 of 75
The nurse performs an initial abdominal assessment on a patient newly admitted for abdominal pain. The nurse hears what she describes as “clicks and gurgles in all four quadrants” as well as “swishing or buzzing sound heard in one or two quadrants.” Which of the following statements is correct?CorrectIncorrect
Question 8 of 75
A patient arrives in the emergency department and reports splashing concentrated household cleaner in his eye. Which of the following nursing actions is a priority?CorrectIncorrect
Question 9 of 75
A nurse is caring for a patient who has had hip replacement. The nurse should be most concerned about which of the following findings?CorrectIncorrect
Question 10 of 75
A child is admitted to the hospital with an uncontrolled seizure disorder. The admitting physician writes orders for actions to be taken in the event of a seizure. Which of the following actions would not be included?CorrectIncorrect
Question 11 of 75
A patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later?CorrectIncorrect
Question 12 of 75
A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all that apply.CorrectIncorrect
Question 13 of 75
A nurse is caring for a patient with a platelet count of 20,000/microliter. Which of the following is an important intervention?CorrectIncorrect
Question 14 of 75
A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Select all that apply.CorrectIncorrect
Question 15 of 75
A nurse is caring for patients in the oncology unit. Which of the following is the most important nursing action when caring for a neutropenic patient?CorrectIncorrect
Question 16 of 75
A nurse is counseling patients at a health clinic on the importance of immunizations. Which of the following information is the most accurate regarding immunizations?CorrectIncorrect
Question 17 of 75
A patient is brought to the emergency department after a bee sting. The family reports a history of severe allergic reaction, and the patient appears to have some oral swelling. Which of the following is the most urgent nursing action?CorrectIncorrect
Question 18 of 75
A mother calls the clinic to report that her son has recently started medication to treat attention-deficit/hyperactivity disorder (ADHD). The mother fears her son is experiencing side effects of the medicine. Which of the following side effects are typically related to medications used for ADHD? Select all that apply.CorrectIncorrect
Question 19 of 75
A patient at a mental health clinic is taking Haldol (haloperidol) for treatment of schizophrenia. She calls the clinic to report abnormal movements of her face and tongue. The nurse concludes that the patient is experiencing which of the following symptoms:CorrectIncorrect
Question 20 of 75
A patient with newly diagnosed diabetes mellitus is learning to recognize the symptoms of hypoglycemia. Which of the following symptoms is indicative of hypoglycemia?CorrectIncorrect
Question 21 of 75
A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage?CorrectIncorrect
Question 22 of 75
A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Select all that apply.CorrectIncorrect
Question 23 of 75
Which of the following conditions most commonly causes acute glomerulonephritis?CorrectIncorrect
Question 24 of 75
An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?CorrectIncorrect
Question 25 of 75
A nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation for these symptoms?CorrectIncorrect
Question 26 of 75
A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission?CorrectIncorrect
Question 27 of 75
A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this?CorrectIncorrect
Question 28 of 75
A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient?CorrectIncorrect
Question 29 of 75
The nurse is conducting nutrition counseling for a patient with cholecystitis. Which of the following information is important to communicate?CorrectIncorrect
Question 30 of 75
A patient admitted to the hospital with myocardial infarction develops severe pulmonary edema. Which of the following symptoms should the nurse expect the patient to exhibit?CorrectIncorrect
Question 31 of 75
A nurse is evaluating a postoperative patient and notes a moderate amount of serous drainage on the dressing 24 hours after surgery. Which of the following is the appropriate nursing action?CorrectIncorrect
Question 32 of 75
A patient returns to the emergency department less than 24 hours after having a fiberglass cast applied for a fractured right radius. Which of the following patient complaints would cause the nurse to be concerned about impaired perfusion to the limb?CorrectIncorrect
Question 33 of 75
An older patient with osteoarthritis is preparing for discharge. Which of the following information is correct.CorrectIncorrect
Question 34 of 75
Which patient should not be prescribed alendronate (Fosamax) for osteoporosis?CorrectIncorrect
Question 35 of 75
Which of the following strategies is not effective for the prevention of Lyme disease?CorrectIncorrect
Question 36 of 75
A nurse is performing a routine assessment of an IV site in a patient receiving both IV fluids and medications through the line. Which of the following would indicate the need for discontinuation of the IV line as the next nursing action?CorrectIncorrect
Question 37 of 75
A hospitalized patient has received transfusions of 2 units of blood over the past few hours. A nurse enters the room to find the patient sitting up in bed, dyspneic and uncomfortable. On assessment, crackles are heard in the bases of both lungs, probably indicating that the patient is experiencing a complication of transfusion. Which of the following complications is most likely the cause of the patient’s symptoms?CorrectIncorrect
Question 38 of 75
A patient in labor and delivery has just received an amniotomy. Which of the following is correct? Select all that apply.CorrectIncorrect
Question 39 of 75
A nurse is counseling the mother of a newborn infant with hyperbilirubinemia. Which of the following instructions by the nurse is not correct?CorrectIncorrect
Question 40 of 75
A nurse is giving discharge instructions to the parents of a healthy newborn. Which of the following instructions should the nurse provide regarding car safety and the trip home from the hospital?CorrectIncorrect
Question 41 of 75
A nurse is administering IV furosemide to a patient admitted with congestive heart failure. After the infusion, which of the following symptoms is not expected?CorrectIncorrect
Question 42 of 75
There are a number of risk factors associated with coronary artery disease. Which of the following is a modifiable risk factor?CorrectIncorrect
Question 43 of 75
Tissue plasminogen activator (tPA) is considered for the treatment of a patient who arrives in the emergency department following the onset of symptoms of myocardial infarction. Which of the following is a contraindication for treatment with t-PA?CorrectIncorrect
Question 44 of 75
Following myocardial infarction, a hospitalized patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by his physician. Which of the following choices reflects the purpose of exercise for this patient?CorrectIncorrect
Question 45 of 75
A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock?CorrectIncorrect
Question 46 of 75
A patient in the cardiac unit is concerned about the risk factors associated with atherosclerosis. Which of the following are hereditary risk factors for developing atherosclerosis?CorrectIncorrect
Question 47 of 75
Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct? Select all that apply.CorrectIncorrect
Question 48 of 75
A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in the instructions?CorrectIncorrect
Question 49 of 75
A patient who has been diagnosed with vasospastic disorder (Raynaud’s disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient?CorrectIncorrect
Question 50 of 75
A 23-year-old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conditions is the most likely cause of her symptoms?CorrectIncorrect
Question 51 of 75
Thrombolytic therapy is frequently used in the treatment of suspected strokes. Which of the following is a significant complication associated with thrombolytic therapy?CorrectIncorrect
Question 52 of 75
An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation?CorrectIncorrect
Question 53 of 75
An adolescent brings a physician’s note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct?CorrectIncorrect
Question 54 of 75
The clinic nurse asks a 13-year-old female to bend forward at the waist with arms hanging freely. Which of the following assessments is the nurse most likely conducting?CorrectIncorrect
Question 55 of 75
A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse least likely to find in an abusing parent?CorrectIncorrect
Question 56 of 75
A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern?CorrectIncorrect
Question 57 of 75
A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)?CorrectIncorrect
Question 58 of 75
A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is not correct?CorrectIncorrect
Question 59 of 75
A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose?CorrectIncorrect
Question 60 of 75
The mother of a 2-month-old infant brings the child to the clinic for a well-baby check. She is concerned because she feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate?CorrectIncorrect
Question 61 of 75
Mrs. Chua, a 78-year-old client, is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be:CorrectIncorrect
Question 62 of 75
Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. The nurse explains that morphine:CorrectIncorrect
Question 63 of 75
Which of the following should the nurse teach the client about the signs of digitalis toxicity?CorrectIncorrect
Question 64 of 75
Nurse Trisha teaches a client with heart failure to take oral furosemide in the morning. The reason for this is to help…CorrectIncorrect
Question 65 of 75
What would be the primary goal of therapy for a client with pulmonary edema and heart failure?CorrectIncorrect
Question 66 of 75
Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Which of the following is a characteristic of this type of posturing?CorrectIncorrect
Question 67 of 75
A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following may be experienced as side effects of this medication:CorrectIncorrect
Question 68 of 75
Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from myocardial infarction. Which of the following is the most essential nursing action?CorrectIncorrect
Question 69 of 75
During the second day of hospitalization of the client after a Myocardial Infarction. Which of the following is an expected outcome?CorrectIncorrect
Question 70 of 75
A 68-year-old client is diagnosed with a right-sided brain attack and is admitted to the hospital. In caring for this client, the nurse should plan to:CorrectIncorrect
Question 71 of 75
Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. Nurse Liza’s highest priority would be…CorrectIncorrect
Question 72 of 75
A 64-year-old male client with a long history of cardiovascular problems including hypertension and angina is to be scheduled for cardiac catheterization. During pre-cardiac catheterization teaching, Nurse Cherry should inform the client that the primary purpose of the procedure is:CorrectIncorrect
Question 73 of 75
During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to:CorrectIncorrect
Question 74 of 75
Kate, who has undergone mitral valve replacement, suddenly experiences continuous bleeding from the surgical incision during the postoperative period. Which of the following pharmaceutical agents should Nurse Aiza prepare to administer to Kate?CorrectIncorrect
Question 75 of 75
In reducing the risk of endocarditis, good dental care is an important measure. To promote good dental care in clients with endocarditis in a teaching plan should include proper use of?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.