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NCLEX-RN Online Test Engine
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- Total Questions: 865
- Updated on: Sep 19, 2026
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NCLEX-RN PDF Practice Q&A's
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Ambiguity is the enemy before an exam. PassLeader clears it with 865 practice questions based on analysis of the real NCLEX-RN exam's content — so what you practice reflects what you will actually face.
NCLEX NCLEX-RN Exam Overview:
| Certification Vendor: | National Council of State Boards of Nursing (NCSBN) |
|---|---|
| Exam Name: | National Council Licensure Examination for Registered Nurses (NCLEX-RN) |
| Exam Number: | NCLEX-RN |
| Exam Price: | USD 200 |
| Certificate Validity Period: | Authorization to Test (ATT) typically valid for ~90 days; RN license validity varies by state board |
| Real Exam Qty: | 85–150 items |
| Passing Score: | Pass/Fail (Computerized Adaptive Passing Standard, not a fixed score) |
| Available Languages: | English |
| Exam Duration: | Up to 300 |
| Exam Format: | Next Generation NCLEX (NGN) case studies, Hot spot, Extended multiple response, Fill-in-the-blank, Ordered response, Multiple choice, Multiple response, Computerized Adaptive Testing (CAT) |
| Related Certifications: | NCLEX-PN |
| Recommended Training: | Kaplan NCLEX Prep UWorld NCLEX Review Saunders Comprehensive Review for NCLEX-RN |
| Exam Registration: | NCLEX Registration (Pearson VUE) NCLEX Official Information (NCSBN) |
| Sample Questions: | DOWNLOAD DEMO |
| Exam Way: | Computer-based testing at Pearson VUE test centers |
| Pre Condition: | Completion of an approved nursing education program and eligibility authorization from a U.S. state or territorial Board of Nursing |
| Official Syllabus URL: | https://www.ncsbn.org/nclex.htm |
NCLEX NCLEX-RN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Safe and Effective Care Environment | 17–33% | - Safety and Infection Control - Management of Care |
| Health Promotion and Maintenance | 6–12% | |
| Psychosocial Integrity | 6–12% | |
| Physiological Integrity | 43–67% | - Basic Care and Comfort - Pharmacological and Parenteral Therapies - Physiological Adaptation - Reduction of Risk Potential |
Common Questions About the NCLEX National Council Licensure Examination(NCLEX-RN) Exam
The NCLEX-RN exam is a NCLEX certification exam validating the NCLEX National Council Licensure Examination(NCLEX-RN) syllabus shown above. It belongs to these credential paths: NCLEX-PN. Candidates in 2026 prepare for it with PassLeader's 865 practice questions, available as a printable PDF, a Windows Desktop Test Engine, and an Online Test Engine — three versions of the same materials.
Computer-based testing at Pearson VUE test centers Register for the NCLEX National Council Licensure Examination(NCLEX-RN) exam through these official channels:
After booking, PassLeader delivers your practice questions within 1 minute — preparation starts the same day.
Three versions of the same study materials: a printable, expert-prepared PDF with free demo download and instant access; a Desktop Test Engine for Windows that simulates the real exam with two practice modes and works offline; and an Online Test Engine for any browser on Windows, Mac, Android, and iOS with test history and performance review. All 865 practice questions are identical across versions. Every purchase includes 365 days of free updates, a 50% renewal discount afterward, and unlimited computer installations — and the website runs discounts at intervals, so timing your purchase can save a little more.
The NCLEX National Council Licensure Examination(NCLEX-RN) exam contains 85–150 items to complete within Up to 300. Timed simulation in the PassLeader Desktop Test Engine teaches that rhythm before exam day does.
The official NCLEX National Council Licensure Examination(NCLEX-RN) outline defines 4 domains. The leading three are Psychosocial Integrity (6–12%), Physiological Integrity (43–67%), and Health Promotion and Maintenance (6–12%). The full list is in the topics section above, and PassLeader's 865 practice questions cover each one.
NCLEX recommends these training resources for the NCLEX National Council Licensure Examination(NCLEX-RN) exam:
Follow the training with steady self-testing — the 865 practice questions from PassLeader help you apply theory and fill any gaps the training leaves.
Completion of an approved nursing education program and eligibility authorization from a U.S. state or territorial Board of Nursing Since requirements change over time, confirm the latest on the official NCLEX exam page before scheduling.
PassLeader issues a full refund if you take the NCLEX National Council Licensure Examination(NCLEX-RN) exam within 60 days of purchase and do not pass. The policy does not apply if the exam is taken within 3 days of purchase, if the exam was never actually taken, or to free materials or expired orders, and the candidate name must match the payer name. Submit a scan of your enrollment slip and the official Score Report PDF within 2 days of the exam; claims are processed within 7 days. Alternatively, exchange for two free exam products of equal value and keep your original update service. Orders arrive by email within 1 minute — contact support if nothing arrives within 2 hours.
The NCLEX National Council Licensure Examination(NCLEX-RN) exam requires Pass/Fail (Computerized Adaptive Passing Standard, not a fixed score) to pass, and registration costs USD 200. A failed attempt means paying the same fee again — a readiness check with the PassLeader engines before booking is the cheaper option.
NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions:
At 38 weeks' gestation, a client is in active labor. She is using her Lamaze breathing techniques. The RN is coaching her breathing and encouraging her to relax and work with her contractions. Which one of the following complaints by the client will alert the RN that she is beginning to hyperventilate with her breathing?
- A. "I have a backache."
- B. "I am cold."
- C. "I am nauseous."
- D. "I feel dizzy."
Correct Answer: D 🗳️
Explanation: Only visible for PassLeader members. You can sign-up / login (it's free).
MgSO4 is ordered IV following the established protocol for a client with severe PIH. The anticipated effects of this therapy are anticonvulsant and:
- A. Antiemetic
- B. Vasoconstrictive
- C. Vasodilative
- D. Hypertensive
Correct Answer: C 🗳️
Explanation: Only visible for PassLeader members. You can sign-up / login (it's free).
A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, "My doctor is in love with me and wants to marry me." This client is using which of the following defense mechanisms?
- A. Reaction formation
- B. Displacement
- C. Projection
- D. Suppression
Correct Answer: C 🗳️
Explanation: Only visible for PassLeader members. You can sign-up / login (it's free).
A 5-year-old child is hospitalized for an acute illness. The nurse encourages the family to bring her favorite objects from home. What is the nurse's rationale?
- A. To establish a trusting relationship
- B. To prevent or minimize separation anxiety
- C. To reduce fear of the unknown
- D. To keep the child calm
Correct Answer: B 🗳️
Explanation: Only visible for PassLeader members. You can sign-up / login (it's free).
Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:
- A. A therapeutic alliance has been established, and violent behavior subsides
- B. The violent behavior subsides, and the client agrees to behave
- C. The nurse deems that removal of restraints is necessary
- D. The physician orders it
Correct Answer: A 🗳️
Explanation: Only visible for PassLeader members. You can sign-up / login (it's free).
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