FREE NCLEX-RN PRACTICE TEST

NCLEX-RN

Are you preparing for the NCLEX-RN exam and wondering where to start? You’re in the right place.
Our Free NCLEX-RN Practice Test gives you a realistic preview of what to expect on exam day — 20 hand-picked, NGN-style questions covering all the major NCLEX categories:

Safe & Effective Care Environment
Health Promotion & Maintenance
Psychosocial Integrity
Physiological Integrity

Each question follows the latest NCLEX format, designed to challenge your critical thinking and test-taking skills.
👉 This free practice test is meant to help you test your baseline knowledge before diving deeper into full preparation.

🎯 Why Take the Free NCLEX-RN Practice Test?

✅ Get a feel for real NCLEX-style questions before your exam.
✅ Identify your strengths and weak areas in just 10–15 minutes.
✅ Build the confidence and pacing needed for the actual test.
✅ Perfect for quick daily review or warm-up before study sessions.

Get to know exactly what areas need more focus.

Created by

OLIVIA GRACE

Welcome to the NCLEX-RN Practice Quiz!

This quiz comprises 20 questions with multiple choice answers. Aim for a score of 90% and above.

Let’s see how well you fare, good luck!

1 / 20

Health Promotion and Maintenance

The nurse is discussing meal planning with the mother of a 2-year old
toddler. Which of the following statements, if made by the mother,
would require a need for further instruction?

a) “For a snack, my child can have ice cream.”

b) “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

c) “My child can have a grilled cheese sandwich for lunch.”

d) “It is okay to give my child white grape juice for breakfast.”

2 / 20

Safe and Effective Care Environment

Attaching a restraint to a side rail or other movable part of the bed can:

a) injure the client if the rail or bed is moved

b) help the client stay in the bed without falling out.

c) do nothing to the client.

d) help the client with better posture

3 / 20

Psychosocial Integrity

Nursing considerations when caring for African- American clients include that:

a) clients are generally future-oriented.

b) fad diets are a cultural norm.

c) special hair, skin, and nail care might be required.

d) families are generally distant and unsupportive.

4 / 20

Physiological Integrity

A client has chronic respiratory acidosis caused by end-stage chronic obstructive pulmonary
disease (COPD). Oxygen is delivered at 1 L/min per nasal cannula. The nurse teaches the
family that the reason for this is to avoid respiratory depression, based on which of the
following explanations?

a) COPD clients are stimulated to breathe by hypoxia.

b) COPD clients depend on a low carbon dioxide level.

c) COPD clients tend to retain hydrogen ions if they are given high doses of oxygen.

d) COPD clients thrive on a high oxygen level.

5 / 20

Safe and Effective Care Environment

The nurse is aware that the best way to prevent postoperative wound
infection in the surgical client is to:

a) Wash her hands for 2 minutes before care

b) Administer a prescribed antibiotic

c) Ask the client to cover her mouth when she coughs

d) Wear a mask when providing care

6 / 20

Safe and Effective Care Environment

The nurse is planning room assignments for the day. Which client
should be assigned to a private room if only one is available?

a) The client with Cushing’s disease

b) The client with acromegaly

c) The client with diabetes

d) The client with myxedema

7 / 20

Safe and Effective Care Environment

A client with a total hip replacement requires special equipment.
Which equipment would assist the client with a total hip replacement
with activities of daily living?

a) Abduction pillow

b) TENS unit

c) High-seat commode

d) Recliner

8 / 20

Safe and Effective Care Environment

A child comes to the clinic with a skin rash. The maculopapular lesions are distributed
around the mouth and have honey-colored drainage. The caregiver states that the rash is
getting worse and seems to spread with the child’s scratching. Which of the following
advisory comments should be given?

a) The lesions might indicate a noncontagious infection that does not require isolation.

b) The history and presentation might indicate an infectious illness called impetigo.

c) The lesions are not contagious unless others have open wounds or lesions themselves.

d) The history and presentation might indicate chickenpox, a highly contagious disease.

9 / 20

Health Promotion and Maintenance

All of the following factors, when identified in the history of a family, are correlated
with poverty except:

a) high infant mortality rate.

b) low incidence of dental problems.

c) frequent use of Emergency Departments.

d) consultation with folk healers.

10 / 20

Psychosocial Integrity

A couple from the Philippines living in the United States is expecting their first child. In
providing culturally competent care, the nurse must first:

a) study family dynamics to understand the male and female gender roles in the clients’ culture.

b) realize that the clients have to learn their new country’s accepted medical practices.

c) respectfully request that the couple utilize only medically approved health care providers

d) review their own cultural beliefs and biases

11 / 20

Physiological Integrity

Teaching the client with gonorrhea how to prevent reinfection and further spread is an
example of:

a) tertiary prevention.

b) primary prevention.

c) primary health care prevention

d) secondary prevention.

12 / 20

Physiological Integrity

The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

a) Measure the urinary output

b) Check the vital signs

c) Weigh the client

d) Encourage increased fluid intake

13 / 20

Physiological Integrity

A client has autoimmune thrombocytopenic purpura. To determine
the client’s response to treatment, the nurse would monitor:

a) Potassium levels

b) Platelet count

c) Partial prothrombin time (PTT)

d) White blood cell count

14 / 20

Psychosocial Integrity

Social support systems include of the following except:

a) community support groups

b) use of coping skills and verbalization for anger management.

c) call-in help lines.

d) emotional assistance provided by others.

15 / 20

Physiological Integrity

Fat emulsions are frequently administered as a part of total parenteral nutrition.
Which statement is true regarding fat emulsions?

a) They are a basic solution secondary to the addition of sodium hydroxide (NaOH)

b) Even though hypertonic, they are well tolerated.

c) The pH is alkaline, making them compatible with most medications.

d) They have a high energy-to-fluid-volume ratio

16 / 20

Safe and Effective Care Environment

A client is diagnosed with HIV. Which of the following are antiviral drug classes used in
the treatment of HIV/AIDS?

a) nucleoside reverse transcriptase inhibitors

b) HIV fusion inhibitors

c) all of the above.

d) protease inhibitors

17 / 20

Physiological Integrity

Which of the following injuries, if demonstrated by a client entering the Emergency
Department, is the highest priority?

a) traumatic amputation of a thumb

b) stab wound to the chest

c) open leg fracture

d) open head injury

18 / 20

Physiological Integrity

The major electrolytes in the extracellular fluid are:

a) potassium and phosphate

b) sodium and phosphate.

c) sodium and chloride.

d) potassium and chloride.

19 / 20

Physiological Integrity

The drug of choice to decrease uric acid levels is:

a) allopurinol (Zyloprim).

b) prednisone (Colisone)

c) hydrochlorothiazide (HydroDiuril)

d) indomethacin (Indocin)

20 / 20

Health Promotion and Maintenance

Which instruction should be given to the client who is fitted for a
behind-the-ear hearing aid?

a) Remove the mold and clean every week

b) Change the batteries weekly.

c) Store the hearing aid in a warm place.

d) Clean the lint from the hearing aid with a toothpick.

Your score is

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Thank you!

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OLIVIA GRACE STUDY NOTES

Table of Contents

🎯 Why Take the Free NCLEX-RN Practice Test?

💥 Ready for the Full Experience? Get the Complete NCLEX-RN Study Guide

🚀 Study Smarter, Not Harder

💬 What Students Are Saying

💎 Don’t Leave Your NCLEX Prep to Chance

NCLEX-RN Study Guide: Questions, Answers & Rationales for Guaranteed Success

Get Up to 10% discount on all study guides!

What Our Students Are Saying…

I finally passed on my first try!

Perfect mix of challenge and clarity

The rationales are pure gold!

Real NCLEX vibes!

Better than expensive prep courses

Helped me overcome test anxiety

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