Take the NCLEX PRACTICE Test Drive (150+ Scored Questions & Rationales)

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In preparing for any examination, it is always helpful to have some idea of what to expect in terms of style. This helps prevent surprises, which can be distracting and can create anxiety.

Knowing about the examination style in advance, helps free your mind to focus on the content of the questions. Some key points about the style of the NCLEXRN® are that it

• uses the term “client,” not “patient,” to refer to the recipient of care.

• is an integrated examination, that is, it covers clients of all ages, backgrounds, and levels of health or illness.

• is gender neutral.

• is reviewed to remove any culturally biased terms.

• has primarily a multiple-choice format: stem and four options only one of which is the answer to the question.

• includes some other types of questions, for example,

— those that require the test taker to fill in the blanks with numerals or words rather than selecting an answer from a list of four options.


What is the normal heart rate in a newborn?

_____beats per minute.

— those that contain pictures/diagrams and ask the test taker to identify a particular site by touching the correct area on the diagram.


Where would the nurse auscultate for the apical pulse?

The test taker has to touch an area on a diagram of the chest. If the test taker touches the correct area or “hot spot,” the answer is correct.

—those that present a list of assessment findings or nursing actions, etc., and ask the test taker to identify all those that are appropriate for a particular type of patient.


Which of the following are risk factors for cancer of the breast?

Mark/Select all that apply.

■ Family history

■ Nulliparity

■ Age over 50 years

■ Late menopause

■ Breast-feeding

■ Cigarette smoking

■ Provides a drop-down calculator as needed.

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Learning Tip:

Y. Braden, MSN, RN
Y. Braden, MSN, RN

EXAM DAY TIPS: Get a good night’s sleep before the exam. Know where the exam is to be held, exactly how to get there, and where to park. Make a dry run,if possible, in order to find out how much time it will take you to get there, park, and get to the examination room—then add an extra few minutes. This way, when the test day arrives, you will arrive on time with a minimum of frustration.

Get adequate nutrition before the exam. Remember, the brain runs on glucose. If you do not feed it, it will not work. So, on the morning of the exam, be sure to eat a good breakfast, even if you are not hungry. This is more important than you might think! Avoid drinking a lot of coffee; substitute juices instead.

You may wish to bring a sweater, in case the examination room is cold. You have prepared, so you should not be nervous.

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