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NCLEX-RN · Prep course

NCLEX-RN prep course

Practice for the Next Generation NCLEX-RN with 717 questions in 7 formats, including 24 unfolding case studies. Every answer is explained with a source, and NGN items get partial credit.

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717NCLEX-RN practice questions
24unfolding case studies
443select-all, matrix, drop-down, highlight and bow-tie items
179free to try, no card

What's inside, section by section

The real NCLEX-RN gives you 85 to 150 questions in up to 5 hours. NCSBN's 2026 test plan sets a share range for each of its 8 client-needs areas. Our bank covers all 8.

Free for everyone With a plan

Management of CareTest plan: 15–21%

103 questions · 22 free · 5 lessons
- Advance directives
- Advocacy
- Assignment, delegation, supervision
- +13 more topics
Safety and Infection ControlTest plan: 10–16%

90 questions · 22 free · 5 lessons
- Accident, error and injury prevention
- Emergency response / disaster
- Ergonomic principles
- +7 more topics
Health PromotionTest plan: 6–12%

79 questions · 22 free · 5 lessons
- Aging process / lifespan care
- Ante-, intra-, postpartum and newborn care
- Developmental stages and transitions
- +6 more topics
Psychosocial IntegrityTest plan: 6–12%

79 questions · 22 free · 5 lessons
- Abuse or neglect
- Behavioral interventions
- Substance use and other dependencies
- +13 more topics
Basic Care and ComfortTest plan: 6–12%

79 questions · 22 free · 5 lessons
- Assistive devices
- Elimination
- Mobility / immobility
- +4 more topics
PharmacologyTest plan: 13–19%

98 questions · 22 free · 5 lessons
- Adverse effects, contraindications, interactions
- Blood and blood products
- Central venous access devices
- +6 more topics
Reduction of RiskTest plan: 9–15%

97 questions · 25 free · 5 lessons
- Changes in vital signs
- Diagnostic tests
- Laboratory values
- +5 more topics
Physiological AdaptationTest plan: 11–17%

92 questions · 22 free · 5 lessons
- Alterations in body systems
- Fluid and electrolyte imbalances
- Hemodynamics and cardiac monitoring
- +4 more topics

Question formats in the bank

260 Multiple choice
134 Matrix / grid
130 Select all that apply
87 Drop-down (cloze)
61 Highlight
31 Bow-tie
14 Fill in the blank

Try 2 questions from the full bank

These come from the paid part of the bank. Answer in your head, then open the answer to see why each choice is right or wrong.

Sample 1Physiological Adaptation · Illness management · Select all that apply

A client in the emergency department is having an asthma attack and has received two albuterol nebulizer treatments. Which findings would indicate the client is developing status asthmaticus? Select all that apply.

ABreath sounds are now barely audible and wheezing has stopped
BPeak flow reading is now 85% of the client's personal best value
CClient is becoming drowsy and hard to arouse
DClient speaks in full sentences without pausing for breath
ESpO2 has fallen from 94% to 86% on room air
FLips have a bluish color

Show the answer and why

Correct answer: A, C, E, F

Status asthmaticus is a severe attack that does not respond to bronchodilators and corticosteroids. Signs include a silent chest, worsening hypoxemia, decreased alertness, cyanosis and exhaustion. Losing the wheeze in a client who is still struggling to breathe is ominous because it means very little air is moving.

ACorrect: a silent chest (minimal or no breath sounds) means airflow is severely limited.
BA peak flow of at least 80% of personal best is in the green zone and indicates control.
CCorrect: decreasing mental alertness signals worsening hypoxemia and fatigue.
DBeing able to talk in full sentences shows adequate airflow; trouble talking is the emergency sign.
ECorrect: a falling SpO2 despite treatment shows worsening hypoxemia.
FCorrect: cyanosis is a sign of a life-threatening attack.

Source: Open RN Health Alterations, 6.5 Asthma

Sample 2Pharmacology · Adverse effects, contraindications, interactions · Matrix / grid

A male client is on day 5 of IV gentamicin for pyelonephritis. For each finding, indicate whether it suggests a gentamicin adverse effect or reflects the expected response to treatment.

Finding	Suggests an adverse effect	Expected response to treatment
New ringing in both ears
WBC 8,600/microL, down from 14,200/microL (4,500–11,000/microL)
Creatinine 1.9 mg/dL, up from 0.9 mg/dL (0.7–1.3 mg/dL for males)
Temperature 98.8°F (37.1°C), down from 101.6°F (38.7°C)
Numbness and tingling in both feet
Episodes of dizziness with a spinning feeling

Show the answer and why

New ringing in both ears: Suggests an adverse effectAdverse effect: ringing in the ears is a sign of ototoxicity.
WBC 8,600/microL, down from 14,200/microL (4,500–11,000/microL): Expected response to treatmentExpected: a WBC falling back into the normal range shows the infection is responding.
Creatinine 1.9 mg/dL, up from 0.9 mg/dL (0.7–1.3 mg/dL for males): Suggests an adverse effectAdverse effect: a creatinine that has doubled and is above the normal range points to kidney damage.
Temperature 98.8°F (37.1°C), down from 101.6°F (38.7°C): Expected response to treatmentExpected: resolution of the fever is a sign that the antibiotic is working.
Numbness and tingling in both feet: Suggests an adverse effectAdverse effect: new numbness or tingling in the extremities suggests neurotoxicity.
Episodes of dizziness with a spinning feeling: Suggests an adverse effectAdverse effect: vertigo can accompany gentamicin damage to the inner ear.

Aminoglycosides such as gentamicin can damage the ears (ototoxicity), the kidneys (nephrotoxicity) and nerves (neurotoxicity), so the nurse watches for tinnitus, hearing loss, vertigo, a rising creatinine, falling urine output and numbness or tingling. A falling WBC count and the end of the fever show that the infection is responding. Adverse findings are reported to the provider, who adjusts therapy using peak and trough levels.

Source: Open RN Nursing Pharmacology, 3.12 Aminoglycosides · MedlinePlus: Gentamicin Injection · MedlinePlus: WBC count · MedlinePlus: Creatinine blood test

Who it's for

A good fit if

You are finishing (or have finished) an RN program and will take the NCLEX-RN.
You want practice with Next Generation formats: matrix, drop-down, highlight, bow-tie and case studies.
You want to see which test plan categories cost you the most points.
You failed once and want to work on the weak areas in your Candidate Performance Report.

Look elsewhere if

You are taking the NCLEX-PN. Our bank follows the RN test plan only.
You want an adaptive (CAT) mock exam that predicts pass or fail. Our tests are fixed sets and do not predict results.
You want live review classes or a tutor.

What's free, what a plan adds

Free for everyone

179 free practice questions in practice mode, including 7 case studies
All 40 NCLEX-RN lessons
A diagnostic test with your score for each category, and the first 3 days of a study plan
The NCLEX-RN cheat sheet PDF
Your last 10 mistakes to retry

Added with a plan

538 more questions, for 717 in all
17 more unfolding case studies
Timed exam mode, and practice sets on one topic
A score for every topic, weakest first, and your whole study plan with calendar export
Your whole mistake book, brought back on day 1, 3, 7 and 14
The TEAS 7, HESI A2 and PTCB banks at no extra cost

Not included

Real NCLEX questions. Ours are original and follow the public test plan.
An adaptive test or a pass/fail prediction
NCLEX-PN content
Medical advice. Everything here is for exam study only.

Plans and price

Every plan opens the full NCLEX-RN bank, plus the other three exam banks. Plans renew automatically until you cancel. Cancel anytime in your account; you keep access until the end of the period you paid for.

1 month $29 billed monthly Renews automatically at $29 every month until you cancel.
3 months $59 ≈ $19.67 a month Save 32% vs. 1 month Renews automatically at $59 every 3 months until you cancel.
6 months $79 ≈ $13.17 a month Save 55% vs. 1 month Renews automatically at $79 every 6 months until you cancel.

NCSBN requires at least 45 test-free days between attempts. If you might need a retake, the 6-month plan covers that wait and a second round of study. Otherwise, pick the plan that lasts until your test date.

Choose a plan Start free first

7-day full refund

Changed your mind? Email us within 7 days of your first payment and we refund all of it. No questions asked.

Didn't pass? +2 months free

Didn't pass the NCLEX-RN? Email us the Candidate Performance Report your nursing board sends when a candidate fails, within 30 days of getting your official result. We give you 2 more months of access for free, so you can prepare for the retake. Auto-renew is turned off, so those months are never charged.

Your access must be active on your test date. One extension per exam. It is extra study time, not a cash refund: we turn off auto-renew and the free months start when your paid period ends. Full terms: refund policy.

Prices in USD. Sales tax or VAT may be added at checkout, depending on where you live. Payment is handled by Creem, our Merchant of Record.

Questions about the NCLEX-RN course

How many NCLEX-RN questions are in the course?

717 in all, across all 8 client-needs areas: Management of Care 103, Safety and Infection Control 90, Health Promotion 79, Psychosocial Integrity 79, Basic Care and Comfort 79, Pharmacology 98, Reduction of Risk 97, Physiological Adaptation 92. 179 are free. A plan opens the other 538.

Does it include Next Generation NCLEX (NGN) questions?

Yes. The bank has Multiple choice (260), Matrix / grid (134), Select all that apply (130), Drop-down (cloze) (87), Highlight (61), Bow-tie (31), Fill in the blank (14). 144 of these questions sit inside 24 unfolding case studies.

How do the case studies work?

Each real NCLEX-RN includes three case studies. A case study is six questions about one client, one for each step of clinical judgment: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action and evaluate outcomes. Ours follow the same six steps.

Is it adaptive like the real NCLEX?

No. The real NCLEX-RN adapts to your answers and ends anywhere from 85 to 150 questions, within 5 hours. Our practice sets are fixed. Use them to learn and find weak areas, not to predict a result.

How is partial credit scored?

NCSBN gives partial credit on items with more than one correct answer. Our scoring uses two of the methods NCSBN describes: plus/minus (a wrong pick takes a point away) and 0/1 (each row or blank scores on its own). So a "select all" item can earn some points even when it is not perfect.

I failed the NCLEX. Can this help?

Yes. Your Candidate Performance Report shows your weaker test plan areas. Practice those categories first. NCSBN requires at least 45 test-free days before you retest. If your access was active on your test date, our "Didn't pass" extension adds 2 free months.

Are these real NCLEX questions?

No. HealthcareExams is independent and is not connected to NCSBN. Our questions are original practice items written to the public test plan. NCSBN posts its own sample items on nclex.com.

Does the plan renew automatically?

Yes. Your plan renews at the same price until you cancel: $29 every month, $59 every 3 months or $79 every 6 months. We email you 7 days before each renewal. To stop it, press "Turn off auto-renew" in your account. You keep access until the end of the period you paid for.

Sources

NCSBN: 2026 NCLEX-RN Test Plan (PDF) (accessed October 15, 2026)
NCSBN: 2026 NCLEX Examination Candidate Bulletin (PDF) (accessed October 15, 2026)
NCSBN: Candidate Performance Report (accessed October 15, 2026)
NCSBN: Next Generation NCLEX (accessed October 15, 2026)

HealthcareExams is independent. It is not affiliated with or endorsed by NCSBN. NCLEX and NCLEX-RN are trademarks of NCSBN. For exam study only, not medical advice. Our questions are original practice items; how we write and check them is on our editorial policy page.