NCLEX-PN (Next Generation)

Exam at a glance

Questions

150

Duration

300 minutes

Pass mark

not published

Sections

Computerized adaptive test, 85 to 150 items (15 unscored, 18 in three clinical judgment case studies), 5 hours incl. breaks · Pass/fail against the NCSBN passing standard · Licensed practical/vocational nurse (LPN/LVN); RPN in Ontario

Exam type

Written

Language

English

Authority

NCSBN

Curriculum

Built from the question bank and updated automatically when new questions are added. 8 modules · 420 questions · Last updated: 30 October 2026

1. 01Basic care and comfort53 questions · 12.6 % of the bank

   Chapters

   • Foundations: patient positions and peripheral intravenous cannulas
   • Foundations: urinary catheters and nasogastric tubes
   • Foundations: safe medication administration and injections
   • Foundations: preventing and staging pressure injuries

   Sample question

   Sample question1 / 1 · 0 correct

   Which client finding indicates a stage 2 pressure injury?

   AIntact skin with redness that does not blanchBA shallow open area with a pink wound bedCFull-thickness loss with visible fatDExposed bone at the base of the wound with tunneling

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
2. 02Coordinated care73 questions · 17.4 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   Which statement by a client correctly describes a durable power of attorney for health care?

   A"My daughter will manage my bank accounts for me."B"It lists the medicines I am taking now."C"It takes effect as soon as I enter the hospital, even if I am alert."D"My daughter will make treatment decisions if I cannot."

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
3. 03Health promotion and maintenance11 questions · 2.6 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   At what age should a child typically begin walking alone?

   AAbout 6 monthsBAbout 12 monthsCAbout 18 months for most childrenDAbout 3 months

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
4. 04Pharmacological therapies62 questions · 14.8 % of the bank

   Chapters

   • Foundations: dosage forms and inhaler technique
   • Foundations: the concentration–time curve and receptor types
   • Foundations: safe medication administration and injections
   • Foundations: preventing and staging pressure injuries

   Sample question

   Sample question1 / 1 · 0 correct

   When mixing regular and NPH insulin in one syringe, which should the practical nurse draw up first?

   ANPH insulinBEither oneCDraw them in separate syringes and combine them in the client's vialDRegular insulin

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
5. 05Physiological adaptation53 questions · 12.6 % of the bank

   Chapters

   • Foundations: anatomy of the heart
   • Foundations: conduction system and cardiac cycle
   • Foundations: circulation and blood vessels
   • Foundations: anatomy of the respiratory tract
   • Foundations: alveoli and gas exchange
   • Foundations: mechanics and control of breathing

   Sample question

   Sample question1 / 1 · 0 correct

   Which breathing technique should the practical nurse reinforce for a client with COPD?

   ARapid shallow breathingBHolding the breathCPursed-lip breathingDBreathing in through the mouth and out through the nose quickly

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
6. 06Psychosocial integrity54 questions · 12.9 % of the bank
7. 07Reduction of risk potential54 questions · 12.9 % of the bank

   Chapters

   • Foundations: patient positions and peripheral intravenous cannulas
   • Foundations: urinary catheters and nasogastric tubes
8. 08Safety and infection control60 questions · 14.3 % of the bank

   Chapters

   • Foundations: hand-rub technique and personal protective equipment

What you get

• Question bank with a detailed explanation for every answer
• Timed mock exams in the real exam format, with score report by topic
• Personal study plan up to your exam date and review of weak topics
• AI tutor that explains any question in plain words
• One account for the app (iPhone, iPad) and the browser

From registration to licence

The usual steps with NCSBN. Details can change; check the current rules with NCSBN before you register.

1. Check eligibility and collect your documents (degree, experience, good standing).
2. Create an account with NCSBN and submit the application.
3. Receive the exam eligibility and book a date with the test centre.
4. Sit the exam. Results usually come within days.
5. After passing: complete licensing (for example primary source verification) and receive your licence.

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