NCLEX-RN (Next Generation)

Exam at a glance

Questions

150

Duration

300 minutes

Pass mark

not published

Sections

Computerized adaptive test, 85 to 150 items (incl. 15 unscored), up to 5 hours · Pass/fail against the NCSBN passing standard (95% confidence rule) · Also used by Canadian provincial nursing regulators

Exam type

Written

Language

English

Authority

NCSBN

Curriculum

Built from the question bank and updated automatically when new questions are added. 8 modules · 732 questions · Last updated: 30 October 2026

1. 01Basic care and comfort50 questions · 6.8 % 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 position should the nurse use during and for 30 to 60 minutes after an enteral tube feeding?

   AHead of bed at least 30 degreesBFlat supineCTrendelenburg with the feet raisedDProne

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

   MarkCheck answer
2. 02Health promotion and maintenance89 questions · 12.2 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   A client's last menstrual period began on March 10. Using Naegele's rule, what is the estimated date of birth?

   ADecember 3BJanuary 17CDecember 17DNovember 17

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

   MarkCheck answer
3. 03Management of care107 questions · 14.6 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   Which statement describes the nurse's role when a client signs an informed consent form for a procedure?

   AThe nurse explains the risks and alternativesBThe nurse decides if the procedure is necessaryCThe nurse witnesses the client's signatureDThe nurse signs on behalf of a confused client

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

   MarkCheck answer
4. 04Pharmacological and parenteral therapies103 questions · 14.1 % 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

   Which medication should the nurse have available to reverse a heparin overdose?

   AVitamin K (phytonadione)BProtamine sulfateCNaloxoneDAtropine

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

   MarkCheck answer
5. 05Physiological adaptation101 questions · 13.8 % 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
   • Foundations: ABCDE approach and airway basics
   • Foundations: life-threatening chest emergencies
   • Foundations: shock, burns and sepsis

   Sample question

   Sample question1 / 1 · 0 correct

   A client with sickle cell disease is admitted in a vaso-occlusive crisis. Which intervention is the nurse's priority?

   APrompt IV opioid analgesia with hydrationBCold packs on painful joints every 2 hoursCRestricting oral fluidsDDelaying analgesia until labs return

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

   MarkCheck answer
6. 06Psychosocial integrity93 questions · 12.7 % of the bank
7. 07Reduction of risk potential92 questions · 12.6 % of the bank

   Chapters

   • Foundations: patient positions and peripheral intravenous cannulas
   • Foundations: urinary catheters and nasogastric tubes
8. 08Safety and infection control97 questions · 13.3 % 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.

Frequently asked questions