The National Council Licensure Examination (NCLEX) is a test for the licensing of nurses in the United States. There are two types: the NCLEX-RN (for registered nurses) and the NCLEX-PN (for practical or vocational nurses). In order to become a licensed, entry-level nurse, candidates must pass the NCLEX, which is developed and administered as a joint effort by the following groups:
- NCLEX examination committee
- NCLEX Item Review Subcommittee
- National Council of State Boards of Nursing (NCSBN) Examinations Staff
- Pearson Test Services VUE
The NCLEX is a multiple choice, computerized adaptive testing exam, which means that the exam changes depending upon the answers the examinee gives. If a wrong answer is given, then the computer selects an easier problem. If a correct answer is given, then a more difficult question follows. The more difficult questions are worth more points.
The exam is five hours long, including a 15-minute tutorial at the beginning of the test and two ten-minute breaks. RN candidates will answer between 75-265 questions, while LPN candidate will be expected to answer between 85-205 questions.
To register for the NCLEX, you must submit an application for licensure to the board of nursing where you wish to be licensed, meet all of the board of nursing’s eligibility requirements to take the NCLEX, receive Authorization to Take Tests (ATTs) from your board of nursing, and pay for the NCLEX examination with Pearson VUE.
The test is administered by Pearson VUE and it can be taken on a wide variety of dates, year-round.
Once the state board certifies the examinee’s eligibility, it will send instructions and a list of test centers.
For additional information on the NCLEX,
- Visit the Pearson website,
- Email: firstname.lastname@example.org,
- Call 866-496-2539 (in the US), or
NCLEX Examination Program
Pearson Professional Testing
5601 Green Valley Drive
Bloomington, MN 55437-1099.
All other countries can find further contact information on the NCSBN site.
NCLEX-PN Practice Questions
1. A 65-year-old client presents herpes zoster. Place the pathophysiologic changes associated with herpes zoster in the proper sequence. Use all of the options.
- Fever, malaise, and red nodules appear in a dermatome distribution.
- The virus multiplies in the ganglia, causing deep pain, itching, and paresthesia or hyperesthesia.
- Vesicles crust and scab but no longer shed the virus.
- Residual antibodies from the initial infection mobilize but are ineffective.
- Vesicles appear filled with clear fluid or pus.
- Varicella-zoster virus is reactivated.
2. A nurse has received shift report on her clients and notices that they are of varying ages. In order to prepare for this shift, the nurse reviews Erikson’s five stages of psychosocial development. Place Erikson’s 5 stages in ascending chronological order, starting with infancy and progressing to toddlerhood, preschool age, school age, and adolescence. Use all of the options.
- Initiative verus guilt.
- Trust versus mistrust.
- Industry versus inferiority.
- Identify versus role confusion.
- Autonomy versus shame and doubt.
3. A client is hospitalized with bipolar disorder. She has had 5 depressive and manic cycles within the past 12-month period, and her mood changes occur within hours. Which of the following types of bipolar disorder does this pattern suggest?
- Bipolar I.
- Bipolar II.
- Cyclothymia (Bipolar III)
4. The nurse is assessing a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding does the nurse expect?
- Decreased urine osmolality.
- Decreased urinary output.
- Increased serum sodium levels.
- Increased blood urea nitrogen level.
5. The nurse is reviewing laboratory data on a client with a history of seizures. She notes the serum sodium to be 120 mEq/L. Which of the following actions takes priority?
- Assess the client for symptoms of hyponatremia and notify the physician of the lab results and assessment data.
- Assess the client for symptoms of hypernatremia and hypocalcemia and notify the physician of the lab results and assessment data.
- Immediately notify the physician of lab results
- No action is necessary as lab results are within normal limits.
NCLEX-RN Practice Questions
6. An elderly patient with pneumonia is admitted for IV antibiotic treatment. Which of the following observations indicates that the patient may be experiencing sepsis?
- Productive cough
- Increased fluid intake
- Respiratory rate of 20 breaths per minute
- BP 90/60, HR 115 BPM
7. An eight year old female contracts chicken pox (varicella virus). Which of the following family members should she absolutely avoid to prevent their contracting the virus?
- Her two-year old brother who has had the varicella vaccine
- Her ninety year old great-grandmother
- Her twenty-year old uncle on chemotherapy
- Her twin sister
- Autonomy versus shame and doubt.
8. A twelve year old patient arrives in the emergency room with the complaints of a stiff neck, headache, and fever for the last 24 hours. The physician suspects bacterial meningitis. What diagnostic test consent form should the nurse have the parent sign?
- Lumbar Puncture
- Head X-ray
- Pulse oximetry
9. A primigravid nineteen year old comes in to register at your prenatal clinic. You notice a picture of her cats that she has on her keychain. What should she be counseled to do while she is pregnant?
- She should pet her cats daily to reduce her stress
- She should not bathe her cats to reduce risk for allergies to dander
- She should not let them sleep in her bed in order to reduce nighttime waking
- She should not clean the cat box
10. A nurse is evaluating a patient who had a knee replacement earlier that day. Which of the following signs is indicative of a complication of that surgery?
- Pain at the wound site
- Reluctance to bear weight on the affected leg
- Decreased pulses in the ankle and decreased capillary refill of the toes on the affected leg
- Poor appetite