NCLEX RN Exam Mock Test +50 Questions and Explanations

NCLEX RN Nursing Questions with Explanations

NCLEX RN Exam Mock Test +50 Questions and Explanations
NCLEX RN Exam Mock Test +50 Questions and Explanations

NCLEX RN Exam Mock Test +50 Questions and Explanations free download

NCLEX RN Nursing Questions with Explanations

Hi Effective Preparation for the NCLEX RN Exam Test Prep 2025!


This course provides comprehensive test practice for those preparing for the THEA Texas Exam Test Prep 2024. With multiple-choice mock tests designed to match the exam format, you can refine your test-taking strategies, assess your knowledge, and identify areas for improvement.


The course includes topic-specific question sets and full-length practice exams. It offers a realistic exam experience to help you develop time management skills and gain familiarity with the test structure.


If you're looking to practice and evaluate your readiness for the NCLEX RN Exam Test Prep 2025, this course can be a useful resource.


[Disclaimer!] All questions in this test have been prepared according to the specified exam syllabus below. However, not all questions in this test may appear in the actual exam. This application is intended solely for exam preparation and practice purposes.


  • Safe and Effective Care Environment

    • Management of Care (17–23%): Focuses on the nurse’s role in directing and coordinating care. Includes prioritizing patient needs, delegating tasks to assistive personnel, collaborating with interdisciplinary teams, advocating for patients, maintaining confidentiality, and understanding legal/ethical issues (e.g., informed consent, advance directives).


    • Safety and Infection Control (9–15%): Covers protecting patients and staff from harm. Includes infection prevention (e.g., hand hygiene, isolation precautions), safe use of equipment, injury prevention (e.g., fall risks), and emergency response (e.g., fire safety, CPR).



  • Health Promotion and Maintenance (6–12%)

    • Emphasizes wellness and disease prevention across the lifespan. Includes teaching patients about health risks (e.g., smoking cessation), growth and development milestones (e.g., infant reflexes), prenatal/postpartum care, and screening techniques (e.g., breast self-exams).



  • Psychosocial Integrity (6–12%)

    • Addresses mental and emotional health. Includes therapeutic communication, coping mechanisms, support for grief or abuse, mental health disorders (e.g., depression, anxiety), and cultural/spiritual considerations in care.



  • Physiological Integrity

    • Basic Care and Comfort (6–12%): Focuses on daily living support. Includes mobility assistance (e.g., positioning), nutrition/hydration (e.g., feeding tubes), elimination (e.g., catheter care), and pain management.


    • Pharmacological and Parenteral Therapies (12–18%): Covers medication administration and effects. Includes dosage calculations, IV therapy, adverse reactions, and patient education on drugs (e.g., insulin, anticoagulants).


    • Reduction of Risk Potential (9–15%): Aims at preventing complications. Includes monitoring for changes (e.g., vital signs), diagnostic tests (e.g., interpreting EKGs), and interventions (e.g., suctioning).


    • Physiological Adaptation (11–17%): Manages acute and chronic illnesses. Includes pathophysiology (e.g., heart failure, COPD), medical emergencies (e.g., stroke), and fluid/electrolyte imbalances.



2. Integrated Processes


These are woven throughout all client needs categories, reflecting core nursing competencies:


  • Nursing Process: Assessment, analysis, planning, implementation, evaluation.


  • Caring: Providing compassionate, respectful care.


  • Communication and Documentation: Effective interaction and accurate record-keeping.


  • Teaching/Learning: Educating patients and families.


  • Culture and Spirituality: Respecting diverse beliefs and practices.


3. Clinical Judgment Measurement Model (CJMM)


Introduced with the NGN in 2023, this model assesses a nurse’s ability to make sound clinical decisions. It’s broken into six steps, tested via case studies and standalone items:


  1. Recognize Cues: Identify relevant patient data (e.g., abnormal vital signs).

  2. Analyze Cues: Interpret data to form hypotheses (e.g., linking fever to infection).

  3. Prioritize Hypotheses: Rank issues by urgency (e.g., airway over pain).

  4. Generate Solutions: Plan interventions (e.g., oxygen for hypoxia).

  5. Take Action: Implement the plan (e.g., administer medication).


  6. Evaluate Outcomes: Assess effectiveness (e.g., improved breathing).