Free Nclex RN Questions and Answers

Aim of Nclex-RN  Examination is to check whether or not New Entry Level Nurses are competent to deliver safe nursing care to the clients. Nclex-RN questions are very easy when you prepare according the to latest "Test Plan" given by NCSBN.

The Test Plan explains about Four major client need categories from which questions are asked. Preparation Topics and Contents, related activity statements (from 2017 RN practice Analysis) under each categories and also the percentage of questions from each categories are given below. Apart from these, Types of Items (Questions) which will be asked in CAT and sample questions types are also given in Test Plan. For more information candidates should refer the latest Test Plan (2019).

Client Need Categories

Safe and Effective Care Environment

In this category, The nurse promotes achievement of client outcomes by providing and directing nursing care that enhances the care delivery setting in order to protect clients and health care personnel.

1. Management of Care (17-23%)

Nurses are the sole responsible persons from the admission through the discharge of a client. Registered Nurses deliver a safe and effective nursing care to meet the client needs throughout hospitalization of clients.

The following are some related contents, (but not limited to) as per 2019 Test Plan.

  1. Advance Directives/Self Determination/Life planning
  2. Advocacy
  3. Assignment, Delegation, Supervision
  4. Case Management
  5. Client Rights
  6. Collaboration with Interdisciplinary Team
  7. Concepts of Management
  8. Continuity of Care
  9. Establishing Priorities
  10. Ethical Practice
  11. Informed Content
  12. Information Technology
  13. Legal Rights and Responsibilities
  14. Performance Improvements
  15. Referrals

2. Safety and Infection Control (9-15%)

The nurse protects clients and health care personnel from health and environmental hazards.

Related Content includes (but not limited to) as per 2019 Test Plan

  1. Accident/Error/Injury Prevention
  2. Ergonomic Principles
  3. Handling Hazardous and Infectious Materials
  4. Home Safety
  5. Reporting of Incidence/Events/Irrelevant Occurrence/Variance
  6. Safe use of Equipment
  7. Standard precautions/Transmission-based precautions/Surgical Asepsis
  8. Use of Restraints and Safety Devices

Health Promotion and Maintenance (6-12%)

The Nurse provides and directs nursing care of the client that incorporates knowledge of expected growth and development; prevention and early detection of health problems, and strategies to achieve optimal health.

Related Contents include (but not limited to) as per 2019 Test Plan

  1. Aging Process
  2. Ante/Intra/Postpartum and Newborn care
  3. Developmental Stages and Transitions
  4. Health Promotion/Disease Prevention
  5. Health Screening
  6. Health Risk Behaviors
  7. Life style choices
  8.  Self Care
  9. Techniques of Physical Assessment

Psychosocial Integrity (6-12%)

The nurse provides and directs nursing care that promotes and supports the emotional, mental and social well-being of the client experiencing stressful events, as well as clients with acute or chronic mental illness.

Related content include but not limited to

  1. Abuse/Neglect
  2. Behavioral Interventions
  3. Coping Mechanisms
  4. Crisis Interventions
  5. Cultural Awareness/Cultural Influences on Health
  6. End of Life Care
  7. Family Dynamics
  8. Grief and Loss
  9. Mental Health Concepts
  10. Religious and Spiritual Influences on Health
  11. Sensory Perceptual Alterations
  12. Stress Management
  13. Substance use and other disorders and dependencies
  14. Support Systems
  15. Therapeutic Communication
  16. Therapeutic Environment

Basic Care & Comfort (6-12%)

The nurse provides comfort and assistance in the performance of activities of daily living

Related content includes, but is not limited to:

  1. Assistive Devices
  2. Elimination
  3. Mobility/Immobility
  4. Non-Pharmacological comfort Interventions
  5. Nutrition and oral hydration
  6. Personal Hygiene
  7. Rest and Sleep

Pharmacological and Parenteral Therapies (12-18%)

The nurse provides care related to the administration of medications and parenteral therapies.

Related content includes, but is not limited to

  1. Adverse Effects/Contraindications/ Side Effects/Interactions
  2. Blood and Blood Products
  3. Central Venous Assistive Devices
  4. Dosage Calculation
  5. Expected Actions and Outcomes
  6. Medical Administration
  7. Parenteral/Intravenous Therapies
  8. Pharmacological Pain Management
  9. Total Parenteral Nutrition

Reduction of Risk Potential (9-15%)

The nurse reduces the likelihood that clients will develop complications or health problems related to existing conditions, treatments or procedures.

Related content includes, but is not limited to:

  1. Changes/Abnormalities in Vital Signs
  2. Diagnostic Tests
  3. Laboratory Values
  4. Potential for Alterations in Body Systems
  5. Potential for Complications of Diagnostic Tests/Treatment Procedures
  6. Potential for Complications from Surgical Procedures and Health Alterations
  7. System Specific Assessments
  8. Therapeutic Procedures

Physiological Adaptation (11-17%)

The nurse manages and provides care for clients with acute, chronic or life threatening physical health conditions.

Related content includes, but is not limited to:

  1. Alterations in Body Systems
  2. Fluid and Electrolyte Imbalances
  3. Hemodynamics
  4. Illness management
  5. Medical Emergencies
  6. Pathophysiology
  7. Unexpected Response to Therapies