NCLEX RN Board Review Questions and Practice Tests

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“My name is Vania and I graduated from RN school almost a year ago. BoardVitals have been a huge help to me studying for the exam. You're allowed to pick the amount of questions, the type of questions from different categories. So I can make sure I can focus on what I have difficulty in and make sure I remembered the stuff I knew already. BoardVitals is a great source and I would recommend this to anyone who will be taking the RN exam.”

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NCLEX-RN Board Review Topics Covered:

  • Nutrition
  • Pediatric
  • Physiological Integrity - Physiological Adaptation
  • Physiological Integrity - Reduction of Risk Potential
  • Physiological Integrity - Basic Care and Comfort
  • Psychosocial Integrity - General
  • Health Promotion and Maintenance - General
  • Safe and Effective Care Environment - Safety and Infection Control
  • Safe and Effective Care Environment - Management of Care
  • Health Promotion and Maintenance - Health Screening
  • Physiological Integrity - Pharmacological and Parenteral Therapies
  • ALTERNATE FORMAT Physiological Integrity - Pharmacological and Parenteral Therapies
  • ALTERNATE FORMAT Health Promotion and Maintenance - Health Screening
  • ALTERNATE FORMAT Safe and Effective Care Environment - Management of Care
  • ALTERNATE FORMAT Safe and Effective Care Environment - Safety and Infection Control
  • ALTERNATE FORMAT Health Promotion and Maintenance - General
  • ALTERNATE FORMAT Psychosocial Integrity - General
  • ALTERNATE FORMAT Physiological Integrity - Basic Care and Comfort
  • ALTERNATE FORMAT Physiological Integrity - Reduction of Risk Potential
  • ALTERNATE FORMAT Physiological Integrity - Physiological Adaptation
  • Med-Surg
  • Maternity
  • Gerontology
  • Psychiatric
  • Leadership-Management
  • Audio Questions
  • Adult Medical Surgical
  • Leadership

Information about the NCLEX-RN

What is covered on the NCLEX RN exam?

According to the NCSBN* NCLEX RN Test Plan, the following 4 major Client Needs categories will be covered on the exam:

  • Safe and Effective Care Environment
    • Management of Care 17-23%
    • Safety and Infection Control 9-15%
  • Health Promotion and Maintenance 6-12%
  • Psychosocial Integrity 6-12%
  • Physiological Integrity
    • Basic Care and Comfort 6-12%
    • „Pharmacological and Parenteral Therapies 12-18%
    • „Reduction of Risk Potential 9-15%
    • „Physiological Adaptation 11-17%

The BoardVitals NCLEX RN question bank are developed around the content distribution suggested by the NCSBN.

*Note that BoardVitals is not associated with the NCSBN.

How long is the NCLEX RN Exam?

The NLCEX RN exam is a computer adaptive test and can consist of anywhere between 75 to 265 questions. The length of the exam depends on the candidate’s responses to the items.

The NCSBN advises candidates to maintain a reasonable pace of spending only one or two minutes on each question and that candidates should keep a pace that will allow them to complete the exam within the allotted time should the maximum number of items be administered.

Most of the test is in multiple choice question (MCQ) format, but there are also questions that include multiple response, fill-in-the-blank, and hot spots. From what we’ve heard, there are very few hot-spotting questions.

What is Computer Adaptive Testing (CAT)?

Computer Adaptive Testing (CAT) is a type of computer-based testing used in the NCLEX exams that adjusts the exam’s level of difficulty to the examinee’s ability, resulting in a more valid and reliable measurement of a candidate’s nursing competence. It does so by determining how consistently an examinee can answer questions correctly that are more difficult than the minimum passing standard needed to practice entry level nursing.

How BoardVitals Computer Adaptive Testing Works

Computer Adaptive Testing helps educators gauge a student’s knowledge and readiness by understanding the difficulty level of questions a candidate can answer. The BoardVitals platform is programmed so every time a user answers a question correctly, subsequent questions will increase in difficulty until a question is answered incorrectly. Similarly, questions will get easier as more questions are answered incorrectly. The number and difficulty of questions will vary for each user because the exam is considered complete once the competence of the candidate is determined.

What is Alternate Item Format?

The NCLEX exams include questions in alternate item format, which is an exam question, or item, that does not use a standard four-option multiple-choice format. The following alternate item formats are included in the BoardVitals NCLEX question banks:

  • Multiple response items, requiring examinees to select two or more answers
  • Fill-in-the-blank calculation items, requiring examinees to type in numbers in a calculation
  • Ordered response items, requiring examinees to move options in a certain order
  • Hot spot items, requiring examinees to select an area of a figure to answer the presented problem
  • Audio format items, requiring examinees to select an answer after listening to an audio

The BoardVitals NCLEX PN question bank presents all of the different question types that you will see on the exam.