Practice

NCLEX practice questions

Free every day, with a daily cap. Everything you answer counts toward your six-step profile.

In short

Every item in the PrepScore bank carries two tags: the Client Needs category from the NCLEX-RN test plan, and the step of NCSBN's clinical judgment model it tests. That is what lets a wrong answer report which step failed rather than only that one did — and it is why practice can be aimed at a specific weakness instead of at volume.

What is in the bank

3,053practice questions

1,649Next Gen items

53unfolding cases

390rule cards

What an explanation contains

The reasoning, not just the answer. Why the credited option is credited.
Option by option, where the item carries it. Why the one you picked was tempting is the part that stops you picking it again.
The step it tested. So a run of wrong answers becomes a pattern rather than a list.

Practise by weakness, not by volume

The dashboard reports accuracy per clinical judgment step and links straight into practice filtered to the weakest one. You can also work a single Client Needs category or a single Next Gen format.

Safe and Effective Care Environment

Management of Care15–21%

Safety and Infection Prevention and Control10–16%

Health Promotion and Maintenance

Health Promotion and Maintenance6–12%

Psychosocial Integrity

Psychosocial Integrity6–12%

Physiological Integrity

Basic Care and Comfort6–12%

Pharmacological and Parenteral Therapies13–19%

Reduction of Risk Potential9–15%

Physiological Adaptation11–17%

Ranges, not points — an individual exam may differ by up to ±3% in each category. Source: 2026 NCLEX-RN Test Plan (NCSBN).

Practise by clinical topic

NCLEX Respiratory & Oxygenation questions

90 NCLEX respiratory & oxygenation questions with rationales, Client Needs and clinical judgment tags.

109 NCLEX medication safety questions with rationales, Client Needs and clinical judgment tags.

76 NCLEX cardiac & perfusion questions with rationales, Client Needs and clinical judgment tags.

96 NCLEX delegation & scope of practice questions with rationales, Client Needs and clinical judgment tags.

36 NCLEX safety & essential care questions with rationales, Client Needs and clinical judgment tags.

78 NCLEX endocrine emergencies questions with rationales, Client Needs and clinical judgment tags.

86 NCLEX neurological emergencies questions with rationales, Client Needs and clinical judgment tags.

48 NCLEX maternal & newborn questions with rationales, Client Needs and clinical judgment tags.

77 NCLEX mental health & substance use questions with rationales, Client Needs and clinical judgment tags.

141 NCLEX management of care questions with rationales, Client Needs and clinical judgment tags.

138 NCLEX reduction of risk potential questions with rationales, Client Needs and clinical judgment tags.

109 NCLEX basic care & health promotion questions with rationales, Client Needs and clinical judgment tags.

87 NCLEX professional practice & leadership questions with rationales, Client Needs and clinical judgment tags.

53 NCLEX infection control & procedural safety questions with rationales, Client Needs and clinical judgment tags.

101 NCLEX pharmacology deep dive questions with rationales, Client Needs and clinical judgment tags.

46 NCLEX mental health therapeutic communication questions with rationales, Client Needs and clinical judgment tags.

67 NCLEX comfort & therapeutic procedures questions with rationales, Client Needs and clinical judgment tags.

88 NCLEX diagnostics & lab interpretation questions with rationales, Client Needs and clinical judgment tags.

55 NCLEX safety standards & identification questions with rationales, Client Needs and clinical judgment tags.

76 NCLEX lifespan & wellness questions with rationales, Client Needs and clinical judgment tags.

67 NCLEX pediatric emergencies & common conditions questions with rationales, Client Needs and clinical judgment tags.

42 NCLEX geriatric specialty care questions with rationales, Client Needs and clinical judgment tags.

138 NCLEX priority triage practice questions with rationales, Client Needs and clinical judgment tags.

77 NCLEX gi disorders questions with rationales, Client Needs and clinical judgment tags.

71 NCLEX renal & urinary questions with rationales, Client Needs and clinical judgment tags.

61 NCLEX oncology care questions with rationales, Client Needs and clinical judgment tags.

84 NCLEX musculoskeletal & trauma questions with rationales, Client Needs and clinical judgment tags.

77 NCLEX hematology & transfusion questions with rationales, Client Needs and clinical judgment tags.

94 NCLEX critical care & shock questions with rationales, Client Needs and clinical judgment tags.

64 NCLEX immunology & autoimmune questions with rationales, Client Needs and clinical judgment tags.

108 NCLEX perioperative & pacu questions with rationales, Client Needs and clinical judgment tags.

61 NCLEX fluid, electrolyte & acid-base questions with rationales, Client Needs and clinical judgment tags.

73 NCLEX mental health disorders deep dive questions with rationales, Client Needs and clinical judgment tags.

24 NCLEX pediatric specialty deep dive questions with rationales, Client Needs and clinical judgment tags.

36 NCLEX maternal & newborn deep dive questions with rationales, Client Needs and clinical judgment tags.

34 NCLEX eye, ear, ent & skin questions with rationales, Client Needs and clinical judgment tags.

85 NCLEX infection control mastery questions with rationales, Client Needs and clinical judgment tags.

95 NCLEX comfort care pro questions with rationales, Client Needs and clinical judgment tags.

105 NCLEX high-alert medications questions with rationales, Client Needs and clinical judgment tags.

The rule cards, published

Priority and triage rules for the NCLEX

169 priority and triage rules from the PrepScore bank, with the clinical pack for each reasoning shortcut. Read every card free.

114 medication safety rules from the PrepScore bank, with the clinical pack for each reasoning shortcut. Read every card free.

48 safety rules from the PrepScore bank, with the clinical pack for each reasoning shortcut. Read every card free.

34 therapeutic communication rules from the PrepScore bank, with the clinical pack for each reasoning shortcut. Read every card free.

13 delegation and scope rules from the PrepScore bank, with the clinical pack for each reasoning shortcut. Read every card free.

12 lab and data interpretation rules from the PrepScore bank, with the clinical pack for each reasoning shortcut. Read every card free.

Practise where your reasoning actually breaks

Every item is tagged to the step of clinical judgment it tests, so the report says where it went wrong — not just how many.

Start free

Frequently asked questions

Are the practice questions free?

You can practise every day for free with a daily cap. Everything you answer is saved and counts toward your clinical judgment profile.

Do the questions cover Next Gen formats?

Yes — matrix, bow-tie, ordering, drop-down cloze, highlight and select-N, each scored the way the exam scores it.

How are the questions organised?

By Client Needs category from the test plan, by clinical judgment step, and by topic pack.

Do I get an explanation for wrong answers?

Every item has a rationale, and most carry option-by-option reasoning as well.

Sources

2026 NCLEX-RN Test Plan (NCSBN)

Exam facts checked against the 2026 NCLEX-RN Test Plan on 30 August 2026.

Keep reading

By PrepScore · Last reviewed 2026-08-30 · Editorial standards