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NCLEX-RN exam study guide

What's on the exam and how to study for it. Free to read, no sign-up.

The exam at a glance

Computer adaptive test with Next Generation NCLEX case studies. Up to 5 hours.

Main topic areas

Area
ASafe and effective care environment
BHealth promotion and maintenance
CPsychosocial integrity
DPhysiological integrity

How to study

  1. Prioritize with airway, breathing and circulation, then safety.
  2. Read for the client's most urgent problem, not the most familiar fact.
  3. Know delegation: keep assessment, teaching and evaluation with the RN.
  4. Practise clinical-judgment case studies, not just recall.
  5. Practise every day in short sets. When you miss one, work out why each wrong option is wrong.

Try 3 sample questions

Original practice questions from our NCLEX-RN bank, not real exam questions.

Question 1

Using the ABCs, which finding needs the nurse's attention first?

  1. A. A blood glucose of 4.0 mmol/L in an alert client
  2. B. Stridor in a client with an allergic reaction
  3. C. A client asking for pain medication
  4. D. A pressure injury on the sacrum
Show the answer

B. Stridor in a client with an allergic reaction

Stridor indicates partial airway obstruction, which takes priority over other needs.

Question 2

Which laboratory result should the nurse report first?

  1. A. Fasting glucose 6.0 mmol/L
  2. B. Sodium 137 mmol/L
  3. C. Potassium 6.4 mmol/L in a client with kidney disease
  4. D. Hemoglobin 118 g/L in a female client recovering from minor surgery
Show the answer

C. Potassium 6.4 mmol/L in a client with kidney disease

Severe hyperkalemia can cause fatal dysrhythmias.

Question 3

Which task is most appropriate to assign to a practical nurse (LPN/RPN)?

  1. A. Teaching a newly diagnosed diabetic
  2. B. Giving scheduled oral medications to a stable client
  3. C. Admitting a client from the emergency department
  4. D. Developing the initial plan of care for a new admission
Show the answer

B. Giving scheduled oral medications to a stable client

Practical nurses care for stable clients with predictable outcomes.

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Source

Checked October 2026. Exam details change, so confirm with your provincial regulator before you write. MedTestCoach is an independent study tool and isn't affiliated with any exam owner or regulator.