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Start your Free NCLEX-RN Practice Tests 2021

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Free NCLEX RN Practice Questions 2021

What is the NCLEX-RN Exam?

Time limit: Total testing time allowed is 6 hours, which contains all breaks and the tutorial and sample questions at the beginning. All breaks are optional in  NCLEX-RN Exam.

NCLEX-RN exam format: multiple-choice is the most of the test items, but there are some other types, such as:

  • multiple-choice with more than one answer
  • fill-in-the-blank calculation
  • ordered response
  • hot spots (you must “click” on a place on the screen to answer)

Number question: 75 is the minimum number of questions and 265 is the maximum. Among this, 15 of them are experimental questions that do not count toward the score, but you will not know which ones these are.

Passing score: 

The NCLEX-RN is scored using a unique system. Instead of receiving a point value that reflects either the number of correct answers or the average difficulty level of questions you answered, the score here will be a hundred in “logits.”

A logit is a unit of measurement that implies the relative difference between your estimated ability level (relied on your level of education, training, and experience) and your ability level (relied on how you performed on the test). The board sets up a revised passing standard every three years. At this test, you will need a logit of 0.00 or better.

This “logit” is being changed based on each question that you answer is the reason why there is such a wide range in the number of questions you’ll answer on the test. If you reach the minimum of 75 questions and the computer program is able to decide with 95% accuracy that you have either passed or failed, the test will end there.

NCLEX-RN Cost: $200.00

What is on the NCLEX-RN Exam?

Management of Care

Management of Care accounts for 17-23% of the exam. Some of the nursing actions contained in this subcategory are Advanced Directives, Advocacy, Case Management, Client Rights, Concepts of Management, Confidentiality, Continuity of Care, Quality Improvement, Delegation, Establishing Priorities, Ethical Practice, Informed Consent, Legal Responsibilities, Referrals, and Supervision.

Safe and effective care environment 

Safety and Infection Control accounts for 9-15%. Nursing actions consist of Accident Prevention, Error Prevention, Hazardous Materials, Surgical Asepsis, Standard Precautions, and Use of Restraints.

Health promotion and maintenance 

The second category is Health Promotion and Maintenance. These questions account for 6-12%. Nursing actions tested consist of the Aging Process, Ante/Intra/Postpartum and Newborn Care, Developmental Stages and Transitions, Disease Prevention, Health Screening, Lifestyle Choices, Physical Assessment Techniques, Health Promotion Programs, High-Risk Behaviors, and Self-Care.

Psychosocial integrity 

The third category is Psychosocial Integrity. It accounts for 6-12% of the exam and tested nursing actions consist of Coping Mechanisms, Grief and Loss, Mental Health Concepts, Spiritual Influence on Health, Sensory/Perceptual Alterations, Stress Management, Support Systems, Therapeutic Communication, Chemical Dependency, Behavioral Interventions, Crisis Intervention, Coping Mechanisms, End of Life Care, and Family Dynamics.

Physiological integrity 

The last category includes four concepts:

Basic Care and Comfort account for 6-12% on the NCLEX-RN exam. Nursing actions consist of this subcategory are Assistive Devices, Elimination, Mobility, Nonpharmacological Comfort Interventions, Nutrition, and Oral Hydration, Personal Hygiene, as well as Rest and Sleep.

Pharmacological and Parenteral Therapies accounts for 12-18%. Tested nursing actions consist of Adverse Effects, Contraindications, Blood and Blood Products, Central Venous Access Devices, Chemotherapy, Expected Effects, Intravenous Therapy, Medication Administration, Pharmacological Pain Management, Total Parenteral Nutrition, and Dosage Calculation.

Reduction of Risk Potential accounts for 9-15%. Its tested nursing actions consist of Diagnostic Tests, Laboratory Values, Potential for Complications from Surgical Procedures and Health Alterations, as well as Therapeutic Procedures.

Physiological Adaptation accounts for 11-17%. Its tested nursing actions consist of Alterations in the Body Systems, Fluid and Electrolyte Imbalances, Hemodynamics, Medical Emergencies, Pathophysiology, and Unexpected Response to Therapies.

What to bring?

Your Authorization to Test (ATT).

One form of signed identification consists of a picture. If you have altered your hair color, lost weight, or grown a beard, have a new picture ID made before the test day. The name on your ID must exactly fit the name on your ATT. Acceptable forms of identification consist of driver’s license, state/province identification, passport, and U.S. military ID.

What not to bring?

Do not bring any personal belongings

Do not bring any study materials to the test center

Tips and tricks

Always focus on the patient

Correct answers acknowledge their feelings, take into account their preference, or offer them a selection when possible.

Pick the “umbrella” answer

Is there a comprehensive answer that seems to have several correct answers under it? Maybe it’s the correct answer.

Watch for “global” words

Anything that makes you have to do something without any exception (always, never, only, every, must) is typically incorrect.

Stop worrying about the previous question

Don’t worry if you select the first answer for the last four questions. The test is randomized, so if you feel the answer is correct, choose it.

Live in an ideal world

Each question expects you to have a full staff and unlimited time to dedicate to each patient. Don’t remove an answer because it doesn’t seem “realistic” or “real life.”

Remember your ABCs

When mentioning priority (and there is a lot of priority on the NCLEX) remember- Airway, Breathing, Circulation, in that order. If those problems are taken care of, you can move on to addressing safety, pain, education, and the patient’s feelings.

Know your labs

Most of the time memorization isn’t super useful for the NCLEX, but lab values are an exception. You will not be given a range of normal and abnormal labs, so you must know the ins and outs of low, normal, and high values, unlike the clinical setting.

Remember your nursing interventions

Before you act, do you need more information? Notice: assessment, planning, then intervention.

Know your meds

Medication safety is large on the NCLEX because it’s huge in the career of a nurse. You will likely see a lot of medications you don’t know, so be sure to learn common prefixes, roots, and suffixes. If you have no idea what the medication is, look to the patient’s diagnosis for clues about what the drug should be doing for the patient.

Don’t pass the buck

Commonly the answer that tells you to call the doctor/therapist/someone else is wrong. The test is assessing what YOU would do, not how you would delegate. Calling the doctor can be the best option down the road, but there is usually another intervention you should perform first.

NCLEX - RN FAQs

How many questions are on the Nclex-RN 2021?

75 - 265 questions. Among this, 15 of them are experimental questions that do not count toward the score, but you will not know which ones these are.

What score do you need to pass Nclex-RN?

The NCLEX-RN is scored using a rather unique system. Rather than receiving a point value that reflects either the number of correct answers or the average difficulty level of questions you answered, the score here will be measured in “logits.” At this test, you will need a logit of 0.00 or better.

Is the Nclex really that hard?

In 2017, according to the National Council of State Boards of Nursing, 2017, the first-attempt NCLEX pass rate for U.S. -educated nursing students was 87%. 45.56 was the second-attempt pass rate for domestically-educated students taking the test. These results imply that it is a pretty difficult test. The questions are designed to test your main thinking, knowledge of the nursing process, and assessment skills.

What are good signs you passed Nclex?

Notice that the last question you took on the test and look it up to see if you got the right answer. If you were correct, you have chances that you passed.

What are the signs you failed the Nclex?

If the computer shuts off when you were at question 85 or even 76, this is a sign you didn’t pass the exam. Your test will only continue if you’ve reached the minimum passing standard; so it won’t immediately shut off if you’ve dipped below the pass rate. This is a sign that you’ve already reached the minimum levels required to pass.

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