PNFree practice test · 300 original questionsFree practice · 300 questions
NCLEX-PN Practice Test with Rationales
This free NCLEX-PN practice test follows the 2026 NCSBN test plan across all Client Needs categories, with a verified clinical rationale on every answer.
Questions written from the 2026 NCLEX-PN Test Plan (NCSBN) and verified against its clinical judgment framework. Internal QuizCram practice target. NCLEX uses computer-adaptive testing and an official logit passing standard, not a raw percentage.
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What the real exam covers
The 8 areas of the NCLEX-PN and their weights
Share of scored questions per area, from the NCSBN blueprint (2026 test plan, April 2026 to March 2029). All 300 questions in this bank are filed under these areas.
Coordinated care21% of the exam
Safety and infection prevention and control13% of the exam
Values outside these therapeutic windows indicate immediate physiological risk and must be reported immediately.
Potassium (K+)Normal: 3.5 – 5.0 mEq/L
<3.5 Arrhythmia & Digoxin toxicity
SAFE
>5.0 Peaked T-waves & Arrest
Sodium (Na+)Normal: 135 – 145 mEq/L
<120 Seizures & Cerebral Edema
SAFE
>160 Severe Dehydration
Total Calcium (Ca2+)Normal: 8.5 – 10.5 mg/dL
<8.5 Tetany, Chvostek / Trousseau
SAFE
>10.5 Muscle weakness & Stones
Magnesium (Mg2+)Normal: 1.5 – 2.5 mEq/L
<1.5 Hyperreflexia & Torsades
SAFE
>2.5 Depressed DTRs & Respiratory
Fasting GlucoseNormal: 70 – 100 mg/dL
<70 Diaphoresis & Tremors (Rule of 15)
SAFE
>126 Fasting Hyperglycemia
From the question bank
Try 3 more real questions
Tap an answer to check it. Every explanation cites the official source.
Q1Coordinated Care
A client signs a living will but later tells the nurse they want full treatment regardless. How should the nurse respond?
The answer is C.
The nurse should document the new verbal wishes and communicate them to the interdisciplinary team because the client retains the right to make healthcare decisions at any time Option A is incorrect because following an outdated document ignores the client's current wishes. Option D is incorrect because verbal statements take precedence over a previously signed document when the client is competent..
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Q2Coordinated Care
A nurse is preparing to transfer a client to a rehabilitation facility. Which action should the nurse take first?
The answer is C.
The nurse should first confirm acceptance by the receiving facility to prevent delays or gaps in care before proceeding with other transfer tasks Option A is incorrect because transportation arrangements come after confirming the facility can accept the client. Option D is incorrect because family notification is not the priority before transfer logistics are confirmed..
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Q3Coordinated Care
A client refuses a blood transfusion on religious grounds. The nurse notes that the physician has ordered the transfusion. What is the nurse's priority action?
The answer is B.
The nurse must document the refusal and notify the physician. The client has the right to refuse treatment, and the nurse advocates for informed decisions. Option A is incorrect because a physician order does not override a competent client's right to refuse. Option C is incorrect because persuading or coercing the client violates autonomy and informed consent. Option D is incorrect because an advocate cannot override a competent client's refusal.
The free mock exam runs 20 questions from the free set, once. Unlocking adds full-length runs of 85 questions from the whole bank. A practice mock exam, not an official replica.
NCSBN2026 NCSBN NCLEX-PN Test Plan & Clinical Judgment Measurement Model
About these questions
How we check these questions
Written from the source. Every question is our own wording of a fact in the 2026 NCSBN NCLEX-PN Test Plan & Clinical Judgment Measurement Model, never copied from a real exam.
Checked against its section. Each answer names the section it comes from, and the answer is checked against that text. Anything we cannot confirm there is not published.
Machine checks on the whole bank. Validators look for duplicates, missing explanations and missing sources.
Re-checked on changes. When NCSBN revises the source, the bank is audited again. Last update: October 7, 2026.
Questions written from the 2026 NCLEX-PN Test Plan (NCSBN) and verified against its clinical judgment framework. Spot an error? Email [email protected] with the question; we check it against the source and fix confirmed errors. Editorial policy.
The Next Generation NCLEX-PN (NGN) delivers between 85 and 150 items using Computerized Adaptive Testing (CAT). This includes 15 unscored pretest items. The maximum test time is 5 hours.
NCSBN uses a logit passing standard (-0.18 logits on the current scale). The exam stops once the computer is 95% certain that your ability is either clearly above or clearly below the passing standard.
If the exam terminates at the minimum of 85 questions, it means the computer has reached 95% statistical certainty about your result. If you were answering challenging questions and performing above the passing standard, an 85-question cutoff typically indicates a pass.
Yes. Every NCLEX-PN candidate receives 3 clinical judgment case studies with 6 questions each (18 items total), testing the 6 cognitive steps: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and evaluate outcomes. QuizCram's practice questions are standard four-option multiple choice with rationales; they do not reproduce the case-study item types.
NCSBN requires a minimum 45-day waiting period between exam attempts, though individual state boards of nursing may set additional local retake policies.
Yes. Open the exam simulator and sit a timed mock exam of 20 questions built from the free questions, once, with no signup. Unlocking the exam adds full-length runs of 85 questions in 85 minutes (a practice clock), as many as you like, each a new draw from the whole bank.
It splits the questions across the exam's areas using the weights NCSBN publishes, then picks questions inside each area, favouring ones you missed before and never repeating one within a run. A retake is a new draw, so you will meet different questions. It is a practice mock exam, not an official replica of the real exam.