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NCLEX-RN Practice Questions & Quiz

Take a free practice quiz or point your phone at any NCLEX-RN question for an instant, explained answer — clinical judgment and prioritization, without the guesswork.

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Built for exactly this kind of question.

The Next Generation NCLEX's Clinical Judgment Measurement Model asks you to recognize cues, prioritize hypotheses, and pick the safest nursing action out of several options that all sound clinically reasonable — the hard part is ranking them, not just naming one. Cambo reads the exact scenario and explains which action comes first and why, not just which option is correct.

Test yourself with real practice questions.

A nurse is caring for four patients. Which patient should the nurse assess FIRST?

  1. AA patient reporting incisional pain rated 4/10 two hours after surgery
  2. BA patient with new-onset shortness of breath and an oxygen saturation of 88%
  3. CA patient requesting a scheduled pain medication
  4. DA patient asking for help getting to the bathroom
Tap the card to reveal the answer
Answer
BA patient with new-onset shortness of breath and an oxygen saturation of 88%
The patient with new-onset shortness of breath and low oxygen saturation — this signals a possible airway/breathing emergency and takes priority over pain, routine requests, or ambulation.

Using the ABC (Airway, Breathing, Circulation) framework, which finding requires the most immediate nursing intervention?

  1. ABlood pressure of 138/86 mmHg
  2. BHeart rate of 92 beats per minute
  3. CStridor and use of accessory muscles to breathe
  4. DTemperature of 100.4°F (38°C)
Tap the card to reveal the answer
Answer
CStridor and use of accessory muscles to breathe
Stridor with accessory muscle use signals airway compromise — under the ABC framework, airway problems are addressed before breathing, circulation, or other vital sign changes.

A nurse is delegating tasks to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which task is appropriate to delegate to the UAP?

  1. AAdministering an oral medication
  2. BAssessing a new patient's admission vital signs baseline
  3. CTaking routine vital signs on a stable patient
  4. DTeaching a patient how to use an insulin pen
Tap the card to reveal the answer
Answer
CTaking routine vital signs on a stable patient
Taking routine vital signs on a stable patient — this task is within a UAP's scope, while medication administration, assessment, and patient teaching require licensed nursing judgment.

A patient with heart failure suddenly develops severe shortness of breath, pink frothy sputum, and crackles throughout both lung fields. The nurse recognizes these findings as most consistent with which condition?

  1. APulmonary embolism
  2. BAcute pulmonary edema
  3. CPneumothorax
  4. DAsthma exacerbation
Tap the card to reveal the answer
Answer
BAcute pulmonary edema
Acute pulmonary edema — pink frothy sputum with bilateral crackles in a patient with heart failure is a classic sign of fluid backing up into the lungs, requiring immediate intervention.

Which laboratory value is most important for the nurse to verify before administering a scheduled dose of warfarin?

  1. AWhite blood cell count
  2. BINR (International Normalized Ratio)
  3. CBlood glucose
  4. DSerum creatinine
Tap the card to reveal the answer
Answer
BINR (International Normalized Ratio)
INR — warfarin is an anticoagulant, and the INR shows how much the drug is thinning the blood; a value outside the therapeutic range signals a need to hold the dose and notify the provider.

A postoperative patient's urine output has been less than 20 mL/hour for the past two hours. What should the nurse do FIRST?

  1. AIncrease the IV fluid rate without notifying the provider
  2. BDocument the finding and reassess in four hours
  3. CNotify the healthcare provider of the decreased urine output
  4. DEncourage the patient to drink more fluids orally
Tap the card to reveal the answer
Answer
CNotify the healthcare provider of the decreased urine output
Notify the healthcare provider — urine output this low can signal hypovolemia, kidney injury, or a postoperative complication, and needs prompt provider notification rather than waiting or self-treating.
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Questions, answered.

How many questions are on the NCLEX-RN?

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Between 85 and 150, since it's a computer-adaptive test (CAT) that stops once it's 95% confident in a pass or fail determination.

What is the passing standard for the NCLEX-RN?

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There's no fixed percentage or number correct — passing is based on your estimated ability relative to a passing standard set in logits, which NCSBN reviews periodically.

What is the Next Generation NCLEX (NGN)?

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The current NCLEX format, which added Clinical Judgment Measurement Model case studies (like several of the practice items above) that test recognizing cues and prioritizing actions, not just recalling facts.

Is Cambo affiliated with NCSBN or the official NCLEX program?

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No. Cambo is an independent study tool and isn't produced, endorsed, or affiliated with the National Council of State Boards of Nursing (NCSBN).

How soon can I retake the NCLEX-RN if I fail?

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Most candidates must wait 45 days from their last test date before retaking, though some state boards of nursing set longer waiting periods.

How many times can I take the NCLEX-RN?

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Up to eight times per year under NCSBN's policy, though individual state boards may set more restrictive limits, and most require passing within a set window after nursing program graduation.

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