NCLEX NGN RN (WITH ALL QUESTIONS FORMART) NEWEST ACTUAL EXAM ALL 150
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
Question 1
A graduate nurse is explaining the purpose of the NCLEX-RN® exam to a family member.
Which statement by the nurse indicates a correct understanding of the exam?
A) The exam provides feedback on specific clinical weaknesses.
B) The exam determines the candidate's ability to meet minimum standards for safe practice.
C) The exam identifies which candidates are most qualified for leadership roles.
D) The exam measures the effectiveness of the nursing school curriculum.
E) The exam prepares new graduates to be efficient staff nurses.
Correct Answer: B) The exam determines the candidate's ability to meet minimum
standards for safe practice.
Rationale: The primary purpose of the NCLEX-RN® is to protect the public. It is a
licensure exam designed to determine if a candidate possesses the minimum level of
competency required to perform safe and effective entry-level nursing care. It is not an
educational tool, a preparation program, or a ranking system for employers.
Question 2
Which statement by a nursing professor accurately describes the purpose of the NCLEX-RN®
test plan?
A) To ensure all candidates answer the same number of questions.
B) To ensure all candidates answer items of identical difficulty.
C) To ensure that all test items are job-related based on research.
D) To ensure that all clinical specialties are represented with equal questions.
E) To identify candidates who scored in the top 10% of their class.
Correct Answer: C) To ensure that all test items are job-related.
Rationale: The NCLEX® test plan is based on a "practice analysis" or job analysis of newly
licensed registered nurses. This research ensures that the questions on the exam reflect the
actual tasks and knowledge required in the current entry-level nursing environment,
ensuring the test is valid and relevant to the job.
Question 3
A student is concerned that a "huge amount" of the NCLEX® is related to psychiatric nursing.
According to the 2013/current detailed test plan, what percentage of the exam is dedicated to
Psychosocial Integrity?
A) 1% to 5%
B) 6% to 12%
C) 15% to 20%
D) 25% to 30%
E) 50% exactly
Correct Answer: C) Psychosocial integrity is the basis for 6% to 12% of the examination.
Rationale: While students often hear rumors that the test is "all psych," the test plan
actually designates between 6% and 12% of questions to Psychosocial Integrity. This
, Page 2
category includes concepts such as coping, mental health, and chemical dependency, but it
is not the largest portion of the exam.
Question 4
A graduate nurse is preparing for the identification process at the NCLEX® testing site. Which
of the following should the nurse expect?
A) To provide a handwriting sample.
B) To be thumbprinted and photographed.
C) To be placed in a locked testing cubicle for the duration.
D) To take a portion of the test using a paper-and-pencil format.
E) To bring a copy of their nursing school diploma.
Correct Answer: A) "I will be thumbprinted and photographed."
Rationale: To maintain high security and prevent fraud, the Pearson VUE testing centers
require all candidates to be photographed and thumbprinted. Additionally, a palm vein
reader is used for identification. The test is strictly computer-based and candidates are
monitored via camera, but they are not "locked" in cubicles.
Question 5
A graduate nurse is comparing the passing standards for the NCLEX-RN® across different
states. Which statement indicates understanding?
A) California requires a higher passing score than Florida.
B) Candidates from BSN programs must score higher than ADN graduates.
C) The passing score/standard is the same for licensure in all states.
D) ADN graduates must answer 80% of questions correctly to pass.
E) New York allows more time for the exam than other states.
Correct Answer: B) "The passing score is the same for licensure in all states."
Rationale: The NCLEX-RN® is a national examination. The National Council of State
Boards of Nursing (NCSBN) sets a universal passing standard of competency. This
standard does not change based on the state in which you are seeking licensure or the type
of nursing degree you hold.
Question 6
Which type of nursing position would best provide the clinical experience upon which the
majority of NCLEX® Exam questions are based?
A) Staff nurse in a home health setting.
B) Staff nurse in a psychiatric inpatient facility.
C) Staff nurse in an ambulatory pediatric clinic.
D) Staff nurse in a medical-surgical inpatient unit.
E) Staff nurse in a school-based health clinic.
Correct Answer: D) Staff nurse in a medical-surgical inpatient unit
Rationale: The majority of the NCLEX® test plan (approx. 50%) is focused on
Physiological Integrity. Research shows that most new graduates begin their careers in
, Page 3
hospital-based medical-surgical units. Therefore, the exam scenarios frequently reflect the
care of adult clients in acute care settings.
Question 7
What is considered the most effective review strategy for a graduate preparing for the NCLEX-
RN®?
A) Studying for 10 hours the day before the exam.
B) Studying 8 hours a day on every day off for 12 weeks.
C) Reviewing basic nursing content 2 to 3 hours a day, 3 days a week for 5 to 6 weeks.
D) Taking a 2-week review course and not studying at all outside of class.
E) Reading a single review book cover-to-cover in one weekend.
Correct Answer: C) Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6
weeks.
Rationale: Consistency and pacing are key to information retention. Studying 2-3 hours a
day a few times a week allows the brain to process information without the fatigue
associated with "cramming." Pacing the study over 5-6 weeks ensures comprehensive
coverage of the test blueprint.
Question 8
Which strategy is most helpful for a student dealing with test anxiety regarding the NCLEX®?
A) Studying every waking hour until the exam date.
B) Focusing entirely on facts and ignoring test-taking skills.
C) Practicing relaxation techniques and positive thinking/visualization.
D) Drinking multiple energy drinks on the morning of the exam.
E) Avoiding all breaks to maintain focus during study sessions.
Correct Answer: B) Practice relaxation techniques and positive thinking.
Rationale: Anxiety can hinder performance even if the candidate knows the material.
Positive thinking, visualization of success, and relaxation techniques help keep the
candidate in control of their emotions. Studying "all of the time" actually increases anxiety
and cognitive fatigue.
Question 9
The content of the NCLEX® Exam is primarily based on which of the following?
A) A practice analysis conducted by the National Council of State Boards of Nursing (NCSBN).
B) A survey of nursing faculty regarding what they enjoy teaching.
C) Reports from the National League of Nursing (NLN) regarding faculty shortages.
D) Contributions from the American Nurses Association (ANA) regarding politics.
E) Textbook chapters from the top three nursing publishers.
Correct Answer: A) "The exam is based on a practice analysis conducted by the National
Council of State Boards of Nursing."
Rationale: The NCSBN performs a job analysis every three years to see what new nurses
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
Question 1
A graduate nurse is explaining the purpose of the NCLEX-RN® exam to a family member.
Which statement by the nurse indicates a correct understanding of the exam?
A) The exam provides feedback on specific clinical weaknesses.
B) The exam determines the candidate's ability to meet minimum standards for safe practice.
C) The exam identifies which candidates are most qualified for leadership roles.
D) The exam measures the effectiveness of the nursing school curriculum.
E) The exam prepares new graduates to be efficient staff nurses.
Correct Answer: B) The exam determines the candidate's ability to meet minimum
standards for safe practice.
Rationale: The primary purpose of the NCLEX-RN® is to protect the public. It is a
licensure exam designed to determine if a candidate possesses the minimum level of
competency required to perform safe and effective entry-level nursing care. It is not an
educational tool, a preparation program, or a ranking system for employers.
Question 2
Which statement by a nursing professor accurately describes the purpose of the NCLEX-RN®
test plan?
A) To ensure all candidates answer the same number of questions.
B) To ensure all candidates answer items of identical difficulty.
C) To ensure that all test items are job-related based on research.
D) To ensure that all clinical specialties are represented with equal questions.
E) To identify candidates who scored in the top 10% of their class.
Correct Answer: C) To ensure that all test items are job-related.
Rationale: The NCLEX® test plan is based on a "practice analysis" or job analysis of newly
licensed registered nurses. This research ensures that the questions on the exam reflect the
actual tasks and knowledge required in the current entry-level nursing environment,
ensuring the test is valid and relevant to the job.
Question 3
A student is concerned that a "huge amount" of the NCLEX® is related to psychiatric nursing.
According to the 2013/current detailed test plan, what percentage of the exam is dedicated to
Psychosocial Integrity?
A) 1% to 5%
B) 6% to 12%
C) 15% to 20%
D) 25% to 30%
E) 50% exactly
Correct Answer: C) Psychosocial integrity is the basis for 6% to 12% of the examination.
Rationale: While students often hear rumors that the test is "all psych," the test plan
actually designates between 6% and 12% of questions to Psychosocial Integrity. This
, Page 2
category includes concepts such as coping, mental health, and chemical dependency, but it
is not the largest portion of the exam.
Question 4
A graduate nurse is preparing for the identification process at the NCLEX® testing site. Which
of the following should the nurse expect?
A) To provide a handwriting sample.
B) To be thumbprinted and photographed.
C) To be placed in a locked testing cubicle for the duration.
D) To take a portion of the test using a paper-and-pencil format.
E) To bring a copy of their nursing school diploma.
Correct Answer: A) "I will be thumbprinted and photographed."
Rationale: To maintain high security and prevent fraud, the Pearson VUE testing centers
require all candidates to be photographed and thumbprinted. Additionally, a palm vein
reader is used for identification. The test is strictly computer-based and candidates are
monitored via camera, but they are not "locked" in cubicles.
Question 5
A graduate nurse is comparing the passing standards for the NCLEX-RN® across different
states. Which statement indicates understanding?
A) California requires a higher passing score than Florida.
B) Candidates from BSN programs must score higher than ADN graduates.
C) The passing score/standard is the same for licensure in all states.
D) ADN graduates must answer 80% of questions correctly to pass.
E) New York allows more time for the exam than other states.
Correct Answer: B) "The passing score is the same for licensure in all states."
Rationale: The NCLEX-RN® is a national examination. The National Council of State
Boards of Nursing (NCSBN) sets a universal passing standard of competency. This
standard does not change based on the state in which you are seeking licensure or the type
of nursing degree you hold.
Question 6
Which type of nursing position would best provide the clinical experience upon which the
majority of NCLEX® Exam questions are based?
A) Staff nurse in a home health setting.
B) Staff nurse in a psychiatric inpatient facility.
C) Staff nurse in an ambulatory pediatric clinic.
D) Staff nurse in a medical-surgical inpatient unit.
E) Staff nurse in a school-based health clinic.
Correct Answer: D) Staff nurse in a medical-surgical inpatient unit
Rationale: The majority of the NCLEX® test plan (approx. 50%) is focused on
Physiological Integrity. Research shows that most new graduates begin their careers in
, Page 3
hospital-based medical-surgical units. Therefore, the exam scenarios frequently reflect the
care of adult clients in acute care settings.
Question 7
What is considered the most effective review strategy for a graduate preparing for the NCLEX-
RN®?
A) Studying for 10 hours the day before the exam.
B) Studying 8 hours a day on every day off for 12 weeks.
C) Reviewing basic nursing content 2 to 3 hours a day, 3 days a week for 5 to 6 weeks.
D) Taking a 2-week review course and not studying at all outside of class.
E) Reading a single review book cover-to-cover in one weekend.
Correct Answer: C) Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6
weeks.
Rationale: Consistency and pacing are key to information retention. Studying 2-3 hours a
day a few times a week allows the brain to process information without the fatigue
associated with "cramming." Pacing the study over 5-6 weeks ensures comprehensive
coverage of the test blueprint.
Question 8
Which strategy is most helpful for a student dealing with test anxiety regarding the NCLEX®?
A) Studying every waking hour until the exam date.
B) Focusing entirely on facts and ignoring test-taking skills.
C) Practicing relaxation techniques and positive thinking/visualization.
D) Drinking multiple energy drinks on the morning of the exam.
E) Avoiding all breaks to maintain focus during study sessions.
Correct Answer: B) Practice relaxation techniques and positive thinking.
Rationale: Anxiety can hinder performance even if the candidate knows the material.
Positive thinking, visualization of success, and relaxation techniques help keep the
candidate in control of their emotions. Studying "all of the time" actually increases anxiety
and cognitive fatigue.
Question 9
The content of the NCLEX® Exam is primarily based on which of the following?
A) A practice analysis conducted by the National Council of State Boards of Nursing (NCSBN).
B) A survey of nursing faculty regarding what they enjoy teaching.
C) Reports from the National League of Nursing (NLN) regarding faculty shortages.
D) Contributions from the American Nurses Association (ANA) regarding politics.
E) Textbook chapters from the top three nursing publishers.
Correct Answer: A) "The exam is based on a practice analysis conducted by the National
Council of State Boards of Nursing."
Rationale: The NCSBN performs a job analysis every three years to see what new nurses
