NCLEX RN PRACTICE TEST  2022

Take your time and good luck!

1. An elderly patient has been taking 80mg of furosemide (Lasix) bid. The nurse notes that the patient’s most recent potassium level is
2.5mEq/L. The nurse should:

 
 
 
 

2. As the client reaches 8 cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30 beats per minute beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165–175 beats per minute with a variability of 0–2 beats per minute. What is the most likely explanation of this pattern?

 
 
 
 

3. The vaginal exam of a laboring patient reveals that she is 3 cm dilated. Which of the following statements would the nurse expect the patient to make?

 
 
 
 

4. A four-year-old is scheduled for a routine tonsillectomy. Which of the following lab findings should be reported to the doctor?

 
 
 
 

5. A nurse from the surgical care unit has been floated to your unit for the day. Which of the following patients would you want to assign to this nurse?

 
 
 
 

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What is the NCLEX-RN Exam?

NCLEX-RN is short for National Council Licensing Examination for Registered Nurses. It is the nursing certification and licensing exam that entry-level nurses must pass before working in nursing. The exam’s unique format tests candidates on the choices they would make, and how they would prioritize those choices when presented with real-world circumstances.

The NCLEX is administered by the National Council of State Boards of Nursing, Inc. (NCSBN). NCSBN is a nonprofit organization whose US members include nursing regulatory agencies in all 50 states, the District of Columbia, and four US territories.

What is the format of the NCLEX-RN Exam?

NCLEX is the world’s premier licensing exam and uses Computer Adaptive Testing (CAT) technology to deliver the exam. Every time you answer a question correctly, the next question will be more challenging. That’s because the computer re-estimates your ability every time you answer a question.

To help you become familiar with this type of exam software, the National Council State Boards of Nursing, Inc. provides a candidate tutorial with instructions on how to answer the different types of NCLEX items you will encounter during the exam.

Is the NCLEX-RN exam difficult?

A common question about the NCLEX is whether the test is difficult. The test is challenging but should not be “too hard”. Although the questions are designed to get progressively more difficult each time you answer correctly, the computer selects the next question you should have. 50% chance of answering correctly.

Consequently, each question presented to you should be neither too easy nor too difficult. The computerized test format is designed to discover your true skill level. Therefore, you should expect to be challenged but not overwhelmed when taking this test.

What score do you need to pass the NCLEX-RN Exam?

Passing the standards is reassessed by the NCSBN Board of Directors every three years when testing plans are revised. Effective until March 31, 2023, the passing standard is 0.00 logits. This means that if you get a positive number, and answer more questions correctly than incorrectly, you pass.

The NCLEX-RN 2021 Pass Rate for US-educated candidates taking the test for the first time was around 82.5%. Breaking down this category, those with a bachelor’s degree passed the exam approximately 86% of the time, while those with an associate’s degree almost 79% of the time. This statistic highlights how a bachelor’s degree program, such as the BSN Program at Brookline College, can significantly increase a candidate’s chances of passing the exam the first time.

What is on the NCLEX-RN Exam?

What is the NCLEX-RN exam? The NCLEX-RN exam includes questions for each category and subcategory of client needs, as outlined in the NCLEX-RN Test Plan. The percentage of questions in each category and subcategory may vary. Below are the Customer Needs topics and the percentage of questions from each category that may appear when taking the exam.

How many questions are on the NCLEX-RN Exam?

Due to the Computer Adaptive Testing (CAT) format, the length of the exam can range from 75 to 145 items. Of these items, 15 are pretest items that are not scored. The time limit to take the exam is five hours, regardless of how many questions are administered during the exam. When replying, you can consider your answer and change it. However, once you select the ‘Next’ button, you can no longer change your answer for that item, and the next question is chosen for you to answer.

How do you register for the NCLEX-RN Exam?

The NCLEX-RN registration process consists of two parts when applying to nursing regulatory bodies in the US and Canada.

First, you must contact your Nursing Regulatory Body (NRB) and request a license/registration application. You will need to pay the license/registration fee when you submit your application. Please note that you must obtain your application in the state/province/territory where you seek license/registration.
You must then register with Pearson VUE (testing provider) online or by calling Pearson VUE Candidate Services at 866-496-2539. You will need to pay the exam fee at the time of registration.

Where can you take the NCLEX-RN Exam?

Once you have completed the steps above and are eligible, you will receive an Authorization to Test (ATT) email. It is important that you be vigilant because you will need this email to schedule an appointment to take the exam.

At this point, you can choose your test location. The NCLEX is offered at both domestic and international locations, and you can locate a test center near you. Once you select a testing location, you can schedule your exam appointment through Pearson VUE Candidate Services using the site and phone number listed in step 2 above.

How much does it cost to take the NCLEX-RN Exam?

The cost of the NCLEX-RN exam is $200.00 in the US and $360.00 in Canada. Additional NCLEX-RN fees may also apply for international scheduling, changing nursing regulatory body, changing exam type (RN/PN), or changing exam language.

You will need to pay for your exam and complete your registration with a credit, debit, or prepaid card. Visa, MasterCard and American Express are accepted. It is important to note that refunds of registration fees are not offered for any reason.

How many times can you take the NCLEX-RN Exam?

NCSBN’s make-up policy allows candidates to take the NCLEX-RN exam eight times a year, with 45 non-exam days between exams. However, some jurisdictions may have stricter limits on the number of exams a candidate can take annually.

To retake the exam, contact the NRB and let them know you plan to retake the exam. They will inform you of any additional charges or materials that will be required. They will also send you a new email from ATT so you can review your NCLEX-RN exam dates and reschedule your exam, as described earlier in this article.

Still exploring a career as BSN?

We hope this NCLEX-RN study guide has provided you with valuable tips on how to pass the NCLEX-RN exam. But if you’re still considering a career as a registered nurse, you’ll want to enroll in a strong nursing program that will give you the foundation to prepare to pass the NCLEX-RN Exam.