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| Certification Vendor: | NCSBN (National Council of State Boards of Nursing) |
|---|---|
| Exam Name: | National Council Licensure Examination for Registered Nurses |
| Exam Number: | NCLEX-RN |
| Exam Price: | $200 USD |
| Available Languages: | French, English |
| Passing Score: | -0.18 logits |
| Exam Duration: | 300 minutes |
| Certificate Validity Period: | Passing result does not expire; license renewal every 2 years in most jurisdictions |
| Exam Format: | Hot spot, Multiple-choice, Multiple-response, Drag-and-drop, Bow-tie, Matrix, Computerized Adaptive Testing (CAT), Case study items |
| Real Exam Qty: | 85–150 |
| Related Certifications: | NCLEX-PN |
| Recommended Training: | 2026 NCLEX-RN Test Plan NCSBN NCLEX Preparation Resources |
| Exam Registration: | Pearson VUE NCLEX Registration NCSBN NCLEX Official Site |
| Sample Questions: | NCLEX NCLEX-RN Sample Questions |
| Exam Way: | Computer-based, delivered at authorized Pearson VUE test centers; no online remote proctoring |
| Pre Condition: | Graduation from an approved/accredited nursing program (ADN, BSN, or hospital diploma); eligibility approved by State Board of Nursing/Nursing Regulatory Body; official transcripts and background check required |
| Official Syllabus URL: | https://nclex.com/files/2026_RN_Test_Plan_English-F.pdf |
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NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a standardized test that all registered nurses must pass to obtain their license to practice in the United States. NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN), which is responsible for developing and maintaining the exam's content and format. Passing the NCLEX-RN is a critical step for nurses who wish to enter the workforce and begin practicing as registered nurses.
NEW QUESTION # 187
A male client has heart failure. He has been instructed to gradually increase his activities. Which signs and symptoms of worsening heart failure should the nurse tell him to watch for that would indicate a need for him to lower his activity level?
Answer: A
Explanation:
(A) Pain in the legs could be indicative of doing too much too quickly, but not of worsening heart failure. The client should be cautioned to increase his activities slowly. (B) Thirst, weight loss, and frequent urination are not indicative of heart failure. The client should report these symptoms to his physician. (C) Drowsiness and lethargy are not indicative of worsening heart failure. The client should report these symptoms to his physician. (D) All of these symptoms indicate a worsening cardiac condition possibly associated with too much activity. The client's activity level should be evaluated.
NEW QUESTION # 188
Assessment of a newborn for Apgar scoring includes observation for:
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Pupil response should be assessed but is not part of Apgar scoring. (B) Respiratory effort is an essential part of Apgar scoring, not respiratory rate. (C) Heart rate is the most critical component of Apgar scoring. (D) Assessment of Babinski's reflex is not a component of Apgar scoring.
NEW QUESTION # 189
At 12 hours postvaginal delivery, a female client is without complications. Which of the following assessment findings would warrant further nursing interventions?
Answer: B
Explanation:
Explanation
(A) Bradycardia of 50-70 bpm may be considered normal postpartally because the heart compensates for the decreased resistance in the pelvis. (B) The uterus is displaced from the midline by a full bladder. This condition could lead to a boggy uterus and increased risk of postpartal hemorrhage; therefore, the bladder should be kept empty. (C) Re-establishment of normal bowel function is delayed into the first postpartum week. (D) A postpartum woman's oral temperature may go as high as 100.4_F within 24 hours of delivery resulting from muscular exertion, dehydration, and hormonal changes.
NEW QUESTION # 190
A 24-year-old male client is admitted with a diagnosis of sickle cell anemia. The nurse discusses his disease with him and emphasizes the following information:
Answer: A
Explanation:
(A) Bleeding is not a symptom of sickle cell anemia or sickle cell crisis. (B) Decreased blood viscosity leads to sickling of red blood cells. Increased fluid intake maintains adequate circulating blood volume and decreases the chance of sickling. (C) Hypoxia leads to sickling of cells. Flying in nonpressurized planes places the client in a situation of low O2 tension, which can lead to sickling. (D) Male and female clients with sickle cell disease can pass the trait on to their offspring. Therefore, this client should receive genetic counseling prior to having children.
NEW QUESTION # 191
The most appropriate method of evaluating whether the diet of a child with cystic fibrosis is meeting his caloric needs is:
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Consistent weight gain, even if it is slow, is an indication that the child is eating and digesting sufficient calories. (B) Recording how much the child eats is useful, but it is not an indicator of how well his body is using the foods consumed. (C) Counting calories will indicate how much he is eating, but it will not reflect whether or not the foods are properly digested. (D) Keeping track of the enzyme intake will indicate compliance with medication but not whether the child is getting sufficient calories.
NEW QUESTION # 192
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