Comprehensive NCLEX-RN 75 Questions with answers and rationales

This Comprehensive NCLEX-RN Quiz #1 includes 75 updated practice questions with correct answers and rationales, tailored to prepare nursing students for the NCLEX-RN licensure exam. The quiz is built to reflect current test plan standards and clinical reasoning competencies tested by the National Council of State Boards of Nursing (NCSBN).

All questions include rationales rooted in evidence-based practice, helping students understand not only the correct response but also the reasoning behind it. This resource is ideal for students completing their final clinical semester or enrolled in NCLEX-focused courses such as NUR 499.

Sample Questions and Rationales:

Question 1:
A triage nurse has these four clients arrive in the emergency department within 15 minutes. Which client should be seen first?

• A. A 2-month-old infant who rolled off a bed and has a bulging fontanelle with crying

• B. A teenager who got a singed beard while camping

• C. An elderly client with frequent liquid brown stools

• D. A middle-aged client with intermittent right scapular pain

Correct Answer: B
Rationale: A singed beard indicates possible airway injury from inhalation of heat or smoke. Airway compromise may not be immediately visible but can quickly lead to respiratory failure. This makes the client the highest priority using the ABC (Airway, Breathing, Circulation) model.

Question 2:
While planning care for a toddler, the nurse teaches the parents about the expected developmental changes. Which statement by the mother shows understanding?

• A. “I want to protect my child from any falls.”

• B. “I will set limits on exploring the house.”

• C. “I understand the need to use those new skills.”

• D. “I intend to keep control over our child.”

Correct Answer: C
Rationale: According to Erikson’s theory of psychosocial development, toddlers are in the autonomy vs. shame and doubt stage. It is critical that the child be allowed to explore, use new motor skills, and gain independence to develop confidence.

This quiz is an excellent supplement to textbooks like Saunders Comprehensive Review for the NCLEX-RN, HESI NCLEX-RN Review, and practice tools from Kaplan and UWorld. Nursing students preparing for graduation, licensure, or HESI/ATI predictive exams will benefit from engaging with these realistic practice questions.