Testing in September 2026? You're studying the question patterns the current NCSBN test plan is built around.
NCLEXVault2026 Edition
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Interactive Question Bank

Practice with authentic exam-style logic.

Every question uses authentic NCLEX formatting and is mapped to a Client Needs category on the 2026 test plan. Answer, then reveal the expert rationale and the reasoning pattern behind it.

150

questions per system in your workspace

8

Client Needs categories covered

6

Next-Gen item formats included

Physiological AdaptationSelect all that apply
Provider Prescriptions

Day 1, 1600: Insert nasogastric feeding tube. Chest x-ray to confirm placement. Day 1, 1800: Administer enteral formula 120 mL every 6 hr while awake via NG tube. Correction insulin: Regular insulin SUBQ PRN 4 times daily — 151–180 mg/dL: 2 units; 181–200 mg/dL: 4 units; >200 mg/dL: notify provider.

Which findings suggest the nurse should hold the tube feeding and notify the provider? (Select all that apply.)

What the bank covers

Percentages are the 2026 NCSBN test-plan weightings — your practice mix should look like this too.

Management of Care

15–21%

Delegation, scope of practice, prioritization, consent, confidentiality, referrals.

Safety & Infection Control

10–16%

Precautions, error prevention, restraints, handling hazardous materials, ergonomics.

Health Promotion & Maintenance

6–12%

Growth and development, screening, prenatal and newborn care, self-care teaching.

Psychosocial Integrity

6–12%

Therapeutic communication, coping, abuse and neglect, substance use, crisis.

Basic Care & Comfort

6–12%

Mobility, nutrition, elimination, rest, non-pharmacologic comfort measures.

Pharmacological Therapies

13–19%

Dosage calculation, high-alert drugs, adverse effects, blood products, TPN.

Reduction of Risk Potential

9–15%

Lab values, diagnostic tests, complication recognition, pre/post-procedure care.

Physiological Adaptation

11–17%

Hemodynamics, medical emergencies, illness management, fluid and electrolytes.

Item formats you'll meet

  • Single answer — One best action or response — usually a priority question in disguise.
  • Select all that apply — Each option is its own true/false decision against the stem.
  • Case study set — Six linked items on one unfolding chart, one per clinical judgment step.
  • Matrix / grid — Classify each finding as expected, unexpected, indicated, or contraindicated.
  • Bow-tie — Condition in the center, two actions on the left, two monitoring parameters on the right.
  • Cloze & highlight — Complete a nursing note from drop-downs, or click the findings that need follow-up.
Full Next-Gen guide

How to work a question

  1. 1Read the last sentence of the stem first so you know what is actually being asked.
  2. 2Predict your answer before you look at the options — it stops distractors from steering you.
  3. 3Ask which option keeps the client safest right now, not which one is generally good practice.
  4. 4Read every rationale, including the ones you got right; the reasoning is what transfers to new items.
  5. 5Log a missed item's concept, not the item itself — the exam will test the concept in a different scenario.

Want the full 150-item sets?

Each of the 20 body systems in your workspace carries its own 150-question paged quiz with rationales, study tips, and labelled diagrams.

Browse all systems Pick a study plan