Hard NCLEX-RN Practice Questions

284 free hard-difficulty NCLEX-RN questions, drawn live from KomFi's calibrated bank. These are the items that separate top scorers — every one carries a full explanation and trap analysis once you sign in.

1. Which action is the priority to include in the plan of care?
2. A client has a Braden score of 14, albumin of 2.5 g/dL, and is incontinent of urine. Which findings represent
3. The nurse is caring for a client with acute lower back pain. Which findings should the nurse identify as 'Red
4. Which findings from the initial 24 hours of admission increase the client’s risk for further skin breakdown? S
5. For each potential intervention, click to specify if the action is Indicated, Contraindicated, or Non-Essentia
6. The nurse reviews the EHR. Which findings require immediate nursing intervention regarding the patient's airwa
7. The nurse reviews the EHR entries from 13:00 and 13:15. Which assessment findings require immediate nursing at
8. The nurse is preparing to initiate the first enteral feeding for a client with a newly placed NG tube. Place t
9. Which action is the priority?
10. The nurse is monitoring a client with severe anorexia nervosa who has just begun refeeding. Which findings sug
11. The nurse evaluates the clinical cues. Choose the options from the dropdown menus that best complete the sente
12. The nurse interprets the clinical findings on Clara Vance's right heel. Which pathophysiological mechanism bes
13. The nurse is preparing to execute nursing actions for Clara Vance. For each action, select whether the action
14. A 68-year-old client with end-stage metastatic renal cell carcinoma is transitioning in an inpatient hospice f
15. An 85-year-old client with end-stage stomach cancer is in the final days of life in home hospice. The client h
16. The nurse analyzes the client's progressive clinical findings at 13:20. Complete the following sentence from t
17. The nurse prioritizes the client's care. Complete the clinical rationale statement by selecting from the optio
18. The nurse updates the clinical comfort and safety instructions for Clara and her caregiver. Which intervention
19. The nurse executes the prescribed interventions. Drag each clinical action to its corresponding scientific rat
20. A nurse is teaching a pregnant client about warning signs that require immediate notification of the provider.
21. The nurse is preparing to administer Rho(D) immune globulin. In which scenarios is this medication indicated?
22. A nurse is caring for a client at 10 weeks gestation. Which findings should the nurse prioritize for immediate
23. Based on the assessment findings and laboratory data at 13:30, which complication is the most immediate risk t
24. The nurse is preparing for the home health safety evaluation. Which interventions should be included in the pl
25. Which factors in the client’s record increase the risk for immediate postpartum hemorrhage? Select all that ap
26. Which hypothesis should the nurse prioritize as the most immediate threat to the patient's safety?
27. Using the logic from the supplied protocol, calculate the total 24-hour maintenance fluid volume in mL for thi
28. Which nursing action is the highest priority?
29. A nurse is assessing a client at 37 weeks gestation who reports sudden, sharp abdominal pain and dark red vagi
30. Which of the following are recognized diagnostic criteria for preeclampsia (without needing to prove severe fe

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