NCLEX-RN: Practice Questions, Units, and Exam Format
The registered nurse licensure exam on the 2026 test plan: management of care, safety, pharmacology and clinical judgment. See exactly what is on the exam, unit by unit, and practise it with a tutor that adapts to you.
Exam format
| Section | Questions | Time | Share of score |
|---|---|---|---|
| NCLEX-RN | 85 to 150 | 5 hr | 100% |
Units and exam weights
| Unit | Exam weight | Topics covered |
|---|---|---|
| Management of Care | 15 to 21% | Advance Directives/Self-Determination/Life Planning, Advocacy, Assignment, Delegation and Supervision, Case Management, Client Rights, Collaboration with Multidisciplinary Team |
| Safety and Infection Prevention and Control | 10 to 16% | Accident/Error/Injury Prevention, Emergency Response Plan, Ergonomic Principles, Handling Hazardous and Infectious Materials, Home Safety, Reporting of Incident/Event/Irregular Occurrence/Variance |
| Health Promotion and Maintenance | 6 to 12% | Aging Process, Ante-/Intra-/Postpartum and Newborn Care, Developmental Stages and Transitions, Health Promotion/Disease Prevention, Health Screening, High-Risk Behaviors |
| Psychosocial Integrity | 6 to 12% | Abuse or Neglect, Behavioral Interventions, Chemical and Other Dependencies/Substance Use Disorder, Coping Mechanisms, Crisis Intervention, Cultural Awareness/Cultural Influences on Health |
| Basic Care and Comfort | 6 to 12% | Assistive Devices, Elimination, Mobility/Immobility, Nonpharmacological Comfort Interventions, Nutrition and Oral Hydration, Personal Hygiene |
| Pharmacological and Parenteral Therapies | 13 to 19% | Adverse Effects/Contraindications/Side Effects/Interactions, Blood and Blood Products, Central Venous Access Devices, Dosage Calculations, Expected Actions/Outcomes, Medication Administration |
| Reduction of Risk Potential | 9 to 15% | Changes/Abnormalities in Vital Signs, Diagnostic Tests, Laboratory Values, Potential for Alterations in Body Systems, Potential for Complications of Diagnostic Tests/Treatments/Procedures, Potential for Complications from Surgical Procedures and Health Alterations |
| Physiological Adaptation | 11 to 17% | Alterations in Body Systems, Fluid and Electrolyte Imbalances, Hemodynamics, Illness Management, Medical Emergencies, Pathophysiology |
How Kalyta teaches NCLEX-RN
Practice that adapts to you, an explanation for every answer, and timed rehearsals before the real thing. You spend your time on the units that move your score instead of the ones you have already got.
- Adaptive practice. Questions are picked around your current level, so you are always working just past what you can already do.
- Every answer explained. See why the right answer is right and why each other choice is wrong, with figures and step by step reasoning.
- An AI tutor you can steer. Ask why something works, ask for another example, or tell it to slow down and teach the idea from the start.
- Timed rehearsals. Work a long practice set against the clock and see exactly how many questions you got right, unit by unit. The real exam adapts to you and uses question formats a rehearsal here does not reproduce yet, so treat it as practice under time, not a copy of the test.
- Progress you can see. Watch your readiness climb unit by unit, and know what is solid before you walk in.
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Kalyta is an independent study tool and is not endorsed by or affiliated with NCSBN. NCLEX, NCLEX-RN and NCLEX-PN are registered trademarks of the National Council of State Boards of Nursing, Inc.