Level 3
Level 3 · Mental health and older adults
A timed practice exam of 50 NCLEX-RN-style questions on mental health nursing and care of older adults: therapeutic communication, crisis and coping, psychotropic drugs, suicide risk, delirium and dementia, falls, medicines in older adults, and end-of-life care, with two case studies, select-all-that-apply items and full rationales. It is a study aid, not a prediction of any exam result. NCLEX and NCLEX-RN are registered trademarks of the National Council of State Boards of Nursing (NCSBN), which is not affiliated with HoneNURSE. For education only. Not clinical advice.
What it covers
How many questions come from each client need and topic. Questions and answers are shown only in your report, after you finish.
| Client need | Questions |
|---|---|
| Psychosocial Integrity | 14 |
| Physiological Adaptation | 12 |
| Pharmacological and Parenteral Therapies | 9 |
| Management of Care | 6 |
| Basic Care and Comfort | 5 |
| Reduction of Risk Potential | 2 |
| Safety and Infection Control | 2 |
| Topic | Questions |
|---|---|
| Substance use, intoxication, overdose and withdrawal | 5 |
| Falls and mobility | 3 |
| Skin, continence, nutrition and swallowing | 3 |
| Symptoms near the end of life | 3 |
| Advance care planning, ethics, grief and after-death care | 3 |
| Legal and ethical issues, client rights, restraint and seclusion | 3 |
| Safety, elder abuse, restraints, long-term care and caregivers | 3 |
| Bipolar disorder and mania | 3 |
| Depression and suicide risk | 3 |
| Medicines in older adults | 3 |
| Psychotropic drugs: antidepressants, mood stabilizers, antianxiety drugs and antipsychotics | 3 |
| Body changes with aging and how illness looks different | 3 |
| Delirium, dementia and depression | 3 |
| Schizophrenia, psychosis and delirium | 3 |
| Stress, coping, defense mechanisms and crisis | 3 |
| Therapeutic communication and the nurse-client relationship | 3 |
How the exam works
- One question per screen. Once you move on, you cannot go back to an earlier question.
- You have 65 minutes. The timer starts when the exam opens and keeps running, even if you leave the page. When time runs out, the exam is submitted with the answers you have saved.
- Your answer is saved after every question, so you can resume where you stopped if your connection drops.
- The exam opens in full screen. Leaving full screen is recorded and the timer keeps running.
- If focus leaves the exam, for example to another tab or window, you see a warning and it is recorded. Warnings do not end this exam.
- Copying, pasting, printing and right-click are turned off during the exam.
The exam needs a laptop or desktop computer with a window at least 1024 pixels wide.
Your report
When you finish, the report shows your score, the time you used, a breakdown by client need and topic, and every question with your answer, the correct answer and the rationale.
The readiness band is a study aid based on this exam only. It does not predict your real result.