Level 4
Level 4 · Leadership, safety and community
A timed practice exam of 60 NCLEX-RN-style questions on leadership, delegation, ethics and the law, safety and infection control, and community and disaster nursing, 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 |
|---|---|
| Management of Care | 27 |
| Safety and Infection Control | 17 |
| Health Promotion and Maintenance | 5 |
| Pharmacological and Parenteral Therapies | 5 |
| Psychosocial Integrity | 3 |
| Physiological Adaptation | 2 |
| Reduction of Risk Potential | 1 |
| Topic | Questions |
|---|---|
| Informed consent, capacity and advance directives | 4 |
| Ranking a client list | 4 |
| Safety goals and medication safety systems | 4 |
| Epidemiology, surveillance and outbreaks | 3 |
| Immunization and communicable disease control | 3 |
| Communication, SBAR and the chain of command | 3 |
| Disaster management and the nurse's role | 3 |
| Ethical problems in practice | 3 |
| Law basics, negligence and the standard of care | 3 |
| Mandatory reporting, impaired colleagues and workplace violence | 3 |
| Privacy, the federal privacy law and social media | 3 |
| Quality improvement and patient safety | 3 |
| Teamwork, conflict, chain of command and delegation | 3 |
| Triage and the Emergency Severity Index | 3 |
| Who can do what: RN, LPN/LVN and unlicensed personnel | 3 |
| Fire, electrical, radiation and hazardous drug safety | 3 |
| Mass-casualty triage and chemical, biological, radiological and nuclear events | 3 |
| Precautions by organism | 3 |
| Sterile technique and device-related infections | 3 |
How the exam works
- One question per screen. Once you move on, you cannot go back to an earlier question.
- You have 80 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.