Level 7
Level 7 · Final mock exam 1
A timed, strict-integrity mock of 130 NCLEX-RN-style questions across all eight client need categories, with three 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 |
|---|---|
| Physiological Adaptation | 24 |
| Management of Care | 21 |
| Pharmacological and Parenteral Therapies | 21 |
| Reduction of Risk Potential | 18 |
| Safety and Infection Control | 15 |
| Psychosocial Integrity | 11 |
| Basic Care and Comfort | 10 |
| Health Promotion and Maintenance | 10 |
| Topic | Questions |
|---|---|
| Postpartum assessment and postpartum hemorrhage | 5 |
| Abdomen, urine, bowel function and intake and output | 2 |
| Skin, continence, nutrition and swallowing | 2 |
| Advance care planning, ethics, grief and after-death care | 2 |
| Documentation, SBAR and handoff | 2 |
| Prioritizing within one client's care | 2 |
| Pain assessment and non-opioid pain drugs | 2 |
| COPD and asthma | 2 |
| Oxygen devices, airway care and tracheostomy | 2 |
| Pulmonary embolism, ARDS, respiratory failure and chest tubes | 2 |
| Reading arterial blood gases step by step | 2 |
| Depression and suicide risk | 2 |
| Liver and pancreas tests | 2 |
| Client safety: falls, identification, communication and suicide risk | 2 |
| Fire, electrical, radiation and hazardous drug safety | 2 |
| Safety in the operating room | 2 |
| Casts, traction, walking aids and the dangers of bed rest | 1 |
| Enteral nutrition and tube feeding | 1 |
| Kidney, liver and digestive diets | 1 |
| Muscles and joints, mobility, positioning, falls and hygiene | 1 |
| Pain, nausea, bowel, bladder and confusion | 1 |
| Skin, pressure injuries and wound care | 1 |
| Symptoms near the end of life | 1 |
| Child safety, poisoning, lead and child abuse | 1 |
| Falls and mobility | 1 |
| Growth, development and milestones from birth to adolescence | 1 |
| Immunization and communicable disease control | 1 |
| Life stages, food safety and food allergies | 1 |
| Newborn assessment, first care and safe sleep | 1 |
| Prenatal care and pregnancy danger signs | 1 |
| Preterm labor, ruptured membranes and group B strep | 1 |
| Screening, prevention and health teaching | 1 |
| Vaccines and common childhood infections | 1 |
| Assignment, staffing and unsafe situations | 1 |
| Delegation: what it is and who is accountable | 1 |
| Ethical problems in practice | 1 |
| Informed consent, capacity and advance directives | 1 |
| Intensive care routines, delirium, family and end of life | 1 |
| Law basics, negligence and the standard of care | 1 |
| Mandatory reporting, impaired colleagues and workplace violence | 1 |
| Preoperative assessment, risk and informed consent | 1 |
| Privacy, the federal privacy law and social media | 1 |
| Quality improvement and patient safety | 1 |
| Quality, risk and event reporting | 1 |
| Ranking a client list | 1 |
| Safety, elder abuse, restraints, long-term care and caregivers | 1 |
| The five rights of delegation in practice | 1 |
| Triage and the Emergency Severity Index | 1 |
| Who can do what: RN, LPN/LVN and unlicensed personnel | 1 |
| ACE inhibitors, ARBs and ARNI | 1 |
| Aminoglycosides, vancomycin and linezolid | 1 |
| Anticoagulants | 1 |
| Antidepressants | 1 |
| Giving insulin safely | 1 |
| Glucocorticoids and adrenal drugs | 1 |
| Heart failure and angina drugs | 1 |
| High-alert intravenous drugs and dose safety | 1 |
| IV solutions and tonicity | 1 |
| Infusion time, volume, piggyback bags and IV push | 1 |
| Lithium | 1 |
| Low glucose, diabetic ketoacidosis and hyperosmolar crisis | 1 |
| Minerals and drug-nutrient interactions | 1 |
| Opioids and naloxone | 1 |
| Penicillins, cephalosporins and other beta-lactams | 1 |
| Titration and weight-based infusions | 1 |
| Tuberculosis drugs | 1 |
| Weight-based doses and the safe dose range | 1 |
| Adrenal and pituitary disorders | 1 |
| Anaphylaxis, poisoning, overdose and environmental emergencies | 1 |
| Blood, clotting and the liver | 1 |
| Breathing problems in children: croup, epiglottitis, bronchiolitis and asthma | 1 |
| Chest pain, angina and heart attack | 1 |
| Heart failure and pulmonary edema | 1 |
| Hepatitis, cirrhosis and the liver complications | 1 |
| Preeclampsia, eclampsia, HELLP syndrome and magnesium sulfate | 1 |
| Shock: four ways blood flow fails | 1 |
| Sodium | 1 |
| Spinal cord injury and autonomic dysreflexia | 1 |
| Stroke: recognize it, save time, protect the airway | 1 |
| The kidney: filtering, injury and failure | 1 |
| Thyroid and parathyroid disorders | 1 |
| Anxiety disorders, obsessive-compulsive disorder and post-traumatic stress disorder | 1 |
| Delirium, dementia and depression | 1 |
| Personality disorders and eating disorders | 1 |
| Schizophrenia, psychosis and delirium | 1 |
| Stress, coping, defense mechanisms and crisis | 1 |
| Substance use, intoxication, overdose and withdrawal | 1 |
| Therapeutic communication and the nurse-client relationship | 1 |
| Violence, abuse and trauma-informed care | 1 |
| Blood clots after surgery | 1 |
| Blood pressure, orthostatic readings and pain assessment | 1 |
| Clotting tests and blood thinner monitoring | 1 |
| Heart and lung tests | 1 |
| Hemodynamic monitoring, lines and rhythm care | 1 |
| Imaging and procedures: preparing the client and watching afterward | 1 |
| Parenteral nutrition, malnutrition and refeeding syndrome | 1 |
| Recovery from anesthesia and the first hours | 1 |
| Respiratory emergencies and airways | 1 |
| The complete blood count | 1 |
| The four acid-base disorders | 1 |
| Urine, cultures and infection tests | 1 |
| Wounds, infection and dehiscence | 1 |
| Mass-casualty triage and chemical, biological, radiological and nuclear events | 1 |
| Precautions by organism | 1 |
| Resistance, hospital infections and treatment principles | 1 |
| Safety goals and medication safety systems | 1 |
| Sterile technique and device-related infections | 1 |
| Transmission-based precautions and PPE | 1 |
| Triage and the primary survey | 1 |
| Viruses II, hepatitis, HIV and HPV | 1 |
| Worms and parasites that live on the skin | 1 |
How the exam works
- One question per screen. Once you move on, you cannot go back to an earlier question.
- You have 210 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. In this exam, the third warning submits the 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.