Level 7
Level 7 · Final mock exam 2
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 |
| Pharmacological and Parenteral Therapies | 23 |
| Management of Care | 20 |
| Reduction of Risk Potential | 17 |
| Safety and Infection Control | 15 |
| Psychosocial Integrity | 11 |
| Basic Care and Comfort | 10 |
| Health Promotion and Maintenance | 10 |
| Topic | Questions |
|---|---|
| Dehydration, vomiting, diarrhea and belly emergencies in children | 3 |
| Hepatitis, cirrhosis and the liver complications | 2 |
| Titration and weight-based infusions | 2 |
| Trauma, bleeding and burns | 2 |
| Mechanical ventilation and ARDS | 2 |
| Chemistry panels, kidney tests and blood glucose | 2 |
| The complete blood count | 2 |
| Fire, electrical, radiation and hazardous drug safety | 2 |
| Sterile technique and device-related infections | 2 |
| Abdomen, urine, bowel function and intake and output | 1 |
| Body changes with aging and how illness looks different | 1 |
| Bowel disease, appendicitis, obstruction and ostomy care | 1 |
| Casts, traction, walking aids and the dangers of bed rest | 1 |
| Kidney, liver and digestive diets | 1 |
| Muscles and joints, mobility, positioning, falls and hygiene | 1 |
| Pain assessment and safe pain treatment | 1 |
| Skin, pressure injuries and wound care | 1 |
| Symptoms near the end of life | 1 |
| Therapeutic and texture-modified diets | 1 |
| Child safety, poisoning, lead and child abuse | 1 |
| Diabetes, severe vomiting, Rh disease and infections in pregnancy | 1 |
| Feeding, jaundice, low blood sugar and other newborn problems | 1 |
| Growth, development and milestones from birth to adolescence | 1 |
| Immunization and communicable disease control | 1 |
| Life stages, food safety and food allergies | 1 |
| Medicines in older adults | 1 |
| Newborn assessment, first care and safe sleep | 1 |
| Screening, prevention and health teaching | 1 |
| Vaccines and common childhood infections | 1 |
| Advance care planning, ethics, grief and after-death care | 1 |
| Assignment, staffing and unsafe situations | 1 |
| Boards of nursing, nurse practice acts and scope of practice | 1 |
| Change in health care | 1 |
| Communication, SBAR and the chain of command | 1 |
| Consent, advance directives and client rights | 1 |
| Documentation, SBAR and handoff | 1 |
| Ethical principles and the nursing code of ethics | 1 |
| Ethical problems in practice | 1 |
| Health care systems, insurance and access | 1 |
| Informed consent, capacity and advance directives | 1 |
| Law basics, negligence and the standard of care | 1 |
| Leadership and management | 1 |
| Prioritizing within one client's care | 1 |
| Ranking a client list | 1 |
| Teamwork, conflict, chain of command and delegation | 1 |
| The five rights of delegation in practice | 1 |
| The priority frameworks | 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 |
| Anticoagulants | 1 |
| Anticonvulsants | 1 |
| Antiplatelets and clot-dissolving drugs | 1 |
| Antipsychotics | 1 |
| Antivirals | 1 |
| C. difficile and infection control | 1 |
| Diuretics | 1 |
| Drug levels | 1 |
| Giving insulin safely | 1 |
| Infusion time, volume, piggyback bags and IV push | 1 |
| Injections and powders you mix | 1 |
| Lipid-lowering drugs | 1 |
| Low glucose, diabetic ketoacidosis and hyperosmolar crisis | 1 |
| Macrolides, tetracyclines, fluoroquinolones, sulfonamides, clindamycin and metronidazole | 1 |
| Pain assessment and non-opioid pain drugs | 1 |
| SGLT2 inhibitors, GLP-1 drugs and other injectables | 1 |
| Thyroid drugs | 1 |
| Weight-based doses and the safe dose range | 1 |
| Anesthesia and its complications | 1 |
| Blood, clotting and the liver | 1 |
| Breathing problems in children: croup, epiglottitis, bronchiolitis and asthma | 1 |
| Chest pain, angina and heart attack | 1 |
| Diabetes emergencies and complications | 1 |
| Diabetic, electrolyte and acid-base emergencies | 1 |
| Dialysis and kidney transplant | 1 |
| Fetal heart rate monitoring in words | 1 |
| Fluid volume deficit and fluid volume excess | 1 |
| High blood pressure and hypertensive crisis | 1 |
| Hormones: diabetes, thyroid and adrenal | 1 |
| Multiple sclerosis, myasthenia gravis, Guillain-Barré syndrome and Parkinson disease | 1 |
| Neurologic emergencies | 1 |
| Potassium | 1 |
| Protozoa | 1 |
| Shock and sepsis | 1 |
| The four acid-base disorders | 1 |
| Thyroid and parathyroid disorders | 1 |
| Valve disease, endocarditis and pericarditis | 1 |
| Viruses II, hepatitis, HIV and HPV | 1 |
| Anxiety disorders, obsessive-compulsive disorder and post-traumatic stress disorder | 1 |
| Bipolar disorder and mania | 1 |
| Delirium, dementia and depression | 1 |
| Depression and suicide risk | 1 |
| Legal and ethical issues, client rights, restraint and seclusion | 1 |
| Personality disorders and eating disorders | 1 |
| Schizophrenia, psychosis and delirium | 1 |
| Stress, coping, defense mechanisms and crisis | 1 |
| Therapeutic communication and the nurse-client relationship | 1 |
| Trauma, abuse and violence, with child and adolescent disorders | 1 |
| Blood pressure and perfusion | 1 |
| Clotting tests and blood thinner monitoring | 1 |
| Fractures, compartment syndrome and fat embolism | 1 |
| Heart and lung tests | 1 |
| Hemodynamic monitoring, lines and rhythm care | 1 |
| IV rates, intake and output, and fluid math | 1 |
| Imaging and procedures: preparing the client and watching afterward | 1 |
| Lung assessment and oxygen therapy | 1 |
| Preoperative assessment, risk and informed consent | 1 |
| Reading and reporting any result safely | 1 |
| Specimen collection and blood glucose checks | 1 |
| Urine, cultures and infection tests | 1 |
| Client safety: falls, identification, communication and suicide risk | 1 |
| Emergency preparedness, disasters and triage | 1 |
| Fungi | 1 |
| Mass-casualty triage and chemical, biological, radiological and nuclear events | 1 |
| Precautions by organism | 1 |
| Protecting yourself: sharps, bloodborne pathogens and staff safety | 1 |
| Putting it together: safety cases and an exam approach | 1 |
| Restraints and seclusion | 1 |
| Safety goals and medication safety systems | 1 |
| Safety in the operating room | 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.