Level 7
Level 7 · Final mock exam 3
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 |
|---|---|
| Pharmacological and Parenteral Therapies | 24 |
| Physiological Adaptation | 24 |
| Management of Care | 20 |
| Reduction of Risk Potential | 17 |
| Safety and Infection Control | 14 |
| Psychosocial Integrity | 11 |
| Basic Care and Comfort | 10 |
| Health Promotion and Maintenance | 10 |
| Topic | Questions |
|---|---|
| Feeding, jaundice, low blood sugar and other newborn problems | 6 |
| Screening, prevention and health teaching | 3 |
| Pancreatitis and gallbladder disease | 3 |
| Titration and weight-based infusions | 3 |
| Trauma, bleeding and burns | 3 |
| Muscles and joints, mobility, positioning, falls and hygiene | 2 |
| Viruses II, hepatitis, HIV and HPV | 2 |
| Anaphylaxis, poisoning, overdose and environmental emergencies | 2 |
| Inflammation, fever, edema and sepsis | 2 |
| Valve disease, endocarditis and pericarditis | 2 |
| Substance use, intoxication, overdose and withdrawal | 2 |
| Chemistry panels, kidney tests and blood glucose | 2 |
| Safety goals and medication safety systems | 2 |
| Sterile technique and device-related infections | 2 |
| Transmission-based precautions and PPE | 2 |
| Abdomen, urine, bowel function and intake and output | 1 |
| Enteral nutrition and tube feeding | 1 |
| Hip and knee replacement and amputation | 1 |
| Skin, continence, nutrition and swallowing | 1 |
| Skin, pressure injuries and wound care | 1 |
| Spinal cord injury and autonomic dysreflexia | 1 |
| Symptoms near the end of life | 1 |
| Therapeutic and texture-modified diets | 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 |
| 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 |
| 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 |
| Legal and ethical issues, client rights, restraint and seclusion | 1 |
| Mandatory reporting, impaired colleagues and workplace violence | 1 |
| Prioritizing within one client's care | 1 |
| Quality improvement and patient safety | 1 |
| Quality, risk and event reporting | 1 |
| Ranking a client list | 1 |
| Teamwork, conflict, chain of command and delegation | 1 |
| The five rights of delegation in practice | 1 |
| Triage and the Emergency Severity Index | 1 |
| Antiarrhythmic drugs | 1 |
| Anticoagulants | 1 |
| Anticonvulsants | 1 |
| Antidepressants | 1 |
| Antifungals | 1 |
| Antipsychotics | 1 |
| Antivirals | 1 |
| Benzodiazepines and alcohol withdrawal | 1 |
| Beta blockers and calcium channel blockers | 1 |
| Children, rounding and the safety checks | 1 |
| Diabetes basics and insulin types | 1 |
| Diuretics | 1 |
| Fluid volume deficit and fluid volume excess | 1 |
| IV rates, intake and output, and fluid math | 1 |
| Insulin and other unit-based doses | 1 |
| Macrolides, tetracyclines, fluoroquinolones, sulfonamides, clindamycin and metronidazole | 1 |
| Opioids and naloxone | 1 |
| Other blood pressure drugs and hypertensive emergency | 1 |
| SGLT2 inhibitors, GLP-1 drugs and other injectables | 1 |
| Thyroid drugs | 1 |
| Acute kidney injury and chronic kidney disease | 1 |
| Adrenal and pituitary disorders | 1 |
| Blood and cancer in children: anemia, sickle cell disease, hemophilia and leukemia | 1 |
| Fetal heart rate monitoring in words | 1 |
| Fractures, compartment syndrome and fat embolism | 1 |
| Gram-negative bacteria | 1 |
| Heart rhythms, pacemakers and cardiac arrest | 1 |
| Mechanical ventilation and ARDS | 1 |
| Seizures and status epilepticus | 1 |
| The lungs and oxygen | 1 |
| Thyroid and parathyroid disorders | 1 |
| Anxiety disorders, obsessive-compulsive disorder and post-traumatic stress disorder | 1 |
| Depression and suicide risk | 1 |
| Palliative care and hospice | 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 |
| Anesthesia and its complications | 1 |
| Blood pressure, orthostatic readings and pain assessment | 1 |
| Breathing and circulation after surgery | 1 |
| Clotting tests and blood thinner monitoring | 1 |
| Drug levels | 1 |
| Getting the client ready | 1 |
| Head injury and increased pressure in the skull | 1 |
| Heart and lung tests | 1 |
| Imaging and procedures: preparing the client and watching afterward | 1 |
| Liver and pancreas tests | 1 |
| Reading arterial blood gases step by step | 1 |
| Urine, cultures and infection tests | 1 |
| Client safety: falls, identification, communication and suicide risk | 1 |
| Emergency preparedness, disasters and triage | 1 |
| Fire, electrical, radiation and hazardous drug safety | 1 |
| Precautions by organism | 1 |
| Protecting yourself: sharps, bloodborne pathogens and staff safety | 1 |
| Restraints and seclusion | 1 |
| Standard precautions and hand hygiene | 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.