Level 7
Level 7 · Final mock exam 4
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 | 26 |
| Physiological Adaptation | 25 |
| Management of Care | 20 |
| Safety and Infection Control | 15 |
| Reduction of Risk Potential | 14 |
| Basic Care and Comfort | 10 |
| Health Promotion and Maintenance | 10 |
| Psychosocial Integrity | 10 |
| Topic | Questions |
|---|---|
| Breathing problems in children: croup, epiglottitis, bronchiolitis and asthma | 5 |
| Preeclampsia, eclampsia, HELLP syndrome and magnesium sulfate | 4 |
| Therapeutic communication and the nurse-client relationship | 3 |
| Safety goals and medication safety systems | 3 |
| Intensive care routines, delirium, family and end of life | 2 |
| Stroke: recognize it, save time, protect the airway | 2 |
| Diabetes, severe vomiting, Rh disease and infections in pregnancy | 2 |
| Growth, development and milestones from birth to adolescence | 2 |
| Immunization and communicable disease control | 2 |
| Newborn assessment, first care and safe sleep | 2 |
| Screening, prevention and health teaching | 2 |
| Communication, SBAR and the chain of command | 2 |
| Documentation, SBAR and handoff | 2 |
| Informed consent, capacity and advance directives | 2 |
| Quality, risk and event reporting | 2 |
| Triage and the Emergency Severity Index | 2 |
| Anticonvulsants | 2 |
| Monitoring, sick days and teaching | 2 |
| Calcium, magnesium, phosphorus and chloride | 2 |
| Dialysis and kidney transplant | 2 |
| Heart problems in children: heart defects, heart failure and Kawasaki disease | 2 |
| Heart rhythms, pacemakers and cardiac arrest | 2 |
| Imaging and procedures: preparing the client and watching afterward | 2 |
| The complete blood count | 2 |
| Client safety: falls, identification, communication and suicide risk | 2 |
| Safety in the operating room | 2 |
| Diabetes emergencies and complications | 1 |
| Kidney, liver and digestive diets | 1 |
| Muscles and joints, mobility, positioning, falls and hygiene | 1 |
| Pain, nausea, bowel, bladder and confusion | 1 |
| Skin, continence, nutrition and swallowing | 1 |
| Therapeutic and texture-modified diets | 1 |
| Wounds, infection and dehiscence | 1 |
| Community assessment, planning and evaluation | 1 |
| Epidemiology, surveillance and outbreaks | 1 |
| Falls and mobility | 1 |
| Feeding, jaundice, low blood sugar and other newborn problems | 1 |
| Assignment, staffing and unsafe situations | 1 |
| Cardiac emergencies | 1 |
| Delegation: what it is and who is accountable | 1 |
| Ethical problems in practice | 1 |
| Health care systems, insurance and access | 1 |
| Law basics, negligence and the standard of care | 1 |
| Preoperative assessment, risk and informed consent | 1 |
| Privacy, the federal privacy law and social media | 1 |
| Ranking a client list | 1 |
| The nursing process and the health history | 1 |
| Aminoglycosides, vancomycin and linezolid | 1 |
| Antidepressants | 1 |
| Antipsychotics | 1 |
| Assessing a child, vital signs, pain and safe medicine doses | 1 |
| Beta blockers and calcium channel blockers | 1 |
| Heart failure and angina drugs | 1 |
| High-alert intravenous drugs and dose safety | 1 |
| IV flow rates | 1 |
| IV solutions and tonicity | 1 |
| Infusion time, volume, piggyback bags and IV push | 1 |
| Injections and powders you mix | 1 |
| Lipid-lowering drugs | 1 |
| Medicines in older adults | 1 |
| Minerals and drug-nutrient interactions | 1 |
| Oral diabetes drugs | 1 |
| Oral tablets, capsules and liquids | 1 |
| Penicillins, cephalosporins and other beta-lactams | 1 |
| Sodium | 1 |
| The immune system: allergy, autoimmunity and weak defense | 1 |
| Titration and weight-based infusions | 1 |
| Tube feeding and parenteral nutrition | 1 |
| Blood pressure and perfusion | 1 |
| Bowel disease, appendicitis, obstruction and ostomy care | 1 |
| Brain and nerve problems in children: seizures, meningitis, cerebral palsy, spina bifida and hydrocephalus | 1 |
| Chemistry panels, kidney tests and blood glucose | 1 |
| Cystic fibrosis, pneumonia, tonsils and other chest and throat problems | 1 |
| Diabetes, kidney, urinary and bone problems in children | 1 |
| Fluid volume deficit and fluid volume excess | 1 |
| Fluid, electrolytes and acid-base reasoning | 1 |
| Multiple sclerosis, myasthenia gravis, Guillain-Barré syndrome and Parkinson disease | 1 |
| Postpartum infection, clots, mood and family planning | 1 |
| Trauma, bleeding and burns | 1 |
| Advance care planning, ethics, grief and after-death care | 1 |
| Anxiety disorders, obsessive-compulsive disorder and post-traumatic stress disorder | 1 |
| Controlled substances, stimulants and withdrawal syndromes | 1 |
| Living with chronic illness | 1 |
| Stress, coping, defense mechanisms and crisis | 1 |
| Violence, abuse and trauma-informed care | 1 |
| Drug levels | 1 |
| Hepatitis, cirrhosis and the liver complications | 1 |
| Oxygen devices, airway care and tracheostomy | 1 |
| Recovery from anesthesia and the first hours | 1 |
| Respiratory emergencies and airways | 1 |
| Spore-formers, tuberculosis, spirochetes and cell-dwelling bacteria | 1 |
| Child safety, poisoning, lead and child abuse | 1 |
| Mass-casualty triage and chemical, biological, radiological and nuclear events | 1 |
| Principles, cultures, allergy and stewardship | 1 |
| Standard precautions and hand hygiene | 1 |
| Viruses I, herpesviruses and respiratory viruses | 1 |
| Viruses II, hepatitis, HIV and HPV | 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.