Free NCLEX Practice Questions 2025: 100+ NGN-Style Quiz

Preparing for the NCLEX in 2025 requires more than memorizing facts—it demands strong clinical judgment and familiarity with NGN-style questions. The best way to build this skill is by practicing with high‑quality, **free NCLEX questions** that mirror the real exam format. This guide introduces you to 100+ NGN-style questions and explains how to use practice tests effectively for maximum success.

Why Free NCLEX Practice Questions Matter

Practicing with NCLEX-style items helps you:

Strengthen clinical reasoning
Understand real test difficulty
Identify weak areas
Build confidence before exam day
Improve speed and accuracy

The new NGN format includes case studies, bow‑tie questions, matrix items, and trend interpretation—making practice more important than ever.

Types of NGN Practice Questions Included in This Guide

1. Case Study Questions These 6‑item scenarios simulate real patient care. Each case includes cue recognition, priority setting, interventions, and evaluation.
2. Matrix Multiple Response Select multiple correct answers across rows and columns. These measure your ability to categorize symptoms, interventions, and risks.
3. Bow-Tie Questions These questions test condition identification, interventions, and complications to avoid. They are among the highest scoring NGN items.
4. Trend‑Based Questions Charts, vital signs, and lab trends require you to identify patterns and respond appropriately.
5. Standalone NGN Questions Independent questions that test one or two clinical judgment skills.

Sample Free NCLEX Questions (2025)

1. A client with pneumonia has RR 32/min, O₂ sat 87%, and accessory muscle use. Which action is priority? - Apply oxygen via non‑rebreather mask.
2. A diabetic patient reports nausea and fruity breath. Labs show glucose 450 mg/dL. What condition is likely? - Diabetic ketoacidosis
3. A bowel obstruction patient’s abdomen becomes rigid and silent. What is the nurse’s action? - Notify provider immediately (possible perforation).

How to Use NCLEX Practice Tests Correctly

- Take 20–30 questions daily
- Review rationales carefully—not just answers.
- Note repeated errors and study those topics.
- Simulate real exam time once weekly.
- Use CAT-style mock exams for realistic difficulty.

Benefits of Daily NGN Practice

- Faster decision‑making
- Stronger clinical reasoning
- Higher confidence
- Better test endurance
- Improved ability to identify priority patients

Final Thoughts