Fable Tests

NCLEX-RN practice tests

Practice for the NCLEX-RN in the Next Generation item types: case studies with a tabbed chart, matrix, drop-down, highlight and bow-tie items, scored by the NCSBN partial-credit rules, with a breakdown by client-needs category. The real exam is computer-adaptive, so no pass claim is made.

The real NCLEX-RN is computer-adaptive (85 to 150 items); these sets are fixed-length practice of the same item types.

Full tests

  1. Test 16 questions · untimed
  2. Test 26 questions · untimed
  3. Test 36 questions · untimed
  4. Test 460 questions · untimed
  5. Test 560 questions · untimed

Topic drills

Untimed practice on one area at a time, 20 shuffled questions per sitting, the answer explained after each.

  1. Management of Care drillPrioritizing by acuity, delegation and supervision, handoff, orders, consent, advance directives, confidentiality and scope of practice.
  2. Safety and Infection Prevention and Control drillStandard and transmission-based precautions, client identification, falls, restraints, allergies, hazardous materials and emergency response.
  3. Health Promotion and Maintenance drillGrowth and development, prenatal, labor and postpartum care, newborn care, screening and health teaching.
  4. Psychosocial Integrity drillTherapeutic communication, mental health, substance use and withdrawal, abuse, violence risk, grief and end-of-life care.
  5. Basic Care and Comfort drillDaily living, mobility and assistive devices, skin integrity, elimination, nutrition and tube feeding, sleep and pain.
  6. Pharmacology drillPharmacological and Parenteral Therapies: medication safety checks, dosage calculations, IV therapy, blood products and high-risk drugs.
  7. Reduction of Risk Potential drillVital sign trends, diagnostic results, procedures and moderate sedation, tubes and lines, and preventing complications.
  8. Physiological Adaptation drillAcute, chronic and life-threatening conditions: fluids and electrolytes, hemodynamics, oxygenation, drains, dialysis and emergencies.

Client-needs pages

  1. Management of CareThe largest NCLEX-RN client-needs category (15 to 21% of items): prioritizing by acuity, delegation and supervision, handoff, orders, consent, advance directives, confidentiality, ethics and scope of practice. What it covers, how it is tested, a worked example and the usual traps.
  2. Safety and Infection Prevention and ControlNCLEX-RN client-needs category for 10 to 16% of items (renamed in the 2026 test plan): standard and transmission-based precautions, client identification, falls, restraints, allergies, hazardous materials, error reporting and emergency response. What it covers, how it is tested, a worked example and the usual traps.
  3. Health Promotion and MaintenanceNCLEX-RN client-needs category for 6 to 12% of items: growth and development across the lifespan, prenatal, labor and postpartum care, newborn care, screening, prevention and health teaching. What it covers, how it is tested, a worked example and the usual traps.
  4. Psychosocial IntegrityNCLEX-RN client-needs category for 6 to 12% of items: therapeutic communication, mental health conditions, substance use and withdrawal, abuse and neglect, violence risk, grief, end-of-life care and culture. What it covers, how it is tested, a worked example and the usual traps.
  5. Basic Care and ComfortNCLEX-RN client-needs category for 6 to 12% of items: activities of daily living, mobility and assistive devices, skin integrity, elimination, nutrition and tube feeding, sleep, pain and nonpharmacological comfort. What it covers, how it is tested, a worked example and the usual traps.
  6. Pharmacological and Parenteral TherapiesNCLEX-RN client-needs category for 13 to 19% of items, the second largest: rights of medication administration, dosage calculations, IV and central lines, blood products, high-risk drugs, controlled substances, pain medication and parenteral nutrition. What it covers, how it is tested, two worked calculations and the usual traps.
  7. Reduction of Risk PotentialNCLEX-RN client-needs category for 9 to 15% of items: vital sign trends, focused assessment, diagnostic results, pre- and postoperative care, moderate sedation, specimens, tubes, catheters and IV lines, and preventing complications. What it covers, how it is tested, a worked example and the usual traps.
  8. Physiological AdaptationNCLEX-RN client-needs category for 11 to 17% of items: acute, chronic and life-threatening conditions, fluid and electrolytes, hemodynamics, ventilation and oxygenation, drains and chest tubes, dialysis, telemetry, pacing, emergencies and complications. What it covers, how it is tested, a worked example and the usual traps.