Nursing Exam Review Questions

Med-Challenger Nursing

Registered Nurse Board Review (RN/PN)

Online Pass-Guaranteed NCLEX review course with CNE and more.

Med-Challenger Nursing is the highest quality, easiest to use Nursing EXAM review question bank for the shelf exam, NCLEX Initial Certification exam and Nursing Maintenance of Certification (MOC). With built-in CNE credits and ongoing updates, the Med-Challenger Nursing Qbank provides everything you need to ace exams and fulfill requirements without having to attend an in-person exam review course or buy products over and over. Med-Challenger’s nursing review course is 100% pass-guaranteed and provides over 3000 case-based Q&A following the National Council Licensure Examination (NCLEX) exam blueprint, media banks, and ongoing content updates.

What’s more, with 150 ANCC “Contact Hour” CNE Credits, Med-Challenger’s nursing exam review Qbank, gives nurses everything needed to ace their exams and fulfill all requirements year after year with less time, labor, and worry.

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I used Med-Challenger’s nursing review and passed my NCLEX first try! Such an excellent review program. I understood concepts that I struggled with all through nursing school. To future NCLEX takers: I highly encourage you to try Med-Challenger’s NCLEX review program! I couldn’t have asked for anything better.M. Howard, RN
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  • Time-saving adaptive learning engine leaves nothing behind

    Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content so you get every ounce of value from your review purchase.

  • Automatic prescriptive remediation takes you where you need to go next

    Automatic prescriptive remediation guidance offers “deeper dives” to repair your weak areas of knowledge.

  • Adaptive, NCLEX blueprint-based exam simulation

    Simulate the board examination instantly, while taking Q&A in the right subject areas and in the right amounts, everytime.

  • Practice, Review & Assessment modes for enhanced retention

    Work the way you want. No pressure practice mode, read-friendly Review mode, and CE credit assessments

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NCLEX-style Questions

Blueprint-based Exam Simulation

NCLEX publishes content blueprints of the material that will appear on RN and PN exams.

This is how we determine which material appears in NCLEX exam simulations.

NCLEX-RN Blueprint

Safe and Effective Care Environment
- Management of Care 17-23%
- Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 6-12%
Physiological Integrity
- Basic Care and Comfort 6-12%
- Pharmacological and Parenteral Therapies 12-18%
- Reduction of Risk Potential 9-15%
- Physiological Adaptation 11-17%

NCLEX-PN Blueprint

Safe and Effective Care Environment
- Coordinated Care 18-24%
- Safety and Infection Control 10-16%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 9-15%
Physiological Integrity
- Basic Care and Comfort 7-13%
- Pharmacological Therapies 10-16%
- Reduction of Risk Potential 9-15%
- Physiological Adaptation 7-13%

High-Yield Nursing Questions

NCLEX-style, blueprint-based Q&A.
Just like you’ll see on the actual NCLEX exam.

Positively-stated, Case-based Question Stems

No “negatively phrased” questions, no “A and B”…you know what we mean. Our questions always address important “key point” blueprint-based content in a well structured manner.

An electrocardiogram (ECG) taken during a routine checkup reveals that a client has had a silent myocardial infarction. Changes in which leads of a 12-lead ECG indicate damage to the left ventricular septal region?

Clear Answer Options

A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.

Leads I, aVL, V5, and V6.
Leads V3 and V4.
Leads II, III, and aVF.
Leads V1 and V2.

High-yield Remediation

Understanding why an answer choice is incorrect is just as important as knowing why it is correct. Med-Challenger questions contain detailed explanations for the correct and incorrect answer choices along with integrated media for those that learn best by visual stimuli.


Leads V1 through V4 often are called anterior leads because they view the anterior portion of the heart. More specifically, leads V1 and V2 are positioned next to the sternum and normally view the the intraventricular septum, leads V3 and V4 are placed on the left anterior chest to view the anterior wall of the left ventricle.

Leads V3 and V4 record electrical events in the septal region of the left ventricle. Leads I, aVL, V5, and V6 record electrical events on the lateral surface of the left ventricle. Leads II, III, and aVF record electrical events on the inferior surface of the left ventricle. Leads V1 and V2 record electrical events on the anterior surface of the right ventricle and the anterior surface of the left ventricle.


Heuer, Al; Scanlan, Craig L. Wilkins’ Clinical Assessment in Respiratory Care. 7th ed. Missouri, Elsevier Mosby, 2014,p 245.

Smeltzer, S.C., et al. Brunner & Suddarth’s Textbook of Medical Surgical-Nursing, 11th ed. Philadelphia: Lippincott Williams & Wilkins, 2008, p. 875.

Table of Contents

Everything you need to know for NCLEX exams and current nursing practice.

Written and Maintained by Experts

Built-in CE Credit Resources

Earn CE credits while you study. Knock out requirements fast.

Earn Up To
<em>ANCC ''CONTACT HOUR'' CNE Credits</em>

CE Accreditation

The Postgraduate Institute for Medicine is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center‘s Commission on Accreditation. This educational activity for 158 contact hour(s) is provided by the Postgraduate Institute for Medicine.

Earn and Claim Credits in a snap.

  • Score 80% or better on topic-based CNE assessments
  • ANCC CNE "contact hour" earnings will appear in your CME Claims Center
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Earn and Claim Credits Easily, Earn CME Credits, AMA PRA Category 1 CME Credits


Med-challenger Nurse was incredible. I enjoyed the way the content was condensed and simplified, and the way it learned from what I struggled with. It helped me master key points needed to ace the NCLEX.C. Karr, RN
The Q reviews were helpful, NCLEX style questions. I’m happy to say that I passed the NCLEX with 75 questions with help from med-challenger nurse. Highly recommended!B. Thomas, RN

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Add group education resources and education management controls to your RN/PN training program.