Nursing Exam Review Questions

Med-Challenger Nursing is the highest quality, easiest to use Nursing board review question bank for the shelf exam, NCLEX Initial Certification exam and Nursing Maintenance of Certification (MOC). With built-in CME 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 board review course or buy products over and over.

Useful year after year for Exams, MOC & CNE requirements.
With Med-Challenger, it’s well in hand.

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Special Value Bundles available. See options below.

Med-Challenger Nursing

NCLEX Exam Review, Med-Challenger Nurse

Asset Overview

Up-to-date content and Q&A for NCLEX-RN/NCLEX-PN board exam review, self-assessment, and CME requirements – year after year.

  • Adaptive NCLEX-RN/NCLEX-PN board exam prep & review Qbank
  • 3000+ NCLEX blueprint-based board exam questions
  • Earn ANCC “contact hour” CNE credits annually
  • 100% Pass-guaranteed

Combined with the adaptive tools in your account,
Our platform gives you the most benefits.

Nursing Exam Review Questions, Med-Challenger Nursing, NCLEX-RN, NCLEX-PN

Ace the NCLEX Boards.
And everything else.

Get prepared in the shortest amount of time.
Take care of annual requirements after.

  • Connector.

    100% Pass-guaranteed

    There’s little risk given our 99% pass-rate. But, if you use Med-Challenger, and don’t pass, we’ll refund your asset purchase.

  • Connector.

    Blueprint-based Board Exam Simulation

    Tailored to the actual exam content specifications so you get the right amount of study in each area.

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    Time-saving Adaptive Learning

    Every use finds and fixes knowledge gaps by re-issuing missed Q&A. Ensures you see and master all content without repeats or wasted time.

  • Connector.

    Automatic Prescriptive Guidance

    Instantly receive paths to remediative content based on missed questions. Complete prescribed topic assessments and earn CME credit too.

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    Works Anytime, Anywhere

    Enjoy 24/7/365 access to your assets and tools via any Internet-enabled computer, tablet or smartphone.

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    Great After Exams Too

    New and newly-revised content is constantly being applied to your assets. Self-assess and repair your specialty knowledge using the most up-to-date information anytime – exams or not.

Board Exam Pass-rate
Avg. Score Improvement
Avg. Study Time Saved

Nursing Exam Review, Med-Challenger Nursing, NCLEX Boards, Pass Guarantee

Content + Q&A

For Med-Challenger Nursing Exam Review Qbank

Topics Covered
Board-style Questions

Family Medicine Question Topics

ABFM publishes a content blueprint of the material that will appear on the exam.

This is how we determine which material appears in your adaptive Qbank.

Reproductive – Female3%
Population-based Care3%
Patient-based Symptoms3%
Special Sensory2%
Reproductive – Male1%

Author Information

Continually Updated
All content is continually maintained by clinical expert peer-review.


Mary Alice O’Brien, DNP, APRN, FNP-BC
Associate Professor
Georgetown University School of Nursing
Washington, DC

Contributing Authors:

Kathleen K. Aiello, MD, FAAP
Ambler Pediatrics
Ambler, PA

Deborah Brunson, MD
Boulder, CO

Joseph Cama, MD
Carabou Medical
Towanda, PA

Adam Cohen, MD
Department of Oncology
Huntsman Cancer Institute
Salt Lake City, UT

Kimberly Collins, MD
Emergency Physician
MedExpress Urgent Care
Tampa, FL

Michael Anthony Darracq, MD, MPH
Emergency Physician
Kaiser Permanente Medical Group, Southern California
San Diego, CA

Arthur Frazzano, MD, FAAFP
Founding Director, Area Health Education Center of RI Network
Director, Division of Health Policy and Advocacy and Associated
Fellowship Program
Associate Professor
Department of Family Medicine
Warren Alpert Medical School
Brown University
Providence, Rhode Island

Alex Kadner, PhD
Medical Writer/Scientific Consultant, Neuroscience
Ballston Spa, NY

Gerard Kiernan, MD
Dartmouth Hitchcock Clinic
Keene, NH

Miguel G. Madariaga, MD, MSc, FACP, DLSHTM
Director, Center for Wound Healing and Hyperbaric Medicine
Physician, Infectious Disease
Doylestown Hospital
Doylestown, Pennsylvania

Amy Marcini, MD
General and Orthopedic Surgeon
Boston, MA

Laeth Nasir, MBBS
Professor and Chairman
Department of Family Medicine
Creighton University
Omaha, NE

Jahan Porhomayon, MD. CBA, FCCP
Clinical Associate Professor of Anesthesiology
University at Buffalo
Buffalo, New York

Mark W. Perdue, PA-C
Former Faculty Instructor
University of Oklahoma Tulsa Physician Assistant Program
Physician Assistant
Mednow Urgent Care
Broken Arrow, OK

Joseph Scott Savage, DO, FAAEM, FACHE, FSCP, FAIHQ
Staff Physician
Emergency Dept.
Yale-New Haven Health System
Bridgeport Hospital
New Haven, CT

George Smolinksi III, MD
Major, Medical Corps, U.S. Army
Physical Medicine Clinic
Landstuhl Regional Medical Center
Landstuhl, Germany

Richard Snyder, DO
Integrative Medicine Practitioner
LeHigh Valley Nephrology Associates

Rodrigo Tanchanco, MD, FACP
Christiana Medical Group
Newark, DE

Frank Townsend, III, MD, JD
Attending Physician
Greater Baltimore Medical Center
Baltimore, MD
Tricia A. Walters, MD
Family Medicine w/ Obstetrics
Wyatt, IN

Cezary Wojcik, MD, PhD
Deaconess Hospital
Assistant Professor
Indiana University School of Medicine
Evansville, IN

Melissa Wolf, MD
Bozeman Deaconess Women’s Specialists
Bozeman, MT

Sean Wormuth, MD
Emergency Medicine Physician
Kaiser Permanente Medical Center
Vallejo, CA

Editorial Research and Product Development:

Nancy M. Anderson, MS, MBA
Epidemiologist, Clinical Researcher
Memphis, TN

Our Nursing Questions

NBME-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.

Media Enhanced Learning

High-resolution media – radiographs, ECG, photos, diagrams, video, audio, and more – are included in Q&A case stems and answer explanations to clarify meaning of core concepts. Select topics also provide media galleries for additional reference.

  • media enhanced learning
  • high resolution media
  • QA answer explanations
  • clarify core concepts

CME Credits Included

Earn while you learn. Knock out requirements fast.

Earn Up To
ANCC ''contact hour'' CNE Credits

Earn and Claim Credits Easily

  • Score 80% or better on topic-based CME assessments
  • CME earnings will appear in your CME Claims Center
  • Produce PDF CME Certificates (claim credits) instantly
  • PDFs list all topics claimed for hassle-free submission
  • Return anytime to reprint or review historical earnings

claim credits easily with Med-Challenger

You don’t just get the best content.
You get the best tools too.

Great content does nothing on it’s own. You have to use it.
We give you the most tools to “get it done” – your way.

Features & Utilities

board exam simulation

Board Exam Simulation

Prepare in less time, dive deep when needed.

All QBanks come with comprehensive exam simulations that emulate the exact content specifications of exams every time.

  • Case-based NBME-style Q&A
  • Instant Feedback
  • Prescriptive Remediation

Adaptive Learning

Smarter exams. Better results.

Our adaptive learning engine is always working to find and fix weak areas of knowledge.

  • Targets Weaknesses
  • Ensures 100% Mastery
  • Shortens Review Time
smarter board exam review
create custom exams

Build Custom Exams

Self-assess or train your crew - your way.

While we provide standard board-focused exams, you can also make your own - and save them for re-use.

  • Easy-to-use Wizard
  • Save and Re-use
  • Assignable by PDs

Custom Assignments

Control activities & monitor performance.

Program directors can assign self-assessment and testing adjunct to existing rotational programs.

  • Assignment Manager
  • Calendaring & Notifications
  • Custom Workflow Options
custom assignments
powerful education analytics

Powerful Analytics

Easily document results

Flexible reports allow PDs to get the data they want in hand.

  • Score Cards
  • Compliance Reports
  • PDF Outputs

Amazingly Efficient

Big benefits for all.

Ultimately, everyone has the tools they need to "get it done" with less time, hassle, risk, and cost.

  • A Single Login for Everything
  • Great for Quality Improvement
  • Great for Quality of Life
efficient board review

Standard Features

  • Time-saving Adaptive Learning Engine
  • Blueprint-based Exam Simulation
  • Detailed Answer Explanations
  • Practice & Review Study Options
  • Create Custom Exams
  • Instant Answer Feedback
  • Learning Prescriptions
  • Auto-Guided Remediation
  • Boards Pass-Guarantee
  • Low-cost Access Renewal (No re-buys!)
  • Content Search
  • CME Credit Search
  • Ongoing Content Updates
  • Board-Certified Physician Authors
  • Progress and Utility Dashboards
  • Report Suite
  • Earn CME Credits (Various Types)
  • CME Credit Claims Manager
  • On-demand CME Certificate Output
  • 24/7 Use from Any Web-enabled Device
  • Single Account Access to All Assets
  • Add Additional Assets Anytime
  • Weekly Quick Quiz CME Game
  • Peer Leaderboards
  • Free Technical Support

Additional features for Group Education applications.

Extra Benefits

Super Straight-forward

We’ve built Med-Challenger to be more than some one time use question bank solution. After all, you have a specialized career with unique mandates and MOC requirements. And everyone loves flexible tools.

Just pick what you want to do.

  • Study for exams with time-saving adaptive learning
  • Earn multiple types of CME credit requirements
  • Play weekly games for fun against your peers
  • Discover new information and content updates


One Place for Everything

Stop the endless cycle of requirement scrambles. You can assemble everything under one account and never be caught off guard by your recurring career requirements.

Have everything at your fingertips.

  • Add multiple Qbank assets to a single account
  • Use assets in multiple ways for ‘my way’ education flexibility
  • Earn, print, and maintain various CME credit activities

Buy once, renew for pennies

Take care of costs along with hassles. Our premium membership plan allows you to craft your career need “go-to” at cost ONCE. Renew EVERYTHING for one low annual fee.

Enjoy lasting career efficiency.

  • Round out your needs and have them handy anytime, anywhere
  • Stop the full price re-buys year after year
  • Get new subscription-based materials annually for free



  • david bauer md
    Improved residency training and ongoing performance quality control, instantly, as easy as turning a key.David Bauer, MD - FM Residency Director
  • mark perdue PA-C
    By far the best product for knowledge review and cme. Great for exams, but even better for my practice life!Mark Perdue, PA-C, MHS
  • mary alice obrien dnp
    Challenger makes sure you have the very best content and the very best tools for getting the most out of your time.Mary Alice O'Brien, DNP, ARNP, FNP-BC
  • andrea eberly md
    Outstanding resources for practicing clinicians. You get everything you need in one spot. Takes a huge burden off.Andrea Eberly, MD, MS, FAAEM

Package Options

Buy assets individually or by bundle.

Bundles include multiple assets for “entire career” coverage.
Compare the options below. Start a free trial.

Option 1

Nursing Basic

Everything for NCLEX Boards

One Time Purchase*

Asset included:

  • Nursing Comprehensive Review
  • Adaptive Qbank with 3000+ NCLEX-style questions
  • Board simulation with guided remediation
  • 150 ANCC “contact hour” CNE Credits
  • Money-back, pass guarantee

Benefits included:

  • One year of access (Premium Membership) free with purchase
  • One-time Purchase! Purchased assets remain in your account forever – No more re-buys!
  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available

Try / Buy Nursing Basic


The Library

Everything, Ever

One Time Purchase*

Assets included:

  • Emergency Medicine
  • Family Medicine
  • Internal Medicine
  • Pediatric Medicine
  • Pediatric Emergency
  • OB/GYN
  • Urgent Care
  • Special Purpose
  • Physician Assistant
  • Nurse Practitioner: Primary
  • Nurse Practitioner: Emergency
  • RN / NCLEX
  • EM LLSA Subscription
  • FM MC-FP KSA Subscription
  • PEDS MOC Part 2
  • Auscultation (Cardio & Pulm)
  • Dermatology
  • Ultrasound
  • ECG Interpretation
  • Radiology Interpretation
  • Risk Management & Malpractice
  • Self-Defense
  • State-required CME
  • Cardiac Center CME
  • Stroke Center CME
  • Trauma Center CME

  • AMA PRA Cat. 1 Credits™ and other CME types included
  • New Med-Challenger course assets including new titles and editions FREE as they are released.

Benefits included:

  • One year of access (Premium Membership) free with purchase
  • One-time Purchase! Purchased assets remain in your account forever – No more re-buys!
  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available

See Full Details
Try / Buy The Library

Our Premium model is a better plan.
You buy assets once - and can use them year after year!

  • Create a single account.
  • Buy content assets - once.
  • Get one year of access free with purchase.
  • Assemble everything you need in one spot.
  • Fulfill your career needs easily, every time.

Renew access to ALL PURCHASED ASSETS in your account for only $199/yr.
No more re-buys!   No more scrambles.

With active Premium Membership, all your purchases remain up-to-date and useful - year after year.

Subscription-based MOC assets receive new materials annually for free too.

Single asset & multi-asset "value packages" (even more savings) available.

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