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  • Based on the official NCLEX-RN exam guidelines
  • Updated for January 2025

Physiological Adaptation Practice Test for Nurses

Welcome to the first NCLEX-RN practice test on Physiological Adaptation. There are four practice tests in this important subcategory of Physiological Integrity. This is one of the largest areas of content on your NCLEX. When you sit for your examination, between 11 and 17% of the test items will be related to “how the nurse manages and provides care for clients with acute, chronic, or life-threatening physical health conditions.” Physiological Adaptation covers care for clients across the entire lifespan, in every situation. As an entry-level nurse, you are expected to be familiar with hemodynamics, fluid & electrolyte balance, and pathophysiology of acute and chronic conditions. This practice test will ask you about electrocardiogram (ECG) rhythm strips, disease pathophysiology, respiratory system interventions, and nutrition education. Start this test whenever you’re ready. If you leave any test before it’s completed, it will remind you where you left off when you return. Read each question carefully and try to think of the answer before looking at the options. Remember to select the BEST choice. If you’re not sure, click on the Hint button under the fourth option to get a clue. When you select the correct response, you’ll go to the next question. If you make a mistake, an explanation will immediately pop up. Each time you take a practice test, the questions and options are shuffled into a different random order. These are proven techniques to reinforce your learning.
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What you need to know
Reviewed by Winona Suzanne Ball, Nursing Adviser, RN | MHS, Governors State University, IL, Full member of the American Nurses Association.
What to expect on the official exam
75-145

questions

5 hours

exam length

Pass/Fail

exam type

Computer Adaptive

scoring format