The NCLEX exam has evolved over the years, and 2025 brings even more focus on critical thinking and clinical judgment. Understanding the types of NCLEX questions you’ll face is essential for building confidence and increasing your chances of passing on the first try. Whether you’re a nursing graduate, an internationally educated nurse, or returning to practice, knowing the format helps you prepare smarter—not harder.

1. Multiple Choice Questions (MCQs)

The most common format
Four answer choices, one correct answer
Tests recall, application, and analysis skills

2. Select All That Apply (SATA)

Multiple correct answers
No partial credit—must select all correct responses
Tests the ability to recognize all appropriate nursing actions

3. Fill-in-the-Blank Calculation

Requires math for medication dosages, IV rates, etc.
No answer choices—requires accuracy and correct units

4. Hot Spot Questions

Click on the correct area of an image (e.g., anatomy diagram)
Tests practical knowledge and visual recognition

5. Ordered Response

Drag-and-drop to arrange nursing actions in the correct order
Tests prioritization and sequencing of care

6. Chart/Exhibit Format

Requires interpretation of patient data from charts, tables, or EHR excerpts
Often paired with a clinical judgment question

7. Next Generation NCLEX (NGN) Case Studies

Includes multiple question types in one patient scenario
Uses the Clinical Judgment Measurement Model (CJMM)
May have extended multiple response, drop-down menus, or matrix grids

1. Practice in the Same Format

Use NCLEX-style software or review courses that mimic the real exam interface.

2. Focus on Critical Thinking

Memorization won’t be enough—practice applying nursing concepts in patient scenarios.

3. Review Test-Taking Strategies

Learn how to eliminate distractors, manage time, and avoid overthinking.

4. Simulate Exam Conditions

Take timed practice tests to get used to the pressure and pacing.

Common Mistakes to Avoid

Rushing through SATA questions without double-checking
Misreading units in calculation problems
Forgetting to consider patient safety as the top priority
Overlooking clues in the question stem or chart data

FAQ Section

Q: How many question types are on the NCLEX in 2025?

A: The NCLEX includes multiple-choice, SATA, fill-in-the-blank, hot spot, ordered response, chart/exhibit, and NGN case study questions.

Q: Is the NCLEX harder in 2025?

A: The difficulty depends on preparation. The NGN format focuses more on critical thinking, but with the right practice, you can succeed.

Q: How can I improve at SATA questions?

A: Read each option independently, ask yourself if it is correct, and only select answers you are 100% sure about.