How much of the NCLEX-RN is Psychosocial Integrity?

6–12% of the items, under the 2026 NCLEX-RN Test Plan. The exam is adaptive — between 85 and 150 items — so the count you meet depends on how long your exam runs.

Is there a passing score on the NCLEX?

Not as a percentage. The exam is computer-adaptive and ends when the computer is 95% sure your ability is above or below the passing standard, a level NCSBN sets rather than a number of correct answers.

Is this the official NCLEX?

No. These are original practice questions written for study from the categories in the published test plan. The official exam is administered by NCSBN (National Council of State Boards of Nursing).

NCLEX-RN Psychosocial Integrity practice test

Therapeutic communication, mental health, abuse, substance use, grief.

6–12% of the real exam 85–150 items, adaptive 2026 test plan

NCLEX-RN — Psychosocial Integrity Question 1 of 10

A client who lost a limb in an accident three days ago refuses to look at the surgical site during dressing changes. What is the nurse’s best action?

What this section asks

Mental, emotional and social well-being — the client in crisis, the client withdrawing, the client who has just been told something they cannot absorb. The single most tested skill is therapeutic communication, and it has a reliable pattern: the correct response reflects, opens or acknowledges, and the distractors reassure, advise, judge or change the subject.

Therapeutic communicationAbuse and neglect assessmentSubstance use and withdrawalDepression, anxiety and psychosisSuicide risk and violence precautionsGrief, loss and end-of-life careCultural and spiritual factorsCoping and support systems

Frequently asked

How much of the NCLEX-RN is Psychosocial Integrity?: 6–12% of the items, under the 2026 NCLEX-RN Test Plan. The exam is adaptive — between 85 and 150 items — so the count you meet depends on how long your exam runs.
Is there a passing score on the NCLEX?: Not as a percentage. The exam is computer-adaptive and ends when the computer is 95% sure your ability is above or below the passing standard, a level NCSBN sets rather than a number of correct answers.
Is this the official NCLEX?: No. These are original practice questions written for study from the categories in the published test plan. The official exam is administered by NCSBN (National Council of State Boards of Nursing).

Other NCLEX-RN sections

Mixed practice test Management of Care Safety and Infection Prevention and Control Health Promotion and Maintenance Basic Care and Comfort Pharmacological and Parenteral Therapies Reduction of Risk Potential Physiological Adaptation

Sources

Every figure on this page comes from one of the documents below, with the date it was read. Requirements change; if a source has moved on since that date, the source is right and this page is out of date.

NCSBN — 2026 NCLEX-RN Test Plan (PDF, effective April 1, 2026) Read August 27, 2026
NCLEX.com — Computerized Adaptive Testing (CAT) Read August 27, 2026
NCLEX.com — Fees & Payment Read August 27, 2026
NCLEX.com — Test Plans (effective dates) Read August 27, 2026

Not affiliated with, endorsed by, or authorized by ATI (Assessment Technologies Institute), Elsevier, NCSBN, or any nursing program or board of nursing. TEAS®, HESI® and NCLEX® are trademarks of their respective owners. Practice questions here are original study material, not the official exams.