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100+ Free OBA NCLEX-RN (Part 1) Practice Questions

Pass your NMBA Outcomes-Based Assessment (OBA) Part 1 — NCLEX-RN Multiple-Choice Cognitive Exam exam on the first try — instant access, no signup required.

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2026 Statistics

Key Facts: OBA NCLEX-RN (Part 1) Exam

85-150 items

NCLEX-RN is a computerised adaptive test with a variable number of items

NCSBN - 2026 NCLEX-RN Test Plan

Up to 5 hours

Total NCLEX-RN test time including tutorial and optional breaks

NCSBN - 2026 NCLEX-RN Test Plan

Pass/fail

NCLEX-RN is scored against a single national standard with no percentage reported

NCSBN - 2026 NCLEX-RN Test Plan

15-21%

Management of Care is the most heavily weighted Client Needs category

NCSBN - 2026 NCLEX-RN Test Plan

13-19%

Pharmacological and Parenteral Therapies share of the NCLEX-RN blueprint

NCSBN - 2026 NCLEX-RN Test Plan

2 parts

OBA has a multiple-choice cognitive exam (Part 1) and an OSCE (Part 2)

NMBA - Internationally qualified nurses and midwives

2020

Year the NMBA introduced the OBA pathway for internationally qualified nurses

NMBA - Internationally qualified nurses and midwives

USD 200

NCSBN registration fee for the NCLEX-RN, plus AHPRA OBA fees

NCSBN - NCLEX registration

OBA Part 1 is the multiple-choice cognitive exam of the NMBA Outcomes-Based Assessment for internationally qualified nurses; for registered nurses it is the NCLEX-RN, delivered by Pearson VUE under an AHPRA referral. The NCLEX-RN is a computerised adaptive test of 85 to 150 items (including 15 unscored pretest items) with up to 5 hours of test time and a pass/fail result against a single national standard. Content follows the 2026 NCLEX-RN Client Needs blueprint: Management of Care (15-21%), Safety and Infection Prevention and Control (10-16%), Health Promotion and Maintenance (6-12%), Psychosocial Integrity (6-12%), Basic Care and Comfort (6-12%), Pharmacological and Parenteral Therapies (13-19%), Reduction of Risk Potential (9-15%) and Physiological Adaptation (11-17%). Candidates must also pass OBA Part 2 (OSCE). This 100-question bank gives original single-best-answer practice weighted to those categories without copying real NCLEX items.

Sample OBA NCLEX-RN (Part 1) Practice Questions

Try these sample questions to test your OBA NCLEX-RN (Part 1) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A registered nurse is planning care for four clients at the start of a shift. Which client should the nurse assess first?
A.A client awaiting discharge who needs medication teaching
B.A client with new-onset shortness of breath and oxygen saturation of 88%
C.A client requesting help to the bathroom
D.A client who needs a dressing change before lunch
Explanation: Using the airway, breathing, circulation (ABC) framework, the client with shortness of breath and an oxygen saturation of 88% has a breathing problem that is potentially life-threatening and must be assessed first. The other clients have important but non-urgent needs.
2A registered nurse is delegating tasks to an assistant in nursing (unlicensed assistive personnel). Which task is most appropriate to delegate?
A.Assessing a new admission's respiratory status
B.Teaching a client how to use an inhaler
C.Assisting a stable client to shower and dress
D.Evaluating a client's response to pain medication
Explanation: Assisting a stable client with hygiene is a routine, predictable task within the scope of an assistant in nursing. Assessment, teaching and evaluation require nursing judgement and cannot be delegated to unlicensed staff.
3A client refuses a prescribed blood transfusion for religious reasons after being fully informed of the risks. What is the nurse's most appropriate action?
A.Administer the transfusion because it is prescribed
B.Respect the client's decision and document the refusal
C.Ask the family to override the client's decision
D.Tell the client they will die without the transfusion
Explanation: A competent adult has the right to refuse treatment even when refusal carries serious risk. The nurse must respect the informed decision, notify the treating team and document the refusal. This upholds client autonomy and advocacy.
4A nurse discovers that a colleague has documented vital signs that were not actually taken. What is the nurse's priority action?
A.Ignore it because the client appears stable
B.Report the falsified documentation to the nurse manager
C.Confront the colleague and threaten to report them
D.Correct the chart entries personally
Explanation: Falsified documentation is a serious professional and safety issue. The nurse has a duty to report the concern through the appropriate channel, the nurse manager, so it can be investigated. This protects clients and upholds professional accountability.
5A registered nurse is caring for a group of clients with another RN and two assistants in nursing. Which client is most appropriate to assign to the other registered nurse?
A.A client needing assistance with feeding
B.A newly admitted client requiring intravenous medication titration
C.A client who needs help ambulating to the chair
D.A client requiring routine vital signs
Explanation: A newly admitted client needing intravenous medication titration requires ongoing assessment and clinical judgement, so the task must go to a registered nurse. The remaining tasks are routine and can be performed by assistants in nursing.
6A client asks the nurse to explain the surgical procedure they are about to consent to. The nurse recognises the surgeon has not fully explained the risks. What should the nurse do?
A.Explain the surgical risks and benefits to the client
B.Have the client sign the consent and proceed
C.Contact the surgeon to provide the explanation before consent
D.Tell the client the surgery is routine and safe
Explanation: Obtaining informed consent, including explaining risks and benefits, is the responsibility of the practitioner performing the procedure. The nurse should contact the surgeon to provide the explanation. The nurse witnesses the signature and confirms the client understands.
7Four clients need attention at once. Applying Maslow's hierarchy of needs, which client should the nurse prioritise?
A.A client who is anxious about going home
B.A client whose intravenous fluids have stopped infusing and who is dehydrated
C.A client requesting a visit from the chaplain
D.A client wanting to discuss discharge plans
Explanation: Maslow's hierarchy places physiological needs first. A dehydrated client whose fluids have stopped has an unmet physiological need and takes priority over the psychosocial and self-actualisation needs of the other clients.
8A nurse is preparing to transfer a client to another unit. Which action best ensures continuity of care?
A.Send the client with no verbal report
B.Provide a structured handover including current status, medications and pending tasks
C.Tell the receiving nurse to read the chart later
D.Give only the client's diagnosis to the receiving unit
Explanation: A structured handover that communicates current status, medications, treatments and pending tasks ensures the receiving team has the information needed for safe continuity of care. Incomplete or absent handover increases the risk of errors.
9A nurse receives a telephone prescription from a doctor. What is the safest way to ensure the order is correct?
A.Write it down and carry it out immediately
B.Read the order back to the prescriber for confirmation
C.Ask another nurse to remember the order
D.Document the order after the shift ends
Explanation: Reading back a verbal or telephone order to the prescriber confirms accuracy and reduces the risk of transcription error. This closed-loop communication is a recognised safety standard for verbal orders.
10A client's adult son asks the nurse for details about the client's diagnosis. The client has not authorised the nurse to share this information. What should the nurse do?
A.Provide the information because they are family
B.Decline to share and explain that consent is required
C.Share only the test results
D.Tell the son to look at the client's chart
Explanation: Health information is confidential and may only be shared with others when the client has given consent. The nurse should decline and explain that the client must authorise disclosure. This protects privacy and confidentiality.

About the OBA NCLEX-RN (Part 1) Exam

OBA Part 1 is the multiple-choice cognitive exam in the Nursing and Midwifery Board of Australia's Outcomes-Based Assessment, the pathway introduced in 2020 for internationally qualified nurses and midwives (IQNMs) seeking Australian registration. For registered nurses, OBA Part 1 is the NCLEX-RN, the NCSBN entry-to-practice examination delivered through Pearson VUE test centres. It is a computerised adaptive test of 85 to 150 single-best-answer and Next Generation items, with up to five hours of test time and a pass/fail outcome judged against a single national standard. Its blueprint is the NCLEX-RN Client Needs framework, which weights Management of Care and the four Physiological Integrity sub-categories most heavily. Candidates who pass OBA Part 1 then sit OBA Part 2, an objective structured clinical examination (OSCE), to demonstrate clinical competence equivalent to an Australian-trained nurse.

Assessment

Computerised adaptive test of 85 to 150 items, including 15 unscored pretest items. Most items are single-best-answer multiple choice across the eight NCLEX-RN Client Needs categories, with some Next Generation NCLEX item types.

Time Limit

Up to 5 hours including the tutorial, optional breaks and exam time. The test is variable length and ends when a reliable pass/fail decision is reached or the time or item limit is hit.

Passing Score

Pass/fail only against a single national passing standard; no percentage or scaled score is reported. Registered nurses must also pass OBA Part 2 (OSCE) to complete the assessment.

Exam Fee

For registered nurses, OBA Part 1 is the NCLEX-RN at USD 200 to register with NCSBN, plus AHPRA OBA referral and assessment fees and any Pearson VUE international scheduling charges. Confirm current fees with AHPRA and NCSBN. (Nursing and Midwifery Board of Australia (NMBA) / AHPRA; NCLEX-RN owned by NCSBN and delivered through Pearson VUE)

OBA NCLEX-RN (Part 1) Exam Content Outline

15-21%

Management of Care

Coordination of care, delegation and supervision, advocacy, informed consent, confidentiality, legal rights and responsibilities, ethics, prioritisation and continuity of care for the registered nurse.

10-16%

Safety and Infection Prevention and Control

Standard and transmission-based precautions, surgical and medical asepsis, accident and error prevention, handling hazardous and infectious materials, safe use of equipment and incident reporting.

6-12%

Health Promotion and Maintenance

Ageing process, antepartum, intrapartum and newborn care, developmental stages and transitions, health screening, lifestyle choices, self-care and high-risk behaviours.

6-12%

Psychosocial Integrity

Coping and adaptation, mental health concepts, therapeutic communication and environment, crisis intervention, grief and loss, abuse and neglect, chemical dependency and cultural and spiritual care.

6-12%

Basic Care and Comfort

Assistance with activities of daily living, nutrition and oral hydration, elimination, mobility and immobility, rest and sleep, non-pharmacological comfort measures and personal hygiene.

13-19%

Pharmacological and Parenteral Therapies

Medication administration and rights, dosage calculation, expected actions and adverse effects, contraindications and interactions, parenteral and intravenous therapies, blood products and total parenteral nutrition.

9-15%

Reduction of Risk Potential

Recognising changes and complications, diagnostic tests, laboratory values, therapeutic procedures, vital signs, system-specific assessments and reducing the likelihood that clients develop complications.

11-17%

Physiological Adaptation

Care of clients with acute, chronic and life-threatening physical conditions, fluid and electrolyte imbalances, haemodynamics, medical emergencies, pathophysiology and unexpected responses to therapies.

How to Pass the OBA NCLEX-RN (Part 1) Exam

What You Need to Know

  • Passing score: Pass/fail only against a single national passing standard; no percentage or scaled score is reported. Registered nurses must also pass OBA Part 2 (OSCE) to complete the assessment.
  • Assessment: Computerised adaptive test of 85 to 150 items, including 15 unscored pretest items. Most items are single-best-answer multiple choice across the eight NCLEX-RN Client Needs categories, with some Next Generation NCLEX item types.
  • Time limit: Up to 5 hours including the tutorial, optional breaks and exam time. The test is variable length and ends when a reliable pass/fail decision is reached or the time or item limit is hit.
  • Exam fee: For registered nurses, OBA Part 1 is the NCLEX-RN at USD 200 to register with NCSBN, plus AHPRA OBA referral and assessment fees and any Pearson VUE international scheduling charges. Confirm current fees with AHPRA and NCSBN.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

OBA NCLEX-RN (Part 1) Study Tips from Top Performers

1Download the 2026 NCLEX-RN test plan and use the Client Needs percentages to focus most of your study on Management of Care, Pharmacology and Physiological Integrity.
2Practise prioritisation frameworks such as ABCs, Maslow's hierarchy and the nursing process so you can pick the best first nursing action under exam pressure.
3Master safe medication administration, common drug classes, adverse effects and dosage calculation using metric units, since pharmacology is one of the heaviest weighted areas.
4Learn normal laboratory values and vital sign ranges so you can quickly recognise changes in client condition for Reduction of Risk Potential items.
5Answer large volumes of single-best-answer practice questions and read every rationale, including why the wrong options are wrong, to build clinical judgement.
6Confirm your AHPRA OBA referral and NCSBN registration details early, and rehearse five-hour test stamina with timed practice sessions before booking at Pearson VUE.

Frequently Asked Questions

What is OBA Part 1 and how does it relate to the NCLEX-RN?

OBA Part 1 is the multiple-choice cognitive exam in the NMBA Outcomes-Based Assessment for internationally qualified nurses. For registered nurses, OBA Part 1 is the NCLEX-RN, the NCSBN entry-to-practice exam delivered through Pearson VUE.

How many questions are on the OBA Part 1 (NCLEX-RN) exam?

It is a computerised adaptive test of 85 to 150 items, including 15 unscored pretest items. The exam stops once a reliable pass/fail decision is reached, so the number of questions varies by candidate.

How long is the exam and how is it scored?

Total test time is up to 5 hours, including the tutorial and optional breaks. The NCLEX-RN is pass/fail against a single national standard; no percentage or scaled score is reported.

What content areas does OBA Part 1 cover?

It follows the NCLEX-RN Client Needs blueprint: Management of Care, Safety and Infection Prevention and Control, Health Promotion and Maintenance, Psychosocial Integrity, Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction of Risk Potential and Physiological Adaptation.

Do I also need to pass an OSCE?

Yes. The OBA has two parts: Part 1 is the multiple-choice cognitive exam (NCLEX-RN for registered nurses) and Part 2 is an objective structured clinical examination (OSCE). Both must be passed for registration.

Are these official NMBA, AHPRA or NCSBN questions?

No. These are original OpenExamPrep questions modelled on the NCLEX-RN Client Needs categories. NCSBN, AHPRA and the NMBA provide official test plans and guidance separately; this bank does not copy real NCLEX items.