Free NCLEX matrix questions in real NGN format
Matrix items present a table of rows (findings, interventions, or assessments) and columns (categories like indicated/not indicated, urgent/non-urgent). They test recognize-cues and analyze-cues steps of the Clinical Judgment Measurement Model.
How matrix questions work on NCLEX
A matrix item shows you 4–6 rows (clinical findings, lab results, or potential interventions) and 2–3 columns (the categories you assign each row to). You click each row's correct column.
Scoring is polytomous: each correct row earns +1, each incorrect row loses -1. The floor is zero per item, so one mistake doesn't ruin a whole matrix.
Common matrix templates on NCLEX
- Indicated vs not indicated: For each intervention, is it appropriate for this client?
- Expected vs unexpected: For each finding, is it consistent with the diagnosis?
- Urgent vs non-urgent: For each cue, does it require immediate action?
- Supports vs refutes: For each finding, does it support or refute the hypothesis?
- Essential vs non-essential: For each teaching point, is it required for this client?
4 rules for tackling matrix questions
- Read every row before answering. Test writers anchor you with obvious rows and bury subtle ones below.
- Evaluate each row in isolation. Don't try to balance "I have 3 in this column already so the next should be in the other."
- When uncertain, lean toward not-indicated / unexpected / non-urgent. Partial-credit scoring penalizes wrong selections.
- Don't second-guess the obvious ones. If a row is clearly correct, move on.
Try these 3 questions now
No signup required. Tap an answer to reveal the rationale.
- Question 1 · Matrix · stroke triage
For each finding, identify whether it supports a diagnosis of acute ischemic stroke requiring immediate workup, or a less urgent presentation.
- a.Unilateral facial droop with new arm weakness — Acute stroke
- b.Gradual headache with photophobia over 3 days — Less urgent
- c.Sudden inability to speak — Acute stroke
- d.Stable chronic dizziness with normal exam — Less urgent
Show answer + rationale
Correct: A, B, C, D. Sudden unilateral neurologic deficits (facial droop, arm weakness, aphasia) trigger stroke alert and tPA window evaluation. Subacute headaches and chronic stable symptoms can be worked up routinely. The FAST mnemonic (Face, Arms, Speech, Time) captures this triage in one cue.
- Question 2 · Pharmacology · SATA
A nurse is teaching a client about warfarin therapy. Which statements indicate the teaching has been effective? Select all that apply.
- a.I should call my provider if I see blood in my urine.
- b.I will avoid large amounts of leafy green vegetables.
- c.I can take ibuprofen for headaches.
- d.I will use an electric razor for shaving.
- e.I will get my INR checked as scheduled.
Show answer + rationale
Correct: A, B, D, E. Warfarin increases bleeding risk so hematuria warrants provider notification (A). Vitamin K from leafy greens antagonizes warfarin, so consistency rather than total avoidance is the goal, but large variations are problematic (B is acceptable phrasing). Electric razors reduce cut risk (D). INR monitoring is essential (E). Ibuprofen (C) is an NSAID that increases bleeding risk and is contraindicated — acetaminophen is preferred.
- Question 3 · Pediatrics · SATA
Which findings in a 6-month-old infant would prompt immediate provider notification? Select all that apply.
- a.Sunken anterior fontanel
- b.Capillary refill of 4 seconds
- c.Mottled extremities
- d.Wet diaper count of 6 in 24 hours
- e.Lethargy and weak cry
Show answer + rationale
Correct: A, B, C, E. Sunken fontanel signals dehydration. Cap refill greater than 3 seconds and mottling indicate poor perfusion. Lethargy and weak cry are red flags for sepsis or severe dehydration. 6 wet diapers in 24 hours is within normal limits (expected 6–8 daily) — that finding is reassuring, not concerning.
These are 5 of 5,000+ NCLEX questions in the Clarity bank. The full bank includes real NGN case studies, bow-tie items, AI tutor follow-up, and 5 readiness exams.
Get 5,000+ more questions free for 10/day →Frequently asked questions
How are NCLEX matrix questions scored?
Polytomous: each correct row earns +1, each incorrect row loses -1, no selection earns 0. The item total floors at zero.
How many matrix questions are on the NCLEX?
Most test-takers see 2–4 standalone matrix items per NCLEX-RN, plus matrix sub-items embedded in case studies. They appear in every test.
What's the best strategy for matrix questions?
Read every row before answering. Evaluate each independently. Lean toward not-indicated when uncertain. Don't try to balance column counts.
Where can I practice NCLEX matrix questions for free?
The matrix on this page is in real NGN format. NCSBN's NGN practice items include matrices. Clarity premium ($9.99/mo) includes 2,000+ matrix and SATA items.