SBA
NCLEX® Practice Questions
4 options · 1 correct · Bloom’s levels 1–5
The foundation of NCLEX® testing. Read a clinical scenario, evaluate four plausible options, and choose the one best answer. Every wrong answer reflects a real clinical misconception.
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Clinical judgment steps
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A 52-year-old Spanish-speaking client admitted for pneumonia is refusing the prescribed IV antibiotics recommended by the health care provider. The client states (in broken English) that he wants to "try natural remedies first" and is worried about injection side effects. His adult daughter is present and speaks fluent English. The client has full decision-making capacity. The nurse recognizes this as a values-based refusal that requires advocacy to ensure the client can make an informed choice aligned with his preferences. Which action should the nurse take to support the client's informed treatment decision?
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Common questions
What is an SBA question on the NCLEX®?
Single Best Answer (SBA) is the most common NCLEX® format. You read a clinical scenario and choose the one best answer from four options. Every option is clinically plausible, so you need to evaluate each one carefully rather than looking for obvious wrong answers.
How many SBA questions are on the NCLEX®?
SBA makes up the majority of NCLEX® questions. The exam is 85–150 items and most are SBA format, mixed with SATA, BowTie, and Case Studies. The exact mix depends on the computer adaptive algorithm.
How does StudyWithLily make SBA questions harder than other apps?
Every SBA question has four clinically plausible options, not three throwaway answers and one correct one. Wrong answers reflect real misconceptions nursing students have. Difficulty scales from recall (Bloom’s 1) to evaluation (Bloom’s 5), and Lily adjusts in real time based on your answers.
Can I practice SBA questions for free?
Try the sample questions on this page right now. SBA is included in the free 150-question practice quota with adaptive difficulty and instant rationales. Full Access removes the standard practice cap.
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SBA today.
SBA is included in the free 150-question practice quota, with instant rationales.
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