USA

National Council Licensure Examination (NCLEX-RN)

600 questions

About this exam

The National Council Licensure Examination (NCLEX-RN) is the U.S. licensing exam for people seeking to practice as registered nurses. It assesses whether a candidate has the knowledge and clinical judgment needed for safe, entry-level nursing care; it is not a test of advanced specialty expertise. Candidates generally apply through a state board of nursing after completing an eligible nursing program and must receive authorization to test. State requirements can differ, so check the board where you plan to seek licensure for current eligibility steps.

The NCLEX-RN uses computer-adaptive testing and assesses nursing through client needs and clinical judgment, rather than simply asking candidates to recall isolated facts. Review areas include safe and effective care, health promotion, psychosocial care, basic care, pharmacology, risk reduction, and physiological adaptation. Apply these concepts to assessment, documentation, care planning, and adult health topics such as cardiovascular, respiratory, endocrine, and metabolic conditions. Preparation takes more than memorizing notes: practice prioritizing care, recognizing changes in a patient's condition, and choosing safe actions.

How to prepare for the NCLEX-RN

  1. Use the current NCSBN NCLEX-RN test plan to organize review by client-needs categories, then give extra attention to weaker areas such as pharmacology, safety, and physiological adaptation.
  2. Study clinical judgment with timed questions and case-based practice: identify relevant assessment findings, set priorities, choose an action, and review why other options are less safe.
  3. Build a practical review schedule that includes fundamentals, documentation and care planning, and adult cardiovascular, respiratory, endocrine, and metabolic nursing; revisit missed concepts instead of only counting correct answers.

FAQ

Who is eligible to take the NCLEX-RN?

Eligibility is determined by the state board of nursing where you are applying for licensure. In general, candidates complete an eligible registered nursing program, meet the board's requirements, and receive authorization to test. Requirements may vary, including for internationally educated nurses.

What is the format of the NCLEX-RN?

The NCLEX-RN is a computer-adaptive exam, so the questions are selected in response to a candidate's performance. It includes different item types and assesses clinical judgment as well as nursing knowledge. Check the current NCSBN information for exam details that apply to your testing period.

What subjects should I study for the NCLEX-RN?

Study the client-needs areas in the current NCSBN test plan, including safety, health promotion, psychosocial care, pharmacology, and physiological adaptation. Also review assessment, care planning, and common adult health conditions, and practice applying knowledge to patient scenarios.