NCLEX-RN
The NCLEX tests clinical judgment, not just recall. Under the 2026 NCLEX-RN Test Plan (effective April 1, 2026 through March 31, 2029), the exam is computerized adaptive: every candidate answers at least 85 items and at most 150, within a five-hour limit that includes breaks. In a minimum-length exam, 52 items come from the eight Client Needs content areas, 18 items form three clinical judgment case studies, and 15 are unscored pretest items. Each case study follows the six steps of the NCSBN Clinical Judgment Measurement Model: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action and evaluate outcomes.
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Management of Care (15–21%) and Pharmacological and Parenteral Therapies (13–19%) are the largest Client Needs subcategories. Practical nurse candidates take the NCLEX-PN, which has its own test plan.
Study Guide Maker turns your nursing course slides, text-based PDF readings, Word docs or notes into focused guides — key concepts tagged to the page they came from, a glossary, practice questions and flashcards. Choose the College level, make one guide per course topic, and pair it with practice in the NCLEX item formats.
Exam length
85–150 items · 5 hours (includes all breaks) · — of score
Minimum-length exam: 52 Client Needs items + 18 case study items (3 case studies × 6 items) + 15 unscored pretest items
Clinical judgment
3 case studies + approx. 10% stand-alone clinical judgment items · — · — of score
Case studies follow the NCJMM: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, evaluate outcomes
| Unit | Weight |
|---|---|
| Safe and Effective Care Environment — Management of Care | 15–21% |
| Safe and Effective Care Environment — Safety and Infection Prevention and Control | 10–16% |
| Health Promotion and Maintenance | 6–12% |
| Psychosocial Integrity | 6–12% |
| Physiological Integrity — Basic Care and Comfort | 6–12% |
| Physiological Integrity — Pharmacological and Parenteral Therapies | 13–19% |
| Physiological Integrity — Reduction of Risk Potential | 9–15% |
| Physiological Integrity — Physiological Adaptation | 11–17% |
Facts checked against official sources on 2026-10-09. We do not invent pass rates or guarantee scores — verify dates and weightings on the publisher site before you rely on them.
Group your course material under the eight Client Needs categories and subcategories.
Pathophysiology, key assessment findings, priority interventions and expected outcomes, with page references.
Drug class, action, key side effects, nursing considerations and client teaching — from your pharmacology notes.
Organize scenarios by the six NCJMM steps: recognize cues → evaluate outcomes.
Infection control, delegation and prioritization principles from your coursework.
Glossary of terms and the reference ranges your program teaches.
Multiple choice and short answer with rationales.
Medications, lab values and terms; export as CSV.
Upload a PDF, PowerPoint, Word or text file — or paste your notes.
Study Guide Maker builds an outline, key concepts, glossary, practice questions, and flashcards, and tags every point with the page it came from.
Quiz yourself right on the page, flip through flashcards, or export to PDF, Word and CSV.
A sample guide built from a short biology handout. Page tags show where each point came from.
Biology
Cellular respiration is how cells turn the chemical energy in glucose into ATP. It happens in three stages — glycolysis, the Krebs cycle, and the electron transport chain — and releases carbon dioxide and water as by-products.
Sample output for illustration.
Under the 2026 RN Test Plan, candidates answer a minimum of 85 and a maximum of 150 items within five hours, including breaks. The exam is computerized adaptive, so length varies by candidate.
Safe and Effective Care Environment (Management of Care 15–21%; Safety and Infection Prevention and Control 10–16%), Health Promotion and Maintenance (6–12%), Psychosocial Integrity (6–12%), and Physiological Integrity (Basic Care and Comfort 6–12%; Pharmacological and Parenteral Therapies 13–19%; Reduction of Risk Potential 9–15%; Physiological Adaptation 11–17%).
A case study is a set of six items that follows the NCSBN Clinical Judgment Measurement Model: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action and evaluate outcomes. A minimum-length exam includes three case studies (18 items).
No. It creates multiple-choice and short-answer practice questions from your own course material. Use the official NCLEX tutorial and practice resources for the exam's item formats.
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