You don’t need 6,500 questions.
You need 1,800 you’ll actually finish.
Every question, rationale, care plan, and cheat sheet here is written or reviewed by one nurse educator. Every answer option gets its own written rationale, including the three that looked right.
29 dollars a month, or 80 dollars for three months. Two day free trial with the full library. Full terms
Management of Care – Prioritization
A nurse on a medical surgical unit receives report on four clients at the start of the shift. Which client should the nurse assess first?
Pick an answer. All four rationales open, not only the one you chose.
What are you studying right now?
Select one to see which parts of the library usually fit that point. This only changes the suggestions shown here. Nothing is locked to a selection.
Early coursework: learn to read a stem before the content gets heavy.
- Health Promotion and Maintenance, 50 questions, and Psychosocial Integrity, 40 questions, for what your first courses actually cover.
- Basic Care and Comfort, 40 questions, for the skills you are being checked off on this semester.
- 21 printable cheat sheets to carry into lab and clinical, each with the nursing action next to the number.
Pharm and med-surg: the two courses that decide your grade.
- Pharmacological and Parenteral Therapies, 80 questions in 8 modules, organized so you can drill one drug class at a time.
- Medical-Surgical Nursing by body system, 13 systems at 100 questions each, so you can study only the unit you are being tested on.
- The Dosage Practice Lab, seven calculation types with typed answers and a full worked solution every time.
Final year: exit exams, and the item formats that are new to everyone.
- 100 Next Generation practice items in 10 modules, including bowtie and trend, so the format is not the surprise.
- Management of Care, 90 questions, and Reduction of Risk Potential, 60 questions, for prioritization and for catching complications early.
- The 85 question Exam Simulator to practice holding attention across a long session.
New grad: a full review pass with a way to find soft spots.
- All eight client needs areas for coverage, every question with a written rationale for every option.
- Medical-Surgical Nursing by body system, which is where most of a review pass goes, and where remediation is easiest to target.
- The 85 question Exam Simulator to practice under a clock and see which areas to revisit.
Every plan opens the whole library while your access is active. This selector only reorders suggestions, it does not restrict anything.
Big banks sell volume. This one sells finishing.
A 6,500 question bank sounds impressive until you work out how much of it you will actually see before your test date. This library is built to be completed, and then remembered.
Written by a nurse you can name
Every item is written or reviewed by Anna Curran, RN, BSN, PHN, a former ADN and BSN nursing instructor. No contractor patchwork and no style whiplash between questions. The voice that teaches you question one teaches you question 1,800.
1,800 questions in 180 even modules
Ten questions per module, ten modules per body system, thirteen body systems, plus the eight client needs areas. You can see the whole map, work it, and finish it before your test date instead of drawing from a queue that never ends.
Every option explained, every time
The best answer is the easy part. Each option that is not the best choice gets its own written rationale, addressed on its own terms. On the exam the skill is not recognizing the right answer. It is ruling out the ones that looked right.
You will always know what to study next.
Accuracy is measured on first attempts only, weakest category first, and every bar carries a written label so you are never reading color alone. This is the screen that turns a wrong answer into a plan.
First attempts across all nine courses. This is your accuracy in this question bank. It is not a prediction of your licensure exam result.
640 of 1,800 questions answered
1 category to focus on
Accuracy by client needs category
Weakest first. Every bar is labeled in words, so color is never carrying the meaning by itself.
Physiological Adaptation
Focus here44 of 70 questions answered
Pharmacological and Parenteral Therapies
Shore up52 of 80 questions answered
Reduction of Risk Potential
Shore up38 of 60 questions answered
Management of Care
Shore up58 of 90 questions answered
Health Promotion and Maintenance
Solid30 of 50 questions answered
Safety and Infection Prevention and Control
Solid42 of 70 questions answered
Basic Care and Comfort
Solid28 of 40 questions answered
Psychosocial Integrity
Building signal8 of 40 questions answered. Below ten answers a percentage would be noise, so none is shown.
Example dashboardIllustration of the member view with sample study data, not a real student’s record and not an outcome you should expect. This panel covers the eight client needs courses. Medical-Surgical Nursing has its own body system view.
Work three more, no signup and no email.
One pharmacology item, one trend item, and one bowtie case, so you can see the formats and judge the rationales for yourself before you decide anything. Then 16 more on a separate page if you want a longer set.
Pharmacological and Parenteral Therapies – Adverse effects
A client with heart failure takes digoxin daily and was started on furosemide three days ago. The client reports nausea and says the ceiling lights look like they have yellow halos around them. The most recent potassium is three point one mEq per L. Which action should the nurse take first?
Pick an answer to open all four rationales.
Physiological Adaptation – Postoperative complications
A 58 year old client is recovering from an open abdominal hysterectomy. The nurse reviews the record at three points after surgery.
| Finding | Day 1 | Day 3 | Day 5 |
|---|---|---|---|
| Temperature, degrees Celsius | 37.1 | 37.9 | 38.6 |
| Heart rate, beats per minute | 82 | 96 | 118 |
| Blood pressure, mm Hg | 124 over 76 | 116 over 70 | 96 over 54 |
| Respiratory rate, breaths per minute | 16 | 20 | 26 |
| White blood cells, cells per microliter | 9,200 | 13,400 | 17,800 |
| Incision | Dry, approximated | Small serous drainage | Moderate purulent drainage |
| Mentation | Alert, oriented | Alert, oriented, tired | Oriented to person and place only |
Which finding, taken together with the others, most requires the nurse to escalate now?
In a trend item the single reading is rarely the point. The direction is.
Physiological Adaptation – Endocrine
A 24 year old client with type 1 diabetes comes to the emergency department after two days of vomiting. Blood glucose is 486 mg per dL, pH is 7.21, bicarbonate is 12 mEq per L, potassium is 5.4 mEq per L. Respirations are deep and rapid at 28 breaths per minute, the breath has a fruity odor, and mucous membranes are dry.
Part one: what the findings add up to. Choose one.
Part two: which actions you take. Choose two.
Part three: which parameters you watch. Choose two.
Fifty more questions across eight core nursing subjects, scored subject by subject so you can see which one to work on first. Sent to your email as a printable thirty six page document. Or work 16 more questions right now, with no email, including two select all that apply items and a full bowtie case.
These are original practice questions written in the style, formats, and terminology of the 2026 NCLEX-RN test plan. They are not real examination items. Real items are secure and are never published.
Find out which nursing subject is actually holding you back
Fifty questions across eight core nursing subjects, with each subject scored on its own. The number that matters is not your total. It is the gap between your strongest subject and your weakest one, because that gap is where the studying should go.
- Eight scores, not one. A single total hides the one subject that is quietly sinking you.
- A rationale for every option. Including the distractors you were deciding between.
- Thirty six pages, free. No purchase, and it is yours whether or not you ever subscribe. About sixty minutes, worked cold.
Check your email.
The diagnostic is on its way. If it does not arrive in a few minutes, look in the promotions or spam folder and mark it as not spam so the rest of the questions reach you.
Scored separately
- Fundamentals
- Medical-Surgical
- Pharmacology
- Maternity
- Pediatrics
- Mental Health
- Fluid and Electrolytes
- Safety and Infection Prevention and Control
Medical-surgical review organized by body system, not by a shuffled queue.
When your unit exam is on the renal system, you should be able to open the renal system. Thirteen systems, ten modules each, ten questions per module, and the module codes are shared with the matching flashcard decks so a deck and its questions always cover the same ground.
Thirteen systems at 100 questions each, 1,300 questions in 130 modules. Every question also carries its client needs category, so the same item can be studied for a unit exam by system or for licensure review by category. Module counts exclude course finals, which draw on questions already counted.
Reference values are free everywhere. The nursing action is the product.
Anyone can hand you a normal range. These sheets put the thing you actually have to do next to the number, because a potassium of three point one mEq per L is not a fact to memorize, it is a reason to hold a dose and pick up the phone.
Built to print and carry on a clipboard: clean in black and white, still legible after a photocopy, and rhythm sheets drawn on a standard ECG grid. Lab values with the action attached, drug classes by prototype, and rhythm reference.
Reference ranges vary by facility. Follow your own institution’s standards.
From the lab values sheet
| Value | Range | What to do about it |
|---|---|---|
| Potassium | 3.5-5.0 mEq/L | Below 3.5: hold digoxin if ordered, assess for weakness and flat T waves, and question the next diuretic dose before you give it. |
| Sodium | 135-145 mEq/L | Below 120: seizure precautions, hourly neurologic checks, and never correct rapidly. Fast correction causes the harm. |
| Digoxin | 0.5-2.0 ng/mL | Above 2.0 with nausea or yellow visual halos: hold the dose, check the potassium, notify the provider. |
| Platelets | 150,000-400,000/mm3 | Below 50,000: bleeding precautions, no intramuscular injections, no rectal temperatures, soft toothbrush only. |
Four rows from one of 21 sheets. Every sheet carries a what to do about it column.
Worked example from the Dosage Practice Lab
Order: Amoxicillin 375 mg by mouth every 8 hours.
On hand: 250 mg per 5 mL oral suspension.
Give how many mL for one dose?
= (375 x 5) / 250 mL
= 1875 / 250 mL
= 7.5 mL
You type the answer. There is nothing to guess between.
Multiple choice dosage practice teaches you to recognize a plausible number. Typed answers make you produce one, which is what the medication room requires. Every answer is followed by a full worked solution using dimensional analysis, set up the same way every time.
Seven calculation types: unit conversions, tablets and capsules, oral liquid doses, reconstitution, intravenous pump rates, weight based doses, and safe dose range checks. Drill one type, mix all seven, or sit a timed practice set. A rebuild missed mode makes a fresh set from the problems you got wrong, and the lab varies the numbers rather than handing you the same problem twice in a row.
You have probably already studied with Anna.
Anna Curran, RN, BSN, PHN is a former ADN and BSN nursing instructor. Since 2012 she has published more than 600 free care plans at NurseStudy.net and teaches 58,000 subscribers on YouTube. NurseStudy Prep is the paid layer on top of that free teaching: a complete, counted question bank held to the same standard as everything else she publishes.
Every item here is written or reviewed by her. That is the reason the voice does not change between question one and question 1,800, and the reason every option gets a rationale instead of only the correct one.
One membership. The whole library.
No tiers and nothing sold separately. Both plans open everything.
Counted, not roundedCounted in the live member catalog on 2026-08-18. The 100 Next Generation items sit outside the 1,800 and are not folded into it. See how every number is counted
Start with two days free.
Both plans open the same complete library. There is nothing to upgrade to and nothing held back.
Steady practice, month to month.
- Two day free trial, full library
- All 1,800 questions, plus 100 Next Generation items
- Medical-surgical review by body system
- 159 care plans, 21 cheat sheets, 13 flashcard decks
- Dosage Practice Lab and Exam Simulator
A payment method is required to start. Your plan begins automatically at 29 dollars a month after two days unless you cancel before the trial ends, and renews monthly until you cancel. Cancel any time from Billing in your account. Cancellation policy
One focused stretch: a semester, or a licensure runway.
- Two day free trial, full library
- All 1,800 questions, plus 100 Next Generation items
- Medical-surgical review by body system
- 159 care plans, 21 cheat sheets, 13 flashcard decks
- Dosage Practice Lab and Exam Simulator
A payment method is required to start. Your plan begins automatically at 80 dollars after two days unless you cancel before the trial ends, and renews every three months until you cancel. Cancel any time from Billing in your account. Cancellation policy
Every plan includes every feature. The only decision is how long you need it. Access continues through the end of the period you have paid for.
A few straight answers.
Two days. The whole library. Your call.
Open the questions, read the rationales, sit the simulator, print a cheat sheet, work the Dosage Lab. If it is not the thing you reach for before an exam, cancel before the trial ends.
See plans and pricing