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how to study for nclex reddit

11 Tips to Pass the NCLEX the First Time

1. Understand the NCLEX Format

The NCLEX uses a CAT format, or computerized adaptive testing. Meaning that no single exam is identical.

During the course of the exam, the computer algorithm produces each new question based on your performance from previous questions. The test bank is comprehensive and includes different question styles and topics of content. 

How the NCLEX is Graded

The test will produce a minimum of 75 questions, and a maximum of 265 questions. A candidate passes the test when the tester has answered enough questions correctly to stay above the pass line with 95% confidence interval. The candidate will fail the test when they do not rise about the pass line with 95% confidence. 

Think of it this way – there is a horizontal line on an axis and we will call it the “pass line.” Anything above it is passing, and anything below it is not passing. You start exactly on the line at question zero, and with each correct and incorrect answer, you get bumped up a notch and down a notch, respectively. With each correct answer, the computer will give progressively harder questions, to determine your peak knowledge.

To pass, you must ultimately rise to a point above the pass line that demonstrates competency with marginal doubt. The test can end at any point when this determination is made, between questions 75 – 265, or at the maximum time allowance (6 hours). 

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Designed for test takers wanting guided instructions and desiring the highest score increase, Peterson’s online NCELX courses provide equal parts strategy and content review.Show more.

2. Don’t Self-Evaluate During the Test

There’s no use trying to self-evaluate while you test. Don’t assume that because you got a few “easy” questions in a row that you are below pass level. Just focus on the questions at hand. What seems easy to you, might be challenging to someone else. Every question is as important as the next. 

This exam is all about endurance. Prepare to sit the full time and then you won’t stress in the chance that you need to. 

3. Find Ways to Manage Your Test Stress 

For all of the nervous test-takers out there, don’t worry. There are ways to manage your stress.

Test anxiety is a real thing, but you made it through nursing school, so just continue to prepare in whatever way worked for you in the past. Even if you don’t typically have test anxiety, there is a chance that you will be nervous just from the pressure of such an important test. 

There are a couple key ways to keep stress at a minimum. 

  • First, prepare for the exam seriously but don’t make studying your life. It’s important to still keep a balance in the weeks and months leading up to the exam. 
  • Allot time in your days for exercise, proper sleep, and whatever you do for fun! By keeping a balance, your mind won’t build up the test moment to anything bigger than it actually is. 
  • Also, when it comes time to actually take the NCLEX, do not study or cram information the day of. Take the morning before the test to calm your mind. Focus on something that helps you stay grounded – cooking a nice breakfast, listening to music, going on a run, whatever works for you. 

Ultimately, the best way to abate your nerves is to study appropriately. When you feel confident and prepared, the NCLEX doesn’t seem all that scary. 

4. Know Your NLCEX Study Style

We all have slightly different learning styles, and you probably know yours by now. Make sure you tailor your studying to what works for you!

  • If you understand concepts well with visuals, draw out rough sketches of cardiac chambers, color-coded medication classes, etc.
  • If you are an auditory learner, there are plenty of YouTube lectures online and podcasts that cover NCLEX.
  • If you learn best through discussion, be sure to create a study group to talk through concepts together. 

As a general rule, using mnemonic devices help most students with harder to learn concepts. Don’t just reread, rewrite, and copy old notes. Try connecting concepts. Think about what you are learning from a holistic approach and relate it to clinical experiences you had in school. 

5. Make a Study Plan

Commit to the preparation that the test deserves. Go into studying with a plan, here is an example: 

  • Plan days to study. Set a schedule including which days of the week you will study, which days you will take off, and which you will use to take practice exams. 
  • Make a goal before each study session. Maybe it’s to do x amount of practice questions, or master x specific content topic, but be intentional. 

Studying without a plan is a waste of your time and won’t ultimately help you pass the NCLEX. It’s not about the hours you put in, it’s about how you use them.

This is one exam you can absolutely not cram for – the NCLEX is a holistic test model that aims to test knowledge gained over the course of years, not days.

6. Don’t Draw from Past Clinical or Work Experiences

Unfortunately, for those of you who have previous experience working in hospitals as nursing techs or aides, the experience can cloud your ability to answer test questions. Even just from what you observed as student nurses in clinicals, it is usually apparent that many topics or clinical skills are different between textbooks and real-life healthcare. 

The NCLEX is based on proven, researched-based, evidence-based practice. Even if your previous facility does something in a different way that is just as safe or just as correct, do not assume that this applies to the NCLEX.

It’s important to answer NCLEX questions as if you don’t have any real-life constraints as a nurse. Assume you have ample time and resources to perform each answer choice. 

7. Hone Your Test-Taking Skills

The NCLEX is just as much about knowing how the test is written as it is knowing the right answers. Utilize test-taking strategies to eliminate wrong answers, avoid “extremes” like ALL or NONE answers, and remember to always put patient safety first. 

With practice, you will notice some themes in answers: 

  • Always assess the patient first, calling the doctor right away isn’t usually the best first step 
  • Use Airway-Breathing-Circulation approach, etc. 
  • Use deductive reasoning even if you have no idea about the concepts behind the topic 
  • If all else fails, rely on that budding feeling that we like to call “nurse intuition” 

You will no doubt encounter the dreaded select-all-that-apply questions. Use the same, systematic approach to eliminate incorrect answer choices based on knowledge and wording of answers. 

8. Invest in Test Prep Resources

It is definitely worthwhile to invest in practice exam books or enroll in a classroom review course. Some examples are Kaplan, UWorld, and nursing.com.* Usually, people choose their study material based on reviews, peer references, or personal preference.

All exam resource companies produce exceptional guides to prepare you for the NCLEX exam, so spend some time browsing reviews to see which guidebook style fits you best. 

*Affiliate link. If you decide to use Nursing.com, Nurse.org may receive a commission.

Nurse.org’s Test Prep Partners

Sponsored

Want to pass your nursing exam on the first try?

Aspiring nurses who complete the nursing.com curriculum have a 99.42% NCLEX pass rate. This prep course was designed by an experienced RN who was looking for an easy and concise way to deliver material. It offers a unique teaching method centered on the idea of linchpin concepts that users really seem to respond to.Show more.

Master the NCLEX. Trusted by over 3 million members.

Gain the confidence you need to pass. The first time. With NCLEX Mastery, you can study on the go—anytime, anywhere. Prepare with hundreds of practice questions, understand the correct and incorrect answers, and track your progress with detailed statistics. A subscription to My Mastery includes everything you need to pass the NCLEX — including a 300% money-back guarantee.Show more.

New members receive 30% off first three months with promocode: NurseDotOrg

Study.com is an online education platform that helps learners excel academically and build knowledge confidence. From test prep and homework help to earning affordable college credit, Study.com’s online courses, short, animated video lessons and study tools have made learning simple for over 30 million learners and educators.Show more.

Designed for test takers wanting guided instructions and desiring the highest score increase, Peterson’s online NCELX courses provide equal parts strategy and content review.Show more.

9. Go Beyond the Practice Questions

Practice exams are absolutely the best and most important way to prepare – HOWEVER – simply taking the practice exam questions is only half of the process. 

It is just as important to: 

  • Look up questions that you answered incorrectly. Practice question banks provide explanations as to why each answer choice is correct or incorrect, as well as outlining the particular content topic it falls under. 
  • Jot down notes of which concepts you want to revisit, so with your next study session, you can focus on problem areas. 
  • Practice, practice, practice. It is especially useful to take at least 1 or 2 full online mock NCLEX exams so you are used to the experience of computer testing. Go through as much of the question bank as you can before exam day and you will be miles ahead. 

10. Prepare for Exam Day 

  • Be sure to sleep well the week before the exam. 
  • Bring snacks to the center to keep in your locker in case you choose to take a break during the exam. 
  • Arrive early to the testing center, prepared with necessary documents for testing. 
  • Put gas in your car the night before. 
  • Set a reliable alarm. 
  • Bring clothes you can layer in case you tend to get cold. If you try to control your environment as much as possible, it will help you to feel comfortable and prepared for the exam itself. 
  • Schedule your exam time with your usual preference for testing. If you are a morning person, schedule a morning test. If you enjoy slow mornings and sleeping in, then schedule an afternoon exam.

11. Believe in Yourself

Most importantly, believe in yourself. You deserve to pass and you have already proven your potential as a nurse by graduating nursing school. This is only the final step on your exciting and new journey to being a Registered Nurse – so congratulations!

how many hours a day to study for nclex

How Much Time Should I Take to Study for the NCLEX-RN Exam?

Written By Brennan Belliveau

The NCLEX-RN Exam is the required entry to practice exam for all Registered Nurses who practice in the USA. The purpose of the exam is to determine your competency and understanding of knowledge learned over the course of your nursing degree as you transition to the practice setting. While the NCLEX may seem overwhelming, it shouldn’t be. The most difficult stage of your journey to become a Medliant USRN was completing your Bachelor of Nursing Degree, which included dozens of exams, papers, projects, and presentations. What’s one more exam?

 

Similar to other exams you took throughout your nursing degree, the NCLEX also requires preparation and studying. With the proper amount of time, effort, and practice, it is more than possible (and even probable) that you will pass the NCLEX on your very first attempt!

 

In 2020, the passing percent for first time NCLEX exam takers in the USA was 86.57% according to nursing.org, which should give you confidence knowing that with the right amount of preparation, you can pass too!

 

How Much Time Should You Take to Study for the NCLEX-RN Exam?

I recommend taking at least eight weeks (or two months) to prepare for the NCLEX-RN Exam. Your preparation should come in the form of reading an NCLEX-RN study guide (I recommend the Saunders Comprehensive Review NCLEX-RN Examination 8th Edition) and with practicing NCLEX-RN style questions (I recommend the NCLEX-RN Mastery App). I personally used the Saunders Comprehensive Review NCLEX-RN Examination book and the NCLEX-RN Mastery app and passed the NCLEX-RN Exam on my very first attempt in the minimum number of questions, which is 75.

 

The NCLEX-RN Exam does require an adequate amount of preparation as the testing style of questions used are unique, and practice is required to understand how to specifically answer NCLEX style questions. Using the ABCs (airway, breathing, circulation), Maslow’s Hierarchy of Needs, and the Nursing Process can help guide you as you answer NCLEX style questions. Remember that you will often be asked what the first or most appropriate nursing action will be throughout the NCLEX exam. The first step in the Nursing Process is assessment, which is what you would do before completing an evaluation for example.

 

Establish a Personalized NCLEX-RN Exam Study Plan

  • Decide how many weeks you will study, including how many days per week (e.g. five days a week for eight weeks).
  • Allocate a specific amount of time each study day for studying, including breaks (e.g. eight hours a day of studying including a one-hour lunch break).
  • Create a personalized study schedule to review one to two chapters of your comprehensive study guide each day and assign them (e.g. Chapter 34: Cardiology and Chapter 35: Cardiology Pharmaceuticals on Tuesday August 17th).
  • Study based on your learning style (e.g. if you learn best by writing out information on flashcards, consider using this practice for your NCLEX preparation).
  • Allocate one to two hours each day for practice questions and tailor your practice to areas of need (e.g. if you score lower in med-surg questions than labs questions, you may want to spend extra time practicing med-surg questions).
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Decide How You Will Study NCLEX-RN Exam Content

The following categories are how NCLEX-RN Exam questions are categorized. You might plan to study one to two chapters each day based on the following categories (e.g. spending one day studying safe and effective care environment content).

 

1. Safe and Effective Care Environment

  • Management of Care
  • Safety and Infection Control

2. Health Promotion and Maintenance

3. Psychosocial Integrity

4. Physiological Integrity

  • Basic Care and Comfort
  • Pharmacological and Parenteral Therapies
  • Reduction of Risk Potential
  • Physiological Adaptation

The Final Week of NCLEX Review

During your final week of NCLEX Review you should strictly allocate time for practice questions and to review any content that you highlighted as requiring additional time. The more practice questions you are able to complete, the more prepared for the NCLEX-RN Exam that you will be. Similar to how you schedule your study time, you should also dedicate blocks of time in your final week to practicing specific categories of questions (e.g. Med-surg, labs, pharmaceuticals, maternity, cardiology, etc.).

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