Is it safe to begin practicing as an entry-level nurse? Well, the NCLEX exam is going to be the determinant of that. In this exam, your application and analysis abilities from your nursing knowledge are put to the test. Nursing judgments from critical thinking skills will be tested.
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ToggleWhat is the NCLEX Exam?
The NCLEX-RN exam, administered by the National Council of State Boards of Nursing (NCSBN), is a crucial standardized test that aspiring nurses must pass to obtain their nursing license and become registered nurses (RNs). Keep reading for a detailed breakdown of how the NCLEX works.
NCLEX-Rn Exam Format
The NCLEX-RN comes in 4 main categories with 8 subcategories. Many nursing programs follow a medical model, where students take individual courses in medical, surgical, pediatric, psychiatric, and obstetric nursing. However, the NCLEX-RN® exam integrates all these areas into a comprehensive assessment.
NCLEX-Rn Question Examples
There are multiple-choice questions and also alternate question types. The multiple-choice questions come with four possible answers to choose from. There is fill-in-the-blanks, hot spots, chart/exhibit, drag and drops in the alternate question types.
Let’s take an example;
A 23-year-old woman with insulin-dependent diabetes mellitus (IDDM) is returned to the recovery room one hour after an uneventful delivery of a 9 lb., 8 oz., baby boy. The nurse would expect the woman’s blood sugar to
- Rise
- Fall
- Remain stationary
- Fluctuate
Is this an obstetric or a medical-surgical question? To choose the correct answer (2), you need to apply your knowledge of diabetes pathophysiology alongside the principles of labor and delivery.
How Many Times Can You Take the NCLEX Exam?
The NCSBN allows NCLEX retakes 45 days after a failed attempt. Some states have extra rules for multiple failures, so check with your state’s Board of Nursing for details.
How To Register NCLEX-RN
Getting ready to register the NCLEX-RN? Here’s what you need to know about registering for the exam.
Step 1: Applications
About six weeks before graduation, your nursing school will send you two applications—one for licensure and one for the NCLEX-RN exam. You’ll need to complete these forms and submit them along with the required fees to your school by the deadline.
Step 2: Scheduling Your Exam
Once your application is processed, you’ll receive an Authorization to Test (ATT). This allows you to schedule your exam, which is available year-round—six days a week, in six-hour slots.
Step 3: Registration & Fees
To register, submit an application to the National Council of State Boards of Nursing (NCSBN). Some states combine this with your licensure application, while others require you to apply separately. Once approved, you’ll receive a Candidate Bulletin with registration details.
The NCLEX-RN exam fee is $200, plus additional licensure fees set by your state’s Board of Nursing. You can register:
- By phone: Call 1-866-496-2539 (USA) or 1-952-681-3815 (International) (Monday–Friday, 8 a.m. – 8 p.m. ET). A $9.50 service fee applies for phone registration.
- By mail: Send a personal check, cashier’s check, or money order to the NCSBN.
Once your state board confirms your eligibility, you’ll receive your ATT, and then you’re all set to schedule your exam.
How To Prepare and Pass the NCLEX Exam
Here is a straightforward approach to passing the NCLEX Exam;
1. Take Practice Exams – Get familiar with NCLEX-style questions by using practice tests, many of which feature real past exam questions. You’ll find great options on the NCLEX website.
2. Create a Study Guide – Organize key concepts and focus on areas where you need improvement. Use your practice test results to shape your guide.
3. Understand the Exam Format – The NCLEX is mostly multiple-choice, so sharpen your test-taking strategies to approach questions with confidence.
4. Study in Your Best Way – Whether you’re a visual, auditory, or group learner, tailor your study methods to how you learn best.
5. Stick to a Study Schedule – Avoid cramming! Set a consistent study routine to stay on track and absorb information effectively.
6. Manage Test Anxiety – Get good sleep, eat well, and use stress-reducing techniques like deep breathing or visualization to stay calm during the exam.
7. Use Quality Study Resources – Consider investing in prep materials from Kaplan, Nursing.com, or Medcognito to supplement your learning.
With the right approach, you’ll be ready to pass the NCLEX with confidence!
Frequently Asked Questions
What is the NCLEX Rn Exam?
The NCLEX-RN, developed by the NCSBN, is a standardized exam that tests the competency of aspiring registered nurses, ensuring they have the skills for safe and effective practice.
What does NCLEX-RN stand for?
The full meaning of NCLEX is the National Council Licensure Examination while RN means Registered Nurse.
Is the NCLEX multiple-choice?
The NCLEX is mostly multiple-choice but also includes “select all that apply”, fill-in-the-blank, and other formats, depending on the exam version.
How many questions are there on the NCLEX-RN?
The exam ranges from 75 to 265 questions, with a maximum time limit of five hours, including breaks.
What should I do if I fail the NCLEX-RN?
You’re not alone—many students don’t pass on their first try. Your Candidate Performance Report (CPR) will show how close you were and highlight areas to improve.
If you answered more than 85 questions, you were near the passing level. Use your CPR to focus your study and try again—you’ve got this!
Is the NCLEX only for nurses?
Yes, the NCLEX-RN is exclusively for those seeking nursing licensure in the U.S.—not for other professions.