medical exam
NCLEX-RN (National Council Licensure Examination for Registered Nurses) study guides
The NCLEX-RN is the entry-level licensure exam for registered nurses across the United States, Canada, and 24+ international jurisdictions.
Topics (25)
Pharmacological & Parenteral Therapies
15% of testPharmacology questions test medication classes, mechanisms, side effects, contraindications, and parenteral / IV calculations.
Pediatric Nursing
6% of testPediatric items test growth and development milestones, immunisation schedules, infectious diseases, and family-centred care.
Psychosocial Integrity (Mental Health)
9% of testPsychosocial integrity covers therapeutic communication, crisis intervention, psychiatric diagnoses, abuse, and addictions.
Maternal & Newborn Nursing
8% of testMaternal-newborn covers prenatal care, labor stages, postpartum, newborn assessment (APGAR), and breastfeeding support.
Adult Medical-Surgical (Med-Surg)
18% of testMed-surg covers adult acute and chronic disease management — cardiac, respiratory, renal, GI, endocrine, neuro, and oncology.
Fundamentals of Nursing
7% of testFundamentals covers basic nursing skills: vital signs, hygiene, positioning, skin integrity, infection control, and the nursing process.
Leadership, Management & Delegation
5% of testLeadership covers RN-LPN-UAP delegation, supervision, conflict resolution, and patient-assignment prioritisation.
NGN Clinical Judgment Items
15% of testNGN (Next Generation NCLEX) items use case studies, bow-tie, matrix, and drag-and-drop formats to test clinical judgment across a 6-step model.
Safety & Infection Control
10% of testSafety and infection control covers fall risk, restraint use, error reporting, sterile technique, and hospital-acquired-infection prevention.
Health Promotion & Maintenance
7% of testHealth promotion covers screening, immunisation across the lifespan, lifestyle counseling, and developmental-stage care.
Reduction of Risk Potential
10% of testReduction of risk covers diagnostic procedures, complication recognition, and abnormal-finding management across body systems.
Physiological Adaptation
14% of testPhysiological adaptation covers the management of acute, chronic, and life-threatening conditions including ICU and emergency scenarios.
Basic Care & Comfort
6% of testBasic care covers nutrition, elimination, mobility, sleep, complementary therapies, and end-of-life care.
Critical Care & Emergency
7% of testCritical care covers ICU-level interventions: ventilator management, vasopressors, ICP monitoring, and ACLS protocols.
Oncology Nursing
4% of testOncology covers chemotherapy administration, radiation precautions, neutropenic protocols, and palliative-care transitions.
Cardiovascular Nursing
10% of testCardiac assessment, dysrhythmia interpretation, ACS/MI care, heart-failure management, and post-cardiac-cath nursing are heavily tested under Physiological Adaptation.
Respiratory Nursing
9% of testAirway management, ABG interpretation, COPD/asthma management, pneumonia care, and chest tube nursing are core Physiological Adaptation content.
Endocrine Nursing
7% of testDiabetes (T1DM/T2DM, DKA, HHS), thyroid disorders, adrenal insufficiency, and SIADH/DI are core endocrine content tested under Physiological Adaptation.
Renal & Genitourinary Nursing
6% of testAKI/CKD, dialysis nursing, urinary catheter care, BPH, and electrolyte management are renal/GU content tested under Physiological Adaptation and Reduction of Risk.
GI & Hepatic Nursing
6% of testGI bleeding, IBD, cirrhosis (ascites, hepatic encephalopathy), pancreatitis, and bowel obstruction are core GI/hepatic content tested under Physiological Adaptation.
Neurological Nursing
6% of testStroke (ischemic vs. hemorrhagic), seizure management, increased ICP, spinal cord injury, and traumatic brain injury are core neuro content under Physiological Adaptation.
Musculoskeletal Nursing
5% of testFracture care, traction nursing, post-op joint replacement, compartment syndrome, and osteoporosis are core MSK content tested under Reduction of Risk and Physiological Adaptation.
Infectious Disease & Sepsis
7% of testSepsis recognition, fever workup, isolation precautions (standard, contact, droplet, airborne), and antibiotic stewardship are heavily tested under Safety/Infection Control.
Gerontological Nursing
5% of testPolypharmacy, fall prevention, delirium vs. dementia, end-of-life care, and Beers Criteria medication safety are core geriatric content tested under Health Promotion and Safety.
Professional Practice & Ethics
6% of testScope of practice, delegation, informed consent, mandatory reporting, ethical principles, and HIPAA are core content tested under Management of Care.
Locale-specific guides
Every NCLEX-RN topic is published with locale-specific framing for candidates testing in different countries. Pass-rate stats, regulatory context, and study tips all change by locale.
- United StatesAmerican candidates
- United KingdomBritish candidates
- IndiaIndian candidates
- PhilippinesFilipino candidates
- NigeriaNigerian candidates
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