Fundamentals
Expect routine-care scenarios in which one detail changes the safest sequence, delegation choice or need for reassessment.
- Falls and aspiration precautions
- Pressure-injury prevention
- Intake, output and nutrition cues
FREE NCLEX-RN 2026 STUDY GUIDES
Understand the cue. Choose the priority. Remember the reason.
Use concise, original guides built around clinical judgment—not disconnected fact lists. Every guide connects directly to 100 hard topic questions.
FIND A STUDY GUIDE
Search by topic, medication or condition.
Choose what you need to master next.
Start with your weakest category or review a safety-critical topic before mixed practice.
Medical-Surgical
Adult-health questions reward recognition of deterioration, prioritisation across body systems and reassessment after treatment.
- Acute versus chronic findings
- Perfusion and shock cues
- Respiratory fatigue
Pharmacology
Medication questions test safe administration, contraindications, dangerous adverse effects, monitoring and teaching—not isolated name recall.
- High-alert medications
- Anticoagulant bleeding
- Insulin and hypoglycaemia
Pediatrics
Paediatric items combine age-appropriate assessment, rapid deterioration, weight-based safety and family-centred communication.
- Age-based vital signs
- Respiratory distress
- Weight-based calculations
Maternity & Newborn
Maternity questions require simultaneous attention to maternal stability, fetal status, labour progress and postpartum or newborn emergencies.
- Preeclampsia warning signs
- Fetal surveillance
- Postpartum haemorrhage
Mental Health
Mental-health items prioritise immediate safety, therapeutic communication, least-restrictive care and recognition of treatment emergencies.
- Suicide assessment
- Therapeutic responses
- De-escalation
Leadership & Management
Leadership questions test safe assignment, delegation, supervision, communication and the RN’s legal and ethical responsibilities.
- Five rights of delegation
- RN-only responsibilities
- Stable assignments
Priority & Delegation
Priority items ask which client or action carries the greatest immediate risk of irreversible harm—not which problem sounds most serious.
- Unstable versus stable
- Acute versus chronic
- Expected versus unexpected
Safety & Infection Control
Safety items test risk-based precautions, sterile technique, exposure prevention and least-restrictive harm reduction.
- Standard Precautions
- Contact, droplet and airborne
- PPE sequence
Cardiovascular & Perfusion
Cardiovascular questions centre on perfusion, electrical stability, time-critical ischemia, shock and bleeding or clotting risk.
- Acute coronary syndrome
- Heart failure
- Shock states
Respiratory & Oxygenation
Respiratory questions separate airway patency, oxygenation and ventilation while testing recognition of fatigue and rapid deterioration.
- Asthma deterioration
- COPD exacerbation
- Pulmonary embolism
Neurological Care
Neurological questions reward rapid detection of change, precise baseline comparison and prevention of secondary injury.
- Stroke timing
- Seizure safety
- Intracranial pressure
Endocrine & Metabolic
Endocrine questions test treatment sequence, fluid and electrolyte shifts, glucose emergencies and repeated monitoring.
- Hypoglycaemia
- DKA and HHS
- Insulin safety
Renal & Electrolytes
Renal questions combine perfusion, urine output, nephrotoxic exposure, dialysis access and the cardiac or neurological effects of electrolyte change.
- Acute kidney injury
- Hyperkalaemia
- Sodium emergencies
HOW TO USE THE GUIDES
Learn briefly, then retrieve from memory.
Read one guide, close it, explain the priority rule aloud, and apply it in questions. Return to missed concepts after a delay.
- 1ReviewFocus on clinical cues and safety rules.
- 2PractiseAnswer without looking back at the guide.
- 3CorrectExplain why each distractor is less safe.
- 4RevisitUse your mistake history and weak areas.