NCLEX Exam Guide: Everything You Need to Know
The complete guide to the NCLEX-RN and NCLEX-PN exams. Registration process, exam format, study strategies, and what to expect on test day.
What is the NCLEX?
The National Council Licensure Examination (NCLEX) is the standardized exam that all nursing graduates must pass to become licensed. Developed by the National Council of State Boards of Nursing (NCSBN), the NCLEX uses Computerized Adaptive Testing (CAT) to assess whether candidates have the knowledge and skills to practice safely as entry-level nurses.
NCLEX-RN
National Council Licensure Examination for Registered Nurses
- For: Registered Nurse (RN) candidates
- Questions: 85-145 questions
- Time: 5 hours maximum
- Fee: $200
- Pass Rate: ~88% first-time
NCLEX-PN
National Council Licensure Examination for Practical Nurses
- For: LPN/LVN candidates
- Questions: 85-150 questions
- Time: 5 hours maximum
- Fee: $200
- Pass Rate: ~85% first-time
Prepare for the NCLEX-RN
Pass your NCLEX-RN exam on the first try. We recommend quality prep courses with proven results.
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How Computerized Adaptive Testing Works
Unlike traditional exams with fixed questions, the NCLEX adapts to your performance in real-time. The computer selects questions based on how you answered previous ones, becoming progressively harder or easier to pinpoint your exact competency level.
How CAT Determines Your Score
- 1 First question is medium difficulty
Everyone starts at the same level
- 2 Correct answers = harder questions
The computer increases difficulty when you answer correctly
- 3 Incorrect answers = easier questions
The computer decreases difficulty when you answer incorrectly
- 4 Test ends when competency is determined
The computer stops when it's 95% confident you're above or below the passing standard
NCLEX-RN Test Plan Content Areas
The NCLEX covers four main client needs categories. Understanding the weight of each category helps you prioritize your study time.
Safe and Effective Care Environment
26-38%- Management of Care (17-23%)
- Safety and Infection Control (9-15%)
Health Promotion and Maintenance
6-12%- Prevention and early detection
- Growth and development
Psychosocial Integrity
6-12%- Mental health concepts
- Coping and adaptation
Physiological Integrity
38-62%- Basic Care and Comfort (6-12%)
- Pharmacological Therapies (13-19%)
- Reduction of Risk Potential (9-15%)
- Physiological Adaptation (11-17%)
Source: NCSBN NCLEX Examination
How to Register for the NCLEX
Registration involves both your state board of nursing and Pearson VUE. Here's the step-by-step process:
Apply to Your State Board of Nursing
Submit your licensure application to your state board before or after graduation. Requirements include transcripts, ID, and application fee.
Register with Pearson VUE
Create an account at pearsonvue.com/nclex and pay the $200 exam fee. You'll need to select your state board and exam type.
Receive Your ATT
Once your state board approves your application, Pearson VUE will email your Authorization to Test (ATT). This typically takes 2-4 weeks.
Schedule Your Exam
Log into your Pearson VUE account to schedule at a testing center. Your ATT is valid for 90 days, so schedule promptly.
How to Study for the NCLEX
Most successful candidates study for 4-8 weeks using a combination of content review and practice questions. Here are the most effective strategies:
Use a Structured Review Course
Choose a comprehensive program like UWorld, Kaplan, or ATI. These include content review, practice questions, and study schedules.
Practice NCLEX-Style Questions
Complete 75-150 practice questions daily. Focus on understanding rationales, not just memorizing answers.
Master Critical Thinking
NCLEX tests application and analysis, not just recall. Practice prioritization, delegation, and clinical judgment questions.
Study Content Gaps
Use practice test results to identify weak areas. Focus study time on your lowest-scoring content areas.
Prepare for the NCLEX-RN
Pass your NCLEX-RN exam on the first try. We recommend quality prep courses with proven results.
We may earn a commission when you sign up through our links at no extra cost to you.
Popular NCLEX Prep Courses
| Course | Type | Description | Price |
|---|---|---|---|
| Archer Review Recommended | Question Bank | Affordable alternative with 2,500+ questions. Popular CAT-style format. | $59-$169 |
| UWorld | Question Bank | Gold standard for NCLEX prep. 2,300+ questions with detailed rationales. | $139-$439 |
| Kaplan NCLEX Prep | Full Course | Comprehensive course with content review, practice tests, and decision tree methodology. | $399-$699 |
| ATI NCLEX Review | Full Course | Popular program often included with nursing school. Includes Virtual-ATI coaching. | $300-$500 |
| Hurst Review | Content Review | Focuses on core content review. Good for content gaps but fewer practice questions. | $299-$399 |
We may earn a commission when you sign up through our affiliate links at no extra cost to you.
What to Expect on Test Day
Knowing what to expect reduces anxiety and helps you perform your best. Here's a complete breakdown of the testing experience:
Before You Arrive
- Get a good night's sleep (7-8 hours)
- Eat a balanced breakfast with protein
- Know your testing center location
- Prepare your two forms of ID
At the Testing Center
- Check-in includes photo and fingerprint
- All personal items stored in locker
- Provided with dry-erase board and marker
- Tutorial covers exam format (optional)
Test Day Tips
- Arrive 30 minutes early to complete check-in procedures
- Bring your ATT email (printed or on phone) and two valid IDs
- Eat a balanced meal before the exam - you can't bring food into the testing room
- Take the optional breaks to rest your eyes and mind
- Read each question carefully - look for keywords like "first," "priority," or "most important"
- Don't rush - you have plenty of time even if you get the maximum number of questions
- Trust your preparation - changing answers usually hurts more than helps
Getting Your NCLEX Results
After completing the exam, you'll be eager to know if you passed. Here are your options:
Quick Results (48 hours)
- Available through Pearson VUE for $7.95
- Unofficial pass/fail result only
- Available 48 hours after testing
- Not available in all states (check NCSBN website)
Note: Quick Results are unofficial. Your state board results are the only official confirmation.
Official Results (2-6 weeks)
- Sent from your state board of nursing
- Includes license number if you passed
- Check your state board website for status
- Some states post results online before mailing
Your license will appear on your state's license verification website once processed.
If You Don't Pass: Next Steps
About 12% of first-time NCLEX-RN takers don't pass. If this happens, here's what you need to know:
Retake Checklist
- Review your Candidate Performance Report (CPR) to identify weak areas
- Adjust your study plan to focus on below-passing content areas
- Consider a different prep course or approach
- Re-register with Pearson VUE after 45 days
- Obtain new ATT from your state board (may require new application)
- Schedule your retake exam
Frequently Asked Questions
How many questions are on the NCLEX?
What is the NCLEX passing score?
How long is the NCLEX exam?
How much does the NCLEX cost?
How soon can I retake the NCLEX if I fail?
What is the NCLEX first-time pass rate?
Can I use a calculator on the NCLEX?
What should I bring to the NCLEX testing center?
Ready to Start Your Nursing Career?
The NCLEX is your gateway to becoming a licensed nurse. Use our state guides to understand your specific state's requirements and get started today.