Congratulations on finishing your nursing school journey! You were accepted into nursing school, took all of the exams, and gained many hours of experience through clinical practice. But, there’s one thing left to do: take the NCLEX!

If you’re like me, you might be feeling overwhelmed trying to figure out how to study for the NCLEX. It’s okay to feel a bit stressed over the exam, but realize that you’ve already done the hard part by gaining the knowledge you need to pass the NCLEX. Now, let us help you get into the right mindset to actually take the exam! 

In this post, we’ll walk you through how to study for the NCLEX and become a real-deal nurse. Let’s get you started by answering some FAQs about how to prepare for the exam.

6 FAQs About Studying for the NCLEX

1. How long should you study for the NCLEX?

Try to aim for about 2-3 months of NCLEX review before you sit for the exam. You can start studying before the date is set, as long as you have an idea of when you’ll take the test.

Creating a study plan will be helpful to stay on track for your content review goals. You may have days where you’ll study more, days you’ll study less, and days where you won’t study at all. It’s all okay, just keep checking in with yourself! 

2. Which topics are on the NCLEX?

When you take the NCLEX, you’ll be tested on eight main topics. It’s helpful to know that these topics are also known as “client needs categories,” because the core of each question will be how we’ll meet our clients’ needs! 

These categories are: 

Essentially, you’ll have to use your clinical judgment to promote safety, health, and evidence-based care. If it seems like a lot, I want you to remember these are all things you’ve already done in nursing school! 

Heads up! If you’re taking the NCLEX-RN after April 2026, your exam will follow a different NCLEX Test Plan. Check it out here!

3. What resources should I use to study for the NCLEX?

Alright, you know when to study and what to study, now let’s talk about which resources you should look at for NCLEX review! 

It can be pretty overwhelming to pick your study materials. You’ll probably find a lot of study sources or hear what your peers are using to study. 

Ultimately, you can use your textbooks, any notes or flashcards that you’ve made, an NCLEX question book or database, educational videos, and social media (check ours out below).

Having so many ways to study is great, but you may want to narrow your study materials down to two or three sources. Think about how you like to learn, what the study materials offer, and what support you need to prepare for the NCLEX. For instance, there are a lot of great NCLEX question books available, but you may want to pair them with a content review course like ours! 

If you don’t know where to start finding study materials, we have amazing resources over at Blueprint, specifically our NCLEX Complete Self-Prep Package! The package includes 23 hours of video lessons, 2,000 Qbank questions, personalized study planner, and more—plus, it’s completely free for 60 days. 🤩

We also have knowledge checks on our YouTube channel (@blueprintnursing) and TikTok (@blueprintnursing). 

4. How do I make a study schedule / study guide?

Now that we’ve discussed study materials, let’s talk about study schedules! As we said earlier, 2-3 hours of study time a day for 2-3 months is a good timeline to work with. 

With your study materials in mind, create a schedule that’ll fit your needs. Not everyone will need the same amount of review on the same subjects. I remember reviewing respiratory content more than cardiac content.

Join a Study Group or Course

If you’re not sure where to focus your studies, you may want to try a live study group to review all of your nursing school content. After reviewing the content, you can note which areas you felt needed more focus than others. 

If live study groups aren’t an option, using a course like our NCLEX crash course may be the way to go. The crash course stretches over the span of a month, so you have a month of scheduled study time ready for you to use! The idea is to review the content over a month and then use the remaining time to study areas that you want to focus on. 

Personally, I studied content more than I practiced questions at first, and then I slowly shifted towards more practice questions than content review the closer I got to the NCLEX. 

5. How do I stick to my NCLEX study plan?

It may be helpful to treat your study hours like work. Log the hours in your planner or phone’s calendar like you would appointments or scheduled shifts. Try to schedule your study sessions at the time of day you’re most productive. 

Note which content you’ll aim to cover that day or how many questions you’ll try to answer. Don’t forget to add “days off” and study breaks into your schedule! I know I had a hard time putting down my notes before my NCLEX, but my brain always felt refreshed after I took some time off. 

Remember Your “Why”

While scheduled study sessions are helpful in sticking to study plans, they aren’t perfect. Another thing I like to do is reflect on the “why” behind my study plan. My “why” consisted of everything from remembering that if I could get into nursing school, I could pass this exam to just imagining my name with “RN” behind it. 

I let it be my mantra to rally my energy and effort towards NCLEX review. Think of your “why” and write it down, have someone text it to you regularly, or just say it to yourself to keep your head in the game! (My “why” consisted of everything from remembering that if I could get into nursing school, I could pass this exam to just imagining my name with “RN” behind it). 

Be Kind to Yourself

Also, forgive yourself if you miss a study day or have a day of review that was a struggle. Study plans will have hiccups and mishaps. That’s okay! They won’t make or break your path to becoming a real-deal nurse. Lastly, find your support system. How your support system supports you is up to you! They can help you study your material, check on your progress in your study plan, or simply just be there for you to talk to. 

6. I have anxiety about the NCLEX. What can I do to manage it? 

How are we feeling so far? We’ve covered a lot here, and I know it can feel pretty overwhelming. That’s perfectly normal. Anxiety and stress over the NCLEX can be tough to manage. Try to have a couple of anxiety-mitigating techniques in mind for when you start your NCLEX review. 

Think of it like having a coping mechanism “bank.” When you’re feeling stressed or overwhelmed, you can readily “withdraw” your anxiety-management technique for use! These techniques can be short walks, meditation, listening to your music at the loudest volume, or joining our Facebook group (where you’ll find support from your peers). 

The important thing is to have a plan in place for when you feel overloaded.

Final Thoughts: How to Study for the NCLEX

Okay, here we are! I know we’ve talked about a lot here, so here are the main takeaways (and then some):

1. Aim for 2-3 months of NCLEX review
2. Pick 2-3 resources that you’ll use in your review
3. Create a study plan (including days off)
4. Don’t cram the night before the NCLEX (in fact, take the day off);
5. Check out Blueprint Nursing’s resources!

Try everything we’ve mentioned and use what you like! And if you’re looking for even more (free!) content to help you pass the NCLEX-RN, check out these other posts on the Blueprint Nursing blog:

• NCLEX Exam FAQs: When to Take It, What to Bring, & More!
• Types of NCLEX Questions: The Ultimate Guide
• Top NCLEX Test Taking Strategies

Are NCLEX practice questions not your thing? Do the initials “NGN” make you feel stressed? If you answered yes to either question, this post is for you!

Before we jump in, remember the NCLEX is testing your ability to be a safe nurse, not a perfect nurse. That means you’ll get questions you’re not sure how to answer. The good news is you don’t need to get every question right, and you’ll have a better chance of answering them correctly if you do a few simple things.

We’ll review those tips and tricks for you in this post. Put them to good use while doing NCLEX practice questions, and you’ll be all set for exam day!

4 Tips for Breaking Down NCLEX Practice Questions 

1. Anatomy matters! 

The NCLEX likes to keep it simple. As a result, all of the questions have the same basic structure: a stem and a lead-in. 

Stem

The stem is the story of the client. It could include vital signs, laboratory values, the client’s symptoms—basically any background information you need in order to answer the question!

For a standard multiple choice question, the stem is usually only one to two sentences long.

Lead-In

The lead-in is the actual question. There are a number of different questions that could be given based on the stem.

For example, the lead-in could expect you to identify appropriate teaching points to a client based on a diagnosis provided in the stem. 

2. The KEY to Success

Pay attention to key words when doing NCLEX practice questions and of course during the exam itself. When approaching a question, ask yourself, “Is there anything emphasized in the stem or lead-in?”

Oftentimes, the NCLEX will even bold key words like “most,” “priority,” or “immediately.”

3. Absolutes have no place here!

Want an easy way to rule out an answer choice? Look for the absolutes! Very few things in nursing are black and white. As a result, if you see words like “always,” “never,” or “only” in NCLEX practice questions or on the exam itself, there’s a good chance it’s incorrect! 

4. REALism is REALly cool!

Lastly, if an answer seems unrealistic or out of the scope of practice for a nurse, don’t pick it!

For example, is it realistic for a nurse to order a diagnostic exam? No, and it’s not in our scope of practice either. Therefore, if an answer choice mentions something about ordering a diagnostic exam, throw it out!

Now let’s take a look at a real NCLEX practice question on the Blueprint Nursing TikTok!

How to Approach NGN Practice Questions

With the introduction of NGN NCLEX, we got new types of questions! Now, don’t let this scare you. Even though the questions may look different, the tips I just mentioned still apply! 

Here are some new question formats you’ll see for NCLEX practice questions and on the exam itself: 

Select All That Apply (SATA)

The select all that apply (SATA) format isn’t new to NCLEX practice questions or the NGN, but it still can cause a lot of anxiety. I know it did for me when I was taking the NCLEX!

The best way to tackle this kind of question is to treat each answer as a true/false statement. For this approach to work, you have to first look closely at your question stem (the story of the client) to see if you’re looking for true or false statements!

For example, if the stem includes words like “further education” or “clarification,” chances are you’re looking for false statements.

Case Study

Case studies can seem like “information overload,” but they don’t have to be! If you’re not sure where to begin with case studies, start by reading the lead-in to the question first. By doing so, you know exactly what you’re looking for when you read through the case! 

Highlight

Oftentimes, highlight questions are really just priority questions! Instead of picking the priority answer from a list, you highlight what stands out to you/requires immediate attention. Chances are you’re already doing this in your head!

Matrix and Multiple Response

These questions may seem intimidating, but they don’t have to be! Instead of looking at them as a whole, break each section down like it’s a separate question. This makes it much more manageable. 

Bowtie/Dropdown/Drag-and-Drop Questions 

These types of questions look different, but they’re not really much different from your standard multiple-choice questions. With each of these, you’re choosing answers from a list of options. As a result, I would approach them like they were your typical multiple-choice questions.

Final Thoughts

With these helpful tips, you’ll be on your way to becoming a real-deal RN in no time! If you’re looking for more resources, be sure to check out all we have to offer at Blueprint!

🤝 NCLEX Complete Self-Prep Package – 23 hours of video lessons & 17 quizzes—plus a built-in study planner and 2,000-question Qbank access (now free for 60 days)!

👩‍🏫 NCLEX Live Study Group (LSG) – 4 days of live instruction & 3 practice exams—plus access to Complete Self-Prep Package!

👩‍💻 Free NCLEX Webinars – Join our free sessions with experts to prep for the exam and life as a real-deal RN

📓 Free NCLEX Cheat Sheets – Grab these free downloads for help memorizing NCLEX terms, isolation and PPE, and more!

Studying for the NCLEX and feeling overwhelmed by medication questions? You’re not alone! Metronidazole (also known by its brand name Flagyl) is one of those medications that loves to show up on the NCLEX, and for good reason—it’s commonly prescribed and has some pretty important nursing considerations you absolutely need to know.

Let’s break down everything you need to understand about metronidazole nursing considerations so you can tackle those NCLEX questions with confidence. We’ll cover the must-know side effects, critical contraindications, and essential client teaching points that could make or break your exam performance.

Ready to master this antibiotic? Let’s dive in!

💊 Free Download: 50 Most Common Medications to Know for the NCLEX

Want to skip ahead a bit? Our team of experts put together a FREE cram sheet with the most common medications to know for the NCLEX! Just fill out the form below and get the cheat sheet directly in your inbox. 💡

What Is Metronidazole and How Does It Work?

Metronidazole is an antibiotic that specifically targets bacterial and parasitic infections. Think of it as your go-to medication for infections in the vagina (like bacterial vaginosis), stomach, liver, and trichomoniasis (a sexually transmitted infection caused by parasites).

Here’s the cool part about how it works: metronidazole actually enters the bacterial cell and binds directly to the bacteria’s DNA. This binding process leads to the death of the bacteria, effectively clearing up the infection.

This medication is particularly effective against anaerobic bacteria (bacteria that don’t need oxygen to survive) and certain parasites, which is why it’s such a valuable tool in treating specific types of infections.

Common Side Effects Every Nurse Should Know

When it comes to metronidazole nursing considerations, understanding side effects is crucial for both client safety and NCLEX success. The most common side effects revolve around gastrointestinal issues, so let’s talk about what your clients might experience.

Gastrointestinal Upset

GI upset is hands-down the most frequent complaint with metronidazole. Your clients might experience:

• Nausea and vomiting
• Diarrhea
• Decreased appetite
• General stomach discomfort

This is exactly why client teaching about taking metronidazole with food is so important—it can significantly reduce these uncomfortable GI side effects.

The Infamous Metallic Taste

Here’s a side effect that clients often find particularly bothersome: a metallic taste in their mouth. This isn’t dangerous, but it can be really unpleasant and may affect their appetite or enjoyment of food. Let your clients know this is normal and temporary—it’ll resolve once they finish their course of medication.

Severe Side Effects That Require Immediate Attention

While most clients tolerate metronidazole well, there are some serious side effects that require immediate nursing intervention and client education.

Peripheral Neuropathy

Though rare, peripheral neuropathy can occur with metronidazole use, especially with prolonged treatment. Watch for signs like:

• Tingling or numbness in hands and feet
• Muscle weakness
• Pain or burning sensations in extremities

If clients report any of these symptoms, they need to contact their healthcare provider immediately.

Seizures

Seizures are another rare but serious side effect. Clients with a history of seizures or CNS disorders may be at higher risk. This is why taking a thorough medical history is so important before administering metronidazole.

Critical Contraindications: The Big No-Nos

This is where metronidazole nursing considerations get really important for client safety. There are several substances and situations where metronidazole should absolutely be avoided.

Alcohol and Disulfiram Interaction

Here’s the big one that NCLEX loves to test: clients must avoid alcohol completely while taking metronidazole and for at least 24-48 hours after their last dose. This includes:

• Alcoholic beverages
• Medications containing alcohol
• Mouthwash with alcohol
• Cooking wines or extracts

The combination can cause a disulfiram-like reaction with symptoms including severe nausea, vomiting, flushing, headache, and rapid heart rate. Clients should also avoid disulfiram (Antabuse) itself.

Propylene Glycol Warning

Foods and medications containing propylene glycol should also be avoided, as they can cause similar adverse reactions when combined with metronidazole.

Breastfeeding Considerations

If a breastfeeding parent needs metronidazole, they should avoid breastfeeding for 24 hours after taking each dose. The medication passes into breast milk and could potentially harm the nursing infant.

Essential Administration Instructions

Getting the administration right is crucial for both medication effectiveness and client comfort.

Extended-Release Tablets: Handle with Care

If your client is prescribed extended-release metronidazole tablets, they must swallow them whole. No crushing, chewing, or breaking these tablets! This could lead to too much medication being released at once, increasing the risk of side effects.

Food Timing Matters

Always instruct clients to take metronidazole with food. This simple step can significantly reduce those uncomfortable GI side effects we talked about earlier. It’s such a straightforward intervention that can make a huge difference in client comfort and medication adherence.

Key Metronidazole Nursing Considerations

As a nurse, your role extends far beyond just administering the medication. Here are the essential nursing considerations that will serve you well on the NCLEX and in clinical practice.

Client Education Is Everything

Your teaching should cover:

• The importance of completing the full course of antibiotics, even if symptoms improve
• Alcohol avoidance (cannot stress this enough!)
• Taking medication with food to reduce GI upset
• Reporting any signs of neurological changes immediately
• Breastfeeding precautions if applicable

Monitoring and Assessment

Keep an eye out for:

• GI side effects and client tolerance
• Signs of peripheral neuropathy (tingling, numbness, weakness)
• Any neurological changes, including seizure activity
• Client adherence to alcohol restrictions

Documentation Points

Document:

• Client’s understanding of medication instructions
• Any side effects experienced
• Compliance with alcohol restrictions
• Response to treatment

Test Your Knowledge with a Practice Question!

Ready to put all this knowledge into action? Check out this NCLEX practice question on metronidazole:

Your Path to NCLEX Success

Understanding metronidazole nursing considerations isn’t just about memorizing facts—it’s about putting client safety first and demonstrating critical thinking skills that the NCLEX is designed to test.

Remember these key takeaways: metronidazole is an effective antibiotic for bacterial and parasitic infections, but it requires careful client education about alcohol avoidance, proper administration with food, and monitoring for serious side effects like peripheral neuropathy.

The most important thing? Always prioritize client safety by ensuring they understand the critical importance of avoiding alcohol while taking this medication. This knowledge will serve you well on exam day and throughout your nursing career.

Ready to tackle more NCLEX questions? Get 60 days of FREE access to Blueprint’s Complete Self-Prep Package, including 23 hours of video lessons, 17 quizzes, 2,000+ practice questions, a predictor exam, and more!

And for more (free!) NCLEX content, check out these other posts on the blog:

• Can You Answer this Cardiac NCLEX Practice Question?
• Types of Restraints in Nursing: What to Know for the NCLEX
• Breaking Down Meningitis NCLEX Questions

Is there anything more satisfying than diving into a fresh Qbank with all-new questions? Introducing the Blueprint NCLEX Qbank to take your study game to the next level! Designed by nurses for nurses, this tool is packed with features that cater directly to your study needs. 🤩

In this post, we’ll explore everything you need to know about the Qbank, including its features, availability, and future developments. Whether you’re a student just starting your NCLEX prep or already ahead of the game and looking to refine your strategy, this is your new go-to resource!

What is the NCLEX Qbank?

The new NCLEX Qbank from Blueprint features 2,000+ multiple-choice and select-all-that-apply questions based on the NCSBN NCLEX Test plan, so you can feel confident that the content you see in the Qbank is aligned to what you’ll see on your exam. 

When setting up your practice set, you have numerous options! You have the option to select the question type, category, mode, time, and number of questions! 

Plus, each question includes detailed rationales, memory tools, and images to review after answering to help solidify your knowledge!

The Qbank also lets you highlight, underline, and strike out words, which can help you pinpoint the most crucial info. If you’re unsure about certain questions, you have the option to “flag” them in the upper left hand corner and revisit them later.

Remember, you can also cross out incorrect answer choices to help you narrow down to the right answer!

After completing your practice questions, head over to your analytics dashboard to check out how you did! You can view your performance by question category and identify any knowledge gaps that you’ll want to go back and review during your next practice exam. You also have the option to see which questions you changed!

Additionally, when in Review Mode, the Qbank includes “One Step Further” questions which are designed to deepen your understanding and assess the depth of your knowledge. These questions, combined with detailed teaching images, enhance your learning experience and help solidify your grasp on complex concepts.

Who Gets Access to the Qbank?

If you’re part of our NCLEX Live Study Groups or signed up for our NCLEX Complete Self-Prep Package, you’re already in! All learners in these groups automatically gain access to over 2,000+ questions during their study period.

What’s Next for You?

Ready to get started? Head over to Blueprint Nursing and see the difference for yourself. And remember, we’re here every step of the way to guide and support you through this crucial phase of your nursing career! 💙

Looking for FREE resources to help you prep for the NCLEX? Check out these other posts on the Blueprint Nursing blog!

• Can You Answer this Cardiac NCLEX Practice Question?
• How to Answer NCLEX Practice Questions in 2025
• How to Make an NCLEX Cram Sheet

Ever thought about making those awesome one-page cheat sheets or reference guides for nursing school exams? Guess what—you can totally do that for the NCLEX too! An NCLEX cram sheet is a great way to organize your thoughts and concepts that you need to focus on leading up to the exam. In this post, we’ll show you exactly how make an NCLEX cram sheet and use it while studying.

**Note: This doesn’t mean you should cram for the NCLEX! We recommend 2-3 months of studying to adequately prepare. A cram sheet is essentially there for you to use as a reference when you’d like to parse through all the important information. It’s not a substitution for traditional exam prep!

💊 Free Download: 50 Most Common Medications to Know for the NCLEX

Want to skip ahead a bit? Our team of experts put together a FREE cram sheet with the most common medications to know for the NCLEX! Just fill out the form below and get the cheat sheet directly in your inbox. 💡

Step 1: Look up the NCLEX blueprint.

While NCLEX content is kept under wraps, you’re provided a comprehensive test plan that outlines what to expect. That’s where I would start when building your NCLEX cram sheet! 

Depending on your level of detail, you can create cram sheets based on the four categories or subcategories detailed in the test plan. For example, you could create a cram sheet that focuses on one of the categories, like management of care. The NCLEX test plan gives you a detailed description of what’s included in each section!

Step 2: Gather all your resources.

Once you’ve decided what topics to include, it’s time to gather your resources! For this step, think textbooks, practice questions, study guides, etc. Use the study materials that helped you ace nursing school to create your cram sheet!

If you find yourself looking for resources to help you create your cram sheet, Blueprint Nursing is here to save the day! Blueprint is the one-stop shop for all of your NCLEX needs. From hours of review videos to a personalized study planner to meet your unique needs, Blueprint has you covered. Check out our Comprehensive Self-Prep Package FREE for 60 days!

Step 3: Identify your note-taking style.

Once you’ve gathered all of your resources, it’s time to create your NCLEX cram sheet. In order to do this, you need to identify your unique note-taking style. Ask yourself, “How did I organize my notes during nursing school?”

If you prefer to go old school, a paper cram sheet is a solid choice. But if you’re more comfortable with a computer, an electronic cram sheet might be a better fit for you! There is no wrong answer. Pick what works best for you! 

In addition to the type of cram sheet you’ll have, you have to decide what you want it to look like. Do you prefer writing/typing information in straight lines, or writing all over the paper? What colors do you want to use? Some students find that using different colors helps them remember things more easily. Highlighting key words can also be an effective way to organize or make certain information stand out.

Regardless of format, the important thing here is to keep it simple—really hone in on what’s MOST important. Don’t waste your time or energy trying to rewrite/type all of your notes! Make sure you’re using the NCLEX test guide to help you decide what to include. 

There’s one more point I’d like to emphasize here. Your style is your style for a reason. Don’t force yourself to use someone else’s approach. What works for them may not work for you, and that’s ok! Make sure your NCLEX cram sheet is conducive to how YOU best learn.

Step 4: Don’t forget the extra stuff! 

When creating a cram sheet, don’t forget the extra stuff! Make sure to include mnemonics, NCLEX practice questions, visual aids, test-taking tips, and positive affirmations. Use visuals or bright colors to help them stand out!

💡 Pro tip: if you can create your own mnemonic or visual aid, you’re more likely to remember it! While it’s great to take advantage of all the resources offered to you, sometimes creating something yourself works even better. 

Step 5: Use it! 

Once you’ve created your cram sheet and added in your extra stuff, it’s time to use it! When is a good time? Well, your cram sheet is a quick, handy reference for review, perfect for when you’re not in a full-blown study session. For example, if you have a 20-minute window waiting for your car to be serviced, that’s a great time to pull out your cram sheet!

Still remember, as we mentioned at the beginning, you’ll want to set aside 2-3 months for your NCLEX prep. Your cram sheet should be considered a helpful extra tool to help you prepare. It’s not meant to replace your other study materials! In other words, let the cram sheet REINFORCE what you already know or have studied. Best of luck on the NCLEX, from the Blueprint Nursing team!

💡 Downloaded the cheat sheet at the beginning of this post and still looking for more? You’re in luck! Check out these other FREE NCLEX cheat sheets to give your prep a jumpstart!

You might have seen the headlines: the NCLEX pass rate is dropping in 2025. And if this has you feeling a little anxious, you’re not alone! After all, the only thing standing between you and becoming a real-deal RN is this one test. So what’s going on, and more importantly, what can you do to make sure you’re still walking out with a pass on the first try?

Let’s dig into what’s driving the change in pass rates, how this affects you, and how to study smarter (not harder) to meet the moment with confidence!

If you’re struggling with NCLEX test anxiety, we’re here to help! Meet Blueprint’s new Complete Self-Prep Package with 23 hours of video lessons, 2,000 Qbank questions, personalized study planner, and more.🤩 Get started FREE for 60 days!

So, what are the numbers?

Between 2018-2024, the average NCLEX pass rate was 86.58%. In 2024, we saw a high point, with a pass rate of 92.10% (NCSBN). This was the highest rate in over a decade and the first full year of the Next Generation NCLEX (NGN)!

But in 2025, the numbers are trending back down, with the current pass rate sitting at 88%.

That’s still solid overall, but it does mark a noticeable drop. And it raises the question: why the dip?

Why is the NCLEX pass rate decreasing in 2025?

Some educators believe 2024 success gave future test takers a false sense of security. The NGN format might look more intuitive, but it demands a deeper level of clinical judgement and critical thinking. Like we’ve seen with other major board exams, perceived “easier” formats can sometimes lead to lighter prep—and that can come back to bite.

The bottom line is that NCLEX is still a high-stakes, pass-or-fail test. You don’t need to panic, but you do need a smart, structured game plan. To get there, it helps to understand what’s influencing these pass rate trends. Let’s break down what’s changed, and how to make sure you’re ready.

What impacts the NCLEX pass rate?

1. The NGN and a new scoring system

With the introduction of the NGN in April 2023, a new scoring system was implemented. The NGN has moved away from the “recall and application” multiple-choice style questions in favor of questions that focus on critical thinking and clinical judgment. These changes were added to more accurately represent the types of scenarios real life nurses may encounter.

Additionally, various question formats have also been introduced, including hot spots (highlighting correct answers), drag and drop options, drop-down tables, and multiple response matrices. 

💡 Check out this blog post for a detailed explanation (videos included) of the new NGN question formats!

Partial Credit

With these new question formats, changes to the scoring system have taken place. While questions were previously scored as purely right or wrong, partial credit is now available. For example, with the previous version of the NCLEX, select all that apply questions types required all correct answers and no incorrect answers be selected in order to receive a point.

Now with the NGN, select all that apply questions can now be scored using the +/- scoring model. This model adds one point for each correct answer and subtracts a point for each incorrect answer. This allows for incorrect answers to be selected while still maintaining the opportunity to earn points- great news! However, we still want to be successful with these new question types, so it is still so important to study!

0/1 Scoring 

Another scoring model now used is the 0/1 scoring method which gives 1 point for a correct answer and 0 points for an incorrect answer. Additionally, with a focus now on critical thinking and clinical judgment abilities, the NGN uses rationale scoring when faced with question formats that require knowledge of the correct action and justification for choosing that action. 

For these question types, both answers need to be correct to receive a point. This is why studying and understanding how to apply what you learn is crucial to being successful on the exam.

So, while the NGN offers great opportunities with a new partial credit scoring system, you still need to be highly prepared and able to critically think!

Check out Blueprint’s study resources for access to all the information you need to know AND how to apply that information on the NGN. 🧠

2. Repeat test-taking

According to the National Council of State Boards of Nursing (NCSBN), the pass rate for first-time NCLEX takers in 2024 was almost double that of second-time test takers (i.e., 92% for 1st time baccalaureate prepared nurses versus 52% for US-educated repeat test takers). This statistic holds true when looking at pass rates from 2018-2024. 

💡 In other words, the pass rate of second-time test takers has remained fairly low compared to first-time test takers before and after the implementation of the NGN NCLEX.

Knowing this, you should continue to thoroughly prepare for the NCLEX to make sure you pass on the first attempt. Not only do you have a more favorable statistical chance of passing on the first time, but it also helps mitigate additional anxiety, extra fees, and waiting time associated with retaking the test.

How do I pass the NCLEX the first time around?

1) Use an organized study platform. 

If you’re wondering how to pass the NCLEX the first time you take it, one thing we’d like to say right off the bat is you’ll want to avoid just doing it all yourself (aka, “DIY’ing” your exam prep). 

This is where study platforms like Blueprint Nursing, can be your best friend. Trying to decipher all the information that needs to be studied, how much to study each day, while predicting the amount of time you’ll need to prepare for the exam can be overwhelming. I’m sweating just thinking about it, and I took my NCLEX seven years ago!

Tried-and-true resources, like the ones offered by Blueprint, supply all the information you need, and you won’t stress about whether you’re studying efficiently.

Additionally, Blueprint’s test preparation courses are proven to work with a 99.7% pass rate on board exams. Having a reliable resource like Blueprint will make you confident you know how to pass the NCLEX the first time and you’ll go into the exam feeling ready!

As of April 2023, the Next Generation NCLEX (NGN) is the gold standard. With an increased emphasis on critical thinking and more interactive questions that measure clinical judgment, it can be challenging to properly prepare for these new question types. Luckily, Blueprint has studied these changes and offers resources that are up-to-date with the NGN so you can be confident that you know how to pass the NCLEX the first time you take it.

2) Have a reliable study plan.

If you want to know how to pass the NCLEX the first time, another key thing to do is have a well-mapped-out and organized study plan. A successful study plan will give you enough time to prepare without feeling rushed and burned out. With Blueprint’s study resources, a full study plan is included so you know exactly what, when, and how long to study for each day.

A well-planned study schedule should be realistic and recognize that exam and test-preparation anxiety is REAL. That means a study plan should include days off to recuperate and relax. And limiting the number of hours spent studying each day is crucial to ensure you retain information and don’t want to quit before you’ve even started!

3) Give yourself enough time to prepare.

There’s nothing worse than feeling overwhelmed and underprepared for a test, especially one as important as the NCLEX. Give yourself enough time to thoroughly prepare for the exam and avoid late-night cram sessions that cause exhaustion and stress. 

We recommend allotting 2-3 months for exam prep. However, if you need more days off or extra preparation time, it’s OK to schedule the exam a little further out. The most important thing is ensuring you feel prepared to enter the exam confidently and with a good mindset. This will set you up wonderfully to pass on the first try!

4) Have an anxiety-intervention plan.

For some people, knowing how to pass the NCLEX the first time can come down to knowing how to manage exam anxiety. As mentioned before, test anxiety is REAL! Even if you’re overly prepared (if that’s even a thing), anxiety leading up to and on test day can interfere with your ability to perform your best. 

It’s crucial to have an anxiety-intervention plan and work on reducing exam anxiety when you start studying for the NCLEX. In fact, it should be part of your overall study plan. If you’re new to anxiety-reducing strategies, ask yourself what gives you energy and helps you relax? This can include practicing deep breathing, making time for exercise each day, and ensuring you properly hydrate and eat. Just like we tell our clients to!

Another helpful intervention is to practice focusing on the day-to-day. Focusing on each day individually, rather than letting your mind wander to the next month of studying, can help ease stress and anxiety. Recognize that some days, we just need a mental break to decompress. Use the scheduled time in your study plan to do things that give you energy! For me, that’s being outdoors. For others it could be binging your favorite show, hanging with friends, or scrolling through TikTok. Reducing anxiety is different for everyone, but start paying attention to what works for you.

5) Keep this advice in mind!

Some additional tips on how to pass the NCLEX the first time include: 

Practice tests, practice tests, practice tests! 

Keep running through those practice questions and practice tests. (Blueprint’s Live Study Group and Comprehensive Self-Prep Package includes access to our 2,000+ NCLEX-style questions designed to help you practice!)

Try not to compare yourself to others. 

While it’s great to have a supportive group while you study, recognize that everyone learns at different paces and in different ways.

Don’t forget about your go-to study method! 

What got you through nursing school? Did you use flashcards? Rhymes? Write things out? Keep doing what works for you.

Be confident in your knowledge. 

You’re completing nursing school! You have the knowledge you need to pass this exam.

Eat well, sleep well, and hydrate. 

Give your body and brain the advantage it deserves.

Key Takeaways

• With a declining NCLEX pass rate in 2025, it’s more crucial than ever to take the exam seriously, despite previously high pass rates!
• Even with the new partial credit scoring system, you still need to know how to apply the information you’ve learned.
• It’s better to over prepare to make sure you pass on the first try, rather than having to take it again…and the statistics prove it!

Have more questions about the NGN and how to properly prepare? Let us be your study buddy! Here are some recommended resources to help you get started on your studying journey:

• Blueprint Study Courses: Live or Self-Paced
• NCLEX How-To: Study Edition
• NCLEX How-To: Mitigate Test-Taking Anxiety

Preparing for the NCLEX can feel like climbing a mountain—so much to cover, so much at stake, and no clear path in sight. Do you ever wonder if you’re focusing on the right things or if there’s a better way to tackle it all? You’re not alone. Many test-takers face the same struggles, but here’s the good news: a lot of those common missteps are completely avoidable with the right approach!

Think of your prep as a journey, not a sprint. Are you giving yourself the tools to stay on track? Our team has seen it all—those tricky traps that can throw you off course, the moments of doubt that can creep in. But with some smart strategies and guidance, you can dodge those pitfalls, streamline your study plan, and walk into exam day with confidence.

Ready to take the guesswork out of prepping? Here are the seven most common mistakes we’ve seen students make while prepping for the NCLEX, and how to avoid them!

Most Common Mistakes for NCLEX Prep (& How to Combat Them!)

1. Studying Harder, Not Smarter

With the amount of material needed to study for the NCLEX, it’s easy to become overwhelmed and unorganized. Would a teacher teach without a lesson plan or a coach coach without a game plan? I sure hope not! The same can be said for prepping for the NCLEX. Without a plan in place, it’s easy to miss vital information or spend too much time focusing on one topic. 

A way to fix/avoid this problem? An NCLEX study plan! 🗓 A study plan not only keeps you on track, but also can make the experience enjoyable (I don’t know about you, but I LOVE checking things off on a list!).

Into the idea of a “smart” study planner that can plan your NCLEX studying for you? Blueprint offers a fully customizable study plan that prepares you for every step of your NCLEX journey, included in the NCLEX Complete Self-Prep Package and Live Study Group!

Not only does the study plan help you identify highly testable NCLEX information, but it also helps prevent “cramming” right before your test date (more on this to come!).

2. Making it a DIY Project

I don’t know about you, but I love DIY projects! If I can make it myself, then that is exactly what I’m going to do. What about your NCLEX prep? Well…in this case, DIY’ing isn’t always the way to go. 

When deciding how to prep, you need to make sure your resources are based on the actual test outline. Who wants to waste their time studying something that won’t be on the NCLEX? Not me! 🙅

That’s where test prep resources can help. Instead of spending your time learning about the NCLEX test outline, NCLEX study resources like Qbanks and courses automatically include the information you need to know so you can spend less time figuring out what to study, and more times studying.

For example, our team at Blueprint has spent countless hours studying the test outline to create review materials to help you succeed. If you haven’t already, check out the links in the previous section for more information!

3. Cramming the Night Before

Have you ever stayed up all night cramming for a nursing exam? I sure was guilty of this! 🙋 But how did you feel taking the exam—did you feel prepared? 

If you’re like me, this answer would be a no. Not only was I sleep deprived, but trying to “dump” all that information into my brain right before the exam meant I wasn’t really learning the material. The last thing you want is to feel this way right before you take the NCLEX! 

As my fifth grade teacher always said, “chunking”, or studying a “chunk” of material every day, is way better than “cramming” if you want to really retain the information. (Thank you, Mrs. H.—I’m still using your advice 20 years later! 🫶)

Trust me when I tell you that by doing this method, not only will you feel prepared for the NCLEX, but it’ll also make a huge difference in your confidence level as a real deal RN. So how do you start “chunking”? By creating a study plan (see how it comes full circle?)!

4. Not Practicing How You Play

You’ve created your study planner and are “chunking” everyday, which means you’re 100% ready for the NCLEX, right? Well…..not quite. You’ve laid your foundation for success, but there are still a few more walls to build before we can call it a home. 🏡 A coach can create a perfect game plan, but if the players never practice, are they really ready to play in a game? No, they need to practice! 

So, just like players on a sports team, you need to practice for the NCLEX. I recommend taking at least two practice exams before the big day. If possible, try setting up your environment like the NCLEX, including a time limit, a whiteboard for note-taking, and a quiet environment. The more comfortable you feel in the testing environment, the better off you’ll be!

5. Skipping the Anxiety Plan

We’ve spent a lot of time talking about preparing for the content of the NCLEX, so we have to be ready now, right? Again… not yet! There’s a little word that likes to cause many problems: anxiety (just seeing the word gives me anxiety!). 

NCLEX test anxiety can be just as detrimental to your success as being unprepared. As someone who has struggled with test anxiety their entire life, I know how easy it is to fall into this negative mindset.

So with that being said….have you spent some time thinking about what you’ll do if test anxiety creeps in while taking the NCLEX? If not, I definitely recommend you do! Make the plan now, so that you’re prepared when the moment comes. Even if you’re someone who has never struggled with test anxiety, it’s always better to be overly prepared! 

So, what should you include in this plan? Well, that’s up to you. This plan should be highly individualized to fit your needs. For me, writing positive affirmations is a game changer. For others, taking a break might just do the trick. Whatever works for you, do it! 💪

6. Neglecting Your Brain 🧠 

Speaking of breaks, make sure you’re taking a lot of them! Our brains are made to do amazing things, but that doesn’t mean they have to work in overdrive. Doing so can actually have negative consequences on your mood and anxiety level. My job revolves around the NCLEX, and I don’t even want to think about it 24/7! 

So if you find yourself spending all your time studying/thinking about the NCLEX, that is a good sign that it’s time to take a break. And be intentional about it too! Set break times on your study planner and stick to it. Go eat at your favorite restaurant or take a walk outside—something to give your brain that much-needed rest. 

7. Letting Doubt Creep In

The word doubt may only be five letters long, but it has a big impact. Much like anxiety, doubt likes to creep into our brains and wreak havoc. I think of doubt as a big ole purple monster (👾) trying to fill your head with lies. This monster doesn’t want you to be successful! 

So what is the truth? The truth is, not only were you accepted into nursing school, but you’re also almost finished if you’re thinking about the NCLEX. Not everyone can say this is their truth! So be proud of your accomplishments, celebrate your wins, and keep those monsters far away from your head!

If you’re struggling with NCLEX test anxiety, we’re here to help! Meet Blueprint’s new Complete Self-Prep Package with 23 hours of video lessons, 2,000 Qbank questions, personalized study planner, and more 🤩 Get started FREE for 60 days!

Final Thoughts

While sometimes the doubt and anxiety can tell you otherwise, us at Blueprint do want you to be successful! We would love to be your study buddy, so that you can pass the NCLEX and also have fun doing it. 💙

Best of luck on your NCLEX journey, and you know where to find us if you need additional support!

Does the word “pharmacology” or “medications” give you anxiety? If so, you are in good company! To help reduce some of the stress you may be feeling about the exam, let’s talk about the 50 most common medications for the NCLEX and how to tweak your exam prep to feel confident answering any pharmacology question.

Let’s get started!

📘 FREE Download: 50 Most Common Medications for NCLEX Prep

Too long, didn’t read? Fill out the form and get the cheat sheet sent right to your inbox for FREE!
(And before you ask…yes, it’s color coded 🤩)

What are the 50 most common medications for the NCLEX?

Organized by medication type, these are the ones you really need to know:

Antihypertensives

1. Amlodipine

Use: Hypertension (HTN)

Class: Calcium channel blocker

Key fact: Watch for peripheral edema

2. Furosemide

Use: Edema, HTN

Class: Loop diuretic

Key fact: Monitor potassium, risk of ototoxicity at high doses

3. Lisinopril

Use: HTN, heart failure (HF)

Class: Angiotensin-converting enzyme (ACE) inhibitor (-pril)

Key fact: Watch for cough, angioedema, hyperkalemia

4. Losartan

Use: HTN, HF

Class: Angiotensin II receptor blocker (ARB) (-sartan)

Key fact: Similar to ACE inhibitors but no dry cough

5. Metoprolol

Use: HTN, HF, angina

Class: Beta-blocker (-olol/-ilol)

Key fact: Hold if heart rate (HR) < 60 bpm

Cardiovascular Medications

6. Adenosine

Use: Treat supraventricular tachycardia (SVT)

Class: Antiarrhythmic

Key fact: Causes brief asystole to reset rhythm – MONITOR WITH TELEMETRY!

7. Amiodarone

Use: for ventricular dysrhythmias

Class: Antiarrhythmic

Key fact: Watch for pulmonary/liver toxicity

8. Atorvastatin

Use: High cholesterol

Class: Statin

Key fact: Monitor liver function tests; watch for muscle pain (rhabdomyolysis)

9. Digoxin

Use: HF, atrial fibrillation (Afib), HF

Class: Cardiac glycoside

Key fact: Monitor for toxicity (nausea, vomiting, vision changes); check apical pulse before giving (hold if HR < 60 bpm)

10. Nitroglycerin

Use: Angina

Class: Nitrate

Key fact: Causes headache, hypotension

Anticoagulants

11. Clopidogrel

Use: Prevent clots

Class: Antiplatelet

Key fact: Increases bleeding risk

12. Enoxaparin

Use: Deep vein thrombosis (DVT), pulmonary embolism (PE)

Class: Low molecular weight heparin

Key fact: No partial thromboplastin time (PTT) monitoring

13. Heparin

Use: DVT, PE

Class: Anticoagulant

Key fact: Monitor PTT, antidote is protamine sulfate

14. Warfarin

Use: DVT, PE

Class: Anticoagulant

Key fact: Monitor international normalized ratio (INR), avoid vitamin K-rich foods

Antidiabetic Medications

15. Insulin

Use: Diabetes mellitus (DM) 1 & 2

Key fact: Lispro (rapid), regular (IV for DKA), NPH (intermediate), glargine (no peak); watch for hypoglycemia

16. Glipizide

Use: DM II

Class: Sulfonylurea

Key fact: Risk of hypoglycemia, take with food, assess allergy to sulfa drugs

17. Metformin

Use: DM II

Class: Biguanide

Key fact: Does not cause hypoglycemia; risk of lactic acidosis

Respiratory Medications

18. Albuterol

Use: Acute asthma or COPD exacerbation

Class: Short-acting beta agonist (SABA)

Key fact: Watch for tachycardia 

19. Fluticasone

Use: Manage allergies or asthma

Class: Corticosteroid

Key fact: Rinse mouth after inhaler use

20. Ipratropium

Use: COPD or asthma

Class: Anticholinergic

Key fact: Commonly causes dry mouth

21. Montelukast

Use: Asthma or allergy prevention

Class: Leukotriene receptor antagonist

Key fact: Take at night

22. Salmeterol

Use: Long-term asthma or COPD management

Class: Long-acting beta agonist (LABA)

Key fact: Not for acute respiratory exacerbations

Pain Management

23. Acetaminophen

Use: Mild to severe pain, fever

Class: Analgesic, Antipyretic

Key fact: Max 4g/day; antidote is acetylcysteine; caution with liver/kidney impairment

24. Ibuprofen

Use: Mild to severe pain

Class: Nonsteroidal antiinflammatory (NSAID)

Key fact: Take with food to prevent GI upset; caution with bleed risk

25. Morphine

Use: Severe pain

Class: Opioid

Key fact: Monitor level of consciousness (LOC), watch for respiratory depression, antidote is naloxone

26. Oxycodone

Use: Moderate to severe pain

Class: Opioid

Key fact: Monitor LOC, watch for respiratory depression, not intended for long-term use

GI Medications

27. Docusate sodium

Use: Constipation

Class: Stool softener

Key fact: Promotes bowel movements

28. Pantoprazole

Use: GERD

Class: Proton pump inhibitor (PPI) (-azole)

Key fact: Take before first meal of day; long-term use increases risk for fractures

Neuro/Mental Health Medications

29. Alprazolam

Use: Anxiety and panic disorders

Class: Benzodiazepine

Key fact: Risk of dependence, do not stop taking suddenly

30. Donepezil

Use: Mild to moderate dementia (Alzheimer disease)

Class: Acetylcholinesterase inhibitor

Key fact: Take at bedtime, may cause GI upset

31. Fluoxetine

Use: Depression, anxiety disorder

Class: Selective serotonin reuptake inhibitor (SSRI)

Key fact: Monitor for serotonin syndrome (fever, confusion); 4-6 weeks to take effect

32. Gabapentin

Use: Seizure prophylaxis or neuropathic pain

Class: Anticonvulsant 

Key fact: Taper off slowly; avoid alcohol

33. Haloperidol

Use: Acute psychosis, schizophrenia

Class: Neuroleptic (nonphenothiazine) 

Key fact: Watch for extrapyramidal symptoms (EPS), QT prolongation, neuroleptic malignant syndrome (NMS)

34. Lithium

Use: Bipolar disorder (mania), schizophrenia

Class: Mood stabilizer

Key fact: Narrow therapeutic range (0.6–1.2), avoid dehydration

35. Olanzapine

Use: Schizophrenia, bipolar disorder, depression

Class: Atypical antipsychotic

Key fact: Watch for weight gain, metabolic syndrome

36. Memantine

Use: Moderate to severe dementia (Alzheimer disease)

Class: NMDA receptor antagonist

Key fact: May cause dizziness or rash

37. Phenytoin

Use: Seizures

Class: Anticonvulsant (hydantoin)

Key fact: Monitor therapeutic range (10-20 mcg/mL); watch for gingival hyperplasia

38. Zolpidem

Use: Insomnia

Class: Sedative-hypnotic (nonbenzodiazepine)

Key fact: Meant for short-term use; avoid other CNS depressants

Antibiotics/Antivirals

39. Amoxicillin

Use: Respiratory infections, urinary tract infections, etc.

Class: Broad-spectrum penicillin

Key fact: Watch for allergy, take full antibiotic course

40. Azithromycin

Use: Upper and lower respiratory, sexually transmitted, and skin infections

Class: Macrolide

Key fact: QT prolongation, take on an empty stomach

41. Ciprofloxacin

Use: Respiratory, urinary, skin, eye, and ear infections

Class: Fluoroquinolone

Key fact: Risk of tendon rupture; avoid in pediatrics

42. Gentamicin

Use: Serious infections including sepsis, MRSA, and endocarditis 

Class: Aminoglycoside

Key fact: Watch for ototoxicity and nephrotoxicity

43. Metronidazole

Use: Anaerobic bacterial infections, Clostridioides difficile infection, acne rosacea 

Class: Nitroimidizole

Key fact: NO alcohol; causes disulfiram-like reaction

44. Vancomycin

Use: Serious infections like endocarditis, MRSA, Clostridioides difficile, and respiratory/skin/bone infections

Class: Glycopeptide

Key fact: Monitor for vancomycin flushing syndrome (red man syndrome); monitor trough levels

OB

45. Methylergonovine

Use: Prevention and treatment of postpartum hemorrhage

Class: Uterotonic

Key fact: Avoid with hypertension

46. Oxytocin

Use: Labor induction or prevention and treatment of postpartum bleeding

Class: Uterotonic (oxytocic agent)

Key fact: Monitor for uterine hyperstimulation, fetal intolerance

Other Need-to-know Medications

47. Levothyroxine

Use: Hypothyroidism

Class: Thyroid hormone

Key fact: Take on an empty stomach in the morning

48. Epoetin alfa

Use: Anemia

Class: Biologic response modifier

Key fact: Stimulates RBCs; monitor Hgb; risk of hypertension

49. Potassium chloride

Use: Hypokalemia

Class: Electrolyte replacement

Key fact: NEVER push IV; dilute to avoid phlebitis; monitor potassium levels and cardiac rhythm

50. Methotrexate

Use: RA, cancer

Class: Folic acid antagonist 

Key fact: Avoid in pregnancy; monitor bone marrow suppression, liver function

How do you memorize the most common NCLEX medications to study?

1. Break down the material into digestible chunks.

It can be overwhelming to think about reviewing everything you learned in pharmacology, right? If you’re feeling this way, try breaking these 50 most common medications for NCLEX prep into manageable chunks. Group and prioritize the material in a way that makes sense to you. 

Here are some examples:

Focus on medication classes. 

Learn your mechanisms of action, common side effects, and any pertinent safety information.

Don’t dive into every individual medication in a drug class. Instead, focus on key examples within the drug class. 

Example: Use metoprolol for beta blockers.

Group medications by system.

Study medications and medication classes by the body system that they’re intended to be used for.

Example: The cardiovascular system involves beta blockers, ACE inhibitors, calcium channel blockers, etc.

Prioritize “must know” medications.

The NCLEX will test your knowledge and understanding of drugs that are common in practice or present possible safety issues.

If you need help figuring that list out, go back up to our list of the 50 most common medications and take a screenshot (or even print it out) for easy reference!

2. Use memory tools. 

Use memory tools, mnemonics, songs, acronyms—whatever works for you! Memory tools can help solidify key concepts of pharmacology in your mind (I always found the sillier the memory tool, the better!). 

For example, use “SPironoloactone – Spares Potassium” to remember that spironolactone is a potassium sparing diuretic! The goal is to make learning the 50 most common medications for the NCLEX, or any nursing subject, fun and memorable!

3. Use active recall!

Active recall is a study method where you actively retrieve information from memory, rather than passively reviewing it. A great tool for this is the Feynman technique:

Here’s how it works: Take what you’re studying and put complex ideas into simple terms. For example, pretend you’re teaching a patient about a new medication. Finding a way to talk about the medication in your own words forces you to truly understand the material, not just memorize it. 

Engaging with the material this way helps strengthen your knowledge and makes it easier to recall at another time…like during the NCLEX!

4. Find a Qbank to practice answering NCLEX-style questions.

This is a tip that we cannot stress enough! Personally, I split my study time between active recall study sessions and using a Qbank for NCLEX practice questions. Including NCLEX practice question sessions in your studying will help you practice recalling information and get you into the real deal RN mindset! 

Speaking of Qbanks, check out Blueprint’s NCLEX Qbank with 1,000+ practice questions based on the NCSBN NCLEX Test plan!

Want a sneak peek of the Qbank? Here’s one of our pharmacology questions straight from the Qbank:

Practice Question

The nurse in the labor and delivery unit is monitoring a client who is receiving intravenous (IV) oxytocin. The client demonstrates an adequate contraction pattern with contractions every 2–3 minutes, lasting 50–60 seconds. Which of the following actions should the nurse take? 

A) Decrease the infusion rate per the provider’s order.

B) Discontinue the infusion per the provider’s order.

C) Document and continue to monitor.

D) Increase the infusion rate per the provider’s order.

Correct Answer: C

Oxytocin is a synthetic hormone that stimulates the smooth muscle contraction of the uterus during labor induction. It can be used to strengthen uterine contractions during labor, control postpartum hemorrhage, and decrease uterine atony. The rate of infusion of oxytocin given during labor should be titrated based on uterine and fetal response. Once labor has begun, the goal of oxytocin administration is to promote an adequate contraction pattern that progresses labor with contractions every 2–3 minutes that last 50–60 seconds. Since the client has met this goal, the nurse should document the findings and continue to monitor them (3). Maternal vital signs, fetal heart rate, and contractions should be monitored closely to adjust the infusion as needed.

Why are the other choices incorrect?

The client is exhibiting an adequate contraction pattern, and it is not necessary to decrease the infusion rate (1). However, if the client develops tachysystole, more than five contractions within 10 minutes for two consecutive 10-minute periods, then it would be appropriate for the nurse to decrease the infusion rate per the provider’s order. As long as the client and the fetus are hemodynamically stable, there is no indication for the nurse to discontinue the infusion (2). If there is fetal distress or signs of intolerance, the infusion may be discontinued after notifying the provider. Increasing the infusion rate (4) could increase the risk of tachysystole and complications such as fetal distress or uterine rupture. Excessive and frequent contractions reduce blood flow to the uterus and placenta and can stretch the uterine muscle, making it prone to tearing. The nurse should monitor the client for increased pain, loss of contractions, and fetal heart rate decelerations. 

Where are some other places to get practice?

Need to find resources to help get you going? Check out some of our study essentials:

👩‍💻 NCLEX Live Study Group

📚 NCLEX Self-Paced Crash Course

📈 NCLEX Qbank (Sign up for a FREE sneak peek!)

🍎 FREE NCLEX Prep Classes

📱Our TikTok (Check out Abby’s medication Mondays!)

Final Thoughts

Alright, those are the 50 most common medications for NCLEX prep and how to study like a pharmacology pro! Remember, it’s not all about memorizing every detail for every medication! It’s about knowing how to focus on your med class basics, some specific key facts, and safety considerations that would impact your client on the NCLEX and in real life.

Just be consistent with your studying and let us be your study buddy along the way. Now, go crush it!

Looking for even more (free!) content to help you crush the NCLEX? Check out these other cheat sheets:

😷 Isolation & PPE

🪜 Prioritization

🔬 Lab Values

💊 Pharmacology

Hey there, future RN! If you’re preparing for the NCLEX, you probably have one big goal in mind: PASSING with confidence. Whether you thrive in a structured, interactive setting, love the flexibility of a self-paced study session, or just need a solid Qbank to sharpen your skills, we’re going to help you find the NCLEX review option that’s perfect for you!

To give you a sense of what to look for, let’s begin by talking a little bit about why it’s so important to find a review that does more than cover the essential material, and some of the key things you’ll want your review option to have before making a decision. Let’s get started!

Why Finding the Right NCLEX Review Matters

Studying for the NCLEX is kind of like training for a marathon. You need the right gear, a structured plan, and motivation to keep going. That means choosing an NCLEX review you’ll actually enjoy (yes, really!) can make all the difference. 

When you like how you’re learning, you’ll feel more motivated, less anxious, and way more confident walking into your exam. That confidence will give you a higher chance of passing on the first try! 

So, whatever NCLEX review you end up choosing, be sure you enjoy using it. It’ll make everything else go a lot easier!

Now let’s dive into the six key features you should look for when choosing an NCLEX review. These things are essential parts of any good review option. 

6 Must-Haves in an NCLEX Review Option

1. Does it cover what’s actually on the NCLEX?

The NCLEX is a unique exam. It’s designed to test how you think, not just what you know. Remember, the NCLEX is used to determine if you’re a safe, competent registered nurse. 

You need a review that follows the National Council of State Boards of Nursing (NCBSN) exam blueprint, covers Next-Generation NCLEX (NGN) question types, and the most important topics (without the fluff) so you can focus on what actually matters.

2. Are you learning from NCLEX experts?

You deserve to learn from approachable instructors who know their stuff AND can teach it in a way that makes sense. For example, our NCLEX experts have mastered what it takes to pass, and they make learning engaging, approachable, and (dare we say) FUN! 

3. Can you get speedy support?

When you hit a tough spot, you shouldn’t have to struggle alone. Look for a review option that offers live Q&A, instructor support, or active student communities. 

4. Can you monitor your progress?

Smart studying means focusing on your weak areas and turning them into strengths! The best NCLEX review programs have analytics to help you track your performance and fine-tune your study plan as you go. 

5. Does it come with a study plan to keep you on track?

Studying is so much easier when the guess work is taken out of the equation! A great NCLEX course doesn’t just hand you content—it also provides a structured study plan to keep you organized, on pace, and confident as exam day approaches. 

It’s so much easier to study when you don’t have to figure out a schedule yourself! We recommend looking for an option that helps you schedule your studying so you can stay on track and feel ready by exam day.

6. Is there a balance of learning and review?

You need a mix of concept review and active practice. A great NCLEX course should include both content-focused lessons and practice questions to reinforce what you’re learning in real time. 

Our NCLEX Review Options

So those are six things any good NCLEX review option should have. Now that you know what to look for, let’s talk about how Blueprint Nursing can help you rock this exam!

1. Self-Paced Crash Course

Study on your own schedule, at your own pace!

This option is perfect for independent learning and flexibility. Self-paced study courses are ideal if you like studying when and where you want without strict deadlines or pressure. 

If this sounds like you, our Self-Paced Crash Course is the ultimate option. It’s got: 

• A structured yet flexible format, with 18+ hours of instructional videos covering 200+ high-yield NCLEX topics
• 150+ quiz questions with detailed rationales and video explanations 
• A customizable study plan calendar to personalize your studies 
• Powerful performance analytics to track your progress, diagnose your weaknesses, and help you improve fast 
• A full length 150-question predictor exam to assess your strengths and areas of growth 

The Self-Paced Crash Course is a great option for those who have an unpredictable schedule and can’t commit to attending the live sessions. On the other hand, if you thrive on accountability and need real-time guidance, you may be looking for a bit more structure. Let’s explore a more interactive option!

2. NCLEX Live Study Group

Learn from the experts with live interaction and support!

This isn’t just another lecture series. Our Live Study Group (LSG) is a fully interactive experience designed to help you master the most important content in a fun and engaging way. 

You’ll get: 

• 4 full days of live instruction with two board-certified RNs and NCLEX experts
• A day-by-day study calendar to keep you organized so you always know what to focus on
• Handouts aligned with each class to support your learning—No frantic note taking here!
• Live Q&A sessions so you get answers on the spot
• 60-day access to both the Self-Paced Crash Course and NCLEX Qbank
• 3 Practice Exams 
•  Our “You Will Pass” guarantee—because we believe in you!

If you’re looking for expert instruction, interactive learning, real-time support, and a “you will pass” guarantee, our LSG is the best option for you. Plus, you get access to both the Self-Paced Crash Course and our NCLEX Qbank—the best of both worlds!

3. NCLEX Qbank

A must-have for any study plan!

This option is a MUST for everyone! Currently bundled with our Live Study Group, our Qbank is stacked with features that help you master NCLEX-style questions. 

You’ll get: 

• 2,000 NCLEX-style questions with full explanation rationales
• Detailed performance analytics to sharpen your skills before exam day
• A predictor exam

A high-quality Qbank is essential for boosting your confidence and improving your test-taking skills. Practicing NCLEX-style questions helps you think critically, answer faster, and gain confidence! 💪

So…which NCLEX review option is YOUR best fit?

Let’s recap our options: 

• If you love flexibility and a self-paced schedule: Self-Paced Crash Course
• If you want expert instruction with interactive learning: Live Study Group
  (+ You’ll get 60 days access to the Self-Paced Crash Course and the 2,000-question NCLEX Qbank!)

No matter which option you choose, Blueprint Nursing is here to make sure you PASS with confidence! So, future RN, what are you waiting for? Pick the review option that fits you best and lets crush this exam together!

Trying to study for the NCLEX on your own can be overwhelming. If you’re struggling with it, don’t worry—our team here at Blueprint Nursing can help! We’ve got an NCLEX study planner and courses that’ll help you feel prepared, stay focused, stress less, and actually enjoy the process. Not only that, our NCLEX study schedule lets you get ready for the exam and still have a life, we promise!

With Blueprint Nursing, both of our NCLEX courses (Complete Self-Prep Package and Live Study Group) include access to a “smart” NCLEX study planner—you tell us about your schedule/study availability, and your planner will automatically create an NCLEX study plan that’s completely unique to you. 🤩

Plus, your schedule adjusts as you go along! Need to skip a class or change your test date? Your study planner auto-adjusts, easy peasy!

To get a better sense of how a NCLEX study schedule will help you head into exam day confident and ready to crush it, let’s get into all of it in a bit more detail. 

3 Reasons to Use an NCLEX Study Schedule 

1. It means less stress, more studying! 

No more wasting time deciding what you should study. An NCLEX study schedule will keep you on track so you can dive right in! We can help you study smarter, not harder, so you have more time to enjoy life outside of NCLEX prep. 

2. It covers everything!

You won’t accidentally skip over an important topic! A trustworthy study plan ensures you review all the “need to know” content. 

3. There’s no last-minute panic. 

Studying that’s spaced out means you’ll retain information better and you don’t have to do any cramming the night before (which we don’t recommend!).

One thing I wish I could go back and tell my pre-NCLEX self is to take the day off when you need to, and give your brain a break! With an NCLEX study schedule, you’ll get to do just that. 

Choosing the Right NCLEX Study Plan For You

We know one size doesn’t fit all. There are a number of different options, but first, start by identifying your NCLEX exam date or when you plan to schedule it. Then, assess how much time you have available to study each week leading up to the exam.

Keep life circumstances in mind! Do you have a job? Are you still in school? Any other personal commitments that may impact your ability to study? These will all come into play (and remember our “smart” study planner can schedule around them!) when creating your official NCLEX study schedule.

From there, pick your path:

Option #1: Opt for a standard 2-3 month plan.

This timeline allows you to cover all the necessary material, prevents burnout by making sure you don’t study too far in advance, and helps you avoid cramming!

Option #2: Create a custom plan based on your availability.

Got a busy life? This allows you to adjust your schedule to fit your needs, but still be consistent in your approach. 

Step-By-Step: How to Create Your NCLEX Study Schedule 

From there, follow these steps to successfully prep for the NCLEX using your plan:

1. Check the NCLEX blueprint.

The NCSBN tells you exactly what’s on the test! Use it to your advantage to guide your study plan.

2. Assess your strengths and weaknesses.

You may want to take a diagnostic test or review previous nursing school assessments to help determine your personal areas of strength and weakness. From there, you can make a list of NCLEX content areas and topics to focus on the most. 

3. Break it down.

Organize topics by weeks! Depending on which NCLEX study schedule you choose, you can organize multiple topics a week if needed. Be sure to prioritize extra time on topics you need improvement on. 

4. Practice questions = your BFF!

Do NCLEX-style practice questions, such as those reviewed in our TikTok Lives, on our Instagram and YouTube pages.

For more in-depth review, our NCLEX resources include quizzes after each topic and a predictor exam! This full length practice exam can help build your endurance and help you thoroughly understand why answers are correct or incorrect.

These questions help you get familiar with the NCLEX format and test your knowledge. This can only boost your confidence heading into the exam! 

5. Review, review, review!

Plan regular refreshers so you don’t forget what you’ve learned. (If you want some more tips for how to retain information for the NCLEX, check out Nicole’s study technique!)

6. Be flexible.

Life happens—always make sure to track your progress and adjust as needed! Give yourself buffer days for when things don’t go as planned. Keep a log of the topics you’ve covered, scores from practice tests, and areas that need more review.

From there, you can adjust your study plan based on your individual performance trends and needs. Stay flexible and make modifications as needed to promote efficiency. Study smarter not harder!

Sticking to Your NCLEX Study Schedule

So now that we know how to put together our NCLEX study schedule…how do you actually stick to it? Follow these steps!

1. Set weekly and daily goals.

Know what you want to accomplish before you start studying. Assigning priority levels to each topic based on your proficiency and the NCLEX blueprint. Set SMART (Specific, Measurable, Achieveable, Relevant, Time based) goals for each week. 

2.  Create a weekly study schedule.

Allocate specific days and times for studying based on your availability. Be sure to balance content review with NCLEX practice questions and test-taking strategies. Plan time for active learning methods including teaching concepts to a friend, relative, or classmate, and using mnemonics.  

3. Mix it up.

Use different study methods! For example, Blueprint’s NCLEX resources (included in the Live Study Group and Complete Self-Prep Package) provides various formats for study prep:

• For those who prefer visual and auditory learning, you’ll have access to 23+ hours of video lessons, divided into hours of engaging video content on 200+ Next Generation NCLEX topics, including 17 case studies. 
• The course also includes 150+ NCLEX practice questions with detailed rationales and video explanations for a mix of written and video content.
• Additionally, you’ll also gain access to 17 quizzes (one at the end of every module to ensure you’ve got it down) and a full-length 150-question predictor exam that matches the breakdown of NCSBN’s NCLEX-RN test plan!

4. Teach it back.

Explaining concepts to a friend or even out loud to yourself helps cement the info! 

5. Take breaks.

Give your brain the rest it needs! Breaks might feel counterintuitive but they help prevent burnout and make you more productive.

6. Find support.

Study groups with fellow students, mentors, and online forums (we’ve got a great community of nursing students on our social media pages), can keep you focused, motivated, and encouraged on your journey to becoming a real deal RN!

7. Plan for test day readiness.

Set aside time for final reviews in the days leading up to the NCLEX but allow your brain time to relax the day before the exam. Practice relaxation techniques to manage test anxiety. To help ease pre-test anxiety ensure you understand the logistics of your test day, such as the testing facility location, timing, and required materials.

Ready to level up your prep?

You can prep for the NCLEX and have a life, we promise! If you want a structured plan without the hassle of mapping it out yourself, consider joining our Live Study Group or Complete Self-Prep Package to gain access to an adaptive study calendar that adjusts to your progress.

Again, study the smart way and be confident going into exam day! And as always, don’t forget to reach out if you have any questions. 💙