NCLEX-RN Review Guide

This NCLEX-RN review guide is built on the 2026 NCLEX-RN Test Plan (effective April 2026) and teaches you to think the way the exam thinks: prioritize, delegate safely and use clinical judgment. Built for nursing students, new grads and repeat testers.

52 pages. 53 practice items (traditional and Next Gen NCLEX-style) plus a 6-item worked case study, all with an answer key and rationales.

WHAT'S INSIDE
• How the 2026 exam works: 85–150 items, 5-hour limit, stopping rules, partial-credit scoring and what changed from 2023
• Every item type explained, including NGN matrix, bow-tie, drop-down, drag-and-drop, highlight and trend items
• The Clinical Judgment Measurement Model (NCJMM), with a worked 6-item unfolding sepsis case study
• Prioritization frameworks: ABCs, Maslow, acute vs. chronic, actual vs. potential, expected vs. unexpected
• Delegation and assignment: the 5 rights, a step-by-step delegation flowchart and RN/LPN/UAP tables
• One section for each of the 8 Client Needs categories
• Infection prevention: CDC precautions, PPE order, TB, C. diff and neutropenic care
• Pharmacology: high-alert meds, antidotes, insulin action chart, psych meds (with the 2025 clozapine REMS update), IV fluids and blood transfusion
• Labs, ABGs in 4 steps, dosage calculations with worked examples
• Key disorders and emergencies: heart failure, ACS, stroke, DKA/HHS, shock and sepsis, burns, electrolytes
• Test-taking strategies, a key-word decoder and a 6-week study plan
• Sources page listing the official guidance every fact was checked against

HOW IT'S BUILT
• 53 tables and 5 diagrams, including a test-plan chart, NCJMM diagram, delegation flowchart, Maslow pyramid and insulin timeline
• Color-coded Exam Tip, Watch Out and Memory Aid boxes plus key-fact callouts
• Practice items printed as fill-in versions of each NCLEX format
• Facts checked against NCSBN, CDC, CMS, FDA drug labels, ADA, AHA/ASA, ACC/AHA, ACOG and the Surviving Sepsis Campaign

HOW YOU GET IT
One PDF, letter size. Print at home or study on a tablet or phone.

This is an independent study aid created to supplement, not replace, your nursing coursework and official NCLEX review materials. BusyExamPrep is not affiliated with or endorsed by NCSBN, Pearson VUE or any nursing program. Always follow your facility's policies, your instructors and a licensed provider's orders in clinical practice.
For personal study use only. Please do not resell, share, or redistribute the files.