How the NCLEX-RN is split up
| Area | Share of questions |
|---|---|
| Management of Care | 15-21% |
| Safety and Infection Prevention and Control | 10-16% |
| Health Promotion and Maintenance | 6-12% |
| Psychosocial Integrity | 6-12% |
| Basic Care and Comfort | 6-12% |
| Pharmacological and Parenteral Therapies | 13-19% |
| Reduction of Risk Potential | 9-15% |
| Physiological Adaptation | 11-17% |
Clinical judgment is tested on top of these, through three six-question case studies and about 10% stand-alone items.
How the NCLEX-PN is split up
| Area | Share of questions |
|---|---|
| Coordinated Care | 18-24% |
| Safety and Infection Prevention and Control | 10-16% |
| Health Promotion and Maintenance | 6-12% |
| Psychosocial Integrity | 9-15% |
| Basic Care and Comfort | 7-13% |
| Pharmacological Therapies | 10-16% |
| Reduction of Risk Potential | 9-15% |
| Physiological Adaptation | 7-13% |
The PN plan uses “Coordinated Care” where the RN plan has “Management of Care”, and puts more weight on psychosocial care.
Free official materials
NCSBN gives you all of these for free. The tutorial is worth doing at least once before exam day, so the screens don’t surprise you.
The test plan’s own test-taking advice is short: keep a reasonable pace, and read each question carefully before you answer. You can’t skip a question or come back to it, so that second read is your only check.
Review books
NCSBN doesn’t publish a review book. The best-known one is Saunders Comprehensive Review for the NCLEX-RN, with a separate NCLEX-PN edition. Elsevier lists the 9th RN edition at $75.99, and a 10th edition is due in November 2026.
UWorld also sells an NCLEX review book. Any good review book works alongside the test plan. Make sure the one you buy covers the Next Generation NCLEX, which started in April 2023.
In Canada
The NCLEX-RN plan is the same for Canada, and there’s an official French version. The NCLEX doesn’t test provincial law, so some provinces have their own jurisprudence exam. Ontario is one example.
Explore
Everything else, in one place
Sources: NCLEX.com, NCSBN, College of Nurses of Ontario and 3 more. Checked October 2026.
- NCLEX.com: Test Plans ↗
- NCLEX.com: Prepare ↗
- NCSBN: 2026 NCLEX-RN Test Plan (PDF) ↗
- NCSBN: 2026 NCLEX-PN Test Plan (PDF) ↗
- College of Nurses of Ontario: Registered Nurse Examinations ↗
- Elsevier: Saunders Comprehensive Review for the NCLEX-RN, 10th edition ↗
Rules and fees can change, so check the official site before your test.