United States · Licensing exam

NCLEX study guide: the official 2026 test plans

The best study guide to start with is free: NCSBN’s 2026 test plans. They list every area the NCLEX tests and what share of questions each one gets. The RN and PN plans took effect on April 1, 2026, and run to March 31, 2029. Use them as a checklist, then practice with questions and a review book.

How the NCLEX-RN is split up

AreaShare of questions
Management of Care15-21%
Safety and Infection Prevention and Control10-16%
Health Promotion and Maintenance6-12%
Psychosocial Integrity6-12%
Basic Care and Comfort6-12%
Pharmacological and Parenteral Therapies13-19%
Reduction of Risk Potential9-15%
Physiological Adaptation11-17%

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

AreaShare of questions
Coordinated Care18-24%
Safety and Infection Prevention and Control10-16%
Health Promotion and Maintenance6-12%
Psychosocial Integrity9-15%
Basic Care and Comfort7-13%
Pharmacological Therapies10-16%
Reduction of Risk Potential9-15%
Physiological Adaptation7-13%

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.