The NCLEX-RN has between 75-265 questions which examine the candidates' nursing knowledge and competencies through four patient case scenarios presented as multiple choice questions. There is no fixed duration of time as the test is adaptive and will only stop when the passing standard has been achieved; however, at least 75 questions must be completed and the student has up to 6 hours to finish. Other question formats include filling in the blanks and analyzing pictures, charts, graphs or tables.
Taking a refresher course is a good idea if the RN has been away from active practice or school. If she has not worked for awhile, or has transferred from a different state with different RN training requirements, then it is also worthwhile to find a refresher course. Many of these, such as Mount Carmel College of Nursing, University of Delaware, are on-line, but many will require that the student holds either an RN license or a temporary permit to practice. These courses review nursing theory through assignments, discussions, assigned reading and preceptorships with clinical mentors.
Many RN training programs comprise an additional NCLEX-RN test taking preparation course. Many commercial NCLEX test review courses are also available. Students complete practice tests and undergo reviews of different physiological systems such as Movement, Cell Structure, or Pharmacology. Students constantly assess patient case studies, learn to delegate and prioritize their patient care tasks, and go through all medical terminology that will be used in the NCLEX test. They also become familiar with the format of the test.
The candidate should take the test as soon as possible after graduation since nursing knowledge will still be fresh in his memory. If possible, he should also gain as much clinical experience working with patients as possible. For difficult subjects that require a lot of memorizing, use flashcards and study guides.