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Naxlex Study Hub · by NCLEXVault

Naxlex NCLEX practice questions, study guides and Next Gen cases for RN and PN

Search any topic, review the free study whiteboard, and practice original questions with clear rationales. Then go deeper with printable study books built around the NCSBN test plans.

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NCLEX-RN & NCLEX-PN Original questions & rationales Free practice, no card needed

Free NCLEX study whiteboard

The most-searched NCLEX areas, on one board

Quick-review facts for pharmacology, lab values, ABGs, prioritization, infection control and Next Gen clinical judgment. Always follow the reference ranges your nursing program uses.

Pharmacology

High-alert medications

  • Digoxin: check apical pulse 1 full minute; hold below program threshold (often < 60)
  • Insulin, heparin, opioids and potassium are classic high-alert drugs
  • Warfarin antidote: vitamin K · heparin antidote: protamine sulfate
Pharmacology topic page Book · $19
Pharmacology

Drug suffix shortcuts

  • -olol: beta blockers (watch HR, BP)
  • -pril: ACE inhibitors (dry cough, angioedema, potassium)
  • -statin: lipid lowering (muscle pain, liver tests)
Review drug classes Book · $12
Labs & ABGs

ABG interpretation

  • pH 7.35–7.45 · PaCO₂ 35–45 · HCO₃⁻ 22–26
  • PaCO₂ moves opposite pH → respiratory cause
  • HCO₃⁻ moves with pH → metabolic cause
Fluids & electrolytes Book · $15
Priorities

Who do you see first?

  • Airway, breathing, circulation before everything else
  • Unstable or unexpected change beats stable and expected
  • Acute beats chronic; actual problem beats potential
Prioritization topic page Book · $17
Priorities

Delegation basics

  • RN keeps assessment, teaching and evaluation
  • Stable, predictable tasks may go to UAP
  • Follow your state scope and facility policy
Delegation practice
Body systems

Infection control

  • Airborne: TB, measles, varicella → N95 + negative pressure
  • Droplet: influenza, pertussis → surgical mask
  • Contact: C. diff → gown, gloves, soap and water
Infection control page Book · $12
Body systems

Cardiac & EKG

  • Normal sinus rhythm: 60–100 bpm, regular
  • Heart failure: daily weight, report rapid gain
  • Chest pain: assess, oxygen if low, notify promptly
Practice cardiac questions Book · $15
Specialties

Maternal-newborn

  • Late decelerations: stop oxytocin, reposition, notify
  • Postpartum: boggy fundus → massage
  • APGAR at 1 and 5 minutes
Maternity topic page Book · $19
Specialties

Pediatrics

  • Epiglottitis: do not inspect the throat
  • Assess growth and development milestones by age
  • Weight-based dosing: double-check every calculation
Pediatrics topic page Book · $19
Specialties

Mental health

  • Safety first: ask directly about suicide
  • Lithium: monitor levels and sodium and fluid intake
  • Use therapeutic, open-ended communication
Mental health topic page
Next Gen

Clinical judgment steps

  • Recognize cues → analyze cues → prioritize hypotheses
  • Generate solutions → take action → evaluate outcomes
  • Case studies use bowtie, matrix and highlight items
Explore Next Gen cases Book · $15
Pharmacology

Antidote pairs

  • Warfarin → vitamin K
  • Heparin → protamine sulfate
  • Opioids → naloxone · acetaminophen → acetylcysteine
Pharmacology guide Book · $12
Pharmacology

Dosage math basics

  • Set up units so they cancel (dimensional analysis)
  • mL/hr = total volume ÷ hours
  • Pounds ÷ 2.2 = kilograms before weight-based dosing
Dosage calculation guide
Labs & ABGs

Potassium watch-outs

  • Normal 3.5–5.0 mEq/L
  • Low K + digoxin = toxicity risk
  • High K can cause fatal dysrhythmias — never ignore it
Lab values guide Book · $9
Labs & ABGs

CBC quick read

  • Low hemoglobin → fatigue, pallor, tachycardia
  • Very low WBC → neutropenic precautions
  • Low platelets → bleeding precautions
CBC in the lab guide
Body systems

Isolation quick map

  • Airborne: N95 + negative pressure (TB, measles)
  • Droplet: surgical mask (flu, pertussis)
  • C. diff: soap and water — sanitizer does not kill spores
Precautions guide Book · $12
Body systems

Respiratory red flags

  • New stridor = airway emergency
  • Sudden SpO₂ drop beats chronic baseline
  • Tracheal deviation after chest trauma → tension pneumothorax
Respiratory topic page Book · $15
Body systems

Neuro checks

  • Level of consciousness is the earliest change
  • Confusion: think glucose, sodium, oxygen first
  • Unequal pupils after head injury → report immediately
Neuro topic page Book · $12
Specialties

Endocrine emergencies

  • Hypoglycemia: shaky, sweaty, confused → give fast sugar
  • DKA: fruity breath, Kussmaul respirations
  • Thyroid storm vs myxedema coma: hot and fast vs cold and slow
Endocrine topic page Book · $12
Next Gen

NGN item types

  • Bowtie: condition in the middle, actions and monitoring on the sides
  • Matrix: mark each finding expected or unexpected
  • Partial credit exists — answer every part
NGN explained Book · $15

NCLEX-RN track

Management of care, prioritization, pharmacology and Next Gen case studies.

RN practice questions

NCLEX-PN track

Coordinated care, safety, data collection and practical-nursing scope.

PN practice questions

Most searched on Naxlex

The study products naxlex nursing students look for most

Based on what students searching for naxlex nclex and naxlex nursing ask for, these are the most-wanted study products — and where to find each one here.

NCLEX-RN question bank

The single most-wanted naxlex product: exam-style RN questions with rationales, including Next Gen formats.

RN question pack · $29

NCLEX-PN question bank

Practical-nursing practice built on coordinated care, safety and data collection.

PN workbook

Next Gen (NGN) case studies

Unfolding bowtie, matrix and highlight cases that follow the NCSBN clinical judgment model.

NGN case workbook

Nursing test banks by subject

Med-surg, pharmacology, maternity, pediatrics and mental-health practice, organized by topic.

Browse topic practice

Cheat sheets & study guides

Lab values, must-know medications and prioritization — the quick-review sheets students print most.

Lab values sheets

TEAS 7, HESI A2 & exit exams

Entrance and exit exam prep is requested often. Request a custom study guide and we build it for you.

Request a custom guide

Naxlex.app is an independent hub by NCLEXVault and is not affiliated with the former naxlex.com. Product names above describe study categories, not the former site's products.

The complete study library

Every NCLEX study book, ready to buy

111 printable books. Buy once and keep the PDF, or read them all with Pro.

Nurseclex Complete Collection cover

Nurseclex Complete Collection

RN & PN · 276-page downloadable PDF

$79

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Included with Pro

rn clinical priorities bundle cover

RN Clinical Priorities Collection

RN · 117-page downloadable PDF

$49

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Included with Pro

pn safe care bundle cover

PN Safe Care Collection

PN · 96-page downloadable PDF

$39

Buy

Included with Pro

rn systems review bundle cover

RN Systems Review Collection

RN · 92-page downloadable PDF

$45

Buy

Included with Pro

pn lifespan review bundle cover

PN Lifespan & Comfort Collection

PN · 89-page downloadable PDF

$35

Buy

Included with Pro

pharmacology cover

Medication Safety & Pharmacology

RN & PN · 22-page downloadable PDF

$15

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Included with Pro

dosage calculations cover

Dosage Calculations

RN & PN · 26-page downloadable PDF

$12

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Included with Pro

maternal newborn cover

Maternal & Newborn Review

RN & PN · 22-page downloadable PDF

$12

Buy

Included with Pro

pediatric nursing cover

Pediatric Nursing Review

RN & PN · 22-page downloadable PDF

$12

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Included with Pro

mental health cover

Mental Health & Therapeutic Communication

RN & PN · 22-page downloadable PDF

$12

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Included with Pro

fundamentals cover

Fundamentals & Basic Care

RN & PN · 21-page downloadable PDF

$12

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Included with Pro

cardiac respiratory cover

Cardiac & Respiratory Priorities

RN & PN · 25-page downloadable PDF

$15

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Included with Pro

renal fluids cover

Renal, Fluids & Electrolytes

RN & PN · 22-page downloadable PDF

$12

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Included with Pro

endocrine metabolic cover

Endocrine & Metabolic Care

RN & PN · 20-page downloadable PDF

$12

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Included with Pro

neurologic care cover

Neurologic Care

RN & PN · 21-page downloadable PDF

$12

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Included with Pro

risk labs diagnostics cover

Labs, Diagnostics & Risk Reduction

RN & PN · 20-page downloadable PDF

$12

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Included with Pro

study planner cover

NCLEX Study Planner

RN & PN · 21-page downloadable PDF

$9

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Included with Pro

Cardiovascular System Pathophysiology & EKG Matrix cover

Cardiovascular System Pathophysiology & EKG Matrix

RN & PN · 21-page downloadable PDF

$17

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Included with Pro

Respiratory System & Arterial Blood Gas (ABG) Mastery cover

Respiratory System & Arterial Blood Gas (ABG) Mastery

RN & PN · 22-page downloadable PDF

$17

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Included with Pro

Neurological System & Neurovascular Assessment Manual cover

Neurological System & Neurovascular Assessment Manual

RN & PN · 26-page downloadable PDF

$17

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Included with Pro

SBAR Communication & Provider Notification Handbook cover

SBAR Communication & Provider Notification Handbook

RN & PN · 26-page downloadable PDF

$9

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Included with Pro

Read every book with Pro for $19/month

Bought separately these books total $1171. Pro also unlocks full lessons, quizzes and flashcards. Books are read in your dashboard while subscribed.

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Articles

NCLEX study articles

Looking for Naxlex? Where to Find NCLEX Practice Questions Now

Searching for Naxlex NCLEX practice? See what to look for in NCLEX-RN and PN practice questions, how to use rationales, and where to start studying free today.

NCLEX-PN Practice Questions: How to Study the PN Test Plan

How to practice NCLEX-PN questions by client-needs category, what coordinated care means for LPN/LVN candidates, and a sample PN question with a full rationale.

How to Build an NCLEX Study Guide That Actually Works

Build a simple NCLEX study guide: map the test plan, rank weak topics, mix content review with questions, and use a weekly schedule you can keep up with.

NCLEX Lab Values to Memorize (and How Questions Use Them)

The core lab values NCLEX questions use most — potassium, sodium, BUN, creatinine, glucose, CBC — plus how to spot the abnormal value that changes your answer.

NCLEX Prioritization Questions: A Simple Strategy That Works

How to answer 'which client first' NCLEX questions using ABCs, stable vs unstable, acute vs chronic, and Maslow — with a worked example and rationale.

Next Generation NCLEX Case Studies, Explained Simply

What Next Generation NCLEX case studies look like, how the six clinical judgment steps map to bowtie, matrix and highlight items, and how to practice them.

NCLEX Dosage Calculations: The Method That Prevents Mistakes

Learn dimensional analysis for NCLEX dosage calculations — oral doses, IV flow rates, weight-based pediatrics — with worked steps and a practice question.

NCLEX Pharmacology Made Easier: Classes, Suffixes and Safety

Study NCLEX pharmacology by drug class and suffix instead of memorizing hundreds of drugs. Covers high-alert medications, antidotes and common question patterns.

How to Pass the NCLEX: An Honest, Realistic Plan

A realistic NCLEX plan: consistent daily questions, rationale review, weak-topic tracking and rest. No guarantees — just the habits that give you the best chance.

NCLEX Isolation Precautions: Airborne, Droplet, Contact

Airborne vs droplet vs contact precautions for the NCLEX: which diseases go in each category, PPE by room type, and classic question traps like C. diff and TB.

All study guides →NCLEX blog →Next Gen cases →

Questions

Is naxlex.app the same as the old naxlex.com?

No. Naxlex.app is an independent NCLEX study hub run by NCLEXVault. It is not affiliated with, endorsed by, or a continuation of the former naxlex.com.

What can I study for free?

The study whiteboard, topic pages, articles and practice questions with rationales are free. You can also create a free account to track lesson progress.

What does Pro include?

Pro ($19/month) unlocks full lessons, quizzes and flashcards, plus every sale-ready study book to read in your dashboard while you are subscribed.

Are these real NCLEX exam questions?

No. All questions are original practice items written around the published NCSBN test plans. No resource can share real exam questions or guarantee a pass.

Naxlex.app is an independent NCLEX study hub by NCLEXVault, not affiliated with the former naxlex.com. NCLEX is a registered trademark of NCSBN, which does not endorse this site.