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Written & taught by Professors of Nursing in active clinical practice — DNP · APN · CDE · CWC-AP · MSN · RN

Pass the NCLEX.
The first time.

158 free questions tell you exactly where you're weak. Then we close the gaps — targeted remediation, a full readiness exam, and an adaptive final that mirrors the real test. Built by nursing professors, for nurses trained anywhere in the world.

✓ 158 questions✓ No credit card✓ No signup wall ✓ Your results carry over

158 Free diagnostic questions across all 8 Client Needs areas
$85 Full prep program — remediation, readiness exam & adaptive final
1,000+ Up-to-date questions across the system, many in Next Gen formats
4 Staged exams — Alpha, Beta, Delta, Epsilon — building to test day
Why this works

Most NCLEX prep hands you 2,000 questions and wishes you luck.

That's not studying — that's guessing at scale. We do the opposite: measure first, then fix only what's actually broken.

01

Know exactly where you stand

158 questions across all eight Client Needs areas produce a weakness report — not a score, a diagnosis. Free, before you spend anything.

02

Study only what you're weak at

Remediation is built from your results. If you already know cardiac, you never see another cardiac drill. Your study time goes where it changes your score.

03

Rehearse the real thing

A 200-question exam in one sitting trains the endurance nobody practises. Then an adaptive final that behaves like the real computerised test — drawn from a bank of over 1,000 questions.

04

Written by people who teach it

Every question and rationale written by two Professors of Nursing in active clinical practice. Not a licensed question bank. Not a content farm.

Typical question bank

  • Thousands of questions, no priority
  • You guess what to study
  • Generic rationales
  • Monthly subscription that expires
  • Assumes you trained in the U.S.

Valley of Eschol

  • 1,000+ questions, ordered by what you need
  • The system tells you what to study
  • Rationales written by your faculty
  • One payment, lifetime access
  • A full pathway if you trained abroad
The gap nobody talks about

Internationally educated nurses fail the NCLEX at more than twice the rate of U.S. graduates.

This is not a competence problem. It is a translation problem — and it is fixable.

  • Different clinical reasoning Many programs teach recall and procedure. The NCLEX tests prioritization, delegation, and clinical judgment — "which patient do you see first," not "what is the definition."
  • Question stems written in American English Idiom, distractor phrasing, and negatively worded items cost you points even when you know the content cold.
  • U.S.-specific scope and protocol Delegation to UAP and LPN, HIPAA, restraint policy, and infection-control standards differ from the practice you trained in.
  • A credentialing maze running in parallel Credential evaluation, English proficiency, state board eligibility and VisaScreen — all while you're trying to study.

NCLEX-RN first-time pass rate

U.S.-educated candidates~90%
Internationally educated candidates47%
Internationally educated — repeat attempt30%

Source: NCSBN candidate performance data reported as of November 2025. Overall NCLEX-RN pass rates fell in 2025 for the first time since the Next Generation NCLEX launched in April 2023 — and the steepest decline was among internationally educated candidates.

Your licensure pathway

From your diploma to your U.S. license

The exam is only one of five steps. Here's the whole road — and where each country's paperwork tends to slow people down.

1

Choose your state Board of Nursing

You apply for licensure to one U.S. state, and that state decides your NCLEX eligibility. Requirements vary meaningfully — Social Security number rules, concurrency requirements, and accepted evaluation reports all differ by state. Choose deliberately; this decision shapes everything after it.

Do this first
2

Credential evaluation

Most boards require a credentials evaluation from CGFNS International — now operating as TruMerit — typically a CES Course-by-Course report or a Professional Report. Your school sends transcripts and your nursing regulator verifies your license directly. Build in months, not weeks.

3

English proficiency

IELTS Academic, TOEFL iBT, OET, PTE and several others are accepted. VisaScreen exempts only nurses educated in the U.S., U.K., Australia, New Zealand, Ireland and Canada outside Quebec — so most internationally educated nurses must sit one, whatever their board waives. OET is worth a look: it is the only version written for healthcare, so preparing for it doubles as clinical English practice.

4

Register with Pearson VUE and receive your ATT

Once your board finds you eligible, you register with Pearson VUE and receive an Authorization to Test with a fixed validity window. The NCLEX is offered at international test centers, so you can test before you relocate.

Start studying before this
5

Pass the NCLEX — the same exam, on your terms

There is one NCLEX. It is identical for U.S.-educated and internationally educated candidates. Everything above is logistics; this is the part we train. Since April 2023 it's the Next Generation NCLEX, with case studies and clinical-judgment items that reward reasoning over recall.

Get the full pathway checklist — free

A printable step-by-step checklist with document lists, realistic timelines, and the mistakes that cost internationally educated nurses the most months — drawn from our IEN Licensure Document Tracker. Tick the box at the end of the survey and we'll send it.

Get the free pathway checklist →
The Greeks — our assessment system

Four stages. Each one answers a different question.

Over 1,000 up-to-date questions across four stages — a large share in Next Generation NCLEX formats. Every stage has a job, so you are never studying blind, and you always know how far you have left to go.

  1. Α Free

    Measure

    Alpha

    “Where am I actually weak?”

    158 questions across all eight Client Needs areas. One sitting, or paced over five days.

    You get: a weakness report, not just a score

    Readiness: unknown → measured

  2. Β

    Fix

    Beta

    “How do I stop making this mistake?”

    Remediation built from your Alpha results, with faculty-written rationales that teach the reasoning pattern — not just the answer.

    You get: drilling only on your weak areas

    Gaps closing

  3. Δ

    Rehearse

    Delta

    “Can I hold up for the whole exam?”

    200 questions in one sitting. Endurance, pacing and pressure — the part almost nobody practises until test day.

    You get: stamina under real conditions

    Tested under load

  4. Ε

    Prove

    Epsilon

    “Am I ready?”

    An adaptive final that behaves like the real computerised test — it gets harder as you get things right, exactly as the NCLEX does.

    You get: an honest yes or no

    Clear Epsilon → you're ready

Start here — free Test day

1,000+ questions across the four stages

Every question is written and maintained in-house by our faculty, and a large share are in Next Generation NCLEX formats — the item types that now carry the clinical-judgment scoring:

  • Case studies
  • Bow-tie
  • Matrix / grid
  • Drag-and-drop
  • Highlight
  • Extended multiple response

Aligned to the 2026 NCLEX test plan that took effect 1 April 2026 — including the renamed Safety and Infection Prevention and Control subcategory. See what changed →

Start with Alpha — it's free →

✓ No credit card✓ 158 questions✓ Your results carry into Beta

You get one first attempt.

First-time candidates pass at far higher rates than repeat candidates. Find out where you stand while you still have time to do something about it.

✓ Free✓ No credit card✓ Results in one sitting

Pricing

Start free. Pay only when you know it's worth it.

Take the full diagnostic before you spend anything. Your results carry over automatically if you decide to continue.

Step one

Free Diagnostic

Find out exactly where you stand before you spend a rupee, peso, naira or dollar.

Free

No card. No signup wall.

  • 158 questions, all 8 Client Needs areas
  • One sitting or paced over 5 days
  • Full weakness report at the end
  • Results carry over if you upgrade
  • 📱 Nurse Buddy app — free, offline
  • Remediation & readiness exams
  • Adaptive final

Prefer to pace it? PN 5-day · RN 5-day

🌍 For international nurses

IEN Complete Pathway

The full prep program plus six written guides, a live English module and a full-length mock exam — everything that surrounds the exam when you're licensing from abroad.

$185USD · one-time

Priced for the whole journey, not one exam.

  • Everything in Complete NCLEX Prep — all 1,000+ questions
  • IEN Licensure Document Tracker — 7-sheet Excel workbook: document checklist, backwards timeline, cost tracker, board scoring
  • Choosing Your State Board — 8-page guide with an enquiry template and scoring worksheet
  • Reading the Question — 9-page American English stem training with practice and answer key
  • Scope, Delegation & HIPAA — 9-page module with scenarios and a quick-reference card
  • The English Requirement — 10-page guide: which test to sit, the scores you need, and a 10-week plan built entirely from free resources
  • 🇵🇭 Philippines → U.S. RN — the EB-3 green card route in 17 steps, with the estimated cost of every paying step and who normally pays it
  • 🎧 English for Nurses — online IELTS/OET module with clinical audio, reading, writing and speaking practice
  • 🎯 Full-length OET mock exam — 84 marked items, timed, single-play audio, marked instantly with explanations
  • 📱 Nurse Buddy app — free, offline
Get the IEN Pathway — $185 →

Questions first? Talk to faculty →

Prices in USD. International cards welcome — payment is processed securely by Stripe. All sales are final once materials are delivered — see our terms and refund policy. Try the free diagnostic first.

The books behind the review

Med-Surg Simplified

Thirteen body systems in plain language, written by Professors of Nursing in active clinical practice. Illustrations, faculty tips, NCLEX practice questions, and updated emerging-infection content.

RN Med-Surg Simplified — Valley of Eschol, First Edition 2026

RN Med-Surg Simplified

For RN students and internationally educated nurses sitting the NCLEX-RN. Thirteen body systems, clinical pearls, and practice questions that mirror the exam's reasoning style.

PN Med-Surg Simplified — Valley of Eschol, First Edition 2026

PN Med-Surg Simplified

Built for PN, LPN and LVN students — the same clinically grounded, plain-language approach that bridges the gap between the textbook and the bedside.

🌀 Why spiral-bound? Because nursing students actually use their books.

Our spiral editions lie completely flat — no wrestling with a spine while you take notes or work dosage calculations. Made for clinical prep, simulation labs, and 2 a.m. study sessions.

Shop all spiral editions →
Nurse Buddy Clinical Reference app icon

Nurse Buddy — Clinical Reference

449 medications, dosage and clinical calculators, care plans, and a clinical-judgment instructor with scored practice scenarios. Works fully offline — built for anyone studying on unreliable data. Free.

Download on the App Store Get it on Google Play
Who teaches this

Professors of Nursing — still in clinical practice

Not a content farm. Not a licensed question bank. Two nursing professors who maintain active clinical practice and wrote every rationale on this site themselves.

Imelda de Vera Guimary

DNP · APN · CDE · CWC-AP

Professor of Nursing, Doctor of Nursing Practice and advanced practice nurse, with certification in diabetes education and advanced wound care. Co-author of both Med-Surg Simplified editions, teaching the pharmacology, endocrine and wound-care content — and making dense clinical material readable for nurses studying in a second language.

Robert Guimary

MSN · RN

Professor of Nursing and registered nurse in active clinical practice, with bedside experience across emergency and trauma, psychiatry, neurology and neurosurgery, and utilization management. Co-author of RN and PN Med-Surg Simplified, architect of the Greeks review system, and developer of the Nurse Buddy clinical reference app. Teaches the clinical judgment, prioritization and delegation content that internationally educated nurses most often lose points on.

ED & Trauma · Psychiatry · Neuro/Neurosurgery · Utilization Management

Exam updates

What's changed on the NCLEX

The exam moves. We track it so your prep never quietly goes out of date — and so you know exactly which version you're sitting.

In effect now

The 2026 NCLEX test plans are live

NCSBN approved the updated NCLEX-RN and NCLEX-PN test plans at its August 2025 Annual Meeting, and they took effect on 1 April 2026. If you test from that date onward, this is the version you sit.

  • Safety and Infection Control is renamed Safety and Infection Prevention and Control. The underlying content is the same and it still carries 10–16% of the exam.
  • "Substance abuse" is now "substance misuse" — matching the field's shift to less stigmatising, more clinically accurate language.
  • Activity statements were refreshed around care equality, client dignity and confidentiality.
Unchanged

What did not change

Most of the noise online overstates this update. Still exactly as they were:

  • All Next Generation NCLEX item types — case studies, bow-tie, matrix, drag-and-drop and highlight items
  • Computerised adaptive testing (CAT)
  • The passing standard
  • Overall exam structure and length

Our read: if your study materials are built on the Next Generation format, they remain valid. Anything predating April 2023 does not.

Worth watching

Pass rates fell — hardest for international candidates

2025 brought the first decline in NCLEX-RN pass rates since Next Generation launched in April 2023, with the overall rate slipping to roughly 69%. The steepest drop was among internationally educated candidates, whose first-time rate fell to about 47%, with repeat attempts near 30%.

Our read: a first attempt is worth far more than a second. Prepare as though you only get one.

Last reviewed . We summarise in plain language; NCSBN is always the authority. Verify current test plans and policy directly at ncsbn.org. NCLEX®, NCLEX-RN® and NCLEX-PN® are registered trademarks of NCSBN, which does not endorse this product.

Questions

Before you start

Coming soon

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