NCLEX-RN · 2026 Test Plan · NGN-aligned
  • Pass or Refund

Pass the NCLEX-RN on a Q-bank built for NGN. Not the old one.

The 2023 Next Gen redesign changed how clinical judgment is tested. Most prep banks still recycle pre-2023 items in NGN shells. Ours don't. 3,500+ Next Gen-native items, full bow-tie and case-study coverage, pass-or-refund.*

Take the free NGN diagnosticSee pricing
Free NGN diagnostic40 questions across all 7 NGN item types · no credit card · no auto-bill
  • 3,500+
    NGN-native questions
  • 88%
    First-time pass rate among completers*
  • 6 weeks
    Median time to pass-ready*
  • 91%
    Hit their CJMM target*
A Testavia student practicing on the NCLEX-RN question bank2026 NGN
3,500+
NGN-native questions
12,400+
NCLEX-RN students who prepped with Testavia*
88%
first-time pass rate among completers*
AK
“I graduated in May, started Testavia June 1, passed at 92 items on July 18. The bow-tie practice was the part nothing else gave me.”
Aliyah K.·BSN, Florida·Diagnostic CJMM 56% → passed first attempt*
Read this first

Most NCLEX prep is still preparing you for the 2019 exam.

The NCLEX-RN redesigned in April 2023. The new Next Generation NCLEX (NGN) added seven item types — bow-tie, trend, matrix, cloze, extended drag-and-drop, extended multiple response, and enhanced hot spot — plus unfolding case studies that test the full Clinical Judgment Measurement Model (CJMM) from cue recognition to outcome evaluation.

Most prep companies retrofitted their pre-2023 banks by reformatting old questions into NGN shells. The wrapping changed. The reasoning required to answer them didn't. So students walk into the real exam having drilled fake NGN items for months, and the real bow-ties and case studies catch them flat.

Item typeWhat it testsWhere students fail
Bow-tieOne condition, two actions, two parametersPicking actions before identifying the condition
TrendPattern recognition across timeReading data points in isolation
Matrix / gridMulti-row decision chartsRushing — each row scored separately
Cloze (drop-down)Prioritization in contextForcing grammar over clinical priority
Extended multiple responseSATA with partial creditPicking out of fear
Extended drag-and-dropOrdered nursing actionsMemorized order vs. patient-specific order
Enhanced hot spotCue recognition in chartsHighlighting everything abnormal

Our 3,500+ NGN-native items were written for the new CJMM model from the first draft — not retrofitted. Take the diagnostic and we'll show you which of the six CJMM steps trip you up.

See the test, not just hear about it

Every NGN item type — demoed.

The April 2026 NCLEX-RN includes 7 distinct NGN formats. Each card below is a worked example with the correct answer marked and the clinical-judgment rationale beneath.

Extended multiple response380+ items · RN + PN

Cardiovascular · RN scope · Post-procedure

A client returns to the unit 6 hours after right-femoral cardiac catheterization. Which findings require immediate intervention? Select all that apply.

  • Cool, pale right foot with weak pedal pulse
  • Heart rate 78, regular
  • 3 cm expanding hematoma at insertion site
  • BP 110/72 mmHg
  • Numbness with decreased capillary refill

Rationale

Three findings signal vascular compromise or active bleeding after femoral catheterization — all require immediate response. HR 78 and BP 110/72 are within normal limits.

Sample items · click any tab to swap the demo · full bank lives inside the platform

What's tested

Every Client Needs category. The right weight.

NCSBN publishes the test-plan percentages, but most prep banks under-cover Psychosocial Integrity and over-cover Pharmacology because it's easier to write pharm questions. We rebuilt our distribution to match NCSBN's 2026 weights.

Client Needs categoryNCSBN weightItems in bank
Management of Care17–23%600+
Safety & Infection Control9–15%380+
Health Promotion & Maintenance6–12%280+
Psychosocial Integrity6–12%290+
Basic Care & Comfort6–12%280+
Pharmacological Therapies13–19%550+
Reduction of Risk Potential9–15%400+
Physiological Adaptation11–17%480+

Our weakest category coverage is still above 250 items. The bank isn't padded with pharm at the expense of categories you'll actually see on test day.

NCLEX-RN · Why prepare

Why prepare for the NCLEX-RN with us?

Four reasons completers cited most often. Outcomes, not feature lists.

  • RN-CAT · 01
    92%

    NGN-native, not retrofitted

    Our 3,500+ Next Gen items were written from scratch against NCSBN's CJMM rubric. Bow-ties test all six cognitive steps. Case studies unfold over six items the way the real exam does — so when you sit the real NCLEX-RN, the format is familiar.

    ▸ ITEM-COVERAGEReady · 04
  • RN-CAT · 02
    95%

    The CJMM diagnostic shows you where you actually break

    Most prep tells you which Client Needs category is weak. That's not actionable. Our diagnostic tells you which of the six CJMM steps you fail most — cue recognition, hypothesis prioritization, action selection — so you know whether to study content or train clinical reasoning.

    ▸ PASS-PROBABILITYReady · 04
  • RN-CAT · 03
    78%

    A 6-week plan that mirrors how the CAT works

    The real NCLEX is computer-adaptive — item difficulty rises and falls with your performance. Our practice engine works the same way. By test day you've been answering CAT-calibrated items for weeks. The real exam feels like a Tuesday.

    ▸ PREP-WINDOWReady · 04
  • RN-CAT · 04
    88%

    Pass-or-Refund

    Take the diagnostic on day 1, sit your NCLEX within 90 days of starting. If you don't pass, we refund the plan and extend access 90 days free.* Terms in the guarantee section.

    ▸ AUTHORSHIPReady · 04
NCLEX-RN · Get started

Get started in 3 steps

Three stages mapped to the six CJMM cognitive operations — the same model NGN questions score against. Your prep rehearses the exam, not just the content.

  1. CJMM · Stage 01Recognition phase
    • Recognize cues
    • Analyze cues

    Take the CJMM diagnostic

    40 questions across all 7 NGN item types plus classic items. We score you against the six CJMM steps.

    Takes 30 minutes · no credit card

  2. CJMM · Stage 02Decision phase
    • Prioritize hypotheses
    • Generate solutions

    Get your 6-week NGN plan

    The plan front-loads your weakest CJMM steps and weakest Client Needs categories — so your first study session targets the gap.

    Personalized in seconds

  3. CJMM · Stage 03Action phase
    • Take action
    • Evaluate outcomes

    Drill, simulate, repeat

    Adaptive practice routes items toward your weak spots. Two full CAT-simulated mocks at week 3 and week 5 calibrate readiness.

    Median time to pass-ready: 6 weeks*

Open my CJMM file — free

Free for 7 days · 50 NGN-aligned questions · no credit card

Who is this for?

Three paths. Same exam.

Most NCLEX prep treats every test-taker the same. The right plan looks very different depending on what got you here.

CAND-001NCLEX-RN · 2026

New BSN/ADN graduate

PRE-LICENSURE

Pre-exam status

You graduated in the last 3 months. Your school's NCLEX pass rate is solid. You want a structured plan that converts your last semester's content into NGN-ready clinical judgment.

Recommended plan

Plan: 6 weeks, 15–20 hrs/wk. Best fit: 90-day Bundle.

Suggested study track

Best fit: 90-day Bundle

▌ CAND-001 · RN · 26· Open file

“I graduated in May, started Testavia June 1, passed at 92 items on July 18. The bow-tie practice was the part nothing else gave me.”
Aliyah K., BSN, Florida*
Everything in the program

Every Client Needs category. Every NGN item type. One price.

Q-bank, video, simulated CAT mocks, the CJMM diagnostic, the pass-or-refund guarantee, and mobile. No upsells at checkout.

  • 3,500+ NGN-native questions

    Written from scratch for the 2023+ NGN test plan. All 7 Next Gen item types covered, full unfolding case studies (6-item arcs), classic items still represented.

  • 80+ hours of NCLEX video

    Pharmacology, A&P, pathophysiology, psychiatric nursing, maternal-newborn, pediatric, leadership and delegation. Taught by licensed RNs with NCLEX-prep teaching experience.

  • Two CAT-simulated mock NCLEX exams

    Adaptive difficulty, NGN items mixed in, the same 75-to-145-item range as the real exam. Most students say the mocks felt like the real CAT.

  • CJMM Diagnostic

    Scored against the six cognitive steps in NCSBN's Clinical Judgment Measurement Model. Tells you exactly where to drill.

  • Pass-or-Refund Guarantee

    Take the diagnostic on day 1, sit your NCLEX within 90 days, complete 80% of your plan, and don't pass? Full refund plus 90 days free.*

  • iOS, Android, web — synced

    25-question pockets between shifts. Full review sessions on a laptop at night. Progress syncs in real time.

Self-paced advantage

Built for the way new RNs actually study.

Live cohorts assume you have free evenings. Most new grads don't — they have orientation, shift work, and a license to earn yesterday.

  • Drill in 25-question pockets

    Between shifts, on a lunch break, before bed. Mobile-first means no desk required.

  • Re-pace when your test date moves

    ATT delays happen — Authorization to Test takes 6 weeks for some BONs. Our adaptive planner reshapes around your real date.

  • Replay rationales, not just review them

    Every rationale links to the underlying CJMM step and Client Needs subcategory, so review is targeted instead of generic.

Pass or Refund

Pass the NCLEX-RN or your money back.

  • Didn't pass? Full refund of your plan price.
  • Plus 90 days of free access to retake.*
How to qualify · 4 conditions
  • Complete the CJMM diagnostic within your first 7 days.
  • Complete at least 80% of your assigned plan before exam day.
  • Sit your official NCLEX-RN within 90 days of plan start.
  • Submit your ATT and pass/fail result to support@testavia.com.
Pricing · Lock in today’s price

Pick a plan. Pass the exam.

Every plan ships with the Pass-or-Refund Guarantee. All Client Needs categories. All NGN item types. One price.

  • Most Popular

    NCLEX-RN Bundle

    Everything you need to walk into your NCLEX confident.

    $229$189/ 90 days
    • 3,500+ NGN-native NCLEX-RN questions
    • 80+ hours of video covering every Client Needs category
    • 6-week guided study plan calibrated to your CJMM diagnostic
    • Two full CAT-simulated mock exams
    • Six-step CJMM diagnostic + adaptive engine
    • Pass-or-Refund guarantee

    For: New grads, retakers, or LPN-to-RN students testing within 90 days.

    Start NCLEX-RN prep

    Pass or Refund included

    • Secure checkout
    • 30-day refund
Compare every plan

All the details. No clicking around.

  • NCLEX-RN BundleMost Popular

    The self-paced program.

    NGN-native questions
    3,500+
    Video library
    80+ hours
    CAT-simulated mocks
    2
    CJMM diagnostic
    ✓
    1-on-1 tutoring
    —
    Pass-or-Refund guarantee
    ✓
    Best for
    Self-directed studiers
  • NCLEX-RN + TutorComing soon

    Bundle plus 1-on-1 sessions.

    NGN-native questions
    3,500+
    Video library
    80+ hours
    CAT-simulated mocks
    4
    CJMM diagnostic
    ✓
    1-on-1 tutoring
    4 sessions (60 min each)
    Pass-or-Refund guarantee
    ✓
    Best for
    Retakers and students with specific CJMM gaps
Content authorship

Who writes our NCLEX-RN questions?

Every NCLEX-RN item — including all 3,500 NGN-native questions — is written by a US-licensed RN with active or recent clinical experience and reviewed against NCSBN's published 2026 test plan.

  • 14
    RN authors
  • 4-step
    review per question
  • 2026
    Aligned to NCSBN's Test Plan
  • Quarterly
    refresh to reflect CJMM rubric updates

The 4-step review every question goes through

  1. Authored by a US-licensed RN (BSN or higher) with clinical experience in the question's domain.
  2. Reviewed by a second RN for clinical accuracy and currency against current standards of practice.
  3. Reviewed for NGN format fidelity (correct item type, scoring rubric, partial-credit structure).
  4. Final editorial pass for ambiguity, rationale completeness, and CJMM-step alignment.
Instructors

Taught by RNs who teach NCLEX-RN for a living.

Most NCLEX video libraries were filmed before NGN launched and re-edited with NGN bumpers. Ours weren't. The full video library was rebuilt for the 2023 redesign and refreshed against the 2026 test plan.

  • Dr. Lena Okafor

    DNP, RN, CNE

    Pharmacology · Reduction of Risk · Physiological Adaptation

    Twelve years teaching nursing pharmacology. Built the pharmacology video library against the 2026 test plan.

  • Marcus Vance

    MSN, RN-BC

    Psychosocial Integrity · Management of Care · Safety & Infection Control

    ICU and med-surg background. Taught NCLEX review courses for 8 years before joining Testavia.

  • Priya Chen

    MSN, RN, IBCLC

    Maternal-Newborn · Pediatric · Health Promotion

    L&D and pediatric experience. Built the case studies for those categories.

Case studies

Real students. Documented results.

Diagnostic-to-real-exam pass results.*

  • AK

    Aliyah K.

    6 weeks of prep

    Before
    CJMM diagnostic 56%
    After
    Passed at 92 items
    “I graduated in May. The bow-tie practice was the part nothing else gave me.”
  • MT

    Marcus T.

    8 weeks of prep

    Before
    Failed first NCLEX at 145
    After
    Passed retake at 87 items
    “The diagnostic showed my Analyze Cues step was at 41%. Six weeks later I passed.”
  • CR

    Carmen R.

    7 weeks of prep

    Before
    LPN-to-RN bridge
    After
    Passed at 105 items
    “I knew the meds. What I didn't know was the cognitive depth of the case studies.”
Cost of failing

What does a failed NCLEX-RN actually cost?

The retest fee is the smallest line item. Lost RN wages and delayed licensure carry the real cost.

  • $200 — NCLEX-RN retest fee per attempt (NCSBN, 2026)
  • 45 days — minimum mandatory wait between attempts (NCSBN)
  • $3,000–$6,500 — average lost RN wages per month of delayed licensure
  • Mental load — restudying alongside a job or family
  • Pass the first time and skip every line above
Frequently asked

Everything you'd ask before paying.

Don't see your question? Email support@testavia.com — we respond within 4 hours.

The NCLEX-RN uses computer-adaptive testing (CAT), so the number of questions varies between 75 and 145 depending on your performance. The computer stops when it's 95% confident you've passed or failed. Most students see between 75 and 100 questions if they're tracking toward a pass. The 2023 NGN redesign kept the same CAT structure but added the seven Next Gen item types and unfolding case studies.

Your license is closer than you think

Start your NCLEX-RN prep in the next 60 seconds.

Free CJMM diagnostic. No credit card. Real NGN-format questions across all seven item types.

  • 60-second start
  • No card required
  • Real NGN-style questions
Get started freeSee pricing