NCLEX Resource Review - Kaplan, Hurst, UWorld

A personal insight into NCLEX study resources and tools. What helped me and hopefully you too!

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I just finished Nursing School in July so I understand the confusion on how and what to study. Along with my anxiety-ridden journey here's what I found. I hope it helps someone!

Let me start by explaining what works for me...

I never learn by reading; med surg textbook with over complicated words and no way to establish priority? NOPE. Never helped me in school, not going to help me on the NCLEX.

Old notes that I'm never going to look at again? Nope threw those out the day I finished Nursing school. Why? Because NCLEX isn't testing on patho. It wants application. It wants you to take simple concepts and be flexible with them.

I learn best by hearing, seeing, doing, and WRITING. Concepts to me need to be broken down and simplified so that they stick. Example: magnesium and calcium are sedatives so their signs and symptoms will sedate you if you have too much of them.

So far I've used UWorld, Kaplan, and Hurst. I did not pay for UWorld, my friend let me use hers. Kaplan was paid for with my tuition to school. And Hurst was my choice.

Here's what I found on these websites...

UWorld

Great concept based questions with amazing rationales. But that's it, questions. Unorganized content review. The questions are harder than the NCLEX from what I have been told. My friend also used UWorld and failed NCLEX.

Kaplan

They offer a course that teaches you how to critically think through questions. Which I liked and found helpful in getting questions right on their website. It also allowed me to better understand the "Who do you see first questions". (The person with something going on RIGHT now. Not the potential for injury person). But the decision tree is not the end all be all. You have to have content to back it up. At times the decision tree will get you out of a bind and guess and other times it just doesn't. They have tons of questions in the Qbank (1800). And trainer tests that simulate NCLEX. The questions are more like the NCLEX than UWorld but they questions are still harder than NCLEX. The rationales are basic at best. Overall Kaplan is my choice for questions and practice because of its NCLEX like questions. They also offer videos for content review (300 of them) but they are at your own will to watch and are out of order so you can't build upon topics easily. A book also comes with their program which has tons of content including drugs. But the drugs don't differentiate between Side effects and Adverse effects. Remember side effects are bothersome. Adverse effects are never good.

Hurst

My savior at this point. I'm using the Hurst option that lets me move at my own pace. Hurst is content review and at the end, you get 4 practice tests. Hurst has videos that you watch in order and a (you print) study guide that you fill in as you watch the videos. At the end of the course, these study guides are your notes. There are options for closed captions that are accurate to what is being said. The content review videos are AMAZING. They break down confusing topics and giving the real explanation to WHY someone has these symptoms and why are we treating them without overcomplicating things. Hurst is allowing me to connect the dots between conditions and making feel like I will be a better Nurse. It's filling holes that I didn't fill in nursing school in a simplified way. Honestly, Hurst should have their own Nursing school. I have yet to do their practice tests but I'm over halfway done with the video content. They don't go over medications in detail in the videos but they bring them up and mention basic stuff about them enough for you to say hey I probably need to look more up about this medication but I'm glad it told me to check BP and HR before giving it and explained what it does. They have an Ebook that gives you the detailed information about the drugs they mention in the videos too. Also, the ebook includes content like infection control and giving blood which they don't go over in the videos. Hurst takes 5 days to watch the videos, but this doesn't include going over the ebook material and going back over your notes. They recommend you study the notes for 1-2 weeks and then coming back to do their tests. I also find myself crying laughing over some of the videos. The instructors are so funny!

So which do you choose?

If you feel like you don't know where to start and want the content review - choose Hurst. The Kaplan book that comes with the course is great with content but I can't sit around and read concepts and expect for them to stick. Especially when the book doesn't give rationales or priority or break down concepts to make the memorable.

After content you need practice questions, it's a must. I pick Kaplan. Simply because of its a tried and true resource. And is similar to NCLEX questions.

UWorld- Although I enjoyed the resource, I didn't feel it was necessary or as close to NCLEX as Kaplan.

Books

I'm using the Kaplan book for medications, you can also buy their companion drug book. Focus on medication stems and major drugs. Ex. lithium and digoxin, antithyroid medications, Synthroid, anti-infectives. I never got a great review of pharm either in school so it isn't my strong suit. Davis's Q&A also has 10k questions, it's sitting on my shelf and I haven't touched it yet. I plan to after I finish content videos.

Prices

Kaplan and Hurst are in the 300's. Hurst offers payment plans. Each site has a money back guarantee if you fail NCLEX, stipulations do apply. Read into these beforehand. Look for coupon codes online before purchasing. Sometimes you can find them on AllNurses. UWorld is 80 per month.

When to study?

I recommend 1 week after graduation/last day of class. Why?

Are you really going to be focused on NCLEX when you are studying for your final exam? No, not really. Is the undue stress worth it? No. It's stressful enough. And you deserve a break after you finish Nursing School. It's an amazing accomplishment you deserve to celebrate it. Take time to reorganize life and do something you love. Then hop back into the "grind". You will feel refreshed and ready to take on the world. This is the confidence and energy I needed to face the NCLEX.

How long to study?

It's recommended you take 4-8 weeks to study for the NCLEX. Remember you want to pass the first time. So make it count and give yourself time. You never know when a family emergency will interrupt your studying, or when your internet will be out for an entire week because of your terrible internet service provider. Truly plan for these emergencies and give yourself time.

TIPS: Do practice question sets 75 at a time and then go back and review all of them and read the rationale. This can be painstaking and boring, so if you aren't fond of doing this, you'll be glad you didn't schedule your test as soon as you graduated. Take notes of everything you didn't know or want to remember as you read the rationale. This will help it stick. Also about half of NCLEX is select all that apply questions. Also, check AllNurses for study guides others have made via the search bar!

I hope this helps! Good luck on your NCLEX study journey!

Crystalroselynn said:
so i have been doing 100-200 questions a day and taking notes on questions that i am not getting correct. my percentile is 53 and im scoring between mid 50s - mid 60s on my exams on here. is this poor standings compared to the nclex?

helpppppp

I'd say those are great scores, and your strategy is fine as well. I'd encourage to look over questions that you have gotten correct as well if you haven't already.

The most important thing is to fully understand the rationale for each question. Even if, say, you did a 75-question practice and got a less than desirable score, you're successful as long as you understood the rationale for every question. I'm assuming this is your first run through the Qbank without repeating questions, and if so, you're doing pretty well percentage wise. If you have the option, the assessments you take after going over as much questions as needed should give you a good idea of how ready you are for your NCLEX.

Just a comparison, I had an overall 51% correct my first run through the Qbank. I read over the rationale of both right and wrong questions during my first run through the Qbank, redid all of my incorrect questions, making sure I understood everything like hawk. After those are done, I did my first assessment, and got borderline pass on that. Did sets of 75 questions from all questions for 5 days, and did my second assessment (very high chance of passing). Ended up passing the NCLEX first time at 80ish questions.

It seems like you're doing better than I did, so as long as you understand the why and how of every question and keep on going, you're good. Uworld is the best way to prepare for the NCLEX, in my opinion.

I got 55% correct on UWorld (entire bank.) On the self-assessment, I scored in the 45th percentile with a high chance of passing. I passed the NCLEX with 75 questions. It sounds like you are right on track.

This really gave me some hope. I was starting to doubt myself. Thank you!!

Specializes in Appeals Nurse Consultant.

Have you taken their (UWORLD) NCLEX-RN Self-Assessment Test? It will tell you your chances of passing. I think thats a good percentage you have reported on your other tests though. I think mine was about that and I passed NCLEX with 75 questions. You should be fine.

I just took Qt 1 and 2.. I'll be taking 3 tomorrow and so forth. I made a 70% on Qt 1 and a 71% on Qt 2. Are these score okay so far? I'm so nervous about Nclex. Idk if it matters but this is Nclex Pn.

I am 12 days away from NCLEX-RN (my 2nd attempt). I'm doing Kaplan online because UWORLD didn't help me much (although it had great rationales). I wanted to know if I should Postpone the test based on my scores...

DIagnostic Test: 42%

QT1: 57%

QT2: 52%

QT3: 53%

QT4: 53%

QT5: 54%

QT6-7: still need to do those this week.

Practice Test: 67%

I am also doing the question banks (75 question sets). Any advice will help. Thanks everyone!

I'm currently studying for my NCLEX and I'm answering as many questions as possible. I fell upon a question on Uworld that stated a client was DROWSY & had obvious signs of hypoglycemia what do you do. I narrowed it down to 2 choices - give orange juice or IM glucagon. I chose the orange juice because I know that IM glucagon is only given when the patient is UNCONSCIOUS. My answer was incorrect ! The rationale claimed that due to client's decreased level of consciousness, you give IM glucagon.

Uworld states to give glucagon IM ONLY when the patient is seizing, unconscious or somnolent - so i guess drowsy falls under somnolent. I was still conflicted with this answer choice , nonetheless, I accepted the rationale and moved on. Today, I took the Readiness exam on Kaplan. I had the same question worded differently!

This client had type 2 diabetes, was pale, drowsy, cold and clammy. COLD & CLAMMY GIVE ME SOME CANDY ! Hypoglycemia. Answer choices once again - fruit juice or IM glucagon. The answer to this one was orange juice ! Rationale: Implementation: outcome desired; symptoms of moderate hypoglycemia; client can drink juice. I'm so confused ! I probably won't get a question like this on the NCLEX but God forbid I do .. I just want to be sure. Please let me know what you guys think.

Sherlsx3 said:

I'm currently studying for my NCLEX and I'm answering as many questions as possible. I fell upon a question on Uworld that stated a client was DROWSY & had obvious signs of hypoglycemia what do you do. I narrowed it down to 2 choices - give orange juice or IM glucagon. I chose the orange juice because I know that IM glucagon is only given when the patient is UNCONSCIOUS. My answer was incorrect ! The rationale claimed that due to client's decreased level of consciousness, you give IM glucagon.

Uworld states to give glucagon IM ONLY when the patient is seizing, unconscious or somnolent - so i guess drowsy falls under somnolent. I was still conflicted with this answer choice , nonetheless, I accepted the rationale and moved on. Today, I took the Readiness exam on Kaplan. I had the same question worded differently!

This client had type 2 diabetes, was pale, drowsy, cold and clammy. COLD & CLAMMY GIVE ME SOME CANDY ! Hypoglycemia. Answer choices once again - fruit juice or IM glucagon. The answer to this one was orange juice ! Rationale: Implementation: outcome desired; symptoms of moderate hypoglycemia; client can drink juice. I'm so confused ! I probably won't get a question like this on the NCLEX but God forbid I do .. I just want to be sure. Please let me know what you guys think.

One question isn't going to cause you to pass or fail. Don't get distracted.

My answer would depend on whether I believed the patient was motivated and capable of consuming the "snack" ...and how low the blood glucose level actually was. That information is not provided in your questions.

Specializes in Psychiatry, Community, Nurse Manager, hospice.

You give orange juice if the patient can swallow, Sub q or IM glucagon if he can't. Its always better to give the oral route, but if the pt is unconscious he could aspirate the oj. That's bad.

The first guy was too out of it to swallow. The second guy was just cold and clammy.

Relax. You want to pass the NCLEX, which you will if you-

A- understand concepts

B-understand the test

C- don't have any particular difficulty or disability related to tests

The reason you don't understand the rationale is that it is not rational, its dumb, as is the person who wrote it. The term "drowsy" is ambiguous, and could be used to justify either course of action. You understand the concept, which is determining whether a pt will tolerate PO while protecting their own airway.

I think some of the folks who write questions like this sere bullied at one point in their lives, and this is just a bit of revenge. The question did serve its purpose in that it caused you to review and understand the concept.

Honestly I wouldn't stress about missing 1 question. The better thing is that you clearly understand the concepts and can critically think about what actions to implement -- that's what you should be focusing on developing when you study for the NCLEX. I also used Uworld and Kaplan and I hated Kaplan rationales, so, at least for me, I chose to stick to what Uworld said rather than Kaplan.

The one thing I remember from prep classes was do the safest thing. One question isn't a deal breaker. Good luck.