NCLEX: What It Is, How Tough It Is, and What You Need to Know
When you finish nursing school, the next big hurdle is the NCLEX, the national licensing exam for nurses in the United States and Canada that tests clinical judgment and safe practice. Also known as the nursing board exam, it’s not just another test—it’s the gatekeeper to your nursing license. Without passing it, you can’t work as a registered nurse (RN) or licensed practical nurse (LPN), no matter how well you did in school.
The NCLEX doesn’t ask you to memorize every drug dose or anatomy detail. Instead, it tests how you think under pressure—what you’d do in a real hospital scenario. Is the patient’s oxygen level dropping? Who do you call first? What’s the safest action? The exam uses computerized adaptive testing, meaning it gets harder or easier based on your answers. One person might see 75 questions; another might see 265. It’s not about how many you get right—it’s about whether you consistently show you can make safe, smart decisions.
People often compare the NCLEX, the nursing licensing exam to the Bar Exam, the licensing test for lawyers. Both are high-stakes, pass-or-fail, and determine if you can practice your profession. But while the Bar Exam is mostly about recalling laws and legal theory, the NCLEX is about applying clinical judgment in messy, unpredictable situations. Pass rates for the NCLEX hover around 85% for first-time US test-takers—higher than the Bar Exam, but still tough enough that thousands fail every year. The difference? Most who fail didn’t lack knowledge—they lacked strategy. They studied facts instead of thinking like a nurse.
You’ll find posts here that break down exactly how the NCLEX works, how it stacks up against other professional exams, and what study methods actually move the needle. Some posts compare it to the Bar Exam—not to scare you, but to show you what kind of thinking it demands. Others give real tips from nurses who passed on their first try, not from generic "study harder" advice. You’ll also see what resources work: which practice questions feel like the real thing, which review books actually help, and which apps let you practice during your lunch break.
This isn’t a page full of fluff or generic study tips. It’s a collection of real, practical insights from people who’ve been there—nurses who struggled, studied smart, and passed. Whether you’re just starting to prep or you’re in your third attempt, you’ll find something here that helps you get closer to that license.
NCLEX vs. MCAT: Which Exam is Tougher?
Both NCLEX and MCAT are known for their complexity and challenge aspiring professionals in nursing and medicine. While the NCLEX tests the readiness for nursing practice, the MCAT assesses knowledge and reasoning in sciences applicable to medical fields. Understanding the structure, content, and approach of each can help prepare better. Explore the differences and strategies to tackle these challenging exams effectively.