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Top 10 NCLEX Secrets Every Nursing Student Should Know

Sep 08, 2025
5 min read
NurseCLEX Team
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Top 10 NCLEX Secrets Every Nursing Student Should Know

Preparing for the NCLEX can feel overwhelming, but with the right approach, you can walk into your exam with confidence. The NCLEX is not just about memorizing facts—it’s about applying nursing knowledge in real-world scenarios to ensure safe patient care. Here are 10 insider secrets every nursing student should know before sitting for the exam, brought to you by NurseCLEC.

1. Know the NCLEX Structure

The NCLEX uses Computer Adaptive Testing (CAT), which means the test adjusts to your ability level as you answer questions. If you get a question right, the next one may be harder; if you get it wrong, the test will give you an easier one. This adaptive nature helps tailor the exam to your proficiency. Understanding this structure reduces anxiety because you’ll know what to expect.

Key Takeaway

Familiarize yourself with the CAT format to manage expectations and reduce test-day anxiety.

2. Understand the Test Blueprint

The NCLEX is based on a published test plan by the NCSBN, outlining major areas of nursing practice: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. Each category has subcategories that carry different weights. Use the blueprint as a roadmap to guide your studies, spending more time on high-weight areas to maximize your scoring potential.

Key Takeaway

Utilize the NCLEX test blueprint as a roadmap for your study plan.

3. Think “Safety First”

The NCLEX is fundamentally about patient safety. When faced with multiple answers, prioritize options that best protect the patient from harm. For example, if a question asks whether to assess a patient before administering medication, remember that assessment is key to preventing errors. Always focus on actions that prevent falls, infections, and unsafe procedures.

Key Takeaway

Always prioritize patient safety in your decision-making process.

4. Focus on High-Yield Topics

Certain topics consistently appear on the NCLEX due to their direct impact on patient safety. Focus on high-yield areas such as pharmacology, lab values, prioritization, infection control, and delegation. For instance, understanding what tasks can be delegated to unlicensed assistive personnel (UAP) versus licensed nurses is critical for success.

Key Takeaway

Concentrate your studies on high-yield topics that significantly impact patient care.

5. Practice with NCLEX-Style Questions

Reading textbooks provides knowledge, but practicing NCLEX-style questions trains your brain to apply that knowledge effectively. Platforms like nurseclex.com offer practice questions with rationales that clarify why an answer is correct or incorrect. Set aside daily practice time, review rationales thoroughly, and track your weak areas to improve your performance.

Key Takeaway

Regularly practice NCLEX-style questions to enhance your critical thinking and application skills.

6. Master “Select All That Apply” (SATA)

SATA questions, known as the “make-or-break” part of the NCLEX, can be intimidating. You must select all correct answers for credit, so evaluate each option as a true/false statement. This approach simplifies decision-making and builds your confidence over time.

Key Takeaway

Treat each option in SATA questions as a separate true/false statement to improve your accuracy.

7. Don’t Get Stuck on One Question

It’s easy to freeze on a difficult question, but remember, the NCLEX is timed and adaptive. Spending too long on one item can hurt your pacing. If you’re unsure, use elimination strategies to narrow down choices, make your best educated guess, and move on. Trust that you will have more opportunities to show your knowledge.

Key Takeaway

Maintain momentum by moving on from difficult questions after using elimination strategies.

8. Take Care of Your Mind & Body

Physical and mental well-being significantly impacts performance. Avoid cramming the night before, which can lower memory retention. Prioritize sleep, eat a balanced meal before the test, and stay hydrated. Consider breathing exercises to calm nerves and improve focus. Think of your body and mind as an athlete’s—both need to be in peak condition.

Key Takeaway

Prioritize your physical and mental well-being in the lead-up to your exam.

9. Use the Elimination Method

When faced with multiple-choice questions, don’t panic if you don’t know the answer immediately. Often, you can eliminate two obviously wrong options, improving your odds. Then, assess which of the remaining choices is safest and most relevant to the patient’s needs.

Key Takeaway

Use the elimination method to improve your chances of selecting the correct answer.

10. Trust Your Training

Trust in your education and clinical experiences. The NCLEX isn’t about perfection; it’s about demonstrating your readiness to practice safely as a new nurse. Avoid changing your answers unless you are certain you made a mistake. Your first instinct is often correct, so walk into the exam with confidence.

Key Takeaway

Have confidence in your training and instincts; trust that you are prepared.

Conclusion

The NCLEX can feel intimidating, but it doesn’t have to be. By understanding how the exam works, focusing your study on high-yield areas, and practicing with real NCLEX-style questions, you’ll build both knowledge and confidence. Remember, the NCLEX is just a milestone on your journey—it’s not the end, but the beginning of your nursing career.

For additional resources and practice tools, visit Nurseclex and take your first step towards NCLEX success today! Stay calm, stay focused, and believe in yourself. You’ve got this!

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