Updated for Next-Gen NCLEX (NGN)
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OmniRN
Made for nursing students

Built for nursing school.

Practice NCLEX-style questions, review rationales, learn dosage calculations, and study flashcards that work offline anywhere.

PracticeNext-Gen NCLEX questionsBowtie case studies, trend questions, matrix tables, and SATA with partial credit.
MemorySmart flashcardsSpaced repetition tracks what you're forgetting and brings it back before exam day.
MathDosage calculationsStep-by-step dimensional analysis for drip rates, IV infusions, and pediatric weights.
AnywhereWorks 100% offlineStudy in hospital basements, subways, or anywhere with zero Wi-Fi.
SAMPLE NCLEX CASE STUDYCASE 1 OF 60
UNFOLDING CASE
ClientR. Martinez (68M)
LocationBed 4 • ED
Code StatusFull Code
AllergiesPenicillin
Nurse notes
Vitals flowsheet
Lab results (3)
Orders
07:30 INITIAL ASSESSMENTPriority 1 / Immediate

Client admitted with severe shortness of breath, orthopnea, and pink frothy sputum. Coarse crackles heard in lower lung fields. BP 178/96, HR 108, SpO2 87% on room air, RR 30.

BP: 178/96HR: 108SpO2: 87% (Room air)RR: 30
Bowtie QuestionDrag 1 condition, 2 actions, and 2 parameters
Primary ConditionAcute Pulmonary Edema / Heart Failure
Actions to take (2)
Elevate head of bed (High-Fowler's)
Administer IV Furosemide
Parameters to monitor (2)
Bilateral lung sounds & SpO2
Hourly urine output
Score: 5 / 5 Correct (+5 Points)High-Fowler's reduces venous return, while IV furosemide relieves pulmonary congestion.
Course by course

What you can study

Study by class or practice mixed questions across core nursing subjects.

Pharmacology

Cardiac & Blood Pressure

Beta blockers, ACE inhibitors, diuretics, and digoxin toxicity thresholds.

Insulins & Antibiotics

Peak action times, hypoglycemia signs, and safe antibiotic administration.

Antidotes & Warnings

Naloxone, protamine sulfate, vitamin K, and critical black box warnings.

Medical-Surgical (Med-Surg)

Cardiopulmonary

Heart failure, MI protocols, COPD oxygen safety, and pulmonary embolism.

Neurology & Stroke

Stroke signs, tPA timing, Glasgow Coma Scale, and seizure safety.

GI, Renal & Endocrine

DKA vs HHS fluid protocols, kidney failure labs, and pancreatitis.

Fundamentals

Infection Control

Airborne, droplet, contact precautions, and sterile procedures.

ABGs & Acid-Base

ROME method for respiratory and metabolic acid-base compensation.

Electrolytes & Fluids

Potassium dysrhythmias, sodium precautions, and IV fluid types.

Maternal & Pediatrics

Labor & FHR

Fetal heart rate decelerations (VEAL CHOP) and postpartum bleeding.

Newborn Care

APGAR scoring, jaundice safety, and infant assessment.

Pediatric Milestones

Normal developmental stages, vital signs by age, and congenital defects.

Mental Health

Therapeutic Communication

What to say to patients versus common communication traps.

Safety & De-escalation

Bipolar mania, hallucinations, suicide risk, and withdrawal care.

Psych Medications

Lithium safety ranges, SSRIs, and neuroleptic malignant syndrome.

Prioritization & Delegation

Who Do You See First?

Acute vs chronic, stable vs unstable, and ABC priorities.

Delegation Rules

What RNs must keep (evaluate, assess, teach) vs LPN and CNA tasks.

Informed Consent & Ethics

Witnessing signatures, patient rights, and incident reporting.

Next-Gen NCLEX

How Next-Gen NCLEX questions work

The exam tests clinical judgment instead of simple memorization. Here is how you practice:

STEP 1

1. Recognize cues

Notice what is abnormal in vital signs, lab reports, and nursing notes.

STEP 2

2. Analyze cues

Connect physical symptoms to what is actually happening in the body.

STEP 3

3. Prioritize hypotheses

Decide which patient problem is the most urgent and life-threatening.

STEP 4

4. Generate solutions

Choose the right nursing interventions, medications, and safety precautions.

STEP 5

5. Take action

Administer medications safely, position the patient, and verify orders.

STEP 6

6. Evaluate outcomes

Check whether your interventions worked or if the patient is declining.

Question formats you will see on the exam

Scored with the same partial-credit rules used on the real NCLEX.
Bowtie case studies

Match one primary condition, two priority nursing actions, and two vitals to monitor.

Matrix grid tables

Decide whether interventions are indicated, contraindicated, or non-essential across rows.

Trend questions

Spot subtle patient decline across changing vital signs and lab values over time.

Select All That Apply (SATA)

Extended multiple response questions with partial credit (+1 for correct, -1 for incorrect).

Bedside reference

Dosage calculations and clinical reference

Practice dimensional analysis step by step, auscultate cardiac landmarks, and check normal lab values.

Dosage calculation practice
Step-by-step math
Sample problem

Order: Infuse 1,000 mL 0.9% Normal Saline IV over 8 hours using tubing calibrated to 15 gtt/mL. Find the drip rate in drops per minute (gtt/min).

Formula:(Total Volume in mL × Drip Factor) ÷ Time in Minutes
Step 1: Convert hours to minutes:8 hr × 60 = 480 min
Step 2: Multiply volume by drip factor:1,000 mL × 15 = 15,000 gtt
Step 3: Divide:15,000 ÷ 480 = 31.25
Final answer:31 gtt / min
Supports IV drip rates, continuous infusions (mL/hr), and weight-based pediatric doses.
Cardiac Auscultation Landmarks
Heart sounds
Aortic2nd intercostal space, right sternal border
Pulmonic2nd intercostal space, left sternal border
Erb's Point3rd intercostal space, left sternal border
Tricuspid4th intercostal space, left sternal border
Mitral (Apex)5th intercostal space, left midclavicular line
Normal Adult Lab Values
Quick reference
Potassium (K+):3.5 – 5.0 mEq/L
Sodium (Na+):135 – 145 mEq/L
WBC:5,000 – 10,000 /mm³
Platelets:150,000 – 400,000
Fasting Glucose:70 – 100 mg/dL
Creatinine:0.6 – 1.2 mg/dL
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$9.99/ month
Includes 3-day free trial
  • Full access to all 6 nursing subjects
  • Next-Gen Bowtie, Trend, and Matrix questions
  • Step-by-step dosage calculation practice
  • 100% offline study on phone and tablet
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Most popular for nursing school

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$79.99/ year
3-day trial • Save 33% vs monthly
  • Everything in the Monthly Plan
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  • Automatic progress sync across devices
  • All new questions and case studies added during your year
  • Priority support

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  • Full access for all semesters of nursing school
  • Preparation for the NCLEX-RN exam
  • Permanent clinical reference library after graduation
  • All future updates included
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Plan comparisonAll plans include full access to every question and study tool
Feature
Monthly ($9.99)
Annual ($79.99)
Lifetime ($149.99)
NCLEX-style questions & rationales
Included
Included
Included
Next-Gen Bowtie, Trend & Matrix cases
Included
Included
Included
Dosage calculation solver
Included
Included
Included
Offline study mode (no Wi-Fi needed)
Included
Included
Included
Automatic device sync
Manual
Automatic
Automatic
Payment type
$9.99 / month
$79.99 / year
$149.99 once
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