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NCLEX-style practice with a rationale for every choice, patient cases that react to your decisions, a lecture recorder that transcribes class, and a study plan built from your own scores. For CNA through BSN.
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Question 3 of 10 · Fundamentals · Prioritization
Which client should the nurse assess first?
- AA client with COPD, SpO2 90% on 2 L/min
- BA post-op client rating pain 6 out of 10
- A client with new confusion and RR 32
- DA client asking for a breakfast tray
New confusion plus a respiratory rate of 32 is an acute change that can signal hypoxia or sepsis.
Two ways to practice with patients.
Both put you at the bedside. One you work through decision by decision. The other runs on a real clock.
Clinical Simulations1 case free
Work a live case as the vital signs change with every choice. Make the wrong call and the patient deteriorates. Then see how your clinical judgment scored on the same six steps the Next Generation NCLEX measures.
- HR
- 128bpm
- SpO₂
- 84%
- BP
- 128/78mmHg
- RR
- 32/min
- Temp
- 37.4°C· 99.3 °F
Free accounts get one full case. Premium unlocks every case.
Virtual PatientPremium
She's getting worse. What do you do first? Wait too long and she deteriorates. Do the right things in the right order and you watch her recover. Then you see how every step scored.
Dorothy Rivera, 72 · Heart failure exacerbation
08:00
- HR
- 112bpm
- SpO₂
- 88%
- BP
- 158/94mmHg
- RR
- 28/min
- Temp
- 36.9°C· 98.4 °F
0800. Mrs. Rivera's call light is on. She's sitting on the edge of the bed, leaning forward, breathing fast.
One loop, built around your mistakes.
Practice, rationales, missed questions, and your plan all feed each other, so every session starts where you need it most.
- 1
Answer an NCLEX-style question
Multiple choice and select-all-that-apply, by subject and topic.
Which client should the nurse assess first?
COPD, SpO2 90% on 2 L/min
New confusion and RR 32
- 2
See why each choice is right or wrong
Every answer choice has its own rationale, not just the correct one.
New confusion plus RR 32 is an acute change that can signal hypoxia or sepsis.
- 3
Missed questions wait for a retryPremium
The Wrong-Answer Notebook keeps them with rationales until you get them right.
Retry 6 missed questions
- 4
Your plan follows your scores
Study For Me builds the next session from where you're weakest.
Pharmacology practice · 15 min
Your lowest subject at 58%.
Record the lecture. Get the notes.
The Lecture Recorder writes a live transcript while your professor talks. Mark the moments they stress. With Premium, NurseX turns the transcript into notes: a summary, key points, key terms, and practice questions, with anything that sounds misheard flagged for you to double-check.
Live transcript
Listening12:04So with DKA, the big thing I want you to remember is the potassium.
12:11Their serum level can look normal while total body potassium is low.
12:19Insulin drives potassium back into the cells, so watch it closely.
★ Marked important at 12:19
Generated Notes
PremiumSummary
In DKA, potassium is the value to watch, because insulin treatment moves it out of the blood.
Key points
- A normal serum potassium can hide low total body potassium.
- Insulin drives potassium back into the cells.
- Marked important (12:19): monitor potassium closely during insulin therapy.
Practice question
Why can a client in DKA become hypokalemic after insulin is started?
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Free includes 20 practice questions, 1 clinical simulation, 1 lecture recording up to 20 minutes, 1 Study For Me session, and 10 tutor messages. Premium lifts those caps and adds Virtual Patient, Generated Notes, and the Wrong-Answer Notebook.
Questions
Who is NurseX for?
Nursing students at every level: CNA, LPN, RN, and BSN programs, LPN-to-RN and RN-to-BSN bridges, and anyone preparing for the NCLEX-PN or NCLEX-RN.
How do I get in?
NurseX is in private beta, and we're adding nursing students in small groups. Request an invite and we'll email you when there's a spot. Already invited? Log in with the email your invite went to.
Does it work on my phone?
Yes. NurseX runs in your browser on phone, tablet, or computer, with nothing to install. The Lecture Recorder's live transcript works best in Chrome or Edge.
Is NurseX affiliated with the NCLEX?
No. NCLEX is a registered trademark of the National Council of State Boards of Nursing, which isn't affiliated with NurseX. Our questions are written in the NCLEX style to help you prepare.
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