Methodology and Editorial Policy

Quality content is what sets Nurse Plus Academy apart from other online NCLEX preparation resources. Superior exam materials take time to research, write, review, and refine.

Our goal is simple: help nursing students pass the NCLEX on their first attempt by providing practice questions that accurately reflect the real exam in both content and difficulty.

Many of our foundational practice questions were developed with guidance from Winona Suzanne Ball, RN, MHS -- our Founding Nursing Adviser. Suzanne brought more than 30 years of clinical nursing experience and helped establish the standards we use to evaluate question accuracy, clinical relevance, and educational value.

Her work included reviewing the official NCLEX-RN and NCLEX-PN test plans published by the National Council of State Boards of Nursing (NCSBN) to identify topics most likely to appear on the exam. Today, our editorial team continues to review and update the question bank against current NCSBN plans and authoritative nursing sources.

Each question is designed to:

• Test critical thinking and clinical judgment, not just memorization
• Reflect real-world nursing scenarios
• Align with current NCSBN Client Needs categories
• Include detailed rationales explaining why each answer is correct or incorrect

Our content is based on authoritative nursing and medical sources:

• NCSBN -- Official NCLEX-RN and NCLEX-PN Test Plans
• Peer-reviewed nursing journals -- For current clinical practices
• CDC, WHO, and NIH guidelines -- For infection control and public health topics
• American Heart Association -- For BLS and ACLS protocols
• Nursing textbooks -- Standard references used in accredited nursing programs

We actively incorporate feedback from our users to improve question quality.

Every practice question includes a “Found a mistake?” link that allows students to report potential errors or unclear wording. Our editorial team reviews each submission and:

• Investigates the reported issue against current sources
• Updates the question or rationale if an error is confirmed
• Clarifies wording if the question caused confusion
• Documents the change in our internal revision log

This feedback loop has helped us identify and correct hundreds of issues, making our question bank more accurate with each update.

Nursing knowledge evolves, and so does our content. We update our practice questions when:

• NCSBN releases new test plans or exam blueprints
• Clinical guidelines change (e.g., updated CPR protocols)
• New medications are approved or existing ones are withdrawn
• Evidence-based practices shift in any nursing specialty

All updates go through the same multi-layer review process as new content to ensure accuracy.

With the introduction of Next Generation NCLEX (NGN) in 2023, we have expanded our question types to include:

• Extended Multiple Response (select all that apply)
• Extended Drag and Drop
• Cloze (Drop-Down) questions
• Enhanced Hot Spot (Highlighting)
• Matrix Multiple Choice and Multiple Response
• Case Studies with multiple item sets

These question types are designed to assess clinical judgment using the NCSBN Clinical Judgment Measurement Model (NCJMM).

• Winona Suzanne Ball -- Founding Nursing Adviser, RN | MHS, Governors State University. Helped establish Nurse Plus Academy’s nursing content standards and contributed to the development of our foundational NCLEX question bank.
• Andrei Zakhareuski -- Co-Founder & CEO, Elegant E-Learning. Oversees test design and learning experience.