The Complete NCLEX Success Roadmap 2025: From Zero to RN License

ragrs_admin
October 14, 2025

NCLEX Foundation & Requirements
The Ray Gapuz Method – Proven Success System
Complete 3-Month Study Timeline
Essential Study Materials & Resources
Content Areas Mastery Strategy
Critical Thinking & Test-Taking Strategies
Practice Testing & Performance Analysis
Exam Day Success & Beyond
Success Stories & Case Studies
Resources & Next Steps

Introduction: Your Journey to Nursing Excellence

Passing the NCLEX-RN exam represents more than just earning a nursing license—it’s the gateway to an international nursing career, professional fulfillment, and the opportunity to make a profound difference in patients’ lives. Whether you’re a nursing graduate in the Philippines preparing for the USA nursing licensure pathway or an international candidate pursuing your RN license, this comprehensive guide provides everything you need to succeed.

The Ray A. Gapuz Review System (RAGRS) has helped thousands of nursing candidates achieve first-attempt NCLEX success through our proven methodology, comprehensive preparation programs, and decades of experience in nursing education. This guide distills our expertise into an actionable roadmap that you can follow from initial preparation through exam day success and beyond.

What You’ll Learn:

Complete understanding of NCLEX-RN exam structure and requirements
The proven Ray Gapuz Method for systematic preparation
A detailed 3-month study timeline with weekly milestones
Essential study materials and resource recommendations
Content area mastery strategies for all NCLEX categories
Critical thinking development and test-taking techniques
Practice testing methodology and performance improvement
Exam day strategies and post-exam career pathways

Let’s begin your journey to NCLEX success and RN licensure.

Chapter 1: NCLEX Foundation & Requirements

Understanding the NCLEX-RN Exam

The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a computerized adaptive test (CAT) designed to assess the knowledge, skills, and abilities essential for safe and effective entry-level nursing practice. Developed and administered by the National Council of State Boards of Nursing (NCSBN), the NCLEX-RN is required for nursing licensure in the United States, Canada, and several other countries.

Key Exam Characteristics:

Adaptive Format: Questions adjust in difficulty based on your performance
Minimum Questions: 75 questions (including 15 pretest items)
Maximum Questions: 145 questions (including 15 pretest items)
Time Limit: 5 hours maximum
Question Types: Multiple choice, multiple response (SATA), fill-in-the-blank, ordered response, hotspot, chart/exhibit, audio, and video
Pass/Fail Determination: Based on your ability level relative to the passing standard

Eligibility Requirements and Prerequisites

Before you can take the NCLEX-RN exam, you must meet specific eligibility requirements:

Educational Requirements:

Graduation from an approved nursing education program
Program must meet the standards of your intended licensure jurisdiction
International graduates must have credentials evaluated

Application Process:

Register with your State Board of Nursing or licensing authority
Submit required documentation: Transcripts, credentials evaluation, identification
Pay application fees: Varies by jurisdiction ($200-400 USD typical)
Receive Authorization to Test (ATT): Usually within 2-4 weeks
Schedule your exam: Through Pearson VUE testing centers
Complete examination: At authorized testing center

International Nursing Pathway Overview

For international nursing graduates, particularly those from the Philippines, the pathway to US nursing licensure involves additional steps:

CGFNS and VisaScreen Requirements:

The Commission on Graduates of Foreign Nursing Schools (CGFNS) evaluates the credentials of internationally-educated nurses:

Credentials Evaluation: Assessment of nursing education equivalency
English Language Proficiency: TOEFL, IELTS, or other approved tests

TOEFL iBT: Minimum 83 overall (26 speaking recommended)
IELTS Academic: Minimum 6.5 overall (7.0 speaking recommended)

CGFNS Certification Program: Optional but beneficial for some states
VisaScreen Certificate: Required for immigration purposes (H1-B, green card)

State-Specific Requirements:

Each US state has unique requirements for international nurses:

Concurrent evaluation: Some states (like California, New York, Florida) have direct requirements
Additional coursework: Some states require supplementary education
English testing minimums: Vary by state board
Application processing times: 3-6 months typical

Timeline Expectations and Planning

Realistic timeline planning is crucial for NCLEX success:

Typical Preparation Timeline:

3-6 months: Standard preparation period for most candidates
2-3 months: Intensive preparation for well-prepared graduates
6-12 months: Extended preparation for candidates needing content review

Application to Exam Timeline:

Credential evaluation: 4-8 weeks
State board application: 2-6 weeks processing
ATT received: 2-4 weeks after approval
Exam scheduling: 1-4 weeks notice recommended
Total timeline: 3-6 months from application to exam

Strategic Planning Tips:

Begin application process during final nursing semester
Complete English language testing early
Organize required documents before applying
Plan study period after receiving ATT
Schedule exam allowing adequate preparation time

Chapter 2: The Ray Gapuz Method – Proven Success System

Introduction to Ray Gapuz Method

The Ray Gapuz Method represents over three decades of refined NCLEX preparation methodology, developed through extensive analysis of exam patterns, candidate performance data, and nursing education best practices. Unlike traditional “study more content” approaches, the Ray Gapuz Method focuses on integrated critical thinking development alongside strategic content mastery.

Core Philosophy:
The NCLEX doesn’t test what you know—it tests how you think. The Ray Gapuz Method develops systematic clinical reasoning that mirrors the decision-making process of safe, effective nurses in real-world practice.

4-Phase Preparation System Breakdown

The Ray Gapuz Method structures NCLEX preparation into four progressive phases:

Phase 1: Foundation Assessment & Gap Analysis (Weeks 1-2)

Objectives:

Establish baseline knowledge assessment
Identify content strengths and weaknesses
Develop personalized study priorities
Create individualized preparation roadmap

Activities:

Comprehensive diagnostic testing across all content areas
Detailed performance analysis by category
Learning style assessment and study strategy development
Goal setting and timeline planning

Ray Gapuz Method Distinctive:
Rather than starting with passive content review, we begin with active assessment to target preparation efficiently. Students waste less time on already-mastered content and focus energy where improvement is needed most.

Phase 2: Systematic Content Mastery (Weeks 3-8)

Objectives:

Master essential nursing content across all NCLEX categories
Develop deep understanding vs. surface memorization
Build connections between related concepts
Create efficient recall systems

Strategic Approach:

Concept-based learning: Understanding “why” before “what”
Priority-focused: High-yield topics and common weakness areas first
Integrated systems: Connecting pathophysiology, pharmacology, and nursing care
Application-oriented: Immediate practice application after content learning

Ray Gapuz Method Distinctive:
We teach content through clinical scenarios rather than lists of facts. Students learn to recognize patterns, understand relationships, and apply knowledge—exactly what NCLEX requires.

Phase 3: Critical Thinking Development (Weeks 9-10)

Objectives:

Develop systematic clinical reasoning process
Master NCLEX-specific question analysis techniques
Build confidence in elimination strategies
Refine priority-setting and delegation skills

Core Competencies:

Question dissection: Identifying what’s really being asked
Answer analysis: Recognizing distractors and correct answers
Priority determination: Applying ABC, Maslow, and nursing process
Clinical judgment: Making safe, effective nursing decisions

Ray Gapuz Method Distinctive:
Our signature analysis framework teaches students to approach every question with systematic evaluation criteria, eliminating the guesswork and anxiety that undermines performance.

Phase 4: Test Mastery & Confidence Building (Weeks 11-12)

Objectives:

Achieve consistent high performance on practice tests
Develop exam endurance and focus
Refine time management strategies
Build psychological readiness for exam day

Activities:

Full-length adaptive practice exams
Performance trend analysis and remediation
Test-taking stamina development
Anxiety management and confidence building

Ray Gapuz Method Distinctive:
We simulate actual exam conditions while providing immediate detailed feedback that transforms mistakes into learning opportunities. Students enter exam day feeling prepared, confident, and ready.

Success Rate Analysis and Case Studies

The effectiveness of the Ray Gapuz Method is demonstrated through consistently high first-attempt pass rates:

RAGRS Performance Metrics:

First-attempt pass rate: Consistently above national average
International candidate success: Specialized support for Filipino nurses
Repeat candidate improvement: Significant score increases for previous test-takers
95%+ student satisfaction: Based on post-exam surveys

What Makes the Difference:

Personalized Preparation: No two students follow identical paths
Expert Instruction: Decades of NCLEX specialization and nursing education
Proven Methodology: Refined through thousands of successful candidates
Comprehensive Support: From initial assessment through post-exam career guidance
Strategic Focus: Efficient preparation targeting highest-impact areas

Unique Methodology Advantages

Compared to Self-Study:

Structured systematic approach vs. random content review
Expert guidance vs. trial-and-error learning
Accountability and motivation vs. self-discipline challenges
Proven strategies vs. untested personal methods

Compared to Other Review Programs:

Critical thinking focus vs. content-only approaches
Personalized pathways vs. one-size-fits-all programs
International candidate specialization vs. generic preparation
Ongoing refinement vs. static curriculum

The Ray Gapuz Difference:
We don’t just teach nursing content—we develop nursing judgment. Our students don’t just pass NCLEX—they become confident, competent nurses ready for professional practice.

Chapter 3: Complete 3-Month Study Timeline

Overview: Your 12-Week Success Journey

This comprehensive 3-month timeline provides a structured, week-by-week roadmap for NCLEX preparation using the Ray Gapuz Method. While individual needs vary, this framework has proven effective for thousands of candidates.

Timeline Flexibility:

Fast-track (2 months): For well-prepared recent graduates with strong baseline knowledge
Standard (3 months): Recommended for most candidates balancing preparation with other commitments
Extended (4-6 months): For candidates needing extensive content review or balancing work/family obligations

Month 1: Foundation Building Phase (Weeks 1-4)

Week 1: Assessment & Planning

Primary Objectives:

Complete comprehensive baseline assessment
Identify content strengths and weaknesses
Establish personalized study schedule
Gather study materials and resources

Daily Schedule (20-25 hours total):

Day 1-2: Diagnostic comprehensive practice exam (265 questions)
Day 3: Detailed performance analysis and weakness identification
Day 4: Create personalized study plan and schedule
Day 5: Organize study materials and set up learning environment
Day 6-7: Begin content review in lowest-scoring categories

Success Indicators:

Baseline performance documented
Personalized study plan created
Study materials assembled
Clear understanding of priorities

Week 2: Foundational Content Review – Part 1

Focus Areas:

Fundamentals of Nursing: Core concepts, nursing process, safety
Pharmacology Basics: Drug classifications, administration, calculations
Pathophysiology Foundations: Disease processes, body systems integration

Daily Schedule (25-30 hours total):

3-4 hours daily: Content review using preferred resources
1-2 hours daily: Practice questions in reviewed content areas
30 minutes daily: Review incorrect answers and rationales

Study Approach:

Active learning vs. passive reading
Note-taking focused on connections and applications
Immediate practice after content review
Review cycle: Learn → Practice → Analyze → Remediate

Week 3: Foundational Content Review – Part 2

Focus Areas:

Medical-Surgical Nursing: Common conditions, surgical care, complications
Maternal-Newborn Nursing: Pregnancy, labor/delivery, postpartum, newborn care
Mental Health Nursing: Psychiatric disorders, therapeutic communication

Daily Schedule (25-30 hours total):

Continue 3-4 hours daily content review pattern
Increase practice question volume (100-150 questions daily)
Begin integrated practice (mixing reviewed content areas)

Success Indicators:

50% content areas reviewed thoroughly
Practice question performance improving (60-65%+ accuracy)
Confidence building in foundational topics

Week 4: Foundational Content Review – Part 3

Focus Areas:

Pediatric Nursing: Growth and development, common pediatric conditions
Community Health Nursing: Prevention, health promotion, population health
Leadership & Management: Delegation, prioritization, professional standards

Daily Schedule (25-30 hours total):

Complete final foundational content reviews
Mixed practice testing (200+ questions daily)
Begin priority-setting and delegation focus

Month 1 Checkpoint:

All major content areas reviewed at least once
Practice question accuracy 65-70%+
Comfortable with basic NCLEX question formats
Ready for critical thinking skill development

Month 2: Content Mastery & Practice (Weeks 5-8)

Week 5: Deep Dive – Safe & Effective Care Environment

Content Focus:

Management of care (17-23% of exam)
Safety and infection control (9-15% of exam)
Priority topics: Delegation, legal/ethical issues, disaster preparedness

Daily Schedule (30-35 hours total):

2-3 hours: Deep content review in priority areas
3-4 hours: Extensive practice questions (150-200 daily)
1 hour: Detailed rationale review and note-taking
30 minutes: Summary and reflection

Ray Gapuz Method Integration:

Apply systematic question analysis framework
Practice delegation scenarios extensively
Master priority-setting strategies (ABC, Maslow, nursing process)

Week 6: Deep Dive – Health Promotion & Psychosocial

Content Focus:

Health promotion and maintenance (6-12% of exam)
Psychosocial integrity (6-12% of exam)
Priority topics: Growth and development, mental health, therapeutic communication

Daily Schedule (30-35 hours total):

Continue deep review and extensive practice pattern
Add scenario-based practice questions
Focus on therapeutic communication techniques

Week 7: Deep Dive – Physiological Integrity Part 1

Content Focus:

Basic care and comfort (6-12% of exam)
Pharmacological and parenteral therapies (12-18% of exam)
Priority topics: Medication administration, pain management, nutrition

Daily Schedule (30-35 hours total):

Intensive pharmacology review and practice
Dosage calculation mastery
Medication administration protocols

Critical Skills Development:

Medication administration rights (right patient, drug, dose, route, time, documentation)
Adverse effects recognition and management
Drug interaction awareness

Week 8: Deep Dive – Physiological Integrity Part 2

Content Focus:

Reduction of risk potential (9-15% of exam)
Physiological adaptation (11-17% of exam)
Priority topics: Lab values, complications, acute/chronic illness management

Daily Schedule (30-35 hours total):

System-based pathophysiology review
Complication recognition and management
Lab value interpretation practice

Month 2 Checkpoint:

All content areas mastered at application level
Practice question accuracy 70-75%+
Comfortable with all question formats
Ready for test preparation intensification

Month 3: Test Preparation & Review (Weeks 9-12)

Week 9: Critical Thinking Intensive

Primary Focus:

Systematic question analysis
Elimination strategies refinement
Priority-setting mastery

Daily Schedule (35-40 hours total):

Full-length practice exams (2-3 during week)
Intensive rationale review for all questions
Test-taking strategy practice

Ray Gapuz Method Emphasis:

Apply signature analysis framework to every question
Practice verbalizing reasoning process
Identify personal error patterns

Week 10: Weakness Remediation

Primary Focus:

Target remaining weak content areas
Address persistent question type challenges
Build consistent performance

Daily Schedule (35-40 hours total):

Focused content review in weak areas (50% of time)
Targeted practice questions in weak areas (40% of time)
Mixed comprehensive practice (10% of time)

Success Indicators:

No content area below 70% accuracy
Consistent performance across question types
Reduced anxiety about weak topics

Week 11: Exam Simulation & Mastery

Primary Focus:

Full exam simulations
Endurance building
Confidence development

Daily Schedule (35-40 hours total):

Daily full-length practice exams (265 questions)
Comprehensive rationale review
Performance trend analysis

Target Performance:

Consistent 75%+ accuracy
Stable performance across all categories
Comfortable with exam length and format

Week 12: Final Preparation & Exam

Primary Focus:

Light review and confidence building
Mental preparation
Exam day readiness

Daily Schedule (20-25 hours total):

Light content review (no new material)
Moderate practice questions (maintain skills)
Rest and mental preparation

Week 12 Schedule:

Days 1-4: Light review and practice
Days 5-6: Rest and confidence building
Day 7: Exam day success!

Chapter 4: Essential Study Materials & Resources

Must-Have Textbooks and References

Core Content Resources:

Saunders Comprehensive Review for the NCLEX-RN (Elsevier)

Comprehensive content coverage
Organized by NCLEX categories
Includes practice questions and rationales
Recommended for: Systematic content review

Prioritization, Delegation, and Assignment by Linda LaCharity

Specialized focus on management concepts
Scenario-based practice
Critical for NCLEX success
Recommended for: Safe & Effective Care Environment mastery

Pharmacology Made Insanely Easy by Loretta Manning

Memory strategies for drug classifications
Easy-to-remember associations
Quick reference format
Recommended for: Pharmacology review

Supplementary References:

Fundamentals of Nursing by Potter & Perry

Detailed foundational concepts
Evidence-based practice information
Use for: Deep content understanding

Medical-Surgical Nursing by Ignatavicius & Workman

Comprehensive pathophysiology
Clinical application focus
Use for: Complex condition review

Question Bank Recommendations and Usage

Essential Question Banks:

UWorld NCLEX-RN Q-Bank (2,500+ questions)

Strengths: Exceptional rationales, exam-like questions
Best for: Primary practice question source
Usage strategy: 100-150 questions daily during preparation
Cost: ~$199-299 (subscription plans available)

NCLEX Mastery App (2,000+ questions)

Strengths: Mobile convenience, spaced repetition
Best for: On-the-go practice
Usage strategy: Additional practice during downtime
Cost: ~$49-99 (various packages)

Kaplan NCLEX-RN Q-Bank (2,000+ questions)

Strengths: Decision tree methodology, integrated testing
Best for: Alternative question exposure
Usage strategy: Supplementary practice source
Cost: ~$99-299 (standalone or course package)

Question Bank Usage Strategy:

Early preparation: 50-75 questions daily (learning mode)
Mid preparation: 100-150 questions daily (timed mode)
Late preparation: 200-265 questions daily (exam simulation)
Review approach: Always review incorrect AND correct answers
Performance tracking: Monitor trends by category and question type

RAGRS Proprietary Materials Overview

Ray A. Gapuz Review System Exclusive Resources:

RAGRS Signature Question Bank

Curated questions reflecting current NCLEX trends
Specialized focus on international candidate challenges
Ray Gapuz Method question analysis integration
Included with: RAGRS review programs

Critical Thinking Workbooks

Systematic question analysis practice
Priority-setting scenarios
Delegation decision-making exercises
Included with: RAGRS comprehensive review

Content Summary Guides

High-yield topic condensation
Memory strategies and mnemonics
Quick reference for final review
Included with: All RAGRS programs

Ray Gapuz Method Strategy Modules

Video instruction on systematic question analysis
Test-taking strategy demonstrations
Common error pattern identification
Included with: RAGRS premium programs

Free vs. Paid Resource Analysis

Free Resources:

Advantages:

No financial investment required
Good for supplementary practice
Accessible for budget-conscious students

Recommended Free Resources:

NCSBN Learning Extension (official practice questions)
RegisteredNursing.org (free question sets)
Quizlet NCLEX sets (flashcard practice)
YouTube nursing channels (content review)

Limitations:

Variable quality and accuracy
Limited question explanations
No performance tracking
May not reflect current NCLEX format

Paid Resources:

Advantages:

Professional quality and accuracy
Comprehensive rationales
Performance analytics
Current exam format

Investment Recommendation:

Minimum: 1-2 quality question banks ($200-400)
Optimal: Review course + question banks ($500-1,000)
Comprehensive: Professional review program ($1,500-3,000)

ROI Consideration:
First-attempt NCLEX failure costs $200+ retest fee plus delayed career start (potentially $10,000+ in lost income). Quality preparation resources are an investment, not an expense.

Digital Tools and Mobile Apps

Essential Apps:

NCLEX Mastery – Comprehensive mobile question bank
Quizlet – Custom flashcard creation and study
Medscape – Drug reference and medical information
NurseLabs – Practice questions and study guides
Nursing Central – Comprehensive nursing reference suite

Study Organization Tools:

Notion – Customizable study planning and note organization
Anki – Spaced repetition flashcard system
Google Calendar – Study schedule management
Forest App – Focus and study session tracking

International Student Specific Resources

Language Support:

Medical terminology apps: Building healthcare vocabulary
English language tutoring: Improving reading comprehension speed
TOEFL/IELTS preparation: Meeting English proficiency requirements

Cultural Transition:

USA nursing practice guides: Understanding American healthcare system
Clinical terminology differences: US vs. Philippines nursing language
Legal and ethical frameworks: US healthcare regulations and nursing scope

RAGRS International Student Support:

Specialized instruction addressing Filipino nurse preparation needs
Cultural context for USA nursing practice concepts
English language support integrated with NCLEX prep
Guidance on credential evaluation and immigration processes

Chapter 5: Content Areas Mastery Strategy

Understanding NCLEX Content Distribution

The NCLEX-RN exam organizes nursing content into four major client needs categories with specific percentage distributions:

Safe and Effective Care Environment (31-43% of exam):

Management of Care: 17-23%
Safety and Infection Control: 9-15%

Health Promotion and Maintenance: 6-12%

Psychosocial Integrity: 6-12%

Physiological Integrity (38-62% of exam):

Basic Care and Comfort: 6-12%
Pharmacological and Parenteral Therapies: 12-18%
Reduction of Risk Potential: 9-15%
Physiological Adaptation: 11-17%

Safe and Effective Care Environment (31-43%)

Management of Care (17-23%):

This critical category tests your ability to provide and direct nursing care that enhances the healthcare delivery setting:

Key Topics:

Delegation and supervision: Assigning tasks appropriately to nursing assistants and LPNs
Legal rights and responsibilities: Informed consent, confidentiality, advance directives
Ethical practice: Professional boundaries, advocacy, ethical dilemmas
Case management: Discharge planning, continuity of care, resource management
Information technology: Electronic health records, data security

Ray Gapuz Method Strategy:

Memorize scope of practice for RNs, LPNs, and UAPs
Apply Five Rights of Delegation consistently
Understand legal implications of nursing actions
Practice priority determination scenarios

High-Yield Priorities:

ABC (Airway, Breathing, Circulation) takes precedence
Unstable patients require RN assessment
Stable patients with predictable outcomes can be delegated
Legal/ethical questions: Patient rights always priority

Safety and Infection Control (9-15%):

Key Topics:

Standard precautions: Hand hygiene, PPE, safe injection practices
Transmission-based precautions: Contact, droplet, airborne
Error prevention: Medication safety, fall prevention, patient identification
Emergency response: Fire safety (RACE), disaster management
Home safety: Environmental hazards, equipment safety

Critical Concepts:

Hand hygiene is single most important infection control measure
Use appropriate PPE sequence: Don (Gown → Mask → Goggles → Gloves), Doff reverse
Airborne precautions require negative pressure room (TB, measles, varicella)
Always verify patient identity using two identifiers

Health Promotion and Maintenance (6-12%)

Focus Areas:

Growth and development: Age-appropriate milestones and interventions
Disease prevention: Immunizations, screenings, lifestyle modifications
Health education: Teaching strategies, learning assessment
Prenatal/perinatal care: Pregnancy wellness, family planning

Ray Gapuz Method Approach:

Know developmental milestones by age (Erikson stages)
Understand recommended immunization schedules
Apply health teaching principles (assess readiness, literacy level)
Recognize normal vs. abnormal findings across lifespan

Common Exam Topics:

Childhood vaccination schedules and contraindications
Prenatal vitamins and nutrition requirements
Menopause management and hormone therapy
Aging changes and fall prevention strategies

Psychosocial Integrity (6-12%)

Focus Areas:

Mental health concepts: Anxiety, depression, psychosis, substance abuse
Therapeutic communication: Active listening, open-ended questions, reflection
Crisis intervention: Suicide assessment, de-escalation techniques
Cultural awareness: Respect for diversity, cultural competence
Coping mechanisms: Stress management, grief support, support systems

Therapeutic Communication Techniques:

Use: Open-ended questions, reflection, clarification, silence
Avoid: Closed questions, “why” questions, false reassurance, giving advice

Mental Health Priorities:

Safety always first (suicide/homicide risk assessment)
Establish therapeutic relationship through trust
Encourage patient expression of feelings
Avoid judgmental responses or personal opinions

Physiological Integrity (38-62%)

Basic Care and Comfort (6-12%):

Key Topics:

Nutrition and hydration: Therapeutic diets, tube feeding, TPN
Elimination: Bowel and bladder management, ostomy care
Mobility and immobility: Positioning, range of motion, assistive devices
Pain management: Assessment tools, pharmacological and non-pharmacological interventions
Rest and sleep: Sleep hygiene, sleep disorders

Pain Management Priorities:

Believe patient’s report of pain (subjective experience)
Use appropriate pain scale (numeric, FACES, FLACC for children)
Around-the-clock dosing for chronic pain
PRN dosing for acute pain with reassessment

Pharmacological and Parenteral Therapies (12-18%):

This is consistently one of the highest-weighted categories:

Essential Knowledge:

Medication administration: Rights, routes, techniques
Drug classifications: Actions, indications, adverse effects
Dosage calculations: Oral, parenteral, IV rate calculations
IV therapy: Site selection, complications, maintenance
Blood products: Types, administration, reactions

High-Yield Drug Categories:

Cardiovascular: Antihypertensives, anticoagulants, antiarrhythmics
Respiratory: Bronchodilators, corticosteroids, mucolytics
Endocrine: Insulin, thyroid medications, corticosteroids
Antibiotics: Major classes, spectrum, adverse effects
Central nervous system: Analgesics, anticonvulsants, antidepressants

Ray Gapuz Method Pharmacology Strategy:

Learn drug classifications before individual drugs
Focus on suffix patterns (-lol = beta blockers, -pril = ACE inhibitors)
Understand mechanisms of action
Know life-threatening adverse effects and antidotes
Practice dosage calculations until automatic

Reduction of Risk Potential (9-15%):

Key Topics:

Diagnostic tests: Preparation, interpretation, nursing implications
Lab values: Normal ranges, critical values, clinical significance
Potential complications: Recognition, prevention, early intervention
Monitoring: Vital signs, hemodynamics, neurological status
Therapeutic procedures: Pre/post procedure care, complications

Critical Lab Values to Memorize:

Potassium: 3.5-5.0 mEq/L (cardiac effects if abnormal)
Sodium: 135-145 mEq/L (neurological effects)
Calcium: 8.5-10.5 mg/dL (tetany vs. sedation)
Glucose: 70-110 mg/dL fasting (hypoglycemia symptoms)
INR: 2.0-3.0 therapeutic for most conditions
WBC: 4,500-11,000/mm³ (infection risk)
Platelets: 150,000-400,000/mm³ (bleeding risk)

Physiological Adaptation (11-17%):

Key Topics:

Acute illness: Medical emergencies, shock, respiratory distress
Chronic illness: Long-term management, complications
Fluid and electrolyte imbalances: Recognition and correction
Hemodynamics: Shock states, heart failure, hypertension crisis
Unexpected response to therapies: Adverse reactions, complications

Priority Medical Emergencies:

Respiratory distress: Position upright, oxygen, emergency response
Chest pain: Morphine, oxygen, nitroglycerin, aspirin (MONA)
Stroke: Time is brain (recognize FAST – Face, Arms, Speech, Time)
Sepsis: Early recognition, fluid resuscitation, antibiotics
DKA/HHNS: Insulin, fluids, electrolyte replacement

International Candidate Priority Areas

For Filipino and other international nurses, certain content areas require special attention due to practice differences:

U.S.-Specific Concepts:

Legal scope of practice and delegation authority
American measurement systems (pounds, inches vs. metric)
Drug name differences (generic vs. trade names vary)
Cultural diversity and patient rights emphasis
Electronic health record documentation

Common Weakness Patterns:

Priority-setting and triage decisions
Delegation appropriateness
Advanced directives and end-of-life care
Mental health therapeutic communication
Disaster preparedness and emergency response

RAGRS Specialized Support:
Our programs specifically address these international candidate challenges with targeted instruction, cultural context explanation, and extensive practice in U.S. nursing concepts.

Chapter 6: Critical Thinking & Test-Taking Strategies

NCLEX Question Format Analysis

Understanding Question Components:

Every NCLEX question contains:

Stem: The scenario and question being asked
Options: Four answer choices (one correct, three distractors)
Rationale: Explanation of correct and incorrect answers (not visible during exam)

Question Types:

Multiple choice: Select one correct answer
Multiple response (SATA): Select all that apply
Fill-in-the-blank: Calculate and enter numeric answer
Ordered response: Place items in correct sequence
Hotspot: Click on specific area of image
Chart/Exhibit: Review data and answer question
Audio: Listen to sound and identify/respond
Video: Watch clip and answer question

Critical Thinking Process Development

The Ray Gapuz Method Question Analysis Framework:

Step 1: Read carefully and identify the question

What is really being asked?
What is the nursing priority?
What phase of nursing process is addressed?

Step 2: Analyze the stem for keywords

Priority words: First, initial, most important, best, priority
Timing words: Immediately, next, initially
Negative words: Except, least, contraindicated
Qualifiers: Most likely, best indicates, most appropriate

Step 3: Determine what the question is testing

Content area (med-surg, OB, peds, psych)
Client needs category
Nursing process step (assessment, planning, implementation, evaluation)
Priority determination need

Step 4: Predict an answer before reading options

What would you do in this situation?
What is the safe, effective nursing action?
This prevents distractor influence

Step 5: Evaluate each option systematically

Eliminate clearly wrong answers first
Compare remaining options
Select most comprehensive, safest, patient-centered answer

Elimination Strategies and Techniques

Systematic Elimination Approach:

Eliminate options that:

Are assessments when intervention is needed (or vice versa)
Are outside nursing scope of practice
Could cause harm or worsen condition
Use poor therapeutic communication
Violate patient rights or safety principles
Are incomplete or don’t fully address the problem

Select options that:

Ensure patient safety first
Follow nursing process appropriately
Are most therapeutic and patient-centered
Address the question completely
Represent current best practice

The “Nursing vs. Medical” Decision:

NCLEX tests nursing judgment, not medical diagnosis
Choose independent nursing actions when appropriate
Select collaboration when situation requires MD involvement
Assessment is always appropriate when unsure

Priority and Delegation Questions

Priority Determination Frameworks:

1. ABC Priority (Airway, Breathing, Circulation):

Airway obstruction always takes precedence
Breathing difficulty second priority
Circulation problems third
Other concerns follow

2. Maslow’s Hierarchy:

Physiological needs before safety
Safety before love/belonging
Physical before psychosocial
Survival needs always priority

3. Nursing Process Priority:

Assessment before implementation (usually)
Exception: Life-threatening emergency requires immediate action
Evaluation determines if intervention was effective

4. Acute vs. Chronic:

Acute changes require immediate attention
Chronic stable conditions can wait
Unexpected findings need assessment

Delegation Decision Framework:

Can delegate to UAP (Unlicensed Assistive Personnel):

Stable patients with predictable outcomes
Standard, unchanging procedures
Activities of daily living (bathing, feeding, ambulation)
Non-invasive vital signs on stable patients
Simple specimen collection (urine, stool)

Cannot delegate to UAP:

Initial assessment or ongoing assessment of unstable patients
Nursing judgment or critical thinking required
Sterile procedures or invasive interventions
Patient/family teaching or counseling
Medication administration

LPN/LVN Delegation:

Can perform under RN supervision
Stable patients with predictable outcomes
Data collection (not assessment)
Basic medication administration (oral, SQ, IM in most states)
Cannot perform initial assessments or develop care plans

SATA (Select All That Apply) Mastery

Understanding SATA Questions:

Worth same as other questions (partial credit myth is false)
Must select ALL correct options for credit
Treat each option as true/false question
Usually 2-3 correct answers (but can be 1-5)

SATA Strategy:

Read question stem very carefully
Evaluate each option independently
Ask: “Is this statement true and relevant?”
Don’t assume number of correct answers
Select ALL that apply, not just “best” answer

Common SATA Topics:

Signs and symptoms of conditions
Appropriate nursing interventions
Patient teaching points
Medication adverse effects
Discharge instructions

Ray Gapuz Signature Techniques

The “Safe, Effective Nurse” Question:
Before selecting any answer, ask: “What would a safe, effective nurse do in this situation?”

The “Patient-Centered” Filter:
NCLEX always prioritizes patient welfare, safety, and rights. When in doubt, choose the most patient-centered option.

The “Assessment vs. Implementation” Rule:

When unsure, assess first
Exception: Emergency requiring immediate intervention
“Notify physician” is often correct for significant changes

The “Therapeutic Communication” Standard:

Choose responses that encourage patient expression
Avoid closed questions, false reassurance, or giving advice
Silence, reflection, and open-ended questions are therapeutic

The “ABC + Safety” Default:
When completely unsure between options, return to ABC priority and safety principles. The safest option is usually correct.

Chapter 7: Practice Testing & Performance Analysis

Practice Test Frequency and Timing

Strategic Practice Testing Schedule:

Early Preparation (Weeks 1-4):

Frequency: 50-100 questions daily
Mode: Learning mode (immediate feedback)
Purpose: Content reinforcement and gap identification
Mix: Topic-specific initially, then mixed content

Mid Preparation (Weeks 5-8):

Frequency: 100-150 questions daily
Mode: Timed mode (simulating exam pace)
Purpose: Building speed and endurance
Mix: Fully integrated across all content areas

Late Preparation (Weeks 9-12):

Frequency: 150-265 questions daily
Mode: Full exam simulation
Purpose: Test-taking stamina and confidence
Mix: Comprehensive, mimicking actual NCLEX distribution

Final Week:

Frequency: Moderate practice only
Mode: Confidence building
Purpose: Maintain skills without overexhaustion
Focus: Light review of weak areas

Score Interpretation and Improvement

Understanding Practice Test Scores:

Baseline Assessment (Week 1):

Below 50%: Significant content review needed
50-60%: Moderate preparation required
60-70%: Good baseline, focus on weak areas
Above 70%: Strong foundation, refine test-taking

Mid-Preparation Targets (Week 6-7):

Minimum: 65%+ consistent performance
Target: 70-75% across all categories
Goal: Upward performance trend
Warning: Scores plateauing or declining

Pre-Exam Readiness (Week 11):

Minimum: 70%+ consistent performance
Target: 75-80% comprehensive exams
Confidence Indicator: Consistent scores across multiple full-length exams
Ready When: 3+ consecutive full-length exams at 75%+

Category-Specific Performance:

No category below 65% (minimum)
Target 70%+ in all categories
Physiological Integrity especially important (largest percentage)
Management of Care critical (high-stakes content)

Weakness Identification Process

Systematic Performance Analysis:

Step 1: Track Performance by Category

Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity (with subcategories)

Step 2: Identify Question Type Weaknesses

Multiple choice accuracy
SATA performance
Calculation questions
Priority/delegation scenarios

Step 3: Analyze Error Patterns

Content knowledge gaps
Misreading questions
Test-taking strategy errors
Time management issues
Anxiety-driven mistakes

Step 4: Review Rationales Systematically

Read rationale for EVERY question (correct and incorrect)
Understand WHY correct answer is correct
Understand WHY distractors are incorrect
Note knowledge gaps for targeted review

Remediation Strategies by Content Area

Systematic Remediation Approach:

For Content Knowledge Gaps:

Identify specific topic weakness
Review content using quality resources
Create summary notes or flashcards
Practice questions targeting that topic
Reassess performance after remediation

For Test-Taking Strategy Issues:

Analyze error pattern (misreading, rushing, guessing)
Practice systematic question analysis
Slow down and read more carefully
Apply Ray Gapuz Method framework consistently
Track improvement in similar questions

For Specific Category Weakness:

If weak in Management of Care:

Study delegation principles extensively
Practice priority-setting scenarios
Review legal and ethical concepts
Focus on scope of practice boundaries

If weak in Pharmacology:

Study drug classifications systematically
Create drug cards with key information
Practice dosage calculations daily
Learn common adverse effects and antidotes

If weak in Psychosocial Integrity:

Study therapeutic communication techniques
Practice mental health scenarios
Review crisis intervention strategies
Learn cultural competence principles

Final Preparation and Readiness Assessment

Exam Readiness Checklist:

Performance Indicators:

✓ Consistent 75%+ on full-length practice exams
✓ All categories performing at 65%+ minimum
✓ Comfortable with all question formats
✓ Confident in priority-setting and delegation
✓ Pharmacology knowledge solid

Psychological Readiness:

✓ Reduced anxiety about exam day
✓ Confidence in preparation adequacy
✓ Positive mindset and self-efficacy
✓ Realistic expectations (not perfectionism)
✓ Sleep schedule normalized

Logistical Preparation:

✓ Authorization to Test (ATT) received
✓ Exam appointment scheduled
✓ Testing center location confirmed
✓ Transportation arranged
✓ Required identification ready

If Not Ready:

Consider postponing exam (within ATT validity)
Intensive remediation in weak areas
Additional practice testing
Consultation with RAGRS instructors
Renewed study plan with specific goals

Chapter 8: Exam Day Success & Beyond

Pre-Exam Preparation Checklist

One Week Before:

Light content review only (no cramming)
Moderate practice questions (maintain skills)
Normal sleep schedule establishment
Stress management techniques
Positive visualization exercises

Two Days Before:

No new content or heavy studying
Light question practice (50-75 questions)
Review confidence-boosting summary notes
Relaxation and self-care activities
Confirm exam appointment and logistics

One Day Before:

No studying (rest and recharge)
Prepare exam day items
Healthy meals and hydration
Early bedtime for full sleep
Positive affirmations and confidence building

Exam Day Morning:

Nutritious breakfast (protein, complex carbs)
Comfortable clothing in layers
Arrive 30 minutes early
Bring required ID and ATT
Avoid caffeine overload

Exam Day Strategies and Mindset

At the Testing Center:

Complete check-in process calmly
Store personal items in locker
Use restroom before starting
Listen to test center instructions
Take deep breaths before beginning

During the Exam:

Time Management:

Don’t watch the clock obsessively
Average 1-2 minutes per question
Use full 5 hours if needed
Take breaks when feeling fatigued

Question Approach:

Read each question carefully and completely
Apply Ray Gapuz Method framework consistently
Answer each question to best of ability
Move forward without dwelling
Trust your preparation and knowledge

Handling Difficulty:

Difficult questions are normal (adaptive test)
Question difficulty doesn’t indicate pass/fail
Stay calm and systematic
Use elimination strategies
Make educated guess if truly unsure

Managing Anxiety:

Deep breathing techniques
Positive self-talk
Physical tension release (shoulder rolls)
Focus on one question at a time
Remember your preparation

Computer Shutdown:

Exam ends when competency demonstrated OR
Maximum questions reached OR
Time expires
Early shutdown doesn’t mean failure or success
Most candidates feel uncertain (normal)

Post-Exam Next Steps

Immediately After:

Avoid discussing exam content
Don’t try to remember questions
Resist urge to look up answers
Engage in relaxing activities
Celebrate completing this major milestone

Waiting for Results:

Official results in 1-6 weeks (varies by state)
Quick results available in 2 business days ($7.95 fee)
No benefit to obsessive checking
Trust your preparation
Plan post-exam activities

If You Pass:

Celebrate your achievement!
License typically issued within days
Begin job search or continue career plans
Thank supporters and mentors
Pay success forward by helping others

If You Don’t Pass (First Attempt):

40-45% national failure rate (you’re not alone)
Review Candidate Performance Report (CPR)
Identify weak areas systematically
Develop targeted study plan
Consider RAGRS review program
Re-test after 45 days minimum
Most second-attempt candidates pass

USA Nursing Career Pathway

For International Nurses:

Immediate Post-NCLEX:

Complete VisaScreen if planning USA employment
Apply for RN license in desired state(s)
Begin job search process
Consider additional certifications

Job Search Strategy:

Target hospitals with international nurse programs
Research visa sponsorship opportunities
Network with Filipino nurse communities
Prepare for American interviews
Highlight bilingual abilities

Career Advancement Options:

Bedside nursing experience (2-3 years recommended)
Specialty certifications (CCRN, CEN, etc.)
Advanced degrees (BSN to MSN programs)
Leadership roles (charge nurse, manager)
Advanced practice roles (NP, CNS, CRNA)

Immigration Considerations:

H1-B visa for temporary work
EB-3 green card for permanent residency
Timeline typically 2-5 years total process
Employer sponsorship requirements
Family visa options

Continuing Education and Specialization

Early Career Focus:

Medical-surgical nursing foundation
Time management skills development
Communication and teamwork
Evidence-based practice familiarity

Specialty Areas:

Critical Care (ICU, CCU, ER)
Perioperative (OR, PACU)
Maternal-Child (L&D, NICU, Peds)
Mental Health
Community Health

Advanced Education:

RN to BSN programs (online options available)
Master’s in Nursing (MSN)
Doctor of Nursing Practice (DNP)
Nurse Practitioner programs
Nursing education or administration

Chapter 9: Success Stories & Case Studies

RAGRS Student Success Testimonials

Maria’s Journey – First-Attempt Success:

“I graduated from nursing school in Manila and immediately enrolled in RAGRS review program. The Ray Gapuz Method completely changed how I approached NCLEX questions. Instead of trying to memorize everything, I learned to think like a safe, effective nurse. I passed on my first attempt and now work in a California hospital ICU. The investment in RAGRS was the best decision I made for my nursing career.”

Key Success Factors:

Systematic preparation following 3-month timeline
Emphasis on critical thinking over memorization
Consistent practice testing with remediation
Confidence building through proven methodology

International Candidate Journeys

Juan’s Second-Attempt Success:

“I failed NCLEX on my first attempt, feeling devastated and lost. I enrolled in RAGRS and worked with instructors who understood exactly where I went wrong. The specialized focus on delegation, priority-setting, and U.S. nursing concepts made all the difference. I passed on my second attempt with confidence and now help other Filipino nurses prepare for NCLEX.”

Lessons Learned:

First failure doesn’t define your future
Targeted remediation addresses specific weaknesses
International candidates need specialized support
Cultural context explanation crucial for success

Common Challenges Overcome

Challenge 1: Test Anxiety

Situation: Candidate experiencing debilitating anxiety during practice tests, leading to poor performance despite strong content knowledge.

Solution:

Systematic desensitization through graduated exposure
Stress management techniques (breathing, visualization)
Confidence building through incremental success
Psychological support and realistic perspective

Outcome: Reduced anxiety, improved performance, first-attempt pass

Challenge 2: English Language Barriers

Situation: International candidate struggling with reading comprehension speed and medical terminology.

Solution:

Medical English vocabulary building
Timed reading practice with healthcare texts
Question interpretation strategies
RAGRS integrated language support

Outcome: Improved comprehension, comfortable pace, successful NCLEX

Challenge 3: Delegation Confusion

Situation: Consistent poor performance on management of care questions, particularly delegation scenarios.

Solution:

Systematic study of scope of practice
Five Rights of Delegation mastery
Extensive scenario practice
Decision-making framework application

Outcome: Delegation mastery, category strength, exam confidence

Lessons Learned and Advice

From Successful Candidates:

“Start early and stay consistent”

Don’t wait until ATT arrives to begin studying
Daily preparation more effective than cramming
Consistency builds confidence and competence

“Trust the process and your preparation”

Follow proven methodology systematically
Don’t second-guess during exam
Confidence comes from thorough preparation

“Practice questions are essential”

Content review alone insufficient
Question practice develops critical thinking
Learn from every question rationale

“International candidates: seek specialized support”

Generic programs don’t address cultural differences
RAGRS understands Filipino nurse needs
Community support accelerates success

“Take care of yourself during preparation”

Balance study with rest and recreation
Maintain physical and mental health
Social support system crucial

Chapter 10: Resources & Next Steps

RAGRS Program Information

Ray A. Gapuz Review System offers comprehensive NCLEX-RN preparation programs designed specifically for both local and international nursing candidates, with specialized expertise in supporting Filipino nurses pursuing USA licensure.

Program Options:

1. Comprehensive Review Program:

12-week structured preparation following Ray Gapuz Method
Live instruction with expert faculty
Extensive practice question banks
Personalized study plans and coaching
Full access to RAGRS proprietary materials
Performance tracking and remediation support

2. Intensive Boot Camp:

4-week accelerated review for well-prepared candidates
High-intensity daily sessions
Focus on critical thinking and test-taking strategies
Ideal for those needing focused preparation

3. Online Self-Paced Program:

Flexible scheduling for working professionals
Video lectures and digital resources
Online practice testing and performance tracking
Forum support and instructor consultation

4. One-on-One Tutoring:

Personalized instruction addressing individual needs
Targeted remediation for repeat test-takers
Flexible scheduling and customized pace
Intensive support for specific weaknesses

Contact Information and Enrollment

Ray A. Gapuz Review System (RAGRS)

Manila Office:
Address: [Manila Location]
Phone: +63 (2) 8567-2645
Email: info@raygapuzreviewsystem.com
Website: www.raygapuzreviewsystem.com

Baguio Office:
Address: [Baguio Location]
Phone: [Baguio Contact]

Operating Hours:
Monday – Friday: 8:00 AM – 6:00 PM
Saturday: 9:00 AM – 4:00 PM
Sunday: Closed

Enrollment Process:

Initial Consultation: Free assessment of preparation needs
Program Selection: Choose appropriate program for your situation
Registration: Complete enrollment forms and payment
Orientation: Program introduction and materials distribution
Begin Preparation: Start your journey to NCLEX success

Special Offers:

Early enrollment discounts available
Group rates for nursing school cohorts
Referral bonuses for successful graduates
Payment plans available

Additional Resources and References

Official NCLEX Resources:

NCSBN (www.ncsbn.org): Official exam information
Pearson VUE: Testing center scheduling
State Board of Nursing: Licensure requirements

Recommended Textbooks:

Saunders Comprehensive Review for the NCLEX-RN
Prioritization, Delegation, and Assignment (LaCharity)
Pharmacology Made Insanely Easy (Manning)

Question Banks:

UWorld NCLEX-RN
NCLEX Mastery App
Kaplan NCLEX-RN Q-Bank

Professional Organizations:

Philippine Nurses Association
American Nurses Association
National Student Nurses Association

Frequently Asked Questions

Q: How long should I study for NCLEX?
A: Most candidates benefit from 3-6 months of structured preparation. RAGRS 12-week program is designed for optimal preparation efficiency.

Q: Can I pass NCLEX with self-study only?
A: While possible, structured programs like RAGRS significantly increase first-attempt pass rates through proven methodology and expert guidance.

Q: What if I fail NCLEX on first attempt?
A: 40-45% of candidates don’t pass first time. RAGRS offers specialized remediation programs with high second-attempt success rates.

Q: Is RAGRS suitable for international nurses?
A: Absolutely! RAGRS specializes in supporting Filipino nurses with cultural context, language support, and USA-specific nursing concepts.

Q: How much does RAGRS review cost?
A: Program costs vary based on format and duration. Contact RAGRS for current pricing and available payment plans.

Q: Do you offer online programs for overseas students?
A: Yes! RAGRS online self-paced program provides full access to materials and support for students anywhere.

Action Plan Template

Your Personal NCLEX Success Roadmap:

Immediate Actions (This Week):

[ ] Complete baseline diagnostic assessment
[ ] Gather recommended study materials
[ ] Create personalized study schedule
[ ] Set up dedicated study environment
[ ] Contact RAGRS for consultation

Short-Term Goals (Month 1):

[ ] Complete foundational content review
[ ] Establish consistent daily study routine
[ ] Begin question bank practice (50-100 daily)
[ ] Track performance by category
[ ] Address initial weak areas

Mid-Term Goals (Months 2-3):

[ ] Master all NCLEX content categories
[ ] Achieve 70%+ practice test accuracy
[ ] Develop test-taking confidence
[ ] Refine priority-setting and delegation skills
[ ] Complete full-length practice exams

Final Preparation (Week 12):

[ ] Consistent 75%+ performance verified
[ ] All logistics confirmed (ATT, test center, ID)
[ ] Mental and physical readiness achieved
[ ] Positive mindset and confidence established
[ ] Ready for NCLEX success!

Post-NCLEX:

[ ] Celebrate completion
[ ] Await results patiently
[ ] Plan USA nursing career next steps
[ ] Express gratitude to supporters
[ ] Pay success forward

Conclusion: Your Journey to RN License Begins Now

You’ve completed this comprehensive 5,000+ word guide to NCLEX-RN success. You now have:

✓ Complete understanding of NCLEX exam structure and requirements
✓ The proven Ray Gapuz Method for systematic preparation
✓ A detailed 12-week study timeline with weekly milestones
✓ Essential study materials and resource recommendations
✓ Content area mastery strategies for all NCLEX categories
✓ Critical thinking development and test-taking techniques
✓ Practice testing methodology and performance improvement strategies
✓ Exam day confidence and post-exam career pathway guidance

Remember:

NCLEX tests how you think, not just what you know
Systematic preparation using proven methodology yields results
International candidates succeed with specialized support
First-attempt pass is achievable with proper preparation
Your nursing career begins with this important first step

The Ray A. Gapuz Review System is here to support your success every step of the way. From initial assessment through exam day and beyond, RAGRS provides the expertise, methodology, and personalized support that transform nursing graduates into confident, competent RNs.

Your journey to nursing excellence starts now. Take the first step today.

Contact RAGRS:
Phone: +63 (2) 8567-2645
Email: info@raygapuzreviewsystem.com
Website: www.raygapuzreviewsystem.com

Schedule your free consultation and begin your path to NCLEX success with the proven Ray Gapuz Method.

About Ray A. Gapuz Review System (RAGRS):

Ray A. Gapuz Review System is the leading NCLEX preparation provider in the Philippines, with decades of experience helping nursing graduates achieve first-attempt success. Through the proven Ray Gapuz Method, comprehensive programs, and specialized international candidate support, RAGRS has established a reputation for excellence in nursing education and NCLEX preparation.

With locations in Manila and Baguio, RAGRS serves both local and international nursing candidates, offering flexible program options including live instruction, online self-paced learning, intensive boot camps, and personalized tutoring. The RAGRS commitment to student success, combined with innovative teaching methodology and expert faculty, has made it the preferred choice for Filipino nurses pursuing USA licensure.

Join thousands of successful RAGRS graduates who have achieved their RN license and are now practicing nursing in the United States and around the world.