Skip to content
Field Notes
Field NotesApr 2026

Study Groups: Practice NCLEX Questions Together in Real Time

Lily Study Groups is Kahoot for NCLEX prep. Create a room, share a code, and quiz up to 30 classmates in real time with a live podium.

April 2, 20266 min readBy Harrison Hesslink
A stack of nursing study guides with bookmarks and a page of notesNURSING NOTESTHE STUDY GUIDEONE TOPIC AT A TIMEKEEP LEARNING

Group Quiz: Practice NCLEX® Questions Together in Real Time

Three weeks of the same question bank. Alone, in your room, at midnight.

Most nursing students study for NCLEX® solo, grinding through hundreds of questions with nobody to talk through the hard ones. The research says that's not the best way to learn. Students scored an average of 84.1% on group-format nursing exams versus 75.5% when testing individually (Sandahl, 2010). That's 8.6 points from having other people in the room.

Group Quiz brings that to Study With Lily. Think Kahoot, but built for NCLEX®. Create a room, share a code, and quiz your classmates in real time. Everyone sees the same question, answers independently, and competes on a live podium. One link and you're in.

Short version: Group Quiz is a real-time multiplayer NCLEX® quiz mode in Study With Lily. Any student can create a room, pick the topic and difficulty, and share a room code. Up to 60 students join, answer the same questions together, and compete on a live podium. Creating and joining are both free.

How Do You Start a Group Quiz?

Three steps.

How Group Quiz Works1Create a RoomPick topic, difficulty,and question count2Share the CodeSend your 6-characterroom code to friends3Quiz TogetherAnswer synced questionsand compete live

Step 1: Create a room. Go to studywithlily.com/study/cohort and hit "Create Room." You'll pick a topic focus (Cardiovascular, Respiratory, Pharmacology, or any NCLEX®-aligned body system), set the difficulty from 1 to 5, and choose how many questions you want: anywhere from 5 to 15.

Step 2: Share the code. Lily creates a unique room code that looks like LILY-XXXXXX. Text it to your study group, drop it in your class GroupMe, or share the invite link.

Step 3: Quiz together. Once everyone joins, the session starts. Every participant sees the same question at the same time, answers independently, and sees results together.

If you've played Kahoot in a lecture hall, you know the feel, except every question is an NCLEX®-style clinical scenario with a full rationale after. It runs in your browser on any device, no download.

What Happens During a Session?

Everyone in the room gets the same NCLEX®-style question at once. Read the stem, pick your answer, lock it in. You can't see anyone else's answer until the reveal.

After each question, you get:

  • The correct answer with a full rationale explaining why it's right and why each distractor is wrong
  • Who got it right and how fast they answered
  • Your running score updated in real time on the podium

Then the next question drops. The whole room moves together, so it feels like the same room even if you're in different apartments.

Questions come from Study With Lily's NCLEX® question bank and align with the 2026 NCLEX-RN® Test Plan. If you picked a topic focus when creating the room, every question targets that system. If you left it open, you'll get a mix across Client Needs categories.

The Podium: Friendly Competition That Helps

Group Quiz tracks three things per participant: correct answers, response speed, and current streak.

How Scoring WorksThree factors determine your podium rankAccuracyPoints per correct answerThe foundation+SpeedFaster answers rank higherThe tiebreaker+StreaksConsecutive correct answersThe bonus multiplierLive PodiumUpdated after every question

The podium updates after every question, so you always know where you stand. Get three in a row and your streak climbs, and so does your score.

It isn't only bragging rights. A 2025 study in BMC Nursing found that 90% of nursing students considered collaborative testing more effective than traditional solo methods, and 96% reported that it improved communication and peer discussion of clinical concepts (El-Monshed et al., 2025).

When a classmate gets right a question you missed, you read the rationale differently. You want to know what they knew that you didn't.

Who Can Create and Join a Group Quiz?

Creating a room is free. You're the host. You pick the settings and start things off.

Joining a room is free too. Classmates just need the room code, and they can join as guests without an account. A free account lets them track their own progress.

Rooms with at least one classmate are unlimited on every plan. On the free plan you also get one solo room a day. Full Access has unlimited solo rooms.

So one person can run a session for a whole friend group. Do one at lunch, the night before a pharmacology final, or as a quick 5-question warm-up before clinicals.

Create a RoomJoin a Room
CostFreeFree
Max participantsYou + 59 othersn/a
Room expiry15 min if the quiz hasn't startedn/a
Topic selectionYes (by body system)Host decides
Difficulty1-5 (host picks)Host decides
Questions5-15 per sessionHost decides

Why Does Studying Together Work?

Beyond being more fun, there's nursing-specific evidence.

Nursing students who took exams collaboratively scored an average of 84.1% compared to 75.5% for students testing individually, an 8.6-point improvement from the same course material (Sandahl, 2010). The study used a quasi-experimental design with senior baccalaureate nursing students in Medical-Surgical Nursing II.

The collaborative group also reported reduced test anxiety and stronger group process skills. When you talk a question through with someone, you have to say why you chose an answer, which is a different task than just selecting it.

That lines up with the NCLEX®. Clinical judgment questions ask you to reason through a scenario, not recall a fact. Explaining your reasoning to a study partner is practice for that.

If you're already using spaced repetition for solo review, Group Quiz adds the social layer solo practice can't. Pair them: spaced repetition for daily retention, Group Quiz for weekly deeper practice with classmates.

Start a Group Quiz Today

Go to studywithlily.com/study/cohort, create a room, and text the code to your classmates.

Five questions takes about ten minutes. Try it at lunch, in the library before lecture, or the night before an exam when everyone's on their phones anyway.


Frequently Asked Questions

Is it free to join a Group Quiz?

Yes. Creating and joining are both free. Classmates can join as guests with just the room code. Rooms with at least one classmate are unlimited on every plan. The free plan includes one solo room a day.

How many people can join a session?

Up to 60 participants per room, enough for a study group, a clinical cohort, or a small class section. The room accepts joins until the cap is reached or the session expires.

What happens if someone disconnects?

Their status updates to disconnected on the participant list, but their score and progress are saved. If they reconnect before the room expires, they pick up where they left off. A room waiting in the lobby expires after 15 minutes, so start your quiz soon after you create it.

Can I pick specific NCLEX® topics?

Yes. When creating a room, you can select from the full list of NCLEX®-aligned body systems: Cardiovascular, Respiratory, Neurological, Gastrointestinal, and more. Leave it blank for a mixed session across all Client Needs categories from the 2026 test plan.

Do I need to download anything?

No. Group Quiz runs in your browser at studywithlily.com/study/cohort. It works on your phone, tablet, or laptop. No app required.


About the Author: Harrison is the founder of Study With Lily, an NCLEX® prep platform built for the 2026 test plan. He built Study With Lily after watching his wife and her classmates struggle with the gap between coursework and boards prep.