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Find out where you stand before exam day. Every question comes with an instant rationale so you learn as you go, and difficulty adjusts in real time based on your answers. SBA, SATA, BowTie, and Case Studies included.
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A nurse is caring for a child with Down syndrome who has a known congenital heart defect. The parent asks why children with Down syndrome are so prone to getting respiratory infections. Which explanation by the nurse is most accurate?
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Start practicing any body system or let the adaptive engine focus on your weakest areas. Every session mixes question formats automatically.
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Each rationale explains why the correct answer works and why each wrong answer does not. Difficulty adjusts in real time based on your performance.
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See your mastery by body system. Lily highlights weak subtopics and drills them harder until you are confident across the board.
Every Next Gen
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Practice sessions rotate between all NCLEX® question types based on your difficulty level.
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1,200+ questions across 15 body systems. Pick a topic to focus on or let Lily choose based on your weakest areas.
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How many questions are in the practice test?
StudyWithLily has 1,200+ original NCLEX®-style questions across 15 body systems. You can practice as many as you want during your session. The adaptive engine picks questions at the right difficulty for you.
Does this include Next Gen NCLEX® question types?
Yes. Every session includes SBA (single best answer), SATA (select all that apply), BowTie, and Unfolding Case Studies. Lily rotates formats based on your difficulty level and the topic you are studying.
How is this different from UWorld or Kaplan?
StudyWithLily costs $9.99/month (UWorld is ~$59/month, Kaplan is ~$249+). Questions are adaptive and include every 2026 Next Gen format. You also get coursework practice from your own uploaded notes.
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Study With Lily is an independent study tool. NCLEX® is a registered trademark of the National Council of State Boards of Nursing (NCSBN®). Study With Lily is not affiliated with or endorsed by NCSBN. Questions are original practice items built with smart technology and validated for clinical accuracy. They are not derived from actual NCLEX® exam content.