Exam Guide
Naxlex Nursing (2026): Login, NCLEX, ATI & TEAS Prep, and What to Use Now
If you searched for Naxlex, you probably want what you used it for: NCLEX practice questions with good rationales, ATI subject review, TEAS and HESI prep, and a way to study before a proctored exam. Naxlex is offline under a federal court order. This guide explains what Naxlex nursing was, what happened to the login, whether it was legit, and where to get the same kind of preparation now, built from original questions.
Last updated October 7, 2026 · About a 20-minute read · Includes 16 free practice questions
Please note: ATI Proctored Exams Prep is not Naxlex and is not connected to Naxlex, ATI, Elsevier or NCSBN. We don't have, resell or reproduce Naxlex's content or any secure exam content. Every question here is original.
- What is Naxlex?
- What students used Naxlex for
- Naxlex login, app and password
- Is there a new Naxlex website?
- Is Naxlex legit?
- Is Naxlex cheating?
- Is Naxlex good for NCLEX?
- How much is Naxlex? Free trial?
- The replacement map
- 16 free practice questions
- Original prep vs. "actual" questions
- Study plans
- Naxlex FAQ
What is Naxlex?
Naxlex was an online test-prep website for nursing students. Most people knew it as Naxlex Nursing. It was marketed around question banks for the NCLEX-RN and NCLEX-PN, and students also searched it for ATI content mastery exams (Fundamentals, Med-Surg, Pharmacology, the Comprehensive Predictor), HESI and HESI Exit, and the ATI TEAS entrance exam.
Search data shows how big it was. "Naxlex" alone gets more than 20,000 US searches a month, and variations like "naxlex nursing", "naxlex login", "naxlex nclex", "naxlex teas" and "naxlex hesi" add thousands more. Most of those searches now come from students looking for a working login or a replacement.
In August 2026, Elsevier and ATI sued the companies behind the site in federal court in New York. On August 21 the court issued a temporary restraining order that took Naxlex.com offline. On September 22, the plaintiffs announced that the order had been extended as a preliminary injunction for the rest of the case. The claims haven't been proven at trial. For the full timeline, read what happened to Naxlex.
Need help? Lost your Naxlex study plan right before an exam?
Tell us which exam you're taking and when. We'll point you to the right practice set on WhatsApp.
What students actually used Naxlex for
Most students weren't looking to cheat. They wanted ordinary, legitimate study help. When you strip away the disputed parts, the useful features of a prep site like Naxlex are these:
Lots of exam-style questions, so students could practice until the format felt familiar.
An explanation of why the right answer is right and why each wrong answer is wrong. This is where most of the learning happens.
Separate sets for NCLEX-RN, NCLEX-PN, ATI subjects, TEAS and HESI, so students could focus on what was coming up.
Select-all-that-apply, case studies and prioritization items like the Next Generation NCLEX.
Practice under time pressure that feels like a proctored exam.
Something students could start the night before, on a phone.
None of this requires copied exam content. Every item on that list can be built from original questions written to the same published topics. That's what you'll find on this site, and it's what this guide gives you a sample of.
What got Naxlex in trouble: Not practice questions in general. The lawsuit alleges that Naxlex copied secure ATI and Elsevier exam content and offered proxy test-taking, meaning someone else takes the exam for you. Those are the parts we don't offer, and you should avoid them anywhere.
Naxlex login, sign in, app and password
"Naxlex login" is one of the most-searched Naxlex terms. People also search "naxlex sign in", "naxlex nclex login", "naxlex teas login" and "naxlex login password". The short answer is that no working login is available while the court order is in place. The account pages, the app and the question banks all depended on the same site.
Protect your account now
- 1Don't enter your old password on lookalike sites. Pages that copy the Naxlex name or logo are a common way to steal passwords.
- 2Change reused passwords. If you used your Naxlex password anywhere else, especially email, change it there first.
- 3Check your card statements. If you had a subscription, watch for charges and contact your bank about anything you don't recognize.
- 4Ignore "Naxlex support" calls and messages. We can't verify any working Naxlex customer service number. Don't give card details to anyone who contacts you about Naxlex.
- 5Delete unofficial app copies. Don't install a "Naxlex app download" from a link or a third-party APK site.
Need help? Your exam is coming up and your Naxlex login is gone?
Message us on WhatsApp with your exam and date. We'll help you pick a free quiz or practice exam to start today.
Is there a new Naxlex website?
Searches like "naxlex new" and "naxlex new website" have jumped since the shutdown. We know of no official new Naxlex website. Be careful with any site that:
- uses the Naxlex name or says it's the "new" or "backup" Naxlex,
- promises Naxlex's old question banks or "Naxlex files" as PDFs,
- offers "actual" ATI, HESI or NCLEX questions, or
- offers to take your exam for you.
Any of these could be phishing, or could be selling the same disputed content that the court order targets. Using it puts your program standing at risk.
Is Naxlex legit?
That depends on what you mean by "legit." Naxlex was a real business, students paid for it, and many of them found the practice useful. But legitimacy is exactly what the lawsuit disputes. ATI and Elsevier allege that the site copied their secure exam content and ran a proxy test-taking service. A judge found enough to keep the site offline for the duration of the case. A preliminary injunction is not a final judgment, and the allegations haven't been proven at trial.
The practical answer is that you can't use it now, and you shouldn't buy anything sold under its name. If you want the same benefits (lots of practice, real rationales, organized by exam), use a source that writes its own questions.
Is Naxlex cheating?
Practice questions are not cheating. Nursing programs expect you to use them. The line is crossed when you use copied secure exam items, or when someone takes an exam for you. Those are the two things the lawsuit alleges against Naxlex. If you used Naxlex only for ordinary practice, that alone doesn't make you a cheater. Going forward, though, avoid any source that advertises "actual" or "leaked" exam questions. To learn how programs spot problems, see can ATI detect cheating?
Is Naxlex good for NCLEX?
"Naxlex NCLEX", "naxlex nclex rn" and "naxlex nclex pn" are some of the biggest searches in this group. Since Naxlex is offline, the question now is what to use instead. For the NCLEX:
The NCLEX is run by NCSBN. Its official site, nclex.com, explains the test plan and Next Generation NCLEX item types.
Pick a question bank with full rationales and NGN case studies. We compare options in our Naxlex alternatives guide.
NCLEX questions draw on everything from nursing school. Our ATI subject guides and free quizzes help you close gaps in Fundamentals, Med-Surg, Pharmacology and more.
Prioritization, delegation and "what should the nurse do first" items reward clinical reasoning. Memorized answers won't help.
Good to know: No prep company has real NCLEX questions, and none should claim to. A resource that says it does is a red flag.
How much is Naxlex? Was there a free trial?
People search "how much is naxlex", "naxlex subscription" and especially "naxlex 14-day free trial". We can't reliably confirm what Naxlex charged or what its trial terms were, and with the site offline there's nothing to sign up for. Don't pay anyone for "Naxlex access."
If cost is what you liked about Naxlex, here's how it works on this site:
- Free: practice quizzes, study guides, free sample test banks for Fundamentals and Med-Surg, and the 16 questions below.
- One-time purchase, no subscription: full timed practice exams and study guides, listed on our products page.
Need help? Not sure which practice exam matches your course?
Chat with us on WhatsApp. Tell us your program (RN or PN) and exam, and we'll tell you exactly what to use.
The Naxlex replacement map: what you used it for, and what to use now
Find the exam you were studying for with Naxlex, and go straight to the original version on this site.
| If you used Naxlex for… | What we offer instead (all original) | Go to |
|---|---|---|
| NCLEX-RN / NCLEX-PN review | Free quizzes with rationales covering prioritization, delegation, pharmacology and safety — the same client-needs areas the NCLEX tests | Free quizzes · NCLEX qbank options |
| ATI Fundamentals | Original RN and PN question banks with rationales, organized by topic | RN Fundamentals · PN Fundamentals · Free test bank |
| ATI Medical-Surgical | System-by-system practice questions, free sample items, full practice exams | RN Med-Surg · Free Med-Surg test bank |
| ATI Pharmacology | Drug-class review and practice questions with rationales | RN Pharmacology · Dosage calculation |
| ATI Maternal, Pediatrics, Mental Health | Subject guides and timed practice exams | Maternal Newborn · Pediatrics · Mental Health |
| ATI Leadership | Delegation, prioritization, legal and ethics practice | Leadership study guide + 30 questions |
| ATI Comprehensive Predictor | Whole-curriculum review and a predictor study guide | Comprehensive Predictor guide |
| ATI TEAS | Reading, math, science and English study guides | Reading · Math · Science · English |
| HESI and HESI Exit | HESI prep lives on our sister site | ExamiraHub |
Want a ready-made shortlist? The Comprehensive Predictor study guide and the Full Virtual Support Suite are good starting points if you are switching from Naxlex late in the semester.
16 free Naxlex-style practice questions (original, with rationales)
These questions cover the same areas students used Naxlex for: NCLEX-style prioritization and delegation, pharmacology, med-surg, maternal, pediatrics, mental health, leadership, dosage calculation and TEAS. We wrote all of them ourselves. Answer each one before you open the rationale.
NCLEX and ATI clinical questions
A nurse receives report on four clients. Which client should the nurse assess first?
- A. A client who had a thyroidectomy 6 hours ago and now has a hoarse voice and high-pitched noisy breathing
- B. A client who has pneumonia and an oral temperature of 38.3°C (100.9°F)
- C. A client who had a knee replacement yesterday and rates pain 6 on a 0 to 10 scale
- D. A client who has type 2 diabetes and a blood glucose of 210 mg/dL before breakfast
Show answer & rationale
Answer: A. High-pitched noisy breathing (stridor) after thyroid surgery can mean laryngeal edema, nerve injury or a hematoma pressing on the airway. Airway problems come first. The fever, pain and high glucose all need attention, but none is an immediate threat to the airway.
A charge nurse is making assignments. Which task is appropriate to delegate to assistive personnel (AP)?
- A. Teaching a client how to use an incentive spirometer for the first time
- B. Measuring vital signs on a client who is stable and being discharged today
- C. Assessing the skin of a client admitted with a pressure injury
- D. Evaluating a client's response to an IV pain medication
Show answer & rationale
Answer: B. Routine, predictable tasks on stable clients, such as vital signs, can go to AP. Initial teaching, assessment and evaluation all need nursing judgment and stay with the nurse.
A client who takes warfarin has an INR of 4.8 and reports bleeding gums. What should the nurse do first?
- A. Give the next scheduled dose and recheck the INR tomorrow
- B. Hold the warfarin and notify the provider
- C. Apply ice to the gums and document the finding
- D. Teach the client to use a soft toothbrush
Show answer & rationale
Answer: B. An INR this high with active bleeding puts the client at risk of serious hemorrhage. Hold the dose and notify the provider, who may order vitamin K (the reversal agent for warfarin). A soft toothbrush is good teaching, but it isn't the first action.
A client receiving IV furosemide has a potassium level of 3.1 mEq/L. Which finding should the nurse watch for?
- A. Peaked T waves
- B. Muscle weakness and an irregular heart rhythm
- C. Hyperactive deep tendon reflexes
- D. Facial twitching when the cheek is tapped
Show answer & rationale
Answer: B. Loop diuretics waste potassium. Low potassium causes muscle weakness, leg cramps and dysrhythmias (flattened T waves, U waves). Peaked T waves point to high potassium. Facial twitching (Chvostek's sign) points to low calcium.
A client with type 1 diabetes is sweaty and shaky an hour after taking insulin. Which findings are consistent with hypoglycemia? Select all that apply.
- A. Tachycardia
- B. Confusion or irritability
- C. Fruity-smelling breath
- D. Diaphoresis
- E. Excessive urination
Show answer & rationale
Answer: A, B, D. Low blood glucose triggers a stress response (fast heart rate, sweating, shakiness) and starves the brain (confusion, irritability). Fruity breath and excessive urination are signs of hyperglycemia and diabetic ketoacidosis.
Which arterial blood gas pattern does the nurse expect in a client with diabetic ketoacidosis?
- A. pH 7.48, PaCO2 32, HCO3 24
- B. pH 7.25, PaCO2 30, HCO3 14
- C. pH 7.30, PaCO2 55, HCO3 26
- D. pH 7.50, PaCO2 40, HCO3 32
Show answer & rationale
Answer: B. DKA causes metabolic acidosis: low pH and low bicarbonate from ketoacids. The low PaCO2 shows the lungs compensating with deep, rapid (Kussmaul) breathing.
Thirty minutes after delivery, a client's fundus is soft and boggy and above the umbilicus. What is the nurse's first action?
- A. Massage the fundus
- B. Insert a urinary catheter
- C. Increase the IV fluid rate
- D. Notify the provider
Show answer & rationale
Answer: A. A boggy uterus is the leading cause of postpartum hemorrhage. Fundal massage helps the uterus contract and is the first action. If it stays boggy, the nurse checks the bladder and escalates to the provider.
A 4-year-old has a high fever, is drooling, and sits leaning forward. Epiglottitis is suspected. Which action should the nurse avoid?
- A. Keeping the child on a parent's lap
- B. Having emergency airway equipment at the bedside
- C. Inspecting the throat with a tongue depressor
- D. Allowing the child to stay in an upright position
Show answer & rationale
Answer: C. Putting anything in the throat of a child with suspected epiglottitis can trigger spasm and complete airway obstruction. Keep the child calm and upright, and keep airway equipment ready.
Need help? Got one of these wrong and not sure why?
Send us the question number on WhatsApp and we'll walk you through the reasoning.
Mental health, leadership, safety, dosage and TEAS
A client who takes lithium has vomiting, diarrhea, coarse hand tremors and slurred speech. What should the nurse do?
- A. Give the next dose with food to reduce nausea
- B. Encourage the client to limit salt and fluids
- C. Hold the lithium and notify the provider
- D. Reassure the client that these are expected side effects
Show answer & rationale
Answer: C. These are signs of lithium toxicity. Hold the dose and get a serum lithium level through the provider. Low salt and low fluid intake actually raise lithium levels, so steady sodium and fluid intake is part of teaching.
A client has Clostridioides difficile diarrhea. Which action is correct?
- A. Use an alcohol-based hand rub when leaving the room
- B. Wash hands with soap and water, and use contact precautions
- C. Place the client on airborne precautions
- D. Wear a mask only when emptying the bedpan
Show answer & rationale
Answer: B. C. difficile forms spores that alcohol rubs don't reliably kill, so wash with soap and water. It spreads by contact, so gown and gloves are required.
A client who is alert and oriented says they want to leave the hospital against medical advice. What should the nurse do first?
- A. Restrain the client until the provider arrives
- B. Notify the provider and explain the risks of leaving to the client
- C. Hide the client's clothing
- D. Tell the client insurance won't pay if they leave
Show answer & rationale
Answer: B. A competent adult has the right to refuse care. The nurse notifies the provider, explains the risks, and asks the client to sign an against-medical-advice form. Restraining the client or hiding their belongings could be false imprisonment.
Fifteen minutes into a blood transfusion, a client reports chills and low back pain. What is the nurse's first action?
- A. Slow the transfusion rate
- B. Stop the transfusion
- C. Give acetaminophen
- D. Recheck the blood bag label
Show answer & rationale
Answer: B. Chills and back pain can signal a hemolytic transfusion reaction. Stop the transfusion first, keep the IV line open with normal saline using new tubing, then notify the provider and blood bank.
An LPN is helping a client with dysphagia eat lunch. Which action is safest?
- A. Have the client lie flat right after the meal to rest
- B. Sit the client upright and offer small bites
- C. Use a straw so the client can drink quickly
- D. Mix all the pills into one large spoonful of food
Show answer & rationale
Answer: B. Sitting upright with small bites lowers the risk of aspiration. Straws and big boluses raise it. Stay upright for a while after the meal, and follow the ordered diet texture.
The provider orders amoxicillin 500 mg by mouth. The pharmacy supplies amoxicillin suspension 250 mg/5 mL. How many mL should the nurse give?
- A. 2.5 mL
- B. 5 mL
- C. 10 mL
- D. 20 mL
Show answer & rationale
Answer: C. Desired ÷ have × volume = 500 mg ÷ 250 mg × 5 mL = 10 mL.
Solve for x: 3x + 7 = 25
- A. 4
- B. 5
- C. 6
- D. 8
Show answer & rationale
Answer: C. Subtract 7 from both sides: 3x = 18. Divide by 3: x = 6.
Which organelle produces most of a cell's ATP?
- A. Ribosome
- B. Golgi apparatus
- C. Mitochondrion
- D. Nucleus
Show answer & rationale
Answer: C. Mitochondria make most of the cell's ATP through cellular respiration. Ribosomes build proteins, the Golgi packages them, and the nucleus stores DNA.
Want more? You can find many more original questions in our free quizzes and subject pages such as RN Fundamentals and RN Med-Surg.
Original prep vs. "actual exam questions"
Many sites that rank for Naxlex terms push "real" or "leaked" questions. Here's how the options compare:
| "Actual" / leaked questions | Free flashcard sets | Original prep (this site) | Official practice | |
|---|---|---|---|---|
| Where it comes from | Copied or "recalled" secure exam items | User-made flashcards, quality varies | Written independently to published exam topics | The exam owner (ATI, NCSBN) |
| Rationales | Rare or missing | Usually missing | Full rationale for every question | Yes |
| Accuracy | Unknown | Often wrong or outdated | Explained, so you can check the reasoning | High |
| Risk to you | Academic-integrity and legal risk; may be taken down | Low risk, low value | None. It's ordinary studying | None |
| Lasts after a lawsuit? | No — this is what got Naxlex shut down | Yes | Yes | Yes |
Study plans to replace Naxlex
If your exam is in a week
- 1Day 1: take a baseline. Do one timed free quiz for your exam. Note every topic you got wrong.
- 2Days 2–4: work on weak topics. Read the study guide section for each weak topic, then do 20–30 questions on it. Read every rationale, including the ones you got right.
- 3Day 5: full timed practice. Take a full-length practice exam under proctored conditions: no notes, no phone, one sitting.
- 4Day 6: review your mistakes. Go back over the questions you missed. Write down why you missed each one: content, misreading the question, or changing your answer.
- 5Day 7: light review and rest. Skim high-yield facts (lab values, priority frameworks, safety). Sleep well.
If you have four weeks
Fundamentals, safety and infection control, and priority frameworks (ABCs, Maslow, acute vs. chronic).
Drug classes, high-alert medications, labs, and a body system every day.
Maternal newborn, pediatrics, mental health and leadership, with mixed question sets every day.
Two full timed practice exams, a full review of what you missed, and a final skim of high-yield facts.
For more on studying, see how to study for ATI proctored exams and what a proctored test is.
Need help? Want a study plan built around your exam date?
Chat with us on WhatsApp and we'll put together a day-by-day plan for you.
Naxlex FAQ
What is Naxlex?
Naxlex was an online nursing test-prep website. Students used it for NCLEX-RN and NCLEX-PN review, ATI and HESI exam prep, and ATI TEAS practice. In August 2026, ATI and Elsevier sued the companies behind it, and a federal court order took the site offline. That order was extended as a preliminary injunction in September 2026.
What is Naxlex Nursing?
"Naxlex Nursing" is how most students referred to the Naxlex site and its nursing question banks: NCLEX, ATI, HESI and TEAS practice questions with rationales. ATI Proctored Exams Prep is a separate, independent site and is not Naxlex.
Is Naxlex legit?
Naxlex was a real business that students paid for, but its legitimacy is exactly what the lawsuit disputes. ATI and Elsevier allege that it copied their secure exam content and offered proxy test-taking. Those claims have not been proven at trial, but a court found enough to order the site shut down while the case continues.
Is Naxlex cheating?
Studying with practice questions is not cheating. Using copied secure exam items, or paying someone to take an exam for you, is an academic-integrity violation. The lawsuit alleges that Naxlex offered both. Those are allegations, not final findings, but if a resource promises "actual" exam questions, treat that as a warning sign.
Is Naxlex good for NCLEX?
Naxlex is not available, so it's no longer an option for NCLEX prep. For the NCLEX, start with NCSBN's own resources at nclex.com, then add a reputable question bank with full rationales. No prep company has real NCLEX items, and none should claim to.
How much is Naxlex? Did it have a free trial?
We can't reliably confirm Naxlex's pricing or trial terms. Many searches mention a 14-day free trial, but with the site under a court order, there is nothing to sign up for. Don't pay anyone who claims to sell "Naxlex access" or "Naxlex files."
Can I still log in to Naxlex?
No working login is available while the court order is in place. Don't enter your old password on lookalike sites. If you used the same password anywhere else, change it there.
What happened to the Naxlex app?
The app relied on the same accounts and content as the website, so it is affected by the same court order. Delete any copies offered outside the official app stores; they could be unsafe.
Is there a new Naxlex website?
We know of no official new Naxlex website. Sites using the Naxlex name or promising its old question banks are not verified. Some could be phishing pages or could be selling the same disputed content.
Is there a Naxlex customer service number?
We can't verify any working Naxlex customer service contact. If you have an active subscription charge, contact your bank or card issuer about it. Never give card details to someone who calls or messages claiming to be Naxlex support.
Did Naxlex have a test bank for ATI, TEAS or HESI?
Students searched for Naxlex test banks for ATI subjects, the ATI Comprehensive Predictor, TEAS and HESI Exit. The lawsuit alleges that some of that content was copied from secure ATI and Elsevier exams. That's why we recommend original practice questions written to the same topics.
What is the best Naxlex alternative?
The best replacement gives you original practice questions with full rationales, organized by exam and topic, that you can take under timed conditions. On this site, that means our free quizzes, subject study guides and timed practice exams. Our Naxlex alternatives guide compares other options too.
Does this site have Naxlex's materials?
No. We are not Naxlex and we don't have, resell or reproduce its content, or anyone else's secure exam content. Every question on this site is written independently to the published topics students are tested on.
Who is behind the Naxlex lawsuit?
Elsevier Inc. and Assessment Technologies Institute (ATI) filed suit in the U.S. District Court for the Southern District of New York. It names Naxlex Prep LLC, Naxlex Global LLC, an individual and unnamed defendants. See our full explainer, What happened to Naxlex.
Switching from Naxlex? Start here.
Take a free quiz, read the rationales, then move on to a full timed practice exam. Every question is original.
This site operates independently and is not affiliated with, endorsed by, or sponsored by Assessment Technologies Institute, LLC (ATI). It is also not affiliated with Naxlex, Elsevier or NCSBN. ATI, TEAS, HESI, NCLEX and Naxlex are trademarks of their respective owners, mentioned here only to describe search topics. Discussion of the Naxlex case reflects allegations and preliminary court orders, not final findings. All practice questions on this site are original and are not actual exam items.