Stop guessing between four correct answers
Most students do not fail the NCLEX because they do not know the content. They fail because every answer choice looks defensible and nothing tells them which one belongs to this exact moment in the patient's care. The Dr. R Method gives you a repeatable way to read any stem, lock it into the right phase, and eliminate choices with a reason you can say out loud.
You know this material. So why do the questions still feel impossible?
You read the stem, narrow it to two, and pick the one that sounds right. Sometimes it is. Sometimes it is the exact answer the item writer built the question to bait you toward.
Then someone tells you to grind 150 questions a day and get them all right on the first try. So you do more questions, miss the same kinds of items, and start to wonder whether you are the problem.
You are not. You are missing a method for reading the question itself, which is a separate skill from knowing the content. Nobody taught you that skill, because most prep teaches content and hopes the reading takes care of itself.
A method built by someone who writes these questions
Dr. Michael J. Rietscha has written NGN style items himself. That changes what he can teach you, because he knows the rules the writer is playing by and where the traps get planted.
Read the stem properly
Read every stem in three passes: overview, then sentence by sentence for keywords including setting and age, then classify what kind of question it actually is.
Lock the phase
Lock the stem into one phase of the nursing process, or one physiologic priority category, before you look at a single answer choice.
Eliminate with a reason
Sort each answer choice by the phase it belongs to on its own, cut what does not match, then break any tie with a named secondary filter.
What you get inside
- The full Dr. R Method textbook portal, chapter by chapter
- The complete ADPIE nursing process, one worked example per phase
- The full ABCDE priority framework: airway, breathing, circulation, disability, exposure
- The item writer's three rules, so you stop answering for a real floor instead of the exam
- Active study worksheets where you commit to an answer before checking your work
- A model answer for every blank, so you can see exactly where your reasoning diverged
From students who did this with Dr. R
Sam M.
NCLEX candidate
★★★★★
Michael went above and beyond to help me understand difficult nursing concepts. Not only was he patient and knowledgeable, but he also gave me the personal attention I needed to succeed. He helped me pass my NCLEX exam with flying colors, and he was also one of the few people who believed in me when I did not believe in myself. I consider him more than just a tutor, but also a mentor.
Sherin M.
NCLEX candidate
★★★★★
He taught in an unconventional way, which is exactly what I needed in order to pass my NCLEX. He first tries to get to know you, to help you find and maintain the motivation to succeed, and to tailor the tutoring to a style that would best benefit the student. Dr. Rietscha believed in efficiency, so he gets you to your goal without overworking you. I highly recommend Dr. Michael Rietscha for your NCLEX nursing tutoring.
Who is teaching you
Dr. Michael J. Rietscha, DNP, MSN, RN, is a Doctor of Nursing Practice, nurse educator and NCLEX coach, and the founder of Coach Nurse Academy in Greensburg, Pennsylvania. He is an active ACEN accreditation site surveyor and a Health Care Nurse Surveyor for the Commonwealth of Pennsylvania.
He has been an EMT since 2004 and a nurse since 2011, and he brings that emergency background directly into how he teaches clinical prioritization. He has also written NGN style exam items, which is where the item writer rules in this course come from.
One price, everything included
Full access to the course and the textbook portal for $195 a month. No contract, and you can cancel whenever you want.
- Every chapter of the Dr. R Method textbook portal
- Every worked example and active study worksheet
- New chapters added as they are released
- Cancel any time from your account
Try it for a full month
Work through Chapter 1 and the first worked examples. If the method does not change how you read a question, cancel before your next billing date and you will not be charged again. You keep what you learned either way.
Anyone preparing for the NCLEX, including repeat test takers. It is especially useful if you know the content but keep missing questions where two answers both look right.
No. This teaches you how to read and decode any question, which is a separate skill from memorizing content. Use it alongside whatever content review you are already doing.
No. That is one of the first things this course argues against. Volume and perfectionism burn you out. The goal is process fluency, and accuracy follows from it.
Any time, from your account. You keep access through the end of the period you have paid for.
Yes. Higher tiers add group coaching and one on one time with Dr. R directly. Reach out if you want to know which fits your situation.
Read your next question differently
You have already done the hard part, which is learning the content. This gives you the method to use it under exam conditions.
Coach Nurse Academy, Dr. Rietscha Legal Nurse Consultant, LLC. Greensburg, Pennsylvania.