Pharm Rounds

What it is

Pharm Rounds is a med pass game. Walk the hall, open a patient's room, read the scenario, and answer the NCLEX-style question to finish that patient's med pass.

There are 15 med carts, one for each chapter of the NCLEX pharm outline, from medication administration and IV therapy to psychotherapeutic drugs, plus Mixed Rounds. Each round is 10 patients with 3 lives. Score 75% (8 of 10) to pass and earn a star.

Every answer shows the rationale and why the wrong choice was wrong, and the round ends with a full review.

What you'll learn

• Drug classes, key nursing actions, and what to report, system by system
• When to give and when to hold, using vitals and labs
• Client teaching that shows understanding
• Dosage calculations with safe rounding
• Priority and safety with high-alert meds

How it helps you

NCLEX tests clinical judgment, using NCSBN's Clinical Judgment Measurement Model. Every NURSYN game is built on the nursing process. Pharm Rounds works these ADPIE steps: Assessment, Implementation.

• Covers Assessment and Implementation: read the cues, then act
• Mixed item types match the NCLEX: select all that apply, priority, ordering, and calc
• Rationales after every question turn mistakes into learning
• Short 10-patient rounds fit between classes

How to play

1. Pick a med cart (Cart 1 is free) or Mixed Rounds
2. Open each room and read the patient scenario
3. Answer the question: tap an option, select all that apply, or use the calc keypad
4. Read the rationale, then move to the next patient
5. Get 8 of 10 to pass the cart

Clinical topics covered

Sources

The clinical content and the teaching approach behind this game line up with these references.

1. 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing (NCSBN). Pharmacological and Parenteral Therapies is one of the Client Needs categories on the NCLEX-RN.
2. Test-enhanced learning: Taking memory tests improves long-term retention (Roediger and Karpicke, 2006). Psychological Science, 17(3), 249-255Psychological Science. Practice testing beat restudying for retention 2 days and 1 week later.
3. Game-thinking: utilizing serious games and gamification in nursing education, a systematic review and meta-analysis (Nylén-Eriksen et al., 2025). BMC Medical EducationBMC Medical Education. Serious games and gamification work in nursing education, with the strongest benefit for knowledge.
4. High-Alert Medications in Acute Care SettingsInstitute for Safe Medication Practices (ISMP). The high-alert drugs the game flags for extra checks, like insulin, heparin, opioids, and potassium.