# RNotes® vs Manual Lab and Diagnostic Test

The clearest difference is ads: RNotes® at none against Manual Lab and Diagnostic Test's shown. RNotes® also leads on rating (4.5 vs 4.3) and ratings volume (41 vs 8). Manual Lab and Diagnostic Test's advantage is iOS requirement (13.0 vs 15.0). On price, update cadence, in-app purchases and monetization model there is nothing between them.

Both are free to download. RNotes® sells 3 one-off in-app purchases and Manual Lab and Diagnostic Test sells 3 in-app purchases, starting at $35.99 per 6 months. Whichever you choose, the download price is not the number that matters.

RNotes® holds the better App Store score, 4.5 against 4.3. That said, the two scores are not equally well evidenced: RNotes® has 41 ratings behind it against 8, so its average is the more settled of the two.

RNotes® ships an update every 7 months, Manual Lab and Diagnostic Test every 5 months. The most recent releases landed on November 9, 2026 and November 2, 2026 respectively.

## The numbers

| Metric | RNotes® | Manual Lab and Diagnostic Test |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.5 (41 ratings)](https://appshunter.io/ios/app/rnotes/id940109641/reviews)** | [4.3 (8 ratings)](https://appshunter.io/ios/app/manual-lab-and-diagnostic-test/id1140859970/reviews) |
| Number of ratings | **41** | 8 |
| Positive reviews | 0.0% of reviews | — |
| In-app purchases | Yes | Yes |
| Ads | **No** | Yes |
| Update frequency | Every 7 months | **Every 5 months** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 14 MB | 46 MB |
| Requires iOS | 15.0 | **13.0** |
| Devices | iPhone, iPad, iPod | **iPhone, iPad, iPod, Mac** |
| Age rating | 17+ | 17+ |
| Developer | [Unbound Medicine, Inc.](https://appshunter.io/developer/300420400) | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) |

## What reviewers say

### RNotes®

[App page](https://appshunter.io/ios/app/rnotes/id940109641)

This clinical reference app provides nurses and students with quick access to essential medical information, including guidelines, procedures, and exam preparation tools. It features full-color images, charts, and customizable notes to enhance patient care and learning.

**Highlights:** Quick-reference clinical nursing information, Updated AHA guidelines, Full-color images and charts, NCLEX exam topic indicators, Step-by-step procedures and assessment guidance, Customizable notes and highlights, Nursing alerts for critical safety information

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| RNotes® 4th Edition | $29.99 | one-time |
| RNotes® 5th Edition | $29.99 | one-time |
| RNotes | $29.99 | one-time |


### Manual Lab and Diagnostic Test

[App page](https://appshunter.io/ios/app/manual-lab-and-diagnostic-test/id1140859970)

This medical reference app provides nurses and health professionals with step-by-step guidance on laboratory and diagnostic tests. It offers detailed information on patient preparation, procedure interpretation, and aftercare, with updates on emerging health considerations.

**Highlights:** Step-by-step guidance on diagnostic tests, Patient preparation and aftercare instructions, Interpretation of test results, Coverage of emerging health considerations, Clinical and procedural alerts, Organized by specimen, function, and test type

**Features:** Vision Pro support

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| MNL of Lab & Dx Tests 6/M Sub. | $35.99 | per 6 months |
| MNL-Lab & Dx Tests 1/Y Sub off | $47.99 | per year |
| MNL of Lab & Dx Tests 1/Y Sub. | $59.99 | per year |


## Frequently asked questions

### Is RNotes® free?

RNotes® is free to download, with in-app purchases available.

### Is Manual Lab and Diagnostic Test free?

Manual Lab and Diagnostic Test is free to download, with in-app purchases available.

### Which has better reviews, RNotes® or Manual Lab and Diagnostic Test?

RNotes® is rated higher. RNotes® averages 4.5 out of 5 from 41 ratings, while Manual Lab and Diagnostic Test averages 4.3 from 8 ratings.

### Do RNotes® or Manual Lab and Diagnostic Test have ads?

Manual Lab and Diagnostic Test shows ads; RNotes® does not.

### Which is updated more often, RNotes® or Manual Lab and Diagnostic Test?

RNotes® ships an update every 7 months, and Manual Lab and Diagnostic Test every 5 months. Most recently, RNotes® was updated on November 9, 2026 and Manual Lab and Diagnostic Test on November 2, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*