# RNotes® vs Nursing Diagnosis Reference

The clearest difference is ads: RNotes® at none against Nursing Diagnosis Reference's shown. Nursing Diagnosis Reference's advantage is iOS requirement (13.0 vs 15.0). On price, rating, ratings volume and update cadence there is nothing between them.

Both are free to download. RNotes® sells 3 one-off in-app purchases and Nursing Diagnosis Reference sells 4 in-app purchases, starting at $30.99 per 3 months. Whichever you choose, the download price is not the number that matters.

On the App Store both sit at effectively the same score — 4.5 for RNotes® against 4.4 for Nursing Diagnosis Reference. Both are backed by a comparable volume of ratings — 41 and 28 respectively.

Both ship on a similar rhythm, roughly every 7 months. The most recent releases landed on October 11, 2026 and October 8, 2026 respectively.

## The numbers

| Metric | RNotes® | Nursing Diagnosis Reference |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.5 (41 ratings)](https://appshunter.io/ios/app/rnotes/id940109641/reviews)** | [4.4 (28 ratings)](https://appshunter.io/ios/app/nursing-diagnosis-reference/id1228541624/reviews) |
| Number of ratings | **41** | 28 |
| Positive reviews | 0.0% of reviews | — |
| In-app purchases | Yes | Yes |
| Ads | **No** | Yes |
| Update frequency | Every 7 months | Every 7 months |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 13 MB | 149 MB |
| Requires iOS | 15.0 | **13.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| 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 |


### Nursing Diagnosis Reference

[App page](https://appshunter.io/ios/app/nursing-diagnosis-reference/id1228541624)

This medical reference app provides evidence-based nursing diagnoses, interventions, and rationales for various clinical scenarios. It's designed for students and practicing nurses to streamline care planning and improve patient outcomes with up-to-date NANDA-I classifications.

**Highlights:** Evidence-based diagnoses, Interventions and rationales, Updated NANDA-I classifications, Quick reference format, Alphabetized monographs, Quality and Safety Education for Nurses criteria

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

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| SparksTaylor's Nursing 3M sub | $30.99 | per 3 months |
| SparksTaylor's Nursing 6M sub | $40.99 | per 6 months |
| SparksTaylor's Nursing 1/Y sub | $59.99 | per year |
| Nursing Diagnosis Reference | $79.99 | one-time |


## Frequently asked questions

### Is RNotes® free?

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

### Is Nursing Diagnosis Reference free?

Nursing Diagnosis Reference is free to download, with in-app purchases available.

### Which has better reviews, RNotes® or Nursing Diagnosis Reference?

RNotes® is rated higher. RNotes® averages 4.5 out of 5 from 41 ratings, while Nursing Diagnosis Reference averages 4.4 from 28 ratings.

### Do RNotes® or Nursing Diagnosis Reference have ads?

Nursing Diagnosis Reference shows ads; RNotes® does not.

### Which is updated more often, RNotes® or Nursing Diagnosis Reference?

RNotes® ships an update every 7 months, and Nursing Diagnosis Reference every 7 months. Most recently, RNotes® was updated on October 11, 2026 and Nursing Diagnosis Reference on October 8, 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.*