# RNotes® vs Skyscape Nursing Library

The clearest difference is rating: Skyscape Nursing Library at 4.7 against RNotes®'s 4.5. Skyscape Nursing Library also leads on iOS requirement (12.0 vs 15.0). RNotes®'s advantage is update cadence (every 7 months vs every 16 months) and ratings volume (41 vs 12). On price, review sentiment, ads and in-app purchases there is nothing between them.

Both are free to download. RNotes® sells 3 one-off in-app purchases and Skyscape Nursing Library sells 25 one-off in-app purchases. Whichever you choose, the download price is not the number that matters.

Skyscape Nursing Library holds the better App Store score, 4.7 against 4.5. Both are backed by a comparable volume of ratings — 41 and 12 respectively. Written reviews split almost evenly too, at 0% and 0% positive.

RNotes® ships an update every 7 months, Skyscape Nursing Library every 16 months. The most recent releases landed on September 27, 2026 and September 17, 2026 respectively.

## The numbers

| Metric | RNotes® | Skyscape Nursing Library |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.5 (41 ratings)](https://appshunter.io/ios/app/rnotes/id940109641/reviews) | **[4.7 (12 ratings)](https://appshunter.io/ios/app/skyscape-nursing-library/id1236661431/reviews)** |
| Number of ratings | **41** | 12 |
| Positive reviews | 0.0% of reviews | 0.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | **Every 7 months** | Every 16 months |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 13 MB | 46 MB |
| Requires iOS | 15.0 | **12.0** |
| 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 |


### Skyscape Nursing Library

[App page](https://appshunter.io/ios/app/skyscape-nursing-library/id1236661431)

Access essential nursing references and resources for LPN/LVN, ADN, and BSN programs. Preview content for free and purchase licenses that never expire. Build your nursing library with discounted bundles or individual titles.

**Highlights:** Preview free content, Search installed resources, Bookmark topics, Add text/voice notes, View history, Discounted value bundles, Individual title purchases

**Features:** macOS Compatibility

**In-app purchases (25)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Medical Eponyms Dictionary | $1.99 | one-time |
| ICD10-Clinical Modification 22 | $1.99 | one-time |
| ICD10-Clinical Modification 23 | $1.99 | one-time |
| ICD10-Clinical Modification 24 | $1.99 | one-time |
| Mobileddx™ | $9.99 | one-time |
| OB/GYN Peds Notes | $28.99 | one-time |
| RNotes® Nurse's Pocket Guide | $29.99 | one-time |
| Spanish-English Dictionary | $39.99 | one-time |
| Mosby's Pocket Dictionary | $39.99 | one-time |
| Mosby's Pocket Dictionary Ed.9 | $39.99 | one-time |
| Nurse's Pocket Guide Ed.16 | $43.99 | one-time |
| Davis DrugGuide-Nurses 22 ed18 | $47.99 | one-time |
| Davis DrugGuide-Nurses 23 ed18 | $47.99 | one-time |
| Davis DrugGuide-Nurses 24 ed19 | $47.99 | one-time |
| Intravenous Medications 2024 | $49.99 | one-time |
| Clinical Companion Med-Surg 11 | $49.99 | one-time |
| HBK of Laboratory and Dx Tests | $54.99 | one-time |
| Mosby’s Diag. & Lab.Test Ref | $54.99 | one-time |
| Diseases and Disorders FADavis | $59.99 | one-time |
| Nursing Practical Suite 2022 | $119.99 | one-time |
| Nursing Practical Suite 2024 | $119.99 | one-time |
| Nursing Constellation Plus 22 | $169.99 | one-time |
| Nursing Constellation Plus 24 | $169.99 | one-time |
| Nursing Pro Suite 2022 | $209.99 | one-time |
| Nursing Pro Suite 2024 | $209.99 | one-time |


## Frequently asked questions

### Is RNotes® free?

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

### Is Skyscape Nursing Library free?

Skyscape Nursing Library is free to download, with in-app purchases available.

### Which has better reviews, RNotes® or Skyscape Nursing Library?

Skyscape Nursing Library is rated higher. RNotes® averages 4.5 out of 5 from 41 ratings, while Skyscape Nursing Library averages 4.7 from 12 ratings.

### Do RNotes® or Skyscape Nursing Library have ads?

Neither RNotes® nor Skyscape Nursing Library shows ads.

### Which is updated more often, RNotes® or Skyscape Nursing Library?

RNotes® ships an update every 7 months, and Skyscape Nursing Library every 16 months. Most recently, RNotes® was updated on September 27, 2026 and Skyscape Nursing Library on September 17, 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.*