# RNotes® vs Nursing Constellation Plus+

RNotes® and Nursing Constellation Plus+ both sit at 4.5 stars, but that hides the real split: 100% of Nursing Constellation Plus+'s written reviews are positive against 0% of RNotes®'s. Nursing Constellation Plus+ also leads on iOS requirement (13.0 vs 15.0). RNotes®'s advantage is ads (none vs shown) and update cadence (every 7 months vs every 20 months). On price, rating, 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 Nursing Constellation Plus+ sells 11 one-off in-app purchases. 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 4.6 for Nursing Constellation Plus+. Both are backed by a comparable volume of ratings — 41 and 9 respectively. Written reviews are what separate them: 0% of RNotes®'s written reviews are positive against 100% of Nursing Constellation Plus+'s.

RNotes® ships an update every 7 months, Nursing Constellation Plus+ every 20 months. The most recent releases landed on October 11, 2026 and October 2, 2026 respectively.

## The numbers

| Metric | RNotes® | Nursing Constellation Plus+ |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.5 (41 ratings)](https://appshunter.io/ios/app/rnotes/id940109641/reviews) | **[4.6 (9 ratings)](https://appshunter.io/ios/app/nursing-constellation-plus-plus/id1601814490/reviews)** |
| Number of ratings | **41** | 9 |
| Positive reviews | 0.0% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | Yes |
| Ads | **No** | Yes |
| Update frequency | **Every 7 months** | Every 20 months |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 13 MB | 42 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 Constellation Plus+

[App page](https://appshunter.io/ios/app/nursing-constellation-plus-plus/id1601814490)

This app integrates seven essential mobile nursing references, offering comprehensive information on drugs, diseases, lab tests, and procedures. It provides clinical decision support for nurses and students at the bedside, in class, or during simulations.

**Highlights:** 7 integrated nursing references, Drug guide with 5,000+ medications, Disease and disorder information, Laboratory and diagnostic test details, Medical calculator, Medical news updates

**Features:** macOS Compatibility

**In-app purchases (11)**

| Purchase | Price | Billing |
| --- | --- | --- |
| ICD10-Clinical Modification 25 | $1.99 | one-time |
| ICD10-Clinical Modification 24 | $1.99 | one-time |
| Skyscape Clinical Calc PLUS | $24.99 | one-time |
| RNotes® Nurse's Pkt Guide Ed.6 | $29.99 | one-time |
| Taber's Dictionary - ed.25 | $38.99 | one-time |
| Taber's Dictionary - ed.24 | $38.99 | one-time |
| Davis DrugGuide-Nurses 24 ed19 | $47.99 | one-time |
| HBK of Laboratory & Dx Tests | $54.99 | one-time |
| HBK of Laboratory and Dx Tests | $54.99 | one-time |
| Diseases and Disorders FADavis | $59.99 | one-time |
| Nursing Constellation Plus | $179.99 | one-time |


## Frequently asked questions

### Is RNotes® free?

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

### Is Nursing Constellation Plus+ free?

Nursing Constellation Plus+ is free to download, with in-app purchases available.

### Which has better reviews, RNotes® or Nursing Constellation Plus+?

Nursing Constellation Plus+ is rated higher. RNotes® averages 4.5 out of 5 from 41 ratings, while Nursing Constellation Plus+ averages 4.6 from 9 ratings.

### Do RNotes® or Nursing Constellation Plus+ have ads?

Nursing Constellation Plus+ shows ads; RNotes® does not.

### Which is updated more often, RNotes® or Nursing Constellation Plus+?

RNotes® ships an update every 7 months, and Nursing Constellation Plus+ every 20 months. Most recently, RNotes® was updated on October 11, 2026 and Nursing Constellation Plus+ on October 2, 2026.

---

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