The authors have been teaching not only basic subjects but also specialized subjects at nurse and medical technologists training institutions. Results of final exam of the subject and a short quiz of each unit can also be enjoyed acceptable level. But over time, learning content as the coming school year increased to proceed, students forget the contents of the past. Accordingly, the authors presented some national examination self-learning softwares for nurse and medical technologists for the first time in Japan. This paper introduces development of the improved software, including the perspective of engineering.