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- NextGen NCLEX
NextGen NCLEX Test Bank
The purpose of this project was to develop a repository of nextgen nclex questions that can be accessed by all faculty and students in maryland..
The questions can be used by faculty to prepare students to understand the new format of Next Generation (NextGen) test items that are like those that will be used by the National Council of State Boards of Nursing (NCSBN) licensing exam beginning in April 2023 to test students’ ability to make clinical judgments.
Disclaimer: The items in the test bank are accessible to all through this nonsecure website. The test questions are not recommended to be used for summative assessments.
The test bank is composed of case studies with six questions each that follow the NCSBN Clinical Judgment Measurement Model steps:
- recognize cues
- analyze cues
- prioritize hypotheses
- generate solutions
- take action
- evaluate outcomes.
In addition, seven questions for reviewing bow-tie or trend items are included. All case studies were subjected to rigorous review both by the project team and subject matter experts.
The names of the case studies are provided with hyperlinks to all items.
- Using the Maryland NextGen Test Bank
- Student Instructions for Using the Test Bank
NCLEX Next Gen Test Bank
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Home » Nursing Students » Tips for Answering Next Gen NCLEX® Case Studies
Tips for Answering Next Gen NCLEX® Case Studies
- Last Updated: January 24, 2024
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- Next Gen NCLEX
The biggest difference between the “old NCLEX” and Next Gen NCLEX (NGN) is the more precise measurement of your clinical judgment through new unfolding case studies. Every candidate will receive three scored case studies, each with six questions (18 questions total), making case study practice essential to NCLEX prep. We’ll walk you through the ins and outs of this new question style to help you understand what to expect on the NGN and how to achieve a passing score.
Prefer a video? Check out this UWorld NCLEX case study presented by one of our nursing experts:
What Are NGN Case Studies?
Next Gen NCLEX case studies measure a candidate’s clinical judgment by describing a clinical scenario, sharing “unfolding” client information, and asking questions related to Layer 3 of the NCSBN Clinical Judgment Measurement Model (NCJMM). 1 Put another way…
NGN case studies present a realistic patient scenario that you must navigate, step by step, starting with identifying and analyzing relevant client information, then planning and providing treatment, and lastly evaluating client outcomes.
The result is a six-question set that requires you to: 1
Identify relevant client information like abnormal assessment findings and vital signs. | ||||||
Organize and connect the recognized cues to the client’s condition. | ||||||
Evaluate and prioritize hypotheses based on urgency, risk for injury, time constraints, etc. | ||||||
Identify expected outcomes and plan appropriate interventions using hypotheses. | ||||||
Implement the interventions based on highest priority. | ||||||
Compare observed outcomes to expected outcomes. |
This multi-step approach is designed to better assess your entry-level nursing knowledge, skills, and abilities, and differentiate your understanding from that of other candidates by using partial-credit scoring. 2
Components of an NGN Case Study
Instead of simply using traditional multiple-choice questions to test the six sequential NCJMM steps, NGN case studies may use any of the traditional or new Next Gen NCLEX item types (excluding trend and bow-tie questions). These include: 2
You’ll also want to be familiar with the various types of information you will see as case study scenarios unfold and reveal changes in the patient’s status. This often begins with Nurses’ Notes or the client’s medical history, and incorporates other clinical data (like vital signs) in a tabular format that’s updated as the case study unfolds.
NGN case study clinical scenario
NGN case studies start by providing a general overview of a clinical scenario. Just like in real life, you may not have all of the information you need to make a sound clinical decision. In the following example from our NCLEX Review Course, you’re initially provided with Nurses’ Notes and must highlight the five most important client findings:
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Remember that questions 1 and 2 in an NGN case study examine your ability to recognize and analyze cues. In this example, it’s not until question 3 that the scenario unfolds further and you’re provided with additional client information.
NGN case study supporting information
The way NGN case studies provide supporting client information varies. Sometimes, you’ll have access to all of the information you need from the beginning. In many cases, additional information will become available as if you were working with an actual patient and gathering clinical details in real-time. Read the new information carefully and answer the associated question as best you can. It’s important to note that on the NCLEX, you cannot go back and answer previous questions . Continuing our above NGN case study example, question 3 is when you gain access to Laboratory Results:
![new generation nclex case study questions UWorld NCLEX QBank case study select all that apply (SATA) question](https://nursing.uworld.com/wp-content/uploads/2024/01/04NUR_Blog_Tips-for-Answering-NGN-Case-Studies_Graphic-600x314.webp)
In this step, you’re asked the first of two questions related to refining your hypotheses. From here, this case study progresses through the remaining NCJMM steps, but does not provide any additional client information.
During your exam, client information will always be stored in this tabular format (common tabs are Nurses’ Notes, Vital Signs, History and Physical, Orders, Laboratory Results, Diagnostic Results, etc.). While their names may vary, what’s more important is understanding where relevant information is located so you can successfully answer the questions.
How Are NGN Case Studies Scored?
NGN case studies use partial-credit scoring (polytomous scoring) to differentiate between students who fully understand, partly understand, and don’t understand questions. This new NCLEX scoring method varies by question type, but there are three general rules to know:
- +/- scoring is used for questions that have more than one answer option, but with an unspecified number of correct answers (e.g., SATA, Highlight, and Matrix Multiple Response). Selecting a correct option provides +1 point, while selecting an incorrect option results in -1 point. The lowest possible score for all question types is 0.
- Rationale scoring is used for cause and effect-style questions. When there are two answer options, both must be answered correctly to receive credit. When there are three, partial credit may apply. For example, “A nurse must do X because of Y and Z.” If a student answers X and either Y or Z correctly, they will receive partial credit. 3
- 0/1 scoring is a more familiar scoring method where you either get the question right or wrong (think multiple choice). Each correct option you select provides 1 point, and each incorrect option you select adds 0 points.
NGN partial-credit scoring is more forgiving than traditional NCLEX scoring, which can help ease anxiety in answering case study questions. Even if you misinterpret a scenario and answer the initial questions incorrectly, you still have time to change course. Like with any exam, practicing beforehand is the best way to prepare.
NGN case studies vs stand-alone questions
NGN stand-alone questions are similar to case studies because they also measure your clinical judgment based on Layer 3 of the NCJMM. However, stand-alone questions can use any NGN question type, including trend and bow-tie questions : 4
- Trend questions feature one question apiece, and may include one or more steps from NCJMM Layer 3. This means you’ll need to make one or more clinical decisions per question.
- Bow-tie questions feature one question apiece, but include all six steps from NCJMM Layer 3. This means you’ll need to make multiple clinical decisions all in one question.
How many NGN case studies are on the NCLEX?
Whether you answer the minimum 85 questions, maximum 150 questions, or somewhere in between, three of your case studies (totaling 18 questions) will be scored. It’s important to note that you may receive more case studies (one or two additional) that are being piloted for pretesting and are not scored. Question types may differ, but 18 case study questions will count toward your score. 2
How to Approach NGN Case Studies
Before you begin an NGN case study, remember that you cannot go back after a question is submitted . So make sure you’ve fully answered each question before moving on to the next one. With this in mind, here are some additional NGN case study tips from our nursing team:
Understand the NCSBN’s Clinical Judgment Measurement Model
Getting familiar with the NCJMM may sound like overkill, but it will help you develop your clinical judgment and truly think like a nurse. This is crucial when it comes to successfully answering NGN case studies, where simply memorizing facts isn’t enough to achieve success.
The NCJMM was designed as a thinking and teaching framework, and fully breaks down a nurse’s decision-making process into six measurable steps. These steps form Layer 3 of the NCJMM that NGN case studies test you on. Keeping the full framework in mind as you take the NCLEX will make it easier to recognize the what and why behind each NGN case study question.
Identify the main question in the case study scenario
Just like when caring for a real patient, identifying the condition(s) that your simulated patient is experiencing is the first step in deciding how to provide effective care. Everything else in the case study will build on this initial information. Don’t forget that NGN case studies are written to be as realistic as possible, so some information you receive will likely be irrelevant. This is where your skills in prioritization come into play.
Look for clues in the case study scenario
Figuring out what clinical information matters and what doesn’t requires practice. One trick you can use when reading an NGN case study is to identify keywords that signal something is important (e.g., new, change in, increased/decreased, etc.). You should also consider questions like, “How long have symptoms persisted?” And, “What changes to the body are present?”
Think critically about the supporting information
As a case study unfolds and you’re presented with supporting client information, ask yourself why the new information is relevant to the client’s main condition(s). The best way to go about this is to visualize yourself working with a real patient. Did the lab results we ordered become available? Great! Let’s consider how they impact our hypotheses. Did we receive an update about the patient in the form of new Nurses’ Notes? Interesting. Let’s check to see if our treatment worked as expected.
Carefully follow the directions for each question
The Next Gen NCLEX is unique in that it evaluates students’ performance using a variety of question types. You can’t just assume a question is multiple choice with one correct response. Especially when completing case studies, pay attention to the NGN item type you’re being asked to complete (e.g., Highlight, SATA, Drag and Drop, Matrix, etc.).
Eliminate “distractors” in the answer choices
As you tackle case study questions, eliminate potential distractors (incorrect answer choices). When you work with real patients, you’ll be confronted with irrelevant medical information that may lead you to draw incorrect conclusions. NGN case studies purposely incorporate common clinical judgment errors and allow candidates to pursue incorrect treatment paths. To avoid mistakes, always keep the case study’s main client condition(s) in mind and cross out obvious distractors.
Practice Next Gen NCLEX Case Study Questions
NGN case studies take some time to get used to. At first, half the battle is understanding the item types and how to identify relevant information. But, as the saying goes, practice makes perfect! By practicing NGN case studies before your exam, you can get familiar with the testing layout, develop your clinical judgment, boost your confidence, and maximize your score.
At UWorld Nursing, we offer over 500 NGN questions for RN and 400 NGN questions for PN with over 200 lecture videos to enhance your understanding. While NGN case studies may appear intimidating, they’re nothing you can’t handle with a little practice.
High-yield videos, thousands of practice questions, multiple self-assessment tests, and more.
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NCLEX Practice Questions Test Bank for Free
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Welcome to our collection of free NCLEX practice questions to help you achieve success on your NCLEX- RN exam! This updated guide for 2024 includes 1,000+ practice questions, a primer on the NCLEX-RN exam, frequently asked questions about the NCLEX, question types, the NCLEX-RN test plan, and test-taking tips and strategies.
Table of Contents
Nclex-rn practice questions test bank, what is nclex.
- What is Next Generation NCLEX (NGN)?
Safe and Effective Care Environment
- Health Promotion and Maintenance
- Psychosocial Integrity
Physiological Integrity
Clinical judgment, integrated processes, item writers for nclex, computer adaptive test (cat), 95% confidence interval rule, maximum-length exam, run-out-of-time (r.o.o.t.) rule, zero/one (0/1) scoring, plus/minus (+/-) scoring, rationale scoring, pretest items, testing time, unfolding case study, stand-alone items, multiple response select all that apply.
- Multiple Response Select N
Multiple Response Grouping
- Highlight in Text
Highlight in Table
Matrix multiple response, matrix multiple choice.
- Drag and Drop Cloze
Drag and Drop Rationale
Drop down cloze, drop down rationale, drop down in table, chart or exhibit questions, graphic option, select all that apply or multiple-response, fill-in-the-blank, ordered-response, how to register for the nclex, nclex-rn resources, want more practice questions, recommended resources.
Looking for the complete collection of practice questions? For more NCLEX practice questions, please visit our Nursing Test Bank here .
We have included more than 1,000+ NCLEX practice questions covering different nursing topics for this nursing test bank ! We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each question to reinforce learning .
We recommend you do all practice questions before you take the actual exam. Doing so will help reduce your test anxiety and help identify nursing topics you need to review. To make the most of the practice exams, try to minimize mistakes to less than 15 questions and take your time answering the questions, especially when reading the rationales.
Quiz Guidelines
Before you start, here are some examination guidelines and reminders you must read:
- Practice Exams : Engage with our Practice Exams to hone your skills in a supportive, low-pressure environment. These exams provide immediate feedback and explanations, helping you grasp core concepts, identify improvement areas, and build confidence in your knowledge and abilities.
- You’re given 2 minutes per item.
- For Challenge Exams, click on the “Start Quiz” button to start the quiz.
- Complete the quiz : Ensure that you answer the entire quiz. Only after you’ve answered every item will the score and rationales be shown.
- Learn from the rationales : After each quiz, click on the “View Questions” button to understand the explanation for each answer.
- Free access : Guess what? Our test banks are 100% FREE. Skip the hassle – no sign-ups or registrations here. A sincere promise from Nurseslabs: we have not and won’t ever request your credit card details or personal info for our practice questions. We’re dedicated to keeping this service accessible and cost-free, especially for our amazing students and nurses. So, take the leap and elevate your career hassle-free!
- Share your thoughts : We’d love your feedback, scores, and questions! Please share them in the comments below.
Included NCLEX-RN question sets for this nursing test bank are as follows. Please click on the links below and you’ll be redirected to the quiz page:
NEW UPDATE: Introducing Challenge Exams and Practice Exams
Engage with these new modes to enhance your learning journey, each tailored to meet different needs and propel you towards academic achievement.
- Dive into Practice Exam Mode for a supportive learning experience. Here, real-time feedback aids in understanding core concepts and building confidence. It’s your space for growth and preparation.
- Step up to Challenge Exam Mode to test your mastery. With rigorous questions, a leaderboard, and a timer, it’s designed to assess your readiness and foster a competitive spirit.
Test your mastery with these Challenge Exams :
Quiz No. | Quiz Title | Questions |
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1 | 30 | |
2 | 30 | |
3 | 30 | |
4 | 30 | |
5 | 30 | |
6 | 30 | |
7 | 30 | |
8 | 30 | |
9 | 30 | |
10 | 30 | |
11 | 30 | |
12 | 30 | |
13 | 30 | |
14 | 30 | |
15 | 30 |
Build your confidence and grasp core concepts with these Practice Exams :
Quiz No. | Quiz Title | Questions |
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1 | 30 | |
2 | 30 | |
3 | 30 | |
4 | 30 | |
5 | 30 | |
6 | 30 | |
7 | 30 | |
8 | 30 | |
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12 | 30 | |
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14 | 30 | |
15 | 30 |
The National Council Licensing Examination (NCLEX) is a comprehensive test administered by the National Council of State Boards of Nursing (NCSBN). It assesses whether candidates possess the necessary knowledge and skills to provide safe and effective nursing care at the entry level. The NCLEX is available in two versions: the NCLEX-RN for registered nurses and the NCLEX-PN for practical/vocational nurses.
The NCSBN, composed of nursing regulatory bodies from all 50 states in the US, the District of Columbia, and four US territories, is responsible for safeguarding the public by ensuring safe nursing care. It sets the standards and guidelines for nursing licensure and develops the NCLEX examinations.
Becoming a registered nurse (RN) requires meeting specific licensure requirements determined by the licensing authorities in each jurisdiction governed by the NCSBN. One of these requirements is passing the NCLEX-RN, which evaluates the competencies necessary for practicing safely and effectively as an entry-level RN. The NCLEX-RN is used by member boards of nursing and many Canadian nursing regulatory bodies to inform their licensure decisions.
What is Next Generation NCLEX (NGN)?
The Next Generation NCLEX (NGN) is currently in effect this April 2023 for RN and LPN / LVN candidates. The change in the NCLEX is driven by the need to adapt to the increasing complexity of client care, advancements in healthcare practice, and the demand for safe clinical decision-making . The NGN aims to address the declining ability of new nursing graduates to make safe clinical decisions by integrating clinical judgment as a key competency. The NGN test format will remain adaptive but with fewer test items. Candidates will encounter Unfolding Case Studies and Stand-Alone Items , scored using partial credit with three different scoring rules. These changes in the NGN aim to assess critical thinking and the ability to make safe clinical judgments during various phases of client care.
In summary, the following are the key changes between the previous NCLEX format and the Next Generation NCLEX (NGN):
- Same adaptive test format but reduced number of items. The Next Generation NCLEX (NGN) will retain the adaptive test format, similar to the current NCLEX, but with fewer test items. Candidates will answer between 85 and 150 items, with 15 as pretest or unscored items.
- Case studies. All candidates will encounter three (3) Unfolding Case Studies, each consisting of six test items (a total of 18 items). Clinical situation information will be presented to candidates in a medical record format resembling a table-like structure. These situations are designed to assess their ability to think critically and make safe clinical decisions across different phases of client care. In addition to the case studies, some candidates may have Stand-Alone Items for their NGN exam.
- New NGN item types. The NGN exam will feature new item types, which include questions in unfolding cases and stand-alone items, highlight, cloze, matrix, bow-tie, drag and drop, and extended multiple responses.
- Scoring differences. NGN test items will be scored differently compared to the current NCLEX. They will utilize partial credit scoring with three different scoring rules: the 0/1 scoring rule, the +/- scoring rule, and the rationale scoring rule. These are explained further below.
NCLEX-RN Test Plan
The NCLEX test plan is a content guideline to determine the distribution of test questions. NCSBN uses the “Client Needs” categories to ensure the NCLEX covers a full spectrum of nursing activities. It is a summary of the content and scope of the NCLEX to serve as a guide for candidates preparing for the exam and to direct item writers in the development of items. Additionally, to assess the knowledge, skills, abilities, and clinical judgment necessary for entry-level nursing practice , the NCLEX-RN Test Plan utilizes Bloom’s taxonomy for the cognitive domain. This taxonomy provides a foundation for writing and coding examination items, focusing on application-level or higher-level cognitive abilities that require advanced thought processing.
The content of the NCLEX-RN is organized into four major Client Needs categories: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. Some of these categories are divided further into subcategories. Below is the NCLEX-RN test plan effective as of April 2023 until March 2026:
Management of Care | 15–21% |
Safety and Control | 10-16% |
6-12% | |
6-12% | |
Basic Care and Comfort | 6-12% |
Pharmacological and Parenteral Therapies | 13-19% |
Reduction of Risk Potential | 9-15% |
Physiological Adaptation | 11-17% |
There are two subcategories under Safe and Effective Care Environment.
- Management of Care category includes content that tests the nurse ‘s knowledge and ability to direct nursing care that enhances the care delivery setting to protect clients, significant others, and healthcare personnel.
- Safety and Infection Control category includes content that tests the nurse’s ability required to protect clients, families, and healthcare personnel from health and environmental hazards.
Health Promotion and Maintenance
Health Promotion and Maintenance category includes content that tests the nurse’s ability to provide and direct nursing care to the client that incorporates knowledge of expected growth and development, preventing and early detection of health problems, and strategies to achieve optimal health.
Psychosocial Integrity
The Psychosocial Integrity category is content related to the promotion and support for the emotional, mental, and social well-being of the client experiencing stressful events and clients with acute or chronic mental illness .
In the Physiological Integrity category are items that test the nurse’s ability to promote physical health and wellness by providing care and comfort , reducing risk potential, and managing health alterations. There are four subcategories under Physiological Integrity.
- Basic Care and Comfort are content to test the nurse’s ability to provide comfort and assistance to the client in performing activities of daily living .
- Pharmacological and Parenteral Therapies category includes content to test the nurse’s ability to administer medications and parenteral therapies ( IV therapy , blood administration, and blood products).
- Reduction of Risk Potential category includes content to test the nurse’s ability to prevent complications or health problems related to the client’s condition or prescribed treatments or procedures.
- Physiological Adaptation category includes questions that test the nurse’s ability to provide care to clients with acute, chronic, or life-threatening conditions.
Clinical judgment is a central component of the NCLEX-RN Test Plan, reflecting the evolving demands and complexity of nursing practice . Nurses must engage in an iterative, multi-step process that utilizes nursing knowledge to observe and assess situations, identify client concerns, and generate evidence-based solutions to ensure safe client care. Clinical judgment questions are represented through Unfolding Case Studies or individual Stand-Alone Items , with case studies addressing each step of clinical judgment. The following are the six clinical judgment cognitive skills:
- Recognize cues “What matters most?” Identifying relevant and important information from various sources, such as medical history , laboratory studies, and vital signs.
- Analyze cues “What could it mean?” Organizing and connecting recognized cues to the client’s clinical presentation.
- Prioritize hypotheses “Where do I start?” Evaluating and prioritizing hypotheses based on urgency, likelihood, risk, difficulty, time constraints, and other factors.
- Generate solutions “What can I do?” Identifying expected outcomes and using hypotheses to define a set of interventions aligned with the expected outcomes.
- Take action “What will I do?” Implementing the highest-priority solution(s) identified.
- Evaluate outcomes “Did it help?” Comparing observed outcomes to expected outcomes to assess the effectiveness of interventions.
Additionally, In contrast to the nursing process or ADPIE , the NCSBN focuses on AAPIE ( assessment , analysis, planning , intervention, evaluation ), wherein nursing diagnosis is not tested at the current NGN because it is not considered a universal language used in health care or the nursing profession. In nursing practice and for the NGN, students must use their pathophysiology knowledge to analyze client assessments and connect them with common conditions in healthcare settings.
Integral to nursing practice, several processes are integrated throughout the Client Needs categories and subcategories:
- Caring. In an atmosphere of mutual respect and trust, nurses interact with clients, providing encouragement, hope, support, and compassion to help achieve desired outcomes .
- Clinical Judgment . An observed outcome of critical thinking and decision-making , clinical judgment (discussed above) is a dynamic and iterative process. It involves using nursing knowledge to observe and assess situations, prioritize client concerns, generate evidence-based solutions, and deliver safe client care.
- Communication and Documentation . Verbal and nonverbal interactions between nurses, clients, significant others, and the healthcare team. Accurate and comprehensive documentation ensures adherence to practice standards and accountability in care provision.
- Culture and Spirituality. Recognizing and considering the unique preferences, standards of care, and legal considerations of clients (individuals, families, groups, and populations) in the context of their culture and spirituality.
- Nursing Process. A systematic approach to client care encompassing assessment , analysis, planning, implementation , and evaluation .
- Teaching/Learning. Facilitating acquiring knowledge, skills, and abilities that promote behavioral change.
Who writes questions for the NCLEX? The NCSBN sets the criteria and selection process for item writers who are registered nurses. Many of them are nursing educators with an advanced degrees in nursing, so if you’ve completed an accredited nursing program, you have already taken several tests written by nurses with backgrounds similar to those who write for the NCLEX.
The NCLEX-RN is a crucial step for registered nurse (RN) candidates seeking licensure. Administered through computerized adaptive testing ( CAT ), this examination utilizes computer technology and measurement theory to create a personalized and accurate assessment of each candidate’s knowledge and skills.
The CAT system employed in the NCLEX-RN ensures that each candidate receives a unique examination tailored to their abilities. As the test progresses, the computer selects items from a large item pool based on the candidate’s previous answers. These items are classified according to the test plan categories, difficulty levels, and clinical judgment steps. The CAT system continually recalculates the candidate’s ability estimate and selects subsequent items accordingly, creating an exam that aligns with the NCLEX-RN Test Plan requirements. This dynamic approach allows candidates to demonstrate their competence effectively.
Additionally, unlike traditional fixed-length exams, which assign the same items to all candidates, CAT selects items based on the candidate’s ability, resulting in a more accurate assessment. The CAT scoring algorithm estimates the candidate’s ability by considering all previous answers and the difficulty level of those items. By administering items that challenge the candidate appropriately, the exam gathers maximum information about their ability.
Pass or Fail Decisions: How to Pass the NCLEX?
Passing the NCLEX-RN requires you, the candidate, to meet a specific passing standard established by the NCSBN Board of Directors (BOD). The passing standard represents the minimum ability level necessary for safe and effective entry-level nursing practice. The BOD reevaluates this standard every three years, considering various factors such as a standard-setting exercise conducted by experts and psychometricians, historical data on candidate performance, and information on the educational readiness of aspiring nurses. Once the passing standard is set, it is uniformly applied to all candidates during the scoring process. The NCSBN indicates that these three rules govern pass-or-fail decisions: the 95% Confidence Interval Rule , Maximum-Length Exam Rule , and Run-Out-Of-Time Rule .
In this scenario, the computer stops administering test questions when it is 95% certain that your ability is clearly above the passing standard or clearly below the passing standard.
When your ability is close to the passing standard, the CAT gives you items until the maximum number of items is reached. At this point, the computer disregards the 95% confidence rule and decides whether you pass or fail by your final ability estimate. If your final ability estimate is above the passing standard, you pass; if it is below, you fail.
In the event that a candidate runs out of time before completing the maximum number of items and the computer has not reached a 95% certainty regarding the candidate’s pass or fail status, alternative criteria come into play.
- If the candidate has not answered the minimum required number of items, the candidate will automatically fail.
- If the candidate has answered at least the minimum required number of items, the final ability estimate will be determined based on all the responses given before the exam time expires. If the score meets or exceeds the passing standard, the candidate will pass. Otherwise, the candidate will fail.
New Scoring System in the Next Generation NCLEX
The Next Generation NCLEX (NGN) incorporates different item formats, and for items that have multiple correct answers, partial credit scoring is implemented . Unlike the previous exam format, where items are scored as either all correct or all incorrect, the NGN will use polytomous scoring models to evaluate partial understanding. For example, in the previous version of NCLEX (multiple response) SATA (select-all-that-apply) items, only endorsing all the correct options results in a correct score. However, the new approach will acknowledge partial understanding, allowing differentiation between candidates with different numbers of correct options. This change will provide a more accurate assessment of candidates’ knowledge, skills, and abilities.
Three methods are used to assign partial credit for these items: plus/minus scoring, zero/one scoring, and rationale scoring. Understanding the scoring models is crucial for NCLEX-RN takers to know how their answers are evaluated and how scores are determined.
The 0/1 scoring rule is used for multiple-choice items. Choosing the correct option earns one point while selecting an incorrect option gives a score of zero. This rule applies to single response items, including the example multiple-choice item.
The +/– scoring rule measures a candidate’s ability to identify relevant information. It assigns points for correct options and deducts points for incorrect options. It is used for multi-point items, and the total score is calculated by adding correct options and subtracting incorrect ones. The lowest possible score is zero. This rule is applied to NGN question types such as multiple-response and select all that apply.
The rationale scoring rule is used for questions that assess paired information. To earn a score of one point, both answer options must be correct. If either option is incorrect, the score is 0.
How Many Questions Are on the NCLEX?
All RN candidates must answer a minimum of 85 items , while a maximum of 150 items be administered during the five-hour time allotment. Each NCLEX-RN exam includes 15 pretest items (unscored), which are indistinguishable from operational (scored) items.
To ensure the effectiveness of computerized adaptive testing (CAT) in the NCLEX, the difficulty level of each item needs to be determined beforehand. This is achieved by administering these items as pretest items to a large group of NCLEX candidates. Since the difficulty of pretest items is initially unknown, they are not part of your score and are not considered when evaluating a candidate’s ability or determining pass-fail outcomes. Once a sufficient number of responses are collected, the pretest items undergo statistical analysis and calibration. If they meet the required NCLEX statistical standards, they can be used as operational items in future exams. Therefore, candidates must approach every item with their best effort, regardless of whether it is a pretest or an operational item.
The length of the NCLEX-RN examination varies for each candidate based on their responses, but there is a five-hour time limit for the exam, including all breaks. To ensure completion within the allotted time, candidates must maintain a reasonable pace, spending approximately one to two minutes per item . It’s important to note that the length of the examination does not determine pass or fail outcomes; candidates can succeed or fail regardless of the examination’s duration.
Case Studies in NGN
The Next Generation NCLEX (NGN) has introduced case studies that present practical clinical scenarios and include test items aligned with six cognitive abilities of the clinical judgment model. The scenario can occur in various settings, and the client’s outcome can vary, including improvement, stability, or decline with complications. Laboratory results, if included, are presented in a table, and abnormal values are highlighted with an “L” or “H”. There are two types of case studies: Unfolding Case Study with six test items assessing specific skills and Stand-Alone Items with a single test item independent of a case study.
An Unfolding Case Study presents a realistic client situation with evolving data resembling a medical record. It includes multiple phases over time, reflecting changes in the client’s condition. The case study evaluates all six cognitive skills of the clinical judgment model through six questions. Each test-taker receives three (3) unfolding case studies, totaling 18 items across those cases.
Stand-Alone Items are case studies with a single question, with the item presented as a bow-tie or a trend question type. Candidates who take more than the minimum number of items on the NCLEX receive around six to seven stand-alone cases.
Question Types in the NCLEX-RN
The different question types for the NCLEX-RN include the following:
Extended Multiple Response
In Extended Multiple Response item types, test-takers can choose one or more options in Multiple Response Select All That Apply, select a specific number of items in Multiple Response Select N, or choose options from different groupings presented in a table in Multiple Response Grouping, with scoring rules based on the selected type. Extended multiple response may include the following formats:
The Multiple Response Select All That Apply item type allows test-takers to choose one or more answer options. It uses the +/- Scoring Rule, where selecting correct information earns points (+1), and selecting incorrect information results in points deducted (-1). The maximum points achievable are equal to the number of correct options, and the minimum score is 0, with no negative scores. The item must have a minimum of five options and can have up to ten options, with the possibility of all ten options being correct.
Multiple Response Select N
The Multiple Response Select N item type informs the test-taker about the specific number of items (N) that can be selected. The question provides a range of options, with a minimum of five and a maximum of ten options. It uses the 0/1 Scoring Rule, where each correct response earns 1 point, while any incorrect response results in 0 points.
The Multiple Response Grouping utilizes a table to present options, with a minimum of two and a maximum of five groupings. Each grouping consists of a minimum of two and a maximum of four options, ensuring an equal number of options within each grouping. Test-takers are required to select at least one option from each grouping. The item follows the +/- Scoring Rule, meaning there is no negative score per grouping. The total score for the item is determined by summing the points earned within each grouping. The maximum score achievable equals the number of keys (N).
For this NGN item type, the test-taker is presented with information and must highlight specific parts of the information provided. Highlight question type include the following formats:
Highlight in Text
It involves a paragraph of information where the test-taker must select (highlight) specific parts of the text based on the question’s requirements. The item can include a maximum of ten options for selection and uses the +/- Scoring Rule.
The Highlight in Table item type involves a table of information. The candidate is tasked with selecting (highlighting) specific parts of the text within the table based on the question’s prompt. The item can include a maximum of ten options for selection. The table has two columns, including a header, and can have up to five rows. This item type uses the +/- Scoring Rule.
Matrix/Grid
In the Matrix NGN item type, test-takers are presented with a grid-like structure to which they must respond. There are two variations: Matrix Multiple Response, where each column can have multiple correct responses, and Matrix Multiple Choice, where test-takers select one answer option per row. Extended multiple response may include the following formats:
The Matrix Multiple Response item type consists of response columns, where each column can have multiple correct responses. The item can have between two and ten columns and four to seven rows. In each column, at least one response option must be selected, but it is possible to select one or more responses per column. The item follows the +/- Scoring Rule, with no negative score per column. The total score for the item is determined by summing the points earned within each column. The maximum score achievable is equal to the number of keys (N).
The item includes a minimum of four rows and a maximum of ten rows. It can have either two or three options/columns. Test-takers are allowed to select one answer option per row. The item follows the 0/1 scoring rule, where the test-taker earns 1 point for each correct response and 0 points for incorrect responses. The total score for the item is obtained by summing the scores over the rows. The maximum score achievable is equal to the number of rows.
Drag and Drop
In the Drag and Drop NGN question type, test-takers are presented with options to drag and drop into specific targets. There are two variations: Drag and Drop Cloze, where options are placed in response targets to complete sentences and Drag and Drop Rationale, where options are matched to causes and effects. Drag and drop may include the following formats:
Drag and Drop Cloze
The Drag and Drop Cloze item type includes a range of four to ten options. It can have one or more response targets where the options are dragged to. The item must have a minimum of one sentence with one target per sentence and up to five sentences, each with one target per sentence. The item follows the 0/1 Scoring Rule, where a correct response earns 1 point and incorrect responses earn 0 points. The total score is obtained by summing the scores across all targets, with the maximum score achievable being the number of targets.
The Drag and Drop Rationale type involves one sentence with one cause and one effect or one sentence with one cause and two effects. The sentence can be a single dyad (one sentence with two targets) or a single triad (one sentence with three targets). Each drag & drop target can have three to five options. The item follows the Rationale Scoring Rule where both answer options must be correct to earn a point.
The Drop Down question type in NGN includes three variations: Drop Down Cloze, Drop Down Rationale, and Drop Down in Table. Drop down may include the following formats:
The Drop Down Cloze item type presents one or two sentences of information that require completion using drop-down options. Each drop-down can contain three to five options. The item must have a minimum of one sentence with one drop-down per sentence and can include up to five sentences, each with one drop-down. The item follows the 0/1 Scoring Rule, where the score is calculated by summing the correct responses across all drop-downs. The maximum score achievable is equal to the number of drop-downs.
The Drop Down Rationale item type presents either one sentence with one cause and one effect or one sentence with one cause and two effects. Each drop-down can contain three to five options. The scoring follows the Rationale Scoring Rule, where X and Y must be correct to earn one point. The maximum points that can be earned are 1 point for a dyad (one sentence with two targets) and 2 points for a triad (one sentence with three targets).
The Drop Down in Table item type presents a table of information with drop-down options located in various parts of the table. The item must have a minimum of three columns and three rows and a maximum of five columns and four rows. One column serves as the header column. Each row contains one drop-down. The item follows the 0/1 Scoring Rule, where the score is calculated by summing the correct responses across all drop-downs. The maximum score achievable is equal to the number of drop-downs.
The Bow-tie item type is visually designed to resemble a bow-tie shape. It consists of five options on the left side, five options on the right side, and four options in the middle well of the bow-tie. The item addresses all of the cognitive skills within a single item. The Bow-tie item follows the 0/1 scoring rule. The left and right wells have two answer options each, while the middle well has one answer option, resulting in a maximum possible score of 5 points. Each correct response earns 1 point, while incorrect responses earn 0 points.
The Trend item type presents information in a medical record or flow sheet format that spans over time, requiring the test-taker to analyze information across different points in time. The item addresses multiple cognitive skills within a single item. It can utilize any NGN item type except for the bow-tie. The scoring rule for the Trend item depends on the specific item type used.
Multiple-Choice Questions
Many questions on the NCLEX are in multiple-choice format. This traditional text-based question will provide you data about the client’s situation, and you can only select one correct answer from the given four options. Multiple-choice questions may vary and include: audio clips, graphics, exhibits, or charts.
![new generation nclex case study questions Multiple-choice question format for the NCLEX](https://nurseslabs.com/wp-content/uploads/2019/04/NCLEX-Question-Format-Fill-In-The-BlankNCLEXRN-2019.jpg)
A chart or exhibit is presented along with a problem. You’ll be provided with three tabs or buttons that you need to click to obtain the information needed to answer the question. Select the correct choice among four multiple-choice answer options.
![new generation nclex case study questions Chart or Exhibit Alternate Format for the NCLEX](https://nurseslabs.com/wp-content/uploads/2019/04/NCLEX-Question-Format-ChartNCLEXRN-2019.jpg)
In this format, four multiple-choice answer options are pictures rather than text. Each option is preceded by a circle that you need to click to represent your answer.
In an audio question format, you’ll be required to listen to a sound to answer the question. You’ll need to use the headset provided and click on the sound icon for it to play. You’ll be able to listen to the sound as many times as necessary. Choose the correct choice from among four multiple-choice answer options.
For the video question format, you must view an animation or a video clip to answer the following question. Select the correct choice among four multiple-choice answer options.
Multiple-response or select all that apply (SATA) alternate format question requires you to choose all correct answer options that relate to the information asked by the question. There are usually more than four possible answer options. No partial credit is given in scoring these items (i.e., selecting only 3 out of the 5 correct choices), so you must select all correct answers for the item to be counted as correct.
![new generation nclex case study questions Select All That Apply Question format for the NCLEX](https://nurseslabs.com/wp-content/uploads/2019/04/NCLEX-Question-Format-Select-All-That-ApplyNCLEXRN-2019.jpg)
Tips when answering Select All That Apply Questions
- You’ll know it’s a multiple-response or SATA question because you’ll explicitly be instructed to “Select all that apply.”
- Treat each answer choice as a True or False by rewording the question and proceed to answer each option by responding with a “yes” or “no”. Go down the list of answer options one by one and ask yourself if it’s a correct answer.
- Consider each choice as a possible answer separate to other choices. Never group or assume they are linked together.
The fill-in-the-blank question format is usually used for medication calculation, IV flow rate calculation, or determining the intake-output of a client. You’ll be asked to perform a calculation in this question format and type in your answer in the blank space provided.
![new generation nclex case study questions Fill-in-the-Blank question format for the NCLEX](https://nurseslabs.com/wp-content/uploads/2019/04/NCLEX-Question-Format-Multiple-Choice-copy-2NCLEXRN-2019.jpg)
Tips when answering Fill-in-the-Blank
- Always follow the specific directions as noted on the screen.
- There will be an on-screen calculator on the computer for you to use.
- Do not put any words, units of measurements, commas, or spaces with your answer, type only the number. Only the number goes into the box.
- Rounding an answer should be done at the end of the calculation or as what the question specified, and if necessary, type in the decimal point.
In an ordered-response question format, you’ll be asked to use the computer mouse to drag and drop your nursing actions in order or priority. Based on the information presented, determine what you’ll do first, second, third, and so forth. Directions are provided with the question.
![new generation nclex case study questions Ordered-response question format for the NCLEX](https://nurseslabs.com/wp-content/uploads/2019/04/NCLEX-Question-Format-ORDERED-RESPONSENCLEXRN-2019.jpg)
Tips when answering Ordered-Response questions
- Questions are usually about nursing procedures. Imagine yourself performing the procedure to help you answer these questions.
- You’ll have to place the options in correct order by clicking an option and dragging it on the box on the right. You can rearrange them before you hit submit for your final answer.
A picture or graphic will be presented along with a question. This could contain a chart, a table, or an illustration where you’ll be asked to point or click on a specific area. Figures may also appear along with a multiple-choice question. Be as precise as possible when marking the location.
![new generation nclex case study questions Hotspot Alternate Question Format for the NCLEX](https://nurseslabs.com/wp-content/uploads/2019/04/NCLEX-Question-Format-HotspotNCLEXRN-2019.jpg)
Tips when answering Hotspot questions
- Mostly used to evaluate your knowledge of anatomy, physiology, and pathophysiology.
- Locate anatomical landmarks to help you select the location needed by the item.
So you’ve finally decided to take the NCLEX, the next step is registration or application for the exam. The following are the steps on how to register for the NCLEX, including some tips:
- Application to the Nursing Regulatory Board (NRB). The initial step in the registration process is to submit your application to the state board of nursing in the state in which you intend to obtain licensure. Inquire with your board of nursing regarding the specific registration process as requirements may vary from state to state.
- Registration with Pearson VUE. Once you have received the confirmation from the board of nursing that you have met all of their state requirements, proceed, register, and pay the fee to take the NCLEX with Pearson VUE . Follow the registration instructions and complete the forms precisely and accurately.
- Authorization to Test. If you were made eligible by the licensure board, you will receive an Authorization to Test (ATT) form from Pearson VUE. You must test within the validity dates (an average of 90 days) on the ATT. There are no extensions or you’ll have to register and pay the fee again. Your ATT contains critical information like your test authorization number, validity date, and candidate identification number.
- Schedule your Exam Appointment. The next step is to schedule a testing date, time, and location at Pearson VUE. The NCLEX will take place at a testing center , you can make an exam appointment online or by telephone. You will receive a confirmation via email of your appointment with the date and time you choose including the directions to the testing center. * Changing Your Exam Appointment. You can change your appointment to test via Pearson VUE or by calling the candidate services. Rules for scheduling , rescheduling, and unscheduling are explained further here . Failing to arrive for the examination or failure to cancel your appointment to test without providing notice will forfeit your examination fee and you’ll have to register and pay again.
- On Exam Day. Arrive at the testing center on your exam appointment date at least 30 minutes before the schedule. You must have your ATT and acceptable identification (driver’s license, passport, etc) that is valid, not expired, and contains your photo and signature.
- Processing Results. You will receive your official results from the board of nursing after six weeks.
Important list and resources you need to know if you’re taking the NCLEX:
- 2023 NCLEX Candidate Bulletin. This resource is a comprehensive guide for the NCLEX, providing essential information and contact details for candidates. It covers registration procedures, test fees, scheduling , testing accommodations, exam rules, and what to bring to the test site. The guide also includes details on the check-in process, breaks, technical issues, and the testing environment. It explains the results reporting process and retake-policy and provides information on the content, development, and test plans of the NCLEX. Additionally, it discusses the passing standard, item formats, and decision rules for passing or failing the exam.
- Sample Questions and Exam Preview. Get a headstart on your exam preparation with these sample test packs by the NCSBN.
- Candidate Tutorial. With the new item types, we highly recommend testing how the Next Generation NCLEX (NGN) works. This tutorial guides you on interacting with different question types in your NCLEX exam. It provides a representative sample of items you may encounter during the test, allowing you to practice their functionality.
Please visit our Nursing Test Bank page if you’re looking to answer more practice questions from different topics and different question formats.
Recommended books and resources for your NCLEX success:
Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy .
Saunders Comprehensive Review for the NCLEX-RN Saunders Comprehensive Review for the NCLEX-RN Examination is often referred to as the best nursing exam review book ever. More than 5,700 practice questions are available in the text. Detailed test-taking strategies are provided for each question, with hints for analyzing and uncovering the correct answer option.
![new generation nclex case study questions](https://nurseslabs.com/wp-content/uploads/2023/01/Saunders-Comprehensive-Review-for-the-NCLEX-RN®-Examination.jpg)
Strategies for Student Success on the Next Generation NCLEX® (NGN) Test Items Next Generation NCLEX®-style practice questions of all types are illustrated through stand-alone case studies and unfolding case studies. NCSBN Clinical Judgment Measurement Model (NCJMM) is included throughout with case scenarios that integrate the six clinical judgment cognitive skills.
![new generation nclex case study questions](https://nurseslabs.com/wp-content/uploads/2023/01/Strategies-for-Student-Success-on-the-Next-Generation-NCLEX®-NGN-Test-Items.jpg)
Saunders Q & A Review for the NCLEX-RN® Examination This edition contains over 6,000 practice questions with each question containing a test-taking strategy and justifications for correct and incorrect answers to enhance review. Questions are organized according to the most recent NCLEX-RN test blueprint Client Needs and Integrated Processes. Questions are written at higher cognitive levels (applying, analyzing, synthesizing, evaluating, and creating) than those on the test itself.
![new generation nclex case study questions](https://nurseslabs.com/wp-content/uploads/2023/01/Saunders-Q-A-Review-for-the-NCLEX-RN®-Examination.jpg)
NCLEX-RN Prep Plus by Kaplan The NCLEX-RN Prep Plus from Kaplan employs expert critical thinking techniques and targeted sample questions. This edition identifies seven types of NGN questions and explains in detail how to approach and answer each type. In addition, it provides 10 critical thinking pathways for analyzing exam questions.
![new generation nclex case study questions](https://nurseslabs.com/wp-content/uploads/2023/01/NCLEX-RN-Prep-Plus-2-Practice-Tests-Proven-Strategies-Online-Video-Kaplan-Test-Prep-.jpg)
Illustrated Study Guide for the NCLEX-RN® Exam The 10th edition of the Illustrated Study Guide for the NCLEX-RN Exam, 10th Edition. This study guide gives you a robust, visual, less-intimidating way to remember key facts. 2,500 review questions are now included on the Evolve companion website. 25 additional illustrations and mnemonics make the book more appealing than ever.
![new generation nclex case study questions](https://nurseslabs.com/wp-content/uploads/2023/01/Illustrated-Study-Guide-for-the-NCLEX-RN®-Exam.jpg)
NCLEX RN Examination Prep Flashcards (2023 Edition) NCLEX RN Exam Review FlashCards Study Guide with Practice Test Questions [Full-Color Cards] from Test Prep Books. These flashcards are ready for use, allowing you to begin studying immediately. Each flash card is color-coded for easy subject identification.
![new generation nclex case study questions](https://nurseslabs.com/wp-content/uploads/2023/01/NCLEX-RN-Examination-Prep-Flashcards.jpg)
182 thoughts on “NCLEX Practice Questions Test Bank for Free”
How much are you charging for it?
Thanks for being generous
Thank you for your kindness & generosity. This is a big help for us, especially those with financial constraints.
How much for this
Thanks Matt Vera for your utmost effort in helping nurses to pass the exam
You’re most welcome! Good luck on your exams!
Hello Matt do you still have the Test Bank questions for 2021. If you do can I have them please and thank you.
Hi Winnie, Please visit our
Thanks heaps! Matt..
The site is very useful.
Thank you mam/sir
This is very helpful site. god bless🤗
Great website wish l knew about it before taking my nclex
Thank you so much for this free site. I found it just as helpful as Kaplan and Sanders which I paid for. I recommended this nurseslabs to some of my nurse friends preparing for the NCLEX. I used it to study and passed my NCLEX October 28. I will continue to use this as a reference. Once again Thank-You. A.Haynes RN
Hey Matt, I am impressed by your generosity. I couldn’t believe these were all free. In all fairness, there should be a tab for donations for the constant upkeep of the web. A very minimal way to show our gratitude.
Although I just started nursing school the i formation is mind blowing and very useful for me already. Thank you for your generosity. I will be using all the practice quizzes and test to prepare myself. Thank you again.
Thank you for this free nclex practice tests! May you have more blessings and success! I will take my exam next month.
Very informative and helpful
Thank you!You’re a big blessing to those who will take the exam.
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Thank you so much Matt! This is helping me work toward my NCLEX with less pressure.
Thanks a lot can I get reading materials on PDF please
Thanks Matt Vera for ingenious effort.
You are heaven sent, Thank you Matt for helping us.
you guys all thank you so much for this massively hard work and huge success for all the nurses around the world .
Your efforts are immeasurable, you are not only helping nurses to pass their NCLEX exams but also increasing the number of qualified/competent nurses providing healthcare around the globe. We are grateful. I used this site to prepare for internal exams whilst I was in school and it really helped me. I’ll be writing NCLEX soon..
Planning to start this process, I think this will be so helpful to me. Thankyou very much
Thank you so much Nurse matt vera for this qbank,most beneficial, God bless you., if I may ask for some videos or pictures associated with the questions, will also help e.g lung sounds,abdominal sound etc thank you
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My name is Daniel m Johnson from Tanzania I’m holding diploma in nursing and midwifery I’m looking for different nurse from different country so as we can share ideas and experience since I’m student I need to no much thing about nursing ….any one who is touched to please help me I wish to be came a good nurse and help different people from different society
What a wonderful thing to do for people! Thank you very much.
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You did a great job Matt…
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You’re most welcome! :)
i just want to confirm for #39 it state pt need additional teaching so E should also be included to the answer cause it was contraindicated to MS right? . thank you :)
Yes, this has been corrected. Thank you! :)
Very informative and helpful. Thank you so much Sir/ madam
Thank you for providing regarding NCLEX preparation
Very informative. Thank you for update.
This is for sure the best nurse’s website ever. It really helped me a lot during my training.
Number 58 of NCLEX test 5 does not have the answers listed.
Hi Rebekah, this is now fixed. Thank you for letting us know!
This is very helpful
It’s very informative. Thanks
Thank you Matt Vera for providing information free of charge
Any advice of how well you can do on these question to build up your confidence?
Thanks a lot for great job. May the Lord Almighty shower His blessing upon you.
Thank you, this site is amazing. God bless you
Thanks alot.I,ve got a question What score ranges would be considered a Pass? I scored 69.33% overall. is that a Pass???
75% and above, from the analysis I got from a test after getting below 75
Thank you Nurse Matt. You deserve all the blessings! 🙏🏻😊
This is very helpful. Thank you Nurse Matt
Question 16 on practice test 9 asked about assessment during L sided CHF, yet the correct answer pertained to right sided HF. Just wanted to let you know…. Thanks for the practice questions! Appreciate all the work put into this.
Question 41 of NCLEX-RN Test 2 has two C choices. Thanks.
Hi, I like your questions, they’re very nice and challenging. Learning a lot from them.
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From Kenya, this site is so helpful,am learning a lot here.Thank you especially for the care plans.
Thank you so much
You Matt and your staff are such a blessing to us who will be taking the NCLEX RN exam. This site is very useful and helpful because it is very comprehensive and easy to understand. God bless and may tribe increase. Thank you so much
The site is very informative. I have learned a lot. Test questions are really amazing which I cannot find with other website. However, I got a low score, thus I need to further study especially on the areas wherein I got a below passing grade. I hope you will allow me. Thank you
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The Practice tests are awesome! The rationales are all well-explained which I love because it gives me more knowledge and insight. Thank you for creating this website free of charge.
Thank you so much. It was really helpful. I passed the exam. God bless real good.
Thank you Matt for the awesome and great website! its beyond compare. I want more practice test questions to hone my knowledge in Nursing practice, however, when I am trying to open one of the practice tests, I cant go through it. Could you please allow me? God bless
Thank you Matt for this practice test. Now I know my strength and weaknesses and will concentrate of the system that needs for further study. Can I practice more in practice test no 2? Please allow me to go trough with it. Kudos to you and your staff.
Hi this is what i got, im so nervous due to my nclex exam its gonna be this coming oct. Its doesnt say pass or not.
Your score 48% Categories Basic Care and Comfort 100% Health Promotion and Maintenance 53.85% Pharmacological and Parenteral Therapies 26.67% Physiological Adaptation 54.55% Psychosocial Integrity 100% Reduction of Risk Potential 36.36% Safety and Infection Control 100%
Thanks so much for this useful information. God bless you.
Thank you so much for all you do
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This website can help me to review for NCLEX and it is for free! Thank you so much!
Amazing and really awesome job to you Matt and your entire team, may God replenish your source for giving us this for free. I have recommended to all my friends and family. Remain blessed and stay safe.
That’s very kind of you. Thank you so much! Bless you!
Your test questions have greatly helped me pass my NCLEX. I passed my NCLEX today and thank you to Nurseslabs. I came across this website by accident and I do not know how but it was divine intervention. I will definitely recommend Nurseslabs to my friends. The quality of the questions and rationales were very good and you would not think this is all for free the kind of work that came with it.
Kudos Nurseslabs and wishing all the future test takers all the best!
Wow Sam, congrats! What materials did you use other than nurseslabs? I’ve been answering nurseslabs also. My exam is on June. I hope I could also make it.
Thank you for this NCLEX sample test,as tool to determine areas i need to review/focus on for the proper exams.
This website can help me to review for NCLEX Thank you so much!
I just wanna ask why is that there are no more rationale posted after answering the question unlike before. Thanks by the way for the free and great Q & A bank. ❤
Sorry, we’re currently having some performance issues with that setup. Until we can resolve it, we have set each quiz to show results and rationales only after you have finished all the questions. Thank you for your understanding.
Hello, how do I get my score after taking the test to know if I am doing well or not
Hi, after you’re done answering all questions, the final item will direct you to the “Quiz Summary,” from there, click on the “Finish Quiz” button to get your final score.
Very great tool to study for the NCLEX. I passed my exam just by focusing on the questions and rationales provided here.
That’s great! Congratulations!
Thank you so much. It’s very helpful. God bless you…
Thank you for being generous. This is a big help.
I got 55/75.
Thank you so much for making this site.
Very helpful. Thank you and God bless…
Thank you so much, Nurse Matt for your generosity. Helping your fellow nurses and aspiring nurses to work abroad is such a selfless and noble act. God bless you and your team!
Thank you for your kind words, JB! Will pass on this message to the team. :) God bless!
The rationale after the question will really help us a lot specially when you are just using the question via online.
Hi Romel, we have temporarily changed this setting so that results and rationales will show only after you’ve finished the quiz. This is because we’re having some performance issues when using the previous setting. We’ll revert the changes once we’re sure the problem is resolved. Thanks for understanding!
I didn’t get my results after answering the 75 questions. Please why?
Hi Esther, did you click on the “Finish Quiz” button?
Thanks for all these questions where/how can i check my answers to these questions?
After answering the last item of the quiz, you’ll be redirected to the quiz summary. From there, click on the “Finish Quiz” button to view your score and results. You can also click on the “View Questions” button to review your answers and read the rationales.
Hi, thanks for providing so much useful information and all the test banks!
In RN practice Quiz 1:75 questions, for question 70, wonder if the correct phrase would be “would you NOT expect”?
Hi Cecilia, thanks for letting us know. We have corrected the question. Thank you! 🥰
Thank you for allowing me to practice the nurseslabs questions. The rationales are well explained. Thank you!
Thank you Ruth. Hope you’ve learned a lot from our practice questions. 🥰
God bless you
My name is Samuel. I just started with the RN practice questions. Thank you for the opportunity.
Hi, thank you so much for your generosity. Using this to prepare for my NCLEX and find it very informative. I will keep you posted on how it goes on the D-day
Frequently throughout the quiz, ARDS is given as “Adult Respiratory Distress Syndrome” instead of “Acute Respiratory Distress Syndrome”. This needs to be corrected.
Hi Bella, thanks for bringing this up.
Technically both terms are correct since “adult respiratory distress syndrome” is an earlier name referred to “acute respiratory distress syndrome” to differentiate it from respiratory distress syndrome in neonates and children. For the sake of uniformity, we have edited them to “acute respiratory distress syndrome”. You can read more about it here: https://doi.org/10.1164/ajrccm.149.3.7509706
This is so kind a gesture, remain blessed .The information is very understandable and helpful
I just wanted to thank you for taking the time to generate this website, this is really helpful and is free. God bless you
Thank you for your support and guide toward my nclex preparation.
Thanks for your generosity. I hope to pass my NCCLEX just on the first attempt Grateful for all your help
thanks for the help
Hi Sir, kindly explain why this question – The client with hyperemesis gravidarum is at risk for developing: Metabolic Acidosis is the answer. Thank you.
Quite familiar with the content. Thanks for this selfless initiative.
It has been a nice experience.
I love these practical questions. So helpful.
Thanks very much this is a good help for all students
Thank you for mett this free test which i have passed yesterday afternoon so ,it is greatest pleasure which will help me
Thank you so much for this great initiative.
Thanks for being kind God bless you
thank you for your help and kindness. It’s difficult to go back to school after 22 years of practice as a RN to take the test where you must cover a vast knowledge, which you do not use in everyday working (depends on the special field you are working. so I really appreciate your effort and dedication.
Matt Vera and all those helping us through this free medium, May God richly bless you abundantly. And may all your good desires come through
Hello Vera, I would start by thanking you for the great job you’ve done by helping us in our preparation for the exams. secondly would wish to know wther you have audio clips for lung, heart and abdominal sounds. thank you in advance and if any kindly let mh know pls.
What should we be scoring on these practice questions to let us know that we’re ready for the NCLEX
Do you have LPN test also?
Hi, please visit NCLEX-PN Practice Questions & Test Bank (200 Questions)
Thank you so much Nurse Matt you just don’t know how nurseslabs helped me in my nursing career and i even recommended nurseslabs to some of my friends. God bless you😊
Hi Matt, Thank you for this, indeed very helpful practice questions. Just a query though it says here to limit wrong answers to 15 or less? So is that the passing mark ? about 75-80%
Yes, that is correct. :)
Thank you so much for the practice questions. I learned a lot and it helped me to understand why I was getting my answers wrong. I used Kaplan and Saunders but it wasn’t helping me. I feel more confident than ever to retake my boards.
thank you…. wish this help a lot to my daughter to passed please pray for her God bless!!!
hi Matt, can l still use these question banks to study for the new NGN questions
Hi nurse Matt, May I gave all the questions please, need to prepare study for exam after been off school over 30 years, realize it for not giving up not try again, thank you 🙏
Thank you so much Nurselabs! I passed my NCLEX-RN exam using only your practice 75 question per day questions bank. I have a tight budget and not able to purchased online review and I just focused in answering your practice questions in just 2 weeks!!! Thank you for helping nurses! God Bless you more!
I want to practices questions
Hello Thanks so much for your good heart and good wish for us to practice and pass the NCLEX. Well appreciated. Please after your update I can’t get the answers and rationale to the 75 questions. This will help me to know my ability and where am lagging behind. Please how can this be rectified Thanks Hope
Hi Hope, did you finished all of the questions for the quiz? Your score together with the correct answers and rationale will only show after you’ve completed the whole quiz.
Hello Vera I finished all 75 questions submitted but no answer or rationale came up. I tried upto 3 times same. Even my friend I shared your content with complained of same thing, answers not coming. Please what can we do to access the answers and rationale Thanks Hope
What particular quiz?
Hello, great resource! I am a nurse that wants to help student nurses reach their full potential as nurses and pass the nclex. I would like to utilize your tests and quizzes to help my students learn to critically think through the questions and learn how to put their nursing knowledge to use. Would you allow me to utilize your questions in my content?
Thank you for the kind words! It’s awesome to hear that you’re dedicated to helping student nurses thrive. 🌟
Absolutely, you’re more than welcome to utilize our tests and quizzes for your students! We believe in collaborative efforts to strengthen the nursing community. Just ensure to give appropriate credit when using the content.
Out of curiosity, are there specific areas or topics you find students struggle with the most when preparing for the NCLEX? Maybe we can work together to create even more targeted resources!
Best of luck with your mission to guide the next generation of nurses!
Hi, I am studying for med surg 1 and med surg 2 upcoming exam. Need to pass both exams.
Sounds like you’ve got a busy study schedule ahead! MedSurg can be challenging, but with the right resources and dedication, you’ve got this. If you need specific materials, tips, or just a morale boost, don’t hesitate to reach out. Else, you can do practice all MedSurg exams on our Nursing Test Banks . Rooting for you to ace both exams! 💪
thank you so much… a big help
Hi Glacier and what a nice name!
You’re welcome! Really glad to hear the NCLEX practice questions were a big help. If you’ve got any other areas you’re prepping for or need more practice with, just let me know. Here to support your journey!
Thanks a lot @nurseslabs for this initiative I really believe by the time I sit my exam I will be a great nurse than ever before. I am learning a lot from the questions and explanation.
Hey Charles, You’re very welcome! I’m thrilled to hear that you’re finding our initiative helpful in your journey to becoming a great nurse. Remember, continuous learning is a key part of nursing practice, and it’s fantastic to see your dedication to it. If you ever come across any challenging topics or have questions about specific nursing concepts, please don’t hesitate to reach out. We’re here to support you every step of the way. Keep up the excellent work, and you’ll do great on your exam! 📖🏥🌟
Much help for beginners like us
Thank you so much Nurseslabs, I made it!!! Your practice exams, especially the rationales helped me a LOT…thank you!!!
Wow, that’s awesome news! 🌟 Huge congrats on making it through – your hard work and dedication really paid off. It’s super cool to hear how our practice exams and rationales played a part in getting you across the finish line.
Remember, this is just the beginning of an amazing journey in nursing. The field’s always changing and growing, and so will you. Keep that enthusiasm and curiosity going strong!
If you ever need a hand or just want to share your journey as you dive into your nursing career, give us a shout. We’re always here to cheer you on and lend support.
Big congrats again and best of luck out there!
Thanks for the information
thanks for the guide
Thank you for your kindness.
Thank you very much!
Thanks a lot for this whole range of knowledge; it’s now upon me to work extra hard to be a better nurse outside there or help other nurses be better at service delivery.
Hi Evans, You’re so welcome! I’m glad to hear that the range of knowledge from the NCLEX practice questions is empowering you to aim for excellence in nursing. Remember, every bit of effort counts towards becoming not just a better nurse but also a great mentor to others in the field. If you need more resources or advice along the way, I’m here to help. Keep up the fantastic work!
Please how can I practice questions please 🙏
In practice exam 5 question 22 asks about hyperemesis…. wouldn’t that cause alkalosis (rather than acidosis), since its acid from the stomach that is leaving the body?
Can I. Have free practice questions? NGN questions?
Thank you for the opportunity to know about all the information posted here. I strongly believe I will pass the NCLEX-RN exam at my first attempt through these useful resources available here. Thanks
Thanks a lot Nurselabs for the free test banks! It’s all what I focused to practice and read every rationale in each questions given. I just recently took my NCLEX-RN exam last week and i was able to make it. Your website is what i embraced and felt much comfortable and trusted what is in there. Thanks for helping lots of NURSES! Highly recommended!
Hello Brenda, Congratulations on passing your NCLEX-RN exam! 🎉 That’s a fantastic achievement, and I’m so thrilled to hear that our test banks and rationales were a valuable part of your preparation. Thank you for trusting Nurseslabs and for your kind words—it means a lot to us.
If you have any tips for future test-takers or any other resources you found particularly helpful, we’d love to hear about them. Your feedback not only celebrates your success but also helps us continue to improve and assist other nursing students.
Thanks again for recommending us, and best of luck in your exciting nursing career!
THIS IS GREAT. THANK YOU FOR SHARING.
Hello, Thank you for your good work. Are you uploading new practice tests or comprehensive tests for nclex rn or nclex pn soon? It has been a while.
Hi Monica, Thank you for your kind words! We appreciate your support. Yes, we are planning to upload new practice tests and comprehensive tests for both NCLEX RN and NCLEX PN very soon. Stay tuned for updates!
thanks for update ..be blessed
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Next Generation NCLEX: Case Studies 5-6
- Perfect for nursing students and professionals preparing for the NCLEX exam
- Based on the official NCLEX-RN exam guidelines
- Triple-checked for accuracy by nursing experts
- Updated for August 2024
![new generation nclex case study questions Nurce license](https://s.nurse.plus/img/nursing_license.jpg)
All 2,700 realistic exam-like questions
Interactive learning with AI personal tutor
Get your money back if you don’t pass
![new generation nclex case study questions new generation nclex case study questions](https://s.nurse.plus/wp-content/uploads/2020/05/suzanne2.jpg)
exam length
scoring format
NCLEX website
Official NCLEX exam blueprint 2024
- Basic Care and Comfort 1
- Basic Care and Comfort 2
- Basic Care & Comfort Marathon
- Pharmacological & Parenteral Therapies 1
- Pharmacological & Parenteral Therapies 2
- Pharmacological & Parenteral Therapies 3
- Pharmacological & Parenteral Therapies 4
- Drug Dosage Calculation
- Pharmacological & Parenteral Marathon
- Reduction of Risk Potential 1
- Reduction of Risk Potential 2
- Reduction of Risk Potential 3
- Reduction of Risk Potential 4
- Reduction of Risk Potential Marathon
- Physiological Adaptation 1
- Physiological Adaptation 2
- Physiological Adaptation 3
- Physiological Adaptation 4
- Physiological Adaptation Marathon
- Psychosocial Integrity Test 1
- Psychosocial Integrity Test 2
- Psychosocial Integrity Test 3
- Psychosocial Integrity Test 4
- Psychosocial Integrity Test 5
- Psychosocial Marathon
- Health Promotion and Maintenance 1
- Health Promotion and Maintenance 2
- Health Promotion and Maintenance 3
- Health Promotion and Maintenance 4
- Health Promotion and Maintenance 5
- Health Promotion Marathon
- Management of Care 1
- Management of Care 2
- Management of Care 3
- Management of Care Marathon
- Safety & Infection Control 1
- Safety & Infection Control 2
- Safety & Infection Control 3
- Safety & Infection Control Marathon
- NCLEX Exam Simulator
![new generation nclex case study questions](https://s.nurse.plus/wp-content/uploads/2020/02/iv-fluids-300x158.jpg)
Next Generation NCLEX An Enhanced NCLEX
![new generation nclex case study questions](https://www.nclex.com/images/nclex/ngn-video-lg.jpg)
The NGN Project
The NGN launched on April 1, 2023 to better measure nursing candidates’ clinical judgment and decision making abilities through the use of innovative item types. The need to measure this stemmed from information gathered during the 2013-2014 NCSBN Strategic Practice Analysis, which showed newly licensed nurses are increasingly expected to make complex decisions while caring for patients.
![new generation nclex case study questions NGN Development Flowchart](https://www.nclex.com/images/nclex/ngn-dev-flowchart.jpg)
The Development Process
As part of the NGN project, NCSBN conducted several phases of research that are shown in the model. If the evidence during any individual step indicated that potential innovations would not support the rigor and quality of the NCLEX, the project was reexamined at all levels.
![new generation nclex case study questions Refine Hypotheses > Prioritize Hypotheses > Generation Solutions](https://www.nclex.com/images/nclex/ncjmm-promo.jpg)
Clinical Judgment Measurement Model
Clinical judgment is critical to nursing. NCSBN developed a model to measure clinical judgement that can also be used as a way of thinking and teaching
![new generation nclex case study questions](https://www.nclex.com/images/nclex/NGN-promo.jpg)
Be Prepared for the NGN
The NCLEX now includes next generation features, using real-world case studies to measure a nurse's ability to think more critically and make the right decisions.
![new generation nclex case study questions new generation nclex case study questions](https://images.prismic.io/kaptest/65846c7f57ce9e2c56577691b686e326554d8672_kaplan_nursing_logo_purple_726.png?auto=compress,format)
Next Generation NCLEX (NGN) Example Questions
These free practice questions are the best way to familiarize yourself with the style and feel of the new item types that you will encounter on the next generation nclex., frequently asked questions about next gen nclex, when does the next gen nclex start, how are next gen nclex questions different, is the next gen nclex harder, how should i study for the next gen nclex, how many questions is the next gen nclex, what kind of questions are on the next gen nclex, do you get partial credit on next gen nclex, is the new nclex all multiple-choice.
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Next Generation NCLEX
The NCLEX exam, short for National Council Licensure Examination , is the licensing exam that nurse graduates must pass in order to legally practice nursing in the United States, Canada, and Australia.
Practical (or vocational) nurse graduates must pass the NCLEX-PN exam, and registered nurse graduates must pass the NCLEX-RN exam.
If you’re a nursing student who expects to graduate in the spring of 2023 or later, there are huge changes taking place with the NCLEX exam that you’ll want to know about.
Next Generation NCLEX (NGN)
The National Council of State Boards of Nursing (NCSBN) plans to release a new format of NCLEX called the Next Generation NCLEX , or NGN for short.
When Will The Next Generation NCLEX Go Into Effect?
The NCSBN plans to release the new Next Generation NCLEX format on April 1, 2023. So, unless the release date changes, those of you graduating in spring 2023 or later will likely get the new format.
What is the Next Generation NCLEX? What’s Changing?
All exam details are subject to change before the actual release date. However, one of the big changes that you’ll find on the Next Generation NCLEX is a shift toward case studies (also called scenarios) to help assess the critical thinking ability of test takers.
What’s a case study? It’s a created scenario that could happen in the real world of nursing that assesses the test taker’s ability to handle a particular nursing situation. The test taker is given information about a patient, their diagnosis, current assessment findings, medications, lab results, and a presenting problem.
Based on this information, the testing candidate will be asked several questions on how the nurse would response or deal with the situation. This type of question requires much more critical thinking and nursing knowledge, and it assess whether the person will be able to deliver good, quality patient care.
There will be approximately three case studies with 6 questions each, for a total of 18 items [3], in addition to other types of questions.
There will also be five new item types on the Next Generation NCLEX, including the following:
Extended Multiple Response – Although multiple response items such as SATA questions are on the current NCLEX, “Extended Multiple Response” will expand on the number of options for each question.
![new generation nclex case study questions Extended Multiple Response, Next Generation NCLEX, NCLEX exam, NCLEX changes, NCLEX questions](https://www.registerednursern.com/wp-content/uploads/2022/08/extended-multiple-response-nclex.png)
Extended Drag and Drop – These question types require you to drag a response into one of the blank answer spaces, and test takers will now have to determine whether they should use some or all of the options available.
![new generation nclex case study questions Enhanced Drag and Drop, Next Generation NCLEX, NCLEX exam, NCLEX questions](https://www.registerednursern.com/wp-content/uploads/2022/08/extended-drag-drop-nclex.png)
Cloze (Drop-Down) – these are the drop-down options that allow you to select a correct response, and there can now be multiple drop-down boxes in a Cloze question type.
![new generation nclex case study questions Next Generation NCLEX, Close Drop-Down Question, NCLEX Question, Next Generation NCLEX questions](https://www.registerednursern.com/wp-content/uploads/2022/08/cloze-drop-down-nclex.png)
Enhanced Hot Spot – this enhanced item type allows you to select (or highlight) the relevant words or phrases from a sample medical record that correspond to the question.
![new generation nclex case study questions Enhanced Hot Spot, Next Generation NCLEX, Highlighting NCLEX Question, NCLEX Changes](https://www.registerednursern.com/wp-content/uploads/2022/08/enhanced-hot-spot-nclex.png)
Matrix / Grid – this item type features rows and columns with options that the candidate must select.
![new generation nclex case study questions Matrix, Grid, Next Generation NCLEX, NCLEX changes, NCLEX sample questions](https://www.registerednursern.com/wp-content/uploads/2022/08/Matrix-grid-nclex.png)
Next Generation NCLEX Scoring Changes
If any of that NCLEX news makes you nervous, I have some good news: the Next Generation NCLEX is also changing their scoring model to a polytomous scoring model, which means that you can now get partial credit on some questions with multiple inputs. This is different from the regular NCLEX model, which marked questions as “full credit” or “no credit” only.
And yes, this does include those dreaded “select all that apply” (SATA) questions!
The Next Generation NCLEX will use three different scoring models, depending on the question type [2]:
0/1 scoring means you earn a point for each correct option selected, and zero points when you select an incorrect option. The points are then added together for a total question score. This scoring type is used on questions such as multiple choice, matrix multiple choice, multiple response where you select a specified number of answers (select N), drop-down cloze, drop-down table, and bowtie questions.
![new generation nclex case study questions Next Generation NCLEX, Next Generation NCLEX changes, NCLEX 0 1 scoring](https://www.registerednursern.com/wp-content/uploads/2022/08/matrix-scoring-nclex.png)
+/- scoring means that you can earn a point when you select a correct option, but lose a point when you select an incorrect option. This method is used with select all that apply multiple response questions, matrix multiple response, and MR grouping questions.
![new generation nclex case study questions Next Generation NCLEX, plus minus scoring, NCLEX scoring changes](https://www.registerednursern.com/wp-content/uploads/2022/08/extended-multiple-response-scoring-nclex.png)
Rationale scoring means that you only earn points when you select a response that reflects a proper understanding of the rationale of the question. In this format, you will select the paired options that logically follow (Example: A leads to B). Both options must be selected correctly to earn a point.
![new generation nclex case study questions Rationale scoring, nclex next generation, nclex exam, scoring changes,ngn](https://www.registerednursern.com/wp-content/uploads/2022/08/rationale-nclex-question.png)
How Many Questions are on the Next Generation NCLEX?
Each candidate will receive a minimum of 85 and a maximum of 150 questions on the exam. However, 15 of those questions are pretest questions that are not scored, so test takers can expect between 70-135 questions that are actually scored on the Next Generation NCLEX exam [3].
The exact number of questions a test taker will receive varies because the NCLEX uses Computerized Adaptive Testing (CAT), which continues to provide questions of different difficulty levels based on the test taker’s previous responses.
The test taker will continue to receive questions until the computer can determine with 95% confidence that the individual either passed or failed the exam. The exam will also stop once time is up or the person reaches the maximum number of questions (135).
How Long Do I Have to Complete the Next Generation NCLEX Exam?
You will have 5 hours to complete the Next Generation NCLEX exam.
Can You Use a Calculator on NCLEX?
NCLEX currently allows you to use a provided calculator on the test screen, and this will likely continue for the Next Generation NCLEX.
Don’t Be Intimidated by the Next Generation NCLEX (NGN)
I know that some of you are stressed out about this new NCLEX format, but I don’t think you should worry about it at all.
Unlike the meme below, the NCSBN is not some evil organization with an agenda to torture nursing students with the fear of forever failing NCLEX. Instead, these individuals are professionals who want to ensure that you’re equipped with the proper knowledge so that you can offer great care and succeed in practice.
![new generation nclex case study questions nclex meme, nursing meme, nursing school meme, nursing student meme, next generation nclex, memes](https://www.registerednursern.com/wp-content/uploads/2022/08/nclex-meme-doctor-evil.png)
They have a very strict process whereby nursing instructors actually develop questions. Then those questions are peer-reviewed by actual nurses in practice, and they even pretest questions and gather statistics to ensure that the exam is accurate and ready to administer.
So this isn’t something slapped together on a whim by people who know nothing about the nursing profession. It is a long, reviewed process that is continually improved based on feedback and statistics.
How Should Nursing Students Prepare for the Next Generation NCLEX (NGN)?
So how should you prepare for the Next Generation NCLEX right now as a nursing student? First, so many people are asking, “What’s changing with NCLEX?” It’s great to know what’s coming and how the questions will be formatted, and I do think practicing some questions in similar NCLEX format can be helpful.
(For the record, the NCSBN even offers a mock NCLEX exam with actual questions from previous exams that you can take at NCLEX.com for a fee if you want to practice before the actual test.)
However, I wouldn’t spend too much time stressing about the new NCLEX format changes.
If you really want to succeed on NCLEX, you need to ask this question, ”What is NOT going to change about NCLEX?” And what’s not changing is the fact that they are trying to ensure that you know enough about nursing to think critically and make the right clinical decisions so that you can provide safe and effective patient care.
So your study strategy needs to have that focus from day one. How do you do that? I would still offer the same advice that I offered in my recent NCLEX Study Plan video.
1. Start studying as early as possible . I started studying hard during the break before my last semester.
2. Prioritize your weak areas . I talked about how you can assess your strengths and weaknesses through software and so forth.
3. Practice many NCLEX-style questions . I would practice 90-100 questions almost every day.
4. Go back and review questions and topics you keep missing . Look at the pathophysiology of diseases on questions you missed. Look up medications and their mechanism of action, and so forth. Go back and study those important details.
5. Switch between review lectures , textbooks, and notes when you are not practicing questions to help you understand the content in different ways. Your brain will appreciate the switch to different studying formats. In other words, when you are tired of reading, watch a lecture that covers similar topics.
In my review lectures , I always try to help you to understand not just the way something is done, but the “why” something is done. I spend time trying to explain the patho and rationale behind things so that you’ll understand it more deeply and be able to think critically on exams and in real-life nursing practice.
That’s the key to really passing NCLEX. They want you to know enough about nursing to think critically and make the right clinical decisions.
And if you put in the time to understanding those things, it doesn’t matter whether you get a drag and drop, hot spot question, select all that apply, or whatever. You’ll have the knowledge in your head, and you will be able to sift through and choose the correct option(s).
Final Thoughts on Next Generation NCLEX
In conclusion, don’t waste time worrying about the changes coming in Next Generation NCLEX . Instead, stay the course and put in the time studying and practicing questions, and you’re going to do great!
Even if you do fail your first time around, you have the opportunity to take it again, so go into the exam with confidence!
References:
1. https://www.ncsbn.org/11436.htm
2. https://www.ncsbn.org/15991.htm
3. https://www.ncsbn.org/16013.htm
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Understanding the Next Gen NCLEX (NGN): What to Expect and Question Types
![new generation nclex case study questions Mike Linares, MSN RN headshot](https://simplenursing.com/wp-content/uploads/2024/05/Mike-Linares-MSN-RN-min-scaled.webp)
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Jump to Sections
Goals of the NGN
What is still the same on the next gen nclex.
- What’s new on the next gen NCLEX?
- Breaking Down the Next Gen NCLEX questions?
Prep for the Next Gen NCLEX Questions Here
The NCLEX exam plays a crucial role in the journey of every nursing student, serving as the final hurdle before entering professional practice.
As of April 2023, the National Council Licensure Examination (NCLEX) updated their exam to the Next Gen NCLEX or NGN .
But it’s more than just a name change.
The NGN includes an updated scoring system and new question types that focus on your clinical judgment and decision-making skills, making NCLEX prep even more important than ever.
This guide will provide a comprehensive overview of the changes to the NGN NCLEX, a breakdown of the new next gen NCLEX questions with examples, and how to study for the NCLEX NGN moving forward.
What is the Next Generation NCLEX (NGN)?
The NGN is a result of changing demands in the nursing profession. As a result, the NCSBN re-evaluates the NCLEX exam every three years to ensure those who pass are ready for nursing.
This new NCLEX rolled out in April 2023 , and no doubt will change again in the future.
- Assess Clinical Judgment : The primary goal is to measure a candidate’s clinical judgment and decision-making skills more accurately.
- Reflect Real-World Scenarios : It aims to reflect the realities of current clinical environments.
- Improve Patient Outcomes : By ensuring nurses are better prepared, the NGN aims to improve patient care and outcomes.
The NCLEX exam evaluates if a post-grad nursing student is ready to begin making crucial decisions affecting clients. So to keep up with constant changes in the medical field, the exam has also recently undergone a substantial change.
The NGN has many new changes, but a lot remains the same from the previous NCLEX.
Computer Adaptive Testing
One thing that remains the same in the NGN is that the exam still uses computer adaptive testing (CAT) . This means that the answer for each question determines the difficulty of the next question you get.
A correct answer makes the following question harder, while an incorrect answer makes it easier. The goal is to achieve and maintain a certain difficulty level so that the computer algorithm can evaluate your knowledge level.
Existing Question Types
All the old question types are still used on the NGN. The types of questions that you may see on the NGN (and old NCLEX) include:
- Multiple choice – The most common form of NCLEX question, multiple choice questions, provide multiple answers to a question from which you must select the correct one.
- Select all that apply – Select all that apply questions are considered relatively difficult. For these questions, you need to select each of the answers that apply to the question.
- Hot spot – While less common, hot spot questions have you select a particular area in a graphic that answers the question.
- Fill in the blank – Fill in the blank questions require you to enter a free text answer that must be correct. This is often a number, such as a dose calculation.
- Drag and drop – This question format is normally used to have the test taker order the answers in the correct order, such as sequentially describing steps in a procedure.
- Chart or graphics question – These questions consist of an image and text. An example of this type of question could be a question asking you to name a heart rhythm based on its appearance.
- Graphic answer multiple choice – This is the same as normal multiple choice questions, but uses graphics or images as answers instead of text.
- Audio or video – These questions require you to listen to a sound or watch a video, then answer a question about the audio or video.
What’s new on the next gen NCLEX?
While the NGN incorporates many existing NCLEX features, it’s different in the following ways:
Harder Question Content
One of the NCSBN’s findings when evaluating the NCLEX is that nurses are more often caring for critically ill clients than has traditionally been the case. This increased client acuity means that new NCLEX questions are more difficult , with an increased focus on caring for more critically ill clients.
![](http://sektorel.online/777/templates/cheerup/res/banner1.gif)
New Question Types on the NGN
While all the existing NCLEX question types are retained, there are multiple new question types in the NGN that are significantly different from what nursing students have been accustomed to. Some of these new question types include:
- Case Scenario – NCLEX questions have traditionally been standalone questions, each question unrelated to others. In the new NCLEX, two to eight questions may be derived from a single case. These cases provide a client record with multiple tabs and a split screen. The client record is on one side, and questions appear on the other, with multiple, non-adaptive questions.
- Extended multiple choice – A significant difference with these questions is that partial credit is given for answers that are close to correct.
- Cloze (drop-down) – Essentially a cross between multiple choice and fill in the blank, these questions provide a drop-down list of possible answers to complete a sentence.
- Extended drag-and-drop – This question type is like the traditional drag-and-drop, except that there are more answers than spaces, and some answers need to be excluded.
- Highlight text – These questions are answered by highlighting an area of text from a given passage.
- Matrix/grid – Seen on multiple response questions, these are like a “select all that apply,” question, but with more than just a, “select or don’t select,” option. For example, there may be a list of eight different interventions you have to choose if they are anticipated, nonessential, or contraindicated based on the question stem.
- Trend – This question type tests knowledge of the NCJMM, which is a series of steps for measuring clinical judgment.
Number of Scored Questions
The new NCLEX has 70-145 scored questions (including fifteen pretest questions), which increased the max number of NCLEX questions (previously 60-130 on the old NCLEX). The unscored questions won’t contribute to the overall score, but will be used for future exam development.
Among the scores on a minimum length test, test-takers should expect to see three case studies with eighteen questions, which make up 21% of the overall score.
The New NCLEX Scoring System
Traditional NCLEX questions are either right (counting as one point) or wrong (counting as zero points). This is referred to as dichotomous scoring .
The new NGN-style items have new scoring methods to allow for partial credit: +- scoring, Dyad scoring, and Triad scoring.
All of the items will be either correct or incorrect, and some will have partial credit. This is referred to as polytomous scoring .
+/- Scoring
Test-takers earn one point for each correct response, and lose one point for each incorrect response. If the total score is negative, the final score will be reduced to 0. Points are not deleted for incorrect responses.
Dyad and Triad Scoring
In a dyad scoring system, if both answers in a paired set are correct, you get one point. In a triad scoring system, you get one point for each correct answer. If you get all three correct, you get two points.
Standard items (Fill-in-the-blank numeric, Multiple choice, Multiple-response select all that apply, Hot spot, and Ordered response) will continue to be worth 1 point. Multiple-response items will receive partial scoring.
![new generation nclex case study questions nursing students taking the NCLEX exam with next gen NCLEX questions](https://simplenursing.com/wp-content/uploads/2023/02/iStock-1290769190-1024x683.jpg)
Breaking Down the Next Gen NCLEX questions with Examples?
Questions (items) are standalone items or unfolding (case studies).
Case studies reflect real-world scenarios based on the six functions of clinical judgment in the Clinical Judgment Measurement Model. Stand-alone items are similar to case study questions, but are not a part of them. They are introduced after the minimum number of items.
These new question types (as both case studies and standalones) include:
Extended Drag-and-Drop
Purpose: Items that require placing answers in the correct order or categorizing them appropriately.
Test-takers can choose a response to drag a choice to, but there might be more than one answer that could be correct. You can either drag the choice back to the list or remove it from the question entirely.
Drop Down Cloze
Purpose: To assess knowledge in context.
This includes a paragraph with one or more drop‐down options from which to complete the paragraph, each option having three to five possible answers.
![new generation nclex case study questions Drop-Down Cloze](https://simplenursing.com/wp-content/uploads/2024/05/Drop-Down-Cloze.webp)
Drag-and-Drop Rationale
Purpose : To evaluate understanding of cause-and-effect relationships.
This question is made up of one sentence with one cause, one effect, or two causes. Test-takers can select a choice on top of a target and remove it by either dragging it back to the choice list or just removing it.
This can be a dyad (two sentences with one target) or a triad (three sentences with one target).
![new generation nclex case study questions Drag and Drop Rationale](https://simplenursing.com/wp-content/uploads/2024/05/Drag-and-Drop-Rationale-1024x327.webp)
Drop Down Rationale & Table
Purpose : To test logical reasoning and the ability to identify relationships within the provided information.
This question type includes one sentence with one cause, one effect and another effect. The answer can be a dyad (one sentence with two drop‐downs) or a triad (one sentence with three drop-downs each).
![new generation nclex case study questions Drop Down Table](https://simplenursing.com/wp-content/uploads/2024/05/Drop-Down-Table.webp)
Matrix Multiple Choice/Grid
Purpose : To evaluate the ability to analyze and correlate data.
These questions have four to ten rows with two or three options. Each row must have one response selected. A test-taker can only continue to the next question once responding to all rows.
![new generation nclex case study questions Matrix Multiple Response](https://simplenursing.com/wp-content/uploads/2024/05/Matrix-Multiple-Response.webp)
Multiple Response Select N
Purpose : To test the ability to prioritize and select the most relevant answers from a set of possibilities.
This differs from other multiple response item types in that the test-taker may not select all but is limited to a certain number of keys.
![new generation nclex case study questions MR-Select-N](https://simplenursing.com/wp-content/uploads/2024/05/MR-Select-N.webp)
Multiple Response Grouping
Purpose: To assess the ability to categorize information appropriately.
The multiple-choice question has a table with two to five groupings, each with two to four options. The number of options is the same for all groupings, so test-takers must select at least one option from each grouping.
Highlight Text & Table
Purpose : To test attention to detail and the ability to identify key information.
Test-takers must select parts of the text to determine what is critical for the action. Responses are tokenized, and there can be no more than ten options. Test-takers can choose and deselect options as they see fit.
![new generation nclex case study questions Highlight Text](https://simplenursing.com/wp-content/uploads/2024/05/Highlight-Text.webp)
Purpose : To assess the ability to choose the most appropriate action or intervention from a list of options, helping to achieve desired outcomes or prevent adverse outcomes. Test-takers must correctly drag and drop an item onto a series of targets within the bowtie diagram.
Bowtie questions present a graphic representation of a clinical situation as a bowtie diagram with a central problem and various possible outcomes or actions.
![new generation nclex case study questions Bow-Tie](https://simplenursing.com/wp-content/uploads/2024/05/Bow-Tie.webp)
Purpose : To evaluate the ability to recognize and interpret patterns over time.
This question type tests knowledge of the NCJMM, which is a series of steps for measuring clinical judgment.
For more NGN questions, try our free NCLEX practice test .
![new generation nclex case study questions](https://simplenursing.com/wp-content/uploads/2023/03/The-Next-Generation-NCLEX-NGN-is-here..png)
The New NCLEX exam, Next Gen NCLEX (NGN), is here to stay. The most significant changes include new question types and a scoring system that considers not just your correct answers, but also the ones you got wrong.
It requires a lot of preparation. But with the right study tools, including an NCLEX study plan and sample NCLEX question practice , you can claim back your time and understand nursing concepts with ease.
SimpleNursing NCLEX Review Course equips you with lecture series, question banks, cheat sheets , adaptive exams, study guides, and much more.
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Free Next Generation NCLEX-RN Sample Test
Lecturio’s Free Next Generation NCLEX-RN Sample Test was created to help students measure their preparedness and get firsthand experience in a simulated NGN testing.
This sample test comprises 30 realistic questions that blend new NGN item types with traditional NCLEX-RN questions.
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Frequently asked questions about the new NGN item types
The NCLEX exam is currently undergoing a major update that is going into effect on April 1st, 2023. The new format is intended to more effectively test the skills that are required of nurses in today’s healthcare environment, focusing more strongly on clinical judgment and critical thinking.
The NGN exam features new question types like multiple-response questions, bowtie, highlight questions, drag-and-drop, and matrix/grid questions. The new question formats require stronger critical thinking skills of test-takers. New content areas tested are e.g. nursing informatics, genomics, and social determinants of health.
Multiple-response items require the test-taker to select more than one correct answer from a list of options.
For extended multiple-choice items , students have to select one best answer from a list and additionally have to provide the reasoning for their response.
Hot spot items assess knowledge with anatomical landmarks, e.g. where to insert IVs or where to listen for a maternal heartbeat. The answer to the question will be given by marking an area on a procided image or graphic.
In highlight-text item type questions, you are required to mark parts of a text that are relevant to your answer.
In these items, the task is to sort the response items in the correct order, usually by drag-and-drop. It could require the student to order the steps of a dressing change, a procedure like a tube insertion, or deciding which client to see most urgently.
With the newly-formatted questions, it is even more crucial that aspiring nurses practice for their NCLEX with a properly formatted test environment that simulates the real exam. The earlier you get used to the question mechanics, the more secure you can feel in the exam. Whichever question format you’re facing, always remember why you’re taking this exam: It is to make sure you are safe to practice as a nurse, and the questions make sure to test that. Read the question thoroughly, identify how it works, the context, and which nursing topics you studied are relevant. Then, always view the questions from the angle how each option might affect the client and choose the response that is safest.
Aside from studying up on the nursing content, make sure to:
- Review the test blueprint
- Practice with sample NGN questions in the new format
- Focus on developing your clinical judgment and decision-making skills
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Can you answer these free NGN practice questions for the NCLEX?
Get quality practice for the NCLEX—for free!—by working through these NGN practice questions, learning first-hand from experienced NCLEX tutor Justine Buick about the best ways to apply your knowledge and critical thinking skills to passing the exam!
![new generation nclex case study questions Can you answer these free NGN practice questions for the NCLEX?](https://www.brainscape.com/academy/content/images/size/w620/2023/10/free-NGN-practice-questions-for-the-NCLEX.png)
In April 2023, the NCSBN released a revamped NCLEX to the world—the Next Generation NCLEX (NGN) —compelling nursing students/grads just like you to rethink your studying strategies! (To learn more about the way NGN questions differ from the previous generation exam, check out: What to expect from Next Generation NCLEX .)
So, to help you adapt and prepare, the team here at Brainscape joined forces with NCLEX prep expert Justine Buick ( www.theNCLEXTutor.com ) who has crafted from scratch a collection of Next Gen NCLEX practice questions , which you'll see shortly.
Combined with our digital flashcards for the NCLEX-RN and NCLEX-PN licensing exams, these constitute a powerful resource you can lean on to take your NCLEX prep to the next level!
These flashcards have been carefully curated and vetted to offer nurse students a hyper-efficient way to drill the enormous amounts of content they need to learn and remember in order to answer the more complex questions posed by Next Generation NCLEX questions.
- Get Brainscape’s Nursing Fundamentals flashcards (for nursing school)
- Get Brainscape’s certified NCLEX-RN flashcards
- Get Brainscape’s certified NCLEX-PN flashcards
- Get Brainscape’s FNP flashcards
- Use Brainscape's free NCLEX study planners and exam countdown sheets to plot your path towards and remain razor focused on your study goals!
And if you're still in nursing school, check out our flashcards for all the topics you'll be learning: Pediatrics flashcards , Adult Health flashcards , Pharmacology flashcards , Management of Care flashcards , Maternity flashcards , Mental Health flashcards , and Safety & Infection flashcards .
Now, let’s dive into some Next Generation NCLEX practice questions with, first, a brief aside on the difference between standalone and case study questions...
Standalone vs case study NGN questions
The NCLEX poses questions either as “stand-alone” questions or as “case studies”. In the case of the former, they are—as their name suggests—one-off, discrete questions. Once you finish answering them, you move on to the next question, which isn’t at all related.
Case studies, on the other hand, ask a series of questions based on the same patient/case and so it serves you to bear in mind your previous answers and maintain a degree of cohesiveness as you work through them.
The first Next Generation NCLEX practice question we’ll be tackling, however, is a standalone bowtie. This is one of the more common types of standalone questions on the NCLEX, which very simply gives you a patient scenario and then you have one question that you have to answer.
NGN Practice Question: Standalone Bowtie
The nurse is caring for a 67-year-old client in the cardiac care unit. The nurse documents the following data in the Nurses’ Notes.
Nurses' Notes
1530: Client was admitted 2 days ago for a scheduled coronary artery bypass graft (CABG) x 2 vessels. No complications during surgery and recovered in the ICU overnight. Client transferred out of the ICU this morning to the cardiac care unit. History of coronary artery disease, hypertension, hyperlipidemia, and osteoporosis. Assessment findings are as follows: alert and oriented x 3; denies shortness of breath, sore throat or cough, lungs clear bilaterally; irregular heart rhythm auscultated, denies chest pain, skin is warm to touch, cap refill < 3 seconds, no edema and peripheral pulses 2+ and equal bilaterally; denies nausea/vomiting, bowel sounds active x 4 quadrants, reports passing flatus and last bowel movement was the morning of surgery; indwelling foley catheter was discontinued this morning and has been voiding clear, yellow urine without complications; up to bathroom 2 times with assistance; gait steady. Client is currently sitting at bedside and reporting a "racing heartbeat" and "feeling faint". Vital signs are HR 142 beats/min, BP 116/78, RR 18 breaths/min, pulse oximetry 96% on room air, and temperature 98.4 F (36.9 C).
Complete the diagram by selecting from the choices below to specify which potential condition the client is most likely experiencing, 2 actions the nurse takes to address that condition, and 2 parameters the nurse monitors to assess the client's progress.
For the answers...
Simply sign up for Brainscape's nursing flashcard collections (below) and we'll send the detailed answer and rationale to your inbox! These flashcards are FREE to sign up for ; and you can study a certain number of them before being asked to subscribe. But for full access to the Brainscape study experience, which will help you prepare for the NCLEX so much more efficiently , sign up for pro .
NGN Practice Question: Case Study
Now, let's try another type of NGN question: the case study, which, if you remember what we previously explained, poses a series of questions based on the same patient/case. So remember to bear in mind your previous answers and maintain a degree of cohesiveness as you work through them!
The nurse is caring for an older adult in the intermediate care unit.
1000: Client admitted with an exacerbation of chronic obstructive pulmonary disease (COPD). Client has used home oxygen at 3 L/minute by nasal cannula for 4 years but reports increased dyspnea over the last several days. Client increased portable oxygen to 5 L/minute. Currently, the client is fatigued but alert and oriented x 3. Client reports shortness of breath at rest, increased coughing and large amounts of thick, tan sputum. Client has labored breathing and is in the tripod position. Lung sounds with wheezes bilaterally. S1 and S2 heart sounds heard, no murmur or gallop noted. Vital signs obtained. Healthcare provider in to see client and admission laboratory tests completed. Respiratory therapist was in to obtain ABGs.
V ital Signs
Lab Results
The nurse assesses the client, obtains the vital signs and reviews the laboratory results. 1. Which laboratory findings require follow-up? Select all that apply.
2. The nurse reviews the assessment findings and laboratory results. For each client finding, click to select the finding that is most consistent with the condition of hypercapnia or hypoxemia. Each finding may support more than one condition.
3. Complete the following sentence by choosing from the list of options.The client is at highest risk for developing [Option 1] as evidenced by the client's [Option 2] .
4. For each finding below, choose the potential nursing intervention that is appropriate for the nurse to include in the plan of care. Each finding may support more than one intervention.
The nurse reviews the healthcare provider's orders.
- Continuous pulse oximetry monitoring
- Oxygen via venturi face mask, titrate to maintain pulse ox >88% • collect sputum culture for culture and sensitivity
- Repeat ABGs at 1800 today
- X-ray of chest today
- albuterol 2.5 mg via inhaler three times a day
- fluticasone 88 mcg via inhaler three a day guaifenesin 400 mg PO every 4 hours
5. What teaching points does the nurse provide regarding the inhaled medications? Select 3 teaching points.
The nurse assesses the client after implementing the healthcare provider's orders.
6. Check whether the assessment findings indicate that the client’s condition is either Improved/Stable or Not Improved .
NGN Case Study Answers
For the full answers and rationale, include video explanations, simply sign up for Brainscape’s Nursing Fundamentals flashcards (for nursing school) or our certified NCLEX-RN or NCLEX-PN flashcards , which offer you a hyper-efficient way to drill the enormous amounts of content you need to learn in order to answer the more complex questions posed by Next Generation NCLEX questions. (And YES, they’re fully Next Generation NCLEX aligned.)
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Finally, for truly excellent advice on excelling in nursing school, taking the NCLEX, and beyond, make sure you follow Brainscape Nursing on YouTube and check out our free Academy of articles and nursing guides !
Flashcards for serious learners .
NCLEX Study Guides and Practice Tests
Archives: Next Generation NCLEX (NGN) Questions
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NGN Quiz: Assessment in Gastric Cancer Home Care
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New Year’s Eve 2024 Nursing Prioritization – Next Gen NCLEX Practice Question
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NCLEX Next Gen Quiz: Medical Management of Epiglottitis
- 1. Prepare the child for tracheotomy.
- 2. Prepare to administer epinephrine.
- 3. Prepare the child for a chest radiograph.
- 4. Assist the primary health care provider with intubation.
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NCLEX NGN Quiz on Side Effects of Chlorpromazine
Chlorpromazine: What Nurses Need to Know
- (A) Dry mouth
- (B) Lip smacking
- (D) Hand tremors
- (D) Increased urinary output
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Critical Lab Monitoring for a Pneumonia Patient on Gentamicin
NCLEX NGN Quiz on Critical Lab Monitoring for a Pneumonia Patient on Gentamicin Topic: Pharmacological Management in Pneumonia System: Renal and Hematological Systems
- 1. BUN and creatinine
- 2. Hemoglobin and hematocrit
- 3. Sodium and potassium
- 4. Platelet count and clotting time
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NCLEX Pharmacology Quiz: Heparin Sodium Therapeutic Effect Monitoring
- 1. Hematocrit level
- 2. Hemoglobin level
- 3. Prothrombin time (PT)
- 4. Activated partial thromboplastin time (aPTT)
![new generation nclex case study questions NCLEX NGN Quiz: New Nurse Injection Preparation](https://www.nclexquiz.com/wp-content/uploads/2023/10/Ampule-Injection-Safety.jpg)
NCLEX NGN Quiz: New Nurse Injection Preparation
NCLEX NGN Quiz: Ampule Injection Preparation/Safety
- 1. Snaps the neck of the ampule gently towards the body.
- 2. Uses a filter needle when drawing up the ampule contents.
- 3. Folds gauze around the ampule neck before snapping open.
- 4. Avoids touching edges of the ampule when inserting needle.
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Next Gen Quiz: Neurological Emergencies in Spinal Cord Injury
Next gen nclex quiz: neurological emergencies in spinal cord injury.
- 1. autonomic dysreflexia
- 2. autonomic crisis
- 3. autonomic shutdown
- 4. autonomic failure
Next Generation NCLEX®
As your trusted partner in preparing students for NCLEX success, Elsevier wants to help you stay up to date with the latest developments related to the Next Generation NCLEX (NGN). Be sure to bookmark this website as your one-stop destination for all things NGN — from breaking news from the NCSBN, to strategies for incorporating more clinical judgment activities into your curriculum, and everything in between.
New Item Types Overview
The NCSBN has introduced a new format for the NCLEX® exam is now available. The Next Generation NCLEX exam includes a new case study-based format and new question types. The NGN Explainer videos offer a great overview, with visual representations of all the questions and item types! View all NGN item types.
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Elsevier offers a complete, end-to-end solution with the authoritative and consistent content and digital solutions required to help students develop the knowledge and skills necessary to excel on the NCLEX and in practice.
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We’re connecting with industry leaders to host webinars that provide you with the latest information and tools you need to prepare for what’s next. See what’s coming for NGN online events or view our recording archive.
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At Elsevier Education, we work closely with educators to understand trends and challenges across disciplines and specialties. That’s why we’re always working to provide you with relevant resources and educational content that you can use in your classroom.
Expertise library NGN Item Types
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NGN for All
Elsevier is proud to introduce NGN for All—an initiative to get all students ready for the types of questions they’ll receive on the Next Generation NCLEX®. NGN questions will now be integrated and available in everyone’s HESI Next Generation exams where content is available. Once students complete an exam, they’ll see reporting on how they performed on these new questions. While these new items are optional and won’t impact final HESI scores, they allow you to prepare students early and put your program one step ahead towards being NGN-ready.
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Getting Ready for the Next-Generation NCLEX® (NGN): How to Shift from the Nursing Process to Clinical Judgment in Nursing
The nursing process has been used for over 50 years as the systematic, stepwise method for problem-solving to make safe, client-centered clinical decisions. In the early 1970s, the North American Nursing Diagnosis Association (NANDA, currently called NANDA-I) was formed to develop a common language to identify standardized nursing diagnoses based on a nurse’s interpretation of assessment data.
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Using Graphic Organizers To Develop Clinical Judgment In Prelicensure Nursing Students
The term graphic organizers refers to a variety of learning tools that visually present relationships between and among pieces of knowledge or concepts. These tools can be very simple or more complex and can be used for students at any learning level. Graphic organizers can be educator-generated or learner-developed, depending on their specific purpose.
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Writing Case-Based Next-Gen NCLEX Questions
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Keith Rischer – Ph.D., RN, CCRN, CEN
As a nurse with over 35 years of experience who remained in practice as an educator, I’ve witnessed the gap between how nursing is taught and how it is practiced, and I decided to do something about it! Read more…
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Writing Next Generation NCLEX-Style Case Study Questions
By Susan Sportsman, PhD, RN, ANEF, FAAN
Recently, our blog featured tips for developing Next Generation NCLEX (NGN)-style questions, particularly the revision of test questions faculty already include on their examinations. Revising these questions provides a strategy to adapt current test items to reflect the NGN process, since these knowledge questions represent many questions on the NGN exam.
Now let’s turn our attention to writing NGN Case Study questions . Although only three case studies will be on the NGN examination, all test-takers must respond to the six questions embedded in these case studies, regardless of how many total questions they receive. Case Studies are complex and require some thinking to create. However, I think they are fun to write—the exercise is very much like writing (a truly short) short story! Here are some suggestions for getting started.
- Begin with the objective(s) that emphasize the content you want students to apply. Keep in mind that the point of case studies (and NGN questions in general) is to evaluate how well students can apply content to a specific clinical situation.
- Develop a clinical problem that students must address that represents the objective(s) in your course. Ideas for this this problem might come from:
- Clinical situations highlighted in past tests (or in test banks to which you have access).
- Your own clinical experiences-or those of your colleagues.
- Content outlined in the NCLEX Test Design.
- Case Studies you use for class discussion or assignments for students.
- NCSBN’s Top Priority Knowledge Statements or Skills
- The introduction to the case study scenario should include:
- Client demographics (age, gender, brief and relevant social history)
- Client history
- Relevant environmental factors, such as where the client lives (own home, LTC facility, etc.)
- Normal/abnormal findings (e.g., Physical assessment findings, V/S, Lab values, psychological behaviors)
- Time considerations for the nurse/client
- Client/Nurse Interaction
- Recognize Cues: What matters most?
- Analyze Cues: What could it mean?
- Prioritize Hypothesis: Where do I go to start
- Generate Solution: What can I do?
- Take Action: What will I do?
- Evaluate Outcomes: Did it help?
Remember that the case study should represent situations that are appropriate for the level of student you are testing. Later in the curriculum the questions should represent clinical judgment that a novice nurse is expected to use in actual practice.
Starting the Process of Writing a Case Study
As you begin to write your own case studies, an example might be helpful in integrating the NGN components into an actual case study. The case study below was written for students in an early nursing clinical course, such as Fundamental in Nursing. In addition, the NGN Resources website also provides examples of case studies written at the level of a novice nurse.
Note: The templates we developed for this post can be found on our Resources page . Feel free to use them.
![new generation nclex case study questions](https://i0.wp.com/collaborativemomentum.com/wp-content/uploads/2022/02/Feb-22-blog-case-study-template-1.png?resize=561%2C261&ssl=1)
#1. Recognize Cues (Drag and Drop)
Drag & Drop the 4 cues the RN observed the initial assessment which require following up.
![new generation nclex case study questions](https://i0.wp.com/collaborativemomentum.com/wp-content/uploads/2022/02/Feb-22-blog-table-1-v3.png?resize=519%2C161&ssl=1)
#2. Analyze Cues (Select All that Apply-N)
The RN is concerned about the client’s confusion. Identify factors that may be causes for this confusion. a. Hospital Environment * b. Early indication of Alzheimer’s Disease c. Use of Morphine for control of Pain * d. Anesthesia * e. Reduction in O2 f. Limited Sleep
![new generation nclex case study questions](https://i0.wp.com/collaborativemomentum.com/wp-content/uploads/2022/02/Feb-22-blog-case-study-template-3.png?resize=530%2C167&ssl=1)
#3. Prioritize Hypothesis (CLOZE)
Complete the following sentence by choosing from the following lists of options:
![new generation nclex case study questions](https://i0.wp.com/collaborativemomentum.com/wp-content/uploads/2022/02/Feb-22-blog-CLOZE-1.png?resize=200%2C99&ssl=1)
#4. Generate Solutions (Matrix)
Confusion continues to be a problem for the client on day three post-surgery.
Which of the possible interventions to the problem are indicated and which are contraindicated?
![new generation nclex case study questions](https://i0.wp.com/collaborativemomentum.com/wp-content/uploads/2022/02/Feb-22-blog-table-2-v3.png?resize=600%2C162&ssl=1)
The RN notifies the surgeon of elevated TPR, drainage at surgical site, and pain and received orders.
#5. Take Action (Highlighting)
Upon receiving the following physician orders, highlight those which the nurse should implement right away.
![new generation nclex case study questions](https://i0.wp.com/collaborativemomentum.com/wp-content/uploads/2022/02/Feb-22-blog-table-3.png?resize=751%2C163&ssl=1)
#6. Evaluate Outcomes (Matrix)
The nurse has performed the interventions as ordered by the physician for the client. For each assessment finding, click to specify if the finding indicates that the client’s condition has improved, has not changed, or become worse.
![new generation nclex case study questions](https://i0.wp.com/collaborativemomentum.com/wp-content/uploads/2022/02/Feb-22-blog-table-4-v2.png?resize=500%2C153&ssl=1)
Case study questions are an important part of the NGN emphasis on measuring test-takers’ clinical judgment competence. Hopefully, the example above will give you some ideas for developing your own case study questions. You may notice that these questions are not exactly formatted like those on the NGN website. Currently, most of us do not have the necessary software to completely mimic the NGN questions. But simple templates can come close. Please don’t let the differences in the format of these questions stop you from using case study questions in your testing and classroom teaching. Remember, the point of the NGN testing process is to assess new graduates’ ability to use good clinical judgment in a variety of clinical situations. Giving students the opportunity to practice clinical judgment is key to their success on NCLEX and in clinical practice.
Silvestri, L. (2020) Higher-Cognitive Level Test Question: A Starting Point for Creating Next Generation NCLEX Test Questions. White Paper. Elsevier.
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What You Need to Know About the Next Generation NCLEX (NGN)
What is nextgen nclex, when will next gen nclex start, why is the nclex changing, how is the nclex changing, next gen nclex test items.
- Where to Find More Information on NGN
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There’s been a lot of buzz about the Next Gen NCLEX (NGN), especially among nursing students and educators. This nursing board exam update is “an exciting enhancement to an already rigorous exam.” And now, it’s just a few months away.
This nurse’s guide to the Next Gen NCLEX explains the changes, what to expect, and where students can find additional resources.
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- Next Gen NCLEX-PN
- Next Gen NCLEX-RN
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After nursing school, the next step to becoming a nurse is passing the National Council Licensure Examination ( NCLEX ). This exam validates the skills of graduate nurses. A passing score proves to the state boards that an individual has the entry-level knowledge and skills to practice safely and effectively in a clinical setting.
The test changes periodically. The National Council of State Boards of Nursing (NCSBN) updates the test plans every three years to keep up with practice changes. However, the next update will be a significant overhaul of the current board exam.
The NGN is the latest version of the NCLEX exam coming this spring. It will be administered the same way as previous exams but includes new question types and scoring models.
The Next Gen text is designed to ask better questions and help nurses think critically to make the right decisions when providing care.
>> Related: What is the NCLEX?
The new NCLEX format goes into effect on April 1, 2023. As a result, students starting their nursing programs during or after Fall 2021 will take the Next Gen version for licensure.
Both the NCLEX-RN for prospective registered nurses and the NCLEX-PN for prospective licensed and vocational nurses are changing.
NCLEX is changing to meet the growing demands of the healthcare system. Technologies are developing rapidly. Patients are experiencing more chronic and complex illnesses. The nurse’s job is more challenging today than ever, thanks to increasing regulations, litigation, and electronic EMRs. As the industry changes and patient needs evolve, nurses are increasingly tasked with making complex decisions .
The NCSBN’s 2013-2014 Strategic Practice Analysis determined that better measurement of critical judgment was essential. Recent data supports the need to assess the critical judgment of graduate nurses better.
Medical errors now rank as the third leading cause of death in the US
65% of entry-level nurse errors were related to poor clinical decision-making
50% of entry-level nurses were involved in practice errors
Only 20% of employers are satisfied with new nurses’ decision-making abilities
Clinical judgment is required in up to 46% of all tasks performed by entry-level nurses
The NCSBN defines clinical judgment as “the observed outcome of critical thinking and decision-making” It’s an iterative process that uses nursing knowledge to:
Observe and assess cues
Identify and prioritize concerns
Generate the best possible evidence-based solutions for safe care delivery
According to NCSBN, “NGN is about protecting the public and achieving the best outcomes for clients, nurses and institutions.”
Based on the 2013-2014 analysis, the national council developed new innovative question types to evaluate graduate nurses better.
Those questions were tested as a “ special research section ” following NCLEX tests administered between July 2017 and December 2018. NCLEX-RN and NCLEX-PN exam candidates were given the option to complete the section evaluating clinical judgment ability. The majority of test-takers (85%) opted to take it. NCSBN used the results to prove the need for an exam revision and test the new item types.
The NGN test items attempt to simulate the work that nurses do daily. They evaluate the test taker’s critical thinking, judgment, and decision-making. Next Gen questions use case studies and patient scenarios that nurses will see in the real-life clinical setting.
Based on their analyses, the NCSBN approved new item types to measure nursing judgment on the NGN.
Extended multiple-response
The extended multiple-response items allow candidates to choose more than one answer. It is similar to the traditional NCLEX multiple response; however, there are more answer options.
Extended drag-and-drop
Extended drag-and-drop items ask candidates to move or place responses into answer spaces. This type is similar to the current NCLEX ordered response question format, except that they may not use all the answer choices. Certain items may offer more options than answer spaces.
Cloze (drop-down)
Cloze (drop-down) items ask candidates to select an option from a drop-down list. On the NGN, there may be more than one drop-down list in the cloze question. For instance, candidates may read a passage and have to choose the right words or phrases within tables, charts, or sentence passages.
Learn how to answer NCLEX drop-down questions in our comprehensive guide.
Enhanced hot spot (highlighting)
Enhanced hot spot items let candidates choose their answers by highlighting certain words or phrases. For example, they may read a nursing note, medical history, or medication record and then be asked to highlight areas or lines that answer the test question.
Learn how to answer NCLEX highlight questions in our comprehensive guide.
Matrix grid
Matrix grid items allow candidates to select multiple answers on a chart. Each row or column may require a response. This question type may give a scenario with client data and then require test-takers to judge the findings by checking appropriate boxes in a supporting table. It is useful for measuring multiple aspects of a question in one test item.
Stand-alone: Bow-tie, and Trend items
In addition to these new formats, candidates will also see “stand-alone” items that ask a single question.
Bow-tie is one type of “stand-alone” question that candidates must drag and drop answers into a bow-tie shaped figure.
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Source NCSBN
Trend items are another “stand-alone” type question where candidates are given information to review over time and choose the correct intervention.
Unfolding Case Studies
The NGN will also contain “Unfolding Case Studies.” In these questions, candidates receive information from a medical record, followed by question sets leading them to recognize and analyze findings, make clinical judgments for appropriate care, and evaluate patient response.
The new questions are scored based on the revised NGN scoring model . The previous NCLEX scored items as either ‘all correct’ or ‘all incorrect’ — a dichotomous model. In contrast, the Next Gen scoring model uses three different methods and gives partial credit for some items with multiple points — a polytomous model.
Where to Find More Information on NGN
The best resource for students to learn more about the Next Gen exam is the NCSBN site. With the implementation of NGN, they’ve also released updated NCLEX-RN and NCLEX-PN Test Plans , which outline the test content and include practice questions.
Another resource is NCLEX.com, where you’ll find a sample pack of Next Gen NCLEX-RN and NCLEX-PN case studies and examples.
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Connetics USA Video Media
Next generation nclex (ngn) questions and case study.
Dr. Paul Biluan, CEO Aspire RN: Thank you for attending Connetics College. This is a Connetics USA Initiative, where we do classes every Monday. This is Dr. Nurse Paul is tasked to do classes for free every first Monday of the month.
Thank you guys for joining today. Please kindly tag your friends and share this to your pages so we can reach more nurses for today we're going to talk about next-generation NCLEX I'm going to show you guys a case study. So you guys get to have clarifications with your questions about the next-gen NCLEX but next-gen NCLEX is happening April 1 2023.
We're gonna get our first batches of nurses that will be taking the next-gen NCLEX if you guys are not familiar I've done a couple of live shows both for Connetics USA but I also do my own show and my own social media and Facebook and YouTube and Instagram and TikTok at doctor nurse Paul and you can just search my playlists in YouTube. And you'll see there all the best shows that I did about next-generation NCLEX. Again welcome everyone to Connetics you as a watch Aspire RN NCLEX review provider in partnership with Connetics USA every first Monday of the month. We have classes every Monday it's different companies different ethics providers and English exam providers. But doctor nurse Paul and Aspire RN hosts their shows every first Monday we have Charles watching from Uganda and Dorothy is tagging your friends thank you guys for joining us today April is also here. Thank you for joining me Good job guys. Please tag more of your friends and charities to your pages so we can reach more friends today and again Connetics USA is offering anklet scholarships you must meet the requirements that Connetics USA have set but in partnership with in partnership with Aspire RN Connetics, USA is offering NCLEX scholarships if this is what you are interested with. We have posted the garments of the link it's HTTP s, colon, backslash cu as a dot Lin backslash Aspire RN so click that link right now. And one of the Connetics students a recruiter is going to talk to you and check your qualifications and you can pass a qualifying exam for scholarship but this is entirely free. So if you are short on budget but you want to do or want to get a quality review for foreign graduate nurses like you and me this is the best time to click that link right now and as a contact Connetics USA or if you're having issues looking at this link you can also directly send me a message and I can help you as well. All right. Again welcome to Connetics USA Connetics College in partnership with Aspire RN we are doing a Connetics college NCLEX class today and we're going to talk about next gen NCLEX Yay. I'm so excited. We are less than 60 days away from the next generation NCLEX. Any nurses will be taking the NCLEX soon after April one If you're taking the NCLEX before April 1, please make sure you pass the NCLEX.
So you don't have to deal with next gen NCLEX. If God forbid, you fail your exam, and you have to retake, you're gonna retake it the next gen NCLEX format, so everybody that are yet to take the NCLEX are choosing or deciding if they want to take the NCLEX or will be taking the NCLEX very soon after April 1 we're going to do the next generation NCLEX and Aspire RN is one of the leading foreign graduate NCLEX review provider with me as the CEO, doctor nurse Paul. And I will be one of your instructors and mentors. We are one of the leading providers providing next gen ethics for foreign graduate nurses, a lot of Next Gen X compatible providers are targeted for Americans. But there is a special, you know way of delivering review programs for foreign graduates like us because our competencies are not really exactly the same as American graduates. There's a reason why there's a national pass rates for foreign graduates for first time takers of only 46% Compared to 86% of the Americans. So more than 54 55% fail the NCLEX the first time and it's a very difficult exam because of the educational differences in competencies, and now their next gen NCLEX. But don't worry if you enroll with my program, if you don't go sorry about that. If you don't qualify for this scholarship and you're enrolling my program, I will make sure that you will pass the NCLEX through my program and today we'll be releasing a new program. We call it the doctor nurse Paul method or DNP method. All of our classes are going to be next gen NCLEX compatible. And you will get 42 live classes up to the time that you will be taking your exam to final coaching from the orientation to final coaching, you're gonna get 42 live classes with me and many of my instructors, the most number of live classes and the NCLEX review industry nobody else could provide you better, right? Because I've added more days for NG and glasses. I called it the NG and masterclass that's where all we talked about is Ng and types of questions and we're going to answer this just like what I'm going to do right now I'm going to give you a preview of what's going to happen if you're enrolled in that program. Right or, again Connetics USA can also provide you scholarship let's flash that link again at the bottom. So we're gonna see the link right now being flashed on the screen.
This is how you avail or get or get qualified for the NCLEX scholarship being provided by Connetics USA in partnership with Aspire RN the link is cusa.link/AspireRN that is how you get connected with us or send us a message through social media channels as well and we can send you a message back so we can answer your questions. All right, I guess many people are joining today thank you again let me know where you guys are located for those that are haven't called yet and many people are joining us today Mani is here from India. She wants to apply as an RN please get a hold of one of our Connetics you as a rigors again the link is cusa.link/Aspirern okay, let me have coffee real quick. It's too early or at 7am Haven't had sleep because of jetlag.
We're going to talk about case studies today case studies will be an integral or vital part of the next gen NCLEX each case study. So case studies involving case we're going to show you what it looks like. Each case study will have six questions. So one case study six questions. This will be talking about the clinical judgment model of the next gen NCLEX. Question wanted a case study would always be about recognizing cues. Question number two is about analyzing cues. Question number three is about prioritizing. I suppose he says question number four is about generating solutions. Question number five, it's going to be about taking actions. And question number six, it will be about evaluating outcomes. So we're gonna have six questions today six questions from one case study. All right. And we have Youssef joining us in linked in from Nigeria Yousef, thank you for joining us today. We have joy, also watching us from Nigeria. Wow, we're all over the world today. Anyone here from the Americas Latin Americas or Northern Americas? Because I've only seen people from the African European and Asian continent but haven't seen that American continent people yet. Just to make sure that we're covering the whole world but thank you guys for joining today. And Um, when are you guys planning to take your NCLEX exam while we're still waiting for more people to join anyone? Anyone will be taking the next gen NCLEX very soon after April one. You're gonna have your next gen and click Screen is joining us from Philippines. Hi Karen. Thank you for joining baya is joining us from Philippines as well thank you for joining me today. This is gonna be an interactive show people I want you guys to help me answer the case study that I'm gonna be showing in a little bit. Alright, again, for those that just came in thank you for joining Connetics College, by Connetics, you as an Aspire RN. Today we're going to talk about the next generation NCLEX case study and there will be six questions per case study. And each question will meet the competency of the clinical judgment model by the NCS the and we observed from UAE and Felicity from Nigeria Thank you. Joy said she will be taking the NCLEX soon using the next gen FX format and she is under Connetics right now.
Thank you joy for joining and essentially we'll be taking the exam in July and a bond Julie's taking it on June this year. Good luck guys. If you need help with NCLEX preparation and next gen NCLEX preparation just send me a message and the doctor nurse Paul social media pages or you can also log onto my website Aspire RN. We'll be launching today our new NCLEX program called the doctor nurse Paul method which will include next generation NCLEX preparation and review classes in to the review program Alright, so if this is what you are interested with, send me a message Oh Bom Julie said you send me a message on Facebook. Well, I'm sorry if I don't reply as fast as I can. I have a team that helps me answer messages as well because I'm flooded with a lot of messages. If I don't respond back send your message again. So you get the top of the list because we do get hundreds of questions every day in all my social media channels but I will be gladly I will be glad to answer I'll be happy to answer your question today after this show. Okay, thank you guys. Now let's talk about the case study. We're going to have case study number two today. Worse Number One Number one was shown back in December or January I think in one of my past shows, with Connetics you as a I gave you an example of case study number one is this the first time that you're joining me today or have you seen me do this class in the past.
Anyone here is joining me for the first time and has never seen me do this because I don't only do this with Connetics USA nursing agency I also do this every Saturday in my own social media channel, the doctor nurse Paul show and let me see how many of you guys have just joined me today or have never seen me do the classes in the past. For those who do not know me, I'm the CEO of Aspire R which is an NCLEX review provider based here in Houston Texas. And I am an NCLEX instructor for 15 years 15 years that's what I'm bringing my experiences both outside the US in my hometown Philippines and also here in the US and I'm combining them to create a very high quality NCLEX review program under Aspire art and this is the reason why Connetics USA which is one of the largest foreign graduate nurse recruiters trust Aspire RN because of the quality that we bring onto the table thank you guys for joining me thank you Connetics of course for trusting my company Aspire RN and my team if I was part of Aspire RN last year do I need to join an engine program? Nope. If you are already a current aspiring student you will be transitioned to the next gen program so don't worry about it. We're gonna be transitioning you for free if you are already our student right so don't worry about it. And Craig said she has also seen me before in my doctor nurse Paul Fit Page and she said I'm a fan. Thank you for that and feel flattered. I'm just here to like do free classes online. That's my passion ever since right? And let's see Stephanie if you want if you're interested, go to AspireRN.com or send us a message on Facebook Aspire RN or doctor nurse Paul in one of my team members will get a hold of you. All right. Let's see case study number two today.
Are you guys ready? Right now Okay, can you guys pass the next gen NCLEX. I want you to write this in the comment section. We With all gaps, yes, I can, if we are manifesting that you're passing the NCLEX write it down right now on common section. Yes, I can. Are you going to pass the next gen NCLEX? Write it down, type it down right now. Yes, I can. There you go. Good morning to those that are just joining us today. Please tag your friends. Yes, I can. Yes, I can. Yes, I can. Ooh, let's go. All right, let's do it. You guys are going to help me answer these questions. All right. We're right. I think everybody's ready now because everybody's responding in the comment section. Yes, I can. All right. Okay. This case, I'm sorry, it's not as big as I can. I want to do it. But you can zoom it in. If you're using your phone. I'm going to read it for you. All right, we're going to answer this together. The nurse in the emergency department is caring for a 17, one seven year old male client.
Let's check the tabs because you're gonna have to flip through the tabs, open all the tabs to see the whole chart. It's like an emerge. Sorry, it's like an electronic medical records like a patient chart, you're gonna have to open all the chart to see what's going on with a case. Remember, a case is a story about a patient and this story changes over time. Just like how will you deal with a patient clinically, right when you're in the hospital, right. And a lot of you foreign grad nurses like me, are already experienced nurses at bedside so this will give you a little advantage because you're already you already have developed the clinical judgment but you're just gonna put it to test right now.
Okay, let's read history and physicals for body system pulmonary. We're going to read the question first. The nice shortness of breath reports discomfort in the lower left side of chest when taking a deep breath, gastrointestinal reports feeling abdominal fullness, and occasionally nauseated, muscular skeletal. The patient sustained an injury to the left ribcage after being struck by a mechanically beach baseball in a batting cage last week. Right battling cage last week, reports intermitted pain in the left shoulder six over 10 and the numerical rating scale feels lightheaded, significant bruising through their left shoulder or at the scoping repair to the left shoulder for a torn rotator cuff. Last year psychosocial client has not felt well enough don't that baseball practice since the injury? So we're seeing a lot of red flags here. Right. There's respiratory issues for sure. There's gastrointestinal issues. There's Musculoskeletal and Skin issues. We're seeing bruises there and pain. Alright, so let's remember that it's going to be important to answer the question later. Now let's click nurses notes right there. If I click nurses notes, this is what we see. At nine o'clock the client appears fail and slightly diaphoretic large amount of bruising noted along the left torso and over the left upper quadrant of the abdomen, tenderness, guarding dullness to percussion noted in the abdominal assessment, slightly diminished breath sounds noted and the left lung fields and auscultation blind does a productive guff EKG shows normal sinus rhythm. Alright, remember, remember those spots any flags, flags, bail, diaphoretic, bruising, tenderness, garden dullness to percussion to the abdomen, diminish breath sounds productive guff. Those are positive sides are significant findings, vital signs, what can you see? What are the abnormal findings in the vital signs here? What are the abnormal findings we have both degrees are decreased BP is also decreased. Right? So what's our concern here? Be our blood pressure both I mean, all of them are all decreased. Right? How about the labs? About the labs, the good the labs? What are our normal?
Look at the white blood cell count. It's 19,000 your hemoglobin and hematic. Great H and H is nine and 27. So all of them are AB nor Mo? Correct. All of them are abnormal. Now that we've seen the whole case of what's going on, let's now proceed to the question on the right side of your screen right there. Okay, Which of the following assessment findings require immediate follow up, immediate follow up? All right. Your options are lung sounds, shoulder pain, productive abdominal assessment findings, pulse, respiration, blood pressure and temperature and pulse oximetry reading. What are your answers? This is a select all that apply. It's also right minus wrong question. What are your answers? Anyone? Anyone? Please tell your friends and more people can join us today. Anyone? What are your answers? Lila already showed me her answers. But what about the rest?
I'm still waiting for everyone's answers. I'm not sure if I got disconnected though. I don't think so. All right. Michi gave her answers already. Oh, by the others. We have more than 100 viewers today. I want to see your answers. Don't go the question which assessment findings would require follow up?
Who's attended my class in the past? Some of you guys, right. We prioritize lung sounds. Yes. Because there's shortness of reading and decrease breaths out on the left side. Do we prioritize shoulder pain? There's pain here. There's Rousses. Yes, let's consider that. Right, because that's still a significant finding. lab results, obviously. Yes. productive cough. Yes. abdominal assessment, fullness, nausea. Yes. Both respiration and blood pressure. Yes. The only not included here is temperature and pulse oximetry, because your bowls and temps I'm sorry, pulse oximetry reading attempts are both normal. There are both normal address 123456. Right. 123456. Okay. 123456 are the answers everything that has an abnormal finding you include, that's just how it is. Okay. Everything that has abnormal finding, you include with the exception of number seven. Alright, that's number seven. All right. John Doe is an Aspire RN NCLEX passer. Congratulations. Let's all clap our hands agenda.
Can we feature that? Common miscellaneous? So we can everybody could see that John Doe, is one of our NCLEX passers. Congratulations, John Doe sent me a message I want to interview you all of my pastors, I want to put on a little video chat and see what we can help you with after Okay, thank you, John Doe for trusting Aspire RN my team, thank you for being in my class. Thank you for being one of the Aspire RN Lister. That's why we call our ambassadors. Thank you. Congratulations. That's all say congratulations, Gendo. I don't know if it's full name, but you can say jazz. Congratulations. All right. Anyway, and hopefully we can get that energy from John as well. So we can pass our NCLEX you guys are ready to achieve your American dream? Yes. Can you pass your NCLEX? Yes, I can. All right, let's dive it down.
Congratulations, Jan, you're receiving a lot of compliments. Right on the comment section. Thank you. Thank you. We want that energy from Jan to fill us up right now. Right? We want that faster energy to be with us today. Right? Anyway, thank you, John, for sharing that information. And thank you for sharing your victory efforts is very tough. I can tell you, I've been teaching this for 15 years, I wouldn't be here teaching you guys. Connetics, don't even invite me. If this is not valuable at all. We're here because there's so many people failing, we're here to help solve that problem. And I'm still here educating nurses 15 generations down since I graduated nursing and started teaching, but I'm happy with what I'm doing. Okay, this is my passion. So thank you, John, for trusting Aspire RN in my team and for everybody. I wish you all good luck right. Now let's go to question number two. Same situation. Same case, nothing was ever added to the notes. Let's go through the question right away. Which of the following issues is the client at risk for developing or off developing? Let's do your differential diagnosis, differential diagnosis, stroke pneumothorax or hemothorax. I'm sorry, bowel perforation, spleen, a glass array. pulmonary embolism abdominal aortic aneurysm? What are your answers? This is select all that apply. I want to put your assessment skills to the test. Let's see if you know your signs and symptoms for all of these conditions.
So you see the thing would next generics while I'm waiting for you guys to answer put your answers on the comment section is the contents are the same. It's just a different way of showing the questions and providing the answers. There's just more different types of questions this time, but contents are the same. So it's still important that you know your contents.
If you don't know your contents, then you will have a difficult time answering next gen NCLEX very important that you know your contents means when we talk about stroke, you should know your signs and symptoms there your pathophysiology, your priority assessment, priority management, positioning, medications to use, what are the side effects of those medications? That's only stroke. We're not talking about the others yet. So you have to have a very good grasp or mastery of skills. I keep talking about this in my TikTok and Instagram. Mastery of concept is the most important test taking strategy for the NCLEX. Now we'll put this to the test. Let me see what your answers are. We have diverse answers. Does this look like stroke? No, because there's no Henry Prius. It's right or he may Perris it Nope. hemothorax. Yes, because there's difficulty of breathing decreased breath sounds on one side, and this is trauma. Yes. bowel perforation.
Does this look like a bowel perforation? Are there two sides of bowel perforation to you guys? Rigid abdomen fever, nausea, vomiting, constipation, shock like symptoms. I have not seen fever. I have not seen rigid abdomen. It just says feeling full but not rigid because it shouldn't be peritonitis. There shouldn't be fever, right? So we're gonna remove number three, does it look like valid birth? You don't get Bruce's with Bible birth. Right? About splenic. laceration. I'll include that just because the case was a baseball bat. Alright, it's a trauma. The patient was hit on the left side with a baseball bat. The spleen could have ruptured. Right. So spleen laceration, yes. How about pulmonary embolism? Guys, if there's pulmonary embolism there's shortness of breathing decrease SPO to right patients having chest pain, lightheadedness, dizziness, mainly chest pain. We don't have it. It literally says there. I mean shortness of breath do it literally says there denies shortness of breath. Remember pulmonary embolism is occlusion of the pulmonary arteries, which can lead to both respiratory and cardiac collapse.
So there shouldn't be signs of respiratory problems like shortness of breathing, right? We don't have that. So pulmonary embolism is ruled out. abdominal aortic aneurysm? Yes, because we have abdominal fullness and the blood pressure is going down. It might ever ruptured. So adds her ear is two, four, and six to four and six to four and six. All right, very good. All right. Now question number three, same situation. Same situation right. Nothing was added so I'm not going to flip through the different tabs anymore. I'm not going to open these three nurses notes vital signs and lab but during your NCLEX please open it make sure that you guys have read everything and that nothing changed right?
Complete the following sentence matches it from the list of offerings the nurse should first address the clients or choose from this clients what all of them are part of her priority but now you can only pick one what is our priority? And only pick one what is our priority? We're on my people from YouTube and LinkedIn haven't seen them for a bit I've only been seeing the Facebook people joining us but the linked in people and YouTube. Are you guys still here? What's your priority? wunderbar is also here. He was also in my class last night and it's also our Aspire RN students. Thank you Please don't miss your class. It's wonder burger this far in right. But Trisha already has answers Sal already has answer.
Can you already provide her answer Troy I'm still waiting for more people. I've only seen like 20 people. I want at least half of the attendees to give me the answers. This is fairly easy for me. All right. I hope it is also easy for you but what will you prioritize it's principle of ABC airway, breathing and circulation. respiratory takes priority. You've already seen signs like, decrease breaths on one side, you've already seen signs like chest pain, guys, there might be a hemothorax there, right? This is a trauma.
So you think about those things answer is respiratory status. Very good. You guys are enjoying case studies. I think for me, it's straightforward for as long as your concept is good. So you see, when you check my tech talk, people go crazy about when I say something about natural quick, some people are saying, oh my god, I'm so scared, like, what am I going to do? Like? How can you help me? While other people would say, Why are you guys scared about Next Gen X? It's pretty easy. That's all that's both right and wrong. Right? Remember, each student have different learning abilities, right? Those students that are saying next gen and what slips easy for me it is because all the case that all the information that I need is already there, right? If I if I'm good with my signs and symptoms, and I know what they are, if I know my pathophysiology, and my meds and all my treatments, I can honestly answer this easily. So if my concept is master, if I've mastered a concept, if my foundation for nursing concepts are good, then I want to have problems with ng n. The same is true with view. Now, if your problem is Foundation, like if I talk about hemothorax, and you can even define oh my god, what is seam authority? So Oh, my God, why is there lung collapse and pneumothorax? What happened? Guys, you have to go back to your books, you have to go back to your lectures. That's what we're doing as fire art. And we train you first with your concepts. And if you progress and we think you're good with your concepts, then you can proceed to the NG and master classes.
That way, there's correct progression. And we make sure that you actually complete all the objectives that Dr. Nurse Paul has set in our program. Okay. Anyway, question number five, we have a new data from 10 o'clock am right. Emma said she couldn't near me from LinkedIn. I'm so sorry about that. We were having technical issues. Thank you for jumping in and joining us in Facebook. Right. Anyway, let's look at 10 o'clock. It says glide was diagnosed with splenic, laceration and left sided hemothorax Oh, now we have dramatic obligations, bleeding lacerations, lift left sided Demuth arcs, what's your major complication? For both? For both? Both complication for both? Well for left handed pneumothorax, are gonna have lung collapse, a circulatory and respiratory collapse, but both of them are also leaders. So you're gonna have to consider bleeding and shock.
Do you remember your vital signs earlier? What was happening with a blood pressure? They're going up or down? You remember your blood pressure earlier? What was going on? Up or down? They're going down. It's going down. Right? How about the pulse and our respirations? They're, they're both going up. These are signs of shock. Typical dry adverse shock. Is the patient having shock already? Yes. Is the patient possibly bleeding at this point? Yes. You look at your H and H earlier, it's also down to patients bleeding, right? What's our management here? Do we need to send the patient if I'm in the ER who are ER nurses here, I'm an ER nurse.
I'm a trauma nurse. And that's why I like case studies because they always talk about the patients in the ER the patients in the ER patients in the ER so that's what I can help you with because I'm an ER nurse and I'm going to do the edge in masterclasses myself and inspire art and as many instructors, all of them are good night quality because I chose them. But I'm going to do the NG and masterclasses myself. Alright, back to the situation. Right? So what is the priority if m&e are nurses and this patient is diagnosed and splenic, laceration and pneumothorax? My priority is to send this patient right away to the trauma surgeon into the O R. Correct. All right. So what's your management here? Do we give IV fluids indicated or not indicated in the gate a very good April we have to bring the patient start o r but while waiting for the O R we can start our trauma management if you got some taken your trauma nursing course it's a B, C, D E, F G H I J K LMNOP.
So many letters, but all of those means something right? Part of that is stabilizing the patient or IV fluid indicated serum typing screen in the gated chest physiotherapy not indicated it's gonna cause more injuries. No, no, no, no CPT insertion of ng t. Now right now, right because there's splenic ends or injury we don't have there's diaphragmatic trauma as well. Right? Don't do ng t yet, because the patient has probably a diaphragmatic trauma as well. So what's the problem? If there's a diaphragmatic trauma if there's a tear you might be able to, like the tube might feel left and go back to the respiratory or you can have more complications. What if the esophagus is also bleeding or trachea? So you don't want to do ng D for now until there's a clearance from the doctor. That's usually after intubation. So don't do MGT right now. Not yet. Not yet. How about administer prescribed pain medication? Pain medication? I think I've seen someone here said no.
The other one said yes. Pain medication. Yes or no? Yes or no? Guys, ng t is not a priority right now. It will be done later. But NCLEX is all about priority. It's about right now. All right, baby. Yes, don't we don't pay medicine if you're in the US and you would have been medicine the patient can sue you for under medicating the patient
. That's for nursing care. Yes, we need to give pain medicine right. So again, IV fluids indicated zero typing screen indicated CP teach as physiotherapy not indicated MGT not indicated. Administration prescribe a medication about question number five look at 1030 The client is now referred to immediate or for immediate surgery, we're not going to go to the or no look at your right side of the screen right there. This is select all that apply which of the following actions should the nurse take letter A provide or mark the surgical site provide a client with isotopes number two, three, perform med reconciliation for obtain consent five, insert IV fluids six I'm sorry, five is insert burden for a VAD or IV six inform the client about risks and benefits. Seven assess declines previous experience with surgery or ASIC line spirits to wait in the waiting room no plan of care discuss with the client. All right, what's your answers? Or answer ads? Or ads? Or what's your answer? And one this is OR nurses here? Please stand up. Please stand up. Anyone?
Please don't forget to follow doctor nurse Pauline, Facebook, YouTube and Instagram for more shows like this. I do this almost every week. Every Saturday I have the show doctor nurse Paul show. Right? Oh, that's a lot of answers. Are you guys sure about this? Oh, anyone who? Some people just like to check everything. Remember in next gen lecture select all that apply becomes right minus wrong say if you're answering too much. And that's not required, you are going to get zero points. Can you mark the surgical site? No, that's for the surgeon? Can you provide a client with ice chips? No patients on NPO? Can you perform medication reconciliation? No, that's the primary responsibility of the prescriber or the surgeon or the anesthesiologist. Can you obtain consent from surgery?
No, the doctor has to do it. You can only witness if you're updating, explaining the risks and benefits that's for the doctor. Can you insert IV? Yes, you need that for the medicines and IV fluids and blood transfusion? Can you inform the client about the risks and benefits of surgery? No, that's for the doctor. Can you assess the client's previous experience with surgery and anesthesia? Yes, because this is both the responsibility of the nurse and the anesthesiologist. That's part of your assessment. You have to know present illness, past medical history past surgical history you have to know that because there might be an allergy to certain medications. How about as the client's parents doing in the waiting room? No, the patient is a minor. So what are our answers people? What's the answers? Wonder Bert is leading the way.
W hat's the answer? five and seven only? All right, a lot of people have answered multiple answers. I'm so sorry. But you guys get zero points because this is a right minus wrong kind of thing. Right? This is a right minus wrong question. So if you answer too much, you're gonna get a penalty. That's one of the things you need to remember with next gen NCLEX. But don't be scared. That's why we're doing these glasses to help you understand and guide you how to answer these things properly. Right? For many people that have consistently getting incorrect answers from number one through number five, I can honestly say that your problem as an expert for NCLEX instruction is with the concepts, right? Go to classes, attend review classes, if you don't have the money, go grab the adequate scholarship by Connetics USA or if not, then tried to talk to one of my team members who might be able to help you but you need to invest on yourself.
And NCLEX is a very expensive exam, you don't want to be taking it multiple times because you keep failing. I've had a student fail seven times, right seven times on the seventh time, or no, no, failed six times, I think, the seventh time she joined us by our and finally after trying so many different programs that actually didn't work for her. Because all they do is take your money and put you in a group class that's doing the same thing all the time. Each student is different. That's why yes, we do group classes and aspire are in but you get your own personal student advisor and personal mentor that tracks your progress and make sure you're progressing correctly and in a timely fashion.
If not, we can tell you, you're not ready. Maybe you need to spend more time in this space. Or maybe take more of these exams first, before we can proceed, we can help you proceed to the next phase. That's called guidance. That's called mentorship. Not a lot of review providers do that because they don't have time for that. But in Aspire RN, we care for you. We treat you as an individual not as another number or student Right? Very important to partner with the right people and invest with yourself. All right answers five and seven Riza. And Jen classes will start on March. Right now we're still transitioning the students to the from the old program to the new program, everybody that will start so my Ng and masterclasses EB three phases in my review program. Just watch my TikTok, I'm gonna release a video, I guess tomorrow. The first phase is the concept building phase. It takes eight weeks to finish that that's 24 live classes every week and in the remaining days of the week, you have activities like both tests and certain stuff. And then after eight weeks on your month number three, or month number two, for four weeks, you do Ng and masterclasses every week and right. And after that, you do your final coaching face or hit classes, which is 10 days of live classes, question and answer only just like this for the next 10 days. But you progress to different phases .
Depending on your ability, you're not going to get to Ng and master classes if your concepts are not good. Because even if I teach you for 10 hours a day, if your concepts are not good, it's not going to help you write for reason, my whole review program is $550. But we're going to be offering promotions this month. Alright in connection to the NG and program that we're going to be releasing. So please watch out, follow Dr. Neurospora and inspiring. We're going to be announcing very important things this week. Right? I'm going to talk to you about the program and private message because some other people are here online and they're waiting for the answers number five and seven are the answers here. Let's go to question number six. All right, nothing was changed in the case.
It's still the same case. Right? Same situation. They do mar I think Maura was one of my students in the past. Thank you. I've been in the teaching industry for 15 years before I left the Philippines. I was teaching there for 10 years 10 generations of and of nurses that have thought so I'm an old guy now. I'm an old man, but uh, happy to be able to help a lot of nurses. I feel like I still have more to be able to help more nurses to become quality, safe and effective nurses that we need because we have so much shortages right now in America's right. Anyway, guys, we're gonna have to highlight the findings that indicate a worsening of the client status. I'm not I don't have the ability to do it right now with stream yard. But let's highlight. Alright, the findings that indicate your worsening of the client status.
So what are you going to highlight? Clients post operative day after a split neck tummy is able to ambulate in the corridor three to four times a day with minimal assistance. assistance so there's no problem there. How about the second sentence? Client is clear bread sounds a left sided chest tube in place attach or close? Just raise just if there's no problem there. How about sentence number three titling of the water chamber no other than deep inspiration. Is this correct? Is this normal? That is normal. How about the fourth statement or scent? Client refuses to use the incentive spirometer it causes left sided chest pain. Is that normal or abnormal? Is that correct or incorrect statement? Should we highlight that? Should we highlight that yes, you can start highlighting from client refuses or you can also start with a word refuse as action word so I prefer that you guys start highlighting from refuses to use incentives for ramen or consequence causes left sided just me right either or it's going to score you the same, okay?
But sometimes there are compound sentences here we go with the English classes. And this is why I like ng because now you have to learn English as well. Sometimes there's compound sentences like okay, the titling is found on deep inspiration. And the suction chamber has absent bubbling so now there's two sentences in one sentence, it's compound sentence. So you only highlight those things that are being looked for or that we are looking for in this case, worsening glad status. All right, how about the next sentence Glide is using prescribed patient controlled analgesia device maximally every hour and still continues to have nausea and vomiting so I will highlight that right because the patients are already on maximum pain management but still nauseated and is vomiting which means the patient still uncomfortable and is still in pain, which means the medication is not working. It's not enough those the patients in pain patients uncomfortable.
If you don't address this, they can sue you. So we're gonna, we're gonna highlight that as well. How about the next adequate URI now but nope. Abdominal surgical incision redressing screen dry intact with no erythema, edema or drainage. That's also Nope. So there are only two things that I will highlight the clog review systems incentive spirometer and blindness using prescribed BCA device maximally every hour continuous to intermittent nausea and vomiting. Those are two signs that the patient is not improving and is worsening. All right. So in the actual NCLEX are actually going to click a nightlight, I hope you guys can do that. That's basic computer skill. Just like you're highlighting words in the internet and copying it and pasting it to your Facebook posts, or copying and pasting in Microsoft Word. It's the same, but you're gonna have to highlight it. And it's going to turn color yellow during the emphasis once you highlight so click and then drag to highlight, right. That's one of the new things in NCLEX highlighting. All right, April, please send me a message, a doctor nurse Paul in Facebook, and I'm going to be able to help you and my team, right. All right, you guys have questions? Who found it easy? Who found it difficult? Who found it challenging? Be honest with me? Be honest, I know some people found it easy. Some people found it confusing. But that's why we're doing a lot of these drills to train you live, how to answer these types of questions and how to attack them. And so you can also figure out your deficiencies. All right. Will there be penalty if you highlighted the whole sentence instead of just some parts of sentence? Shelley? No. But then again, that's only for simple sentences.
If this is a compound sentence, where one sentence is composed of two standalone sentences connected by what they call that interjections I forgot, I'm not an English major, but the end or but or, or if they're connected sentences, then you cannot highlight the whole thing. Because that's two sentences that you're highlighting. Right? So it's only per sentence or phrase need to review concepts, Shelly said tricky but passable, of course. Michi. Alright, with proper training. Yes, you can. Can you guys pass your NCLEX? Can you guys pass your next generation NCLEX? Very good road that this is a very important comment by Rhoda. Can we flash that on the screen member Linus. She said it is challenging, but easy if you are equipped with the content, information. That's right. So that's why I keep emphasizing next gen NCLEX is just another way to test your knowledge. Don't get me Don't get scared with that. What you actually need to prepare with is your concepts because now in the form of case scenario where you are overwhelmed reading hundreds of words to find out the problem.
It can easily trick you if you don't know the concept. So a lot of people are not able to answer the first few questions because they don't have a full grasp of what is pulmonary embolism versus what is bowel perforation versus what is Wieneke laceration versus what is hypovolemic shock versus what is stroke? So that's a problem because you get confused with things like that. All right. And thank you guys, I do this every Saturdays please join me can you faster next gen networks Yes, I can follow doctor nurse Paul in Facebook, YouTube, Instagram and TikTok. I do live classes every Saturday 8am Central US time. That's Texas time. And I do secrets of next generation and blitz every first and third Saturdays of the month. Every second and fourth Saturdays of the month I do us a nurse series that's very good conversation with experts with people have experiences migrating to the US and we're talking about many things like contracts and moving into the United States and settling into your work and finding jobs and bringing your family. So many learnings I love talking to my peers here in the US. So please follow and support doctor nurse Paul as I do these free classes so we can help more nurses. I know a lot of nurses don't have adequate funds to really be in a review program. And that's why Connetics is offering anklet scholarship. We're going to flash that one more time on the screen. Here in the bottom right, we're going to flash the link where you can apply for NCLEX scholarship under Connetics USA and aspire are in Alright, so go click that link right now fill up the form and one of the Connetics recruiters or get ahold of you and explain to you how the scholarship program works. But we have hundreds of Connetics scholars in Aspire are in right now.
Thank you guys for dressing Aspire RN and doctor nurse Paul. I am here to help you. If you guys have questions, send me an email info at doctor nurse Paul.com That's info at doctor nurse Paul.com Or just follow me on social media and we're gonna get ahold of you once we can we have tons of messages but we're still trying to like respond to everybody. So please be patient with us. Alright, and also follow up Connetics USA we do this classes every Monday with other human Connetics partners.
And there's a lot of shows that Connetics do actually which I love because they do immigration Q&A day. They do their onwards and upwards days. So many shows. I love working with Connetics USA I've been doing shows with them for a long time before I put up my own show. And that's why I have my own show because I was inspired what Connetics is doing. Alright, thank you guys for allowing me to help you guys today. Thank you for being patient with me while we are going to connection issues at the beginning.
If you guys have questions, drop a message in my Facebook, Instagram or TikTok and I will respond to you as soon as I can. All right, you guys have a great day. Thank you so much. I'll see you soon every first Monday Connetics college with Connetics USA and Aspire RN with doctor nurse Paul have a great day. Bye
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Next Generation NCLEX review with sample case study questions and answers. Learn how to think critically while taking the new NCLEX format. This case study was designed to help prepare you for the NGN exam.
Learn how to prepare for the NextGen NCLEX with our test bank of clinical judgment scenarios and case studies. Access the resources for free.
Practice with NCLEX-Style Sample Questions Practicing with high-quality Next Generation and NCLEX-style sample questions is the most effective way to prepare for the exam, because if practice feels like the actual exam, then the real thing will feel like practice.
Master Next Gen NCLEX® case studies & pass the first time with advice from our NCLEX experts! Learn 6 tips for tackling these new questions and feel confident on exam day.
The Next Generation NCLEX® (NGN) includes new unfolding case studies. During this brief video we will walk-through a NGN-style case study and share insights on how best to answer this type of ...
The best and free NCLEX practice questions resource to help you achieve success on your NCLEX-RN exam! This guide is updated for 2024!
Next Generation NCLEX Practice Test: Case Studies 3-4 Introducing Nurse Plus Academy's second Next-Generation NCLEX (NGN) practice test, designed to help NCLEX applicants prepare for the upcoming changes in the NCLEX exam. The NGN is the result of the National Council of State Boards of Nursing's (NCSBN) research on how to better assess a candidate's clinical judgment and decision-making ...
A new Next-Generation NCLEX (NGN) practice test to help NCLEX applicants prepare for the upcoming changes to the exam. Case studies 5-6.
The NCLEX now includes next generation features, using real-world case studies to measure a nurse's ability to think more critically and make the right decisions. The NCLEX is the world's premier licensure exam and uses computerized adaptive testing (CAT) technology to deliver the exam, ensuring a valid and reliable measurement of nursing ...
Next Generation NCLEX Study Tips for Case Studies In April of 2023, the NCSBN released the new version of the NCLEX exam, which is called the Next Generation NCLEX (or NGN, for short). One of the big changes with the Next Generation NCLEX was the introduction of case studies.
Next Generation NCLEX (NGN) Example Questions These free practice questions are the best way to familiarize yourself with the style and feel of the new item types that you will encounter on the Next Generation NCLEX.
There will be approximately three case studies with 6 questions each, for a total of 18 items [3], in addition to other types of questions. There will also be five new item types on the Next Generation NCLEX, including the following: Extended Multiple Response - Although multiple response items such as SATA questions are on the current NCLEX ...
This guide will provide a comprehensive overview of the changes to the NGN NCLEX, a breakdown of the new next gen NCLEX questions with examples, and how to study for the NCLEX NGN moving forward.
The NCSBN confirmed this reality by viewing new nurses at work. This observational practice analysis verified how often new nurses use clinical judgment in their daily tasks in today's practice settings. The organization realized it was critical to change the NCLEX so that the exam can accurately assess candidates' clinical judgment skills to ensure public safety.
Free Next Generation NCLEX-RN Sample Test Lecturio's Free Next Generation NCLEX-RN Sample Test was created to help students measure their preparedness and get firsthand experience in a simulated NGN testing. This sample test comprises 30 realistic questions that blend new NGN item types with traditional NCLEX-RN questions.
Get quality practice for the NCLEX—for free!—by working through these NGN practice questions, learning first-hand from experienced NCLEX tutor Justine Buick about the best ways to apply your knowledge and critical thinking skills to passing the exam!
Prepare for the Next Generation NCLEX (NGN) with our comprehensive question bank. Our questions are designed to test your critical thinking skills and to prepare you for the real exam. We offer a variety of question types, including multiple choice, fill-in-the-blank, and drag-and-drop.
The Next Generation NCLEX exam includes a new case study-based format and new question types. The NGN Explainer videos offer a great overview, with visual representations of all the questions and item types!
The NCLEX has officially been updated! As of April 1, 2023, the Next Generation NCLEX exam is in use. In today's Osmosis blog, learn about the new NCLEX question types, the differences between the old and new versions of the exam, and tips to help you pass the exam.
The National Council of the State Boards of Nursing (NCSBN) will launch the Next Generation NCLEX (NGN) in April 2023 to better measure candidates' clinical judgment ability, a proven necessity for entry-level nurses. The essence of NGN is evaluating clinical judgment using case-based scenarios and 6 questions that represent the NCSBN evaluation model of clinical judgment, in alignment with ...
Recently, our blog featured tips for developing Next Generation NCLEX (NGN)-style questions, particularly the revision of test questions faculty already include on their examinations. Revising these questions provides a strategy to adapt current test items to reflect the NGN process, since these knowledge questions represent many questions on the NGN exam.
The NCLEX is changing. Here's what nursing students need to know about the Next Generation NCLEX (NGN) project and how to prepare for it.
Each case study will have six questions. So one case study six questions. This will be talking about the clinical judgment model of the next gen NCLEX. Question wanted a case study would always be about recognizing cues. Question number two is about analyzing cues.
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