Next generation nclex sample item types
The Next Generation NCLEX (NGN) introduces several innovative item types designed to assess candidates’ critical thinking and clinical judgment. Below are descriptions of these item types along with sample questions to illustrate how they work. 3 Next generation nclex sample item types – NextGen NCLEX
1. Clinical Judgment Questions
These questions present a patient scenario and ask the candidate to prioritize nursing actions based on the given data. Next generation nclex sample item types – NextGen NCLEX
Sample Question:
Scenario: A 70-year-old patient with a history of heart failure is admitted with dyspnea and edema. Current vital signs show: BP 150/90 mmHg, HR 90 bpm, and SpO2 92%.
Question: What should the nurse do first?
- A) Administer a diuretic as prescribed.
- B) Position the patient in a high Fowler’s position.
- C) Assess lung sounds.
- D) Notify the healthcare provider.
Correct Answer: B) Position the patient in a high Fowler’s position.
Rationale: This action improves respiratory function immediately.
2. Select-All-That-Apply Questions
Candidates are required to identify all correct responses from a list of options. Next generation nclex sample item types – NextGen NCLEX
Sample Question:
Scenario: A patient is being educated about managing their hypertension. Which statements indicate understanding of the teaching? (Select all that apply)
- A) “I should limit my salt intake.”
- B) “I can skip my medication if I feel fine.”
- C) “Regular exercise can help lower my blood pressure.”
- D) “I need to monitor my blood pressure at home.”
Correct Answers: A) “I should limit my salt intake.”, C) “Regular exercise can help lower my blood pressure.”, D) “I need to monitor my blood pressure at home.”
Rationale: These statements demonstrate understanding of hypertension management.
3. Bow Tie Questions
These questions require candidates to evaluate a clinical scenario involving multiple interrelated factors.
Sample Question:
Scenario: A patient presents with diabetes, fatigue, and weight loss. You are developing a nursing care plan.
Question: Select all factors to include in the care plan.
- A) Assess dietary habits and adherence to medication.
- B) Encourage the patient to take up running.
- C) Monitor blood glucose levels regularly.
- D) Educate about foot care and skin inspection.
Correct Answers: A) Assess dietary habits and adherence to medication., C) Monitor blood glucose levels regularly., D) Educate about foot care and skin inspection.
Rationale: These actions are crucial for comprehensive diabetes management.
4. Extended Multiple Response Questions
These scenarios present a complex case that requires candidates to evaluate and respond to multiple aspects. Next generation nclex sample item types – NextGen NCLEX
Sample Question:
Scenario: A patient is being discharged after laparoscopic surgery for gallbladder removal. Which statements by the patient indicate proper understanding of post-operative care? (Select all that apply)
- A) “I should take my pain medications as prescribed.”
- B) “I can eat greasy foods as soon as I feel hungry.”
- C) “It’s important to watch for signs of infection at the incision site.”
- D) “I should avoid heavy lifting for several weeks.”
Correct Answers: A) “I should take my pain medications as prescribed.”, C) “It’s important to watch for signs of infection at the incision site.”, D) “I should avoid heavy lifting for several weeks.”
Rationale: These statements reflect a proper understanding of post-operative care.
5. Multiple-Choice Questions with Clinical Scenarios
These traditional question formats may still appear, but they incorporate scenarios that require more than just factual knowledge.
Sample Question:
Scenario: A nurse notices a patient’s urine is dark amber and they report feeling very thirsty. The patient is also experiencing fatigue and weakness.
Question: What should the nurse do first?
- A) Document the findings and monitor intake and output.
- B) Assess the patient for signs of dehydration.
- C) Encourage the patient to drink more fluids.
- D) Notify the healthcare provider immediately.
Correct Answer: B) Assess the patient for signs of dehydration.
Rationale: This will provide more information about the patient’s condition before taking further actions.
These sample item types reflect the format and expectations of the Next Generation NCLEX. Preparing for these diverse question formats will enhance critical thinking skills essential for nursing practice. Next generation nclex sample item types – NextGen NCLEX
Next generation nclex sample item types – NextGen NCLEX
