Next Generation NCLEX (NGN)
The Next Generation NCLEX (NGN) is an updated version of the National Council Licensure Examination for registered nurses (NCLEX-RN) and practical nurses (NCLEX-PN). It aims to better assess the competencies that nursing graduates need to ensure safe and effective care for patients in a more complex healthcare environment. Next generation nclex (ngn)
Key Features of the NGN
- Focus on Clinical Judgment
The NGN emphasizes critical thinking and clinical judgment, moving beyond simple recall of facts. Candidates are required to assess patient scenarios and make informed decisions. - Diverse Item Types
The exam introduces several innovative question formats, including:- Clinical Judgment Questions: Evaluate the nurse’s ability to prioritize care in complex scenarios.
- Select-All-That-Apply Questions: Assess the ability to identify all correct options from a list based on clinical situations.
- Bow Tie Questions: Require analysis of a situation considering multiple factors affecting patient care.
- Realistic Patient Scenarios
Questions are based on realistic clinical scenarios that reflect the everyday situations nurses encounter, ensuring that the assessment is relevant to real-world practice. - Integration of Knowledge
Candidates must synthesize knowledge from nursing, pharmacology, psychology, and other disciplines to answer questions effectively.

NGN Test Structure
- Computerized Adaptive Testing (CAT): The NGN continues to use CAT, which adjusts the difficulty of questions based on the candidate’s performance.
- Dynamic Scoring: The scoring system considers the complexity of item types and candidates’ responses.
Preparing for the NGN – Next generation nclex (ngn)
To prepare effectively for the Next Generation NCLEX, consider the following strategies:
- Understand the New Question Formats: Familiarize yourself with the different item types that will appear on the NGN.
- Practice Critical Thinking: Engage in exercises or case studies that require you to analyze scenarios and make decisions based on evidence.
- Use NGN Study Resources: Invest in updated study guides and practice question banks specifically designed for the NGN.
- Simulate Test Conditions: Take practice exams under timed conditions to build familiarity and confidence.
Sample Questions For Next generation nclex (ngn)
Here are a few examples of the type of questions you may encounter:
Clinical Judgment Question:
A 65-year-old patient with heart failure is experiencing acute dyspnea. What should be the nurse’s priority intervention?
Select-All-That-Apply Question:
For a patient undergoing chemotherapy, which potential side effects should the nurse educate about? (Select all that apply)
Bow Tie Question:
In caring for a patient with diabetes who has elevated glucose levels, identify factors to monitor and actions to implement.
Conclusion
The Next Generation NCLEX aims to enhance the assessment of nursing candidates, focusing on the critical skills needed in today’s healthcare environment. Preparing for the NGN requires a thorough understanding of the new question types and the incorporation of critical thinking strategies into your study habits.
By familiarizing yourself with these changes, you will be better equipped to pass the exam and succeed in your nursing career.
