Next Generation NCLEX-PN (NGN-PN)
The Next Generation NCLEX-PN (NGN-PN) is an updated licensure examination for practical nurses, following the evolution of the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The NGN-PN aims to better assess candidates’ competencies related to safe and effective nursing care in today’s complex healthcare environments. Next generation NCLEX-PN
Key Features of the NGN-PN
- Emphasis on Clinical Judgment
The NGN-PN focuses on evaluating candidates’ critical thinking and clinical decision-making skills, ensuring that practical nurses are prepared to provide safe care. - Innovative Item Types
The exam includes a variety of question formats beyond traditional multiple-choice questions, such as:- Clinical Judgment Questions: Assess the ability to analyze and prioritize care based on patient scenarios.
- Select-All-That-Apply Questions: Require candidates to identify all correct choices related to specific patient situations.
- Bow Tie Questions: Evaluate multiple aspects of a clinical scenario, encouraging comprehensive thinking.
- Realistic Patient Scenarios
Questions are based on typical clinical experiences that practical nurses encounter, ensuring relevance to everyday practice. - Integration of Knowledge
Candidates must integrate knowledge across various nursing disciplines, including pharmacology, anatomy, and nursing management, to answer questions effectively.

NGN-PN Test Structure
- Computerized Adaptive Testing (CAT): The NGN-PN will continue to utilize this adaptive testing model, adjusting the difficulty of questions based on the candidate’s performance.
- Dynamic Scoring: The scoring system accounts for the complexity of questions and the correctness of responses, allowing for a more precise evaluation of clinical competencies.
Preparing for the NGN-PN
To prepare effectively for the Next Generation NCLEX-PN, consider the following strategies:
- Understand New Question Formats: Familiarize yourself with the different item types that will appear on the NGN-PN.
- Practice Critical Thinking: Engage in case studies and hypothetical scenarios that emphasize decision-making skills.
- Utilize Study Resources: Invest in comprehensive study guides, online courses, and question banks specifically designed for the NGN-PN.
- Simulate Testing Conditions: Practice with timed exams to develop confidence and time management skills.
Sample Questions
Here are examples of the types of questions candidates may encounter:
Clinical Judgment Question:
A 75-year-old patient with pneumonia is having difficulty breathing and has a high fever. What should the practical nurse do first?
Select-All-That-Apply Question:
Which interventions are appropriate for a patient with hypertension? (Select all that apply)
Bow Tie Question:
A hygiene assessment reveals a patient with skin breakdown. Identify the factors to monitor and appropriate nursing interventions.
Conclusion
The Next Generation NCLEX-PN represents a crucial shift in evaluating practical nursing candidates, emphasizing critical thinking and real-world application of nursing knowledge. By understanding the changes in the exam structure and preparing effectively for these new question formats, candidates can enhance their readiness to provide safe and effective care in their future roles as practical nurses.
Preparing thoroughly for the NGN-PN will not only improve the chances of passing the exam but also equip graduates with essential skills for their nursing careers.
