Next generation nclex questions Online
The Next Generation NCLEX (NGN) introduces a variety of question types that assess a candidate’s clinical judgment and decision-making skills. Below are examples and an overview of the different types of questions you may encounter on the NGN. Next Generation NCLEX Questions

Types of Next Generation NCLEX Questions
- Clinical Judgment Questions
These questions present a patient scenario that requires you to use critical thinking to decide the best course of action. For example: Next Generation NCLEX Questions- Scenario: A patient in the post-anesthesia care unit has an elevated heart rate and decreased oxygen saturation. What should the nurse do first?
- A) Administer oxygen
- B) Assess the patient’s respiratory rate
- C) Call the physician
- D) Reassess vital signs in 10 minutes
- Scenario: A patient in the post-anesthesia care unit has an elevated heart rate and decreased oxygen saturation. What should the nurse do first?
- Bow Tie Questions
This unique question format asks candidates to evaluate a clinical scenario from multiple perspectives, identifying key concepts and relationships.- Scenario: A diabetic patient is experiencing signs of hypoglycemia during a routine visit. Select all options that could impact the patient’s condition:
- A) Recent medication changes
- B) Skipped meals
- C) Increased physical activity
- D) Family support
- Scenario: A diabetic patient is experiencing signs of hypoglycemia during a routine visit. Select all options that could impact the patient’s condition:
- Select-All-That-Apply Questions
These questions require you to identify all applicable answers from a list. It’s crucial to read each option carefully.- Scenario: What are potential risks associated with a patient receiving anticoagulant therapy? (Select all that apply)
- A) Hemorrhage
- B) Thrombosis
- C) Liver dysfunction
- D) Skin rash
- Scenario: What are potential risks associated with a patient receiving anticoagulant therapy? (Select all that apply)
- Extended Multiple Response Questions
Similar to select-all-that-apply, these questions may require you to analyze complex scenarios with several components.- Scenario: For a patient being discharged after a myocardial infarction, which statements by the patient indicate an understanding of discharge instructions? (Select all that apply)
- A) “I can stop taking my medications once I feel better.”
- B) “I should follow a heart-healthy diet.”
- C) “I need to schedule follow-up appointments.”
- D) “I can resume my normal activities immediately.”
- Scenario: For a patient being discharged after a myocardial infarction, which statements by the patient indicate an understanding of discharge instructions? (Select all that apply)

Preparing for Next Generation NCLEX Questions
Use the following strategies to prepare effectively:
- Practice Questions: Utilize resources that offer NGN-style questions to familiarize yourself with the format.
- Study Guides: Invest in comprehensive study guides that focus on critical thinking and clinical judgment.
- Group Study: Collaborate with peers to discuss scenarios and practice questions together.
- Simulated Exams: Take full-length practice exams under timed conditions to build confidence and improve time management.
Conclusion
The Next Generation NCLEX is designed to ensure that nursing candidates are well-prepared to provide safe and effective patient care. Understanding the different types of questions and practicing with relevant examples can greatly enhance your readiness for the exam. Focus on developing your critical thinking and clinical judgment skills to succeed on the NGN. Next Generation NCLEX Questions