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Next Generation NCLEX Questions: What are they and How to Prepare

Jan 9, 2023

The National Council of State Boards of Nursing (NCSBN) has announced that the Next Generation NCLEX (NGN) will be launched in 2023. The NGN is a new version of the NCLEX exam that will replace the current version of the exam. The NGN will feature new question types that are designed to better assess a nurse’s clinical judgment and decision-making skills. In this article, we will discuss what the NGN questions are and how you can prepare for them.

What are Next Generation NCLEX Questions?

The NGN questions are designed to assess a nurse’s clinical judgment and decision-making skills. These questions will be different from the current NCLEX questions, which are primarily multiple-choice questions. The NGN questions will include new question types such as:

  • Multiple Response Questions: These questions will require the test-taker to select multiple correct answers from a list of options.
  • Extended Multiple Response Questions: These questions will require the test-taker to select multiple correct answers from a list of options and then prioritize the options in order of importance.
  • Charting Questions: These questions will require the test-taker to review a patient’s chart and answer questions based on the information in the chart.
  • Hot Spot Questions: These questions will require the test-taker to identify a specific area on an image or diagram.

The NGN questions will also include case studies that will require the test-taker to apply their clinical judgment and decision-making skills to a real-life scenario.

How to Prepare for Next Generation NCLEX Questions

Preparing for the NGN questions will require a different approach than preparing for the current NCLEX exam. Here are some tips to help you prepare for the NGN:

1. Develop Critical Thinking Skills

The NGN questions are designed to assess a nurse’s clinical judgment and decision-making skills. To prepare for these questions, you need to develop your critical thinking skills. You can do this by practicing with case studies and scenarios that require you to apply your knowledge to real-life situations.

2. Practice with New Question Types

The NGN questions will include new question types that are not included in the current NCLEX exam. To prepare for these questions, you need to practice with these new question types. You can find practice questions online or in NCLEX review books that include NGN-style questions.

3. Review Patient Charts

The NGN questions will include charting questions that require you to review a patient’s chart and answer questions based on the information in the chart. To prepare for these questions, you need to practice reviewing patient charts and identifying important information.

4. Use NCLEX Review Materials

There are many NCLEX review materials available that can help you prepare for the NGN questions. Look for review materials that include NGN-style questions and case studies.

5. Stay Up-to-Date with Changes

The NGN is still in development, and there may be changes to the exam before it is launched in 2023. Stay up-to-date with any changes to the NGN by following the NCSBN website and social media accounts.

In conclusion, the NGN questions are designed to better assess a nurse’s clinical judgment and decision-making skills. To prepare for these questions, you need to develop your critical thinking skills, practice with new question types, review patient charts, use NCLEX review materials, and stay up-to-date with changes to the exam. With the right preparation, you can pass the NGN and become a licensed nurse.


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