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What is the difference between the NCLEX and the NGN?

Jul 25, 2023

The NCLEX (National Council Licensure Examination) and the NGN (Next Generation NCLEX) are both important exams that aspiring nurses must take in order to obtain their nursing license. While they have similar goals, there are some key differences between the two exams. In this article, we will explore the distinctions between the NCLEX and the NGN, providing a comprehensive understanding of each exam.

NCLEX: The Standard Licensure Exam

The NCLEX is a standardized exam that has been in use for several decades. It is designed to assess the knowledge, skills, and abilities of entry-level nurses to ensure they are competent and safe to practice nursing in the United States and Canada. The exam is administered by the National Council of State Boards of Nursing (NCSBN) and is divided into two types: the NCLEX-RN for registered nurses and the NCLEX-PN for practical/vocational nurses.

Exam Format and Content

The NCLEX consists of multiple-choice questions that test the nurse's ability to apply critical thinking and clinical judgment in various nursing scenarios. The questions are designed to assess the nurse's knowledge across a wide range of nursing concepts, including pharmacology, medical-surgical nursing, pediatric nursing, psychiatric nursing, and more.

The exam is computerized and adaptive, meaning that the difficulty level of the questions adapts based on the test-taker's performance. The number of questions can vary between 75 and 265, with a maximum testing time of six hours. The NCLEX uses a pass/fail system, and the passing standard is determined by the NCSBN.

Preparation and Study Resources

To prepare for the NCLEX, aspiring nurses often utilize a variety of study resources, including textbooks, review courses, practice questions, and online resources. Many nursing schools also incorporate NCLEX preparation into their curriculum to help students succeed on the exam.

NGN: The Future of Nursing Licensure

The NGN, also known as the Next Generation NCLEX, is an upcoming version of the NCLEX that is currently being developed by the NCSBN. The NGN aims to enhance the current exam by incorporating new question types and a more interactive format to better assess a nurse's clinical judgment and decision-making skills.

Changes in Question Types

One of the significant differences between the NCLEX and the NGN is the introduction of new question types in the NGN. While the NCLEX primarily consists of multiple-choice questions, the NGN will include a broader range of question formats, such as multiple response, hot spot, and extended drag-and-drop questions. These new question types will allow test-takers to demonstrate their ability to prioritize patient care, manage complex situations, and make clinical judgments.

Enhanced Clinical Judgment Measurement

The NGN aims to provide a more accurate assessment of a nurse's clinical judgment skills. It will utilize a new scoring algorithm that considers not only the correctness of the answers but also the cognitive complexity and the nurse's ability to make sound clinical decisions. This shift in scoring will provide a more comprehensive evaluation of a nurse's readiness to practice safely and effectively.

Implementation Timeline

The NGN is currently in the research and development phase. The NCSBN is conducting extensive studies and gathering data to ensure the validity and reliability of the new exam. While an exact timeline for the NGN's implementation has not been announced, it is expected to be introduced in the near future.

Conclusion

In summary, the NCLEX and the NGN are both crucial exams for aspiring nurses to obtain their nursing license. The NCLEX is the current standard licensure exam, assessing the nurse's knowledge and competence through multiple-choice questions. On the other hand, the NGN is the future of nursing licensure, aiming to enhance the current exam by incorporating new question types and a more comprehensive assessment of clinical judgment skills.

As the NGN continues to be developed and implemented, it is essential for nursing students and educators to stay updated on the changes and adapt their study strategies accordingly. By understanding the differences between the NCLEX and the NGN, aspiring nurses can better prepare themselves for success in their nursing careers.


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