How To Prepare For The Next Generation NCLEX (NGN) Part 1.

The Next Generation NCLEX (NGN) is an updated version of the NCLEX exam designed to better assess the critical thinking and clinical judgment skills of nursing candidates. The NGN was developed to address the evolving demands of the nursing profession and to ensure that new nurses are prepared to handle complex clinical scenarios.

Here are some key features and changes introduced in the Next Generation NCLEX:

  1. Clinical Judgment Measurement Model: The NGN focuses on evaluating a candidate’s ability to use clinical judgment and decision-making skills. This includes assessing how well candidates can interpret data, make decisions, and prioritize patient care.

  2. New Item Types: The NGN includes innovative item types that require more complex responses. These may include:

    • Case Studies: Simulated patient scenarios where candidates must analyze information, make decisions, and prioritize actions.

    • Complex Multiple-Choice Questions: Questions with multiple correct answers or those requiring candidates to select the most appropriate option among several possibilities.

    • Graphical and Interactive Items: Items that involve interpreting charts, diagrams, or other visual data.

  3. Integrated Content: The NGN integrates content from various areas of nursing practice, such as pharmacology, pathophysiology, and patient care, to assess how candidates apply their knowledge in real-world scenarios.

  4. Focus on Patient Safety and Quality: There is an increased emphasis on ensuring patient safety and delivering high-quality care. Questions may focus on recognizing and responding to potential safety issues or errors.

  5. Enhanced Scoring and Reporting: The NGN uses a more sophisticated scoring system that provides a clearer picture of a candidate's abilities in different areas, such as clinical judgment, patient management, and problem-solving.

  6. Adaptive Testing: The NGN continues to use computer-adaptive testing (CAT), which adjusts the difficulty of questions based on the candidate's responses. This helps to more accurately assess the candidate's proficiency.

Preparing for the NGN involves:

  • Familiarizing Yourself with New Question Formats: Practice with sample questions and case studies to get used to the new item types and formats.

  • Strengthening Clinical Judgment Skills: Work on scenarios and practice questions that focus on clinical judgment and decision-making.

  • Using Updated Study Resources: Utilize study guides, practice exams, and review materials specifically designed for the NGN.

  • Understanding the Test Content Outline: Review the test content outline provided by the National Council of State Boards of Nursing (NCSBN) to ensure you're studying relevant topics and skills.

The NGN aims to better reflect the real-world challenges of nursing practice and to ensure that new nurses are well-prepared to provide safe, effective care.

Brennan Belliveau

Nurse Brennan Belliveau is an internationally educated Registered Nurse born in Edmonton, Alberta, Canada. Brennan immigrated to San Francisco, California, USA in 2019 and has since then helped support thousands of international Registered Nurses in their journey of also becoming a USRN.

Brennan created the The Adventurous Nurse shortly after immigrating to the USA for the international nursing community. He continues to work as a USRN in pediatric cardiology and heart-lung transplant care and previously wrote NCLEX preparation questions for publishers. Today Brennan advocates for and creates content for international nurses all across the world to support them in their journey of becoming a USRN with Medliant too.

In 2023 Brennan was named a Distinguished Alumni by MacEwan University in Canada and later in 2024 he was named to Marquis Who’s Who in America for his work in supporting international Registered Nurses and their family’s in achieving their American Dream too.

https://www.linkedin.com/in/brennanbelliveau
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