{"id":6356,"date":"2023-01-31T17:34:37","date_gmt":"2023-01-31T17:34:37","guid":{"rendered":"https:\/\/www.vivian.com\/community\/?p=6356"},"modified":"2024-11-05T20:23:05","modified_gmt":"2024-11-05T20:23:05","slug":"next-generation-nclex-tips","status":"publish","type":"post","link":"https:\/\/www.vivian.com\/community\/career-resources\/next-generation-nclex-tips\/","title":{"rendered":"What Nurses Should Know about the Next Generation NCLEX"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">A new and improved National Council Licensure Examination (NCLEX) is coming soon, called the Next Generation NCLEX, Next Gen NCLEX or NGN. The National Council of State Boards of Nursing (NCSBN) has been working towards the Next Gen NCLEX since late August 2019, which becomes effective on April 1, 2023. Although the exam wasn\u2019t completely overhauled, nor is it radically different, it contains significant changes prospective nurses should know to help better prepare them to <\/span><a href=\"https:\/\/www.vivian.com\/community\/healthcare-education\/nclex-tips-to-help-you-pass\/\"><span style=\"font-weight: 400;\">pass the NCLEX<\/span><\/a><span style=\"font-weight: 400;\"> and pursue state licensure.<\/span><\/p>\n<h3><b>Why Did the NCLEX Change?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The NCSBN determined that 46% of all tasks entry-level nurses performed had direct links to clinical judgment, but research indicated that novice nurses had inferior clinical judgment abilities. To help ensure new nurses have the skills they need to avoid nursing errors, the organization created the NGN. The new exam seeks to measure the test-taker\u2019s critical thinking and decision-making abilities, which combined is known as clinical judgment.<\/span><\/p>\n<h3><b>What\u2019s Changed on the Next Generation NCLEX?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The NGN includes several new items that seek to simulate what occurs in a nurse\u2019s typical workday, utilizing case studies seen in the real world. The most significant change is a switch to the NCSBN Clinical Judgment Measurement Model which places a stronger emphasis on clinical judgment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NCSBN applied the new model to both the NCLEX-RN for registered nurses and the NCLEX-PN for practical and vocational nurses, creating a next-generation exam for nurse graduates in either field. However, the NGN for PNs won\u2019t include prioritization or hypothesis as these aren\u2019t reflected in their scope of practice.<\/span><\/p>\n<h4><b>Understanding the New NCLEX Scoring Model<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">The new scoring model extends the current scoring model to give credit for partial understanding. This type of scoring is known as a polytomous scoring model. In the previous NCLEX, questions received a score of either correct or incorrect. Test takers had to correctly answer every part of a multi-part question to receive credit.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NGN\u2019s polytomous scoring model gives partial credit when a candidate correctly answers some parts of a multi-part question. Previously, if the candidate answered any part of a multi-part question wrong, the entire question was counted as incorrect. Under the new model, they receive points for each part they get right instead of zero points because they missed one thing. Based on the question, the NGN utilizes <\/span><a href=\"https:\/\/www.ncsbn.org\/public-files\/NGN_Summer21_ENG.pdf\" rel=\"noopener\"><span style=\"font-weight: 400;\">three polytomous scoring models<\/span><\/a><span style=\"font-weight: 400;\">, including:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">0\/1 Scoring<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">+\/- Scoring<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Rationale Scoring<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The raw score received in the new scoring model is then converted into scores on the NCLEX scale. The total scored items on the current NCLEX range between 60 and 130, while the NGN\u2019s range is 70 to 135. Candidates still receive a pass or fail result and not a numbered score. The new scoring model allows for better differentiation between candidates\u2019 overall skills, abilities and knowledge.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5810\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2022\/11\/Nurse-studying9-Resized-scaled-e1668532482381.jpg\" alt=\"NCLEX tips to pass the exam\" width=\"1200\" height=\"630\" \/><\/p>\n<h4><b>NCLEX Test Question Types<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">The Next Gen NCLEX includes current NCLEX-style items and new question types, with some question types just extended versions of questions found on the previous exam. Today\u2019s NCLEX consists of a minimum of 75 questions and a maximum of 145, while the Next Gen NCLEX has a minimum of 85 and a maximum of 150. NGN question types include:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><b>Extended Multiple Response: <\/b><span style=\"font-weight: 400;\">Multiple response items are similar to the current NCLEX but have been extended in that candidates may choose one or more answer options. Extended multiple response questions have more options available and utilize partial credit scoring. The NGN includes three extended multiple response question types:<\/span>\n<ul style=\"padding-left: 60px;\">\n<li><span style=\"font-weight: 400;\">SATA (Select All That Apply)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Select N Item Type (N equals a pre-set number of selections required)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Multiple Response Grouping (2 to 5 groupings with 2 to 4 options, like several SATA questions in a table format)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><b>Extended Drag and Drop: <\/b><span style=\"font-weight: 400;\">Drag and drop items are like current NCLEX ordered response questions that allow candidates to drag response options from a list into the appropriate answer spaces. However, in the extended version, the candidate may not have as many answer spaces as response options, meaning they have leftover responses. The NGN has two types of extended drag and drop question types:<\/span>\n<ul style=\"padding-left: 60px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Cloze (minimum of 4 and maximum of 10 items on a provided list must be dragged and dropped to one or more response targets)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Rationale (contains 1 sentence with 1 cause and 1 effect or 1 sentence with 1 cause and 2 effects, and appropriate responses must be dragged and dropped from the list provided)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"padding-left: 30px;\">\n<li><b>Drop-Down:<\/b><span style=\"font-weight: 400;\"> These question types have candidates select one option from a drop-down list of words or phrases within sentences, tables and charts. Each question may include more than one drop-down list. The NGN has three types of drop-down question types:<\/span>\n<ul style=\"padding-left: 60px;\">\n<li><span style=\"font-weight: 400;\">Cloze (1 or more drop-down options to complete a paragraph, with 3 to 5 options per drop-down per sentence and 1 to 5 drop-down lists per paragraph)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Rationale (contains 1 sentence with 1 cause and 1 effect or 1 sentence with 1 cause and 2 effects, and appropriate responses must be selected from the drop-down list provided)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Table (same as Drop-Down Rationale question types only in table format)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><b>Enhanced Hot Spot\/Highlighting:<\/b><span style=\"font-weight: 400;\"> Requires candidates to highlight pre-defined words or phrases by clicking on them to select their answer. Enhanced hot spot items may present part of a client\u2019s medical record and have candidates select the correct words or phrases to answer the question or may present a scenario and client data, and candidates highlight words or phrases in the scenario to answer the question. The NGN has two types of enhanced hot spot question types:<\/span>\n<ul style=\"padding-left: 60px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Text (requires selection of parts of the text to determine the critical action, with a maximum of 10 options)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Table (same as Text question type in table format)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><b>Matrix\/Grid:<\/b><span style=\"font-weight: 400;\"> Requires selecting one or more answer options for each row and\/or column to measure multiple aspects of the clinical scenario. These question types provide a scenario and client information, and candidates must make judgments about the findings by checking the appropriate boxes in the matrix. The NGN has two matrix question types:<\/span>\n<ul style=\"padding-left: 60px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Multiple Choice (contains 4 to 10 rows, with 2 to 3 options\/columns, and each row must have 1 response option selected before continuing to the next row)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Multiple Response (contains 2 to 10 columns with 4 to 7 rows, and each column must have 1 response option selected before continuing to the next column)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><b>Standalone Items:<\/b><span style=\"font-weight: 400;\"> These question types are new to the NGN and require candidates to use the information received in Case Studies to answer the question. They include 6-question sets, progressing from recognizing and analyzing findings to making clinical judgments to providing appropriate care and evaluating the client\u2019s response. The NGN has two standalone items:<\/span>\n<ul style=\"padding-left: 60px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Bowtie (addresses all 6 of the NCSBN Clinical Judgment Measurement Model in one question, requiring candidates to drag and drop items from a series of targets to move forward)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Trend (addresses multiple steps of the NCSBN Clinical Judgment Measurement Model by having candidates review information over time and can utilize any type of question response)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><b>What Stayed the Same?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The NCSBN considers the Next Gen NCLEX an extension of the current NCLEX because it\u2019s not extensively different from the previous version. The new test design simply places more emphasis on the need for entry-level nurses to have a strong foundation of clinical judgment through sound critical thinking and decision-making to ensure patient safety. Thus, several things haven\u2019t changed.<\/span><\/p>\n<h4><b>Time Allowed and Delivery Method<\/b><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5627\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2022\/10\/Time-management-Resized-scaled-e1675185484986.jpg\" alt=\"\" width=\"1200\" height=\"630\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Candidates still have five hours to finish the NGN, just like the current NCLEX. The NGN also still utilizes variable-length computerized adaptive testing. Computer adaptive tests adjust the difficulty level based on the test taker\u2019s responses, providing a better assessment of their overall knowledge and skills. However, items within a Case Study in the NGN are static, not adaptive.<\/span><\/p>\n<h4><b>Testing Accommodations<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Like the current NCLEX, candidates applying to take the NGN can still request testing accommodations. They must follow the same process used on the former licensure exam. Candidates should contact their nursing regulatory body to receive more information on testing accommodations.<\/span><\/p>\n<h4><b>NCLEX Passing Standards<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">The Board evaluates passing standards for the NCLEX every three years to protect the public by ensuring minimal competence of entry-level nurses. On December 6, 2022, the NCSBN Board of Directors voted to uphold the current passing standards of the NCLEX-RN and NCLEX-PN for the Next Gen NCLEX.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/nclex.com\/passing-standard.page\" rel=\"noopener\"><span style=\"font-weight: 400;\">current passing standards<\/span><\/a><span style=\"font-weight: 400;\"> reflect the amount of nursing ability required at this time to practice competently at the entry level and include:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">0.00 Logits for the NCLEX-RN<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">-0.18 Logits for the NCLEX-PN<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Both passing standards remain in effect until March 31, 2026, when the Board analyzes them again to determine whether they\u2019re still relevant. The NCSBN coordinates its passing standard analysis to coincide with the test plan evaluation, which also occurs every three years.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you began nursing school in the Fall of 2021 or later, you must pass the NGN, not the previous version of the NCLEX. Ensure you\u2019re better prepared for the new, improved exam by browsing the <\/span><a href=\"https:\/\/www.ncsbn.org\/exams\/next-generation-nclex\/ngn-resources.page\" rel=\"noopener\"><span style=\"font-weight: 400;\">NCSBN\u2019s Next Gen NCLEX resources<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/oadn.org\/resource\/next-gen-tips-and-tricks\/\" rel=\"noopener\"><span style=\"font-weight: 400;\">Next Gen Tips and Tricks<\/span><\/a><span style=\"font-weight: 400;\"> from the Organization for Associate Degree Nursing. Use our <a href=\"https:\/\/www.vivian.com\/community\/healthcare-education\/nclex-tips-to-help-you-pass\/\">NCLEX Tips to help you pass<\/a> whether it&#8217;s your first or fifth attempt.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Elevate your career by exploring the latest job openings from top staffing partners on Vivian Health today.<\/span><\/p>\n<p><a style=\"background-color: #124e3b; color: #fdfeff; font-size: 20px; border-radius: 10px; padding: 15px; min-height: 30px; min-width: 120px;\" href=\"https:\/\/www.vivian.com\/browse-jobs\/landing\" target=\"_blank\" rel=\"noopener\">Browse Jobs<\/a><\/p>\n<p><small><em><strong>Feature Photo Credit:<\/strong> <a href=\"https:\/\/www.freepik.com\/free-photo\/top-view-hands-typing-keyboard_32486205.htm\" rel=\"noopener\">Freepik<\/a><\/em><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prepare for your licensure exam by exploring new question types and other significant changes.<\/p>\n","protected":false},"author":17,"featured_media":6366,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3,109],"tags":[290,294,360,362,361,303,75,90],"class_list":["post-6356","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-career-resources","category-healthcare-education","tag-discipline","tag-employment","tag-lpn","tag-lpn-lvn","tag-lvn","tag-permanent","tag-rn","tag-travel"],"acf":[],"jetpack_featured_media_url":"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/01\/NCLEX-Study-Test2-Resized-scaled.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/6356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/comments?post=6356"}],"version-history":[{"count":0,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/6356\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media\/6366"}],"wp:attachment":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media?parent=6356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/categories?post=6356"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/tags?post=6356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}