,Next Gen NCLEX-RN® Complete Review by
HESI (7th Edition)
Table of Contents
Introduction to Test-Taking and the NGN-NCLEX-RN
Test-Taking Strategies
The Next Generation NCLEX-RN (NGN) Examination
Job Analysis Studies
Clinical Judgment Measurement Model (CJMM)
Computer Adaptive Testing (CAT)
General Principles to Remember
Leadership and Management
Leadership and Management Principles
Maintaining a Safe, Effective Work Environment
Legal and Ethical Issues in Nursing
Legal Aspects of Nursing Practice (Review)
Disaster Nursing and Crisis Intervention
Advanced Clinical Concepts
Respiratory Failure (Adults and Children)
Review of Respiratory Failure
Shock and Disseminated Intravascular Coagulation (DIC)
Review of Shock and DIC
Resuscitation and Airway Obstruction Management
Review of Resuscitation
,Fluid and Electrolyte Balance
Determining Acid–Base Disorders
Review of Fluid and Electrolyte Balance
Electrocardiogram Interpretation
Review of ECG
Perioperative Care
Review of Perioperative Nursing
HIV Infection (Adults and Pediatrics)
Review of HIV
Pain Management
Review of Pain
Death, Dying, and Grief
Review of Death and Grief
Medical-Surgical Nursing
Communication
Health Promotion and Disease Prevention
Teaching and Learning in Nursing
Spiritual and Cultural Assessment
Complementary and Alternative Therapies Body System
Reviews:
Respiratory System
Renal System
Cardiovascular System
Gastrointestinal System
Endocrine System
Musculoskeletal System
Neurologic System
Hematology and Oncology
,Reproductive System
Burns
Pediatric Nursing
Growth and Development
Pain Assessment and Management
Child Health Promotion (Review) Pediatric Disorders and
Reviews:
Respiratory Disorders
Cardiovascular Disorders
Neuromuscular Disorders
Renal Disorders
Gastrointestinal (GI) Disorders
Hematologic Disorders
Metabolic and Endocrine Disorders
Skeletal Disorders
Maternity Nursing
The Menstrual Cycle
Psychosocial Responses to Pregnancy
Prenatal Nutrition
Anatomy & Physiology of Reproduction / Antepartum Care
(Review)
Fetal and Maternal Assessment Techniques
Chorionic Villus Sampling
Amniocentesis
Electronic Fetal Monitoring
Antepartum Complications
Hyperemesis Gravidarum
Molar Pregnancy (Hydatidiform Mole)
,Abruptio Placentae and Placenta Previa
Hypertensive Disorders of Pregnancy
Intrapartum Nursing Care (Review)
Labor and Birth Complications
Normal Postpartum (Puerperium) Care (Review)
Postpartum Complications (Review)
Normal Newborn
Newborn Complications
Preterm Infant
Respiratory Distress Syndrome
Review of Newborn and Substance Use Disorders
Psychiatric Nursing
Safety, Structure, Support, and Self-Management
Therapeutic Modalities
Therapeutic Communication and Treatment (Review)
Common Mental Health Interventions
Brief Psychiatric Interventions
Psychiatric Assessment for Inpatients
Mood Disorders (Review)
Substance Abuse Disorders
Alcohol Withdrawal
Opioid Withdrawal
Gerontologic Nursing
Theories of Aging
Communication in the Older Adult
Gerontologic Nursing (Review)
,Appendices
Common Laboratory Tests
NCLEX Practice Questions (Answer Key)
Index
Let me know if you'd like this in a printable format or broken
into sections for flashcard creation, test prep organization, or
study guides.
,Chapter 1: Introduction to Test-Taking Strategies and the
NGN-NCLEX-RN
1. Which of the following is a recommended test-taking strategy
for answering multiple-choice NCLEX questions?
A. Choose the longest answer
B. Always select option C if unsure
C. Read the stem and all options before choosing
D. Select the answer that uses medical jargon
✅ Correct Answer: C
Rationale: Reading all options helps identify the best answer. A
and B are myths, and D often distracts from understanding the
actual scenario.
2. What is the primary purpose of the NCLEX-RN examination?
A. To assess nursing school performance
B. To evaluate personal test-taking skills
C. To determine readiness for graduate education
D. To assess minimum competency for safe practice
✅ Correct Answer: D
Rationale: The NCLEX-RN is designed to ensure entry-level nurses
can practice safely. It is not a measure of academic performance or
suitability for graduate study.
3. In the NGN format, which question type is used to assess
recognition of relevant information?
A. Extended multiple response
B. Cloze (drop-down)
C. Highlight text
D. Matrix grid
✅ Correct Answer: C
,Rationale: Highlighting text assesses a candidate’s ability to
identify relevant clinical data, a key skill in clinical judgment.
4. According to the Clinical Judgment Measurement Model
(CJMM), what is the first step in clinical decision-making?
A. Noticing
B. Interpreting
C. Responding
D. Reflecting
✅ Correct Answer: A
Rationale: Noticing refers to identifying cues, the first step in
clinical judgment. The other steps follow sequentially.
5. Which of the following best describes the structure of Computer
Adaptive Testing (CAT) on the NCLEX-RN?
A. All test-takers receive the same questions in the same order
B. The test adapts to the tester’s ability based on answers
C. The computer randomly selects questions
D. The harder the question, the less it counts toward the score
✅ Correct Answer: B
Rationale: CAT tailors question difficulty based on the test-taker’s
performance to accurately assess competency.
6. A student eliminates two options on a question. What should
they do next?
A. Skip the question
B. Flip a coin
C. Choose the better of the remaining two
D. Go back to the first eliminated option
✅ Correct Answer: C
Rationale: Using a process of elimination followed by selecting the
,best remaining option is an effective test-taking strategy.
7. Which question type is unique to the NGN NCLEX-RN?
A. Hot spot
B. Multiple response
C. Bowtie item
D. Fill-in-the-blank
✅ Correct Answer: C
Rationale: The bowtie item is new in NGN and assesses linked
decision-making between condition, action, and rationale.
8. What is the best reason for reviewing job analysis studies before
developing the NCLEX-RN?
A. They predict employment trends
B. They identify personal nursing interests
C. They ensure content aligns with entry-level practice
D. They help test writers choose random content
✅ Correct Answer: C
Rationale: Job analysis ensures NCLEX reflects real-world, entry-
level nurse responsibilities. It is not for personal guidance or
predicting trends.
9. A candidate often changes answers on practice exams. What
strategy should be recommended?
A. Always change your answer
B. Trust your gut unless clear evidence suggests otherwise
C. Skip the question if unsure
D. Choose based on what classmates would select
✅ Correct Answer: B
Rationale: First instincts are often correct unless there is a clear,
new rationale for changing. Avoid guessing based on peer
, behavior.
10. What is one benefit of NGN's Clinical Judgment model for
patient safety?
A. It reduces exam length
B. It eliminates clinical errors
C. It emphasizes how nurses think and act
D. It increases use of pharmacological content
✅ Correct Answer: C
Rationale: NGN better reflects real-world decision-making by
evaluating how nurses think, interpret, and respond to patient
cues.
11. What is the best approach when answering a “select all that
apply” (SATA) question?
A. Select three options at random
B. Choose all the options that sound medically accurate
C. Evaluate each option as true or false individually
D. Avoid selecting more than two answers
✅ Correct Answer: C
Rationale: Each option should be judged independently as correct
or incorrect. Random guessing and assumptions about number are
poor strategies.
12. What type of thinking does the Clinical Judgment
Measurement Model (CJMM) primarily assess?
A. Abstract reasoning
B. Memorization
C. Predictive analytics
D. Critical thinking and decision-making
✅ Correct Answer: D
HESI (7th Edition)
Table of Contents
Introduction to Test-Taking and the NGN-NCLEX-RN
Test-Taking Strategies
The Next Generation NCLEX-RN (NGN) Examination
Job Analysis Studies
Clinical Judgment Measurement Model (CJMM)
Computer Adaptive Testing (CAT)
General Principles to Remember
Leadership and Management
Leadership and Management Principles
Maintaining a Safe, Effective Work Environment
Legal and Ethical Issues in Nursing
Legal Aspects of Nursing Practice (Review)
Disaster Nursing and Crisis Intervention
Advanced Clinical Concepts
Respiratory Failure (Adults and Children)
Review of Respiratory Failure
Shock and Disseminated Intravascular Coagulation (DIC)
Review of Shock and DIC
Resuscitation and Airway Obstruction Management
Review of Resuscitation
,Fluid and Electrolyte Balance
Determining Acid–Base Disorders
Review of Fluid and Electrolyte Balance
Electrocardiogram Interpretation
Review of ECG
Perioperative Care
Review of Perioperative Nursing
HIV Infection (Adults and Pediatrics)
Review of HIV
Pain Management
Review of Pain
Death, Dying, and Grief
Review of Death and Grief
Medical-Surgical Nursing
Communication
Health Promotion and Disease Prevention
Teaching and Learning in Nursing
Spiritual and Cultural Assessment
Complementary and Alternative Therapies Body System
Reviews:
Respiratory System
Renal System
Cardiovascular System
Gastrointestinal System
Endocrine System
Musculoskeletal System
Neurologic System
Hematology and Oncology
,Reproductive System
Burns
Pediatric Nursing
Growth and Development
Pain Assessment and Management
Child Health Promotion (Review) Pediatric Disorders and
Reviews:
Respiratory Disorders
Cardiovascular Disorders
Neuromuscular Disorders
Renal Disorders
Gastrointestinal (GI) Disorders
Hematologic Disorders
Metabolic and Endocrine Disorders
Skeletal Disorders
Maternity Nursing
The Menstrual Cycle
Psychosocial Responses to Pregnancy
Prenatal Nutrition
Anatomy & Physiology of Reproduction / Antepartum Care
(Review)
Fetal and Maternal Assessment Techniques
Chorionic Villus Sampling
Amniocentesis
Electronic Fetal Monitoring
Antepartum Complications
Hyperemesis Gravidarum
Molar Pregnancy (Hydatidiform Mole)
,Abruptio Placentae and Placenta Previa
Hypertensive Disorders of Pregnancy
Intrapartum Nursing Care (Review)
Labor and Birth Complications
Normal Postpartum (Puerperium) Care (Review)
Postpartum Complications (Review)
Normal Newborn
Newborn Complications
Preterm Infant
Respiratory Distress Syndrome
Review of Newborn and Substance Use Disorders
Psychiatric Nursing
Safety, Structure, Support, and Self-Management
Therapeutic Modalities
Therapeutic Communication and Treatment (Review)
Common Mental Health Interventions
Brief Psychiatric Interventions
Psychiatric Assessment for Inpatients
Mood Disorders (Review)
Substance Abuse Disorders
Alcohol Withdrawal
Opioid Withdrawal
Gerontologic Nursing
Theories of Aging
Communication in the Older Adult
Gerontologic Nursing (Review)
,Appendices
Common Laboratory Tests
NCLEX Practice Questions (Answer Key)
Index
Let me know if you'd like this in a printable format or broken
into sections for flashcard creation, test prep organization, or
study guides.
,Chapter 1: Introduction to Test-Taking Strategies and the
NGN-NCLEX-RN
1. Which of the following is a recommended test-taking strategy
for answering multiple-choice NCLEX questions?
A. Choose the longest answer
B. Always select option C if unsure
C. Read the stem and all options before choosing
D. Select the answer that uses medical jargon
✅ Correct Answer: C
Rationale: Reading all options helps identify the best answer. A
and B are myths, and D often distracts from understanding the
actual scenario.
2. What is the primary purpose of the NCLEX-RN examination?
A. To assess nursing school performance
B. To evaluate personal test-taking skills
C. To determine readiness for graduate education
D. To assess minimum competency for safe practice
✅ Correct Answer: D
Rationale: The NCLEX-RN is designed to ensure entry-level nurses
can practice safely. It is not a measure of academic performance or
suitability for graduate study.
3. In the NGN format, which question type is used to assess
recognition of relevant information?
A. Extended multiple response
B. Cloze (drop-down)
C. Highlight text
D. Matrix grid
✅ Correct Answer: C
,Rationale: Highlighting text assesses a candidate’s ability to
identify relevant clinical data, a key skill in clinical judgment.
4. According to the Clinical Judgment Measurement Model
(CJMM), what is the first step in clinical decision-making?
A. Noticing
B. Interpreting
C. Responding
D. Reflecting
✅ Correct Answer: A
Rationale: Noticing refers to identifying cues, the first step in
clinical judgment. The other steps follow sequentially.
5. Which of the following best describes the structure of Computer
Adaptive Testing (CAT) on the NCLEX-RN?
A. All test-takers receive the same questions in the same order
B. The test adapts to the tester’s ability based on answers
C. The computer randomly selects questions
D. The harder the question, the less it counts toward the score
✅ Correct Answer: B
Rationale: CAT tailors question difficulty based on the test-taker’s
performance to accurately assess competency.
6. A student eliminates two options on a question. What should
they do next?
A. Skip the question
B. Flip a coin
C. Choose the better of the remaining two
D. Go back to the first eliminated option
✅ Correct Answer: C
Rationale: Using a process of elimination followed by selecting the
,best remaining option is an effective test-taking strategy.
7. Which question type is unique to the NGN NCLEX-RN?
A. Hot spot
B. Multiple response
C. Bowtie item
D. Fill-in-the-blank
✅ Correct Answer: C
Rationale: The bowtie item is new in NGN and assesses linked
decision-making between condition, action, and rationale.
8. What is the best reason for reviewing job analysis studies before
developing the NCLEX-RN?
A. They predict employment trends
B. They identify personal nursing interests
C. They ensure content aligns with entry-level practice
D. They help test writers choose random content
✅ Correct Answer: C
Rationale: Job analysis ensures NCLEX reflects real-world, entry-
level nurse responsibilities. It is not for personal guidance or
predicting trends.
9. A candidate often changes answers on practice exams. What
strategy should be recommended?
A. Always change your answer
B. Trust your gut unless clear evidence suggests otherwise
C. Skip the question if unsure
D. Choose based on what classmates would select
✅ Correct Answer: B
Rationale: First instincts are often correct unless there is a clear,
new rationale for changing. Avoid guessing based on peer
, behavior.
10. What is one benefit of NGN's Clinical Judgment model for
patient safety?
A. It reduces exam length
B. It eliminates clinical errors
C. It emphasizes how nurses think and act
D. It increases use of pharmacological content
✅ Correct Answer: C
Rationale: NGN better reflects real-world decision-making by
evaluating how nurses think, interpret, and respond to patient
cues.
11. What is the best approach when answering a “select all that
apply” (SATA) question?
A. Select three options at random
B. Choose all the options that sound medically accurate
C. Evaluate each option as true or false individually
D. Avoid selecting more than two answers
✅ Correct Answer: C
Rationale: Each option should be judged independently as correct
or incorrect. Random guessing and assumptions about number are
poor strategies.
12. What type of thinking does the Clinical Judgment
Measurement Model (CJMM) primarily assess?
A. Abstract reasoning
B. Memorization
C. Predictive analytics
D. Critical thinking and decision-making
✅ Correct Answer: D
