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DEVELOPING CLINICAL JUDGMENTFOR PROFESSIONAL NURSING AND THE NEXT GENERATION NCLEX-RN® EXAMINATION BY DONNA D. IGNATAVICIUS, MS, RN, CNE, ANEF

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DEVELOPING CLINICAL JUDGMENTFOR PROFESSIONAL NURSING AND THE NEXT GENERATION NCLEX-RN® EXAMINATION BY DONNA D. IGNATAVICIUS, MS, RN, CNE, ANEF

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DEVELOPING CLINICAL JUDGMENTFOR PROFESSIONAL NURS
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DEVELOPING CLINICAL JUDGMENTFOR PROFESSIONAL NURS

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744
Written in
2025/2026
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DEVELOPING CLINICAL JUDGMENTFOR
1|Page
PROFESSIONAL NURSING AND THE NEXT-
GENERATION NCLEX-RN® EXAMINATION BY
DONNA D. IGNATAVICIUS, MS, RN, CNE, ANEF

,2|Page


Developing Clinical Judgment




for Professional Nursing and the Next-Generation NCLEX-RN® Examination



Donna D. Ignatavicius, MS, RN, CNE, ANEF

Speaker and Curriculum Consultant for Academic Nursing Programs; Founder, Boot Camp for
Nurse Educators;

President, DI Associates, Inc. , Littleton, Colorado




Table of Contents




Instructions for online access Cover image

Title page Copyright Contributors Reviewers Preface Dedication About the author

Acknowledgments Exemplars

,3|Page


PART 1. Introduction: Developing Clinical Judgment



1. Transitioning from the nursing process to clinical judgment
Review of the nursing process and critical thinking Expanding from the nursing process to clinical
judgment New nursing graduates and clinical judgment

The National Council of State Boards of Nursing Clinical Judgment Measurement Model

Thinking and discussion questions References

2. Applying the NCSBN clinical judgment measurement model to ensure client safety
Overview of the NCSBN CJMM

Applying the cognitive skills of the NCSBN CJMM

Applying the NCSBN CJMM for thinking exercises in this workbook

Enhanced hot spot thinking exercises Cloze thinking exercises

Extended drag and drop thinking exercises Extended multiple response thinking exercises Matrix
thinking exercises

, 4|Page

Thinking and discussion questions Bibliography

PART 2. Clinical Judgment for Clients Across the Life Span Experiencing Commonly
Occurring Health Problems



3. Perfusion: Common Health Problems
Exemplar 3A. Heart failure (Medical-surgical nursing: Older adult)

Exemplar 3B. Sickle cell disease (Pediatric nursing: Adolescent)



4. Clotting: Deep Vein Thrombosis
Exemplar 4. Deep vein thrombosis (Medical-surgical nursing: Middle-age adult)



5. Gas exchange: Common Health Problems
Exemplar 5A. Asthma (Pediatric nursing: School-age child)

Exemplar 5B. Chronic obstructive pulmonary disease (Medical- surgical nursing: Middle-age adult)



6. Elimination: Benign Prostatic Hyperplasia
Exemplar 6. Benign prostatic hyperplasia (Medical-surgical nursing: Older adult)



7. Nutrition: Common Health Problems

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