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NGN Next-Gen Prioritization Scenario — 2025 Edition | Med-Surg Nursing | Clinical Judgment Practice

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This -page NGN Next-Gen prioritization scenario is designed to sharpen clinical judgment and boost performance on Med-Surg exams, HESI, and the 2025 NCLEX. It includes a realistic patient case, layered decision-making questions, prioritization tasks, safety assessments, and step-by-step answers to help you understand the “why” behind every choice. Inside this document, you’ll find: • A complete Med-Surg patient scenario with NGN-style prompts • Prioritization, delegation, and safety decisions • Clinical judgment pathways (recognize cues → analyze → act) • Clear and high-yield rationales • Practice that mirrors real exam structure This resource is ideal for: • Nursing students preparing for NGN-style testing • Med-Surg exams • HESI practice • NCLEX-RN 2025 exam preparation • Clinical judgment skill-building Organized, easy to navigate, and built for fast, efficient study — perfect for students who want strong grades with less stress.

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Uploaded on
November 26, 2025
Number of pages
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Written in
2025/2026
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Focuses on Next-Gen NCLEX skills: prioritization, delegation, and safe decision-making in
complex patient scenarios




Enhance your NGN prioritization, sharpen critical thinking, and manage
multiple patients safely like a professional nurse

, 1. Deep Overview
2. 20–25 NGN Prioritization Scenarios
3. Quick NGN Reference Table
4. Free NGN Study Tools



This quiz strengthens prioritization, delegation, and clinical judgment skills, key components of
the NGN NCLEX. Scenarios reflect real-world challenges with multiple patients requiring
urgent, simultaneous interventions.




 NGN questions test your ability to safely manage complex situations
 Prioritization prevents harm and improves patient outcomes
 Mastery of these skills ensures readiness for HESI/NCLEX NGN format




1. Identify unstable or high-risk patients first
2. Follow ABCs (Airway, Breathing, Circulation)
3. Use the nursing process to delegate safely
4. Monitor labs, vitals, and clinical changes
5. Educate and advocate for patients simultaneously




Q1. You have four patients:

1. COPD patient with O2 sat 88%
2. Post-op patient with stable vitals
3. Diabetic with glucose 250 mg/dL
4. Patient with mild UTI
Priority nursing action?
✅ A. Assess COPD patient first
Rationale: Hypoxia is immediately life-threatening; ABCs take priority.

Q2. Patients:

1. CHF patient with edema and SOB
2. Post-op stable vitals
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Welcome to Belayhun’s Exam Prep & Summary Study Guides — where smart learning begins.

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