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Next Generation
NCLEX Guidebook 2022
PREPARED AND PRESENTED BY:
ATI Nursing Education
Your reference for
everything you need
to know about the new
version of the NCLEX
Scan for the most
up-to-date version
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27248_ngn_guidebook_layout_web_fa.pdfhttps://www.stuvia.com/user/////////////27248_ngn_guidebook_layout_web_fa27248_ngn_g
Table of contents
CLINICAL JUDGMENT 14 TEACHING STRATEGIES 52 NEW ITEM TYPES 72
COMING IN APRIL 2023: A NEW VERSION OF THE NCLEX® ..................6
QUICK REFRESHER ...................................................................................7
Why a new NCLEX is needed now ...................................................................................... 8
NCSBN research & reasons for creating a new test ............................................................ 8
The NCSBN’s steps to create a new exam ........................................................................ 10
The purpose of the Special Research Section ................................................................... 12
Timeline for NGN’s launch................................................................................................. 13
CLINICAL JUDGMENT.............................................................................14
Its impact on public safety................................................................................................. 14
NCSBN’s official definition ................................................................................................ 17
Evidence-based advice ..................................................................................................... 18
Using effective techniques ................................................................................................ 19
Practical teaching tips........................................................................................................ 22
Tips on the Socratic Method ............................................................................................. 24
Focus on priority setting (Including item examples & rationales)...................................... 26
• Maslow’s Hierarchy of Needs ....................................................................................... 27
• Airway-Breathing-Circulation ........................................................................................ 28
• Safety & Risk Reduction ................................................................................................ 29
• The Nursing Process ..................................................................................................... 30
• Least Restrictive/Least Invasive .................................................................................... 32
• Acute vs. Chronic/Unstable vs. Stable/Urgent vs. Nonurgent ..................................... 33
• Survival Potential .......................................................................................................... 36
2
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PREPARING FOR THE NEW VERSION OF THE EXAM ...........................38
Step 1: Don’t automatically change the current curriculum you use ................................. 38
Step 2: Ensure clinical judgment is part of your lessons ................................................... 39
Step 3: Understand the NCSBN’s Clinical Judgment Measurement Model (NCJMM) ..... 40
Step 3a: Review the six functions of clinical judgment in Layer 3 ................................ 41
Step 3b: Review the environmental and individual factors in Layer 4 .......................... 42
Step 4: Teach your students about clinical judgment ....................................................... 43
Step 5: Identify activities you can use to help students develop skills for each function .. 44
Function 1: Recognize cues (assessment)..................................................................... 46
Function 2: Analyze cues (analysis) ............................................................................... 47
Function 3: Prioritize hypotheses (analysis) .................................................................. 47
Function 4: Generate solutions (planning) ................................................................... 48
Function 5: Take actions (implementation) ................................................................... 49
Function 6: Evaluate outcomes (evaluation) ................................................................. 50
STRATEGIES TO TEACH CLINICAL JUDGMENT .....................................52
Use NCSBN’s action model template................................................................................ 52
Create learning outcomes ................................................................................................. 53
Strategies in the classroom ............................................................................................... 55
• Activity: Collecting cues ................................................................................................. 5
• Activity: Problem identification .................................................................................... 56
• Activity: Tree of impact ................................................................................................. 57
Strategies in the lab/simulation ......................................................................................... 58
• Activity: Health assessment .......................................................................................... 58
Strategies in clinical ........................................................................................................... 59
• Activity: Change-of-shift report .................................................................................... 59
Strategies in clinical/simulation ......................................................................................... 60
• Activity: Clinical judgment case study .......................................................................... 60
• Activity: Clinical and simulation strategy journal .......................................................... 63
3
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Table of contents (continued)
DETAILS ABOUT THE NEW EXAM .......................................................... 66
The length of the Next Gen NCLEX ...................................................................................67
• Time required to answer new item types ......................................................................68
• Reminders about the NCLEX ........................................................................................69
Differences between the current NCLEX & the NGN ........................................................70
• What won’t change ..................................................................................................... 70\
• What will change ...........................................................................................................71
New item types on the NGN..............................................................................................72
• An introduction to the case study .................................................................................73
• The format of case studies ............................................................................................74
An introduction to stand-alone items .................................................................................78
• Sample of a bow-tie stand-alone item ..........................................................................79
The different formats of case study and trend item types..................................................80
• Matrix item type ............................................................................................................81
• Highlight item type........................................................................................................82
• Drag-and-drop item type ..............................................................................................83
• Multiple-response item type .........................................................................................84
• Drop-down item type ....................................................................................................85
Differences in scoring the Next Generation NCLEX...........................................................86
• How new item types will be scored ...............................................................................86
DEVELOPING & ASSESSING CLINICAL JUDGMENT SKILLS .................. 88
The art and science behind assessments ...........................................................................88
An overview: Assessment development.............................................................................89
Testing & equating of assessments ....................................................................................91
Test security for proactive protection .................................................................................92
Clinical judgment tools for development & assessment ....................................................93
ATI tools in development + available now .........................................................................97
HOW TO STAY UP-TO-DATE & GET YOUR QUESTIONS ANSWERED .... 98
Stay up-to-date on Next Gen NCLEX ................................................................................98
Get all your questions answered about NGN ....................................................................99
4
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27248_ngn_guidebook_layout_web_fa.pdfhttps://www.stuvia.com/user/////////////27248_ngn_guidebook_layout_web_fa27248_ngn_g
Next Generation
NCLEX Guidebook 2022
PREPARED AND PRESENTED BY:
ATI Nursing Education
Your reference for
everything you need
to know about the new
version of the NCLEX
Scan for the most
up-to-date version
k_layout_web_fa.pdfhttps://www.stuvia.com/user///////////////////////////////||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||###################
ww.stuvia.com/user///////////////////////////////||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||#########################!!!!!!!!!!!!!!!!!!!!!!
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27248_ngn_guidebook_layout_web_fa.pdfhttps://www.stuvia.com/user/////////////27248_ngn_guidebook_layout_web_fa27248_ngn_g
Table of contents
CLINICAL JUDGMENT 14 TEACHING STRATEGIES 52 NEW ITEM TYPES 72
COMING IN APRIL 2023: A NEW VERSION OF THE NCLEX® ..................6
QUICK REFRESHER ...................................................................................7
Why a new NCLEX is needed now ...................................................................................... 8
NCSBN research & reasons for creating a new test ............................................................ 8
The NCSBN’s steps to create a new exam ........................................................................ 10
The purpose of the Special Research Section ................................................................... 12
Timeline for NGN’s launch................................................................................................. 13
CLINICAL JUDGMENT.............................................................................14
Its impact on public safety................................................................................................. 14
NCSBN’s official definition ................................................................................................ 17
Evidence-based advice ..................................................................................................... 18
Using effective techniques ................................................................................................ 19
Practical teaching tips........................................................................................................ 22
Tips on the Socratic Method ............................................................................................. 24
Focus on priority setting (Including item examples & rationales)...................................... 26
• Maslow’s Hierarchy of Needs ....................................................................................... 27
• Airway-Breathing-Circulation ........................................................................................ 28
• Safety & Risk Reduction ................................................................................................ 29
• The Nursing Process ..................................................................................................... 30
• Least Restrictive/Least Invasive .................................................................................... 32
• Acute vs. Chronic/Unstable vs. Stable/Urgent vs. Nonurgent ..................................... 33
• Survival Potential .......................................................................................................... 36
2
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PREPARING FOR THE NEW VERSION OF THE EXAM ...........................38
Step 1: Don’t automatically change the current curriculum you use ................................. 38
Step 2: Ensure clinical judgment is part of your lessons ................................................... 39
Step 3: Understand the NCSBN’s Clinical Judgment Measurement Model (NCJMM) ..... 40
Step 3a: Review the six functions of clinical judgment in Layer 3 ................................ 41
Step 3b: Review the environmental and individual factors in Layer 4 .......................... 42
Step 4: Teach your students about clinical judgment ....................................................... 43
Step 5: Identify activities you can use to help students develop skills for each function .. 44
Function 1: Recognize cues (assessment)..................................................................... 46
Function 2: Analyze cues (analysis) ............................................................................... 47
Function 3: Prioritize hypotheses (analysis) .................................................................. 47
Function 4: Generate solutions (planning) ................................................................... 48
Function 5: Take actions (implementation) ................................................................... 49
Function 6: Evaluate outcomes (evaluation) ................................................................. 50
STRATEGIES TO TEACH CLINICAL JUDGMENT .....................................52
Use NCSBN’s action model template................................................................................ 52
Create learning outcomes ................................................................................................. 53
Strategies in the classroom ............................................................................................... 55
• Activity: Collecting cues ................................................................................................. 5
• Activity: Problem identification .................................................................................... 56
• Activity: Tree of impact ................................................................................................. 57
Strategies in the lab/simulation ......................................................................................... 58
• Activity: Health assessment .......................................................................................... 58
Strategies in clinical ........................................................................................................... 59
• Activity: Change-of-shift report .................................................................................... 59
Strategies in clinical/simulation ......................................................................................... 60
• Activity: Clinical judgment case study .......................................................................... 60
• Activity: Clinical and simulation strategy journal .......................................................... 63
3
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Table of contents (continued)
DETAILS ABOUT THE NEW EXAM .......................................................... 66
The length of the Next Gen NCLEX ...................................................................................67
• Time required to answer new item types ......................................................................68
• Reminders about the NCLEX ........................................................................................69
Differences between the current NCLEX & the NGN ........................................................70
• What won’t change ..................................................................................................... 70\
• What will change ...........................................................................................................71
New item types on the NGN..............................................................................................72
• An introduction to the case study .................................................................................73
• The format of case studies ............................................................................................74
An introduction to stand-alone items .................................................................................78
• Sample of a bow-tie stand-alone item ..........................................................................79
The different formats of case study and trend item types..................................................80
• Matrix item type ............................................................................................................81
• Highlight item type........................................................................................................82
• Drag-and-drop item type ..............................................................................................83
• Multiple-response item type .........................................................................................84
• Drop-down item type ....................................................................................................85
Differences in scoring the Next Generation NCLEX...........................................................86
• How new item types will be scored ...............................................................................86
DEVELOPING & ASSESSING CLINICAL JUDGMENT SKILLS .................. 88
The art and science behind assessments ...........................................................................88
An overview: Assessment development.............................................................................89
Testing & equating of assessments ....................................................................................91
Test security for proactive protection .................................................................................92
Clinical judgment tools for development & assessment ....................................................93
ATI tools in development + available now .........................................................................97
HOW TO STAY UP-TO-DATE & GET YOUR QUESTIONS ANSWERED .... 98
Stay up-to-date on Next Gen NCLEX ................................................................................98
Get all your questions answered about NGN ....................................................................99
4
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