1
Next Generation
NCLEX Guidebook 2023
for Students
PREPARED AND PRESENTED BY:
ATI Nursing Education
Your reference for everything
you need to know about the new
version of the NCLEX
,2
Downloaded by jason mark ()
,2
Table of contents
A NEW NCLEX 4 PRIORITY SETTING 14 NEW ITEM TYPES 25
THE NEW VERSION OF THE NCLEX® ....................................................................................................... 4
Why the new NCLEX was needed ........................................................................................ 4
CLINICAL JUDGMENT & ITS IMPACT ON PUBLIC SAFETY ....................... 5
Clinical judgment is necessary when caring for the complex needs of clients ..................... 5
How do you define clinical judgment? ........................................................................................... 5
How is priority setting related to clinical judgment? ................................................................... 5
Priority-setting frameworks (including item examples & rationales) ..................................... 6
• Maslow’s hierarchy of needs ............................................................................................ 6
• Airway-breathing-circulation ............................................................................................ 7
• Safety & risk reduction ..................................................................................................... 8
• The nursing process ........................................................................................................ 9
• Least restrictive/Least invasive ...................................................................................... 10
• Acute vs. chronic/Unstable vs. stable/Urgent vs. nonurgent .......................................... 11
• Survival potential ............................................................................................................ 13
STEPS TO PREPARE FOR THE NEW NCLEX .............................................. 15
Step 1: Understand the NCSBN’s Clinical Judgment Measurement Model (CJMM) .... 15
Step 2a: Review the six functions of clinical judgment in Layer 3 ................................. 16
Step 2b: Review the environmental and individual factors in Layer 4 ........................... 17
Table of contents (continued)
Compare
2
“The relationship of approaches to fostering clinical judgment” ........................ 18
,3
Function 1: Recognize cues (assessment)..................................................................... 19
Function 2: Analyze cues (analysis) ............................................................................... 20
Function 3: Prioritize hypotheses (analysis) .................................................................. 20
Function 4: Generate solutions (planning)..................................................................... 21
Function 5: Take actions (implementation)..................................................................... 21
Function 6: Evaluate outcomes (evaluation).................................................................. 22
DETAILS ABOUT THE NEW EXAM .............................................................. 23
The NGN covers more than just clinical judgment ............................................................. 23
The length of the Next Gen NCLEX .................................................................................. 23
• How much time is required to answer new item types? ..................................................... 24
• What hasn’t changed from the previous version of the NCLEX? ...................................... 24
New item types on the NGN .............................................................................................. 25
• An introduction to the case study.................................................................................. 26
• The format of case studies ............................................................................................ 27
An introduction to stand-alone items ................................................................................. 29
Sample of a bow-tie stand-alone item ................................................................................ 30
The different formats of case study and trend item types .................................................. 31
• Matrix item type ............................................................................................................. 32
• Highlight item type ........................................................................................................ 33
• Drag-and-drop item type ............................................................................................... 34
• Multiple-response item type .......................................................................................... 35
• Drop-down item type .................................................................................................... 36
Differences in scoring the Next Generation NCLEX .......................................................... 37
• How new item types are scored .................................................................................... 37
Note: The information in this guide was current at the
time of publication, but the NCSBN regularly releases
new details on the NGN.
Copyright © 2023 Assessment Technologies Institute® LLC. All rights reserved.
Images from the NCSBN used with permission, 2020.
3
Next Generation
NCLEX Guidebook 2023
for Students
PREPARED AND PRESENTED BY:
ATI Nursing Education
Your reference for everything
you need to know about the new
version of the NCLEX
,2
Downloaded by jason mark ()
,2
Table of contents
A NEW NCLEX 4 PRIORITY SETTING 14 NEW ITEM TYPES 25
THE NEW VERSION OF THE NCLEX® ....................................................................................................... 4
Why the new NCLEX was needed ........................................................................................ 4
CLINICAL JUDGMENT & ITS IMPACT ON PUBLIC SAFETY ....................... 5
Clinical judgment is necessary when caring for the complex needs of clients ..................... 5
How do you define clinical judgment? ........................................................................................... 5
How is priority setting related to clinical judgment? ................................................................... 5
Priority-setting frameworks (including item examples & rationales) ..................................... 6
• Maslow’s hierarchy of needs ............................................................................................ 6
• Airway-breathing-circulation ............................................................................................ 7
• Safety & risk reduction ..................................................................................................... 8
• The nursing process ........................................................................................................ 9
• Least restrictive/Least invasive ...................................................................................... 10
• Acute vs. chronic/Unstable vs. stable/Urgent vs. nonurgent .......................................... 11
• Survival potential ............................................................................................................ 13
STEPS TO PREPARE FOR THE NEW NCLEX .............................................. 15
Step 1: Understand the NCSBN’s Clinical Judgment Measurement Model (CJMM) .... 15
Step 2a: Review the six functions of clinical judgment in Layer 3 ................................. 16
Step 2b: Review the environmental and individual factors in Layer 4 ........................... 17
Table of contents (continued)
Compare
2
“The relationship of approaches to fostering clinical judgment” ........................ 18
,3
Function 1: Recognize cues (assessment)..................................................................... 19
Function 2: Analyze cues (analysis) ............................................................................... 20
Function 3: Prioritize hypotheses (analysis) .................................................................. 20
Function 4: Generate solutions (planning)..................................................................... 21
Function 5: Take actions (implementation)..................................................................... 21
Function 6: Evaluate outcomes (evaluation).................................................................. 22
DETAILS ABOUT THE NEW EXAM .............................................................. 23
The NGN covers more than just clinical judgment ............................................................. 23
The length of the Next Gen NCLEX .................................................................................. 23
• How much time is required to answer new item types? ..................................................... 24
• What hasn’t changed from the previous version of the NCLEX? ...................................... 24
New item types on the NGN .............................................................................................. 25
• An introduction to the case study.................................................................................. 26
• The format of case studies ............................................................................................ 27
An introduction to stand-alone items ................................................................................. 29
Sample of a bow-tie stand-alone item ................................................................................ 30
The different formats of case study and trend item types .................................................. 31
• Matrix item type ............................................................................................................. 32
• Highlight item type ........................................................................................................ 33
• Drag-and-drop item type ............................................................................................... 34
• Multiple-response item type .......................................................................................... 35
• Drop-down item type .................................................................................................... 36
Differences in scoring the Next Generation NCLEX .......................................................... 37
• How new item types are scored .................................................................................... 37
Note: The information in this guide was current at the
time of publication, but the NCSBN regularly releases
new details on the NGN.
Copyright © 2023 Assessment Technologies Institute® LLC. All rights reserved.
Images from the NCSBN used with permission, 2020.
3
