Are you tired of that same old boring NCLEX
that have been circulating for years?
Do you want something new and fresh?
Well, even if you don't want it, starting in
April 2023, the NCLEX Next
Gen is coming for a testing center near you.
Also abbreviated Next Gen, NGN, the NCLEX
Next Gen is the
NCSBN's newest addition to the NCLEX lineup
and will be the only option to
take as a licensure exam for registered
nurses once it rolls out.
The primary focus of the new NCLEX is to
make the exam better at assessing
clinical judgment while also promoting
The exam features new question styles in
order to facilitate these goals, and
will introduce the concept of partial
credit - Woot!- for some of these questions.
Let's take a quick look at the new questions
that are coming down the pipeline for
Next Gen NCLEX.
First, we have Extended Multiple Response.
These questions allow candidates to select
one or more options at a time.
Now, you might be thinking: "Liz, that
sounds a lot like the current NCLEX multiple
response questions or the choose all that
And, why, yes.
I thought it sounded exactly like that too.
But these questions have even more options,
And in an attempt to make up for the fact
that they are making the hardest
questions even harder, the exam decided to
give you partial credit for when you get
some, but not quite all of the selections
Hurray! We will take that small win.
Next we have Extended Drag and Drop: Extended
Drop items allow candidates to move or place
into answer spaces.
This is sort of similar to the current NCLEX
questions of ordered responses,
but with this, not all of the response
options may be required to answer the
item. There may be more response options
than answer spaces.
So they're really trying to give you some
distractions in there just for fun.
Third, we have Cloze questions, also known
as drop down questions.
These items allow candidates to select one
option from a drop down
list. And in case that didn't sound like
enough fun all on its own,
there can be more than one drop down lists
in one Cloze
question. These drop down lists can be
They can be phrases within a sentence, part
of a table, or even aspects of a
chart. The sky is truly the limit here.
And let's see what else we have.
Enhanced Hot Spot or Highlighting.
Enhanced hotspot items allow candidates to
select their answer by
highlighting predefined words or phrases.
Candidates can select and deselect the
highlighted parts by clicking on
the right words or phrases.
These types of items allow the individual to
calm their brain by
coloring for a moment to de-stress.
Just kidding. They don't want you to do that
But they do want you to highlight the
informational aspects of medical
records, things like labs, medication
records and all of that, when you are
presented with them.
Highlighting the word or the phrase that
answers the question that is
posed. And finally, we have the new
questions. Matrix or grid items allow the
candidate to select one
or more answer options for each row and
This item type can be useful in measuring
multiple aspects within a
clinical scenario using one single item.
You may have a list of symptoms going down
one side, and then you have choose all of
these that kind of align with infection,
anemia or expected...
What would be expected findings or symptoms
that might be associated with any of those.
This is basically combining a couple select
all that apply questions into
one mega three-dimensional select all that
Because why the heck not?
And if you are feeling a little bit
overwhelmed at this time, me too.
And I don't have to take it.
But really, you can do this.
I promise. Your school will be introducing
all of these exam style questions, and
very likely you have actually started to see
them in your own exams
already. Our question bank is rolling out
If we haven't already done that by now is
when you're watching this.
And your other...
All your NCLEX prep courses will be doing
this as well.
So these will honestly be old news by the
time you show up for your exam
and the information that you know and you
learn, all of the safety stuff, that's not
changing. Just the way that the questions
So remember, you can get partial credit now.
So that's a huge win.
Now that I've gotten you super-duper excited
for these questions, let's take a look at how
you even apply to take this really exciting
NCLEX exam in the first place.
I will see you in the next one.