Case Study Item Set

A six-item NGN set based on an evolving clinical scenario

Definition

A Case Study Item Set is a series of six linked NGN items based on one evolving clinical scenario. Each item tests one of the six CJMM steps in sequence.

Structure

  • Item 1: Recognize cues (highlight)
  • Item 2: Analyze cues (matrix or cloze)
  • Item 3: Prioritize hypotheses (cloze)
  • Item 4: Generate solutions (drag-and-drop)
  • Item 5: Take action (matrix)
  • Item 6: Evaluate outcomes (matrix)

Strategy

Read carefully. New information updates between items. Apply CJMM sequentially. Don't skip ahead; each item prepares for the next.

NCLEX Relevance

Every 2026 NCLEX-RN candidate sees at least 3 scored case studies.