Next-Gen NCLEX (NGN)
The current NCLEX format with clinical judgment item types
Definition
The Next-Generation NCLEX (NGN) is the current NCLEX format, launched April 2023, designed to measure clinical judgment using case studies and novel item types based on the Clinical Judgment Measurement Model (CJMM).
Key Features
- Case studies: 6 items per patient scenario
- Standalone clinical judgment items (e.g., Bowtie)
- New item types: matrix, highlight, drag-and-drop, drop-down cloze, bowtie, trend
- Partial credit scoring
- Exam length: 70 to 135 items (RN)
Content Weight
Four client needs domains: Safe/Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity (largest).
Exam Strategy
Apply CJMM systematically. Read cases carefully. Information updates between items. Use partial credit scoring to your advantage.
NCLEX Relevance
NGN is THE exam format. All 2026 test-takers will encounter these items.