What are the new item types on the Next Gen NCLEX?
The most significant change to the test will be the addition of unique new item types.
The NCSBN researched a variety of item types to determine which best measure clinical judgment. The organization settled on 12 for use with case studies and 2 for the use of stand-alone items.
- Matrix multiple-choice
- Matrix multiple-response
- Multiple-response: Select all that apply
- Multiple-response: Select N
- Multiple-response: Grouping
- Drag-and-drop: Cloze
- Drag-and-drop: Rationale
- Drop-down: Cloze
- Drop-down: Rationale
- Drop-down: Table
- Highlight: Text
- Highlight: Table
What are case study item types?
Case studies are an effective way to measure clinical judgment.
Case studies are real-world nursing scenarios that focus on the 6 clinical judgment functions of Layer 3 of the Clinical Judgment Measurement Model.Learn more about case study questions
Stand-alone item types
These item types also will assess clinical judgment.
Stand-alone items are individual questions that are not part of a case study but have a similar format. They are introduced after the minimum number of items.
Stand-alone items will consist of two item types:
- A bow-tie item
- Trend item
Next Gen NCLEX tools, tips & information
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