Strategies for Student Success on the Next Generation NCLEX� (NGN) Test Items

Linda Anne Silvestri has provided decades of nursing education and leadership that has directly impacted the growing and needed nursing workforce. Her research focused on a holistic investigation of predictors leading to success on the licensure examination. Her findings, published in the Journal of Nursing Education and Practice, led to significant contributions, filling a critical need in NCLEX® preparation. Linda's vision was to provide a holistic educational approach to ensure overall well-being in test anxiety and self-efficacy, and success on the NCLEX®. As a leader in providing global NCLEX® preparation resources published by Elsevier, she strives for excellence in publication quality, based on the discovery of new knowledge in nursing, standards of care, and research-based studies. Her published resources ensure nursing graduates' ability to make sound clinical judgments as they serve the public and the nursing profession. Linda is also a Next Generation NCLEX® Subject Matter Expert and Consultant for Elsevier. Assistant Professor Angela Silvestri at Touro University Nevada-School of Nursing. Donna Ignatavicius is nationally recognized as an expert in nursing education and medical-surgical/gerontological nursing and has a wealth of experiences as a nurse educator, clinical nurse specialist, and administrator for over 40 years. Currently, she provides curriculum consultation and presentations for nursing faculty on topics such as concept-based curriculum, assessment of learning methods, and active learning strategies through her consulting company, DI Associates, Inc. Additionally, she is the primary author of numerous articles and books, including Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 11th ed. (2024) and her new student workbooks, Developing Clinical Judgment for Professional Nursing Practice and NGN Readiness, 2nd ed. (2024) and Developing Clinical Judgment for Practical/Vocational Nursing and the Next-Generation NCLEX-PN® Examination (2021). In 2007 she was inducted as a fellow into the prestigious Academy of Nursing Education (ANEF) for her national contribution to the field of nursing education. In 2016 she obtained her Certified Nurse Educator® (CNE) credential; in 2020 she obtained her Academic Clinical Nurse Educator (CNEcl) credential.

• 1. Introduction to the Clinical Judgment Process What Is the Purpose of Today’s NCLEX® and How Is It Designed? Why Was There a Need for NCLEX® Change? What is the NCSBN’S Definition and Model of Clinical Judgment? What Are the Six NCSBN Clinical Judgment Cognitive Skills? How Are the Six Clinical Judgment Skills Measured on Today’s NCLEX®? How Can You Prepare for Today’s NCLEX®? 2. Introduction to the NGN and the NGN Test Item Types Test Item Types Used for Unfolding Case Studies Test Item Types Used for Stand-Alone Test Items 3. Strategies for Answering NGN Questions: Recognize Cues What Are Cues? How Are Client Findings (Cues) Presented in an NGN Clinical Scenario? Which Client Findings Are Relevant? Which Relevant Client Findings Require Immediate Follow-Up? What Types of Clinical Scenarios May Be Included on the NGN? Which NGN Item Types Optimally Measure Recognize Cues? Practice Questions 4. Strategies for Answering NGN Questions: Analyze Cues How Do You Analyze Cues? How Does Analyzing Cues Help You Guide Client Care? How Do You Analyze Cues in an NGN Clinical Scenario? What Will You Think About to Analyze Cues in This Clinical Scenario? Which Client Findings Are Most Important When Analyzing Cues? When Might You Need to Analyze Cues in a Clinical Situation? Which NGN Item Types Optimally Measure Analyze Cues? Practice Questions 5. Strategies for Answering NGN Questions: Prioritize Hypotheses What Do Hypotheses Mean? What Does Prioritizing Mean? What to Consider When Prioritizing Hypotheses External Factors and Prioritizing Hypotheses How Do You Know That You Need to Prioritize? What Strategies Can You Use to Prioritize Hypotheses? How Do You Prioritize Hypotheses in an NGN Clinical Situation? What Will You Think About to Prioritize Hypotheses in This Clinical Scenario? Which NGN Item Types Optimally Measure Prioritize Hypotheses? Practice Questions 6. Strategies for Answering NGN Questions: Generate Solutions What to Consider When Generating Solutions The Plan of Care and Generating Solutions How Do You Know That You Need to Generate Solutions? How Do You Generate Solutions in an NGN Clinical Situation? What Will You Think About to Generate Solutions in This Clinical Scenario? Which NGN Item Types Optimally Measure Generate Solutions? Practice Questions 7. Strategies for Answering NGN Questions: Take Actions How Do You Know What Actions to Take? How Will Nursing Actions Be Tested? Which NGN Item Types Optimally Measure Take Actions? Practice Questions 8. Strategies for Answering NGN Questions: Evaluate Outcomes How Do You Evaluate Outcomes? How Will Evaluate Outcomes Be Tested? NGN Question Stems Addressing Evaluate Outcomes Which NGN Item Types Optimally Measure Evaluate Outcomes? Practice Questions 9. Stand-Alone Items and Unfolding Case Studies: The Role of Contextual Factors in Making Clinical Judgments What Are Stand-Alone Items? What Are Unfolding Case Studies? How Are Stand-Alone Items and Unfolding Case Studies Different? 10. NGN Practice Test: Putting It All Together Unfolding Case Studies Stand-Alone Items