The Next-Generation NCLEX, explained.
The 2026 NCLEX-RN uses the NCSBN Clinical Judgment Measurement Model to test how you think, not just what you know. Here's every item type you'll see.
Case Studies
Six-question unfolding scenarios that walk through the Clinical Judgment Measurement Model steps.
Matrix / Grid
Rate each finding against multiple conditions or interventions in a single grid.
Extended Multiple Response
Pick multiple correct answers with partial credit (formerly SATA).
Cloze (Drop-Down)
Complete a sentence by choosing from drop-down lists of options.
Highlight
Select the exact words or phrases in a case that indicate risk or priority.
Bow-Tie
Link the top nursing action, expected outcome, and parameters to monitor around a central hypothesis.
The 6 steps of Clinical Judgment
- 1Recognize Cues
- 2Analyze Cues
- 3Prioritize Hypotheses
- 4Generate Solutions
- 5Take Action
- 6Evaluate Outcomes
Practice NGN items now
The interactive question bank includes SATA and matrix items with AI-tutored rationales.
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