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Next Generation NCLEX: Case Studies 9-10
- Based on the official NCLEX-RN exam guidelines
- Updated for June 2026
Nurse Plus Academy is excited to offer a new Next-Generation NCLEX (NGN) practice test to help NCLEX applicants prepare for the upcoming changes to the exam. The NGN is designed to better measure a candidate’s clinical judgment and will include innovative item types such as extended multiple response, extended drag and drop, cloze, highlight text, matrix/grid, bowtie, and trend. Our practice test will include unfolding case studies and stand-alone clinical judgment items. Each case study consists of a clinical scenario and six questions requiring candidates to make multiple decisions. The items are presented in sequential order, so candidates progress through all six steps of the NCSBN Clinical Judgment Measurement Model (NCJMM), which includes recognizing cues, analyzing cues, prioritizing hypotheses, generating solutions, taking actions, and evaluating outcomes.
The minimum length of the NGN exam will be 85 questions, with a maximum of 150 questions, and the time allowed will remain up to five hours. The NGN will continue to be a variable-length computerized adaptive test (CAT), and candidates will receive items targeted at their own ability levels throughout the exam.
Our NGN practice test will help candidates become familiar with the new format and types of test items that will be included. By practicing with our test, candidates will develop and refine their clinical judgment skills and be better prepared to pass the NCLEX-NGN and become successful nurses.
- Perfect for nursing students and professionals preparing for the NCLEX exam
- Triple-checked for accuracy by nursing experts
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Foundational nursing review
Founding Nursing Adviser, RN | MHS, Governors State University, IL
Test design and learning experience oversight
Co-Founder & CEO, Elegant E-Learning
Questions are created and maintained by the Nurse Plus Academy content team following our multi-layer editorial process and updated whenever the National Council of State Boards of Nursing changes its guidelines or exam blueprint.
Official sources we check: NCLEX website, Official NCLEX exam blueprint 2026
About the official exam: 75-145 questions • 5 hours • Computer Adaptive • Pass/Fail
How we keep NCLEX practice questions accurate
Our NCLEX practice tests are built around the written knowledge exam and the skills topics nurse aide candidates are expected to know.
Written by Andrei Zakhareuski
Updated over a week ago
At Nurse.plus, we review question wording, answer choices, and explanations against current nurse aide exam topics instead of treating old quiz banks as final.
Here's how we keep the practice tests useful and reliable.
Content creation and review process
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Exam alignment:
We map practice questions to core NCLEX exam areas, including basic nursing skills, infection control, residents' rights, safety, communication, and personal care. -
Clear explanations:
Each question is checked for plain language, answer-choice clarity, and an explanation that helps after a wrong answer. -
Foundational nursing review:
Winona Suzanne Ball, RN, MHS, helped establish the nursing review standards behind Nurse Plus. New updates are maintained by the Nurse.plus content team and checked before publication. -
Editorial QA:
Before a question goes live, we review the clinical point, the distractors, formatting, proofreading, and whether the item fits the test it appears in. -
User feedback:
Every question can be reported from the test screen. When a learner flags wording, an answer choice, or a rationale, we review it and update the item when needed. -
Ongoing updates:
We refresh examples, explanations, and provider references as NCLEX testing guidance changes.
That process is not flashy, but it matters: learners need practice questions that read like the exam and explanations that actually help after a missed answer.
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