Next Generation NCLEX® Expertise Library

Explore how to prepare yourself as an educator for changes coming on the NGN as well as teaching and learning activities that incorporate clinical judgment.

New! Preparing for the NGN Faculty Resource Guide

Learn the essentials to fully prepare you and your program for the recent changes from NGN leaders Donna Ignatavicius and Linda Silvestri, including an analysis of the NGN and the greater emphasis on clinical judgment, steps to integrate NGN into your classroom, and resources to support NGN integration.

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Need to Know NCLEX Changes

NGN Test Item Writing

NGN In The Classroom

Focus on Clinical Judgment

Explore Elsevier’s full library of Next Generation NCLEX resources

Meet Our Experts

Donna D. Ignatavicius


Nationally recognized as an expert in nursing education and medical-surgical/gerontological nursing, “Iggy” has a wealth of experience in education, clinical nursing, and administration. She has taught in PN, diploma, AD, and BSN programs for many years. She is also the author of the leading textbook, Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 9th EditionHer latest Elsevier textbook Developing Clinical Judgment for Professional Nursing and the Next-Generation NCLEX-RN® Examination was recently published as well.

“We have to start talking about clinical judgment and its relationship to the nursing process–that it’s not something totally foreign or different. It’s really an expansion of the nursing process.”

Watch an interview with Donna ↗

Linda Silvestri


Linda Silvestri, the most trusted name in NCLEX® review, is the author of what’s often called the ‘best NCLEX exam review book ever,’ Saunders Comprehensive Review for the NCLEX-RN® Examination. She has a diploma in nursing from Cooley Dickinson Hospital School of Nursing, associate degree from Holyoke Community College, BSN from American International College, and MSN from Anna Maria College. She earned a PhD in Nursing from the University of Nevada, Las Vegas, and conducted research on self-efficacy and the predictors of NCLEX success. She says her desire to author NCLEX review textbooks stems from her own difficulties as a nursing student in studying and preparing for nursing exams.

“The NGN is really important for health care overall because we need nurses who are able to make quick and sound clinical judgments when such situations arise in the clinical area or elsewhere.”

Watch an interview with Linda ↗

Impact Future Outcomes

Guide future nurses in developing sound clinical judgment to change the course of healthcare outcomes.

(Smith & Crawford 2002) & (Saintsing et al., 2011; Smith & Crawford 2003; Kenward & Zhong 2006)

NCSBN Educator Resources

The Next Generation NCLEX (NGN) exam asks better questions to help ensure candidates are able to think critically and make sound patient care decisions. NGN is about protecting the public and achieving the best outcomes for clients, nurses, and institutions. Check out these resources from the NCSBN to learn more about their approach to creating the NGN.

View all NCSBN Resources ↗