The Next Generation NCLEX® (NGN) is here! All RN and PN students are now required to take the NGN—a new approach to the licensure exam that focuses on clinical judgment to get you thinking like a nurse before you enter the workforce.


The NGN might seem like a big change, but Elsevier has you covered—learn more about the details of the exam, how it will impact you, and ways you can prepare for new item types you’ll see on the NGN.

Get Started

Here’s the good news—the knowledge you’re gaining in your program will stills applies to the NGN, but the NGN offers a different way to measure your clinical judgment. Elsevier is your trusted partner in making sure you have everything you need for the changes ahead.

If your institution uses these you’ll see NGN content in:

Or you can practice Clinical Judgment in:

Looking to practice on your own?

Why the change?

Studies show that recent graduates fall short when it comes to clinical judgment skills—65% of entry-level nursing errors result from poor clinical decision-making, and 50% of entry-level nurses were involved in practice errors.

To make sure new graduates are prepared for what’s to come, the test will include case studies that challenge test-takers to think critically. In unfolding case studies and stand-alone case studies, different types of questions will be used to test how you would approach situations you would see in the real world.

This change in the NCLEX gives students the confidence to make sound clinical decisions, be patient-ready sooner, and achieve the best outcomes for patients.

The Next Generation NCLEX (NGN) is an improved version of the previous NCLEX. According to the NCSBN, this exam asks new nurses better questions to increase critical thinking and decision making, which ultimately improves patient care.


Read the NCSBN FAQ for Candidates

Visit the NCSBN NCLEX website



Learn more

NGN Item Types

Learn more