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After the NRB declares a candidate eligible and they have registered through Pearson VUE, candidates will receive an Authorization to Test (ATT) email. The ATT email will be sent to the email address provided when registering. Candidates must have their ATT email to schedule an appointment to take the NCLEX. The cost of taking the NCLEX depends on where candidates take the exam. There are also additional fees to make changes to the registration.
What should a candidate expect when they see an NCLEX Highlight item?
Highlight items are presented as a sentence or several sentences forming a paragraph. The candidate must click to highlight and select text as a response to the item. Not all text included in the sentence or paragraph is enabled to be selected. In such cases, the candidate will see the ø symbol displayed when the mouse hovers over the text. This indicates the text is not a response option, and the candidate will not be able to select it. Text that is enabled to be selected is identified by a highlighted hue when the mouse hovers over the test. The candidate should review any remaining text, select their response choice(s) and click submit to move to the next item. Please visit the NCLEX Candidate Tutorial in the Prepare section at NCLEX.com for an opportunity to see and practice NCLEX item types.
What are the benefits of implementing new scoring methods?
The new scoring methods allow for moving beyond the current scoring model that is based on candidates' responses being scored as 'all correct' or 'all incorrect'. The new partial credit scoring model allows for polytomous scoring methods meaning some items are no longer scored as completely correct or incorrect. Currently, Multiple Response Select all that Apply only allows for all correct or incorrect scores. The new polydomous models gives candidates points for partial understanding.
Does NCSBN offer or recommend any tools or resources that allow educators to create their own NGN-style items and case studies?
NCSBN does not offer such tools. However, we have provided publishers and vendors with the most current and accurate information available to support their incorporation of NGN clinical judgment items into new or existing product offerings. NCSBN doesn’t endorse any product or publisher and encourages educators, institutions and candidates to research various offerings to determine which will best support their needs.
How can educators prepare students?
Educators can begin incorporating the clinical judgment measurement model into their curriculum immediately. The model can be used in a variety of nursing education settings, such as simulation labs, clinical rotation post-conference, and standard written exams. The action model template provided in the Spring 2019 Next Generation NCLEX newsletter is a useful tool to develop clinical judgment assessments for students.
What research was conducted to validate the new item types?
Focus group studies, usability studies and cognitive labs studies were employed in the early stages of development to ensure item types were not introducing any construct irrelevant variance into candidate responding. After validation from these multiple methods, items were developed and field tested within the Special Research Section to gather actual responses from candidates. This data provided confirmatory evidence that the item types were measuring as expected based on the empirical results
What is the composition of item writing and review panels?
The item writing and item review panels are generally a group of 6-10 nursing professionals who are representative of all the U.S. regions and Canadian provinces that use the NCLEX for licensure. Additionally, these educators and clinicians each have a distinct expertise area to ensure a broad range of nursing experience and context. You can read more about NGN item development panels in the Summer 2018 edition of the NGN Newsletter.
What role did nurses play in Next Generation NCLEX (NGN) research?
Nursing professionals served as the pillars and foundation on which the NGN research, and the NCLEX, is built upon. This included hundreds of nurses participating in various research studies, thousands of nurses providing feedback after formal NGN presentations, and over 250,000 aspiring nurses taking the NGN research section. Clinicians, clinical educators and nurse faculty have played a pivotal role and were consulted at every stage of the NGN research project.
How does NCSBN define Clinical Judgment for purposes of a Next Generation NCLEX (NGN)?
To develop a valid and reliable means of measuring clinical judgment, NCSBN conducted extensive reviews of the literature in nursing, decision theory and testing. The result was the assessment framework referred to as the NCSBN Clinical Judgment Measurement Model (NCJMM).
It is important to note that the NCJMM is a framework designed for and specific to testing and should not be construed as a replacement for other evidence-based theories of nursing theory or practice. In particular, the NCJMM does not compete with the Nursing Process or specific pedagogical or andrological models around the teaching of clinical judgment. Rather, it provides a systematic, evidence-based framework for measuring whether nurse licensure candidates demonstrate at least minimal competence with respect to clinical judgment and decision making.
For the purposes of the NCLEX, Layers 3 and 4 of the NCJMM guide item writers in the development of NGN content; Layer 3 elements provide the primary measurement focus for items and the Layer 4 elements provide context. Each of the Layer 3 and Layer 4 elements are defined in more detail in the publications on the NGN resource page.
What standards does NCSBN use when developing a new test?
NCSBN has conducted multi-year studies to support the development of Next Generation NCLEX (NGN). Research studies analyzed items and documented the validity of these items to measure clinical judgment. Validity evidence included 1) the extent to which clinical judgment can be measured, 2) numerous item writing panels comprised of nurse faculty to write items aligned with the NCSBN Clinical Judgment Measurement Model (NCJMM), 3) nursing experts (nursing faculty, clinical educators, clinicians and numerous committees made up of experienced nursing experts) reviewed items to ensure the measurement and content was accurate and correctly classified document the validity of the items to measure clinical judgment, and 4) ensuring that items are statistically sound and reflect contemporary practice.
Standards used in the development of all aspects of the NGN project included:
AERA, APA and NCME Standards for Educational and Psychological Testing (2014).
International Guidelines on Computer-Based and Internet-Delivered Testing (2010).
ETS Standards for Quality and Fairness (2014).
Association of Test Publishers (ATP) and the Institute for Credentialing Excellence (ICE) (2017).
Why did NCSBN change the NCLEX?
The NCLEX measures the foundational knowledge and skills needed for safe nursing practice for entry-level nurses, regardless of academic background. Every three years NCSBN conducts a practice analysis to evaluate the knowledge, skills, and abilities needed for entry-level nurses and to evaluate the validity of the test plan that guides content distribution of the licensure examination. The practice analyses have highlighted changes in healthcare including an increase in acutely ill clients. Nurses are responsible for a significant proportion of the judgments and decisions made in healthcare and newly licensed nurses are required to make progressively more complex decisions about patients.
In 2009, NCSBN reviewed several research reports and engaged in professional discussions with nursing experts on the importance of clinical judgment in the nursing profession. This led to funding a thorough literature review on the subject and culminated in a comprehensive white paper. The report provided an overview of the current nursing theories and models of clinical decision-making, along with empirical research on factors that affect decision-making in nursing. Specifically, the report found that 50% of entry-level nurses were involved in practice errors (Smith & Crawford 2002) and a subsequent study by Brennan et al. (2004) found that 65% of entry-level nurse errors were related to poor clinical decision-making. In addition, Saintsing et al. (2011) reported that only 20% of employers were satisfied with decision-making abilities of entry-level nurses.
Between 2012 and 2014 NCSBN collaborated on two studies as part of a strategic job analysis. The fundamental conclusions from these studies provided further evidence of the importance of clinical judgment in entry-level nursing. One major finding was that clinical judgment was one of the top five required skills needed upon entry into the field. Interestingly, two other high priority skills in the top five were problem solving and critical thinking skills, which themselves are vital to clinical judgment. The other two were related to professional communication and active listening.
The RN Nursing Knowledge Survey from 2017 provided additional evidence of the importance of clinical judgment. The overall importance of clinical judgment was rated between ‘important’ and ‘critically important’ by newly licensed RNs, RN educators and RN supervisors. It was also similarly rated across the facility categories of hospital, long-term care, community-based care, and other. The overall result is consistent with previous research showing that clinical judgment is essential to the safe practice of nursing at the entry level.
A panel of subject matter experts consisting of PN Educators, PN Clinicians and Nurse regulators was convened to compare the activity statements included in the 2018 LPN/VN Practice Analysis to the elements of the NCSBN Clinical Judgment Measurement Model (NCJMM). The findings indicated that the entry-level PN was expected to provide care using the nursing process framework and make the necessary clinical judgments within their scope of practice. The NCJMM elements that were most often cited as essential to the practice of the entry-level PN were recognize cues, analyze cues and take action. The element least associated with the entry-level PN activities was prioritize hypotheses. Given these findings, the Next Generation NCLEX item types and NCJMM represent a valid and reliable measurement of PN competence and will be incorporated into the NCLEX-PN examination.
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This is a National Council Licensure Examination is a countrywide examination for the permitting of nurses in the United States, Canada and Australia since 1982, 2015 and 2024.
If you want to become a nurse, the NCLEX is an important exam that you must take before you are allowed to begin practicing. What exactly is required to take the NCLEX? Do You Need a Nursing degree to take NCLEX?
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Can I take the NCLEX at a test center outside of my desired jurisdiction of licensure/registration for resident alien registration?
You are able to take the NCLEX at any Pearson Professional Testing location, regardless of where you are applying for licensure/registration.
The NCLEX is given year round and is administered by Pearson VUE. For candidates seeking licensure in the U.S., domestic test centers are those within the U.S. and American Samoa, Guam, Northern Mariana Islands and the U.S. Virgin Islands. For candidates seeking licensure/registration in Canada, domestic test centers are those within Canadian provinces/territories and the mainland U.S. (not including territories). International locations where the NCLEX is offered include Australia, Brazil, France, Hong Kong, India, Israel, Japan, Mexico, Philippines, Puerto Rico, South Africa, Spain, Taiwan, Türkiye and United Kingdom. learn more about nclex
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If you want to become a nurse, the NCLEX is an important exam that you must take before you are allowed to begin practicing. What exactly is required to take the NCLEX? Buy NCLEX-RN license Can you take the NCLEX without a nursing degree? Read on to find out more:
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The NCLEX exam is meant for those who want to become professional nurses after the acquisition of a first degree in the nursing programs. It is a well-known examination nationwide, needed to become either a registered nurse (NCLEX-RN) or a licensed practical nurse (lpn) (NCLEX-PN). The examinations are developed, maintain the National Council of State Boards of Nursing (NCSBN).
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