The Next Generation NCLEX (NGN) represents the most significant testing overhaul in nursing licensure history. Gone are the days when candidates could pass solely through rote pharmacological memorization. The NCSBN now tests whether you can think like an acute-care charge nurse at the bedside, using the 6 cognitive layers of the Clinical Judgment Measurement Model (CJMM).
The 6 Cognitive Steps the CAT Computer Evaluates
Every unfolding case study presents an evolving patient electronic health record (EHR) with vital signs, physician orders, and nurse notes. The algorithm scores your competence across 6 sequential clinical judgment steps:
How to Keep Your Exam at 85 Questions
The Computerized Adaptive Testing (CAT) algorithm continuously estimates your ability relative to the passing standard. To shut off the computer at the minimum of 85 questions, you must consistently answer higher-difficulty analysis and evaluation items correctly.
NursePathway students receive weekly 1-on-1 diagnostic case reviews and practice drills mirroring exact NGN item types (extended multiple response, drop-down cloze, matrix grids, and highlight items) until passing probability reaches 99%.
On NGN partial credit scoring (+/- scoring), never guess on options you are uncertain about. A wrong checkmark subtracts points from your correct answers. Select only what you know to be clinically proven.
Student Discussion (1)
Samantha K. (RN, Columbus)
September 16, 2026The CJMM breakdown Elena teaches changed everything for me. On my 3rd attempt, I shut down the exam at 85 questions! Don't just do UWorld questions blindly; learn the clinical judgment cues.