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NextGen NCLEX Library

The purpose of the NextGen NCLEX repository was to provide an accessible space for the NextGen questions and case studies.

The questions can be used by faculty to prepare students to understand the new format of the Next Generation (NextGen) that will be used by the National Council of State Boards of Nursing (NCSBN) licensing exam beginning in April 2023 to test students’ ability to make clinical judgements.

The test bank is composed of case studies with six questions each that follow the NCSBN Clinical Judgment Measurement Model steps:

  • recognize cues
  • analyze cues
  • prioritize hypotheses
  • generate solutions
  • take action
  • evaluate outcomes.

In addition, seven questions for reviewing bow-tie or trend items are included. All case studies were subjected to rigorous review both by the project team and subject matter experts.

Disclaimer: The items in the test bank are accessible to all through this nonsecure website. The test questions are not recommended to be used for summative assessments.

Using the Maryland NextGen Test Bank

The names of the case studies are provided with hyperlinks to all items.

Next Gen NCLEX Test Bank Library

This folder contains a range of NextGen questions including, MCH, pediatric, mental health, psychiatry, medical/surgical and community/public health. The intent is to have students work with an instructor when practicing and for this reason, the answers are not included. 

NCLEX Faculty Case Studies

This folder contains a range of NextGen case studies for instructor use for practice with students. All case studies include the answer keys and rationales. The case studies are in a Word document and can be modified by faculty members as needed. The case studies are contained in 4 categories: Family (13 case studies), Fundamentals and Mental Health (14 case studies) and Medical Surgical (20 case studies). In addition, the section labeled 'Mini Reviews' contains PowerPoint sessions with combinations of case studies and standalone items. 

Family

Fundamentals and Mental Health

Medical Surgical

Community Based

Mini Review