Testing in September 2026? You're studying the question patterns the current NCSBN test plan is built around.
Nursing student reviewing a clinical chart in a training setting

NCLEXVault · Nurseclex study hub

Nurseclex: Next Gen NCLEX study, one decision at a time.

Study the patient chart, practice the judgment steps, and build your RN or PN study path with explanations that make each choice clear.

Try a clinical judgment item

Read the cues. Choose the priority.

This is one original practice item, not a prediction of your exam result. Read the chart and choose the safest next action.

Recognize cues → Take action
Patient chart · 0800Practice scenario
Nurse's notes

A 72-year-old admitted with pneumonia is newly drowsy. Urine output is 90 mL over six hours.

Vital signs & labs

Temperature 38.9°C · HR 116 · RR 28 · BP 96/54 · SpO₂ 88% on 2 L oxygen · lactate 3.1 mmol/L.

What is the nurse's priority action?

Build your study path

From first review to focused practice

Clinical judgment

Work through patient cues, priorities and Next Gen formats with worked examples.

Explore NGN cases

Lessons & notes

Review high-yield body systems, medication safety, and practical nursing actions.

Browse lessons

Question practice

Answer practice items and read why an action is appropriate or unsafe.

Try free questions

Preparing for NCLEX-RN?

Start with a clinical-judgment overview and build a practice routine around your weaker topics.

RN question bank

Preparing for NCLEX-PN?

Review PN-specific scope, coordinated care and practical-nursing decision making.

PN practice questions

Study guides for the next step