Is the New NCLEX Easier? Exam Changes & What to Expect

The Next Generation NCLEX (NGN) has brought significant changes to the nursing licensure exam, leaving many students wondering: “Is the new NCLEX easier?” The answer isn’t straightforward—while some candidates find the updated format more intuitive, others face new challenges due to its focus on clinical judgment.

In this guide, we’ll break down the key differences between the old and new NCLEX, explore whether the exam is easier or harder, and provide actionable tips to help you pass confidently.

Key Changes in the Next Generation NCLEX (NGN)

The National Council of State Boards of Nursing (NCSBN) introduced the NGN to better assess a nurse’s clinical judgment and decision-making skills—critical competencies in real-world healthcare settings. Here’s what’s different:

1. New Question Formats

The NGN introduces innovative item types that go beyond traditional multiple-choice questions. These include:

• Case Studies – Detailed patient scenarios with follow-up questions.
• Extended Multiple Response – Selecting multiple correct answers.
• Bowtie Questions – Evaluating risk assessment and prioritization.
• Highlight Text – Identifying key information in a passage.
• Matrix/Grid Questions – Comparing and contrasting options.

These changes aim to test critical thinking rather than rote memorization.

2. Partial Credit Scoring

Unlike the old NCLEX, which was strictly pass/fail with no partial credit, the NGN allows scoring for partially correct answers in some question types. This means you can still earn points even if your response isn’t 100% correct.

3. Increased Focus on Clinical Judgment

The NGN emphasizes Next-Gen Clinical Judgment Measurement Model (NCJMM), assessing how well you:

• Recognize cues in patient conditions.
• Analyze data to prioritize care.
• Take appropriate action.
• Evaluate outcomes.

This shift makes the exam more application-based, aligning with real nursing practice.

Is the New NCLEX Easier or Harder

The difficulty of the NGN depends on your strengths:

Why Some Find It Easier

• Partial Credit Scoring – Even if you don’t get every answer perfect, you can still earn points.
• Real-World Scenarios – If you’re strong in clinical reasoning, the case studies may feel more natural.
• No Penalty for Guessing – The exam doesn’t deduct points for wrong answers.

Why Some Find It Harder

• Complex Question Formats – New item types (like bowtie or matrix questions) require practice.
• Higher Cognitive Demand – Less memorization, more analysis and decision-making.
• Longer Case Studies – Some test-takers feel overwhelmed by lengthy scenarios.

Bottom Line: If you excel in critical thinking and application, the NGN may feel easier. If you relied heavily on memorization, it could be more challenging.

Is the New NCLEX Easier to Pass

The pass rates for the NGN have remained similar to the old NCLEX, hovering around 80-85% for first-time U.S. test-takers. However, success depends on:

1. Preparation Style

• Traditional learners (those who relied on memorization) may struggle more.
• Adaptive learners (strong in clinical reasoning) may find it easier.

2. Quality of Study Resources

Since the NGN is new, using updated study materials is crucial. Look for:

• NGN-style practice questions (UWorld, Archer, Kaplan).
• Case study simulations to build clinical judgment.
• Review courses that focus on critical thinking.

3. Test-Taking Strategy

• Time Management – The NGN still uses computerized adaptive testing (CAT), meaning difficulty adjusts based on performance.
• Process of Elimination – Helps narrow down choices in complex questions.
• Avoid Overthinking – Stick to safety and prioritization principles (ABCs, Maslow’s Hierarchy).

How to Prepare for the New NCLEX

1. Master Clinical Judgment

• Use the NCSBN’s Clinical Judgment Model to practice:
  • Recognising Cues (What’s important in the scenario?)
  • Analysing Data (What does this lab value mean?)
  • Prioritising Actions (What’s the most urgent intervention?)

2. Practice NGN-Style Questions

• UWorld – Offers high-quality NGN case studies.
• Archer Review – Provides realistic NGN simulations.
• NCSBN’s Learning Extension – Official practice materials.

3. Simulate Exam Conditions

• Take timed practice tests to build stamina.
• Review rationales for every question (even correct ones).

4. Focus on Weak Areas

• Track performance in different categories (e.g., pharmacology, pediatrics).
• Spend extra time on higher-weight topics (e.g., management of care, safety).

Final Verdict

The Next Generation NCLEX isn’t necessarily easier or harder—it’s different. If you adapt well to clinical judgment-based questions, you may find it more manageable. However, those who struggle with critical thinking under pressure could face difficulties.

The key to passing is:

• Understanding the new question formats
• Practicing with NGN-style questions
• Strengthening clinical judgment skills

With the right preparation, you can confidently tackle the NGN and earn your nursing license.