Next

Generation
NCLEX
with Archer Review

Overview
1. General Information
2. Scoring Models
3. New Question types
General Information
● Went into effect April 1st, 2023
● About 20% of the exam will contain new item types.
● New scoring models - partial credit!
● Maximum time:
○ 5 hours
● Minimum number of questions:
○ 70 scored + 15 unscored
● Maximum number of questions:
○ 135 scored + 15 unscored
Scoring Models
1. 0/1
2. +/-
3. Rationale Scoring

0/1
● Used when there are a specific number of choices.
● 1 point for each correct responses
● 0 points for each incorrect response
● Total = sum of correct responses
+/-
● Used when you can select as many or as few options as you want
● +1 point for each correct option
● -1 point for each incorrect option
● Total = sum of correct options minus sum of incorrect options

Rationale Scoring
● Used for items that require you to pair information.
○ Choose both correctly = 1 point
○ Choose one correctly = 0 points
○ Choose zero correctly = 0 points
New Item Types
1. Stand Alone Items
2. Case Studies

Stand Alone Items

1. Drag and Drop
2. Drop Down
3. Multiple Choice
4. Multiple Response
5. Highlight (Extended Hotspot)
6. Bowtie
7. Trend
 $25/hr
Limit 15
students

Drag and Drop

Cloze Rationale
● Word choices available to drag and drop ● One sentence that will have one blank
into a passage. for a cause and one blank for an effect.
● Maximum of 10 'tokens' ● You will drag and drop the appropriate
options into the blanks.
●
Drop Down
Cloze Rationale Table
● Testing your ability to ● Candidate will select drop
Candidates select ONE option
●
identify cause and effect. down options from a table.
from a drop down list. Sentence will have 1 cause
● ● There can be 3 to 5
● Each Cloze item can have multiple and 1-2 effects. options in each drop down.
drop down lists. ● Must identify BOTH
● Can be: correctly!
○ Words ●
○ Phrases within a sentence
○ Within a table
○ Within a chart

Multiple Choice
Multiple Choice Matrix Multiple Choice
● Candidates will select ONE option in each
● You can select one choice, and only one row of a matrix.
choice! ● Each row MUST have an item selected.
● If you select an answer, then click on a new ● There will be at least 4 rows, and could be
answer, the selection changes to your new up to 10.
answer. ●
●
Multiple Response
Multiple Response - Select All That Apply
Multiple Response - Select N
● Allow candidates to select one or more answer
options at a time.
● Specific number of responses
● There are more options than current select all that
apply items.
● 1 point received for each correct
● Partial credit scoring is used. response, no points deducted for
incorrect responses.

Multiple Response Multiple Response Grouping

● Minimum of 2 groupings and maximum of 5
groupings.
● Each grouping can have 2-4 options.
Matrix Multiple Response ● You must select at least one option from
each grouping.
●
● Matrix where each row may have more ●
●
than one correct answer.
● Each column must have at least 1
response selected.
Highlight
(Extended Hotspot)
Highlight Text
● Select parts of a section of text.
● Maximum of 10 options.
● You may select and un-select the text
before submitting your final answer.

Highlight Table
● Highlight parts of the text in a table.
●
●
●

Bowtie
● 5 targets for 5 correct options.
● You will drag and drop two actions to take, one condition, and two parameters to
monitor.
Trend
● Calls for you to review information over time.
● For example, you may review nurses notes, lab values, vital signs, progress notes, medications, or
other information.
● Any response type can be used.
Case Studies
● You WILL have 3 case studies on your exam!
● Series of 6 questions about the same client scenario.
● Information is added as the case study unfolds and subsequent questions are
asked.

#1: Recognize Cues

What matters most?
#2: Analyze Cues
What could it mean?

#3: Prioritize Hypotheses

Where do I start?
#4: Generate Solutions
What can I do?

#5: Take Action

What will I do?
#6: Evaluate Outcomes
Did it help?