The 2023 Next Gen redesign changed how the PN exam tests clinical judgment. Most prep banks still recycle pre-2023 items in NGN shells. Ours don't. 3,000+ Next Gen-native items, full bow-tie and case-study coverage, pass-or-refund.*
2026 NGN“I finished my LPN program in March and passed at 85 items in May. The bow-tie practice and the coordinated-care focus were exactly what my program didn't drill.”
The NCLEX-PN redesigned in April 2023, the same time as the RN exam. The new Next Generation NCLEX (NGN) added seven item types — bow-tie, trend, matrix, cloze, extended drag-and-drop, extended multiple response, and enhanced hot spot — plus unfolding case studies that test the Clinical Judgment Measurement Model (CJMM) from cue recognition to outcome evaluation.
Most prep companies retrofitted pre-2023 banks into NGN shells. The format changed. The reasoning required to answer them didn't. So PN students drill fake NGN items for weeks, then the real bow-ties and case studies catch them off guard on test day.
| Item type | What it tests | Where students fail |
|---|---|---|
| Bow-tie | One condition, two actions, two parameters | Picking actions before identifying the condition |
| Trend | Pattern recognition across time | Reading data points in isolation |
| Matrix / grid | Multi-row decision charts | Rushing — each row scored separately |
| Cloze (drop-down) | Prioritization in context | Forcing grammar over clinical priority |
| Extended multiple response | SATA with partial credit | Picking out of fear |
| Extended drag-and-drop | Ordered nursing actions | Memorized order vs. patient-specific order |
| Enhanced hot spot | Cue recognition in charts | Highlighting everything abnormal |
Our 3,000+ NGN-native PN items were written for the CJMM model from the first draft and weighted to the PN scope of practice. Take the diagnostic and we'll show you which of the six CJMM steps trip you up.
The NCLEX-PN and NCLEX-RN share the same NGN format and the same CAT engine. But they test different scopes of practice — and the Client Needs weights are different. The PN exam emphasizes coordinated care under RN/MD supervision, data collection, and reinforcing care plans. The RN exam emphasizes independent assessment, delegation, and care planning.
If you study with an RN-weighted bank, you'll over-prepare on delegation and care-plan authorship (RN scope) and under-prepare on the coordinated-care and data-collection items the PN exam actually weights heaviest. Our PN bank is weighted to the PN test plan, not borrowed from the RN one.
| Attribute | NCLEX-PN | NCLEX-RN |
|---|---|---|
| Items (CAT range) | 85–150 | 75–145 |
| Top category | Coordinated Care (18–24%) | Management of Care (17–23%) |
| Scope tested | Coordinated/supervised care, data collection | Independent assessment, delegation, care planning |
| Pass standard | Calibrated to PN scope | Calibrated to RN scope |
Same format, different exam. Our bank knows the difference.
NCSBN publishes the PN test-plan percentages, which differ from the RN plan. We rebuilt our distribution to match NCSBN's 2026 PN weights — not the RN ones most prep banks reuse.
| Client Needs category | NCSBN weight | Items in bank |
|---|---|---|
| Coordinated Care | 18–24% | 560+ |
| Safety & Infection Control | 10–16% | 360+ |
| Health Promotion & Maintenance | 6–12% | 240+ |
| Psychosocial Integrity | 9–15% | 290+ |
| Basic Care & Comfort | 7–13% | 250+ |
| Pharmacological Therapies | 10–16% | 360+ |
| Reduction of Risk Potential | 9–15% | 290+ |
| Physiological Adaptation | 7–13% | 250+ |
Notice Coordinated Care is the heaviest category — that's the PN scope. An RN-borrowed bank would lead with Management of Care instead. Ours doesn't.
Four reasons completers cited most often. Outcomes, not feature lists.
Our 3,000+ NGN items are weighted to NCSBN's PN test plan. Coordinated Care leads, data-collection items are fully covered, and the case studies test the PN scope of practice — so you're not over-preparing on RN-level delegation you won't be tested on.
Every item was written from scratch against the CJMM rubric. Bow-ties test all six cognitive steps. Case studies unfold over six items the way the real exam does — so the format is familiar on test day.
Our diagnostic tells you which of the six CJMM steps you fail most — cue recognition, hypothesis prioritization, action selection — so you know whether to study content or train clinical reasoning.
Take the diagnostic on day 1, sit your NCLEX-PN within 90 days of starting, complete 80% of your plan. If you don't pass, we refund the plan and extend access 90 days free.* Terms in the guarantee section.
Three stages mapped to the six CJMM cognitive operations — the same model NGN questions score against. Your prep rehearses the exam, not just the content.
40 questions across all 7 NGN item types plus classic items, weighted to the PN scope. We score you against the six CJMM steps.
Takes 30 minutes · no credit card
The plan front-loads your weakest CJMM steps and weakest PN Client Needs categories.
Personalized in seconds
Adaptive practice routes items toward your weak spots. Two CAT-simulated mocks at week 3 and week 5 calibrate readiness.
Median time to pass-ready: 6 weeks*
Free for 7 days · 50 NGN-aligned questions · no credit card
The right plan looks different depending on what got you here.
Pre-exam status
You finished your practical or vocational nursing program in the last few months. You want a structured plan that converts your program content into NGN-ready clinical judgment at the PN scope.
Recommended plan
Plan: 6 weeks, 12–18 hrs/wk. Best fit: 90-day Bundle.
Suggested study track
Best fit: 90-day Bundle▌ CAND-001 · PN · 26· Open file
“I finished my LPN program in March and passed at 85 items in May. The bow-tie practice and the coordinated-care focus were exactly what my program didn't drill.”
Q-bank, video, simulated CAT mocks, the CJMM diagnostic, the pass-or-refund guarantee, and mobile. No upsells at checkout.
Written from scratch for the 2023+ NGN test plan and weighted to the PN scope. All 7 Next Gen item types, full unfolding case studies, classic items represented.
Pharmacology, A&P, basic care, coordinated care, mental health, maternal-newborn, pediatric, data collection. Taught by licensed nurses with NCLEX-prep teaching experience.
Adaptive difficulty, NGN items mixed in, the same 85-to-150-item range as the real PN exam.
Scored against the six cognitive steps in NCSBN's Clinical Judgment Measurement Model, weighted to the PN scope.
Take the diagnostic on day 1, sit your NCLEX-PN within 90 days, complete 80% of your plan, and don't pass? Full refund plus 90 days free.*
25-question pockets between shifts or classes. Full review on a laptop at night. Progress syncs in real time.
Live cohorts assume free evenings. Most PN grads are already working as CNAs or aides while they wait for their ATT.
Between shifts, on a lunch break, before bed. Mobile-first, no desk required.
ATT processing varies by state Board of Nursing. Our adaptive planner reshapes around your real date.
Every rationale links to the underlying CJMM step and PN Client Needs subcategory, so review is targeted.
Every plan ships with the Pass-or-Refund Guarantee. All PN Client Needs categories. All NGN item types. One price.
NCLEX-PN Bundle
Everything you need to walk into your NCLEX-PN confident.
For: New PN grads or retakers testing within 90 days.
| Feature | NCLEX-PN BundleMost Popular The self-paced program. | NCLEX-PN + TutorComing soon Bundle plus 1-on-1 sessions. |
|---|---|---|
| NGN-native PN questions | 3,000+ | 3,000+ |
| Video library | 65+ hours | 65+ hours |
| CAT-simulated mocks | 2 | 4 |
| CJMM diagnostic | ✓ | ✓ |
| 1-on-1 tutoring | — | 4 sessions (60 min each) |
| Pass-or-Refund guarantee | ✓ | ✓ |
| Best for | Self-directed studiers | Retakers and students with specific CJMM gaps |
The self-paced program.
Bundle plus 1-on-1 sessions.
Every NCLEX-PN item — including all 3,000 NGN-native questions — is written by a US-licensed nurse with clinical experience and reviewed against NCSBN's published 2026 PN test plan.
The PN exam tests coordinated care, not RN-level independence. Our instructors teach to the PN scope specifically — not a watered-down RN course.
DNP, RN, CNE
Pharmacology · Reduction of Risk · Physiological Adaptation
Twelve years teaching nursing pharmacology. Built the pharmacology video library against the 2026 PN test plan.
MSN, RN-BC
Coordinated Care · Safety & Infection Control · Psychosocial Integrity
ICU and med-surg background. Taught NCLEX review courses for 8 years.
Diagnostic-to-real-exam pass results.*
Tasha B.
6 weeks of prep
“The coordinated-care focus was exactly what my program didn't drill.”
Reuben O.
7 weeks of prep
“The diagnostic caught that my Take Action step was at 44%. That was the fix.”
The retest fee is the smallest line item. Lost LPN/LVN wages and delayed licensure carry the real cost.
Don't see your question? Email support@testavia.com — we respond within 4 hours.
Free CJMM diagnostic, weighted to the PN scope. No credit card. Real NGN-format questions across all seven item types.