Measuring clinical judgment requires unique item types — more than simply multiple-response questions. It's also going to require different scoring methodologies. The new test will penalize answers indicating a lack of clinical judgment.
3) TEST ITEM USABILITY
Students, nurses, and educators have reviewed item prototypes. They ensure the questions represent real-life clinical judgment scenarios.
4) COLLECT ITEM DATA
NCSBN added a “Special Research Section” to the NCLEX-RN and -PN with these new item types. Select students voluntarily answer the questions after completing the NCLEX. Students' responses don’t impact their scores. But their answers provide valuable insight on question fidelity.
5) RESEARCH MEASUREMENT
Psychometricians have been continually reviewing data from student responses. They're identifying the most accurate measures of clinical judgment and nursing competence.
6) BUILD TECHNOLOGY
NCSBN will launch the new test in 2023. Until then, it is building the necessary technology and infrastructure to support the test.
7) PERFORM ALPHA/BETA TESTS
Multiple evaluations have been assessing test questions. NCSBN is scrutinizing every item type for those providing the highest accuracy.
8) LAUNCH NEW NCLEX-RN
The operational phase of testing item types will take 3-4 years. The launch of the new version of the NCLEX will be 2023.