Updated for April 1, 2026 NCLEX Test Plan

Most Affordable NGN Case Study Bank

2,400+ practice questions — including 42 full NGN clinical case study scenarios — mapped to NCSBN's Clinical Judgment Measurement Model. $29 per student, one-time.

Why Program Directors Choose PrePro

Built to reflect the clinical judgment emphasis of the current NCLEX — without the institutional contract, subscription overhead, or per-seat licensing.

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CJMM-Aligned

All 500+ NGN questions are mapped to NCSBN's Clinical Judgment Measurement Model across all six cognitive layers: Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, and Evaluate Outcomes.

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April 2026 Test Plan

Our question bank reflects the NCSBN's updated test plan effective April 1, 2026 — including revised content category weightings, expanded NGN item types, and the clinical judgment emphasis that now defines passing or failing.

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$29 One-Time vs. $349/yr

No institutional contract. No per-seat licensing. No subscription renewal. Students pay $29 once for 30-day access. UWorld costs $349/year per student. Kaplan starts at $399. We cost less than a textbook chapter.

2,400+
Practice Questions
332
NGN Questions
42
Full Case Study Scenarios
$29
Per Student, One-Time

42 Clinical Case Study Scenarios

Each scenario presents a complete patient case followed by 6 linked questions in mixed NGN formats — the exact structure used on the real NCLEX. 1,230 questions total across 205 cases.

The real NCLEX includes case studies with 6 questions each — verify current count at ncsbn.org. We give your students 42.

Hip Fracture / Post-Op Ortho
Sepsis & Septic Shock
Diabetic Ketoacidosis (DKA)
Heart Failure
Ischemic Stroke
Pediatric Asthma
Acute Kidney Injury (AKI)
Postpartum Hemorrhage
Mental Health Crisis
Pneumonia / DNI Decision
Hypertensive Crisis
Acute Pancreatitis
Bacterial Meningitis
Post-Cardiac Catheterization
Alcohol Withdrawal (DTs)
Thyroid Storm
COPD Exacerbation
Severe Burns
Sickle Cell Crisis
Pulmonary Embolism (PE)

All 6 NGN Question Formats

Complete coverage of every item type introduced with the Next Generation NCLEX — not just multiple-choice with a new label.

1

Bow-Tie

Students identify the condition most likely present, select two nursing actions, and predict two parameters to monitor — replicating the exact clinical judgment structure on the NCLEX.

2

Extended Multiple Response

Select all that apply questions with expanded answer sets, requiring students to demonstrate nuanced clinical knowledge rather than binary recognition.

3

Trend Analysis

Time-series vital signs and lab data require students to identify deteriorating or improving trends and select appropriate clinical responses.

4

Cloze / Drop-Down

Complete clinical documentation or physician orders by selecting contextually accurate terms from dropdown menus — testing precision in clinical language.

5

Matrix / Grid

Students evaluate multiple interventions or assessment findings across a matrix, indicating whether each is indicated, contraindicated, or non-essential.

6

Highlight / Hot Spot

Rank or sequence nursing interventions using the clinical judgment framework, mapping directly to CJMM Layer 6: Take Action.

Request Free Director Access

We provide free evaluation access to nursing program directors. Email us below and we'll send your access code directly within 24 hours.

No institutional contract. No minimum seats. No renewal. Students pay $29 individually (30-day access) when they're ready.

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Email us directly at:

support@nclexprepro.com

Include your name, school, and program type. We'll send your free director access code within 24 hours.

Open Pre-Filled Email ←’

We'll verify and respond within one business day.

Institutional Pricing Comparison

Per-student cost when recommending an NCLEX prep platform to your cohort. No volume minimums, no site licenses required with PrePro.

PlatformNCLEX PreProUWorldKaplanArcher
Per-Student Cost$29 one-time$349 / year~$399$59–399
Billing ModelOne-timeAnnual subCourse bundleSubscription
NGN Case Studies42 full cases✓ (premium tier)limitedpartial
April 2026 Test Planpartial
CJMM Mapping✓ All NGN Qspartialpartial
Institutional ContractNot requiredAvailableRequiredAvailable
Director Eval AccessFreeDemo onlySales callLimited

Competitor pricing based on publicly available information. Verify current rates at each vendor's website.

Ready to Evaluate PrePro?

Request free director access today. We'll respond within one business day. No sales call, no contract — just access.

Nina
NCLEX Study Assistant