NGN case study practice.
The unfolding case — one patient across all six clinical-judgment steps — is the part of the NGN exam that filters people out. Practice 25 of them free, with a real chart to read and a tutor to walk you through each step.
What an NGN case study actually is.
One patient, six steps
An unfolding case follows a single patient through the NCSBN clinical-judgment model — recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and evaluate outcomes — one decision feeding the next.
A real chart to read
Each case gives you a tabbed chart — nurse's notes, vitals, and labs — and expects you to pull the relevant findings yourself, exactly like the exam. The data doesn't come pre-highlighted.
Mixed item types per step
A single case can score you with a matrix, a bow-tie, a highlight, and a cloze across its steps — all with real polytomous (+/−) partial credit, so you practice the formats in context, not in isolation.
Why they're the hardest part of the exam.
Standalone questions test one decision. A case study tests a chain of them — and if you misread the chart early, the whole chain tilts. There's nowhere to hide a weak clinical-judgment step, which is exactly why they separate the people who pass from the people who don't.
Connected scoring
Each step builds on the last. A shaky 'analyze cues' carries forward into 'take action,' so a single weak spot costs more than one item.
You find the data
The chart doesn't tell you what matters. Reading nurse's notes, vitals, and labs and pulling the relevant findings is half the skill being tested.
Highest point weight
Case studies carry several scored items each, so they move your result more than any single standalone question — and they're the ones people practice least.
What we give you.
25 realistic cases
Each of the 25 cases follows one patient across all six steps, with a tabbed chart — nurse's notes, vitals, labs — you read the way you would at the bedside. They're built for the 2026 NGN test plan.
Flo explains each step
After each step, Flo — the AI nurse-tutor — explains the cue you should have caught and how it shaped the next decision, in plain language. You learn the reasoning, not just the right box. Pair them with the free question bank.
Common questions.
What is an NGN case study?+
An NGN (Next Gen NCLEX) case study is an unfolding clinical scenario that follows one patient across the six steps of the NCSBN clinical-judgment model. You read a patient chart and answer a connected series of items — recognizing cues, analyzing them, prioritizing, generating solutions, taking action, and evaluating the outcome.
How many steps are in an NGN case study?+
Six. They follow the clinical-judgment model: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and evaluate outcomes. Our cases walk you through all six.
How many case studies are included?+
There are 25 unfolding case studies, each with a realistic tabbed chart and a mix of NGN item types across the six steps. All 25 are included free during the beta.
Is it free?+
Yes. All 25 case studies — along with the 2,500+ NGN questions, the mock exams, and the AI tutor — are free during our open beta, with no credit card required.