NGN: Clinical Judgment Measurement Model

Now that the changes to the NCLEX draw nearer, one can’t help but ask what it would mean for prospective nurses and nursing students. While some may have question marks regarding the Next Generation NCLEX, one shouldn’t worry too much about it. Instead, one needs to know, understand, and familiarize the expected content of the new exam, namely the Clinical Judgment Model.

The changes made by the aNCSBN ensure that entry-level nurses are well-equipped with skills critical to providing safe and effective client care. An in-depth understanding of the content concepts should be part of the exam preparation to measure an entry-level nurse’s ability accurately.

Next Generation NCLEX (NGN)

As the current NCLEX-RN transitions into the Next Generation NCLEX (NGN), which will be in full effect this year in April, additions were added after the NCSBN’s practice analysis. The need for nurses to make more complex decisions and judgments in patient care prompted the change in the NCLEX. Thus, the NGN will measure these judgments. 

The NGN introduces and focuses on a new integral process and item types that measure a nurse’s ability to analyze, problem-solve, make decisions, and arrive at a nursing diagnosis. While it is true that there are changes like the exam’s format, the content covered doesn’t change. Furthermore, the NGN will continue to have the current NCLEX question types and utilize computerized adaptive testing (CAT).

Clinical Judgment

Clinical Judgment is particularly the highlight in the NGN. Defined as “the outcome of critical thinking and decision-making,” clinical judgment is a multi-step iterative process that employs both critical thinking and decision-making to generate solutions that deliver safe client care. It involves a nurse assessing, determining a diagnosis, planning the appropriate intervention, and implementing such nursing interventions.

The Clinical Judgment Measurement Model (CJMM)

The National Council of State Boards of Nursing (NCSBN) developed the Clinical Judgment Measurement Model (CJMM) to measure a nurse’s ability to exercise clinical judgment and decision-making. Additionally, the model is used to create NCLEX exam items, which are all relevant to the current nursing practices that will appear in the NGN.

The CJMM comprises layers that outline the thought process and course of action in practicing clinical judgment. These layers are built upon each other to illustrate how they underlie each process. Moreover, the layers represent a repetitive system of systematically generating a plan and solution to deliver appropriate client care.

Six Clinical Judgment Functions

The third layer of the CJMM represents the 6 Clinical Judgment Functions. They outline the cognitive aspects of clinical decision-making that are measurable. These six core mental processes in CJMM are the foundation of measuring clinical judgment and are the basis for developing the NGN test items and case studies.

1. Recognize cues – Identifying pertinent information from different sources. This step answers the “What matters most?” question as the candidate assesses the client scenario presented (e.g., medical history, vital signs, signs & symptoms, environment).

2. Analyze cues –  Organizing and linking the recognized cues from the client’s clinical presentation. The step involves defining what cues mean and interpreting the information to establish probable client needs. 

3. Prioritize hypotheses – Evaluating and prioritizing hypotheses is where candidates must be able to discern where they should start given the interpreted information. During this step, candidates must establish the priorities of care based on the client scenario (risk assessment, urgency, difficulty, time constraints, etc.).

4. Generate solutions – Identifying expected outcomes and using hypotheses to define a set of interventions for the desired results. Candidates are to carefully consider and thoroughly think over several possible care options and plan them before taking action. 

5. Take action – Implementing the appropriate solution/s to address the highest priority. The step entails what course of actions/interventions the candidate should undertake after generating possible care options based on nursing knowledge, priorities in patient care, and planned outcomes.

6. Evaluate outcomes – Determine the effectiveness of interventions and compare observed effects to expected outcomes. In this final step, the candidates will assess the client’s condition/s after undertaking the intervention. They are to determine if the presumed results are met and evaluate the efficacy of the nursing intervention/s. 

Summing up

With the upcoming launch of the NGN, there are uncertainties surrounding it. Without prior knowledge of how it is different from the current NCLEX can be a challenge, especially for prospective nurses who aren’t aware of what the changes entail. However, in reality, the changes only mean measuring and evaluating an entry-level nurse’s clinical judgment better. 

Thoroughly assessing clinical judgment stems from the fact that nurses continuously face situations that require them to make complex decisions. Knowing the nitty-gritty of it provides a comprehensive perspective of how its processes work. And the CJMM perfectly illustrates how these processes correlate with each other. 

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Our 20th cycle marks another exciting chapter in helping nurses prepare confidently for the NCLEX. This holiday season, as twinkling lights and festive cheer fill the air, we’re thrilled to bring you something truly special. Over the years, thousands have trusted IPASS for clear guidance, supportive coaching, and a structured review that makes a real difference. And this new cycle is built to be our most refined and student-focused yet.

If you’re ready to step into a review program designed to simplify your journey, strengthen your foundation, and guide you every step of the way, you’ll want to see what we’ve prepared for this milestone cycle. As we open our 20th cycle, we’re doing more than launching a new batch. We’re opening the doors to a proven system that has shaped the success stories of countless passers, and this Christmas, we invite you to start your own success story.

Read on and discover what makes the 20th cycle our strongest one yet, and unwrap the opportunity to prepare, succeed, and shine in the year ahead.

Why Taking the NCLEX Can Transform Your Nursing Career

The NCLEX is the exam that proves you’re ready to practice safely as a professional nurse. It exists because every nurse must demonstrate essential knowledge, skills, and clinical judgment to protect patients. Passing it grants you the privilege to become a licensed Registered Nurse in major destinations like the United States, and your results are also recognized in Canada and Australia through their regulatory pathways. Several other countries consider NCLEX a strong indicator of competence, which may support applications or even allow exam exemptions depending on their requirements.

Simply put: you take the NCLEX because it is the global standard of nursing readiness, a trusted, legally recognized measure that shows you can deliver safe and effective care as an entry-level nurse.

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Understanding the IPASS 20th Cycle Next-Gen NCLEX Review Program

As IPASS enters its 20th Review Cycle, we’re building on years of successful training while introducing smarter, stronger, and more learner-centered innovations. This cycle marks a new chapter in how internationally educated nurses prepare for the NCLEX, a program designed not just to help you pass, but to elevate your competence and confidence for global practice.

Unlike traditional review styles that focus heavily on memorization, our 20th Cycle brings a deeper, more adaptive learning experience, one that mirrors today’s fast-changing healthcare environments and the demands of the Next-Gen NCLEX.

1) Our Evolving Approach to Nurse Readiness

For the 20th cycle, IPASS strengthens its commitment to shaping nurses who can think independently, reason clinically, and solve problems under pressure. Instead of repeating last cycle’s methods, we’ve refined our teaching model to emphasize:

• Smarter clinical reasoning, grounded in real-world cases
• Active learning strategies tailored for adult learners
• Decision-making frameworks aligned with the evolving NCLEX test plan
  

This cycle continues our mission of helping nurses pass on their first attempt, while enhancing your long-term competence so you can succeed not only on exam day but in every clinical setting thereafter.

2) A Program Anchored in Trusted Standards

IPASS maintains its recognition by the Minnesota Board of Nursing, ensuring that every lecture, module, and assessment remains aligned with U.S. nursing regulatory expectations.

For the 20th cycle, we leveraged this recognition to continuously improve our materials ensuring your review is shaped by standards that uphold patient safety, professional accountability, and global nursing excellence.

3) Integrated Smart Learning Tools for 2025

While our previous cycle introduced strong analytics and scenario-based questions, the 20th cycle enhances this further with:

• Improved Next-Gen case simulations
• More intuitive performance dashboards
• Adaptive practice sets that adjust to your knowledge level
• Streamlined mobile access for busy nurses on shifting schedules
  

These tools allow you to study efficiently and intentionally—focusing your efforts where they matter most.

4) A Curriculum That Moves With the Global Nursing Landscape

Healthcare evolves and so does the NCLEX.
In our 20th cycle, we’ve refined and expanded our curriculum to reflect:

• The latest NCLEX-RN Test Plan
• Emerging practice trends across the U.S., Canada, and Australia
• Common weaknesses identified from previous cycles
• More updated rationales and case explanations
• Enhanced coaching strategies for internationally educated nurses
  

And as always, our educators bring firsthand experience from U.S., Canadian, and Australian healthcare systems ensuring your learning stays relevant and practice-ready

IPASS 19th Your 20th Cycle NCLEX Online Review: Month-by-Month Roadmap to SuccessNCLEX Review Program Structure and Timeline

At IPASS, we know that preparing for the NCLEX can feel overwhelming but it doesn’t have to be. Our 20th Cycle NCLEX Online Review is carefully designed to guide you step by step, ensuring you gain the knowledge, skills, and confidence you need to succeed. Here’s a friendly month-by-month look at what you can expect:

December 2025: Foundation and Orientation Month

Setting the Groundwork for NCLEX Success

We start by laying a strong foundation. December kicks off with orientation and an open forum to set expectations and answer your questions. You’ll get familiar with the review flow and learn strategies to make the most out of every session. The focus on Leadership and Management develops your essential decision-making and prioritization skills, while our deep dive into the Endocrine system and targeted drills strengthen your retention from the very beginning. Think of December as building the base that will support all your NCLEX success.

• December 9 – Open Forum Session
• December 11 – Leadership & Management, Nursing Issues, Prioritization, Delegation (Day 1) – 8 PM TH Time
• December 12 – Leadership & Management, Nursing Issues, Prioritization, Delegation (Day 2) – 8 PM TH Time
• December 14 – Endocrine (Day 1)
• December 15 – Endocrine (Day 2)
• December 28 – Endocrine Drills (Day 1)
• December 30 – Endocrine Drills (Day 2)

January 2026: Clinical Essentials and Core Concepts Month

Strengthening Nursing Fundamentals

January is all about solidifying your core nursing knowledge. You’ll explore key systems and topics including Integumentary, Sensory, Renal, Mental Health, Immunology, and Infectious Diseases. In addition, we cover Skills and Procedures and dedicated Test-Taking Strategies to improve your confidence and efficiency. The month alternates between content lectures and focused drill sessions, giving you the opportunity to apply what you learn and sharpen your clinical judgment. By the end of January, you’ll have a strong grasp of essential nursing concepts.

• January 5 – Integumentary, Visual, Auditory
•  January 6 – NCLEX Test Taking Tips & Strategies (Day 1)
• January 7 – NCLEX Test Taking Tips & Strategies (Day 2)
• January 8 – Skills & Procedures, Fundamentals in Nursing (Day 1)
• January 9 – Skills & Procedures, Fundamentals in Nursing (Day 2)
• January 11 – Integumentary
• January 13 – Visual, Auditory Drills
• January 15 – Skills & Procedures, Fundamentals in Nursing Drills
• January 18 – Urinary/Renal (Day 1)
• January 19 – Urinary/Renal (Day 2)
• January 20 – Urinary/Renal Drills
• January 22 – Mental Health, Behavioral (Day 1)
• January 23 – Mental Health, Behavioral (Day 2)
• January 25 – Immunology, Infectious Diseases (Day 1)
• January 26 – Immunology, Infectious Diseases (Day 2)
• January 28 – Immunology, Infectious Diseases Drills
• January 29 – Mental Health, Behavioral (Day 3)
• January 30 – Mental Health, Behavioral (Day 4)

February 2026: Advanced Systems and High-Yield Topics Month

Building Mastery and Application

February takes your review to the next level. We tackle high-yield systems such as Respiratory, Neurologic, Musculoskeletal, Cardiovascular, and Safety & Infection Control. Our Maternal and Child Health (OB & Pediatrics) sessions ensure you understand one of the most complex areas of the NCLEX. Each lecture is paired with drills to strengthen your analytical skills, making it easier to apply concepts during the exam. This month is about mastery, moving beyond memorization into confident application.

• February 1 – Respiratory (Day 1)
• February 2 – Respiratory (Day 2)
• February 3 – Respiratory Drills (Day 1)
• February 4 – Respiratory Drills (Day 2)
• February 8 – Neurologic (Day 1)
• February 9 – Neurologic (Day 2)
• February 10 – Neurologic Drills (Day 1)
• February 11 – Neurologic Drills (Day 2)
• February 12 – Maternal and Child (OB & Pediatrics) Day 1 – 8 PM TH Time
• February 13 – Maternal and Child (OB & Pediatrics) Day 2 – 8 PM TH Time
• February 14 – Maternal and Child (OB & Pediatrics) Day 3
• February 20 – Maternal and Child (OB & Pediatrics) Day 4
• February 21 – Maternal and Child (OB & Pediatrics) Day 5
• February 27 – Maternal and Child (OB & Pediatrics) Day 6
• February 28 – Maternal and Child (OB & Pediatrics) Day 7
• February 15 – Musculoskeletal (Day 1)
• February 16 – Musculoskeletal Drills
• February 22 – Cardiovascular (Day 1)
• February 23 – Cardiovascular (Day 2)
• February 24 – Safety and Infection Control (Day 1)
• February 25 – Safety and Infection Control (Day 2)

March 2026: Final Mastery and Intensive Drills Month

Preparing for Exam-Ready Performance

March is your final push toward exam readiness. We focus on advanced topics including Cardiovascular, Critical Care, Pain Management, Pharmacy, Trending Medications, Gastrointestinal, and Hematology Oncology. Each session combines lecture and drill, so you can practice under conditions that mirror the NCLEX itself. The month culminates with Pharmacology and Drug Calculation Drills, helping you enter your exam with confidence and precision. By the end of March, you’ll be equipped with the knowledge, skills, and strategies to succeed.

• March 2 – Cardiovascular Day 2
• March 3 – Cardiovascular Day 3
• March 4 – Maternal and Child (Ob and Pediatrics) Drills Day 1
• March 5 – Maternal and Child (Ob and Pediatrics) Drills Day 2
• March 6 – Cardiovascular Drills Day 1
• March 9 – Cardiovascular Day 5
• March 10 – Critical Care
• March 11 – Cardiovascular Drills Day 2
• March 12 – Cardiovascular Drills Day 3
• March 13 – Trending Topic Case Studies
• March 16 – Basic Care and Comfort Pain Management
• March 17 – Pharmacy and Drug Calculation
• March 18 – Trending Medications
• March 19 – Gastrointestinal Day 1
• March 20 – Gastrointestinal Day 2
• March 23 – Gastrointestinal Drills Day 1
• March 24 – Hematology Oncology Day 1
• March 25 – Hematology Oncology Day 2
• March 26 – Hematology Oncology Drills
• March 27 – Hematology Oncology Drills
• March 30 – Gastrointestinal Drills Day 2
• March 31 – Pharmacology and Drug Calculation Drills

At IPASS, we’re committed to walking with you every step of the way. Each month of your NCLEX review is carefully planned to ensure you build knowledge, strengthen clinical judgment, and gain the confidence to succeed on exam day. Let’s make this 20th Cycle your strongest yet!

Unlocking the 12-in-1 NCLEX Review Package for Cycle 20

Preparing for the NCLEX is more than just studying, it’s a journey that requires structure, guidance, and the right support system. As we launch the IPASS 20th Cycle, we’re excited to unveil our enhanced 14-in-1 NCLEX Review Package, a comprehensive bundle designed to give nursing graduates every advantage they need to succeed. Each component was thoughtfully crafted to address the real challenges that test-takers face, from mastering the Next-Gen format to managing exam-day anxiety. This is more than a review program, it’s a complete pathway toward becoming a confident and competent future USRN.

1. Unlimited Review Until You PASS

Our program ensures that you never feel rushed while preparing for the NCLEX. With unlimited access to review sessions, you can study at your own pace and revisit lessons as many times as needed until you confidently pass the exam.

2. Next-Gen NCLEX QBank Access

Experience realistic NGN-style learning with a comprehensive question bank designed to mirror the actual NCLEX format. Each case scenario helps you strengthen critical thinking and prepares you for the evolving demands of the exam.

3. Exam Assessments

Track your progress with structured assessments that pinpoint your strengths and areas for improvement. These evaluations help you focus on what truly matters so you can study smarter, not harder.

4. 1-on-1 Coaching Sessions

Receive personalized support from expert mentors who guide you through challenging topics and help you overcome learning barriers. These sessions are tailored to your weak areas to ensure consistent improvement.

5. Full-Length Mock Exams

Get the full NCLEX experience before exam day. Our simulated mock exams replicate real testing conditions, helping you build confidence, improve timing, and reduce anxiety.

6. Free Roadmap to NCLEX eBook

Access a digital NCLEX playbook filled with timelines, study strategies, and practical tips. This guide keeps you organized and ensures you’re always on track throughout your review journey.

7. Booster Coaching Classes (Final Coaching)

Strengthen your competencies in high-yield topics through intensive, expert-led booster classes. These final coaching sessions give you the push you need during the most crucial stage of your preparation.

8. Trending Topics Classes

Stay updated with the latest NCLEX trends, clinical scenarios, and high-yield concepts. These classes ensure you’re studying relevant content that reflects the current exam blueprint.

9. Anxiety Management Workshop + Exam Day Orientation

Learn how to manage test anxiety and face your Pearson VUE exam day with clarity and confidence. This workshop equips you with mental preparation techniques and practical reminders.

10. ₱500 OFF Printed NCLEX Roadmap Book

Students who prefer printed materials can take advantage of an exclusive discount on our physical NCLEX roadmap book. It’s a convenient companion for studying anytime, anywhere.

11. Exclusive NCLEX Processing Discount

Enjoy added value through discounted NCLEX processing services when bundled with your review. This helps you save time, reduce stress, and streamline your journey to becoming a USRN.

12. Performance Tracking & Test-Taking Strategy Tools

Monitor your readiness and progress through tools designed to enhance your test-taking strategies. These resources help you analyze performance trends and apply techniques that increase your likelihood of passing.

13. Readiness Assessments

Measure your overall exam preparedness through structured readiness evaluations designed to predict your probability of passing. These assessments help determine if you’re exam-ready or if you need focused reinforcement in specific content areas before scheduling your test.

14. Final Coaching

Master high-yield concepts through intensive final coaching sessions led by expert instructors. This last-phase preparation sharpens your clinical judgment, reinforces key strategies, and ensures you enter exam day confident, focused, and fully prepared.

Success in the NCLEX doesn’t happen by chance, it happens with preparation, commitment, and the right guidance. With the IPASS 20th Cycle and our 14-in-1 NCLEX Review Package, you’re not just signing up for a course; you’re joining a supportive community dedicated to helping you achieve your dream of becoming a licensed nurse abroad. Every tool, class, and resource is designed to bring you closer to passing with confidence.

If you’re ready to take the next step in your nursing career, this is the perfect time to begin. 

Why Nurses Keep Choosing IPASS

Over the past cycles, IPASS has helped thousands of aspiring nurses build confidence and structure in their NCLEX journey.Many of our passers share how the step-by-step roadmap kept them focused, even when they felt overwhelmed and unsure where to start.

Students repeatedly highlight how the coaching sessions felt personal, supportive, and genuinely invested in their success.Those who struggled with the exam before often say the review finally made sense after joining IPASS. Our community-based learning environment allows students to feel guided, not just academically, but emotionally as well.The consistently high passing rates across multiple cycles reflect the strength of our approach and the dedication of our team.

Graduates often describe how the mock exams and practice questions helped them face the real test with confidence. Many nurses abroad today credit their career breakthrough to the foundation built during their IPASS review. With every new cycle, the growing number of testimonials reminds us of the life-changing impact of quality, structured preparation.And as we launch the 20th Cycle, these success stories continue to inspire the next generation of NCLEX passers to take the first step with confidence.

Kickstart Your NCLEX Prep with Our Holiday Discounts

To make this cycle even more special, IPASS is launching its exclusive Holiday Promo Offers, giving aspiring NCLEX passers a chance to begin their review journey with big savings. This limited-time offer makes quality NCLEX preparation more accessible, especially for those who want to start the new year with purpose and momentum.

Bundle Deal Highlights:

To make the opportunity even more accessible, students can start their NCLEX review for as low as ₱5,000, allowing them to secure their slot now and plan their remaining payments with ease.

With over 81,143 successful clients and counting, these promos offer the perfect chance to join a community built on trust, results, and genuine support. This holiday season, investing in your NCLEX preparation could be the first step toward a life-changing career abroad at a price that is friendlier than ever

Building on Our Success: Your Next Step with IPASS

As we launch the 20th cycle, now is the perfect time to take charge of your NCLEX preparation and invest in a program that has guided thousands of nurses to success. With these holiday promos, starting your review has never been more accessible or rewarding.

The demand for nurses worldwide has never been higher. Countries like the United States, Canada, Australia, and the United Kingdom are actively seeking skilled professionals, creating life-changing career opportunities for those prepared to take the next step. By investing in your NCLEX preparation now, you position yourself to take advantage of this global demand and secure a career abroad.

If you want to see how far IPASS has come and how our strategies have evolved to support aspiring nurses, you can check out our recap of the 19th cycle here. It’s a great way to see the progress, results, and success stories that continue to shape our approach.

Schedule a Call here

Frequently Asked Questions about 19th of IPASS Cycle NCLEX Review

1. What is the NCLEX pass rate for IPASS passers?

2. How long does it take to complete the IPASS Next-Gen NCLEX Review?

3. Are there financing options available for the program?

4. Can I work while completing the IPASS program?

5. What support is available if I don’t pass the NCLEX on my first attempt?

We at IPASS have your back! IPASS Processing offers its service to nurses who wish to apply for the NCLEX in the United States and Australia. We ensure to provide and deliver you a smooth and hassle-free NCLEX application. For more inquiries, contact us now!