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Free NGN Case Studies with Rationales

Practise full, unfolding Next Generation NCLEX case studies for free — each one has 6 NGN items, realistic chart data, partial-credit scoring, and complete rationales for every correct and incorrect option. These NCLEX practice tests with rationales cover adult health, child health, maternal health, and mental health so you can rehearse clinical judgment across the exam blueprint before test day.

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  • Mental Health

    NGN Mental Health Bipolar Case Studies

    A free unfolding Next Generation NCLEX mental health case study on an acute manic episode in bipolar I disorder. Six NGN items cover recognising cues, analysing safety risks, drag-and-drop priority inquiries, selecting interventions, therapeutic communication, and evaluating outcomes — full rationales unlock after you submit the test.

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  • Maternal & Newborn

    NGN Maternal Health Preeclampsia Case Studies

    A free unfolding Next Generation NCLEX maternal health case study on preeclampsia with severe features progressing to an eclamptic seizure. Six NGN items cover cue recognition, risk factors, cloze prioritisation of labetalol and magnesium sulfate, magnesium toxicity monitoring, seizure management, and postpartum discharge teaching — with full rationales after submission.

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  • Child Health

    NGN Child Health Diabetic Ketoacidosis Case Study

    A free unfolding Next Generation NCLEX pediatric case study on new-onset diabetic ketoacidosis (DKA). Six NGN items cover recognising cues, differentiating DKA from gastroenteritis and appendicitis, drag-and-drop complication risks, anticipated interventions, prioritising care, and evaluating outcomes — with full rationales after you submit.

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  • Adult Health

    NGN Adult Health Case Study: Acute Decompensated Heart Failure

    A free, unfolding Next Generation NCLEX adult health case study on acute decompensated heart failure. Work through all 6 NGN items — select the findings, drop-down cloze, drag-and-drop interventions, and a discharge-teaching matrix — then submit the test for partial-credit scoring and full rationales.

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How these free NGN practice tests work

Unfolding scenarios

One item is shown at a time with previous and next navigation. New nurses' notes, vital signs, and assessment data appear as the client's condition changes.

Real NGN item types

Select-the-findings, matrix grids, drop-down cloze sentences, and true drag-and-drop response items — all answerable on desktop and mobile.

Partial-credit scoring

Plus/minus scoring for multi-select and drag-and-drop, and 0/1 credit per matrix row or cloze blank, mirroring how the NGN awards marks.

Rationales after submission

Answers stay hidden until you submit. You are then taken back to question 1 with your score at the top and every rationale unlocked.

Frequently asked questions

Are these NGN case studies really free?
Yes. Every Next Generation NCLEX case study on this page is completely free and open access — no account, no login, and no payment is needed to answer the items or read the full rationales.
How are the NGN case studies scored?
Each case study contains 6 unfolding items scored with the Next Generation NCLEX partial-credit models. Multi-select and drag-and-drop items use plus/minus scoring, where each correct selection earns a point and each incorrect selection cancels one, with no item scoring below zero. Matrix and drop-down (cloze) items award a point for each correctly completed row or blank.
When do I see the answers and rationales?
Rationales stay hidden until you submit the test. After you answer all 6 questions and click Submit test, you are returned to question 1 where your score is displayed and each item shows the correct answers, the full rationale, and the key takeaways.
What NGN item types are included?
The case studies include select-the-findings (SATA) items, matrix/grid items, drop-down cloze sentences, drag-and-drop response items, and single-answer multiple choice — the same item formats used on the Next Generation NCLEX.
Do the case studies unfold like the real NGN?
Yes. Each case study presents one item at a time with previous and next navigation, and new chart data — nurses' notes, vital signs, and assessments — is revealed as the client's condition changes, exactly as an unfolding NGN case study does on exam day.
How should I use these case studies in my NCLEX prep?
Work through each case study untimed first, reading every rationale after you submit. Then revisit the case a few days later to confirm you can recognise the cues, prioritise hypotheses, and evaluate outcomes without hints.

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