NCLEX Clinical Judgment Measurement Model Explained | NGN Case Studies, Bowties & Matrix Questions

The Clinical Judgment Measurement Model (CJMM) is the foundation of the Next Generation NCLEX (NGN) and is integrated across all NCLEX-RN Client Needs categories.

In this video, we explain how NCLEX uses the six-step Clinical Judgment Measurement Model to assess a nurse’s ability to make safe, evidence-based clinical decisions using case studies, bowtie, and matrix questions.

🧠 The NCLEX Clinical Judgment Measurement Model:

• Recognise cues
– identify relevant data from case studies
– interpret lab trends and vital sign changes

• Analyse cues
– cluster related data
– generate clinical hypotheses
– differentiate normal vs abnormal findings

• Prioritise hypotheses
– apply ABCs and Maslow’s hierarchy
– distinguish acute vs stable conditions
– identify life-threatening problems

• Generate solutions
– select appropriate nursing interventions
– apply delegation and pharmacology principles

• Take action
– choose correct actions in NGN item formats

• Evaluate outcomes
– assess effectiveness using bowtie and matrix questions

📚 How to Study Using the CJMM:

• slow down and analyse cues before answering
• think like a bedside nurse, not a test-taker
• practise NGN case studies with full rationales
• apply the CJMM steps to every NCLEX question

This lesson is designed for NCLEX-RN candidates and internationally educated nurses preparing for US nursing licensure.

⚠️ Healthcare English Institute provides education support only and is not affiliated with NCSBN or any regulatory authority.

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