NGN case studies present a patient, then unfold across several linked items that share the same chart. They are designed to measure the clinical judgment model: recognizing cues, analyzing them, prioritizing hypotheses, planning, acting, and evaluating.

The item types to expect

• Bow-tie: pick the condition, the priority actions, and the parameters to monitor.
• Matrix / multiple response: classify findings as expected, unexpected, or unrelated.
• Cloze drop-down: complete a sentence with the clinically correct options.
• Highlight: select the cues in a note that matter most.
• Drag-and-drop ordering: sequence interventions safely.

How to work a case calmly

Read the most recent assessment first, then anchor on the unstable hemodynamic or airway clue. Decide what the patient most likely has before you touch the answer choices — the cases are built to reward a clear hypothesis, not pattern-matching.