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NCLEX-RN Exam Builder โ€” MedMasters Collaborative
NCLEX-RN ยท Next Generation

NCLEX-RN Exam Builder

Build blueprint-aligned practice exams with classic & NGN item types, CJMM-tagged questions, unfolding case studies, brain-dump self-check charts, and complete teaching rationales for every answer choice.

Format
Print mode โ€” student exam + instructor key with full rationales

Blueprint & Content

0 subtopics selected
Learning Outcomes / Course Content
Every question maps back to one or more of these.
Upload Source Materials (PDF or Word โ€” AI reads directly from your files)
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Drag & drop files here, or click to browse
PDF, .doc, .docx โ€” lecture notes, care plans, case studies, study guides
Blueprint Weighting Mode
NCSBN blueprint: questions distributed by the official percentage ranges (e.g. Pharm 13-19%, Management of Care 15-21%). Best for cumulative/benchmark exams.
Client Needs Categories โ€” check to include  ยท  expand to select subtopics
Official NCLEX-RN Test Plan (2024 Practice Analysis, effective April 2026)
Custom topics (optional)
One topic per line. These are added to (not instead of) selected blueprint subtopics.

Question Sections & Item Types

Classic NCLEX + NGN ยท Bloom/CJMM/DOK
Classic NCLEX Item Types
Prevent duplicate topics
Prevent duplicate topics
NGN โ€” Unfolding Case Studies
Each case has 6 items walking through the CJMM steps.
Structure: Each case includes a medical record (nurses' notes, vitals, labs, orders) followed by 6 items โ€” one per CJMM step: Recognize cues โ†’ Analyze cues โ†’ Prioritize hypotheses โ†’ Generate solutions โ†’ Take action โ†’ Evaluate outcomes. Item type varies per step (highlight, matrix, cloze, extended multi-response, etc.).
NGN โ€” Stand-Alone Item Types
Distributed across the item types you've checked above.
Brain Dump / Concept Charts โ€” with tickable self-check answer keys
Format: Student gets a blank chart to fill in. Answer key prints each correct entry with a checkbox โ˜ so students can tick off what they got right and see exactly where the gaps are.
Teaching Rationales โ€” always included
Tag each question with Client Need + Integrated Process + Bloom + CJMM + DOK
Include a "clinical pearl" or NCLEX test-taking tip per question
Include "study this further" pointer (content to review)
Every question gets: (1) why the correct answer is correct, with the underlying pathophysiology or safety principle; (2) why each distractor is incorrect โ€” addressing the specific misconception it targets; (3) the NCLEX tag block so students learn the blueprint as they practice.
NCLEX item-writing rules applied automatically: no "all of the above" / "none of the above"; negatively-worded stems only when clinically necessary (and clearly marked); SATA has 5-6 options with 2-4 correct; priority questions phrased with "first," "initial," "most important"; MC answer key distributed evenly across A/B/C/D.

Exam Details & Point Values

Header info + scoring
Points per item
pt
pt
pt
pt
pts
pt
pts
Total points
โ€”set section counts above

Difficulty Target

Consistent across exam versions
Difficulty Target
/
100
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Controls the cognitive mix (Remember/Understand vs Apply/Analyze/Evaluate). Same target across versions = defensibly comparable exams. Not a prediction of class average.
Target Set
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Calculated
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Set counts to calculate
Status
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Quick-pick by exam type
FoundationalUnit ExamNCLEX-levelComprehensivePredictor
How to reach your target
Exam Version
Each version = fresh questions at the same difficulty
The AI produces completely fresh questions for each version โ€” same blueprint mix, different scenarios, no repeated stems. Useful for make-ups, retakes, and across-section variants.
Recommended ranges by exam type
Foundational <40
Weekly quizzes, early-semester formative checks. Heavy Remember/Understand with some straightforward Apply.
Unit Exam 41โ€“60
Standard course unit exams. Balanced Apply with introduction of Analyze-level items.
NCLEX-level 61โ€“75
Mimics actual NCLEX cognitive demand. Apply/Analyze dominant, Evaluate on priority items. Recommended default for summative exams.
Comprehensive 76โ€“88
Cumulative finals and HESI/ATI-style benchmark exams. Heavy Analyze/Evaluate with full unfolding cases.
Predictor >88
NCLEX predictor / exit exams. Multiple unfolding cases, heavy SATA, multi-system integration. Use only for students within a semester of graduating.
Prompt auto-copied โ€” paste with Ctrl+V or Cmd+V
MedMasters Collaborative
Dr. Sharilyn Rennie  |  Founder and Learning Architect