Built for the NGN Era

Real shift. Real orders. Real decisions.

A clinical judgment simulator built around the 6 Clinical Judgment Measurement Model dimensions — the exact framework behind the new NCLEX-NGN. Practice with virtual patients, receive personalized debriefing, and build the decision-making skills that get students exam-ready.

What Makes This Different

Six patients. Competing priorities. One shift.

DecisionRN scenarios include live MAR management and physician orders across all patients simultaneously — because that's what nurses actually manage.

Not a quiz.
Not a single patient encounter.
A full shift.

Clinical Judgment Is Now the Exam

In 2023, NCLEX completely overhauled its format. The redesign — called NCLEX-Next Generation (NGN) — was built around one thing: Clinical Judgment.

Old NCLEX
Testing Knowledge

"What is the correct answer?"

New NGN
Testing Clinical Judgment

"What would you do and why?"

The NGN measures clinical judgment across 6 specific dimensions. DecisionRN is built to train every one of them.

01

Recognize Cues

Learners triage multi-patient dashboards, identifying relevant signs and symptoms under real time pressure.

02

Analyze Cues

Virtual patients follow up with probing questions that force learners to connect findings to clinical meaning.

03

Prioritize Hypotheses

Learners rank competing differential diagnoses against urgency, resource constraints, and patient acuity.

04

Generate Solutions

Each scenario presents evidence-based interventions that learners must select, justify, and sequence.

05

Take Action

Learners execute care in real time with virtual patients that respond dynamically to their clinical decisions.

06

Evaluate Outcomes

Automated debrief scores patient outcomes and ties every decision back to its clinical consequences.

The Gap No One Is Filling

✕

Virtual patient platforms

prepare students to assess one patient.

✕

Simulation labs

put 4–6 students through one scenario at a time.

Neither prepares students for what actually happens on day one —
managing a full assignment of 5–6 patients simultaneously.

That's what DecisionRN does.

Build it yourself.
Or borrow from other faculty who already did.

The built-in scenario editor lets faculty create custom patient cases matched to their curriculum, specialty, or accreditation requirements — no vendor involvement, no waiting.

  • Guided wizard — step-by-step setup for patient history, vitals, orders, MAR, and curveballs. No coding required.
  • Community library — browse and import scenarios built by faculty at other programs. Filter by specialty, difficulty, or NGN dimension.
  • Publish & share — contribute your own scenarios to the community. Build your program's reputation while reducing prep time for everyone.
  • Full ownership — your scenarios stay private until you choose to share them. Edit, version, or retire them any time.
✏️
"Stop retrofitting someone else's scenarios into your curriculum. Build exactly what your students need — then share it with the profession."
Custom patients Custom orders Custom MAR Community library No coding

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Join nursing programs preparing students for the NGN and their first real shift.

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