--- title: "Reference: NCLEX Question Types in Atomic Assessments" description: NGN/NCLEX style questions in Atomic Assessments --- [Skip to content](https://support.atomicjolt.com/knowledgebase/nclex-question-types-in-atomic-assessments#main-content) English Show submenu for translations [File a Support Ticket](https://support.atomicjolt.com/knowledgebase/kb-tickets/new?hsLang=en) [Customer Portal](https://support.atomicjolt.com/tickets-view?hsLang=en) ![Atomic Jolt Logo Horiz Small](https://support.atomicjolt.com/hs-fs/hubfs/Atomic%20Jolt%20Logo%20Horiz%20Small.png?width=260&height=95&name=Atomic%20Jolt%20Logo%20Horiz%20Small.png) - [Release Notes Sign Up](https://share.hsforms.com/1iZCRfUF5QHeWYwcLC3bwEAdk6gc) Open main navigation Close main navigation - [Release Notes Sign Up](https://share.hsforms.com/1iZCRfUF5QHeWYwcLC3bwEAdk6gc) - English Show submenu for translations - [File a Support Ticket](https://support.atomicjolt.com/knowledgebase/kb-tickets/new) - [Customer Portal](https://support.atomicjolt.com/tickets-view) How can we help you? - There are no suggestions because the search field is empty. 1. [Atomic Jolt Knowledge Base](https://support.atomicjolt.com/knowledgebase?hsLang=en) 2. [Atomic Assessments](https://support.atomicjolt.com/knowledgebase/atomic-assessments?hsLang=en) 3. [For Nursing](https://support.atomicjolt.com/knowledgebase/atomic-assessments?hsLang=en#for-nursing) # Reference: NCLEX Question Types in Atomic Assessments #### This article highlights several Next Generation NCLEX® (NGN) question types and how they can be created or previewed in Atomic Assessments. These formats—Patient Notes with MCP, Drag & Drop Patient Outcome, Tabbed Patient Vitals with Choice Matrix, Tabbed Patient Vitals with Multiple Response, and Bowtie Style—help simulate realistic clinical scenarios that measure critical thinking and clinical judgment. #### To explore these question types firsthand, download our **85-item NCLEX sample activity** for Atomic Assessments. This activity includes several of the formats shown above and can be imported into your own course for practice or adaptation. [Download Sample NCLEX Activity](https://support.atomicjolt.com/hubfs/practiceNCLEXnamedv2.zip?hsLang=en) The below questions are part of the 85 item NCLEX activity/assessment. See instructions how to upload the activity [below](https://support.atomicjolt.com/knowledgebase/nclex-question-types-in-atomic-assessments#howtodownload). ##### NCLEX Style Questions ##### 1. Patient Notes with Multi-Choice Points (MCP) Learners review patient chart notes, labs, or progress documentation and answer targeted multiple-choice questions assessing interpretation and prioritization. Ideal for testing recognition of clinical cues and judgment accuracy. ![Screenshot 2025-10-24 at 2.52.43 PM](https://support.atomicjolt.com/hs-fs/hubfs/Screenshot%202025-10-24%20at%202.52.43%20PM.png?width=640&height=454&name=Screenshot%202025-10-24%20at%202.52.43%20PM.png)   ##### **2. Drag & Drop Patient Outcomes** This format allows students to drag clinical findings or interventions into appropriate outcome categories. It mirrors the NGN’s drag-and-drop “categorize or sequence” style to assess decision-making and cause-effect understanding. ![Screenshot 2025-10-24 at 2.53.05 PM](https://support.atomicjolt.com/hs-fs/hubfs/Screenshot%202025-10-24%20at%202.53.05%20PM.png?width=640&height=486&name=Screenshot%202025-10-24%20at%202.53.05%20PM.png)   ##### **3. Tabbed Patient Vitals with Choice Matrix** Students navigate through patient vitals, labs, or history presented in tabs, then respond using a **matrix grid**. Each row represents a possible action or assessment, and columns allow learners to classify each as “suggested,” “not suggested. ![Screenshot 2025-10-24 at 2.53.23 PM](https://support.atomicjolt.com/hs-fs/hubfs/Screenshot%202025-10-24%20at%202.53.23%20PM.png?width=640&height=422&name=Screenshot%202025-10-24%20at%202.53.23%20PM.png)   ##### **4. Tabbed Patient Vitals with Multiple Response** Similar to the matrix version, but uses **check-all-that-apply** options within a multi-tab patient record. This format evaluates the ability to identify multiple appropriate nursing interventions based on evolving data. ![Screenshot 2025-10-24 at 2.53.36 PM](https://support.atomicjolt.com/hs-fs/hubfs/Screenshot%202025-10-24%20at%202.53.36%20PM.png?width=640&height=414&name=Screenshot%202025-10-24%20at%202.53.36%20PM.png) ##### **5. Bowtie Style** The **Bowtie** question type presents a central clinical problem, requiring learners to select correct actions (left side) and monitoring parameters or outcomes (right side). It integrates several steps of the Clinical Judgment Model in a single interaction. ![Screenshot 2025-10-24 at 2.54.44 PM](https://support.atomicjolt.com/hs-fs/hubfs/Screenshot%202025-10-24%20at%202.54.44%20PM.png?width=640&height=461&name=Screenshot%202025-10-24%20at%202.54.44%20PM.png) ### Steps to Download 85 item NCLEX activity 1\. Open your Atomic Assesments Acitivity Manager 2\. Go to the 3 dot menu and select the triple dot menu 3\. Click on "Content Manager" 4\. Go to the 3 dot menu and select "Add Activity" 5\. 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