NGN Bowtie: New NCLEX Questions

SimpleNursing Editorial Team Mar 28, 2023
NGN bowtie question title card

Starting in April 2023, the NCLEX introduced a revised format along with new question types. The Bowtie item is among the new question types you’ll have to prepare for on the Next Generation NCLEX (NGN)

Bowtie items present a branching logic diagram with a main problem in the center and various possible outcomes on either side (like a bowtie). 

Based on the information presented in the bowtie diagram, the test-taker must select the most appropriate action or intervention from a list of options.

What’s a Bowtie Item?

A Bowtie item is a type of question that presents test-takers with a graphic representation of a clinical situation as a bowtie diagram. The bowtie diagram typically includes a central event or problem and various options for addressing the issue or preventing negative outcomes.

How to Answer a Bowtie Question on the Next Generation NCLEX (NGN)

To answer these Bowtie questions, test-takers will need to carefully review the presented diagram and consider the possible outcomes on either side. They must then select the most appropriate action or intervention that will help achieve the desired outcome or prevent an adverse outcome. 

You have to correctly drag and drop an item onto a series of targets within the bowtie diagram.

It’s important to note that Bowtie questions can be challenging. However, proper preparation and practice can help nursing test-takers develop the skills needed to answer these types of next gen NCLEX questions effectively on the NGN.

Get Ahead in Your Exit Exam Studies

SimpleNursing engages postgrads through interactive learning tools such as NCLEX practice tests, videos with rationales, study tips, and much more. With cost-effective payment plans, you can access the best NCLEX prep – and ace it.

Want to ace Nursing School Exams & the NCLEX?

Make topics click with easy-to-understand videos & more. We've helped over 1,000,000 students & we can help you too.

JOIN FOR FREE

Nursing students trust SimpleNursing

Simplenursing student
I cannot express enough gratitude for Nurse Mike and this wonderful platform he has created. I had a subscription to SimpleNursing the entire 2 years of my nursing school career and it was the best resource I had available to me. The visuals, the explanations, the memory tricks, the songs, the study guides, and the test questions are brilliant.
read more
Simplenursing student
Before starting nursing school, I was a C-average student. I didn't think I'd be competent enough and make it through my second semester. I was told about SimpleNursing and purchased it immediately. Long story short, I graduated nursing school with honors and passed all of my classes with As and Bs only. I would have never been able to do that without the help of SimpleNursing. Nurse Mike teaches in the only way that I am able to learn and I cannot thank him enough.
read more