NGN item type

Trend practice

Multiple timed exhibits (vital signs, labs) are shown in sequence; you compare them over time, then classify findings in a grid. Tests true clinical pattern-recognition.

Try it — sample question

Review the vital signs across the three exhibits. For each finding, select Improving, Stable, or Deteriorating.

Vital sign	Value
BP	128/76 mmHg
HR	88/min
RR	18/min
SpO₂	96%
Temp	37.1 °C

Vital sign	Value
BP	108/64 mmHg
HR	104/min
RR	22/min
SpO₂	93%
Temp	38.2 °C

Vital sign	Value
BP	92/58 mmHg
HR	122/min
RR	26/min
SpO₂	89%
Temp	38.9 °C

Finding	Improving	Stable	Deteriorating
Blood pressure
Heart rate
Oxygenation
Temperature

No account needed — answer locally to see the format.

What is a Trend question?

Trend items push you to think across time, not just across categories. They reward strong clinical pattern recognition — recognising when a borderline value at 0800 becomes critical by 1400.

Drill Trend on every nursing course.

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Other NGN item types

Matrix Multiple Response

For each row, select every column that applies. Partial credit awarded.

Matrix Multiple Choice

For each row, pick exactly one column. All-or-nothing per row.

Bow-Tie

Pick the condition, two actions to take, and two parameters to monitor.

Drop-Down Cloze

Fill in the clinical sentence by picking from drop-down menus.

Drag-and-Drop Cloze

Drag word tiles from a shared bank into the right sentence blanks.

Highlight in Text

Click the words or phrases in a clinical note that warrant follow-up.

Ordered Response

Put the steps of a clinical procedure in the correct sequence.