In 2023, the NCSBN will launch the updated licensure examination, Next-Generation (NGN) NCLEX, which will use new test item formats to evaluate new graduate nurses' clinical decision-making processes at a more advanced level. In this podcast Dr. Wands presents a gaming strategy to help faculty embrace and develop confidence writing NGN test items at a high cognitive level to promote critical thinking and clinical reasoning using the National Council of State Boards of Nursing Detailed Test Plan and nursing process as frameworks.