Prepare students for licensure and professional practice with an unfolding clinical reasoning case study that comes in three levels of complexity to develop clinical judgment from fundamentals to capstone.

What’s included:

  • PDF of the case study.
  • Medical record.
  • PowerPoint to present case study in class.

Please note: For security, answer keys are no longer available in the KeithRN store. Get full access to answer keys for all case studies when you become a Think Like a Nurse Member.

Select a Case Study Level from the dropdown menu below to learn about its features.

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KeithRN’s Clinical Reasoning Case Studies

All KeithRN Clinical Reasoning Case Studies (CRCS) have now been completely revised with new scenarios, clinical data, and an interactive format and are unlike any case study in the marketplace. They provide a written narrative of an authentic patient scenario and simulate clinical realities with data that unfolds in multiple stages – just like a nurse encounters in practice.

The case studies deliver a consistent framework of open-ended questions with rationale so students can practice clinical decision-making and faculty can evaluate student thinking with any patient care scenario.

The three complementary levels of KeithRN CRCS (NextGen-Skinny-Unfolding Reasoning) integrate the four clinical reasoning processes of noticing, interpreting, responding, and reflecting of Tanner’s Clinical Judgment Model (CJM).


Leah Sampson is a 4-month-old female who was brought into the physician’s office for diarrhea and vomiting over the past two days. She had two loose large loose stools the first day, and now her mother reports that she has been less active, is not interested in playing, and has been more sleepy today. She is unable to keep any feedings down today.

She has had four loose, watery stools and emesis x3 this morning. She has not had a wet diaper since yesterday evening…

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NextGen Case Study Demonstration


All case studies are protected by copyright and may not be copied or distributed without permission. Please review the KeithRN terms and conditions for details.

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