If you know the Ctrl+Shift+A shortcut, then you can avoid the mouse for adding a new item but you have to manually assign a shortcut for adding a new class. At this point it pops up a dialog just so I can enter the name of the class I want. Since this is one of the most common tasks developers do, I figure there has to be an easier way and a way that avoids picking up the mouse and popping up dialogs. This is where your embedded PowerShell prompt in Visual Studio comes in. The first thing you should do is to assign a keyboard shortcut so that you can get a PowerShell prompt (i.e., the Package Manager console) quickly without ever picking up the mouse. I assign “Ctrl+P, Ctrl+M” because “P + M” stands for “Package Manager” so it is easy to remember:
Setup Package Manager Console Shortcut