Common NCLEX question types

11 Sept

Written By Eva Liu

The NCLEX features a variety of question types designed to assess your ability to apply nursing knowledge in practical scenarios. Understanding these question types is crucial for effective preparation.

Here are the most common NCLEX question types:

1. Multiple-choice Questions

Format: A standard question followed by four or more answer options, with only one correct answer.
Example: "Which of the following is the priority nursing intervention for a patient experiencing chest pain?"
Strategy: Read the question carefully, eliminate obviously incorrect answers, and choose the best possible option.

2. Select All That Apply (SATA)

Format: A question with five or more possible answers where you must select all the correct ones. There may be more than one correct answer.
Example: "Which of the following are signs of hypoglycemia? (Select all that apply)"
Strategy: Consider each option independently and select all that are correct. There is no partial credit, so accuracy is key.

3. Fill-in-the-Blank

Format: A question that requires you to calculate and enter a numerical answer.
Example: "Calculate the dosage of medication to administer if the order is for 500 mg and the available concentration is 250 mg/mL."
Strategy: Carefully perform calculations and double-check your work. Be mindful of units and decimal placement.

4. Ordered Response (Drag-and-Drop)

Format: You are given a list of steps or actions that need to be ordered correctly. You must drag and drop the options into the correct sequence.
Example: "Place the following steps in order to perform tracheostomy care."
Strategy: Review the entire process or procedure in your mind before arranging the steps. Ensure you understand the correct sequence.

5. Hot Spot

Format: You’re asked to identify a specific area on an image (such as a diagram of the human body) by clicking on it.
Example: "Click on the area of the body where you would auscultate the apical pulse."
Strategy: Familiarize yourself with anatomical landmarks and procedures that require specific locations.

6. Chart/Exhibit

Format: You are provided with a chart or exhibit containing patient data, and you must answer a question based on that information.
Example: "Based on the provided patient chart, what is the most appropriate nursing intervention?"
Strategy: Carefully review all the data in the exhibit before answering the question. Pay attention to details that may influence your decision.

7. Graphic Item

Format: A question that includes an image or graphic where you must interpret or analyze information.
Example: "Identify the type of rash shown in the image and choose the appropriate intervention."
Strategy: Use your visual recognition skills and understanding of symptoms or conditions to interpret the image accurately.

8. Case Study (New in NCLEX NextGen)

Format: A scenario followed by several questions related to the situation. This format tests your ability to apply knowledge across multiple areas.
Example: "A patient presents with symptoms of a respiratory infection. Based on the patient’s history, what are the priority nursing interventions?"
Strategy: Read the scenario thoroughly and answer each question based on the provided context. Consider the entire case, not just isolated facts.

9. Cloze (Drop-Down)

Format: You must choose the correct word or phrase from a drop-down menu within a sentence or passage.
Example: "The nurse should assess for signs of [drop-down] in a patient with suspected dehydration."
Strategy: Read the sentence carefully and ensure the selected option makes sense both contextually and grammatically.

10. Extended Multiple Response

Format: Similar to SATA, but with more than five options and possibly more correct answers.
Example: "Select the medications that are contraindicated in patients with renal failure."
Strategy: Approach these as you would SATA questions, analyzing each option independently.

11. Extended Drag and Drop

Format: Requires you to match items or order multiple elements, often involving complex scenarios.
Example: "Match the symptoms to the corresponding neurological conditions."
Strategy: Ensure a clear understanding of each item before attempting to match or order them.

Tips for Tackling NCLEX Question Types:

Practice Regularly: Familiarise yourself with these question types through practice tests and NCLEX preparation resources.
Read Questions Carefully: Pay close attention to the wording of each question and avoid rushing.
Use Process of Elimination: Narrow down your choices by eliminating obviously incorrect answers, especially in multiple-choice and SATA questions.
Stay Calm: Some questions may seem difficult, but staying calm and applying critical thinking will help you navigate through them.

By understanding these question types and employing effective strategies, you can approach the NCLEX exam with greater confidence and improve your chances of success.

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Eva Liu