What are NCLEX-RN® Exam alternate
questions?
Candidates may see questions on the NCLEX-RN® exam other than
the traditional four-option multiple-choice questions. These
alternate question types include multiple-choice items that
require a candidate to select more than one response,
fill-in-the-blank items, or pictures or graphs that require the
candidate to identify a specific area. Multiple-choice items may
also include charts, tables or graphic images.
Take a sample quiz of the NCLEX-RN® Exam
here.
What do these questions look
like?
Hot Spots — Click on the correct
area with your mouse pointer
|
The nurse performs a physical assessment on an adult male.
Identify the area where the nurse should place the
stethoscope to auscultate heart sounds heard in the
tricuspid area.

|
Fill in the Blanks — Enter the
answer
|
The nurse cares for a client receiving hourly peritoneal
dialysis exchanges. During a one-hour exchange, the nurse
infuses 2,000 ml of dialysate and 1900 ml. of outflow is
returned. During the exchange, the client drinks 8 oz. of
apple juice, 2 cups of water, and voids 150 cc of urine.
Calculate and record the client's intake in milliliters.
|
Multiple Responses — Click on all
appropriate answer choices

How many of these questions will you
see on your test?
The vast majority of the
questions you see on the NCLEX-RN® exam will be multiple-choice,
four-option questions.
Alternate questions have been
added to the NCLEX-RN® exam pool of questions.
Will the alternate questions
count?
According to the National
Council of State Boards of Nursing (NCSBN), the alternate
questions may count towards your results, or could be
experimental questions being tried out for future exams.
Assume that these questions
count toward your NCLEX-RN® exam results and answer them
thoughtfully.
For more information, check out the National Council of State
Boards of Nursing Website at ncsbn.org.