NCLEX Cloze and Dropdown Questions: Strategy and Example

6 min readguide

By NurseSavvy Editorial Team

Clinically reviewed by David Zimmerman · RN · MSN, University of Arizona · BA in Education, Siena College on

Product and source claims checked · How we review

Cloze and dropdown items place choices inside a sentence, rationale, or table so multiple selections must form one coherent clinical statement.

NurseSavvy currently has 623 published cloze and dropdown questions available to its practice engines. That number is read directly from the published database and refreshes automatically.

What the question asks you to do

The blanks are related. Read the completed sentence as a single claim and make sure the condition, evidence, action, and rationale agree with one another.

A practical approach

  1. Read the entire sentence before opening a blank.
  2. Solve the clinical relationship in your own words first.
  3. Re-read the finished statement for contradictions.

Try the interaction

Sample question · Dropdown cloze (NGN)Easy

A client with heart failure gained 2 kg (4.4 lb) since yesterday and has new crackles in both lung bases. The client is most likely experiencing {{finding}}, and the nurse’s priority assessment is {{assessment}}.

The most common format mistake

Choosing each blank independently and ending with a sentence whose pieces are individually plausible but clinically inconsistent.

Scoring and limitations

Alternate-format scoring depends on the item and scoring rule; do not assume every item is all-or-nothing. NurseSavvy uses its own original items and scoring implementation. This guide is format practice, not a reproduction of an NCSBN item, interface, proprietary algorithm, or official score. Review NCSBN’s current candidate tutorial and exam preview as the authority for test-day interactions.

Practice it inside a complete exam

NurseSavvy’s free CAT preserves format variety while adapting standalone difficulty. Exams start at 85 questions, can extend to 150 when uncertainty remains and extension is enabled, and are unlimited on a free account with no card or expiry.

Start a free NCLEX CAT readiness exam →

Common questions

What is an NCLEX cloze question?

Learn how dropdown, cloze, rationale, and table items build a coherent clinical statement, with live published counts and a playable example.

Is the playable question an official NCLEX item?

No. It is original NurseSavvy demonstration content rendered in the NurseSavvy question player. NCSBN’s candidate tutorial and exam preview are the authorities for test-day interactions.

Can I practice this format for free?

Yes. NurseSavvy’s NCLEX CAT readiness exams are unlimited on the free plan, require no card, and preserve question-format variety while adapting difficulty.

Meet the format inside a complete CAT.

Free account, no card, no expiry, and unlimited NCLEX CAT readiness exams.

Start a free NCLEX CAT