NCLEX-RN Alternate Format Questions: Fill-in-the-Blank
NCLEX-RN® Fill-in-the-Blank questions ask you to fill in the blank with a number based on a calculation. Like select all that apply, hot spot, and drag-and-drop questions, these types of questions are called alternate format questions and are part of the test pool of questions for the NCLEX-RN exam.
The following is an example of a NCLEX-RN Alternate Format fill-in-the-blank question.
NCLEX-RN Alternate Format Practice Question
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 1,900 mL of outflow is returned. During the exchange, the client drinks 8 oz. of apple juice, 2 cups of water, and voids 150 mL of urine. Calculate and record the client’s intake in milliliters.
Strategies for Alternate Format Questions: Fill-in-the-Blank
To answer this question, calculate the client’s intake from the information provided. Note: Pay close attention to the unit of measure you need for your final answer. In this situation, you are asked for the client’s intake in milliliters, not cups or ounces.
You can use the drop-down calculator provided on the computer to do the math. The button that displays the calculator is on the bottom of the right side of the computer screen. Use your mouse to click on the numbers or functions you want. Remember, the slash (/) is used for division.
Solving Alternate Format Questions: Fill-in-the-Blank
To answer this question you need to know that intake includes what the client drinks along with the amount of dialysate that is retained after the one-hour exchange of solution.
First, convert cups into ounces. One cup of fluid = 8 oz. Then convert ounces into milliliters. One ounce = 30 milliliters.
The client’s intake is:
8 oz. apple juice = 240 mL
2 cups = 16 oz. water = 480 mL
100 mL = retained dialysate
Use the computer mouse to move the cursor inside the text box. Left-click on the cursor. Type in the correct intake using the number keys on the keyboard. The correct answer is 820. Do not put mL or any unit of measure after the number. Only the number goes into the box. Rules for rounding are typically provided with the question.
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 1,900 mL of outflow is returned. During the exchange, the client drinks 8 oz. of apple juice, 2 cups of water, and voids 150 mL of urine. Calculate and record the client’s intake in milliliters.
Previous: < Hot Spot Alternate Format Questions
Next: Fill-in-the-blank Alternate Format Questions >