Create NCLEX (NGN) Extended Multiple Response Items

In the NCLEX, Extended Multiple Response items allow exam-takers to select one or more answer options at a time. This item type is similar to the current NCLEX multiple response items, but with more options and the opportunity for partial credit scoring.

NCLEX Example: Extended Multiple Response Item Type

Note: The above information and example are from "Approved NGN Item Types," NCLEX News, Fall 2019. 

In ExamSoft, you can use the Multiple Choice question type to create these items.

Procedures

• Enterprise Portal: Create an Extended Multiple Response Item
• Legacy Portal: Create an Extended Multiple Response Item

Enterprise Portal: Create an Extended Multiple Response Item

1. Create a question, and select the Multiple Choice question type.

   Note: For more information, see: Enterprise Portal: Basic Steps to Create and Edit Questions

2. Enter the question text and answer choices.

   Note: For more information about this type of question, see: Enterprise Portal: Tips for True/False and Multiple Choice Questions

3. In the Options (below the list of answer choices), select +/- Partial Credit.

   • Earn points (+1) for selecting correct information

   • Lose points (-1) for selecting incorrect information

   • Max points = number of correct options

   • Min points = 0

   • No negative scores

Note: If a question with 4 correct answer choices is worth 1 point, each correct/ incorrect response will be valued at 0.25 points. Learn how to assign additional points to questions.

1. To indicate a correct answer, select the checkmark for that answer choice.
2. (Recommended) Assign one or more categories. For more information, see: Enterprise Portal: Assign Categories to Questions
3. (Optional) Select other options, if needed.

   Tips:

   • If the question involves an electronic health or medical record, you can create a case study or upload an attachment. 
   • If there are multiple questions related to the same case, you can group the questions together after you add them to an assessment. 
4. Save the question.

Legacy Portal: Create an Extended Multiple Response Item

1. Select the Questions menu (at the top of the screen).
2. Select the Create M/C button.

   Note: For more information, see: Legacy Portal: Basic Steps to Create and Edit Questions

3. Enter the answer choices, and indicate the correct answers by selecting the checkboxes in the Correct column.

   
   
   Note: For more information about Multiple choice questions, see: Legacy Portal: Tips for Multiple Choice Questions

4. (Recommended) Assign one or more categories. For more information, see: Legacy Portal: Assign Categories to Questions
5. (Optional) Select other options, if needed.

   Tips:

   • If the question involves an electronic health or medical record, you can create a case study or upload an attachment. 
   • If there are multiple questions related to the same case, you can group the questions together after you add them to an assessment. For more information, see: Legacy Portal: Create a Group of Questions
6. Save the question.