Cloze (Drop-down)

Definition

Cloze (drop-down) items present a sentence or paragraph with blanks that must be filled by selecting options from drop-down menus, such as they commonly link conditions, actions, and rationales.

Example

'The client is most likely experiencing [drop-down: DKA / HHS / hypoglycemia] based on [drop-down: elevated glucose / ketones / Kussmaul breathing]. The priority intervention is [drop-down: insulin drip / oral glucose / IV fluids].'

Strategy

• Work through each blank systematically
• Use pathophysiology to link condition, evidence, and treatment
• If one drop-down narrows the possibilities, it often dictates the others

Scoring

Often uses Rationale Scoring. All drop-downs must be correct for full credit in dyad items.

NCLEX Relevance

Commonly tests Generate Solutions step.