+/- scoring · 30 questions in 6 sets
NCLEX Multiple Response Grouping Practice Questions
Practice NCLEX multiple response grouping questions: pick the right options in each group, with a rationale per option. Sets 1 and 2 are free, with no sign-up.
The format
What is a Multiple Response Grouping question on the NCLEX?
Grouping items show a table of categories, such as body systems or medications, each with its own short list of options. You select the correct options within every group.
Each row must have at least one selection before you can move on.
Practice sets
30 Multiple Response Grouping questions in 6 sets
Each set covers one clinical topic and opens in the NCLEX-style test interface. Submit each answer to see the correct answer and a rationale for every option. Your progress and score are saved in this browser.
Neuro
Maternity
Pediatrics
Mental Health
Sample question
Try a Multiple Response Grouping question
Open the sample to see the format on the exam screen, with the correct answer marked and the reason each option is right or wrong. To answer questions yourself, start a set above.
Sample question: answer and rationaleFor each safety topic below, click to specify the findings that require follow-up teaching.
The nurse in the home health setting is caring for a 9-month-old male client.
The nurse has reviewed the Nurses' Notes from 1045.
For each safety topic below, click to specify the findings that require follow-up teaching.
| Category | Potential Findings |
|---|---|
| Sleep | |
| Car seat | |
| Medicines and cleaners |
Note: Each row must have at least 1 response option selected.
Correct answer and rationale
Multiple Response Grouping · +/- scoring
The cue in each area is the finding that breaks infant safety guidance. Until 1 year of age an infant is placed on the back for every sleep, on a firm, flat surface with only a fitted sheet; bumpers and blankets do not belong in the crib. In the car, the seat stays rear-facing in the back seat, the harness is snug enough that no slack can be pinched, and bulky clothing is not worn under the harness: a blanket goes over the buckled straps instead. Medicines are kept in their original child-resistant containers in a locked cabinet or box, out of sight and reach, so a pill organizer on a low table needs teaching. Locked cleaning products and a saved Poison Help number (1-800-222-1222) meet the guidance.
Takeaway: an empty crib, a snug harness with no bulky clothing under it, and medicines locked up out of reach.
Why each option is right or wrong
- padded crib bumpers: Needs teaching. Bumpers are kept out of an infant's sleep space; the crib holds a firm mattress with a fitted sheet only.
- soft blanket in the crib: Needs teaching. Blankets are kept out of the crib until 1 year of age.
- placed on the back for sleep: No teaching needed. An infant is placed on the back for every sleep.
- rear-facing seat: No teaching needed. The seat stays rear-facing in the back seat for as long as the seat's height and weight limits allow.
- snowsuit under the harness: Needs teaching. Bulky clothing is not worn under the harness; a blanket is placed over the buckled straps instead.
- slack in the harness straps: Needs teaching. The harness is snug only when no slack can be pinched in the straps.
- pill organizer on a low table: Needs teaching. Medicines stay in their original child-resistant containers, in a locked cabinet or box, out of the infant's sight and reach.
- cleaning products in a locked cabinet: No teaching needed. Cleaning products belong in a locked cabinet.
- Poison Help number saved in the phone: No teaching needed. Poison Help (1-800-222-1222) is called right away for a suspected poisoning, so keeping the number at hand is appropriate.
Sources
- CDC: Helping Babies Sleep Safely
- NICHD Safe to Sleep: Ways to Reduce Baby's Risk
- AAP HealthyChildren: Rear-Facing Car Seats for Infants and Toddlers
- CDC: About Child Passenger Safety
- US Consumer Product Safety Commission: Poison Prevention Information Center
- CDC PROTECT Initiative: Safe Storage of Medicines for Children
- MedlinePlus health topic: Child Safety
- MedlinePlus health topic: Poisoning
Scoring
How Multiple Response Grouping questions are scored
Scored +/- within each group: correct selections add a point and incorrect ones subtract a point. Each group's score is floored at 0 separately, so a mistake in one group never costs points in another.
On-screen note: “Each row must have at least 1 response option selected.”
Scoring rules: NCSBN, Next Generation NCLEX. Last reviewed October 13, 2026.
How to answer Multiple Response Grouping questions
- Work one row at a time and judge each option against that row's category only.
- Expect at least one correct option in every group.
- Avoid selecting options that are merely possible; select the ones the data supports.
FAQ
Multiple Response Grouping questions: FAQ
How is multiple response grouping scored?
What is a multiple response grouping question on the NCLEX?
How do you answer a multiple response grouping question?
Keep practicing
Other NCLEX question types
Next practice exercise
Pick up the set you started, or go on to the next question type. Every set opens in the NCLEX-style test interface.
Matrix Multiple Choice set 1 · Prioritization & Safety