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What competency is
being assessed by this
question?
Advantages
Multiple Choice Items (MCI) are used to test a broad range of learning outcomes and assess various
cognitive levels. MCI serves as an objective measurement of student achievement and can be utilized
by the teacher for data analysis. Relevance of MCI is guided by specific learning outcomes.
-Provides accurate
and efficient
scoring
-Serves as practice
for
licensure/certificait
on
Guidelines for STEM
-Clearly present the problem in question or
completion format.
-Avoid extraneous information; unless intended
for learning outcome.
-Do not use stem to teach. The goal is to assess
learning outcomes.
-Eliminate key words that may provide as a cue
to correct answer.
-Avoid negatively phrased wording; construct
item to ask for correct answer rather than
incorrect response.
-Avoid ending stem with completion format with
a or an these words provides cues to the
student.
-Develop incomplete stem format with
alternative at the end of sentence.
-Time consuming
to develop
-susceptible to
student guessing
the answer
-Asses a variety of
desired learning to
meet course
objetives
-More difficult to
write/develop
Examples included
1. Assessment - A nurse assesses a patient that has (diagnosis). What additional information and data
should the nurse obtain?
2. Analysis A patient who has (diagnosis), says to the nurses (insert comment). The nurse should recognize
this statement indicates (insert comment).
3. Planning Which of these actions should be the priority in the care plan for a patient who has (diagnosis)?
4. Implementation - A patient has been prescribed (medication). A nurse should inform the patient to be
aware and report the following side effects.
5. Evaluation A nurse instructs a patient about (Diagnosis, procedure or medication). Which statement by
the patient indicates the patient has (correct/incorrect) understanding?
DEVELOPMENT OF NCLEX
Practice analysis used to define a professional practice in terms of the actual activities that a new
practitioner must be able to perform
- The practice analysis is performed on a 3 yr cycle and the test plans are changed based on the findings.
- The test plans include four categories of client needs: Safe Effective Care of Environment, Health
Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity.
The test plans also include processes that are fundamental to the practice of nursing: Nursing Process,
Caring, Communication and Documentation, and Teaching/Learning
Characteristics of NCLEX
-Cognitive levels: applying knowledgeNCLEX items are designed to measure higher-order thinking ability
Critical thinking ability: items are developed to require students to apply problem solving and critical
thinking ability, prioritize situations, make judgments based on criteria, or combine elements to make a
decision.
Alternate Formats: alternate items includefill in the blank, point and click, multiple response,
chart/exhibit, and drag and drop
-Use consistent terms: patient or client, prescription or order, physician or health care provider
-Be careful with signs and symptoms: Sign is an objective finding that is observed by examiner. Symptom is
subjective indication perceived by client.
-Label all laboratory values and vital signs, use both Fahrenheit and Centigrade when reporting temperature
References: