Part 1: Test Writing for Nursing Using Detailed NLCEX Test Plans as a Guide for Testing

1. Part 1: Test Writing for Nursing Using Detailed NLCEX Test Plans as a Guide for Testing Welcome! Please read the following pre-webinar notes: Audio? Dial 1-877-783-2009 (Passcode: 936785) Attendees will be muted during the webinar until the Q&A session(s). Control Panel Large? Click the right arrow to hide the Control Panel. Handout(s)? http://www.diassociates.com/media/webinars/Iggy_Webinar_092612.ppt http://www.diassociates.com/media/webinars/test_blueprint.doc http://www.diassociates.com/media/webinars/test_items.doc Need Help? Dial 1-877-341-4788 or Email help@diassociates.com. Questions? Comments? Use the Chat pane or Email us at info@diassociates.com. Contact Information? http://www.diassociates.com donna@diassociates.com

2. Absence of Conflict of Interest As required by the American Nurses Credentialing Center’s Accreditation Program, we would like to make you aware of all potential conflicts of interest. The educational activity’s planners and the presenter have indicated they have no bias or conflict of interest. The host for this webinar, DI Associates, Inc., owned by Donna Ignatavicius, is also the speaker for the webinars. DB Productions is the provider for nursing contact hours for DI Associates and is owned by Deanne Blach. Both Donna and Deanne are nurse planners for the webinar.

3. ANCC Disclosures • Off-label product usage: The speaker, Donna Ignatavicius, has attested that she will not discuss off-label usage of products. • Commercial support: There is no sponsorship (e.g., commercial support) for this activity. • Successful completion: Criteria for judging successful completion of the webinars are attendance at the entire activity and submission of a completed evaluation tool. • Contact hours: Each webinar in this series has been recognized for 2.0 contact hours.

4. Purpose of the webinars: The purpose of the webinar series is to assist faculty to better write and analyze test questions that simulate the NCLEX. Objectives for this webinar (Part 1): The attendees will be able to: • Review the purpose of testing. • Develop a test plan based on the NLCEX master blueprint. • Review the components of the test plan to guide test development.

5. Pair Activity:Why do we give our students tests?

6. TEST PLANS/BLUEPRINTS • Directs test construction • Provides evidence of measurement validity

7. TEST PLANS/BLUEPRINTS (Cont’d) • Located on www.ncsbn.org • 2010 NCLEX-RN Detailed Test Plan (Educator) • 2013 NCLEX-RN Test Plan (new!) Effective April, 2013

8. NCLEX-RN® INTEGRATED PROCESSES • Nursing Process • Caring • Communication and documentation • Teaching and learning

9. NCLEX-RN® CLIENT NEEDS • Safe, effective care environment (Management of care increased) • Health promotion and maintenance

10. NCLEX-RN/PN® CLIENT NEEDS (Cont’d) • Psychosocial integrity • Physiological integrity (Pharmacological therapies & parenteral therapies increased)

11. COMPONENTS OF TEST PLAN • Is based on unit/class learning outcomes (most important factor in test writing!) • Specifies cognitive level— 1. Memorizing is the lowest level, involves regurgitation of facts and information

12. Writing Unit Learning Outcomes: Which One Is Best? • Describe suicide precautions, OR • Determine the need for suicide precautions. • Identify the therapeutic effects of antimicrobials, OR • Use clinical decision-making when evaluating actions of antimicrobials.

13. COMPONENTS OF TEST PLAN (cont’d) 2) Understanding (Comprehension) tests for recollection of facts, principles, theories, or procedures (only one) to answer question.

14. COMPONENTS OF TEST PLAN (cont’d) 3) Applying (and higher) stimulate critical thinking (includes analyzing, evaluating, and creating) Requires student to critically think to make clinical decisions!!! * Student is asked to apply knowledge from at least two areas or concepts to a specific clinical situation

15. What type of question? When the nurse walks into the room, the client throws a tray towards the nurse. What behavior does this represent? • Assault • Battery • Libel • Slander

16. What type of question? A client who had an open reduction of the tibia reports increased pain, swelling, and numbness in the affected leg. What action will the nurse take first? • Administer pain medication. • Call the surgeon immediately. • Elevate the affected leg. • Perform a neurovascular assessment.

17. COMPONENTS OF TEST PLAN (4) • Includes all steps of the nursing process (NP) and integrated processes (IP) • Is based on the NCLEX test plan for client needs categories (CN)

18. Types of Test Items • Selected response = 4-choice (single response) or “Select all that apply” (multiple response) multiple choice

19. Single Response Multiple Choice A client returns from a cholecystectomy with a T-tube connected to drainage. What is the nurse’s priority when managing the T-tube system? • Measure and document the output every 8 hours . • Record the characteristics of the drainage from the tube. • Keep the drainage bag below the insertion site at all times. • Irrigate the T-tube with normal saline every 4 hours.

20. “Select all that apply” item A woman with an acute ischemic stroke is on seizure and aspiration precautions. What emergency equipment will the nurse have at her bedside? Select all that apply. • Padded tongue blade • Suction apparatus • Oxygen set-up • Vest restraint • Artificial airway

21. Pair Activity With a partner, write one test item that is a good “Select all that Apply” item, then share with all of us.

22. Please send a list of attendees with e-mail addresses to deanneblach@aol.com to receive the evaluation form and certificates for contact hours.