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Refine Test Items for Accurate Measurement

Six Valuable Tips

Siroky, Karen MSN, RN-BC; Di Leonardi, Bette Case PhD, RN-BC

Journal for Nurses in Professional Development: January/February 2015 - Volume 31 - Issue 1 - p 2–8
doi: 10.1097/NND.0000000000000123

Nursing Professional Development (NPD) specialists frequently design test items to assess competence, to measure learning outcomes, and to create active learning experiences. This article presents six valuable tips for improving test items and using test results to strengthen validity of measurement. NPD specialists can readily apply these tips and examples to measure knowledge with greater accuracy.

Karen Siroky, MSN, RN-BC, is Senior Clinical Director, AMN Healthcare, San Diego, California.

Bette Case Di Leonardi, PhD, RN-BC, is Independent Consultant in Education and Competency Management, Chicago, Illinois.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

ADDRESS FOR CORRESPONDENCE: Bette Case Di Leonardi, PhD, RN-BC, 56 West Schiller Street, Chicago, IL (e-mail:

© 2015 by Lippincott Williams & Wilkins, Inc.