Featured ArticlesBARRIERS TO CREATING A MORE CULTURALLY DIVERSE NURSING PROFESSION: Linguistic Bias in Multiple-Choice Nursing ExamsBOSHER, SUSANAuthor Information About the AuthorSusan Bosher, PhD, MA, is English as a Second Language Coordinator at the College of St. Catherine, St. Paul, Minnesota. The author is grateful to Maggie Dexheimer-Pharris, PhD, MPH, FAAN, of the Nursing Department for her generous assistance in helping to revise many of the test items. Nursing Education Perspectives: January-February 2003 - Volume 24 - Issue 1 - p 25-34 Buy Abstract As part of a grant to recruit and retain multicultural and economically disadvantaged nursing students, funding was approved for a study analyzing multiple-choice nursing course exams for linguistic and cultural bias. Nineteen exams, for a total of 673 multiple-choice test items, were analyzed for this study. The categories of analysis used to identify flaws in the test items were: testwise flaws, irrelevant difficulty in stem, irrelevant difficulty in option, linguistic/structural bias, and cultural bias. Twenty-eight types of flaws occurred at least 10 times in the reviewed exams. Flaws from each of the categories are presented and discussed; specific examples are analyzed and revised. Copyright 2003 by National League for Nursing, Inc.