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Strategies for writing multiple choice nursing exams

multiple choice nursing exams

Multiple choice nursing exams might be daunting, but there exist strategies to assist test-takers to thrive. Learn the success steps, including removing the irrelevant answers and reading the whole question, and then explore making educated guesses. Multiple choice tests are popularly used to measure the achievements of students format at different learning levels.

This article is an in-depth summary of remarkable tips for creating clear, effective multiple-choice questions, ways of answering your multiple choice nursing exams, and a convenient cheat sheet that you can keep nearby and print for reference. Our nursing assignment help will be your academic associate in your journey to becoming a nurse.

How do I prepare for multiple-choice exams?

These techniques and tips can assist you in excelling in all your multiple-choice exams including multiple choice nursing exams.

1.      Study very carefully

Have ample time to keenly read each answer choice and question. The majority of students select the correct response or opposite answer simply because they’ve missed a word, misread a question, or forgotten what the multiple-choice question is asking.

2.      Create your answer

After understanding what the multiple choice question requires, contemplate what the correct answer must contain or say. Use that right answer as the yardstick for measuring the available answer choices for your discussion paper.

3.    Search for wrong answers and common types

It’s difficult to write remarkable multiple-choice exams, so instructors frequently fall into particular patterns, especially when composing wrong but attractive choices. In case you master recognizing frequently applied options, they’ll be simpler to get rid of.

4.      Conduct two rounds to Eliminate your answers

The elimination process is key to a multiple-choice exam’s success. Generally, you must perform your answer eliminations in 2 rounds. Throughout the 1st round, get rid of everything that is automatically not correct: the answers with false information, and not relevant to your question, etc. in case it does not result in one right answer.

It is here the elimination’s second round appears, compare your remaining answers. If you can’t find any difference between the responses, then it’s probable that neither of them is right and you’ve eliminated the right answer earlier.

5.      Don’t be obsessed with your choices

Normally, a multiple-choice exam has many questions, and they’re all worth a similar amount. Do not waste time being obsessed with a difficult question, when a simpler question can raise your grades similarly.

6.      Time Management

Before commencing your exam, examine the number of questions in a booklet and allocate your time into sections. Convince yourself: “You’ll have finished fifty questions while reaching, the x-minute mark or even 70 questions while reaching the y-minute mark, et cetera.” When the time markers emerge, check to see the questions you’ve completed.

7.      Answer all questions

If you’ve not completed all of the questions when only left with minutes, pick the lucky figure and guess on each remaining question. Based on the many options for every question, you’re guessing 20-25% correctly!

How do you answer multiple-choice questions in nursing?

  1. Utilizing Maslow’s hierocracy, ABCs, and the nursing process

Talk about these when caught up in the prioritization question! Circulation, airway, and breathing are the nursing action’s priority order in the majority of cases to keep patients alive and stable. The ADPIE (assessment, diagnosis, plan, intervention/implementation, and evaluation) or nursing process is another systematically giving patient care use tool. Considering that Maslow’s hierocracy is a human needs order that should be followed to give efficient patient care.

  1. Be attentive to the questions’ strategic key terms including “most appropriate,” “priority,” “best,” and “initial.”

In these question types, there are “correct” multiple answers likely, however, the main word decides which answer follows the order of priority.  This can be combined with tip #1 when choosing the priority questions type most correct answer.
3.  Assignment-making/Delegation questions

They need you to comprehend the nurses’ practice scope vs. other care team parts (i.e. UAP/CAN can assist ADL patients, LPNs can perform med passes, and so on.)

4.      Use elimination process

When you do not understand the answer, it is preferable to move on backward. Attempt to narrow your choices to the two last. You’ll have greater chances when selecting from 2 answers only vs. guessing between 4.

5.      Don’t change the answer

UNLESS you’re 100% certain that the original isn’t the right one. You don’t have to second guess your answer now while you have reasons for selecting it first. Trust your instincts and gut!

How do you write a multiple-choice exam?

These tips can assist you in developing a multiple-choice item that most efficiently measures the learning of students.

General Suggestions

  • Draft your prompt first, followed by the right answer, and lastly the incorrect options (distractors)
  • Ensure the distractor matches the right answer regarding style, length, phrasing, complexity,
  • Base every item on the course’s learning outcome
  • Ask your peer to analyze items whenever possible
  • Allow revising and editing time
  • Minimize the reading amount required for every item
  • Be responsive to gender and cultural issues
  • Maintain vocabulary consistency with the student’s understanding level
  • Avoid convoluted options and stems
  • Avoid stems and options language that hints at the right answer
  • Write several items daily, and then combine them before your exam.

Writing a Multiple Choice Item Stem Tips

  • Use a clearly stated, single question or problem.
  • Define the problem completely and avoid unnecessary information.
  • Include lots of information in your stem to shorten your options.
  • State your stems in questions, or as incomplete statements if required to avoid irrelevant words.
  • Refrain from undue complexity and be as simple as possible.
  • Avoid negatives whenever possible, and idioms (e.g., “nest-egg”, or “toss-up”), absolutes (e.g., all, never, always, etc.), and passive voice.
  • When making your stem a partial statement, ensure the options succeed your stem grammatically correct.

Writing a Multiple Choice Answer Option Tips

  • Include 3-5 options in total.
  • Make options identical in style, grammar, complexity, and length.
  • Move the text repeated to your stem whenever possible.
  • Write your right answer first, then write your incorrect option in an identical style.
  • Ensure all your options are plausible to learners who don’t know the right answer.
  • Decrease the students guessing possibility by refraining from options like “above all” or “both B and A.”
  • Use “none other than” cautionally, and in cases of absolutely correct answers only to your questions to ensure no available option is partially correct.
  • Differ the correct options positions.
  • Ensure you’ve only one correct or best answer.

Writing good multiple-choice test questions in nursing

Writing compelling multiple-choice test questions for your multiple choice nursing exams

Constructing an Efficient stem

  1. The stem must be meaningful and must demonstrate a clear problem.
  2. A stem shouldn’t contain inappropriate materials, which can reduce the test score’s validity and reliability (Downing and Haldyna 1989).
  3. A stem must be negatively expressed only when remarkable learning outcomes need it.
  4. A stem must be in the form of a partial sentence or a question.

Developing Effective Alternatives

  1. Each alternative must be plausible.
  2. Each alternative must be stated concisely and clearly. 
  3. Each alternative must be mutually exclusive.
  4. Each alternative must be homogenous contently. Heterogeneous content alternatives can give hints to students about the right answer.
  5. Alternatives must be clue-free concerning the correct response. It is therefore significant that alternatives
  • Is Grammarly consistent with your stem?
  • Have a parallel form.
  • Have similar lengths.
  • Make use of identical language (such as., all like language textbook or all unlike language textbook).
  1. The alternatives “above all” and “none other than” shouldn’t be applied.
  2. The alternatives must be presented logically(e.g., numerical or alphabetical) to refrain from certain positions bias.
  3. The alternative number can differ among items since every alternative is reasonable. 

Alternative guidelines

  1. Refrain from a complicated multiple-choice item, in which several or all the alternatives comprise different options combinations.
  2. Keep the item’s specific content independent of each other.

What are the guidelines for writing multiple-choice tests?

Follow these guidelines for your homework writing;

  • Make a practical test item with real-life student applications. Use drawings and diagrams while asking evaluation, application, or analysis questions.
  • When required to evaluate or interpret quotations, present secondary sources actual quotations such as newspapers or published books. Use charts, tables, or figures when asking interpretation questions. Make use of pictures whenever possible when learners are needed to apply principles and concepts. List the options/choices vertically but not horizontally.
  • Refrain from trivial questions. Make Use of only one best answer or correct answer format. Use 3-5 options to frustrate guessing. Ensure that the distracters are effective and plausible.
  • Increase the option’s similarity to increase the item’s difficulty. Don’t use “none other than” options while asking for the best answers. Avoid using “above all” options.

Stem Construction Guidelines

  • The stem must be drafted in completion form or question form. Don’t leave a blank in the stem’s middle or beginning while using a multiple-choice tests type completion form.
  • The stem must pose the issue completely. A stem must be concise and clear. Avoid meaningless and excessive words used in your stem.
  •  State your stem in a positive form. Refrain from using a negative phrase such as “except,” or “not.” Capitalize or underline the negative phrases if they can’t be avoided. Refrain from grammatical hints in the right answer.

 Options Construction Guidelines

  • There must be one best or correct answer in every item. List your options vertically not horizontally beneath your stem. Arrange your options logically and capital letters used to indicate every option like A, C, B, E D. Avoid overlapping options; but rather keep it unconventional.
  • All the options should have homogenous content to raise an item’s difficulty. The option’s length must be equal or the same to the greatest extent. Refrain from using the “above all phrase.” Avoid making use of the “none other than” or “I do not know,” phrase.

Distracters Construction Guidelines

  • Use plausible distracters. Your distracters must be popular to every examinee equally. Avoid making use of ineffective distracters.
  • Every distracter must be selected by not less than 5 percent of the test-takers but not above the key response. Revise over attractive instructor distracter(s). They can be vague to the test-takers.

Conclusion

Multiple choice nursing questions must be simple enough to craft. These questions themselves appear so simple, – so streamlined just the question, the right answer, and some distractors. However efficient multiple-choice quizzes are notoriously time-consuming and difficult to write.  This article on multiple choice nursing exams will boost your academic performance to remain on top of class.

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