430 - Writing Nursing Test Questions

This is the third course offered as part of the Assessment Series. The Assessment Series is intended to provide educators and administrators with the knowledge, skills, and attitudes to design, develop, publish, administer, and evaluate assessments for nursing students.

Registration fee: $150.00

Upcoming Dates: Tuesday April 30, 2024 10:00 AM - 1:00 PM Pacific Time

Delivered by Kathy Gaberson, PhD, RN, CNOR, CNE, ANEF, owner and principal nursing education consultant for OWK Counseling and Wyetta Bontempo, PhD, Founder and Principal Consultant with Mountain Measurement, Inc. More info about the faculty members teaching this course is available in the faculty section of the "Find out More" page.

Prerequisites and Target Audience

There are no prerequisites to attend this course.

This web-based course is for all nurse educators who plan to develop nursing assessment content.


The purpose of this course is to prepare educators to write assessment content (i.e. test items).

Learning Outcomes

The objectives of the course are as follows. Upon course completion, participants will be able to:

  • Use item specifications to guide item development.
  • Develop effective case scenarios.
  • Select the most useful item type for various cognitive and psychomotor tasks.
  • Develop effective item stems.
  • Develop effective response options.
  • Edit an item to increase usability and prevent bias and sensitivity issues.
  • Develop effective feedback for students providing incorrect responses.


The 430 Course contains 2.5 hours of instruction, discussion, and learning activities and 30 minutes of Q&A.

Continuing Education

3 contact hours are awarded through the Alabama Board of Nursing (Provider Number ABNP1516 Expires 2/4/2025) to all individuals completing the course.



The topics covered during the 430 Course are:

  1. Working with Item Specifications
  2. The Universe of Relevant Cognitive & Psychomotor Tasks
  3. Sizing up an Item
  4. Anatomy of a Test Item
  5. Uses and Misuses of each Item Type
  6. Developing effective item stems
  7. Developing effective response options
  8. Developing effective case scenarios
  9. Developing items to assess higher levels of cognition
  10. Developing items to assess clinical decision making
  11. Developing NCLEX Items
    1. Writing items to the NCLEX Test Plan
    2. NGN Content Development
  12. Using style & format effectively
  13. Preventing Bias & Sensitivity Issues
  14. Key Validation
  15. Providing useful feedback to students