Exam Actual Exam 2026/2027 – Complete 50 Questions with
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Graded
Section A: Foundations of Assessment & Evaluation in Nursing
Education (Q1–Q8)
Q1: Which statement most accurately distinguishes assessment from evaluation in
nursing education?
A. Assessment and evaluation are interchangeable terms describing grading only
B. Evaluation is data collection, while assessment is the final judgment
C. Assessment is the systematic collection of data about student learning, while
evaluation is the interpretation and judgment of those data against established criteria
[CORRECT]
D. Assessment applies only to clinical courses, while evaluation applies only to
classroom courses
Correct Answer: C
Rationale: Assessment gathers evidence of learning; evaluation assigns meaning and
value to that evidence against standards. The remaining options reverse the terms,
conflate the processes, or incorrectly restrict either activity to one setting.
Q2: A nursing faculty member administers a short, ungraded quiz at the beginning of
each class week, reviews the results with students, and adjusts upcoming instruction
based on gaps identified. This activity is best classified as:
A. Formative assessment, because it occurs during learning to provide feedback and
guide instruction [CORRECT]
B. Summative assessment, because quizzes produce scores
C. Norm-referenced evaluation, because students are compared with peers
D. Program evaluation, because instruction is modified
Correct Answer: A
Rationale: Formative assessment is assessment FOR learning—ongoing, low-stakes,
and used to give feedback and shape teaching. Summative assessment occurs at the
end of a learning period for grading or progression decisions, not weekly instructional
adjustment.
,Q3: Students in the final semester of a baccalaureate program complete a standardized,
comprehensive predictor examination used to determine readiness for licensure and to
satisfy a progression requirement. This examination is best classified as:
A. Formative assessment with diagnostic intent
B. Program evaluation of faculty effectiveness
C. Construct measurement of student attitudes
D. Summative assessment, because it measures achievement at the end of a program
and carries high-stakes consequences [CORRECT]
Correct Answer: D
Rationale: Summative assessment is assessment OF learning—terminal, high-stakes,
and used for progression or program completion decisions. The predictor exam is not
formative (no ongoing feedback loop), not a faculty evaluation, and does not measure
attitudes.
Q4: A course outcome states: "The student will differentiate between the
pathophysiologic mechanisms of type 1 and type 2 diabetes." Using the revised Bloom's
taxonomy, this outcome targets which cognitive level?
A. Remember
B. Analyze [CORRECT]
C. Evaluate
D. Create
Correct Answer: B
Rationale: "Differentiate" requires breaking information into component parts and
examining relationships, which defines the Analyze level. Remember involves recall,
Evaluate involves judging value, and Create involves producing original work—none of
which the verb "differentiate" requires.
Q5: During a simulation laboratory, a nursing student performs a head-to-toe physical
assessment on a standardized patient while faculty observe and score the performance
using a structured checklist. According to Miller's pyramid of clinical competence, this
assessment occurs at which level?
A. "Knows" — measured by written examinations
B. "Knows how" — measured by case-based questions
C. "Shows how" — measured by observed performance in simulation or standardized
settings [CORRECT]
D. "Does" — measured by actual practice in the real clinical environment
Correct Answer: C
Rationale: Observed performance in a controlled, simulated environment captures the
"shows how" level, demonstrating applied competence without the variability of real
, practice. "Knows" and "knows how" are tested in writing, and "does" refers to
performance in actual clinical practice.
Q6: Which term describes a testing interpretation in which a student's score is
compared against a fixed standard of performance rather than against the performance
of other students?
A. Criterion-referenced interpretation [CORRECT]
B. Norm-referenced interpretation
C. Construct-referenced interpretation
D. Self-referenced interpretation
Correct Answer: A
Rationale: Criterion-referenced tests judge performance against predetermined absolute
standards, such as 80% mastery—the dominant model in nursing education.
Norm-referenced tests compare students with one another, and the other terms are not
standard psychometric classifications.
Q7: A faculty member writes the course outcome: "The student will appreciate the
importance of evidence-based practice." A curriculum committee member critiques this
outcome. What is the most valid critique?
A. The outcome targets too high a cognitive level for a baccalaureate course
B. The outcome should specify a grading percentage
C. The outcome should be moved to the syllabus appendix
D. The verb "appreciate" is not observable or measurable, so achievement cannot be
assessed; it should be replaced with a measurable verb such as "evaluate" or "apply"
[CORRECT]
Correct Answer: D
Rationale: Outcomes must use observable, measurable verbs so that appropriate
assessments can be selected; affective, internal states like "appreciate" cannot be
directly measured. The problem is measurability, not cognitive level, grade weighting, or
document placement.
Q8: A program evaluates its new residency-style mentorship by surveying graduate
satisfaction immediately after completion, testing knowledge gains, reviewing
workplace performance six months later, and analyzing unit-level patient outcomes. The
final two steps correspond to which levels of Kirkpatrick's model?
A. Level 1 (Reaction) and Level 2 (Learning)
B. Level 3 (Behavior) and Level 4 (Results) [CORRECT]
C. Level 4 (Results) and Level 1 (Reaction)
D. Level 2 (Learning) and Level 3 (Behavior)
Correct Answer: B