NBCRNA Ed Practice test questions with answers 2023, Exams of Nursing

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NBCRNA Ed Practice test questions

with answers 2023

What are 5 characteristics of a profession/ professional organization? ✔- Specialized knowledge

• Institutional preparation
• Code of Ethics
• Obligation to the public
• Autonomy What do professions ultimately exist for? ✔To serve the public, especially altruistic professions What is the difference between a guild/union vs a profession? ✔Guilds/unions do not have a public obligation What does the acronym LACE represent? ✔Different levels of regulation of CRNAs What does LACE stand for? ✔L- Licensure (BRNs) A- Accreditation (COA) C- Certification (NBCRNA) E- Education (AANA education committee) Who does the COA protect? ✔Protects the public and students What is the importance of credentialing? ✔- To protect and benefit the public
• Provide assurance to the public that individuals have met predetermined qualifications for providing nurse anesthesia services What are the 3 components of credentialing? ✔1. Licensure- granted by the state, you are legally and ethically ok to practice

2. Certification- ensuring that the individual has specialized knowledge in the profession
3. Grant of privileges- specific to local setting and where you get a job/institution Discuss the evolution of the certification of nurse anesthetists.

✔1933- Qualifying test to prove competency of CRNA, not in effect until 1945 1952- Certifying exams being accredited 1975- split to CCNA from AANA, wanted difference in advocacy body vs certifying body 1978- first advanced practice discipline to certify the body, establishment of COR 1996- first CAT test, no more paper/pencil tests What is the mission of the NBCRNA? ✔To promote patient safety through credentialing programs that support lifelong learning What is the vision of the NBCRNA? ✔To be recognized as the leader in advanced practice nurse credentialing What is the difference between the roles of the NBCRNA vs AANA? ✔- NBCRNA = mission for public protection

• AANA = mission for CRNA advocacy
• Regulators require a separation between membership org and credentialing body
• Separation is to protect the credibility of the certification What are the 3 main accrediting bodies that the NBCRNA answers to? ✔- ABSNC (Accreditation Board of Specialty Nursing Certifications)
• NCCA (National Commission for Certifying Agencies)
• BONs ( State boards of nursing) Who does the NBCRNA advocate for? ✔Patients CRNAs Who does the AANA answer to? ✔Association members Who does the AANA advocate for? ✔Association members Who comprises the NBCRNA board? ✔Consists of 11 members
• 8 CRNAs- practitioners and eduacators
• 1 Public member
• 1 Board certified Anesthesiologist
• 1 Board certified surgeon

What must you do to be eligible to apply for the NCE? ✔- Comply with all state requirements for RN licensure

• Complete a nurse anesthesia program accredited by the COA within previous 2 years of taking the NCE
• Attest that you don't suffer from a mental or physical condition What is required for the application for the NCE? ✔- Complete an accurate exam application form
• Official notarized transcript of the student record
• Copy of a current valid RN license
• Authentication of Applicant Identity form- signed, notarized, and digitalized photo taken within 6 months
• Online payment What is Pearson Vue? ✔An authorized test center contracted with NBCRNA to give the exam What are the 5 different types of question formats on the NCE? ✔- Multiple choice
• Multiple correct response
• Short answer/numerical response
• Drag and drop
• Hotspot What subject matter is good for testing on calculation questions? ✔Physiology What subject matter is good for testing on hot spot questions? ✔Anatomy What is meant by the fact that the NCE is a "practice driven" test? ✔It addresses common practice issues, and assesses minimal competence for entry into practice How is content developed for the NCE/CAT? ✔- A professional practice analysis questionnaire is sent out to the practice q5 years about what are the most important things to know in the first 6 months of practice
• Content outline is written based on the analysis
• Then item writers make the item bank
• These items then go to the examinee and do not count, and are assessed based on how people perform- calibrated item bank

• They are then added to the CAT What is a calibrated item bank? ✔A test question is given to 100 examinees who are not scored on the item. If everyone answers correctly it is too easy, if nobody answers correctly it is too hard What are advantages of the computerized adaptive test (CAT)? ✔- Doesn't expose 100s of questions, maintains security of the exam
• The test can be taken any time of year, or when you are ready What is the NCE blueprint for categories that make up the test? ✔Basic science (25%) Equipment, Instrumentation, Technology (15%) General Principles of Anesthesia (30%) Advanced Principles of Anesthesia (30%) What topic was eliminated from the NCE blueprint but is still sprinkled throughout other categories? ✔Professional Issues How are new items developed/added to the NCE? ✔- Faculty will write 5-10 questions on a certain topic
• Questions will go to a committee where they make a judgment if the content is accurate and non-ambiguous
• Goes on the exam as an experimental item
• 100 examinees will look at the question and the board will look at if the question has good statistics
• Want 60-80% to get it correct What does "difficulty unstable" mean in terms of an item on the NCE? ✔Means that at first 60-80% of people were getting it correct but now 95% are getting it correct- means it has been compromised as a question or that the material is obsolete and is no longer being taught
• Question can either be rewritten or thrown out What is computerized adaptive testing (CAT)? ✔- A method of administering a test whereby questions are dynamically selected and administered such that their difficulty is tailored to an examinees ability level
• Challenges the ability of the test taker to perform at the highest ability -Once you perform at this level judgement is made whether or not it is adequate to pass the test What are 5 components needed to administer a CAT test?

✔- Large calibrated itembank- each item has a level of difficulty associated with it

• Rules for starting the exam
• Estimates the ability of the examinee
• Rules for selecting the targeted items
• Rules for ending the exam How is a calibrated item bank formed? ✔Each item is administered as a pre-test item in order to obtain data on the item
• Using the data, the difficulty of the item is estimated using the Rasch Model
• This process is also known as anchoring or setting the bench What is the Rasch Model? ✔Statistical tool that is used to calculate the candidate's ability by using the correct/incorrect responses and the item difficulty What are the starting rules for the NCE? ✔- Candidate is administered the first item somewhere near the middle range of the item difficulty range
• If you get question correct, the items will get harder by 0.1 logits
• If you get it incorrect the items will get easier by 0.1 logits When performing at max performance level , the examinee should get what percentage of questions correct? ✔70% What are the stopping rules for the NCE? ✔- Everyone will get at least 100 questions- 70 scored and 30 experimental
• If you are clearly passing or clearly failing you will get 100 questions
• If you are borderline you can get up to 170 questions,
• After 100 questions, there are no experimental questions
• Usually can predict performance after 30 questions
• Time limit = 3 hrs How are NCE results presented? ✔Candidates will get preliminary pass/fail results upon completion of the exam
• Formal notification sent via US mail once scored and assessed for unusual behavior and possibility of cheating In what two years were NCE passing standards increased? ✔2008, 2014 Why did the pass rate drop in 2017?

✔Thought to be because of the DNP requirement, when people should have been studying for the cert exam How many times can you take the NCE in one year? ✔ 4 How many tries/years do you have to pass the NCE? ✔8 tries in 2 years What are some testing tips for taking the NCE? ✔- If you do 100 questions, it is very likely that you passes

• Just answer the stem of the question, don't read into it too much
• Don't look at the item numbers
• Don't memorize answers to questions, it will be more application questions
• Think of the answer before you look at the options for answers
• Study according to your own performance
• Maintain test security- do not discuss questions with other people What is the Continued Professional Certification (CPC)Program? ✔Began in 2016, all certificants participating as of August 2017
• Recertification cycle is q4 years
• Check in q2 years to update info, etc What are the continuing education credit requirements? ✔Total of 100 credits
• At least 60 from Class A- formal credits with posttest
• Can have 40 Class B- professional activity units that are non-assessed and self- monitored What are the CPC program requirements? ✔- Continuing education credits
• Core modules
• Work requirement
• CPCA What are the core modules of the CPC program? ✔Self-study modules on 4 core competencies to be completed every 4 years as Class A CEs
• Anatomy/physiology/pathophysiology, Pharm, Airway, and Equipment/Technology What is the work requirement for CPC?

✔Can be education, research, or regular work- no longer monitoring practice hours What is the CPCA? ✔The CPC Assessment is a 150 question, 3 hour closed book test every 8 years

• More diagnostic as opposed to pass/fail
• If not doing well in one area, need to take CEs in that area
• Addresses 4 core areas- Anatomy/physiology/pathophysiology, Pharm, Airway, and Equipment/Technology