Setting the Stage for Testing and Assessment, Exercises of Nursing

Krysia Hudson, DNP, MS, RN BC ... Johns Hopkins University School of Nursing ... NextGen- type questions for assessment (practice) and evaluation (test) ...

Typology: Exercises

2022/2023

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Setting the Stage for
Testing and Assessment
and Assessment
Rita D’Aoust, PhD, MS, RN, ACNP, ANP-BC, CNE,
FAANP, FNAP, FAAN
Associate Dean for Teaching and Learning
Krysia Hudson, DNP, MS, RN BC
Assistant Professor
Johns Hopkins University School of Nursing
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Setting the Stage for

Testing and Assessment

and Assessment

Rita D’Aoust, PhD, MS, RN, ACNP, ANP-BC, CNE,

FAANP, FNAP, FAAN

Associate Dean for Teaching and Learning

Krysia Hudson, DNP, MS, RN BC

Assistant Professor

Johns Hopkins University School of Nursing

 Evaluate didactic material and clinical performance using new Next Generation

Evaluation testing

 Create and analyze new Next Gen question formats

 Learn how to score the new test items

 Identify environment – look for ways to test or evaluate students with new format

 Apply Lasater rubric to evaluate simulation

 Compare and contrast different test management technologies when employing

Next Generation Questions

Objectives

 Made to be “working sessions”

 Wish participants to bring material and develop questions based on:

 Stand Alone Cases

 Unfolding Case Study

Sessions

Super high functioning/Low functioning

 18 new items

 3 Next Gen cases with 6 new questions

each

 52 traditional items

 15 unscored items

New NCLEX

Standard test

 18 new items

 3 Next Gen cases with 6 new

questions each

 117 traditional items

 15 unscored items

NGN Questions for UnFolding Case

 (Ignatavicius, 2021, NCSBN, 2021)

Highlight

 Text

 Table

Drag and Drop

 Cloze

 Rationale

Multiple Choice

 Multiple Choice

 Matrix Multiple Choice

Drop Down Cloze

Table Rationale

Multiple Response Multiple Response N

Multiple Response ALL

Multiple Grouping Matrix

Ignatavicius, 2021, NCSBN, 2021)

Stand Alone Case

 Trend

 Bowtie

Unfolding Case (Matrix Multiple Choice)

25 yo patient comes into the ED complaining of lightheadedness and shortness of breath.

History of asthma. Which of the following nursing actions are Emergent or Non-Emergent?

Nursing Action Emergent Non-Emergent

Enter “NPO” in EHR

Titrate oxygen to maintain a saturation above 92%

Sit patient in Semi-high fowlers

Administer albuterol as per orders

Place nasal canula to provide humidified oxygen

Teach patient pursed lip breathing

(Ignatavicius, 2021; NCSBN, 2021)

Unfolding Case (Matrix Multiple Choice)

25 yo patient comes into the ED complaining of lightheadedness and

shortness of breath. History of asthma. Which of the following nursing

actions are Emergent or Non-Emergent?

Nursing Action Emergent Non-Emergent

Enter “NPO” in EHR x

Titrate oxygen to maintain a saturation above 92%

x

Sit patient in Semi-high fowlers x

Administer albuterol as per orders x

Place nasal cannula to provide humidified oxygen

x

Teach patient pursed lip breathing x

(Ignatavicius, 2021; NCSBN, 2021)

(Potential 6 points))

Multiple Response: Select All that Apply

 You are preparing to take the patient down for surgery. What actions should the nurse

take? SELECT ALL THAT APPLY

 Give patient ice chips

 Mark surgical site

 Ensure ID band is correct

 Serve the patient breakfast

 Review Operative Checklist

Scoring: if you get 3 correct answers

and 1 incorrect answer, score is 2

(NCSBN, 2021)

Stand Alone Case: Bowtie

 Incorporating Clinical Judgement, the student needs to recognize cues

and decide the priority hypothesis (condition)

 MAX = 5 POINTS

(No deduction for incorrect answer)

Action to Take

Action to Take

Parameter to Monitor

Parameter to Monitor Condition

How do you approach Simulation with Next

Gen Questions?

CJ: Applied learning through clinical performance in simulation experiences.

 Design of the simulation learning: skill areas, not just content  Student versus faculty role

 Assessment focusing on clinical judgement constructs and rubrics (Lasater, 2007)

 Areas for incorporation beyond CJ  Resilience  Difficult situations/conversations  Home considerations  What type of patient scenarios should all students have – curricular mapping  Coordination with employers expectations for practice

 Use of EHR to evaluate Clinical Judgement - using Lasater

rubric

 Evaluate your learning environment

 What software and hardware do you have available?

 Qualtrix?

 Soft Chalk?

 Exam Soft?

 BlackBoard

 Canva?

 ATI?

 HESI?

 Discussion of cost, flexibility and functionality will be discussed

Sessions