title: Assessment of item-writing flaws in multiple-choice questions.
abstract: This study evaluated the quality of multiple-choice questions used in a hospital's e-learning system. Constructing well-written questions is fraught with difficulty, and item-writing flaws are common. Study results revealed that most items contained flaws and were written at the knowledge/comprehension level. Few items had linked objectives, and no association was found between the presence of objectives and flaws. Recommendations include education for writing test questions.
authors: Bronson Methodist Hospital, Kalamazoo, Michigan 49007, USA. cayor@bronsonhg.org
authors: Rosemarie
authors: R
authors: Nedeau-Cayo
authors: Deborah
authors: D
authors: Laughlin
authors: Linda
authors: L
authors: Rus
authors: John
authors: J
authors: Hall
mesh_terms: D016009:Chi-Square Distribution; D002755:Choice Behavior; D002983:Clinical Competence; D004509:Education, Nursing, Continuing; D004521:Educational Measurement / Q000379:methods*; D006801:Humans; D020407:Internet; D011939:Mental Recall; D009741:Nursing Staff, Hospital / Q000523:psychology*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*; D014956:Writing / Q000592:standards*