Composition and Analysis of the Multiple Choice Test Question

Stem- the question.
* Case scenario - explains the situation.
* Issue - the specific problem or subject of the question.
* Analysis - focus on what you know about the issue.
* Problem
* Procedure
* Drug
* Disorder
* Behavior
Options - choice of answers.
* Distracters - answers that dont answer the question
* Keywords - words that set priority or directionalized care.
* General keywords.
* Early
* Late
* Immediately after
* Most likely
* Least likely
* Initial or priority nursing action
* After several days
* On day of admission

* Universal keywords
* All
* Only
* Every
* Always
* Negative keywords
* No
* Not
* Never
* Rarely
* Least essential
* Lowest priority
* Inappropriate
* Contraindicated

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