MN511 Unit 4: Item Writing - Part 1

Unit 4: Item Writing - Part 1

Multiple Choice Questions Related to Wounds

 

Multiple choice questions within a test setting for evaluation or assessment must contain a stem, distracters, and one correct answer. The stem should contain clear and concise information of what the question is asking (University of Texas at Austin, (2007). The distracters and correct answer should have plausibility and be homogenous to aid in reliability and validity. Questions with negative statements such as “NOT” or “EXCEPT” should be used as least as possible and all choices should be the same length in wording. For example, a student may see a pattern where the correct answer is always the longest answer which when lead the student to always assume and choice that answer (McDonald, 2014). For this web log assignment the student is to develop three multiple choice questions that may be integrated onto a exam or quiz for a course. The multiple choice items are below that were developed from the Unit 1 Lesson Plan discussion question related to wounds within the MN511 course (Senn, 2013).

 

1. You are caring for a patient with a wound located on the sacrum. The nurse noted a symptom of a possible wound infection occurring. Which symptom of infection would the nurse might see?

a)      Smaller wound measurements

b)      Granulation tissue in wound bed

c)      Clear drainage from wound

d)     Foul odor from wound after cleaned

 

2. The nurse has orders to complete a sterile dressing change on a day 1 post-operative patient. The nurse would remove the old dressing before performing other dressing change tasks with _______________________.

a)      Sterile gloves

b)      Clean gloves

c)      Washed hands

d)     Sanitized hands

 

3. A nurse is assigned to a patient on a medical/surgical unit that has stasis ulcer on the right lower extremity. The nurse has already read the MD orders that state sterile dressing changes to occur every four hours and prn. The nurse enters the room to assess the patient and notices the dressing is saturated and is producing a foul odor. What tasks should the nurse do?

a)      Do nothing at all and notify MD immediately

b)      Wait and change dressing four hours from last change

c)      Change dressing, assess wound, and notify MD

d)     Change dressing and wait to notify MD of findings

 

 

References 

McDonald, M. E. (2014). The Nurse Educator’s Guide to Assessing Learning Outcomes (3rd ed.). Burlington, MA: Jones & Bartlett  

Senn, C. (2013, November 10). Objectives and outcomes [Online forum post]. Retrieved from Retrieved from https://kucampus.kaplan.edu  

University of Texas at Austin. (2007). Writing multiple-choice questions. Retrieved from http://www.utexas.edu/academic/ctl/assessment/iar/students/plan/method/exams-mchoice-write.php