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Nursing education, curriculum and evaluation

25 M.Sc Nursing Entrance (AIIMS, LBS, PGIMER, JIPMER) practice questions on Nursing education, curriculum and evaluation, part of Nursing Management and Education. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

  1. Question 1 · Medium

    The Indian Nursing Council's revised B.Sc. Nursing curriculum of 2021 is organised as:

    1. AFour annual years with a university exam at each year's end
    2. BEight semesters with credits and competency-based outcomes
    3. CThree years of theory followed by one year of internship
    4. DSix semesters plus a one-year rural bond period
    Show answer

    Answer: B · Eight semesters with credits and competency-based outcomes

    The 2021 INC regulations moved B.Sc. Nursing to a four-year, eight-semester programme with a credit system and a competency-based approach. Courses carry credits for theory, skill lab and clinical hours, and the last semester includes internship. The older curriculum was organised in annual years. Semester-wise outcomes make continuous assessment a larger part of evaluation.

    • A: Annual years with yearly university exams describe the older pre-2021 curriculum.
    • C: The programme is not three years of theory plus a separate internship year.
    • D: There is no six-semester structure or rural bond in the INC regulations.
  2. Question 2 · Easy

    In Kirkpatrick's four-level model for evaluating a training programme, level 1 measures the participants':

    1. AGain in knowledge and skill by the end
    2. BChange in behaviour back on the job
    3. CEffect on patient and organisational outcomes
    4. DReaction to and satisfaction with the training
    Show answer

    Answer: D · Reaction to and satisfaction with the training

    Kirkpatrick's levels are reaction (1), learning (2), behaviour (3) and results (4). Level 1 is usually a feedback form completed at the end of a session. It is the easiest level to measure but says little about whether practice changes. Programme planners should aim to collect evidence at the higher levels too.

    • A: Knowledge and skill gain is level 2, learning.
    • B: Transfer of learning to the workplace is level 3, behaviour.
    • C: Patient and organisational outcomes are level 4, results.
  3. Question 3 · Medium

    Staff nurses from several wards meet for three days and work in small groups, guided by experts, to draft standard procedures for their units. This educational method is a:

    1. APanel discussion
    2. BSymposium
    3. CSeminar
    4. DWorkshop
    Show answer

    Answer: D · Workshop

    A workshop is a period of intensive, practical group work in which participants learn by doing and produce something usable, such as protocols or teaching materials, with resource persons guiding them. It suits in-service and continuing education because it ends with a product for the workplace. In a symposium and a panel the experts speak and the audience mainly listens. A seminar centres on papers prepared and presented by participants for discussion.

    • A: A panel is an informal discussion among experts in front of an audience.
    • B: A symposium is a series of short talks by experts on aspects of one topic.
    • C: A seminar centres on papers presented by learners, not on a practical product.
  4. Question 4 · Easy

    In Krathwohl's taxonomy of the affective domain, the highest level, at which a value has become part of the person's consistent character, is:

    1. AResponding
    2. BOrganisation of values
    3. CCharacterisation by a value
    4. DValuing
    Show answer

    Answer: C · Characterisation by a value

    Krathwohl's affective domain runs from receiving, through responding, valuing and organisation, to characterisation by a value or value complex. At the top level the value guides behaviour consistently, so it becomes part of the person's life style. A nurse who protects patient privacy every time, unprompted, shows this level. Affective objectives at this level are judged by observing behaviour over time, not by a written test.

    • A: Responding is the second level, where the learner takes part actively but has not yet adopted the value.
    • B: Organisation is the level below, where values are compared and arranged into a system.
    • D: Valuing is the middle level, where the learner accepts and commits to a value.
  5. Question 5 · Hard

    A final examination has a standard deviation of 8 marks and a reliability coefficient of 0.75. What is the standard error of measurement?

    1. A2 marks
    2. B4 marks
    3. C6.9 marks
    4. D6 marks
    Show answer

    Answer: B · 4 marks

    The standard error of measurement is SD x square root of (1 - reliability). Here 1 - 0.75 = 0.25, its square root is 0.5, and 8 x 0.5 = 4 marks. A student scoring 60 therefore has a true score between about 56 and 64 with 68% confidence. This is why pass marks near a borderline score should be applied with caution.

    • A: 2 marks forgets to take the square root of 0.25.
    • C: 6.9 marks uses the square root of 0.75 instead of 0.25.
    • D: 6 marks multiplies the SD by the reliability itself.
  6. Question 6 · Hard

    A final-year student performs a sterile wound dressing quickly and accurately while chatting to the patient, without having to think about the steps. In Dave's psychomotor taxonomy, she is at the level of:

    1. ANaturalisation
    2. BArticulation
    3. CManipulation
    4. DPrecision

    Answer and explanation in LearnFree account

  7. Question 7 · Easy

    In India, a nurse's registration to practise is granted by the:

    1. AState Nursing and Midwifery Council
    2. BState Directorate of Health Services
    3. CIndian Nursing Council
    4. DTrained Nurses' Association of India

    Answer and explanation in LearnFree account

  8. Question 8 · Medium

    Hilda Taba's model of curriculum development differs from Ralph Tyler's mainly because it:

    1. ABegins with teachers building teaching-learning units
    2. BTreats the curriculum as a cycle with no start
    3. CBegins by stating precise behavioural objectives
    4. DLeaves evaluation out of the planning process

    Answer and explanation in LearnFree account

  9. Question 9 · Hard

    After an MCQ test, the upper 30 and lower 30 scorers are compared on one item: 8 in the upper group and 14 in the lower group answer it correctly. What should the tutor do with this item?

    1. AKeep it, as it favours the weaker students fairly
    2. BKeep it, as its difficulty is in the ideal range
    3. CDiscard it, as nearly every student found it easy
    4. DCheck the key and the wording before reusing it

    Answer and explanation in LearnFree account

  10. Question 10 · Hard

    A test has 100 four-option MCQs. A student answers 70 correctly, 20 wrongly and leaves 10 blank. Using the usual correction-for-guessing formula, what is the corrected score?

    1. A63.3
    2. B60.0
    3. C50.0
    4. D65.0

    Answer and explanation in LearnFree account

  11. Question 11 · Hard

    A tutor splits a 40-item test into odd and even items and finds a correlation of 0.60 between the two halves. Using the Spearman-Brown formula, what is the estimated reliability of the whole test?

    1. A0.36
    2. B1.20
    3. C0.60
    4. D0.75

    Answer and explanation in LearnFree account

  12. Question 12 · Medium

    A student has watched a senior nurse insert IV cannulas many times and can describe every step correctly, but her own attempts are clumsy and often fail. In Bandura's social learning theory, which process is still lacking?

    1. AMotor reproduction
    2. BAttention
    3. CRetention
    4. DMotivation

    Answer and explanation in LearnFree account

  13. Question 13 · Hard

    A tutor's lesson plan on ECG rhythms reads: show a short video of a cardiac arrest; state the objectives; ask students to recall cardiac conduction; teach the rhythm strips; give a mnemonic for each; let pairs interpret new strips; give feedback; set a short quiz. Which of Gagne's nine events is missing?

    1. AGaining the learners' attention
    2. BProviding learning guidance
    3. CEnhancing retention and transfer
    4. DStimulating recall of prior learning

    Answer and explanation in LearnFree account

  14. Question 14 · Hard

    A nursing college correlates its students' M.Sc. Nursing entrance scores with the same students' marks in the final university examination two years later and finds r = 0.68. This evidence supports the entrance test's:

    1. APredictive validity
    2. BConcurrent validity
    3. CConstruct validity
    4. DContent validity

    Answer and explanation in LearnFree account

  15. Question 15 · Medium

    After a patient falls during her shift, a student nurse writes in her journal what happened and how she felt. She then reads the hospital's fall-prevention literature and concludes that a fall-risk score must be checked before every ambulation. In Kolb's experiential learning cycle, forming this rule is:

    1. AConcrete experience
    2. BActive experimentation
    3. CReflective observation
    4. DAbstract conceptualisation

    Answer and explanation in LearnFree account

  16. Question 16 · Easy

    According to Robert Gagne's nine events of instruction, what should a teacher do first in a lesson?

    1. APresent the new content
    2. BGain the learners' attention
    3. CInform learners of the objectives
    4. DStimulate recall of prior learning

    Answer and explanation in LearnFree account

  17. Question 17 · Medium

    Each month the nursing superintendent holds one-hour sessions during duty hours to update the ICU's permanent staff on the latest sepsis bundle. This programme is best classed as:

    1. AIn-service education
    2. BPostgraduate education
    3. CInduction programme
    4. DDistance education

    Answer and explanation in LearnFree account

  18. Question 18 · Medium

    Which assessment tool directly observes a student during a real patient encounter in the clinical area and gives immediate feedback?

    1. AStructured viva voce examination
    2. BTraditional long case examination
    3. CObjective structured clinical examination
    4. DMini clinical evaluation exercise

    Answer and explanation in LearnFree account

  19. Question 19 · Medium

    A tutor wants to know, from a single administration, whether the 30 items of her attitude scale all measure the same construct. Which index should she calculate?

    1. ATest-retest correlation
    2. BContent validity index
    3. CCohen's kappa
    4. DCronbach's alpha

    Answer and explanation in LearnFree account

  20. Question 20 · Easy

    The temporary support a tutor gives a student within the zone of proximal development, withdrawn step by step as the student becomes competent, is called:

    1. AShaping
    2. BModelling
    3. CChaining
    4. DScaffolding

    Answer and explanation in LearnFree account

  21. Question 21 · Easy

    In Miller's pyramid of clinical competence, an OSCE station assesses the student at which level?

    1. AShows how
    2. BKnows how
    3. CKnows
    4. DDoes

    Answer and explanation in LearnFree account

  22. Question 22 · Hard

    Three months after a training session on peripheral IV cannula care, the infection-control nurse audits the wards and finds that the trained nurses now date and label every dressing. In Kirkpatrick's model, this audit evaluates which level?

    1. AResults
    2. BBehaviour
    3. CReaction
    4. DLearning

    Answer and explanation in LearnFree account

  23. Question 23 · Medium

    In item analysis of a four-option MCQ test, a distractor is usually called non-functional when:

    1. AMore upper-group students choose it
    2. BFewer than 5% of examinees choose it
    3. CIt is longer than the correct option
    4. DMost of the lower-group students choose it

    Answer and explanation in LearnFree account

  24. Question 24 · Medium

    The medical-surgical nursing and pharmacology teachers of the same semester plan their timetables so that antihypertensive drugs are taught in the week the nursing care of hypertension is taught. This is:

    1. AHorizontal integration
    2. BSpiral sequencing
    3. CVertical integration
    4. DCore curriculum design

    Answer and explanation in LearnFree account

  25. Question 25 · Medium

    The defining feature of problem-based learning is that the problem is:

    1. ASolved by the tutor as a worked demonstration
    2. BKept for the end-of-term written examination
    3. CGiven after a lecture to apply what was taught
    4. DGiven before the students have studied its content

    Answer and explanation in LearnFree account

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