New Types of Questions are needed for Nursing Programs in CA

[gabi_aliyev]

This idea has been developed and deployed to Canvas

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To Whom It May Concern,

RN students take their tests throughout the program via Canvas to get ready for their CA BRN NCLEX Licensure examination upon graduation. NCLEX is being updated, and the students that are currently enrolled in Nursing Programs in CA are going to take a new version of the test, Next Generation NCLEX (NGN). NGN has new types of questions. Some of them we are able to include in exams by adjusting available types of questions on Canvas. However, there are two types of questions that we are not able to have on our exams, which will negatively affect students' prep for getting their RN licenses.

Missing types of questions are: Matrix Multiple Response and Bow-Tie.

It would be great if Canvas team could work on building in these options! We need to graduate nurses who could pass their NCLEX exams, get their licenses, and begin taking care of the patients.

If more info is needed on specifics of the question types, please feel free to reach out to me at gabi.aliyev@gcccd.edu.

Thank you for your time and consideration!

Gabi Aliyev DNP, MSN Ed, RNC

Associate Professor

Nursing Program

Grossmont College

Transforming Lives Through Education

[KristinL]

Hi @gabi_aliyev -

Thank you for submitting this detailed request! To help the idea process and our Project Managers, would you mind splitting these into two separate ideas? You can keep one here and then create a new idea for the second request. Creating a title to reflect the specific question type in the post would be really helpful too!

[diane_darling]

I am also interested in seeing some changes to Canvas quizzes to accommodate the NGN. Like Gabi we have some question types working with the current features in Canvas. 

The scoring of the NGN will includes (+/-) scoring for which students lose points for selecting incorrect information.  This does not seem possible in Canvas -- anyone? 

Thank you, 

Diane 

[KristinL]

I think that these changes are reasonable requests! To better help the Project Managers, each update to quiz questions and/or grading need to be submitted independently. 

How do idea conversations work in the Instructure Community? 

How do I create a new idea conversation in the Instructure Community? 

I'll leave this thread in our "Moderating" state until February 14th to make it easier to find and to use as a resource to build those individual ideas. At that time, it'll be Archived to help the Community Team prioritize and sort the requests.

[KristinL]

  Comments from Instructure

Our Rich Content Editor in Fill-in-the-Blank questions allows users the ability to use rich text within the question type and opens up how an instructor can format a question with increased capabilities for paragraph formatting, scientific or mathematical formulas, or a table. This feature supports fill-in-the-blank types for fill-in-the-table, multiple drop-down, multiple fill-in-the-blank sentences, and entering equations or formulas. Possible Answer Types include a dropdown, open entry, or word bank.

Note: Rich Content Editor in Fill-in-the-Blank (FITB) Questions will deploy to Beta in mid-April

We have compiled a list of the seven new NCLEX NGN question types with suggestions on which Canvas question types could be used and where there might be alternative question types that can be used. As with the other types of NCLEX questions, there may be some adjustment using the available types of questions on Canvas to get the format aligned with how NCLEX question types appear.  Not all of the suggested question types are exact matches, 1 for 1, to the NCLEX question types but there may be different ways to make the functionality work.  

For the specific types that you mentioned, we suggest the following:

• For a Matrix Multiple Response question we recommend a series of Multiple Answer questions associated with a stimulus.  For a Matrix/Grid, we recommend the use of a Fill-in-the-blank question type with a table where a user could set up a same row/same column structure but the student will only be picking a single option per table cell, not multiple answers per row.
• For a Bow-Tie question, we recommend the use of a Fill-in-the-Blank question type with Dropdowns which allows for specific lists for each item. The Rich Content Editor in the Fill-in-the blanks can recreate the layout of the bowtie using an invisible table and use dropdowns for specific lists of answers.  See example in the list below.

 

Canvas Question Type Suggestions

NCLEX NGN Question Type: Extended Multiple Response

Similar to the multiple-choice item type on the previous iterations of the NCLEX, the item stem for an extended multiple-response question is a text-based scenario that outlines a realistic situation in healthcare. The extended model has more options and requires, or allows, for more than one correct answer. Exam-takers can earn partial credit on these questions.

 Canvas Question Type: Multiple Answer Question Type

 Multiple Answer Question Type:

NCLEX NGN Question Type: Extended Drag-and-Drop

Like the ordered response questions (alternate-format NCLEX questions), the extended drag-and-drop items often require test-takers to prioritize aspects of patient care or presenting symptoms. A major difference between the two is that not all response options are required or appropriate.

Canvas Question Type: Fill-in-the Blank Question with a Word Bank Answer

(There are some known issues with the word bank answer type that have not yet been addressed. For now, we suggest setting up the same question using multiple dropdowns instead of word banks.) 

Word Bank:

NCLEX NGN Question Type: Cloze (Drop-Down)

With this item type, exam-takers must choose from a list of possible options from drop-down menus that appear in a sentence, chart, or table. There could be up to six responses for each item.

Canvas Question Type: Fill-in-the-Blank Question with a drop-down answer

Drop-down:

NCLEX NGN Question Type: Enhanced Hot Spot (Highlighting)

These items allow exam-takers to highlight one or more portions of a text or table concerning a client’s medical record to answer the question.

Canvas Question Type: Hotspot

​​If the text or table is an image, a student could click part of it, however this type only allows for a single zone/answer per question.

Hot Spot:

Alternative: Multiple Choice for selecting text, if the spots have labels or highlights, they could ask them which label is correct

Multiple Choice Option:

NCLEX NGN Question Type: Matrix/Grid

Used to measure multiple aspects of a clinical scenario, this question type requires exam-takers to choose one or more answers from a row and/or column in the matrix (grid).

Canvas Question Type: Fill-in-the-Blank using a table

Fill-in-the-blank using a table and drop-downs:

Alternative: Stimulus on the left with a series of multiple answer questions, one for each row. Currently, multiple answer questions require at least one selection. So, this type wouldn’t work if all options are supposed to be unselected.

Stimulus:

NCLEX NGN Question Type: Bowtie 

For this item type, exam-takers place answers in the five spaces that resemble a bow. For example, a candidate will place the answer for the condition the patient is most likely experiencing in the middle of the bowtie. The two answers on the left may correspond to appropriate actions to take given the condition. The two answers on the right side of the bowtie would then represent the parameters to monitor and gauge the patient’s progress.

Canvas Question Type: Fill-in-the-Blanks with Dropdowns allows for specific lists for each item

Rich Content Editor in the Fill-in-the blanks can recreate the layout of the bowtie using an invisible table and use dropdowns for specific lists.

Using invisible table and dropdowns:

Alternative: Categorization question

Categorization:

NCLEX NGN Question Type: Trend

Addresses multiple steps of the NCJMM by having the student review information over time. Trend standalone items can feature any item response type.

Canvas Question Type: Stimulus on the left with a series of questions

More info can be found here: How do I insert stimulus content in New Quizzes?

[kfairbanks]

Is there a timeline for when the NextGen NCLEX question types will go into production?

[cindy_masek1]

These are some great workarounds. One that I am still struggling with, however, is the stimulus with the question beside it. In the NGN NCLEX, the student has access to several tabs of information in the stimulus area. Yes, you could put it all on the left in a long section, but it would be a long section indeed and would require the student to do a lot of scrolling as well as making it impossible to look at the question and the pertinent content in the stimulus side by side as intended. 

I wonder if it would be possible to either make tabs like NCLEX or make the question float up and down with the scrolling? With adequate labeling on the stimulus, you could make it nearly as convenient as the labeled chart tabs. The intent is that a student could be knowledgeable enough to go to the correct tab and not read the whole chart. It is my understanding that it sn't intended that they read all the content. If you put all of it visible at once in the stimulus it would make it appear that the expectation would be to read it all, don't you think? 

We could teach the students to look for the appropriate heading of text sections, but I worry that this wouldn't be similar enough to the NCLEX. Thoughts anyone? Other nursing faculty?

[heather_stockfo]

We have the same need @cox College. Faculty are needing these quiz types to begin fall term.

Any help is appreciated with education on how to address these new quiz questions types.

Thank You!

: )  Heather