1. Bernhofer, Esther I. PhD, RN-BC, CPE
  2. Burchill, Christian N. PhD, MSN, CEN


This article provides the nursing professional development practitioner an overview of effective development and evaluation of a commonly used measure of knowledge: the multiple-choice test. Basic principles of test development and assessment are important for evaluating learning outcomes. When the steps needed to determine the fairness, validity, and reliability of multiple-choice tests are followed, the resulting knowledge tests will lead to more trustworthy results for the evaluation of nursing professional development activities.