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7. MULTIPLE-CHOICE TEST ITEM WRITING PROCEDURE
Although multiple-choice test items are not as easy to construct as other forms, they are
very versatile, can be used to test all levels and types of knowledge, and minimize the
likelihood of the trainee obtaining the correct answer by guessing. The following guidelines
should be considered as you construct multiple-choice test items:
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Use four-answer options
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Do not use "none of the above" or "all of the above"
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Do not present a collection of true-false statements as a multiple-choice test
item
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Define the test item, task, or problem in the stem
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Avoid negative stems
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Provide sufficient counterbalance in the distractors
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Include common misconceptions as distractors
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Make answers plausible and avoid overlapping answers
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Ensure that the distractors grammatically follow the stem.
The four-distractor, multiple-choice test item is the most common and is the style preferred.
The five-answer option contributes nothing to the test item but confusion, and any format
with fewer than four distractors makes guessing correctly more probable.
"All of the above" test items provide inadvertent clues to the trainee. When the "all of the
above" option is the correct response, the trainee need only recognize that two of the
options are correct to answer the test item correctly. When the "all of the above" option is
used as a distractor, the trainee needs only to be able to determine that one option is
incorrect in order to eliminate this option. "None of the above" responses should not be
used with "best answer" multiple-choice test items, since it may always be defensible as a
response.
Each test item should be focused on one topic. A test item containing answer options
related to many separate issues does not increase the efficiency of the test item. To the
contrary, test items with multiple topics only confuse the trainee about the meaning and
purpose of the test item.
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