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The item follows the +/- scoring rule, with no negative score per column. The total score for the item is determined by summing the points earned within each column. To ensure the effectiveness of computerized adaptive testing (cat) in the nclex, the difficulty level of each item needs to be determined beforehand.
It includes multiple phases over time, reflecting changes in the client’s condition. The case study evaluates all six cognitive skills of the clinical judgment model through si...
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