The Science Journal of the American Association for Respiratory Care

2009 OPEN FORUM Abstracts

DISTRIBUTION OF THE COGNITIVE LEVELS OF THE 2010 NBRC WRE MATRIX AND OF THE MULTIPLE-CHOICE QUESTIONS IN FOUR RT BOOKS

David Chang; Cardiorespiratory Care, University of South Alabama, Mobile, AL

BACKGROUND: The NBRC Written RRT Examination (WRE) uses three cognitive levels (Recall, Application, Analysis) as one of the criteria for item construction. According to the 2010 NBRC WRE matrix, the 100-item examination has the following distribution of cognitive levels: Recall (Re) 6%, Application (Ap) 15%, Analysis (An) 79%. This study compares the cognitive levels of the multiple-choice questions in the 2010 NBRC WRE and four RT books. METHOD: Four different types of RT books are used in this study. The abridged Bloom’s taxonomy and the NBRC guidelines are used to determine the cognitive levels of the multiple-choice questions in one randomly selected chapter from each of the four RT books. Frequency count is used to compile and calculate the percentage of cognitive levels of multiplechoice questions. The RT books (year of publication) include one comprehensive textbook (Comp 2002) with 26 questions, one comprehensive workbook (Work 2009) with 67 questions, one exam review book (Review 2006) with 33 questions, and one mechanical ventilation textbook (Mech 2006) with 25 questions. RESULTS: The results are rounded to the whole percentage and the distributions of cognitive levels of the multiple-choice questions are: Comp 2002 (Re 65%, Ap 27%, An 8%); Work 2009 (Re 72%, Ap 18%, An 10%); Review 2006 (Re 39%, Ap 24%, An 36%); Mech 2006 (Re 76%, Ap 4%, An 20%). CONCLUSIONS: The cognitive level of the NBRC WRE is concentrated and skewed toward the Analysis level. Comparing to the 2010 NBRC WRE matrix, the multiple-choice questions in the selected chapters of the four RT books are deficient at the Analysis level. During the course of study and preparation for the NBRC WRE, RT faculty and students should not rely solely on the RT books. Supplement learning resources should be used to enhance the higher cognitive problem-solving skills. Sponsored Research - None

Distribution of Cognitive Levels of Multiple-Choice Questions

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