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Development of the orthopaedic nurses certification examination.

The certification examination for orthopaedic nurses was developed by the Orthopaedic Nurses Certification Board and the Committee for Test Development with guidance from the National League for Nursing Test Services. The construction of a written examination is a complex task and is part of the continuing responsibility of the Orthopaedic Nurses Certification Board. This paper focuses on the process of actual test construction: the organization, development, evaluation, and quality of test items.