NCC Item Development

  • Staff or content team originates item writing assignment based on test outline
  • Content team members or outside item writers receive assignment
  • Content experts write and validate proposed test questions
  • New items returned to NCC office
  • Staff conducts editorial review
  • Items are pretested
  • Items with pretest statistics are reviewed by the content team members for acceptance or rejection
  • Items are used on a certification or subspecialty exam
  • Acceptable items are placed in the item bank