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These item formats, in contrast to multiple-choice questions, are suitable for assessing competencies that are relevant in vocational situations, because they measure how well test-takers are able to generate answers, act, and express themselves (see Hanna and Dettmer 2004).

These item response categories were shown to be valid using Rasch analysis [ 32].

These item responses were dichotomised into "1" and "2" = 1, and 3 5 = 0.

These item numbers covered a limited number of services provided by PNs, including wound dressings, Pap smears and immunisations.

These item sequences are concomitantly inserted into another table of the database, so that after the examination the mapping between individual answers and MCQ contents can be reproduced.

These item banks can be used to build flexible short forms and computer adaptive tests for different populations or clinical conditions, while scores on these measures remain directly comparable.

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