A career-critical exam differs greatly from an end-of-semester exam. One major difference is that a licensure or certification exam seeks to determine if you are minimally competent — safe — to perform your job. Therefore, to prepare yourself to deal with application-level exam questions, take my 7 suggestions:
The items on the IBLCE exam are constructed in a very similar way. Check out my post on the anatomy of an exam item.
If you have acquired knowledge and facts, you can answer a simple recall question. Here are some examples.
(If you’re just reciting the facts, I can give you plenty about mastitis!)
True, you do need to know this information. But don’t waste your time practicing how to handle these questions. You will see few such questions on the IBLCE exam.
An exam item about the MOST urgent action, or the BEST response, or the FIRST step implies that more than one of the options listed might be appropriate. But only one is most, or best, or first. Very frequently, application-level exam questions have qualifiers in the stem.
Lower-level items require knowledge only. However, application-level exam questions usually involve some sort of a scenario. The scenario requires you to apply knowledge using more than one concept, fact, technique, and/or rule.
Below are two test items. The first is a knowledge-level item. The second is an application-level item.
Which of these speeds, stated in miles per hour, is the typical limit on many or most U.S. highways?
Of course, you know that the answer is D, 65-70 miles per hour. Therefore, this is a simple recall question. You either know it, or you don’t.
Here, you’ll see how you must know more than one rule or fact in order to answer a question. This is more akin to a clinical vignette:
Marie is an experienced driver. She has a late-model car, and is driving north on Interstate 95 to Baltimore. During her trip, snow begins falling at a rate of about two inches per hour. What is the highest speed Marie should be driving?
You’ll need to recall that the speed limit on most Interstate Highways is 65 or 70 mph. But recall would not be adequate to answer the question. You would also need to know that snowfall of 2 inches per hour is a lot. (At that rate, a foot of snow would drop within 6 hours!) Generally, application-level exam questions require the candidate to use several facts to come to some kind of judgment, recommendation, decision, or similar action. And, if you grew up in a snow belt (as I did!) having experience helps you to know that the correct answer is option A.
Facts and knowledge are considered “lower-level” knowledge. Hence, critical thinking involves “higher-level knowledge.” Technically, “higher level” knowledge is application, analysis, or evaluation. For simplicity’s sake in this post, however, I’ll talk focus on application-level exam questions, because I do believe that’s most of what you’ll see on the IBLCE exam. But do not be surprised if you see exam items that pertain to any of these classical pillars of critical thinking:
Exam candidates need to do critical thinking to perform on-the-job roles and responsibilities. Using those classical pillars of critical thinking, you are likely to encounter exam questions that reflect:
Therefore, expect to see questions such as:
Oh, right! Recognizing the typical presentation of a clinical condition is a sneaky way of making sure that you can apply two separate concepts. First, you’ll need visual recognition of the typical presentation. Then, you’ll need to know what to do about it. Half or more of the IBLCE exam items are based on photos. Therefore, you’ll need to recognize the clinical condition in a photo. If you want to truly master this, the best resource I know of is our workbook on decoding and interpreting photos.
This is tough to explain. But when I am creating a test with application-level exam questions, I ask myself, “What could I throw at them that would make the situation — and therefore the correct answer — different?” This is also a way of integrating the two-concept idea. Here, you can see some examples.
In conclusion, I find that most people don’t have a clue about the difficulty level of the IBLCE exam items. To try your hand at all of this, get our practice exams, which past exam candidates have said “feel” about as difficult as the real IBLCE exam.
If you found this post helpful, please forward it to everyone you know who is preparing for the upcoming IBLCE exam!
