This document discusses different types of test items used in nursing education, including short-answer and essay items. Short-answer items include fill-in-the-blank and completion questions that test for factual information. Essay items require students to develop their own answers and can test higher-level learning. Essay items can be restricted-response or extended-response. The document outlines best practices for writing, scoring, and using both short-answer and essay items to evaluate students. It also discusses potential issues with essay tests and how to address reliability and validity concerns.