Download our Exam Validation brochure

If you are a current client, you may use our Validation Seal, which you may place on your website, and correspondence, demonstrating to your clients that you are committed to providing quality screening and evaluation tools.

National Exam Validation

Nurse Testing Validation Seal
Nurse Testing Validation Seal

Our nationally validated exams were developed with the purpose of determining a nurse or healthcare professional's skill and qualification in their specialty, and their capacity to utilize and apply their knowledge to deliver safe and effective patient care.'s exams identify the most important aspect of each clinical specialty and are used by hospitals, healthcare staffing firms, and other healthcare institutions worldwide.

Our exams may be used as pre-screening tools to assess clinical skill and knowledge for new hire or current clinicians. To find out more information about our exams, and how to utilize them at your facility/company, please contact us.

Abridged Validation Report

updated 5-1-2008

For client companies undergoing surveys or reviews by accreditory organizations, you may request a comprehensive validation report by contacting our Chief Nursing Officer, Jim Ostmann. To contact Jim just fill out our contact form and be sure to choose clinical for the department.

Exam Name Crohnbach's Alpha Reliability KR 21 Formula for Reliability Average Score (Mean) National Sample
Labor and Delivery0.820.77832897
Critical Care0.720.69841123
Emergency Room0.790.7485803
RN Pharmacology0.840.83911348
LPN / LVN0.850.80821437


The content of our clinical nursing exams was developed and refined through many sources: clinical experience, interviews with staff nurses, clinical experts and nursing educators at leading national healthcare facilities. Validity for each of our exams was established by a panel of experts using results from sample tests filled out by nurses with experience ranging from new graduates to those with over 20 years of experience.


Clinical Exam questions contain multiple choice options and measure the recall of information and the application of basic knowledge in practice situations. Exams are updated annually to reflect the most current trends in Nursing Practice.


To test reliability for each clinical exam, applied Cronbach's Coefficient Alpha and the Kuder-Richardson Formula 21 to measure internal consistency.

The KR-21 Reliability Algorhythm is an alternative formula for calculating how consistent subject responses are among the questions on an exam. When used in conjunction with Cronbach's Alpha, reliability and validity are enhanced. K-R 21 assumes that all of the questions are equally difficult.

Sample Test Score Graphs:


nicu graph

Emergency Room:

er graph

Panel of Experts, Authors & Data Collectors:

Janet Stevens RN, BSN, CRN
Renell Middlecamp RN, BSN, CCRN
Ma Lodema Cruz RN-C, BSN
Leslie Huckler RN, BSN
Steven Ahm RN, BSN, CEN
Ronald Gonzalez BSN, MS
Deborah Enea RN, MSN, CNS
Monica Bohlman RN, MSN
Linda Buckwald RN, BSN
M. Jane Dolphin RN, BSN, CDE
Eve Wallace MSN, RN
Karmen Leavins BSN, RN
Donna Whaley MSN, RN
Kathy Kendrick RN
April Anthony MSN, RN
Becky Rollins RN
Lisa Block, RN, ASN
Cheryl Cioffi, MS, RN, CRNP, OCN
Kate M. Smith MS, RN, CRNP
Lisa Nichols RN-C
Elizabeth J. Cipra BSN, RN
Tina Kessinger RCP, RRT
Paul Regalia BSN, RN, MICP
Jim Ostmann Sr. RN, MBA

Validation Partner Facilities:

Frederick Memorial Healthcare System
Saint Francis Medical Center
Georgetown University Hospital

Subject Matter Experts:

Emily Waller
Michele Pike
Elaine Fetzer
Felicia Sadler
Frances Walker
Andrea Bergen Rourke
Beverly Gibson
Saundra Jirik
Kate Smith
Jamie White
Gail Chapman
Shannon Pryce
Barbara Mattson
Debra Disbrow
Angela Daly
Kelly Llewellyn
Cheryl Cioffi
Judy Roberts
Charles Hesler II
Linda Waldron-Anmar
Amy Cutler
Jack Malizzi
Laura Schiavon
Theresa Parker
Suzanne Solari-Price
Marsha Adkisson
Krisie Kuppart
Joyce Tally
Machele Mossman
Beth Kern
Gina Hileman
Lyndsey Cook
Alicia McDonald