Creating Questions & Case Study Notes

How to Create a Question in ADAPT

Log in to ADAPT and access the assignment where you want to add a quiz question.
Click on the "New Question" button in the top left corner.
Enter a descriptive title for your quiz question.
Select the question type as "Question".
Choose whether you want to make the question public or keep it private. Typically you will only select to make a question public if you intend to share it with other instructors.
Specify a folder where the question will be stored. You can either choose an existing folder or create a new one.
Specify a license for your question. This indicates what the usage rights for your questions are. CC BY-NC is a common license type for sharing with others, while All Rights Reserved is appropriate for private content.
Tags are useful to add to questions you will be sharing with others. Consider tags such as your institution's abbreviation, "NCLEX", "Nursing", etc.
Framework Alignment is an optional field if there is an existing framework in ADAPT that your question aligns to.
In the "Content" section, expand the "Auto-graded technology" section. Then, in the "New" menu, choose "Native".
- Basic question types will be displayed by default. These are typical question types you find on most exams, and can be used as needed.
- For Next Gen NCLEX question types, choose the "Nursing" option. A list of the next gen question types will be displayed.

The steps above can be followed for all questions in ADAPT. From this point, you can refer to the sections below for information on authoring each specific Next Gen NCLEX question type. You can als refer to the section below for information on how to author Case Study Notes within ADAPT.

Overview of all question types

Bowtie: Candidates are presented with a situation that requires a multi-step approach to problem-solving.

Matrix Multiple Choice: Candidates are presented with a table with rows and columns, and must choose the best answer for each row.

Multiple Response Select N: Candidates are asked to select a specific number of correct options from a list.

Multiple Response Select All That Apply: Candidates are presented with a list of options and must select all that apply.

Matrix Multiple Response: Candidates are presented with a table and must select all the correct answers for each row.

Highlight Table: Candidates are presented with a table and must select the cells that answer the question.

Highlight Text: Candidates are given a passage and must select a specific phrase or sentence that answers the question.

Multiple Response Grouping: Candidates are presented with several groups of options and must select at least one correct option from each group.

Drop-Down Table: Candidates are presented with a table with dropdown menus and must select the best option for each cell.

Drop-Down Dyad: Candidates are given a question stem with two blanks to fill in. These blanks have their own separate pools of choices, and candidates are tasked with choosing the option for each blank.

Example: The client is at risk for [disease] as evidenced by [type-of-assessment].

Drop-Down Triad: Candidates are given a question stem with three blanks to fill in. The first blank uses its own pool of choices, in which candidates must make the correct choice from what is given. The other two blanks share a common pool of choices, just like the dyad question type, and must choose the two correct choices from that pool. In this question type, the order of the last two blanks does not matter.

Example: The client is at risk for [condition] as evidenced by [rationale] and [rationale].

Drop-Down Cloze: Candidates are given a passage with blanks and must select the best option from a drop-down menu for each blank to complete the passage. In this question type, each blank has its own separate pool of choices.

Example: The nurse should perform [assessment]. It would also be a priority for the nurse to request a prescription for [prescription]. The nurse should prepare the client for surgery within [timeframe].

Drag-and-Drop Cloze: Candidates are given a passage with blanks and must choose the best option for each blank to complete the passage. In this question type, all blanks share a common question pool, and the order of choices does not matter.

Example: The client is at risk for developing [complication-1], [complication-2], and [complication-3].

Case Study Notes: Create tabs of information that sit alongside the questions you author and provide information for the candidate regarding the case study.

Bowtie

The following is a step-by-step guide on how to author a Bow Tie question in ADAPT:

Choose Bow Tie as your question type.
Go to the first part where it's asking for a prompt and populate the instructions for what you want the learners to do in the Bow Tie.
Provide the correct responses in the fields for the three sections of the Bow Tie: actions to take, potential conditions, and parameters to monitor.
To add incorrect answers, click on "Add Distractor."
You can add as many options as you want for each of the three sections.
Once you are happy with what you have created, scroll down and click on "Preview" to see what the question will look like. Note that the choices will be shuffled for learners.
Respond to the question in the preview to ensure it's functioning properly.
Once you are satisfied with your question, click on "Save."

Note: Bow Tie questions in ADAPT are set up as checkboxes instead of drag-and-drop for accessibility reasons.

Matrix Multiple Choice

The following is a step-by-step guide on how to author a Matrix Multiple Choice question in ADAPT:

Choose Matrix Multiple Choice as your question type.
Provide instructions for the Learner in the prompt area.
Fill in the table portion by specifying the conditions that will compose the table.
Add rows and columns as needed by clicking on the "Add Row" or "Add Column" button.
To specify the correct answers, hit the answers within the table.
Once you are happy with what you have created, click on "Preview" to see what the question will look like.
Respond to the question in the preview to ensure it's functioning properly.
Once you are satisfied with your question, click on "Save."

Note: A Matrix Multiple Choice question is essentially a table with different multiple choice questions in each row of the table. You can add as many rows and columns as you need to meet your question requirements.

Multiple Response Select N

The following is a step-by-step guide on how to author a Multiple Response Select n question in ADAPT:

Choose Multiple Response Select n as your question type.
Type in a prompt for the question in the prompt area.
Indicate the number of responses the Learner needs to specify to answer the question completely by putting brackets around the number.
Specify the correct responses to choose and any incorrect responses to choose below the prompt area.
Once you are happy with what you have created, click on "Preview" to see what the question will look like.
Respond to the question in the preview to ensure it's functioning properly.
Once you are satisfied with your question, click on "Save."

Note: In a Multiple Response Select n question, the Learner needs to specify a certain number of responses to answer the question completely. You need to put brackets around that number in the prompt area. The system will give an error if the Learner selects too many or too few responses.

Multiple Response Select All That Apply

The following is a step-by-step guide on how to author a Multiple Responses Select All That Apply question in ADAPT:

Choose Multiple Responses Select All That Apply as your question type.
Type in a question in the prompt area.
Specify the correct responses and any incorrect responses below the prompt area.
Once you are happy with what you have created, click on "Preview" to see what the question will look like.
Respond to the question in the preview to ensure it's functioning properly.
Once you are satisfied with your question, click on "Save."

Note: In a Multiple Responses Select All That Apply question, the construction is similar to the Multiple Response Select n question type, but the prompt doesn't specify a specific number of responses that the learner must indicate. Instead, the learner can select all the correct responses available.

Matrix Multiple Response

Here's a step-by-step guide on how to create a Matrix Multiple Response question type:

Begin by accessing the question creation interface and selecting the Matrix Multiple Response option.
Start by providing clear instructions for the learner in the prompt area.
Label the columns in the table. For example, you may list different patient symptoms in the first column and then indicate medications in the subsequent columns, so learners can specify which medications would be suitable to treat a given symptom.
Add additional rows/columns as needed.
Indicate the correct choices for each row by selecting the appropriate checkboxes under each column. You can select more than one checkbox for each row.
You can also add incorrect choices as needed.
Preview the question to ensure everything looks correct and the checkboxes are functioning properly.
Save the question and it will be ready to use in your quiz or assessment.

Remember that the Matrix Multiple Response question type is very similar to the Matrix Multiple Choice question type, but with the added ability for learners to select more than one option per row.

Highlight Table

The following is a step-by-step guide on how to author a Highlight Table question in ADAPT:

Choose Highlight Table as your question type.
Create a table with a title for column one and column two.
Under column one, indicate labels for each of the rows.
Add additional rows by clicking the "Add Row" button.
Populate column two with information.
Indicate what the Learner should highlight by using brackets around the information in column two.
Below the table, a new section will pop up indicating whether the Learner should highlight it or not.
Specify correct answers to highlight and any incorrect answers.
Once you are happy with what you have created, click on "Preview" to see what the question will look like.
Respond to the question in the preview to ensure it's functioning properly.
Once you are satisfied with your question, click on "Save."

Note: In a Highlight Table question, you create a table of information and indicate what the Learner should highlight using brackets. The Learner will have options to highlight instead of select.

Highlight Text

The following is a step-by-step guide on how to author a Highlight Text question in ADAPT:

Choose Highlight Text as your question type.
Type in a prompt in the prompt area for the learner to analyze and indicate what pieces of information they should select as being part of the correct answer.
Use brackets to indicate potential choices for the learner to select.
Indicate whether choosing those words would be part of a correct answer or not below the text.
Once you are happy with what you have created, click on "Preview" to see what the question will look like.
Respond to the question in the preview to ensure it's functioning properly.
Once you are satisfied with your question, click on "Save."

Note: In a Highlight Text question, you provide some text for the learner to analyze and indicate what pieces of information they should select as being part of the correct answer. You can use brackets to indicate potential choices for the learner to select, and indicate whether those words would be part of a correct answer or not below the text.

Multiple Response Grouping

The following is a step-by-step guide on how to author a Multiple Response Grouping question in ADAPT:

Choose Multiple Response Grouping as your question type.
Type in a prompt in the prompt area where you provide instructions to the learner.
Add labels to the columns of the table.
Add labels to the rows of the table.
For each row, indicate multiple choices that could be selected in the respective column to the right.
If you want to do more than two groups worth, click on "Add Grouping" to add another row.
Indicate correct responses by clicking on those that would be correct.
Once you are happy with what you have created, click on "Preview" to see what the question will look like.
Respond to the question in the preview to ensure it's functioning properly.
Once you are satisfied with your question, click on "Save."

Note: In a Multiple Response Grouping question, you use a table where learners have to choose which of the multiple responses should be selected in each row and indicate whether they are correct or not. You can add more rows by clicking on "Add Grouping."

Drop-Down Table

The following is a step-by-step guide on how to author a Dropdown Table question in ADAPT:

Choose Dropdown Table as your question type.
Type in a prompt in the prompt area where you provide instructions to the learner.
Add labels to the columns of the table.
Add labels to the rows of the table.
For each row, specify a single correct answer and add some incorrect answers as well.
If you want to have more options in one than the other, add more choices for that row.
Once you are happy with what you have created, click on "Preview" to see what the question will look like.
Respond to the question in the preview to ensure it's functioning properly.
Once you are satisfied with your question, click on "Save."

Note: In a Dropdown Table question, you provide a table with columns and rows. For each row, you specify a single correct answer and add some incorrect answers as well. You can have more options in one than the other. When the learner is presented with this question, the choices will be shuffled.

Drop-Down Dyad

The following is a step-by-step guide on how to author Drop Down Dyad questions in ADAPT:

Start by creating a sentence or statement with a blank space where the learner needs to choose the correct option from a list.
Use square brackets around the word or words that you want to be the blank space.
Add placeholder words inside the square brackets for the correct response, such as "disease" or "type-of-assessment".
Create a list of possible responses for the blank spaces, including one correct option and several incorrect options.
Save your question and include it in your course materials.

That's it! With these steps, you can create Drop Down Dyad question types in ADAPT.

Drop-Down Triad

The following is a step-by-step guide on how to author Drop Down Triad questions in ADAPT:

Start by creating a sentence or statement with a blank space where the learner needs to choose the correct option from a list.
Use square brackets around the word or words that you want to be the blank space.
Add placeholder words inside the square brackets for the correct response, such as "disease" or "type-of-assessment".
Create a list of possible responses for the blank spaces, including one correct option and several incorrect options.

Note: The first blank uses its own pool of choices, in which candidates must make the correct choice from what is given. The other two blanks share a common pool of choices, just like the dyad question type, and must choose the two correct choices from that pool.

Save your question and include it in your course materials.

That's it! With these steps, you can create Drop Down Triad question types in ADAPT.

Drop-Down Cloze

The following is a step-by-step guide on how to author Drop Down Cloze questions in ADAPT:

Start by preparing a passage with some blanks that need to be filled in.
Identify the unique choices for each blank in the passage using square brackets.
For each drop-down menu, select the correct answer from the pool of choices you created for that blank.
Add in some distractors for each drop-down menu.
Save the question and add it to your assessment or test.

And that's it! By following these steps, you should be able to create a drop-down cloze question type.

Drag and Drop Cloze

Here's a step-by-step guide on how to create a Drag and Drop Close question type:

Begin by typing your prompt or question in the prompt area, and indicate the sections where an answer or word choice needs to be given by placing brackets around those sections.
In the distractor area, add in some incorrect answer choices.
Click on preview to see the sentence with the blanks that need to be filled in.
Save your question.

Note: Instead of drag and drop, which can be a hindrance for learners with vision impairment, we will use drop down menus. The learner will click on the drop down menu and choose the appropriate option for each blank.

That's how you build the Drag and Drop Close question type.

Case Study Notes

Case Study Notes is a feature available in ADAPT that allows instructors to provide tabs of information that live alongside the questions in their assignments. These case study notes are meant to mimic the experience that students will have when answering questions on the NCLEX examination. Accessing and using these case study notes requires instructors to do a couple of things. First, they must enable the Case Study Notes feature on their ADAPT account.

Enabling Case Study Notes for your ADAPT account

Login to your ADAPT account.
Once logged in, click on your name in the upper right corner and then click on "Settings."
From here, click on "Account Customizations" and set the "Case Study Notes" option to "Shown."
Finally, click on "Update."

By following these steps, instructors will be able to enable Case Study Notes on any assignment they may be working on within ADAPT.

Adding Case Study Notes to an Assignment

Once enabled, instructors can add Case Study Notes to an ADAPT assignment by accessing that assignment and clicking on the "Case Study Notes" option.

Access the ADAPT assignment that you want to add Case Study Notes to.
Click on the "Case Study Notes" option on the left-hand side. You will see a couple initial options available if the assignment does not currently have case study notes:

Common question text: This is text that will follow the learner as they progress throughout the case study. An example of what you might include in this area would be something like, "The nurse is treating a 75-year-old patient at a long-term care facility who is suffering from dementia."

Add additional notes: Click into this menu to display a number of different tabs that you can add to the Case Study Notes area. Once you have added a tab, a new section will be displayed below where you can enter in the relevant information.

If you want a given tab to update with new information at some point throughout the case study, click into the "Additional Notes" menu and add that tab again. Doing so will add an additional text box below the first one, in which you can provide the updated information.
You will also see a menu above the text box labeled "First Application." This menu allows you to indicate at what point throughout the case study the information in an updated tab should be displayed.
Once you are done, make sure to click "Save" to save the information entered.

Note: Adding case study notes is typically easiest once you already have the questions in your assignment.