Implementing computer-based testing in distance education for advanced practice nurses: lessons learned.

A distance education program utilized by graduate nursing students worldwide faces unique problems with testing. This article presents the results of a pilot study on the implementation of computer-based testing at the Frontier Nursing University. A detailed analysis of the evaluative survey completed by students in the pilot study revealed issues of hi-directional respect and trust between faculty and students and technological anxiety among students using computer-based testing.