How satisfied are you with the last assessment you gave? Would you describe your exam as a highly effective evaluation tool? How much information does it reveal about individual student’s abilities, and the overall performance of your current class as compared to previous classes? Do you trust your assessment to accurately identify which students “get it,” and which ones clearly do not grasp the content, nor meet the expected standards required to pass your course? The use of a 3-step item analysis method based on an item’s difficulty levels, discrimination values, and response frequencies provides a revealing look at the quality of your assessment by focusing your attention on the effectiveness of each test item and its contribution to the exam blueprint. Save time and effort in identifying exactly which exam questions need editing, and how much editing is required, before you take any action. You’ll likely find that replacing the item with a brand new question may not be necessary. Learn how your efforts to make small improvements within just a few exam items, guided by a systematic process of reviewing statistical results before you start editing, can drastically enhance the items’ quality, and eliminate the need to spend hours rewriting the entire exam. By using this item analysis method, your future assessments will be able to provide an accurate measurement of your students’ abilities to apply nursing content and solve clinical problems.