The document outlines 5 steps to create and use a test in Blackboard: 1. Create test items in the Test Manager or import from a previous course. 2. Deploy the test by adding it to a content area and set options like the number of attempts, availability, question presentation, and feedback. 3. Test the test yourself by previewing to check question formatting and see the student experience without affecting grades. 4. After students submit the test, their scores will be in the gradebook unless human grading is required, in which case partial scores are shown. Access data and unlock stuck tests from the gradebook.