The document provides guidelines for creating effective exams that accurately assess student learning. It recommends choosing exam question types that align with learning objectives, highlighting how the exam matches course objectives, and writing clear, explicit instructions. It also suggests having another instructor review the exam for clarity, considering the time needed to complete the exam, assigning appropriate point values to question types, and planning how answers will be scored. For multiple choice questions specifically, it lists rules like having only one best answer, writing questions and responses clearly, including plausible distractors, and avoiding grammatical clues to answers.