Previous studies have shown that, when administered a self-adapted test, a few examinees will choose item difficulty levels that are not well-matched to their proficiencies, resulting in high standard errors of proficiency estimation. This study investigated whether the previously observed effects of a self-adapted test--lower anxiety and higher…

Effects of altering test difficulty on examinee ability measures and test length in a computer adaptive test were studied for 225 medical technology students in 3 test difficulty conditions. Results suggest that, with an item pool of sufficient depth and breadth, acceptable targeting to test difficulty is possible. (SLD)