The NLN brought concerns about high stakes tests to the nursing community with its December
2010 Reflection & Dialogue which was based on the outcomes of the NLN Presidential Task Force on
High-Stakes Testing. Comprising leaders in nursing education, nursing practice, health care, and
higher education, the task force began to develop policy guidelines for the use of end-of-program
testing, exploring current thinking and making recommendations for policy guidelines and practices
in nursing education programs.