Nursing students usually complain that there is no uniformity in the practical examination/test of medical surgical nursing or nursing foundation; some students were given the procedure of bedsore care, and some were assigned oral care. Questions asked in viva voce were also different for every student. This situation raises the question how the performance of the students can be compared with each other if they are not given the same evaluation tools. In this type of exam there is a possibility that poor students may luckily get easy procedures to perform and simple questions in viva voce, and hence obtain excellent marks and vice versa. Can this type of test be a standardized test? In this chapter ...