The document discusses online testing and assessment of learning in nursing education. It describes how online education has grown and definitions of related terms. It also outlines challenges of online testing, such as academic dishonesty, and provides solutions. These include establishing policies, timed exams, randomized questions, different test versions, open-book exams, and high-tech options like proctoring and browser security. The document also discusses assigning online coursework, the importance of feedback, and using rubrics.