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Question Exam Item Writer Jobs (NOW HIRING)

AMBOSS GmbH // MIAMED GmbH

$125 - $150/hr

# Freelance Question Reviewers (Anesthesia )United StatesResearch & DevelopmentHi! We are AMBOSS, and ... or item writing (especially for residents or board exam preparation, e.g., ABA item-writing ...

IntraEdge

Cisco CCDE Exam Program Manager

... CCDE written and Practical exam throughout the entire exam development lifecycle. * Use both ... Build a healthy exam item bank, respecting the exam design guidelines. * Build working ...

Protingent

Licensed Exam Developer

Kemmerer, WY · On-site

$141K - $212K/yr

Develop, update, and validate written examinations, simulator operating tests, JPMs, LOCT examinations, and exam scenarios using validated exam-development methodologies (item analysis, psychometrics ...

TerraPower LLC.

Licensed Exam Developer

Kemmerer, WY · On-site

Develop, update, and validate written examinations, simulator operating tests, JPMs, LOCT examinations, and exam scenarios using validated exam-development methodologies (item analysis, psychometrics ...

TerraPower LLC.

Licensed Exam Developer

Kemmerer, WY · On-site

Develop, update, and validate written examinations, simulator operating tests, JPMs, LOCT examinations, and exam scenarios using validated exam-development methodologies (item analysis, psychometrics ...

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How much do question exam item writer jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for question exam item writer in the United States is $38.94, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $47.12 per hour, depending on experience, location, and employer.

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Infographic showing various Question Exam Item Writer job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 83% Full Time, 13% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $81,001 per year, or $38.9 per hour.

NCLEX/NGN Item Writer (Part-Time Contract)

Remote

Archer Review LLC
See more jobs at Archer Review LLCexternal

$75/hr

Contractor

Posted 15 days ago

Job description

About the Company
Archer Review is a private equity-backed education technology company supporting medical and nursing students in their professional journeys. Our mission is to equip health care learners, educators and leaders with the knowledge, resources and confidence they need to succeed - personally and professionally.
Our fully remote team of educators, clinicians, technologists, creatives and operators support and collaborate one another and share a genuine commitment to making a difference.
Archer Review has been recognized for four consecutive years by Inc. 5000 and for two years by Deloitte Technology Fast 500 as one of the fastest-growing technology companies in the United States. The company also ranks No. 5 on the 2024 Financial Times list and No. 3 on the Inc. Southwest Regionals list for high growth companies.
Our Values
  • Excellence: We innovate constantly, adapt with agility, embrace challenges, welcome change, move with intention, and hold ourselves accountable.
  • Outcomes: We deliver real outcomes that include measurable progress, skills mastery, and meaningful achievements.
  • Empathy: We see the world through the eyes of our learners and partners, meeting them where they are, adapting to their needs, and walking alongside them with compassion and respect.
  • Service: We are trusted partners who provide forward-thinking approaches and world-class service.

About the role
Contract | Part-Time | Approximately 15 hours per week | Through December 31, 2026
Archer Review is seeking an experienced NCLEX/NGN Item Writer to support the continued development and enhancement of our nursing school question bank and course-level examinations.
This is a part-time contract opportunity for someone with strong nursing assessment experience who understands what makes a high-quality NCLEX-style question and is especially comfortable developing Next Generation NCLEX (NGN) content. You'll work alongside our existing contractor team to create and refine assessment content that strengthens clinical reasoning, aligns with nursing curriculum objectives, and prepares learners for NCLEX-style assessment.
What you'll do
In this role, you'll contribute across several areas of nursing assessment development, including:
  • Write new NCLEX-style questions for Baseline and Summative exams across a range of nursing school courses.
  • Review and revise existing questions for clinical accuracy, clarity, difficulty, quality, and alignment with course content.
  • Develop new NGN standalone items using a variety of NGN question types and formats.
  • Create clinically coherent scenarios that assess skills such as cue recognition, analysis, prioritization, decision-making, and evaluation.
  • Revise QBank questions based on beta testing results and editorial feedback, including adjusting item difficulty, addressing content gaps, and reducing unnecessary overlap or duplication.
  • Develop clear, accurate, educational rationales and appropriate answer options, scoring, or response structures.
  • Incorporate editorial and clinical feedback and revise assigned content through final acceptance.
  • Follow Archer Review's item-writing standards, style guidelines, workflows, and required content formats.

Qualifications
The strongest candidates will bring:
  • Demonstrated experience writing high-quality NCLEX-style nursing assessment items.
  • Strong experience with Next Generation NCLEX (NGN) item development.
  • Familiarity with multiple NGN item types, formats, and scoring structures.
  • Strong understanding of clinical judgment and the ability to build questions that assess application and clinical reasoning rather than simple recall.
  • The ability to work across a range of nursing school course content and adjust question difficulty to the intended learner level.
  • Excellent written communication skills and exceptional attention to clinical accuracy, clarity, and detail.
  • The ability to independently incorporate feedback and consistently meet established quality standards and deadlines.

What Success Looks Like
You'll help Archer Review develop launch-ready nursing school assessment content for the Spring 2027 semester. Your work will contribute to:
  • High-quality Baseline and Summative exam content.
  • Stronger QBank questions informed by beta testing and curriculum needs.
  • Expanded availability of NGN practice across the nursing curriculum.
  • Consistent, clinically accurate questions that reflect NCLEX expectations and realistic nursing decision-making.

Engagement Details
  • Type: Independent contractor
  • Expected commitment: Approximately 15 hours per week
  • Contract term: Through December 31, 2026
  • Project timeline: Work will be prioritized throughout the engagement based on course needs, beta testing results, and NGN production requirements.
  • Location: Fully remote
  • Compensation: $75/hour

Archer Review will provide onboarding, item-writing standards and style guidance, assigned curriculum topics and lessons, beta testing feedback where applicable, platform support, and ongoing editorial and clinical feedback.
Archer Review is an equal opportunity employer. We welcome applications from candidates of all backgrounds and experiences.

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