Georgia

they could cheat on that at a testing center.

My exam in the mid-1990s in Texas was at a testing center, and the questions were randomized. Each question afterwards became more difficult with every question answered correctly. The questions get easier if you miss questions. The programmed tests measured knowledge in all areas of nursing, but especially in critical thinking. I was required to answer only the minimum number of questions. If a candidate was getting wrong answers, their testing continued for a more precise measurement. Occasionally, a candidate had to answer all 300+ questions to establish testing baselines.