The element <learningAssessment> contains the learning assessment. It presents interactions that measure a learner’s progress, encourage recollection, and stimulate reinforcement of the learning content. It can be presented before the content as a pre-assessment or at the end of the content as a post-assessment. The format of each interactive assessment question can be structured as one of the following question types: true/false, single select, multiple select, completion, sequencing, matching, drag-and-drop, or hotspot. A single learning assessment can contain one or more individual "interactions", each of which contains a "question type". The interactions use a subset of the Instructional management system question-test interoperability specification.