A study examines educational preparation and the average score on a cultural competency exam. Subjects included are nurses with an associate's degree, nurses with a baccalaureate degree, nurses with a master's degree, and nurses with a doctoral degree all of whom complete a survey of 40 questions. What test would be appropriate to determine if there is a significant difference in the average scores among the nurses with the different levels of educational preparation?

A.) Chi-Square

B.) Independent t-test

C.) Outcome Analysis

D.) ANOVA