The tester has 2 scales: Battery voltage and load current. The way it works is that the load tester is a very high current, variable resistance short circuit. You use the load knob rotating ccw to reduce amperage and cw to increase it. Always leave the instrument fully ccw......open circuit essentially.
Assume your service manual says that your engine requires 200 amperes to start; a 200 hp may be in that range. My little 90 could need as much as 150 amps. You want to know if your battery is capable of putting out that much current and holding it's voltage. In short, are all the cells performing as expected? If not the voltage that is not across the battery terminals for you to send to your starter is being dissipated inside the battery across the bad cell.
In making the measurement, move quickly so as to not discharge your battery or overheat the tester or wiring. Move the load (amperage) knob cw rapidly until you get to 200 amps on the amperage meter and quickly take a reading on the battery voltage meter. Turn the load knob right back to zero as fast as is convenient.
The reading you got was the terminal voltage of the battery supplying that amount of current. To get a bendix on your starter to operate correctly it needs about 10v min. If your battery reading was 11v or higher you are in good shape as long as your interconnect resistance isn't high meaning the wiring and terminals are clean, bright, and tight.
A better way to make the measurement is to put one of the voltage clips (black) on the starter black lead, or - or engine block at a good solid tie point as close to the starter - as you can get. Put the red lead from the tester on the 3/8" input stud to the starter solenoid; not the lead from it to the starter but to the input.....you don't want the starter to turn over.
Run the test again and this time when you make it you have all the circuit, except the internal resistance of the starting solenoid in the current loop.
Now run your amperage up to 200 amps and check the voltage. If 10v or better you are good to go. If less, somewhere between the battery and these two points mentioned, could be in the red wiring circuit or the black, you have a bad connection. I'll tell you this, it won't take it long to get hot so it's pretty easily detected.
HTH,
Mark