NURSING ENTRANCE EXAM .
. All Modules: Science, Math & Verbal
2026 - 2028 | TESTING CYCLE
NEX 163 Q & A | Expert Rationales |Newly Released
.
.
.
Guaranteed Pass | Graded A+ | Complete Guide
Verbal Module
Q1: Read the passage below before answering questions 1 through 6.
Health literacy is the degree to which individuals can obtain, process, and understand basic
health information needed to make appropriate decisions. Research indicates that nearly 36
percent of adults in the United States possess limited health literacy, which correlates with higher
hospitalization rates, poorer disease management, and increased mortality. Nurses serve a critical
role in mitigating these outcomes by employing teach-back methods, using plain language, and
confirming comprehension before discharge. Effective communication is not merely the transfer
of information; it requires assessing the patient’s baseline knowledge, cultural context, and
readiness to learn. Studies demonstrate that patients with adequate health literacy are more likely
to adhere to medication regimens and attend follow-up appointments. Consequently, integrating
health-literacy assessments into standard nursing workflow is essential for improving population
health and reducing healthcare disparities.
What is the main idea of the passage?
A. Cultural context is the most important factor in patient education.
B. Limited health literacy affects patient outcomes, and nurses must use targeted strategies to
improve understanding.
C. Teach-back methods are the only effective way to educate patients.
D. Hospitalization rates have declined due to improved health literacy.
,Correct Answer: B
Rationale: Correct because the passage centers on the prevalence and consequences of limited
health literacy while emphasizing nursing interventions to improve patient comprehension and
outcomes.
Q2: According to the passage, what percentage of adults in the United States possess limited
health literacy?
A. 25 percent
B. 36 percent
C. 42 percent
D. 50 percent
Correct Answer: B
Rationale: Correct because the passage explicitly states that nearly 36 percent of adults in the
United States possess limited health literacy.
Q3: The author’s primary purpose in writing this passage is to:
A. entertain readers with patient stories.
B. persuade healthcare administrators to hire more nurses.
C. inform readers about the impact of health literacy and the nurse’s role in addressing it.
D. criticize patients who do not follow medical advice.
Correct Answer: C
Rationale: Correct because the author objectively presents data on health literacy and explains
nursing strategies, which is characteristic of an informative purpose.
Q4: Which inference is best supported by the passage?
A. Patients with limited health literacy always refuse treatment.
B. Improving health literacy can reduce healthcare costs and improve adherence.
C. Nurses should avoid using medical terminology in all situations.
D. Health literacy is determined solely by years of education.
Correct Answer: B
Rationale: Correct because the passage links adequate health literacy to adherence and follow-
up, implying that improvement in literacy could yield better outcomes and efficiency.
,Q5: In the context of the passage, the word mitigating most nearly means:
A. increasing.
B. ignoring.
C. lessening.
D. documenting.
Correct Answer: C
Rationale: Correct because mitigating means making less severe or intense, which aligns with
the nurse’s role in reducing negative outcomes related to low health literacy.
Q6: Which statement best summarizes the relationship between health literacy and patient
behavior described in the passage?
A. Health literacy has no effect on whether patients attend appointments.
B. Patients with adequate health literacy are more likely to follow treatment plans.
C. Only patients with advanced education understand medication regimens.
D. Health literacy is irrelevant to disease management.
Correct Answer: B
Rationale: Correct because the passage states that patients with adequate health literacy are
more likely to adhere to medication regimens and attend follow-up appointments.
Q7: Choose the word that best completes the sentence: The nurse’s ________ demeanor helped
calm the anxious patient before surgery.
A. abrasive
B. sanguine
C. lethargic
D. equivocal
Correct Answer: B
Rationale: Correct because sanguine means cheerfully optimistic or confident, which logically
helps calm an anxious patient.
Q8: Select the sentence that is grammatically correct.
, A. The nurse and the patient was discussing the discharge plan.
B. The nurse and the patient were discussing the discharge plan.
C. The nurse, along with the patient, were discussing the discharge plan.
D. The nurse, as well as the patient, were discussing the discharge plan.
Correct Answer: B
Rationale: Correct because a compound subject joined by and requires a plural verb; were
agrees with the plural subject the nurse and the patient.
Q9: Choose the most logical order of sentences to form a coherent paragraph.
1. Finally, document the findings in the electronic health record.
2. Next, auscultate lung sounds in a systematic pattern.
3. First, perform hand hygiene and explain the procedure to the patient.
4. Then, inspect the chest for symmetry and skin changes.
A. 3, 4, 2, 1
B. 2, 4, 3, 1
C. 3, 2, 4, 1
D. 4, 3, 2, 1
Correct Answer: A
Rationale: Correct because the sequence follows assessment logic: hand hygiene and
explanation first, then inspection, then auscultation, and finally documentation.
Q10: In the context of medical documentation, the word prn most nearly means:
A. every morning.
B. as needed.
C. by mouth.
D. immediately.
Correct Answer: B
Rationale: Correct because prn (pro re nata) is a Latin abbreviation meaning as needed,
commonly used in medication orders.
. All Modules: Science, Math & Verbal
2026 - 2028 | TESTING CYCLE
NEX 163 Q & A | Expert Rationales |Newly Released
.
.
.
Guaranteed Pass | Graded A+ | Complete Guide
Verbal Module
Q1: Read the passage below before answering questions 1 through 6.
Health literacy is the degree to which individuals can obtain, process, and understand basic
health information needed to make appropriate decisions. Research indicates that nearly 36
percent of adults in the United States possess limited health literacy, which correlates with higher
hospitalization rates, poorer disease management, and increased mortality. Nurses serve a critical
role in mitigating these outcomes by employing teach-back methods, using plain language, and
confirming comprehension before discharge. Effective communication is not merely the transfer
of information; it requires assessing the patient’s baseline knowledge, cultural context, and
readiness to learn. Studies demonstrate that patients with adequate health literacy are more likely
to adhere to medication regimens and attend follow-up appointments. Consequently, integrating
health-literacy assessments into standard nursing workflow is essential for improving population
health and reducing healthcare disparities.
What is the main idea of the passage?
A. Cultural context is the most important factor in patient education.
B. Limited health literacy affects patient outcomes, and nurses must use targeted strategies to
improve understanding.
C. Teach-back methods are the only effective way to educate patients.
D. Hospitalization rates have declined due to improved health literacy.
,Correct Answer: B
Rationale: Correct because the passage centers on the prevalence and consequences of limited
health literacy while emphasizing nursing interventions to improve patient comprehension and
outcomes.
Q2: According to the passage, what percentage of adults in the United States possess limited
health literacy?
A. 25 percent
B. 36 percent
C. 42 percent
D. 50 percent
Correct Answer: B
Rationale: Correct because the passage explicitly states that nearly 36 percent of adults in the
United States possess limited health literacy.
Q3: The author’s primary purpose in writing this passage is to:
A. entertain readers with patient stories.
B. persuade healthcare administrators to hire more nurses.
C. inform readers about the impact of health literacy and the nurse’s role in addressing it.
D. criticize patients who do not follow medical advice.
Correct Answer: C
Rationale: Correct because the author objectively presents data on health literacy and explains
nursing strategies, which is characteristic of an informative purpose.
Q4: Which inference is best supported by the passage?
A. Patients with limited health literacy always refuse treatment.
B. Improving health literacy can reduce healthcare costs and improve adherence.
C. Nurses should avoid using medical terminology in all situations.
D. Health literacy is determined solely by years of education.
Correct Answer: B
Rationale: Correct because the passage links adequate health literacy to adherence and follow-
up, implying that improvement in literacy could yield better outcomes and efficiency.
,Q5: In the context of the passage, the word mitigating most nearly means:
A. increasing.
B. ignoring.
C. lessening.
D. documenting.
Correct Answer: C
Rationale: Correct because mitigating means making less severe or intense, which aligns with
the nurse’s role in reducing negative outcomes related to low health literacy.
Q6: Which statement best summarizes the relationship between health literacy and patient
behavior described in the passage?
A. Health literacy has no effect on whether patients attend appointments.
B. Patients with adequate health literacy are more likely to follow treatment plans.
C. Only patients with advanced education understand medication regimens.
D. Health literacy is irrelevant to disease management.
Correct Answer: B
Rationale: Correct because the passage states that patients with adequate health literacy are
more likely to adhere to medication regimens and attend follow-up appointments.
Q7: Choose the word that best completes the sentence: The nurse’s ________ demeanor helped
calm the anxious patient before surgery.
A. abrasive
B. sanguine
C. lethargic
D. equivocal
Correct Answer: B
Rationale: Correct because sanguine means cheerfully optimistic or confident, which logically
helps calm an anxious patient.
Q8: Select the sentence that is grammatically correct.
, A. The nurse and the patient was discussing the discharge plan.
B. The nurse and the patient were discussing the discharge plan.
C. The nurse, along with the patient, were discussing the discharge plan.
D. The nurse, as well as the patient, were discussing the discharge plan.
Correct Answer: B
Rationale: Correct because a compound subject joined by and requires a plural verb; were
agrees with the plural subject the nurse and the patient.
Q9: Choose the most logical order of sentences to form a coherent paragraph.
1. Finally, document the findings in the electronic health record.
2. Next, auscultate lung sounds in a systematic pattern.
3. First, perform hand hygiene and explain the procedure to the patient.
4. Then, inspect the chest for symmetry and skin changes.
A. 3, 4, 2, 1
B. 2, 4, 3, 1
C. 3, 2, 4, 1
D. 4, 3, 2, 1
Correct Answer: A
Rationale: Correct because the sequence follows assessment logic: hand hygiene and
explanation first, then inspection, then auscultation, and finally documentation.
Q10: In the context of medical documentation, the word prn most nearly means:
A. every morning.
B. as needed.
C. by mouth.
D. immediately.
Correct Answer: B
Rationale: Correct because prn (pro re nata) is a Latin abbreviation meaning as needed,
commonly used in medication orders.
