NLN NEX MATH ENTRANCE EXAM 2026
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Complete Test Bank with Verified Answers --- --- --- --- --- ---
and Detailed Rationales --- --- ---
Actual Exam 2026 | Newest Version | A+
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Graded Solutions | Nursing Entrance Exam
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Preparation ---
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SECTION 1: BASIC ARITHMETIC AND NUMBER OPERATIONS
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Questions 1-25 --- ---
1. A nurse must calculate the total intake for a patient who
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drank 250 mL of water, 120 mL of juice, and 80 mL of
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broth. ---
What is the total intake in mL?
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• Answer: B. 450 mL --- --- --- ---
, • Rationale: To find total intake, add all amounts: 250 + 120
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- = 370; 370 + 80 = 450 mL. This is a basic addition
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problem requiring careful alignment of numbers. Total
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intake calculations are common nursing tasks for monitoring
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fluid balance .
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2. A patient's temperature drops from 101.6°F to 98.8°F.
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What is the decrease?
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• Answer: C. 2.8°F --- --- ---
• Rationale: Subtract the final temperature from the initial
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temperature: 101.6 – 98.8 = 2.8°F. When subtracting --- --- --- --- --- --- --- ---
decimals, align decimal points and subtract as with whole
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numbers. Temperature monitoring is a fundamental nursing
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assessment . --- ---
3. Solve: (12 + 8) ÷ 4 × 2 = ?
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• Answer: B. 10 --- --- ---
• Rationale: Following order of operations (PEMDAS):
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parentheses first (12 + 8 = 20); then division: 20 ÷ 4 = 5;
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then multiplication: 5 × 2 = 10. Order of operations is a
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foundational algebra concept frequently tested . --- --- --- --- --- ---
4. 3/5 of a 200 mg dose is given. How many mg is that?
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, • Answer: B. 120 mg --- --- --- ---
• Rationale: Multiply the fraction by the whole amount: 200
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× 3/5 = 600/5 = 120 mg. This is a fractional multiplication
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- problem where the fraction directly scales the quantity.
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Fractional calculations are essential for medication dosage
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preparation . --- ---
5. Order: 500 mg of medication. Available: 250 mg tablets.
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How many tablets should you give?
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• Answer: C. 2 tablets --- --- --- ---
• Rationale: Divide the ordered dose by the available
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strength: 500 ÷ 250 = 2 tablets. This is a basic dosage
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calculation formula: Desired/Available × Quantity =
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Number of tablets. Tablet calculations are fundamental to
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medication administration . --- --- ---
6. A patient voids 350 mL at 8 AM, 200 mL at 12 PM, and
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450 mL at 4 PM. Total urine output?
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• Answer: C. 1000 mL --- --- --- ---
• Rationale: Add all outputs: 350 + 200 = 550; 550 + 450
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= 1000 mL. Intake and output calculations require accurate
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addition to monitor fluid balance .
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, 7. A medication is to be given every 6 hours. How many
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doses will the patient receive in 3 days?
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• Answer: C. 12 --- --- ---
• Rationale: Calculate doses per day: 24 hours/day ÷ 6
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hours = 4 doses/day. Then multiply by days: 4 doses × 3
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days = 12 doses. This requires understanding of time
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conversion and multiplication . --- --- --- ---
8. A patient drinks 1/4 cup of water. If 1 cup = 240 mL,
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how many mL is that?
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• Answer: C. 60 mL --- --- --- ---
• Rationale: Multiply the cup amount by the mL per cup: 240
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× 1/4 = 60 mL. Household to metric conversions are
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essential for accurate fluid measurement in nursing .
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9. A bottle contains 480 mL. If a patient drinks 5/8 of it,
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how many mL remain?
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• Answer: D. 180 mL --- --- --- ---
• Rationale: First find amount drunk: 480 × 5/8 = 300 mL.
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Then subtract from total: 480 – 300 = 180 mL. This is a two-
--- --- --- --- --- --- --- --- --- --- --- --- ---
step fraction and subtraction problem .
--- --- --- --- --- ---
--- --- --- --- --- ---
Complete Test Bank with Verified Answers --- --- --- --- --- ---
and Detailed Rationales --- --- ---
Actual Exam 2026 | Newest Version | A+
--- --- --- --- --- --- --- ---
Graded Solutions | Nursing Entrance Exam
--- --- --- --- --- ---
Preparation ---
---
SECTION 1: BASIC ARITHMETIC AND NUMBER OPERATIONS
--- --- --- --- --- --- ---
Questions 1-25 --- ---
1. A nurse must calculate the total intake for a patient who
--- --- --- --- --- --- --- --- --- --- ---
drank 250 mL of water, 120 mL of juice, and 80 mL of
--- --- --- --- --- --- --- --- --- --- --- --- ---
broth. ---
What is the total intake in mL?
--- --- --- --- --- --- ---
• Answer: B. 450 mL --- --- --- ---
, • Rationale: To find total intake, add all amounts: 250 + 120
--- --- --- --- --- --- --- --- --- --- --
- = 370; 370 + 80 = 450 mL. This is a basic addition
--- --- --- --- --- --- --- --- --- --- --- --- ---
problem requiring careful alignment of numbers. Total
--- --- --- --- --- --- ---
intake calculations are common nursing tasks for monitoring
--- --- --- --- --- --- --- ---
fluid balance .
--- --- ---
2. A patient's temperature drops from 101.6°F to 98.8°F.
--- --- --- --- --- --- --- ---
What is the decrease?
--- --- --- ---
• Answer: C. 2.8°F --- --- ---
• Rationale: Subtract the final temperature from the initial
--- --- --- --- --- --- --- ---
temperature: 101.6 – 98.8 = 2.8°F. When subtracting --- --- --- --- --- --- --- ---
decimals, align decimal points and subtract as with whole
--- --- --- --- --- --- --- --- ---
numbers. Temperature monitoring is a fundamental nursing
--- --- --- --- --- --- ---
assessment . --- ---
3. Solve: (12 + 8) ÷ 4 × 2 = ?
--- --- --- --- --- --- --- --- --- ---
• Answer: B. 10 --- --- ---
• Rationale: Following order of operations (PEMDAS):
--- --- --- --- --- ---
parentheses first (12 + 8 = 20); then division: 20 ÷ 4 = 5;
--- --- --- --- --- --- --- --- --- --- --- --- --- ---
then multiplication: 5 × 2 = 10. Order of operations is a
--- --- --- --- --- --- --- --- --- --- --- ---
foundational algebra concept frequently tested . --- --- --- --- --- ---
4. 3/5 of a 200 mg dose is given. How many mg is that?
--- --- --- --- --- --- --- --- --- --- --- --- ---
, • Answer: B. 120 mg --- --- --- ---
• Rationale: Multiply the fraction by the whole amount: 200
--- --- --- --- --- --- --- --- ---
× 3/5 = 600/5 = 120 mg. This is a fractional multiplication
--- --- --- --- --- --- --- --- --- --- --- --
- problem where the fraction directly scales the quantity.
--- --- --- --- --- --- --- ---
Fractional calculations are essential for medication dosage
--- --- --- --- --- --- ---
preparation . --- ---
5. Order: 500 mg of medication. Available: 250 mg tablets.
--- --- --- --- --- --- --- --- ---
How many tablets should you give?
--- --- --- --- --- ---
• Answer: C. 2 tablets --- --- --- ---
• Rationale: Divide the ordered dose by the available
--- --- --- --- --- --- --- ---
strength: 500 ÷ 250 = 2 tablets. This is a basic dosage
--- --- --- --- --- --- --- --- --- --- --- ---
calculation formula: Desired/Available × Quantity =
--- --- --- --- --- ---
Number of tablets. Tablet calculations are fundamental to
--- --- --- --- --- --- --- ---
medication administration . --- --- ---
6. A patient voids 350 mL at 8 AM, 200 mL at 12 PM, and
--- --- --- --- --- --- --- --- --- --- --- --- --- ---
450 mL at 4 PM. Total urine output?
--- --- --- --- --- --- --- ---
• Answer: C. 1000 mL --- --- --- ---
• Rationale: Add all outputs: 350 + 200 = 550; 550 + 450
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= 1000 mL. Intake and output calculations require accurate
--- --- --- --- --- --- --- --- ---
addition to monitor fluid balance .
--- --- --- --- --- ---
, 7. A medication is to be given every 6 hours. How many
--- --- --- --- --- --- --- --- --- --- ---
doses will the patient receive in 3 days?
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• Answer: C. 12 --- --- ---
• Rationale: Calculate doses per day: 24 hours/day ÷ 6
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hours = 4 doses/day. Then multiply by days: 4 doses × 3
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days = 12 doses. This requires understanding of time
--- --- --- --- --- --- --- --- ---
conversion and multiplication . --- --- --- ---
8. A patient drinks 1/4 cup of water. If 1 cup = 240 mL,
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how many mL is that?
--- --- --- --- ---
• Answer: C. 60 mL --- --- --- ---
• Rationale: Multiply the cup amount by the mL per cup: 240
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× 1/4 = 60 mL. Household to metric conversions are
--- --- --- --- --- --- --- --- --- ---
essential for accurate fluid measurement in nursing .
--- --- --- --- --- --- --- ---
9. A bottle contains 480 mL. If a patient drinks 5/8 of it,
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how many mL remain?
--- --- --- ---
• Answer: D. 180 mL --- --- --- ---
• Rationale: First find amount drunk: 480 × 5/8 = 300 mL.
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Then subtract from total: 480 – 300 = 180 mL. This is a two-
--- --- --- --- --- --- --- --- --- --- --- --- ---
step fraction and subtraction problem .
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