Page 1 of 117
NLN NEX (NURSING ENTRANCE EXAM) 2026 QUESTIONS WITH
VERIFIED QUESTIONS DETAILED RATIONALES GRADED A+
NLN NEX (NURSING ENTRANCE EXAM): QUESTIONS WITH RATIONALES
SUMMARIZED 10-POINT EXAM COVERAGE
Verbal Ability – Reading Comprehension: Main idea, supporting details, inference, author's
purpose, and vocabulary in context.
Verbal Ability – Word Knowledge: Synonyms, antonyms, context clues, prefixes, suffixes, and
word roots.
Mathematics – Numbers & Operations: Basic arithmetic, fractions, decimals, percentages, and
order of operations.
Mathematics – Measurement: Unit conversions, metric system, and household measures.
Mathematics – Algebra: Solving equations, ratios, proportions, and word problems.
Mathematics – Data & Information: Interpreting graphs, charts, and tables.
Science – Biology: Cell structure, genetics, evolution, ecology, and microbiology.
Science – Human Anatomy: Body systems, organs, and structural organization.
Science – Human Physiology: Function of body systems, homeostasis, and integration.
Science – Chemistry & Health: Basic chemistry concepts, nutrition, and health maintenance.
,Page 2 of 117
SECTION 1: VERBAL ABILITY – READING COMPREHENSION
Questions 1–50
Question 1
Passage: Hand Hygiene
Healthcare-associated infections affect millions of patients annually. The most effective single
intervention for reducing transmission is proper hand hygiene. Despite widespread knowledge
of guidelines, compliance rates among healthcare workers remain suboptimal, often falling
below 50% in clinical settings.
What is the main idea of this passage?
A) Healthcare-associated infections are rare.
B) Hand hygiene is the most effective way to reduce infection transmission, but compliance is
poor.
C) Healthcare workers are unaware of hand hygiene guidelines.
D) Infections are caused by poor equipment sterilization.
Answer: B
Rationale: The passage states that proper hand hygiene is the most effective intervention, then
notes that compliance remains suboptimal. This is the central point.
Question 2
According to the passage, what is the compliance rate for hand hygiene among healthcare
workers?
A) Above 90%
B) Exactly 75%
,Page 3 of 117
C) Often below 50%
D) Approximately 60%
Answer: C
Rationale: The passage states compliance rates "often fall below 50% in clinical settings."
Question 3
What can be inferred about healthcare workers from this passage?
A) They are intentionally negligent.
B) They know the guidelines but do not always follow them.
C) They have never been trained in hand hygiene.
D) They believe hand hygiene is unnecessary.
Answer: B
Rationale: The passage states "despite widespread knowledge of guidelines," implying workers
know but do not comply.
Question 4
Passage: Sleep and Health
Sleep is a complex process that affects immune function, metabolism, memory, and learning.
Lack of adequate sleep has been linked to hypertension, diabetes, obesity, and depression.
Most adults need seven to nine hours per night.
What is the main idea of this passage?
A) Sleep is a waste of time.
B) Sleep is essential for numerous physiological and psychological functions.
C) Everyone needs exactly eight hours of sleep.
D) Sleep only affects memory.
, Page 4 of 117
Answer: B
Rationale: The passage discusses multiple vital functions of sleep and consequences of
deprivation.
Question 5
According to the passage, which health problem is linked to inadequate sleep?
A) Asthma
B) Hypertension
C) Arthritis
D) Osteoporosis
Answer: B
Rationale: The passage lists hypertension as one of the linked conditions.
Question 6
Passage: Antibiotic Resistance
Antibiotic resistance occurs when bacteria change in response to antibiotic use, making drugs
ineffective. Overuse and misuse of antibiotics accelerate this process. When antibiotics are
prescribed for viral infections, susceptible bacteria are killed while resistant strains survive and
multiply.
What is the primary cause of accelerated antibiotic resistance?
A) Viral infections
B) Overuse and misuse of antibiotics
C) Genetic mutations in humans
D) Lack of vaccines
NLN NEX (NURSING ENTRANCE EXAM) 2026 QUESTIONS WITH
VERIFIED QUESTIONS DETAILED RATIONALES GRADED A+
NLN NEX (NURSING ENTRANCE EXAM): QUESTIONS WITH RATIONALES
SUMMARIZED 10-POINT EXAM COVERAGE
Verbal Ability – Reading Comprehension: Main idea, supporting details, inference, author's
purpose, and vocabulary in context.
Verbal Ability – Word Knowledge: Synonyms, antonyms, context clues, prefixes, suffixes, and
word roots.
Mathematics – Numbers & Operations: Basic arithmetic, fractions, decimals, percentages, and
order of operations.
Mathematics – Measurement: Unit conversions, metric system, and household measures.
Mathematics – Algebra: Solving equations, ratios, proportions, and word problems.
Mathematics – Data & Information: Interpreting graphs, charts, and tables.
Science – Biology: Cell structure, genetics, evolution, ecology, and microbiology.
Science – Human Anatomy: Body systems, organs, and structural organization.
Science – Human Physiology: Function of body systems, homeostasis, and integration.
Science – Chemistry & Health: Basic chemistry concepts, nutrition, and health maintenance.
,Page 2 of 117
SECTION 1: VERBAL ABILITY – READING COMPREHENSION
Questions 1–50
Question 1
Passage: Hand Hygiene
Healthcare-associated infections affect millions of patients annually. The most effective single
intervention for reducing transmission is proper hand hygiene. Despite widespread knowledge
of guidelines, compliance rates among healthcare workers remain suboptimal, often falling
below 50% in clinical settings.
What is the main idea of this passage?
A) Healthcare-associated infections are rare.
B) Hand hygiene is the most effective way to reduce infection transmission, but compliance is
poor.
C) Healthcare workers are unaware of hand hygiene guidelines.
D) Infections are caused by poor equipment sterilization.
Answer: B
Rationale: The passage states that proper hand hygiene is the most effective intervention, then
notes that compliance remains suboptimal. This is the central point.
Question 2
According to the passage, what is the compliance rate for hand hygiene among healthcare
workers?
A) Above 90%
B) Exactly 75%
,Page 3 of 117
C) Often below 50%
D) Approximately 60%
Answer: C
Rationale: The passage states compliance rates "often fall below 50% in clinical settings."
Question 3
What can be inferred about healthcare workers from this passage?
A) They are intentionally negligent.
B) They know the guidelines but do not always follow them.
C) They have never been trained in hand hygiene.
D) They believe hand hygiene is unnecessary.
Answer: B
Rationale: The passage states "despite widespread knowledge of guidelines," implying workers
know but do not comply.
Question 4
Passage: Sleep and Health
Sleep is a complex process that affects immune function, metabolism, memory, and learning.
Lack of adequate sleep has been linked to hypertension, diabetes, obesity, and depression.
Most adults need seven to nine hours per night.
What is the main idea of this passage?
A) Sleep is a waste of time.
B) Sleep is essential for numerous physiological and psychological functions.
C) Everyone needs exactly eight hours of sleep.
D) Sleep only affects memory.
, Page 4 of 117
Answer: B
Rationale: The passage discusses multiple vital functions of sleep and consequences of
deprivation.
Question 5
According to the passage, which health problem is linked to inadequate sleep?
A) Asthma
B) Hypertension
C) Arthritis
D) Osteoporosis
Answer: B
Rationale: The passage lists hypertension as one of the linked conditions.
Question 6
Passage: Antibiotic Resistance
Antibiotic resistance occurs when bacteria change in response to antibiotic use, making drugs
ineffective. Overuse and misuse of antibiotics accelerate this process. When antibiotics are
prescribed for viral infections, susceptible bacteria are killed while resistant strains survive and
multiply.
What is the primary cause of accelerated antibiotic resistance?
A) Viral infections
B) Overuse and misuse of antibiotics
C) Genetic mutations in humans
D) Lack of vaccines
