Personal Information
Full Name (Legal):
(Last/Family) (First) (Middle)
Preferred Name:
(What you like to be called)
Gender:
☐ Female
☐ Male
☐ Non-binary
☐ Prefer not to say
☐ Other: _______________
Date of Birth:
____ / ____ / ________
(Month) (Day) (Year)
Contact Information
Mailing Address:
Street address: ___________________________________________
City: ___________________ State/Province: _____________
ZIP/Postal Code: _______________ Country: _________________
Mobile Phone Number:
(____) ____ - ___________
(Include country code if outside US)
Email Address:
(Primary email)
Confirm Email Address:
(Re-enter the same email)
SMS Permission:
☐ Yes, I agree to receive text messages about admission updates and deadlines.
☐ No, I do not wish to receive text messages.
• Reading: 53 questions
• Mathematics: 38 questions
• Science: 53 questions
, English & Language Usage: 26 questions
Total: 170 questions
Suggested time: 209 minutes (3 hours 29 minutes)
SECTION 1: READING (53 Questions)
Passage 1 (Questions 1–6)
The following is an excerpt from a hospital policy memo.
“Effective immediately, all staff must complete the annual hand hygiene competency module by March 15. Compliance will be
monitored through direct observation and electronic badge sensors. Staff who fail to complete training will be restricted from
patient care areas until remediation is completed. Hand hygiene remains the single most effective method to prevent
healthcare-associated infections.”
1. What is the main purpose of this memo?
A) To announce a new hand hygiene product
B) To inform staff of a mandatory training deadline and consequences
C) To explain how infections spread in hospitals
D) To recommend optional handwashing techniques
2. The word “remediation” most nearly means:
A) Punishment
B) Corrective action
C) Additional payment
D) Early retirement
3. Based on the memo, what happens if a staff member does not complete training by March 15?
A) They are fired immediately.
B) They must attend a workshop on weekends.
C) They cannot work in patient care areas until they complete remediation.
D) They receive a warning letter only.
4. The phrase “single most effective method” suggests that hand hygiene is:
A) One of several useful methods
B) More effective than any other single method
C) Only effective when combined with gloves
D) Required only in surgical units
5. Which of the following can be inferred about electronic badge sensors?
A) They replace direct observation entirely.
B) They are used to track staff movement and hand hygiene opportunities.
C) They are unpopular with nursing staff.
D) They measure the quality of handwashing.
6. The tone of this memo is best described as:
A) Informal and friendly
B) Authoritative and directive
C) Hesitant and uncertain
D) Humorous and lighthearted
Passage 2 (Questions 7–11)
From a patient education handout about diabetes.
“Type 2 diabetes occurs when the body becomes resistant to insulin or the pancreas cannot produce enough insulin. Over time,
high blood sugar can damage nerves, blood vessels, and organs. Lifestyle changes such as weight loss, healthy eating, and
exercise can improve blood sugar control. Medications may also be prescribed.”
7. What is the primary cause of Type 2 diabetes according to the passage?
A) Eating too much sugar
B) Insulin resistance or insufficient insulin production
, C) A viral infection of the pancreas
D) Autoimmune destruction of beta cells
8. Which of the following is mentioned as a possible long-term effect of uncontrolled diabetes?
A) Hair loss
B) Nerve damage
C) Joint inflammation
D) Hearing loss
9. The passage suggests that lifestyle changes:
A) Are useless once medication is started
B) Can help control blood sugar
C) Cure diabetes completely
D) Are only for patients without symptoms
10. The word “resistant” in this context means:
A) Hostile
B) Unresponsive to the normal effects of insulin
C) Overly sensitive
D) Immune to infection
11. Which of the following is NOT listed as a recommended lifestyle change?
A) Weight loss
B) Healthy eating
C) Reducing sleep
D) Exercise
Passage 3 (Questions 12–16)
Graphic: A bar chart showing hospital readmission rates by discharge teaching method.
Discharge Teaching Method 30-Day Readmission Rate
Verbal only 22%
Written pamphlet only 18%
Video demonstration 15%
Teach-back method 9%
12. Which method resulted in the lowest readmission rate?
A) Verbal only
B) Written pamphlet only
C) Video demonstration
D) Teach-back method
13. What is the difference in readmission rate between “Verbal only” and “Teach-back”?
A) 9%
B) 13%
C) 18%
D) 22%
14. If a hospital currently uses “Written pamphlet only” and wants to reduce readmissions to below 10%, which method would
be the best choice?
A) Stay with written pamphlet
B) Switch to video demonstration