Nursing School Entrance Examination
Original Practice Questions with
Answers and Rationales
Passage 1
A community health center noticed that many patients with
hypertension were missing follow-up appointments. The center
introduced reminder text messages, simplified appointment
scheduling, and offered evening clinic hours. After six months,
the percentage of patients attending scheduled follow-up visits
increased substantially. The center concluded that improving
access and communication could help patients maintain regular
care.
1. What is the main idea of the passage?
A. Hypertension is difficult to treat in community settings.
B. Improving access and communication can increase follow-up
attendance.
C. Evening appointments are the only solution to missed visits.
D. Text messages are more effective than medical treatment.
,Answer: B
Rationale: The passage emphasizes that multiple changes
involving access and communication improved attendance.
2. Which intervention was NOT mentioned?
A. Text-message reminders
B. Simplified scheduling
C. Evening clinic hours
D. Transportation vouchers
Answer: D
Rationale: Transportation vouchers are not included in the
passage.
3. What evidence supports the center's conclusion?
A. Patients requested fewer appointments.
B. The clinic reduced its operating hours.
C. Follow-up attendance increased after the interventions.
D. Hypertension became less common.
Answer: C
Rationale: The increase in attendance after implementation
provides evidence supporting the conclusion.
,4. The word "substantially" most nearly means:
A. Slightly
B. Significantly
C. Temporarily
D. Accidentally
Answer: B
Rationale: "Substantially" means considerably or significantly.
5. Which statement is an inference based on the passage?
A. Patients may be more likely to attend when appointments
are easier to access.
B. All patients prefer evening appointments.
C. Hypertension can always be prevented by text messages.
D. Scheduling systems are more important than clinical care.
Answer: A
Rationale: The passage supports the reasonable inference that
reducing barriers may improve attendance.
Passage 2
, Regular physical activity can support cardiovascular health,
strengthen muscles, and improve mood. However, exercise
recommendations should account for a person's age, current
fitness level, and health status. Someone beginning an exercise
program may need to start gradually and increase activity over
time. Individuals with certain medical conditions may also need
professional guidance before beginning vigorous exercise.
6. What is the author's primary purpose?
A. To discourage people from exercising
B. To explain benefits of exercise while emphasizing
individualized planning
C. To compare professional athletes
D. To describe only cardiovascular disease
Answer: B
Rationale: The passage presents benefits while explaining why
exercise plans should be individualized.
7. Which factor is NOT specifically identified as important
when planning exercise?
A. Age
B. Current fitness level
C. Health status
D. Favorite color