Nursing School Entrance Practice
Examination Original Questions with
Answers and Rationales
Passage 1
A community health clinic in a Connecticut town noticed that
many patients with hypertension were not consistently
monitoring their blood pressure at home. The clinic introduced
a six-week education program that taught patients how to use
automated blood pressure cuffs, record their readings,
recognize concerning symptoms, and communicate results to
healthcare professionals. Participants were encouraged to
measure their blood pressure at the same time each day and to
bring their records to follow-up appointments.
After six weeks, the clinic found that participants were more
likely to have regular blood pressure records and were better
able to describe their readings to healthcare providers.
However, the clinic emphasized that home monitoring was not
intended to replace professional medical care.
,1. What is the primary purpose of the passage?
A. To explain why hypertension is impossible to control
B. To describe a community education program for improving
home blood pressure monitoring
C. To compare different types of blood pressure medications
D. To argue that patients should avoid visiting healthcare
providers
Answer: B
Rationale: The passage primarily describes the purpose,
methods, and results of a blood pressure monitoring education
program.
2. Which statement is directly supported by the passage?
A. All participants achieved normal blood pressure.
B. Participants stopped needing healthcare appointments.
C. Participants became better able to record and communicate
blood pressure readings.
D. The program eliminated hypertension in the community.
Answer: C
Rationale: The passage specifically states that participants were
more likely to keep regular records and describe their readings
to providers.
,3. Which inference is most reasonable?
A. Consistent recordkeeping may help patients communicate
more effectively with healthcare professionals.
B. Blood pressure monitoring is useful only for hospitalized
patients.
C. Automated cuffs always produce inaccurate results.
D. Patients should independently change medications based on
readings.
Answer: A
Rationale: The passage connects regular monitoring and
recordkeeping with improved communication during follow-up
care.
4. Why did the clinic encourage participants to measure blood
pressure at the same time each day?
A. To make readings easier to compare over time
B. To guarantee that every reading would be normal
C. To eliminate the need for medical appointments
D. To prevent patients from taking medications
Answer: A
, Rationale: Measuring under more consistent conditions makes
trends and changes easier to identify.
Passage 2
Urban trees provide benefits beyond aesthetic appeal. Their
leaves can intercept rainfall, reducing the amount of water that
immediately reaches storm drains. Tree canopies also provide
shade that may lower surface temperatures around buildings
and sidewalks. In addition, trees can provide habitat for birds
and insects. However, maintaining urban trees requires
planning because roots can interfere with infrastructure, and
poorly selected species may struggle in restricted spaces.
5. What is the central idea of the passage?
A. Urban trees have only environmental disadvantages.
B. Urban trees offer multiple benefits but require thoughtful
planning and maintenance.
C. Trees should never be planted near sidewalks.
D. Birds are the primary reason cities plant trees.
Answer: B
Rationale: The passage presents several benefits while also
explaining the need for appropriate planning.