2026/2027: 150 Latest-Format Exam Questions with
Four Multiple-Choice Options and — All Four Sections
Reading (Questions 1–37)
Question 1: What is the main idea of a text about hand hygiene?
A. Soap is better than hand sanitizer.
B. Proper hand hygiene reduces healthcare-associated infections.
C. Nurses should wash hands for 5 seconds.
D. Hand lotion prevents skin breakdown.
Correct Answer: B
Question 2: Which of the following is an example of a primary source for a research paper
on the history of vaccination?
A. A 2023 textbook chapter on the development of vaccines
B. A peer-reviewed journal article analyzing Edward Jenner’s work
C. Edward Jenner’s original 1796 notes on smallpox inoculation
D. A Wikipedia entry about the smallpox vaccine
Correct Answer: C
Question 3: Read the sentence: “The patient’s oxygen saturation dropped to 82%, so the
nurse immediately applied supplemental oxygen.” The relationship between the two clauses
is:
,A. Chronological
B. Cause and effect
C. Compare and contrast
D. Problem and solution
Correct Answer: B
Question 4: In which of the following text structures would an author most likely use words
like “similarly,” “on the other hand,” and “whereas”?
A. Sequential
B. Descriptive
C. Compare and contrast
D. Problem and solution
Correct Answer: C
Question 5: The prefix “brady-” in the term “bradycardia” means:
A. Fast
B. Slow
C. Heart
D. Irregular
Correct Answer: B
Question 6: Which of the following statements is an opinion rather than a fact?
A. The normal adult body temperature is approximately 98.6°F (37°C).
B. Influenza is caused by a virus.
C. Handwashing is the most important infection control practice.
D. The heart has four chambers.
Correct Answer: C
,Question 7: A patient information sheet states: “Always finish the full course of antibiotics,
even if you feel better.” This is an example of:
A. Persuasive writing
B. Narrative writing
C. Expository writing
D. Entertaining writing
Correct Answer: A
Question 8: Read the passage: “The wound was deep. Blood welled up slowly, dark red.
The nurse pressed a sterile gauze pad firmly against the injury.” The author’s tone is most
accurately described as:
A. Cheerful
B. Detached and clinical
C. Alarming and panicked
D. Humorous
Correct Answer: B
Question 9: If a passage begins by listing symptoms of hypoglycemia and then explains
how the body responds to low blood sugar, the organizational pattern is most likely:
A. Cause and effect
B. Chronological
C. Problem and solution
D. Spatial
Correct Answer: A
Question 10: A medical brochure says: “Taking this medication with grapefruit juice may
increase the risk of side effects.” This is primarily:
A. Persuasive
, B. Informative/expository
C. Entertaining
D. Narrative
Correct Answer: B
Question 11: Which sentence is correctly punctuated for a nonrestrictive clause?
A. The patient who has diabetes, was admitted for foot ulcer.
B. The patient, who has diabetes, was admitted for foot ulcer.
C. The patient who has diabetes was admitted, for foot ulcer.
D. The patient, who has diabetes was admitted for foot ulcer.
Correct Answer: B
Question 12: What is the main idea of a passage that discusses the benefits of regular
exercise?
A. Exercise is beneficial for overall health.
B. Exercise should be done daily.
C. Exercise prevents all diseases.
D. Exercise is only for young people.
Correct Answer: A
Question 13: Which of the following is an example of a supporting detail?
A. The thesis statement
B. A fact that supports the main idea
C. The conclusion
D. The title
Correct Answer: B
Question 14: A nurse is reading a patient's discharge instructions. Which of the following is
the main idea?