NLN NEX MATH V2 Actual Exam
2026/2027 Complete Questions and
Verified Answers with Detailed Rationales
Grade A 100% Correct Pass Guaranteed -
A+ Graded
SECTION 1: BASIC ARITHMETIC (Questions 1-10)
Q1: Simplify: 15 + 6 × 2 - 4 ÷ 2
A. 19
B. 25 [CORRECT]
C. 27
D. 31
Correct Answer: B
Rationale: Using order of operations (PEMDAS), first multiply: 6 × 2 = 12; then divide: 4 ÷ 2 =
2; then add and subtract left to right: 15 + 12 = 27; 27 - 2 = 25 (B). Option A (19) results from
left-to-right calculation without following PEMDAS. Option C (27) forgets to subtract. Option D
(31) adds instead of subtracting.
Q2: A nurse needs to calculate the total hours worked in a week: 8 hours on Monday, 12 hours on
Tuesday, 8 hours on Wednesday, 10 hours on Thursday, and 6 hours on Friday. What is the total?
A. 42 hours
B. 44 hours [CORRECT]
C. 46 hours
D. 48 hours
Correct Answer: B
Rationale: Add all hours: 8 + 12 + 8 + 10 + 6 = 44 hours (B). This requires simple addition of
whole numbers representing a realistic nursing schedule calculation.
Q3: Simplify: (18 - 6) ÷ 3 + 7 × 2
,A. 14
B. 16 [CORRECT]
C. 20
D. 24
Correct Answer: B
Rationale: Using PEMDAS: Parentheses first (18 - 6 = 12), then division (12 ÷ 3 = 4), then
multiplication (7 × 2 = 14), then addition (4 + 14 = 16) (B). Option A (14) might skip the
division. Option C (20) might add before multiplying. Option D (24) might work left to right
ignoring order.
Q4: Round 3,847 to the nearest hundred.
A. 3,800
B. 3,840
C. 3,850
D. 3,900 [CORRECT]
Correct Answer: D
Rationale: To round to nearest hundred, look at the tens digit (4). Since 4 is less than 5, we round
down to 3,800... wait, correction: 3,847 has 4 in tens place, which is less than 5, so round to
3,800. However, looking at 3,847, the hundreds digit is 8, tens is 4. Since 4 < 5, we keep 8,
making it 3,800. But let me recalculate: 3,847 rounded to nearest hundred is 3,800 (A). Let me
correct: The answer should be A. 3,800.
Let me recalculate Q4 properly:
Q4: Round 3,847 to the nearest hundred.
A. 3,800 [CORRECT]
B. 3,840
C. 3,850
D. 3,900
Correct Answer: A
Rationale: To round to the nearest hundred, examine the tens digit (4). Since 4 is less than 5,
round down by keeping the hundreds digit (8) and changing digits to the right to zeros: 3,800
, (A). Option D (3,900) would be correct if rounding 3,850 or higher. Options B and C are not
proper hundred rounding.
Q5: A hospital unit has 5 nurses and each nurse is assigned 4 patients. How many total patients
are on the unit?
A. 15 patients
B. 20 patients [CORRECT]
C. 25 patients
D. 30 patients
Correct Answer: B
Rationale: Multiply number of nurses by patients per nurse: 5 × 4 = 20 patients (B). This
represents a basic multiplication scenario common in nurse-to-patient ratio calculations.
Q6: Simplify: 144 ÷ 12 + 8 × 3 - 15
A. 20
B. 23 [CORRECT]
C. 29
D. 35
Correct Answer: B
Rationale: Using PEMDAS: Division first (144 ÷ 12 = 12), then multiplication (8 × 3 = 24), then
addition and subtraction left to right: 12 + 24 = 36; 36 - 15 = 23 (B). Option A (20) might
subtract 24 - 15 first. Option C (29) might add 15 instead of subtract. Option D (35) might work
left to right.
Q7: If a medication comes in boxes of 24 tablets and a hospital needs 360 tablets, how many
boxes should be ordered?
A. 12 boxes
B. 15 boxes [CORRECT]
C. 18 boxes
D. 20 boxes
Correct Answer: B
Rationale: Divide total tablets needed by tablets per box: 360 ÷ 24 = 15 boxes (B). This requires
division with application to inventory management, a common nursing administrative task.
2026/2027 Complete Questions and
Verified Answers with Detailed Rationales
Grade A 100% Correct Pass Guaranteed -
A+ Graded
SECTION 1: BASIC ARITHMETIC (Questions 1-10)
Q1: Simplify: 15 + 6 × 2 - 4 ÷ 2
A. 19
B. 25 [CORRECT]
C. 27
D. 31
Correct Answer: B
Rationale: Using order of operations (PEMDAS), first multiply: 6 × 2 = 12; then divide: 4 ÷ 2 =
2; then add and subtract left to right: 15 + 12 = 27; 27 - 2 = 25 (B). Option A (19) results from
left-to-right calculation without following PEMDAS. Option C (27) forgets to subtract. Option D
(31) adds instead of subtracting.
Q2: A nurse needs to calculate the total hours worked in a week: 8 hours on Monday, 12 hours on
Tuesday, 8 hours on Wednesday, 10 hours on Thursday, and 6 hours on Friday. What is the total?
A. 42 hours
B. 44 hours [CORRECT]
C. 46 hours
D. 48 hours
Correct Answer: B
Rationale: Add all hours: 8 + 12 + 8 + 10 + 6 = 44 hours (B). This requires simple addition of
whole numbers representing a realistic nursing schedule calculation.
Q3: Simplify: (18 - 6) ÷ 3 + 7 × 2
,A. 14
B. 16 [CORRECT]
C. 20
D. 24
Correct Answer: B
Rationale: Using PEMDAS: Parentheses first (18 - 6 = 12), then division (12 ÷ 3 = 4), then
multiplication (7 × 2 = 14), then addition (4 + 14 = 16) (B). Option A (14) might skip the
division. Option C (20) might add before multiplying. Option D (24) might work left to right
ignoring order.
Q4: Round 3,847 to the nearest hundred.
A. 3,800
B. 3,840
C. 3,850
D. 3,900 [CORRECT]
Correct Answer: D
Rationale: To round to nearest hundred, look at the tens digit (4). Since 4 is less than 5, we round
down to 3,800... wait, correction: 3,847 has 4 in tens place, which is less than 5, so round to
3,800. However, looking at 3,847, the hundreds digit is 8, tens is 4. Since 4 < 5, we keep 8,
making it 3,800. But let me recalculate: 3,847 rounded to nearest hundred is 3,800 (A). Let me
correct: The answer should be A. 3,800.
Let me recalculate Q4 properly:
Q4: Round 3,847 to the nearest hundred.
A. 3,800 [CORRECT]
B. 3,840
C. 3,850
D. 3,900
Correct Answer: A
Rationale: To round to the nearest hundred, examine the tens digit (4). Since 4 is less than 5,
round down by keeping the hundreds digit (8) and changing digits to the right to zeros: 3,800
, (A). Option D (3,900) would be correct if rounding 3,850 or higher. Options B and C are not
proper hundred rounding.
Q5: A hospital unit has 5 nurses and each nurse is assigned 4 patients. How many total patients
are on the unit?
A. 15 patients
B. 20 patients [CORRECT]
C. 25 patients
D. 30 patients
Correct Answer: B
Rationale: Multiply number of nurses by patients per nurse: 5 × 4 = 20 patients (B). This
represents a basic multiplication scenario common in nurse-to-patient ratio calculations.
Q6: Simplify: 144 ÷ 12 + 8 × 3 - 15
A. 20
B. 23 [CORRECT]
C. 29
D. 35
Correct Answer: B
Rationale: Using PEMDAS: Division first (144 ÷ 12 = 12), then multiplication (8 × 3 = 24), then
addition and subtraction left to right: 12 + 24 = 36; 36 - 15 = 23 (B). Option A (20) might
subtract 24 - 15 first. Option C (29) might add 15 instead of subtract. Option D (35) might work
left to right.
Q7: If a medication comes in boxes of 24 tablets and a hospital needs 360 tablets, how many
boxes should be ordered?
A. 12 boxes
B. 15 boxes [CORRECT]
C. 18 boxes
D. 20 boxes
Correct Answer: B
Rationale: Divide total tablets needed by tablets per box: 360 ÷ 24 = 15 boxes (B). This requires
division with application to inventory management, a common nursing administrative task.
