NLN NEX Math V2 Actual Exam 2026/2027 | Complete
Exam-Style Questions with Detailed Rationales | Pass
Guaranteed – A+ Graded
SECTION 1: NUMBERS AND OPERATIONS (12 Questions)
Q1: A nurse is calculating the total fluid intake for a patient who consumed 1¼ cups of
water, ⅔ cup of juice, and 1½ cups of broth. What is the total fluid intake expressed as
an improper fraction?
A. 35/12 cups
B. 47/12 cups
C. 47/12 cups [CORRECT]
D. 53/12 cups
Correct Answer: C
Rationale: Correct because converting all values to twelfths yields 15/12 + 8/12 + 18/12
= 47/12 cups. This matches the standard method for adding mixed numbers with
different denominators.
Q2: A medication is dosed at 0.375 mg per kilogram. Express this decimal as a fraction
in lowest terms.
A. 3/10
B. 375/1000
,C. 3/8 [CORRECT]
D. 37/100
Correct Answer: C
Rationale: Correct because 0.375 = 375/1000, which reduces by dividing numerator and
denominator by 125 to yield 3/8 in lowest terms.
Q3: A hospital unit has 48 nurses. If 25% work the night shift, how many nurses work the
night shift?
A. 8
B. 10
C. 12 [CORRECT]
D. 16
Correct Answer: C
Rationale: Correct because 25% of 48 is calculated as 0.25 × 48 = 12 nurses. This
matches the percentage-to-whole conversion method.
Q4: What is the value of |−7| + |3| − |−4|?
A. 2
B. 6 [CORRECT]
C. 10
D. 14
, Correct Answer: B
Rationale: Correct because absolute value yields positive magnitudes: 7 + 3 − 4 = 6.
This matches the definition of absolute value as distance from zero.
Q5: A patient receives medication every 6 hours. How many doses are administered in a
72-hour period?
A. 10
B. 12 [CORRECT]
C. 14
D. 18
Correct Answer: B
Rationale: Correct because 72 ÷ 6 = 12 doses. This matches the division of total time by
interval frequency.
Q6: Evaluate: 3² × 2³ + 4⁰ − √16
A. 69
B. 71
C. 73 [CORRECT]
D. 75
Correct Answer: C
Exam-Style Questions with Detailed Rationales | Pass
Guaranteed – A+ Graded
SECTION 1: NUMBERS AND OPERATIONS (12 Questions)
Q1: A nurse is calculating the total fluid intake for a patient who consumed 1¼ cups of
water, ⅔ cup of juice, and 1½ cups of broth. What is the total fluid intake expressed as
an improper fraction?
A. 35/12 cups
B. 47/12 cups
C. 47/12 cups [CORRECT]
D. 53/12 cups
Correct Answer: C
Rationale: Correct because converting all values to twelfths yields 15/12 + 8/12 + 18/12
= 47/12 cups. This matches the standard method for adding mixed numbers with
different denominators.
Q2: A medication is dosed at 0.375 mg per kilogram. Express this decimal as a fraction
in lowest terms.
A. 3/10
B. 375/1000
,C. 3/8 [CORRECT]
D. 37/100
Correct Answer: C
Rationale: Correct because 0.375 = 375/1000, which reduces by dividing numerator and
denominator by 125 to yield 3/8 in lowest terms.
Q3: A hospital unit has 48 nurses. If 25% work the night shift, how many nurses work the
night shift?
A. 8
B. 10
C. 12 [CORRECT]
D. 16
Correct Answer: C
Rationale: Correct because 25% of 48 is calculated as 0.25 × 48 = 12 nurses. This
matches the percentage-to-whole conversion method.
Q4: What is the value of |−7| + |3| − |−4|?
A. 2
B. 6 [CORRECT]
C. 10
D. 14
, Correct Answer: B
Rationale: Correct because absolute value yields positive magnitudes: 7 + 3 − 4 = 6.
This matches the definition of absolute value as distance from zero.
Q5: A patient receives medication every 6 hours. How many doses are administered in a
72-hour period?
A. 10
B. 12 [CORRECT]
C. 14
D. 18
Correct Answer: B
Rationale: Correct because 72 ÷ 6 = 12 doses. This matches the division of total time by
interval frequency.
Q6: Evaluate: 3² × 2³ + 4⁰ − √16
A. 69
B. 71
C. 73 [CORRECT]
D. 75
Correct Answer: C
