NLN NEX Math V2 Practice Exam Actual 2025/2026
with Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
Section 1: Basic Arithmetic & Operations (10 Questions)
Q1: What is the value of −15+(−8)−(−3) ?
A. −26
B. −20 [CORRECT]
C. −10
D. 20
Correct Answer: B
Rationale: Following the rules of signed numbers: −15+(−8)=−23 , then
−23−(−3)=−23+3=−20 .
Q2: A nurse works three 12-hour shifts. How many total hours does the nurse work?
A. 24 hours
B. 36 hours [CORRECT]
C. 48 hours
D. 30 hours
Correct Answer: B
Rationale: Multiplying 3 shifts by 12 hours per shift gives 3×12=36 total hours
worked.
Q3: What is the result of 144÷12+8×2 using the correct order of operations?
A. 24
B. 28 [CORRECT]
C. 36
D. 16
Correct Answer: B
Rationale: Following PEMDAS: 144÷12=12 and 8×2=16 , then 12+16=28 .
Q4: Which of the following is the product of −7 and −6 ?
,A. −42
B. 42 [CORRECT]
C. −13
D. 13
Correct Answer: B
Rationale: The product of two negative numbers is positive, so −7×−6=42 .
Q5: A patient is to receive medication every 6 hours. How many doses will the patient
receive in a 24-hour period?
A. 3 doses
B. 4 doses [CORRECT]
C. 6 doses
D. 2 doses
Correct Answer: B
Rationale: Dividing 24 hours by 6 hours per dose gives 24÷6=4 doses in a 24-hour
period.
Q6: What is the value of 2
4
+3
2
?
A. 14
B. 25 [CORRECT]
C. 20
D. 32
Correct Answer: B
Rationale: 2
4
=16 and 3
, 2
=9 , so 16+9=25 .
Q7: A hospital has 450 beds and currently has 387 patients. How many beds are
available?
A. 53 beds
B. 63 beds [CORRECT]
C. 73 beds
D. 837 beds
Correct Answer: B
Rationale: Subtracting occupied beds from total beds gives 450−387=63 available
beds.
Q8: Which expression is equivalent to 5(3+7)−4(6−2) ?
A. 50 - 16 = 34 [CORRECT]
B. 15 + 7 - 24 - 2 = -4
C. 50 - 8 = 42
D. 15 + 28 = 43
Correct Answer: A
Rationale: Using the distributive property: 5(10)−4(4)=50−16=34 .
Q9: What is the remainder when 97 is divided by 8?
A. 0
B. 1 [CORRECT]
C. 7
D. 9
Correct Answer: B
Rationale: 8×12=96 , so 97−96=1 remainder.
Q10: [Scenario] A nursing student is preparing supplies for a skills lab. Each student
needs 4 gauze pads, and there are 28 students. If gauze pads come in boxes of 50,
how many full boxes are needed?
A. 2 boxes
B. 3 boxes [CORRECT]
C. 4 boxes
D. 1 box
Correct Answer: B
with Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
Section 1: Basic Arithmetic & Operations (10 Questions)
Q1: What is the value of −15+(−8)−(−3) ?
A. −26
B. −20 [CORRECT]
C. −10
D. 20
Correct Answer: B
Rationale: Following the rules of signed numbers: −15+(−8)=−23 , then
−23−(−3)=−23+3=−20 .
Q2: A nurse works three 12-hour shifts. How many total hours does the nurse work?
A. 24 hours
B. 36 hours [CORRECT]
C. 48 hours
D. 30 hours
Correct Answer: B
Rationale: Multiplying 3 shifts by 12 hours per shift gives 3×12=36 total hours
worked.
Q3: What is the result of 144÷12+8×2 using the correct order of operations?
A. 24
B. 28 [CORRECT]
C. 36
D. 16
Correct Answer: B
Rationale: Following PEMDAS: 144÷12=12 and 8×2=16 , then 12+16=28 .
Q4: Which of the following is the product of −7 and −6 ?
,A. −42
B. 42 [CORRECT]
C. −13
D. 13
Correct Answer: B
Rationale: The product of two negative numbers is positive, so −7×−6=42 .
Q5: A patient is to receive medication every 6 hours. How many doses will the patient
receive in a 24-hour period?
A. 3 doses
B. 4 doses [CORRECT]
C. 6 doses
D. 2 doses
Correct Answer: B
Rationale: Dividing 24 hours by 6 hours per dose gives 24÷6=4 doses in a 24-hour
period.
Q6: What is the value of 2
4
+3
2
?
A. 14
B. 25 [CORRECT]
C. 20
D. 32
Correct Answer: B
Rationale: 2
4
=16 and 3
, 2
=9 , so 16+9=25 .
Q7: A hospital has 450 beds and currently has 387 patients. How many beds are
available?
A. 53 beds
B. 63 beds [CORRECT]
C. 73 beds
D. 837 beds
Correct Answer: B
Rationale: Subtracting occupied beds from total beds gives 450−387=63 available
beds.
Q8: Which expression is equivalent to 5(3+7)−4(6−2) ?
A. 50 - 16 = 34 [CORRECT]
B. 15 + 7 - 24 - 2 = -4
C. 50 - 8 = 42
D. 15 + 28 = 43
Correct Answer: A
Rationale: Using the distributive property: 5(10)−4(4)=50−16=34 .
Q9: What is the remainder when 97 is divided by 8?
A. 0
B. 1 [CORRECT]
C. 7
D. 9
Correct Answer: B
Rationale: 8×12=96 , so 97−96=1 remainder.
Q10: [Scenario] A nursing student is preparing supplies for a skills lab. Each student
needs 4 gauze pads, and there are 28 students. If gauze pads come in boxes of 50,
how many full boxes are needed?
A. 2 boxes
B. 3 boxes [CORRECT]
C. 4 boxes
D. 1 box
Correct Answer: B
