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Question 1 (Primary vs. Secondary Sources)
Which of the following is an example of a primary source in medical research?
A) A nursing textbook summarizing diabetes management
B) A systematic review of 50 clinical trials on hypertension
C) The original published results of a randomized controlled trial
D) A hospital policy manual on patient safety protocols
Correct Answer: C
Rationale: A primary source presents original research, data, or findings directly from the
researchers. The original published results of a clinical trial are primary; textbooks, reviews, and
policy manuals are secondary sources that analyze or interpret primary sources.
Question 2 (Main Idea Identification)
Read the passage: "Nurses must maintain accurate and detailed patient records. Documentation
serves multiple purposes: it provides a legal record of care, facilitates communication among
healthcare team members, ensures continuity of care across shifts, and supports quality
improvement initiatives. The medical record is considered a legal document and can be used in
court proceedings."
Which of the following best captures the main idea?
A) Court proceedings often rely on medical records as primary evidence.
B) Patient documentation is essential for legal, communication, and quality purposes.
C) Nurses should only document during their scheduled shifts.
D) Quality improvement initiatives are the most important reason for documentation.
Correct Answer: B
Rationale: The passage emphasizes multiple purposes of documentation—legal record,
communication, continuity of care, and quality improvement. Option B captures all these
purposes; the other options focus on only one aspect or introduce unsupported claims.
,Question 3 (Fact vs. Opinion)
Read the passage: "The Affordable Care Act (ACA) was signed into law in 2010 with the goal of
expanding health insurance coverage. Key provisions included allowing young adults to stay on
their parents' insurance until age 26. The law has been both praised for increasing coverage
rates and criticized for rising premium costs."
Which statement represents an opinion rather than a fact?
A) The ACA was signed into law in 2010.
B) Young adults can stay on parents' insurance until age 26.
C) The law has been praised for increasing coverage rates.
D) The ACA established health insurance marketplaces.
Correct Answer: C
Rationale: "Praised for increasing coverage rates" represents someone's evaluation or judgment
(opinion). The other options state verifiable facts from the passage.
Question 4 (Context Clues)
"The patient presented as lethargic, showing very little energy and spending most of the day in
bed."
Which type of context clue helps determine the meaning of "lethargic"?
A) Synonym
B) Antonym
C) Definition
D) Example
Correct Answer: C
Rationale: The phrase "showing very little energy and spending most of the day in bed" directly
defines or restates the meaning of "lethargic," making this a definition clue.
Question 5 (Organizational Pattern)
A passage describes the steps for administering an intramuscular injection. Which
organizational pattern is used?
A) Chronological/sequential
B) Cause and effect
C) Problem and solution
D) Compare and contrast
Correct Answer: A
,Rationale: Step-by-step instructions follow a time order or sequence. Words like "first," "next,"
and "finally" signal this pattern. Cause and effect explains why something happens,
problem/solution presents an issue and resolution, and compare/contrast examines similarities
and differences.
Mathematics Section
Question 6 (Fraction to Decimal Conversion)
Convert 7/8 to a decimal.
A) 0.78
B) 0.875
C) 0.8750
D) 0.88
Correct Answer: B
Rationale: Divide numerator by denominator: 7 ÷ 8 = 0.875.
Question 7 (Percentage Calculation)
What is 15% of 200?
A) 15
B) 20
C) 30
D) 40
Correct Answer: C
Rationale: The word "of" in mathematics typically means multiplication. Convert the percent to
a decimal by dividing by 100 (15% = 0.15). Then multiply: 0.15 × 200 = 30.
Question 8 (Solving Equations)
Solve for x: 3x + 7 = 22
A) 3
B) 5
C) 7
D) 9
Correct Answer: B
Rationale: Subtract 7 from both sides: 3x = 15. Then divide both sides by 3: x = 5.
, Question 9 (Area of a Rectangle)
A rectangular room measures 12 feet by 15 feet. What is the area in square feet?
A) 140 ft²
B) 150 ft²
C) 160 ft²
D) 180 ft²
Correct Answer: D
Rationale: The area of a rectangle is found by multiplying its length by its width. Area = 12 ft ×
15 ft = 180 square feet.
Question 10 (Median)
What is the median of the following set of numbers? 14, 18, 22, 25, 30
A) 14
B) 18
C) 22
D) 25
Correct Answer: C
Rationale: The median is the middle value when numbers are arranged in order. With five
numbers (odd count), the median is the third number: 22.
Question 11 (Unit Conversion)
A patient's IV bag contains 1.5 liters of fluid. How many milliliters is this?
A) 15 mL
B) 150 mL
C) 1500 mL
D) 15,000 mL
Correct Answer: C
Rationale: 1 liter = 1000 milliliters. Multiply: 1.5 L × 1000 = 1500 mL.
Question 12 (Average Speed)
A car travels 120 miles in 2.5 hours. What is its average speed in miles per hour?
A) 40 mph
B) 45 mph
C) 48 mph
D) 60 mph