2026/2027 Actual Exam Complete Questions
and Answers Detailed Rationales Pass
Guaranteed - A+ Graded
Total Questions: 170 | Time: 209 min | Pass: Program specific
TABLE OF CONTENTS
Section 1 | Reading | Q1 – Q45
Section 2 | Mathematics | Q46 – Q80
Section 3 | Science | Q81 – Q125
Section 4 | English and Language Usage | Q126 – Q170
Instructions: Choose the single best answer.
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SECTION 1: READING Q1 – Q45
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Question 1 of 170
A 34-year-old medical assistant is reviewing a patient education brochure about
hypertension before placing it in the waiting room. The brochure states: "While some
patients experience headaches or dizziness, most individuals with high blood pressure
remain completely asymptomatic for years, which is why routine screening remains
essential." The assistant wants to ensure patients understand the primary message.
Which conclusion best captures the author's main purpose?
A. Headaches and dizziness are reliable early warning signs of hypertension.
B. Patients should request blood pressure checks only when symptoms appear.
C. Regular screening is necessary because hypertension often shows no symptoms. ✓
CORRECT
D. Most hypertension patients eventually develop severe neurological symptoms.
,Correct Answer: C
Rationale: The passage emphasizes that high blood pressure typically produces no
symptoms yet still requires detection, making routine screening the central point. Option
A misrepresents the text by treating occasional symptoms as reliable warnings when
the passage calls most patients asymptomatic. Option B directly contradicts the
passage's emphasis on screening regardless of symptoms. This mirrors clinical
practice where silent hypertension is often discovered only during routine checks.
Question 2 of 170
During a staff meeting, a nurse manager distributes an excerpt from a hospital policy
manual: "All controlled substances must be counted at the change of every shift.
Discrepancies exceeding one unit must be reported to the pharmacy and nursing
supervisor immediately. Failure to document counts constitutes a medication error
regardless of whether a dose was administered." A newly hired nurse is asked to identify
the underlying assumption behind the counting requirement. What assumption does the
policy rely upon?
A. Pharmacy staff intentionally miscount medications on a regular basis.
B. Controlled substances are frequently prescribed in excessive doses.
C. Accurate counts deter diversion and ensure patient safety. ✓ CORRECT
D. Nursing supervisors are solely responsible for all medication errors.
Correct Answer: C
Rationale: The policy's strict counting and reporting rules assume that precise tracking
prevents theft or loss and protects patients from missing doses. Option A is
unsupported because the policy never accuses pharmacy staff of intentional errors.
Option B introduces an idea about dosing frequency that the passage never addresses.
In practice, narcotic counts are a fundamental safeguard against both diversion and
accidental omissions.
,Question 3 of 170
A nutrition textbook includes the following passage: "Soluble fiber dissolves in water to
form a gel-like substance that can bind to cholesterol in the digestive tract. Insoluble
fiber does not dissolve and instead adds bulk to stool, promoting regularity. Both types
are important, but only soluble fiber has been shown to lower LDL cholesterol levels
when consumed in adequate amounts." A student is asked to draw a logical inference.
Which statement represents a valid inference from this passage?
A. Consuming insoluble fiber will significantly reduce serum cholesterol.
B. Patients seeking to lower LDL should prioritize soluble fiber sources. ✓ CORRECT
C. All gel-forming substances in the digestive tract reduce cholesterol.
D. Insoluble fiber is unnecessary for maintaining gastrointestinal health.
Correct Answer: B
Rationale: Since the passage explicitly links soluble fiber—not insoluble—to LDL
reduction, it logically follows that patients with that goal should emphasize soluble
sources. Option A contradicts the passage by attributing cholesterol-lowering effects to
insoluble fiber. Option D is invalid because the passage states both fiber types are
important. Dietitians commonly recommend oats, beans, and apples specifically for
their soluble fiber content.
Question 4 of 170
An occupational therapist is reading a research abstract about fall prevention in older
adults: "Participants who completed a 12-week balance training program showed a 40%
reduction in falls compared to the control group. However, the intervention group had a
15% dropout rate, primarily due to transportation barriers. Home-based modifications
alone reduced falls by 22% with only a 3% dropout rate." The therapist needs to
determine which factor most weakened the study's conclusion that balance training is
superior. What represents the primary limitation?
, A. The control group received no intervention whatsoever.
B. The home-modification group had a smaller sample size than reported.
C. The balance training program had substantially higher attrition. ✓ CORRECT
D. The study lasted only three months instead of six.
Correct Answer: C
Rationale: A 15% dropout rate introduces significant selection bias and threatens the
validity of comparing the intervention's effectiveness against other approaches. Option
A is incorrect because the passage does not state that the control group was untreated.
Option B is unsupported because the passage gives no sample size comparison
between groups. High attrition is a well-known threat to internal validity in clinical trials.
Question 5 of 170
A patient handout on wound care states: "Keep the wound moist, not wet. Change the
dressing if drainage saturates the pad or if the edges become macerated. Do not use
hydrogen peroxide after the first cleaning, as it destroys newly forming granulation
tissue." A nursing student is asked to identify the organizational pattern used in this
passage. How is the information structured?
A. Cause and effect, explaining why wounds fail to heal.
B. Problem and solution, addressing common dressing complications.
C. Sequential order, listing steps in wound management. ✓ CORRECT
D. Compare and contrast, evaluating different antiseptic agents.
Correct Answer: C
Rationale: The passage presents a clear sequence of care actions—maintain moisture,
change when saturated, avoid peroxide—organized as procedural steps. Option A
misidentifies the pattern because the passage does not trace causes of healing failure.
Option D is incorrect because hydrogen peroxide is mentioned only to advise against its
use, not to compare antiseptics. Patient instructions are most effective when organized
as actionable sequences.