Free HESI A2 Practice Test: 105 Questions With Explanations
This free HESI A2 practice test has 105 original questions—15 in each of seven academic subjects—with answers and explanations. Choose your answer before revealing the explanation; this is unofficial practice, not a full-length exam or an official HESI score.
Math practice questions
Question 1 of 15 · Fractions · ID A2-M01
A student studies for 1 1/2 hours on Monday and 2 2/3 hours on Tuesday. How many hours does the student study in all?
- A. 3 1/6 hours
- B. 3 3/5 hours
- C. 4 hours
- D. 4 1/6 hours
Show answer and explanation
Answer: D. 4 1/6 hours
Give both fractions the same denominator: 1/2 = 3/6 and 2/3 = 4/6. Add the whole numbers (1 + 2 = 3) and the fractions (3/6 + 4/6 = 7/6). Since 7/6 = 1 1/6, the total is 3 + 1 1/6 = 4 1/6 hours.
Why the other choices are wrong:
- A. 3 1/6 hours — Keeps the extra 1/6 but drops the whole hour hiding inside 7/6.
- B. 3 3/5 hours — Adds straight across, (1 + 2)/(2 + 3), which isn’t how fractions add.
- C. 4 hours — Comes from rewriting 1/2 as 2/6 instead of 3/6.
Source: worked solution shown above.
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A student studies for 1 1/2 hours on Monday and 2 2/3 hours on Tuesday. How many hours does the student study in all?
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15 questions · fractions, decimals, percents, ratios, conversions, temperature, 24-hour time and Roman numerals · 5 write-in answers · optional practice target: 15 minutes. Work each problem by hand first. Check your program’s calculator rules before test day. These are practice targets, not official time limits. See the timing basis.
Question 2 of 15 · Fractions · ID A2-M02
A spool holds 5 1/4 yards of ribbon. A student cuts off 2 3/4 yards. How many yards are left on the spool?
- A. 2 1/2 yards
- B. 3 yards
- C. 3 1/2 yards
- D. 8 yards
Show answer and explanation
Answer: A. 2 1/2 yards
The fractional part 1/4 is smaller than 3/4, so regroup one whole: 5 1/4 = 4 5/4. Then 4 5/4 − 2 3/4 = 2 2/4 = 2 1/2 yards. Check by adding back: 2 1/2 + 2 3/4 = 5 1/4.
Why the other choices are wrong:
- B. 3 yards — Subtracts only the whole numbers (5 − 2) and ignores the fractions.
- C. 3 1/2 yards — Subtracts the fractions in the wrong order (3/4 − 1/4) to avoid regrouping.
- D. 8 yards — Adds the two lengths instead of subtracting.
Source: worked solution shown above.
Question 3 of 15 · Fractions · ID A2-M03 · Write-in answer
A pitcher holds 6 cups of water. How many 3/4-cup servings can be poured from the full pitcher?
Your answer: ________ servings
Show answer and explanation
Answer: 8 servings
Divide the total by the size of one serving. Dividing by a fraction means multiplying by its reciprocal: 6 ÷ 3/4 = 6 × 4/3 = 24/3 = 8 servings. Check: 8 × 3/4 = 6 cups.
Common mistake: Multiplying 6 × 3/4 gives 4 1/2. That’s three-quarters of the pitcher, not the number of servings.
Source: worked solution shown above.
Question 4 of 15 · Decimals · ID A2-M04
What is 2.4 × 0.35?
- A. 0.084
- B. 0.84
- C. 8.4
- D. 840
Show answer and explanation
Answer: B. 0.84
Multiply as if there were no decimal points: 24 × 35 = 840. The two factors have 3 decimal places in total (one in 2.4, two in 0.35), so the product needs 3: 0.840, or 0.84. Estimate to check: 0.35 is about 1/3, and a third of 2.4 is 0.8.
Why the other choices are wrong:
- A. 0.084 — Uses four decimal places instead of three.
- C. 8.4 — Uses only one decimal place.
- D. 840 — Ignores the decimal points entirely.
Source: worked solution shown above.
Question 5 of 15 · Percents · ID A2-M05
Which percent is equal to 3/8?
- A. 0.375%
- B. 3.8%
- C. 37.5%
- D. 38%
Show answer and explanation
Answer: C. 37.5%
Divide 3 by 8 to get the decimal 0.375. To write a decimal as a percent, multiply by 100: 0.375 × 100 = 37.5%.
Why the other choices are wrong:
- A. 0.375% — Stops at the decimal and adds a percent sign without multiplying by 100.
- B. 3.8% — Writes the digits 3 and 8 side by side; that isn’t a conversion.
- D. 38% — Rounds 37.5 to 38, so it isn’t exactly equal to 3/8.
Source: worked solution shown above.
Question 6 of 15 · Percents · ID A2-M06 · Write-in answer
A clinic ordered 240 face masks, and 15% of them were size small. How many small masks were ordered?
Your answer: ________ masks
Show answer and explanation
Answer: 36 masks
Change 15% to a decimal (0.15) and multiply: 0.15 × 240 = 36. A quick mental check: 10% of 240 is 24 and 5% is half of that, 12, so 15% is 24 + 12 = 36.
Common mistake: Dividing 240 by 15 gives 16, which answers a different question.
Source: worked solution shown above.
Question 7 of 15 · Percents · ID A2-M07
A textbook’s price drops from $80 to $68. What is the percent decrease?
- A. 12%
- B. 15%
- C. 17.6%
- D. 85%
Show answer and explanation
Answer: B. 15%
Percent change = amount of change ÷ original amount × 100. The price fell by $80 − $68 = $12, and 12 ÷ 80 = 0.15, or 15%.
Why the other choices are wrong:
- A. 12% — Treats the $12 drop as if it were already a percent.
- C. 17.6% — Divides by the new price ($68) instead of the original price ($80).
- D. 85% — Is the new price as a percent of the old one (68 ÷ 80), not the decrease.
Source: worked solution shown above.
Question 8 of 15 · Ratios & proportions · ID A2-M08
Solve for x: 3/5 = x/40
- A. 8
- B. 24
- C. 66.7
- D. 120
Show answer and explanation
Answer: B. 24
Cross-multiply: 5 × x = 3 × 40, so 5x = 120 and x = 24. Check: 24/40 simplifies to 3/5.
Why the other choices are wrong:
- A. 8 — Divides 40 by 5 but forgets to multiply by 3.
- C. 66.7 — Sets up the cross-multiplication upside down (3x = 5 × 40), which gives 200 ÷ 3.
- D. 120 — Stops after cross-multiplying and forgets to divide by 5.
Source: worked solution shown above.
Question 9 of 15 · Ratios & proportions · ID A2-M09 · Write-in answer
A liquid contains 250 mg of an ingredient in every 5 mL. How many milliliters contain 150 mg of the ingredient?
Your answer: ________ mL
Show answer and explanation
Answer: 3 mL
Set up a proportion with the units lined up: 250 mg / 5 mL = 150 mg / x mL. Cross-multiply: 250x = 750, so x = 3 mL. Check: 150 mg is 3/5 of 250 mg, and 3/5 of 5 mL is 3 mL. (This is arithmetic practice, not dosing guidance.)
Common mistake: An answer of about 8.3 comes from flipping the proportion (250 × 5 ÷ 150).
Source: worked solution shown above.
Question 10 of 15 · Measurement & conversions · ID A2-M10
Using U.S. customary measures, how many teaspoons are in 2 fluid ounces?
- A. 4
- B. 6
- C. 12
- D. 16
Show answer and explanation
Answer: C. 12
1 fluid ounce = 2 tablespoons, and 1 tablespoon = 3 teaspoons. So 2 fl oz = 4 tbsp, and 4 × 3 = 12 teaspoons.
Why the other choices are wrong:
- A. 4 — Stops at tablespoons (2 fl oz = 4 tbsp).
- B. 6 — Treats each fluid ounce as a tablespoon (2 × 3).
- D. 16 — Multiplies by 8, mixing up “8 fluid ounces in a cup” with teaspoons.
Source: NIST Handbook 44 (2026), Appendix C: General Tables of Units of Measurement — p. C-26: 1 tablespoon = 3 teaspoons = 1/2 fluid ounce (exact)
Question 11 of 15 · Measurement & conversions · ID A2-M11 · Write-in answer
Using 1 cup = 8 fluid ounces and 1 fluid ounce = 30 mL, how many milliliters are in 1 1/2 cups?
Your answer: ________ mL
Show answer and explanation
Answer: 360 mL
Convert cups to fluid ounces, then fluid ounces to milliliters: 1 1/2 × 8 = 12 fl oz, and 12 × 30 = 360 mL. The 30 mL figure is a rounded kitchen value; NIST lists a U.S. fluid ounce as about 29.573 mL, so always use the factor a problem gives you.
Common mistake: An answer of 240 mL converts only the first cup and forgets the extra half.
Source: NIST, Metric Kitchen: Cooking Measurement Equivalencies — Cooking equivalents table: rounded 30 mL per fluid ounce; given exercise factors determine 360 mL.
Related explanations: NIST Handbook 44 (2026), Appendix C: General Tables of Units of Measurement — Printed C-25 (U.S. fluid ounce 29.573 mL, rounded); C-27 (kg/lb).
Question 12 of 15 · Measurement & conversions · ID A2-M12 · Write-in answer
Using 1 kg = 2.2 lb, convert 154 lb to kilograms.
Your answer: ________ kg
Show answer and explanation
Answer: 70 kg
A kilogram is heavier than a pound, so the number of kilograms will be smaller than the number of pounds. Divide: 154 ÷ 2.2 = 70 kg. (NIST lists 1 kg as about 2.205 lb; 2.2 is the rounded factor the question tells you to use.)
Common mistake: Multiplying (154 × 2.2 = 338.8) converts in the wrong direction.
Source: NIST, Metric Kitchen: Cooking Measurement Equivalencies — Equivalencies table: 1 kg ≈ 2.2 pounds; NIST HB 44 App. C, p. C-27
Related explanations: NIST Handbook 44 (2026), Appendix C: General Tables of Units of Measurement — Printed C-25 (U.S. fluid ounce 29.573 mL, rounded); C-27 (kg/lb).
Question 13 of 15 · Measurement & conversions · ID A2-M13
What is 104 °F in degrees Celsius?
- A. 219.2 °C
- B. 72 °C
- C. 57.8 °C
- D. 40 °C
Show answer and explanation
Answer: D. 40 °C
Use °C = (°F − 32) ÷ 1.8. Subtract first: 104 − 32 = 72. Then divide: 72 ÷ 1.8 = 40 °C.
Why the other choices are wrong:
- A. 219.2 °C — Uses the Celsius-to-Fahrenheit formula (× 1.8 + 32), which converts in the wrong direction.
- B. 72 °C — Subtracts 32 but forgets to divide by 1.8.
- C. 57.8 °C — Divides by 1.8 but forgets to subtract 32 first.
Source: NIST Handbook 44 (2026), Appendix C: General Tables of Units of Measurement — p. C-20, Conversion Equations for Units of Temperature
Question 14 of 15 · Time & Roman numerals · ID A2-M14
A clinic shift ends at 7:45 p.m. How is that time written on a 24-hour (military) clock?
- A. 0745
- B. 1745
- C. 1945
- D. 2045
Show answer and explanation
Answer: C. 1945
A 24-hour clock keeps counting after noon instead of starting over at 1. For p.m. times from 1:00 to 11:59, add 12 to the hour: 7 + 12 = 19, so 7:45 p.m. is 1945.
Why the other choices are wrong:
- A. 0745 — Is 7:45 a.m.
- B. 1745 — Adds 10 to the hour instead of 12.
- D. 2045 — Adds 13 to the hour instead of 12.
Source: worked solution shown above.
Question 15 of 15 · Time & Roman numerals · ID A2-M15
In standard modern subtractive notation, which Roman numeral represents 94?
- A. IVC
- B. XCIV
- C. XCVI
- D. LXXXXIV
Show answer and explanation
Answer: B. XCIV
Build it one place value at a time. 90 is XC (10 written before 100 means 100 − 10). 4 is IV (1 before 5 means 5 − 1). Together, 94 = XCIV.
Why the other choices are wrong:
- A. IVC — I is only placed before V or X to subtract, so IVC isn’t a standard numeral.
- C. XCVI — XCVI is 96, because VI means 6, not 4.
- D. LXXXXIV — Standard numerals don’t repeat X four times; 90 is written XC.
Source: Mathwords, Roman Numerals — Subtractive pairs IV, IX, XL, XC, CD, CM
Reading practice questions
15 questions on three short passages · main idea, details, inference, words in context, and purpose and structure · optional practice target: 18 minutes. All three passages are fictional and written for practice, so answer from what each passage says, not from outside knowledge.
Passage 1: A clearer way in
Fictional passage written for practice. Questions 1–5 refer to this passage.
[1] For years, visitors to the Riverside Community Clinic entered through the east doors and followed a single sign that read “Check-In.” The sign pointed down a hallway that led to both the laboratory and the pharmacy. During a two-week review in March, front-desk staff logged 41 visitors who arrived late for appointments because they had waited in the wrong line.
[2] The clinic’s volunteer coordinator, Dana Ruiz, walked the route herself at different times of day. She noticed that the hallway looked the same from both directions and that the only sign hung above eye level, where people pushing strollers or using wheelchairs could easily miss it.
[3] In April the clinic made three changes. Staff painted a green line on the floor from the east doors to the main desk, added signs at waist height in English and Spanish, and placed a volunteer greeter near the entrance each weekday morning, when the clinic is busiest. The greeter’s only job is to ask visitors why they have come and point them to the correct line.
[4] Ruiz says the goal was not to add more signs but to make the right path obvious the first time. The clinic plans to repeat the two-week review in June and will decide then whether the greeter should also work afternoons.
Question 1 of 15 · Main idea · ID A2-R01
Which statement best expresses the main idea of the passage?
- A. Riverside Community Clinic moved its laboratory and pharmacy to make check-in easier.
- B. Volunteers are always more effective than signs at guiding clinic visitors.
- C. After finding that many visitors waited in the wrong line, the clinic changed how it directs people to check-in.
- D. Most late appointments at the clinic are caused by visitors pushing strollers.
Show answer and explanation
Answer: C. After finding that many visitors waited in the wrong line, the clinic changed how it directs people to check-in.
Paragraph 1 describes the problem (41 visitors waited in the wrong line), paragraphs 2 and 3 explain what the coordinator noticed and what changed, and paragraph 4 states the goal. Only this choice covers the whole passage.
Why the other choices are wrong:
- A. Riverside Community Clinic moved its laboratory and pharmacy to make check-in easier. — The passage describes changes to signs and directions, not a move of the laboratory or pharmacy.
- B. Volunteers are always more effective than signs at guiding clinic visitors. — The passage never compares volunteers with signs in general, and “always” goes far beyond it.
- D. Most late appointments at the clinic are caused by visitors pushing strollers. — Paragraph 2 says people with strollers or wheelchairs could miss the sign, not that they caused most late appointments.
Evidence: Paragraphs 1–4 of the passage.
Question 2 of 15 · Details · ID A2-R02
According to the passage, when does the volunteer greeter work?
- A. Every afternoon
- B. Only during the two-week review
- C. Whenever the laboratory is busy
- D. Weekday mornings
Show answer and explanation
Answer: D. Weekday mornings
Paragraph 3 places the greeter near the entrance “each weekday morning, when the clinic is busiest.”
Why the other choices are wrong:
- A. Every afternoon — Paragraph 4 says the clinic will decide in June whether to add afternoons.
- B. Only during the two-week review — The review is how the clinic measured the problem, not the greeter’s schedule.
- C. Whenever the laboratory is busy — The passage never ties the greeter’s hours to the laboratory.
Evidence: Paragraphs 3–4 of the passage.
Question 3 of 15 · Inference · ID A2-R03
Why did the clinic most likely put the new signs at waist height?
- A. So people pushing strollers or using wheelchairs would be more likely to see them
- B. Because there was no room left on the upper walls
- C. Because the green floor line was hard to see
- D. Because the signs in two languages needed more space
Show answer and explanation
Answer: A. So people pushing strollers or using wheelchairs would be more likely to see them
Paragraph 2 says the old sign hung above eye level, where people pushing strollers or using wheelchairs could easily miss it. Lower signs answer that exact problem.
Why the other choices are wrong:
- B. Because there was no room left on the upper walls — The passage says nothing about wall space.
- C. Because the green floor line was hard to see — Nothing suggests the floor line was hard to see; it was one of the fixes.
- D. Because the signs in two languages needed more space — The passage never discusses sign size.
Evidence: Paragraphs 2–3 of the passage.
Question 4 of 15 · Words in context · ID A2-R04
In paragraph 1, the word “logged” most nearly means
- A. delayed
- B. recorded
- C. cut down
- D. ignored
Show answer and explanation
Answer: B. recorded
Staff “logged 41 visitors” during a two-week review, which means they kept a written count of them. Recorded fits the sentence.
Why the other choices are wrong:
- A. delayed — The visitors were late, but the staff didn’t delay them.
- C. cut down — That’s a different meaning of log (cutting trees), which doesn’t fit here.
- D. ignored — Ignoring visitors is the opposite of counting them.
Evidence: Paragraph 1 of the passage.
Question 5 of 15 · Purpose, tone & structure · ID A2-R05
What is the author’s main purpose in this passage?
- A. To persuade readers to volunteer at a community clinic
- B. To criticize the clinic’s front-desk staff
- C. To compare two clinics’ check-in systems
- D. To explain a problem at a clinic and the steps taken to fix it
Show answer and explanation
Answer: D. To explain a problem at a clinic and the steps taken to fix it
The passage informs: it describes a problem, what staff observed, the three changes, and the plan to check the results.
Why the other choices are wrong:
- A. To persuade readers to volunteer at a community clinic — There’s no call to volunteer.
- B. To criticize the clinic’s front-desk staff — The front-desk staff tracked the problem; nothing criticizes them.
- C. To compare two clinics’ check-in systems — Only one clinic is described.
Evidence: Whole passage of the passage.
Passage 2: Quiet room or open table?
Fictional passage written for practice. Questions 6–10 refer to this passage.
[1] Members of a pre-nursing study club at Lakeview Community College wanted to know where they got more done: in the library’s silent study rooms or at the large open tables in the student commons. For three weeks, eight volunteers kept a simple log. After each study session, they wrote down where they studied, how long they stayed, and how many practice questions they completed.
[2] The logs showed that sessions in the silent rooms lasted about as long as sessions at the open tables. However, volunteers completed more practice questions per hour in the silent rooms. Several volunteers also noted that they were interrupted less often there.
[3] Club president Marcus Lee thinks the results are clear. “Everyone should study in the silent rooms,” he said at the next meeting. The club’s adviser, Professor Anita Shah, was more careful. She pointed out that the volunteers chose where to study each day, so a student who already felt focused might have been more likely to pick a silent room. She also noted that eight volunteers is a small group.
[4] The club decided to share the logs with members but not to make a rule. Next semester, it plans to repeat the project with more volunteers and to assign study locations in advance.
Question 6 of 15 · Details · ID A2-R06
Which conclusion is best supported by the study club’s logs?
- A. Silent rooms help every student learn more.
- B. Open tables are too noisy for studying.
- C. Volunteers completed more practice questions per hour in the silent rooms.
- D. Students stayed much longer in the silent rooms.
Show answer and explanation
Answer: C. Volunteers completed more practice questions per hour in the silent rooms.
Paragraph 2 reports exactly this. It’s the only choice that stays within what the logs actually measured.
Why the other choices are wrong:
- A. Silent rooms help every student learn more. — The logs covered eight volunteers, not every student, and they counted practice questions, not learning.
- B. Open tables are too noisy for studying. — Noise wasn’t measured; volunteers noted fewer interruptions in the silent rooms.
- D. Students stayed much longer in the silent rooms. — Paragraph 2 says sessions lasted about as long in both places.
Evidence: Paragraph 2 of the passage.
Question 7 of 15 · Details · ID A2-R07
Which statement from the passage is an opinion rather than a reported observation?
- A. Sessions in the silent rooms lasted about as long as sessions at the open tables.
- B. Volunteers completed more practice questions per hour in the silent rooms.
- C. Eight volunteers kept a simple log for three weeks.
- D. “Everyone should study in the silent rooms.”
Show answer and explanation
Answer: D. “Everyone should study in the silent rooms.”
Marcus Lee’s statement in paragraph 3 tells people what they should do. It’s a judgment about the results, not something the logs recorded.
Why the other choices are wrong:
- A. Sessions in the silent rooms lasted about as long as sessions at the open tables. — This is a finding from the logs.
- B. Volunteers completed more practice questions per hour in the silent rooms. — This is also a finding from the logs.
- C. Eight volunteers kept a simple log for three weeks. — This describes how the information was collected.
Evidence: Paragraphs 1–3 of the passage.
Question 8 of 15 · Details · ID A2-R08
According to Professor Shah, why might the results be misleading?
- A. The volunteers forgot to record how long they studied.
- B. The volunteers chose where to study, so students who already felt focused may have picked the silent rooms.
- C. The silent rooms were closed for part of the three weeks.
- D. The practice questions were easier in the silent rooms.
Show answer and explanation
Answer: B. The volunteers chose where to study, so students who already felt focused may have picked the silent rooms.
Paragraph 3 gives two concerns: the volunteers chose their own locations, and eight volunteers is a small group. This choice restates the first one.
Why the other choices are wrong:
- A. The volunteers forgot to record how long they studied. — Paragraph 1 says the volunteers recorded how long they stayed.
- C. The silent rooms were closed for part of the three weeks. — The passage never mentions closures.
- D. The practice questions were easier in the silent rooms. — The passage never compares question difficulty.
Evidence: Paragraph 3 of the passage.
Question 9 of 15 · Purpose, tone & structure · ID A2-R09
What is the main role of paragraph 3?
- A. It presents two different views of what the results mean.
- B. It explains how the volunteers collected their information.
- C. It describes the club’s final decision.
- D. It lists the practice questions the volunteers used.
Show answer and explanation
Answer: A. It presents two different views of what the results mean.
Marcus Lee thinks the results are clear; Professor Shah explains why they might not be. The paragraph sets those two views side by side.
Why the other choices are wrong:
- B. It explains how the volunteers collected their information. — That’s paragraph 1.
- C. It describes the club’s final decision. — That’s paragraph 4.
- D. It lists the practice questions the volunteers used. — No questions are listed anywhere in the passage.
Evidence: Paragraph 3 of the passage.
Question 10 of 15 · Main idea · ID A2-R10
Which sentence is the best summary of the passage?
- A. A study proved that silent rooms are best, so the club now requires them.
- B. A small study found more practice questions per hour in the silent rooms, but because of its limits, the club shared the findings without making a rule and planned a larger follow-up.
- C. The study club found no difference between the two study locations.
- D. The adviser rejected the study because the volunteers were not honest.
Show answer and explanation
Answer: B. A small study found more practice questions per hour in the silent rooms, but because of its limits, the club shared the findings without making a rule and planned a larger follow-up.
This choice keeps the main finding, the study’s limits, and the club’s actual decision in paragraph 4.
Why the other choices are wrong:
- A. A study proved that silent rooms are best, so the club now requires them. — Paragraph 4 says the club chose not to make a rule, and nothing was “proved.”
- C. The study club found no difference between the two study locations. — The logs did show a difference in questions per hour.
- D. The adviser rejected the study because the volunteers were not honest. — Professor Shah questioned the study’s design, not anyone’s honesty.
Evidence: Whole passage of the passage.
Passage 3: Handoff at 7 a.m.
Fictional passage written for practice. Questions 11–15 refer to this passage.
[1] Jordan Blake had been a patient care technician for exactly four days when the charge nurse asked her to sit in on the morning handoff. At 7:00 a.m., the night-shift nurse, Mr. Okafor, met the day nurse, Ms. Levin, at the first patient’s door.
[2] Jordan expected a quick “everything’s fine.” Instead, Mr. Okafor spoke for almost three minutes. He named the patient, explained why she had been admitted, described how her night had gone, and ended with one specific request: “She was dizzy when she stood up at five, so please help her the first time she walks this morning.” Ms. Levin repeated the request back to him, word for word, before they moved on.
[3] By the fourth patient, Jordan noticed a pattern. Every report followed the same order, and every report ended with something the next nurse should do. Nobody rushed, even though breakfast trays were already rolling down the hall.
[4] Later, Jordan asked Ms. Levin why she had repeated the request. Ms. Levin smiled. “Because if I say it back, we both know I heard it right.” Jordan wrote that sentence on an index card and tucked it into her badge holder.
Question 11 of 15 · Main idea · ID A2-R11
What is the passage mainly about?
- A. A new patient care technician learns how a careful, structured handoff helps nurses pass on information accurately.
- B. Night-shift nurses give longer reports than day-shift nurses.
- C. Nursing handoffs delay breakfast service.
- D. Patients are often dizzy early in the morning.
Show answer and explanation
Answer: A. A new patient care technician learns how a careful, structured handoff helps nurses pass on information accurately.
Every paragraph follows Jordan’s first look at handoff: what she expected, what she saw, the pattern she noticed, and the reason Ms. Levin gives for repeating information back.
Why the other choices are wrong:
- B. Night-shift nurses give longer reports than day-shift nurses. — Only one night nurse’s reports appear, and they aren’t compared with day-shift reports.
- C. Nursing handoffs delay breakfast service. — Paragraph 3 mentions breakfast trays only to show that nobody rushed.
- D. Patients are often dizzy early in the morning. — One patient was dizzy; the passage makes no general claim.
Evidence: Whole passage of the passage.
Question 12 of 15 · Inference · ID A2-R12
Why does Jordan most likely write Ms. Levin’s sentence on an index card?
- A. She plans to report Ms. Levin to the charge nurse.
- B. She needs a label for her badge holder.
- C. She wants to remember why repeating information back matters.
- D. She disagrees with Ms. Levin and plans to argue later.
Show answer and explanation
Answer: C. She wants to remember why repeating information back matters.
Jordan asked why Ms. Levin repeated the request, heard the reason, and kept the sentence in her badge holder. That points to wanting to remember the lesson.
Why the other choices are wrong:
- A. She plans to report Ms. Levin to the charge nurse. — Nothing suggests Jordan disapproves of Ms. Levin.
- B. She needs a label for her badge holder. — The badge holder is where she keeps the card, not what the card is for.
- D. She disagrees with Ms. Levin and plans to argue later. — Nothing suggests disagreement; she asked a question and kept the answer.
Evidence: Paragraph 4 of the passage.
Question 13 of 15 · Purpose, tone & structure · ID A2-R13
Which event happens first in the passage?
- A. Ms. Levin repeats the night nurse’s request back to him.
- B. Jordan notices that every report follows the same order.
- C. Jordan writes a sentence on an index card.
- D. The charge nurse asks Jordan to sit in on the morning handoff.
Show answer and explanation
Answer: D. The charge nurse asks Jordan to sit in on the morning handoff.
Paragraph 1 opens with the charge nurse’s request. The other events follow in paragraphs 2, 3 and 4.
Why the other choices are wrong:
- A. Ms. Levin repeats the night nurse’s request back to him. — That happens in paragraph 2.
- B. Jordan notices that every report follows the same order. — That happens in paragraph 3.
- C. Jordan writes a sentence on an index card. — That happens last, in paragraph 4.
Evidence: Paragraphs 1–4 of the passage.
Question 14 of 15 · Words in context · ID A2-R14
In paragraph 2, the word “specific” most nearly means
- A. clear and exact
- B. unusual
- C. optional
- D. medical
Show answer and explanation
Answer: A. clear and exact
Mr. Okafor’s request says exactly what to do and when: help the patient the first time she walks this morning. Specific means clear and exact.
Why the other choices are wrong:
- B. unusual — Nothing suggests the request was strange.
- C. optional — He’s asking the day nurse to do it; it isn’t presented as optional.
- D. medical — The word describes how precise the request is, not its subject.
Evidence: Paragraph 2 of the passage.
Question 15 of 15 · Purpose, tone & structure · ID A2-R15
Which word best describes Mr. Okafor’s report?
- A. careless
- B. hurried
- C. thorough
- D. humorous
Show answer and explanation
Answer: C. thorough
He talks for almost three minutes and covers who the patient is, why she was admitted, how her night went, and what the next nurse should do.
Why the other choices are wrong:
- A. careless — Covering four parts of the report carefully is the opposite of careless.
- B. hurried — Paragraph 3 says nobody rushed.
- D. humorous — Nothing in the report is meant to be funny.
Evidence: Paragraphs 2–3 of the passage.
Vocabulary practice questions
15 questions · words used in healthcare and everyday settings, plus common medical word parts · optional practice target: 15 minutes.
Question 1 of 15 · Healthcare words · ID A2-V01
The study reported no adverse reactions to the new skin cream. What is the best meaning of the word in bold?
- A. harmful
- B. expected
- C. mild
- D. delayed
Show answer and explanation
Answer: A. harmful
Adverse means harmful or unfavorable, so “no adverse reactions” means no harmful ones. Don’t confuse it with averse, which means opposed to something.
Why the other choices are wrong:
- B. expected — Expected describes whether a reaction was predicted, not whether it was harmful.
- C. mild — A mild reaction can still be adverse; the words aren’t synonyms.
- D. delayed — Delayed describes timing.
Source: Merriam-Webster, adverse
Question 2 of 15 · Healthcare words · ID A2-V02
Lifting heavy boxes may exacerbate her back pain. What is the best meaning of the word in bold?
- A. relieve
- B. hide
- C. make worse
- D. measure
Show answer and explanation
Answer: C. make worse
Exacerbate means to make something worse, such as a symptom or a problem.
Why the other choices are wrong:
- A. relieve — Relieve is close to the opposite.
- B. hide — Hiding pain doesn’t change how bad it is.
- D. measure — Measuring pain describes it; it doesn’t worsen it.
Source: Merriam-Webster, exacerbate
Question 3 of 15 · Healthcare words · ID A2-V03
After three night shifts in a row, he felt lethargic and had trouble staying focused. What is the best meaning of the word in bold?
- A. anxious
- B. sluggish and lacking energy
- C. confused
- D. irritable
Show answer and explanation
Answer: B. sluggish and lacking energy
Lethargic means sluggish, drowsy, and low on energy, which fits someone worn out by three night shifts.
Why the other choices are wrong:
- A. anxious — Anxious means worried or uneasy.
- C. confused — Confused is about unclear thinking, not low energy.
- D. irritable — Irritable means easily annoyed.
Source: Merriam-Webster, lethargic
Question 4 of 15 · Healthcare words · ID A2-V04
The report noted bilateral weakness in the patient’s hands. What is the best meaning of the word in bold?
- A. sudden
- B. affecting one side
- C. mild
- D. affecting both sides
Show answer and explanation
Answer: D. affecting both sides
Bilateral means on or affecting both sides. The prefix bi- means two, and lateral refers to a side.
Why the other choices are wrong:
- A. sudden — Sudden describes timing.
- B. affecting one side — Affecting one side is unilateral, the opposite.
- C. mild — Mild describes severity.
Source: Merriam-Webster, bilateral
Question 5 of 15 · Healthcare words · ID A2-V05
During the exam, the nurse practitioner found a small palpable lump on the patient’s forearm. What is the best meaning of the word in bold?
- A. able to be felt by touch
- B. painful
- C. growing quickly
- D. visible only on an X-ray
Show answer and explanation
Answer: A. able to be felt by touch
Palpable means able to be felt by touching. To palpate is to examine by feeling with the hands.
Why the other choices are wrong:
- B. painful — A palpable lump may or may not hurt; the word says nothing about pain.
- C. growing quickly — The word says nothing about growth.
- D. visible only on an X-ray — Something palpable can be felt directly, without imaging.
Source: Merriam-Webster, palpable
Related explanations: Merriam-Webster, palpate — Entry definitions relevant to the word in context; not automatically generated example sentences.
Question 6 of 15 · Healthcare words · ID A2-V06
She has lived with chronic back pain for more than ten years. What is the best meaning of the word in bold?
- A. sudden and brief
- B. severe
- C. long-lasting
- D. rare
Show answer and explanation
Answer: C. long-lasting
Chronic means continuing for a long time or recurring often. Its common opposite in health settings is acute, which describes something sudden and short-lived.
Why the other choices are wrong:
- A. sudden and brief — That describes acute, the opposite.
- B. severe — Chronic pain can be mild or severe; the word is about duration.
- D. rare — Rare describes how often something occurs in a population.
Source: Merriam-Webster, chronic
Related explanations: Merriam-Webster, acute — Adjective and medical senses: rapid onset and relatively short duration.
Question 7 of 15 · General words · ID A2-V07
The instructor asked for a concise summary of no more than three sentences. What is the best meaning of the word in bold?
- A. brief but complete
- B. highly detailed
- C. formal
- D. careless
Show answer and explanation
Answer: A. brief but complete
Concise means expressing a lot in few words. A three-sentence summary has to be brief and still cover the key points.
Why the other choices are wrong:
- B. highly detailed — Highly detailed is close to the opposite.
- C. formal — Formal describes tone, not length.
- D. careless — Concise writing is careful, not careless.
Source: Merriam-Webster, concise
Question 8 of 15 · General words · ID A2-V08
A colleague was discreet about a coworker’s private contact information. What is the best meaning of the word in bold?
- A. separate and distinct
- B. loud and clear
- C. careful to protect privacy
- D. quick
Show answer and explanation
Answer: C. careful to protect privacy
Discreet means careful about what you say or do, especially to protect privacy.
Why the other choices are wrong:
- A. separate and distinct — That’s discrete, a different word that sounds the same.
- B. loud and clear — Loud and clear is the opposite of discreet.
- D. quick — Speed isn’t part of the meaning.
Source: Merriam-Webster, discreet
Question 9 of 15 · General words · ID A2-V09
Dark clouds and strong winds signaled an impending storm. What is the best meaning of the word in bold?
- A. recently ended
- B. about to happen
- C. imaginary
- D. mild
Show answer and explanation
Answer: B. about to happen
Impending means about to happen. The clouds and wind are warning signs of a storm that hasn’t arrived yet.
Why the other choices are wrong:
- A. recently ended — That’s the opposite time frame.
- C. imaginary — The storm is expected, not imagined.
- D. mild — Impending describes timing, not strength.
Source: Merriam-Webster, impending
Question 10 of 15 · General words · ID A2-V10
Without repairs, the old building will continue to deteriorate. What is the best meaning of the word in bold?
- A. improve
- B. stay the same
- C. grow larger
- D. become worse
Show answer and explanation
Answer: D. become worse
Deteriorate means to become worse in condition or quality over time.
Why the other choices are wrong:
- A. improve — Improve is the opposite.
- B. stay the same — Continuing to deteriorate means changing for the worse, not staying the same.
- C. grow larger — The word is about condition, not size.
Source: Merriam-Webster, deteriorate
Question 11 of 15 · Healthcare words · ID A2-V11
The dentist recommended a prophylactic cleaning. What is the best meaning of the word in bold?
- A. emergency
- B. preventive
- C. painful
- D. cosmetic
Show answer and explanation
Answer: B. preventive
Prophylactic means intended to prevent a disease or problem.
Why the other choices are wrong:
- A. emergency — An emergency visit responds to a problem that already exists.
- C. painful — The word says nothing about pain.
- D. cosmetic — Cosmetic means done for appearance.
Source: Merriam-Webster, prophylactic
Question 12 of 15 · Word parts · ID A2-V12
In the word bradycardia, what does the prefix brady- mean?
- A. fast
- B. irregular
- C. slow
- D. strong
Show answer and explanation
Answer: C. slow
Brady- means slow, so bradycardia describes a slow heart rate. Its opposite is tachy- (fast), as in tachycardia.
Why the other choices are wrong:
- A. fast — Fast is tachy-.
- B. irregular — Irregular isn’t the meaning of brady-.
- D. strong — Strong isn’t the meaning of brady-.
Source: MedlinePlus (NLM), Appendix A: Word Parts and What They Mean — Tables for body parts, problems/procedures, speed, amount, and position; brady-, -itis, hypo-, -ectomy and distractor affixes.
Question 13 of 15 · Word parts · ID A2-V13
In the word tendinitis, what does the suffix -itis mean?
- A. inflammation
- B. surgical removal
- C. study of
- D. enlargement
Show answer and explanation
Answer: A. inflammation
-itis means inflammation, so tendinitis is inflammation of a tendon. Inflammation can have many causes, so -itis doesn’t automatically mean infection.
Why the other choices are wrong:
- B. surgical removal — Surgical removal is -ectomy.
- C. study of — Study of is -logy.
- D. enlargement — Enlargement is -megaly.
Source: MedlinePlus (NLM), Appendix A: Word Parts and What They Mean — Tables for body parts, problems/procedures, speed, amount, and position; brady-, -itis, hypo-, -ectomy and distractor affixes.
Question 14 of 15 · Word parts · ID A2-V14
In the word hypothermia, what does the prefix hypo- mean?
- A. above normal
- B. below normal
- C. around
- D. after
Show answer and explanation
Answer: B. below normal
Hypo- means below or under normal, so hypothermia is a body temperature below normal. Its opposite is hyper- (above normal).
Why the other choices are wrong:
- A. above normal — Above normal is hyper-.
- C. around — Around is peri- or circum-.
- D. after — After is post-.
Source: MedlinePlus (NLM), Appendix A: Word Parts and What They Mean — Tables for body parts, problems/procedures, speed, amount, and position; brady-, -itis, hypo-, -ectomy and distractor affixes.
Question 15 of 15 · Word parts · ID A2-V15
In the word appendectomy, what does the suffix -ectomy mean?
- A. cutting into
- B. viewing with a scope
- C. inflammation
- D. surgical removal
Show answer and explanation
Answer: D. surgical removal
-ectomy means surgical removal, so an appendectomy removes the appendix. Don’t mix it up with -otomy (cutting into) or -scopy (looking inside with a scope).
Why the other choices are wrong:
- A. cutting into — Cutting into is -otomy.
- B. viewing with a scope — Viewing with a scope is -scopy.
- C. inflammation — Inflammation is -itis.
Source: MedlinePlus (NLM), Appendix A: Word Parts and What They Mean — Tables for body parts, problems/procedures, speed, amount, and position; brady-, -itis, hypo-, -ectomy and distractor affixes.
Grammar practice questions
15 questions · agreement, pronouns, verb forms, modifiers, punctuation, commonly confused words and parts of speech · optional practice target: 15 minutes. Choose the answer that’s correct in standard written American English.
Question 1 of 15 · Agreement · ID A2-G01
The box of gloves ___ on the top shelf. Which word or phrase correctly completes the sentence?
- A. are
- B. is
- C. were
- D. be
Show answer and explanation
Answer: B. is
The subject is box, which is singular. Of gloves is a prepositional phrase describing the box, so it doesn’t control the verb. A singular subject takes is.
Why the other choices are wrong:
- A. are — Agrees with gloves, the wrong word.
- C. were — Were does not agree with the singular subject box in this sentence.
- D. be — Be isn’t a complete verb form in this sentence.
Source: Purdue OWL, Subject/Verb Agreement — Rules 3 and 5: nearest or/nor subject; intervening prepositional phrases.
Question 2 of 15 · Agreement · ID A2-G02
Neither the nurses nor the doctor ___ available after 6 p.m. Which word or phrase correctly completes the sentence?
- A. is
- B. are
- C. were
- D. have been
Show answer and explanation
Answer: A. is
With neither…nor, the verb agrees with the subject closer to it. The closer subject is the doctor, which is singular, so use is.
Why the other choices are wrong:
- B. are — Agrees with nurses, the farther subject.
- C. were — Were does not agree with the closer singular subject doctor in this sentence.
- D. have been — Plural helping verb.
Source: Purdue OWL, Subject/Verb Agreement — Rules 3 and 5: nearest or/nor subject; intervening prepositional phrases.
Question 3 of 15 · Pronoun case · ID A2-G03
Maria and ___ volunteered at the health fair. Which word or phrase correctly completes the sentence?
- A. me
- B. her
- C. I
- D. my
Show answer and explanation
Answer: C. I
The pronoun is part of the subject, so it takes the subject form, I. Test it alone: “I volunteered” works; “me volunteered” doesn’t.
Why the other choices are wrong:
- A. me — Me is an object pronoun.
- B. her — Her is also an object form here.
- D. my — My is a possessive form that needs a following noun here.
Source: Purdue OWL, Pronoun Case — Subject, object and possessive table; compound subject/object checks.
Question 4 of 15 · Pronoun case · ID A2-G04
The instructor gave extra practice sets to Sam and ___. Which word or phrase correctly completes the sentence?
- A. I
- B. we
- C. my
- D. me
Show answer and explanation
Answer: D. me
The pronoun follows the preposition to, so it takes the object form, me. Test it alone: “gave them to me.”
Why the other choices are wrong:
- A. I — I is a subject pronoun.
- B. we — We is a subject pronoun, and it’s plural.
- C. my — My is a possessive form that needs a following noun here.
Source: Purdue OWL, Pronoun Case — Subject, object and possessive table; compound subject/object checks.
Question 5 of 15 · Verbs · ID A2-G05
By the time the bus arrived, the students had ___ all of their water. Which word or phrase correctly completes the sentence?
- A. drank
- B. drunk
- C. drinked
- D. drinking
Show answer and explanation
Answer: B. drunk
After had, use the past participle. Drink is irregular: drink (present), drank (past), drunk (past participle).
Why the other choices are wrong:
- A. drank — Drank is the simple past, not the past participle.
- C. drinked — Drinked isn’t a standard form.
- D. drinking — “Had drinking” isn’t a correct verb phrase.
Source: Merriam-Webster, drink
Question 6 of 15 · Verbs · ID A2-G06
Which sentence correctly shows that one past action happened before another?
- A. When I arrived, the lecture has already started.
- B. When I arrive, the lecture had already started.
- C. When I arrived, the lecture had already started.
- D. When I arrived, the lecture will already start.
Show answer and explanation
Answer: C. When I arrived, the lecture had already started.
Both actions are in the past. The past perfect (had started) marks the earlier one, and the simple past (arrived) marks the later one.
Why the other choices are wrong:
- A. When I arrived, the lecture has already started. — Has started is present perfect, which doesn’t match a past arrival.
- B. When I arrive, the lecture had already started. — Arrive is present tense.
- D. When I arrived, the lecture will already start. — Will start points to the future.
Source: Purdue OWL, Verb Tense Consistency — Perfect tenses and relations between past events.
Question 7 of 15 · Modifiers & comparisons · ID A2-G07
She answered the difficult question very ___. Which word or phrase correctly completes the sentence?
- A. well
- B. good
- C. best
- D. more good
Show answer and explanation
Answer: A. well
The blank describes how she answered, which is an action (a verb). Words that describe verbs are adverbs, and the adverb here is well. Good is an adjective, so it describes nouns.
Why the other choices are wrong:
- B. good — Good is an adjective.
- C. best — “Answered very best” isn’t standard; best is a superlative.
- D. more good — More good isn’t standard; the comparative is better.
Source: Purdue OWL, Adjectives and Adverbs — The Basic Rules: Adverbs; adjectives versus adverbs.
Related explanations: Merriam-Webster, well — Adverb senses and Good vs. Well Usage Guide.
Question 8 of 15 · Sentence structure & punctuation · ID A2-G08
Which revision correctly fixes this sentence? The clinic opens at eight, the lab opens at nine.
- A. The clinic opens at eight the lab opens at nine.
- B. The clinic opens at eight, the lab, opens at nine.
- C. The clinic opens, at eight the lab opens at nine.
- D. The clinic opens at eight; the lab opens at nine.
Show answer and explanation
Answer: D. The clinic opens at eight; the lab opens at nine.
The original joins two complete sentences with only a comma, which is a comma splice. A semicolon can join two closely related independent clauses.
Why the other choices are wrong:
- A. The clinic opens at eight the lab opens at nine. — Removing the comma creates a run-on (fused) sentence.
- B. The clinic opens at eight, the lab, opens at nine. — Still a comma splice, plus an extra comma between subject and verb.
- C. The clinic opens, at eight the lab opens at nine. — Puts a comma inside the first clause and leaves no valid boundary between the two independent clauses.
Source: Purdue OWL, Independent and Dependent Clauses — Comma Splices and Fused Sentences; semicolon repair.
Question 9 of 15 · Sentence structure & punctuation · ID A2-G09
Which of the following is a complete sentence?
- A. Because the waiting room was crowded.
- B. The patient waited near the window.
- C. After checking the schedule twice.
- D. Which the nurse had cleaned earlier.
Show answer and explanation
Answer: B. The patient waited near the window.
It has a subject (patient), a verb (waited), and a complete thought. The other choices are fragments.
Why the other choices are wrong:
- A. Because the waiting room was crowded. — Starts with because, which makes it a dependent clause.
- C. After checking the schedule twice. — A phrase with no subject.
- D. Which the nurse had cleaned earlier. — Here, which introduces a dependent relative clause that needs a main clause.
Source: Purdue OWL, Sentence Fragments — Dependent-clause fragments, including relative which clauses.
Question 10 of 15 · Sentence structure & punctuation · ID A2-G10
Which phrase correctly shows that the backpacks belong to several students?
- A. the student’s backpacks
- B. the students backpacks
- C. the students’ backpacks
- D. the students’s backpacks
Show answer and explanation
Answer: C. the students’ backpacks
For a plural noun that already ends in s, add only an apostrophe: students’.
Why the other choices are wrong:
- A. the student’s backpacks — Student’s means the backpacks belong to one student.
- B. the students backpacks — Without an apostrophe, nothing shows ownership.
- D. the students’s backpacks — A plural ending in s doesn’t take an extra ’s.
Source: Purdue OWL, Apostrophe Introduction — Plural nouns already ending in s; possessive pronouns; contractions.
Question 11 of 15 · Word choice · ID A2-G11
The clinic updated ___ visiting hours last week. Which word or phrase correctly completes the sentence?
- A. its
- B. it’s
- C. its’
- D. it is
Show answer and explanation
Answer: A. its
Its (no apostrophe) is the possessive form, like his or hers. It’s always means “it is” or “it has.”
Why the other choices are wrong:
- B. it’s — “It is visiting hours” makes no sense here.
- C. its’ — Its’ is never correct.
- D. it is — Same problem as it’s.
Source: Purdue OWL, Apostrophe Introduction — Plural nouns already ending in s; possessive pronouns; contractions.
Question 12 of 15 · Word choice · ID A2-G12
Lack of sleep can ___ a student’s ability to focus. Which word or phrase correctly completes the sentence?
- A. effect
- B. affect
- C. effects
- D. affection
Show answer and explanation
Answer: B. affect
Affect is usually the verb meaning “to influence.” Effect is usually a noun meaning a result. As a verb, effect means “to bring about,” which doesn’t fit here.
Why the other choices are wrong:
- A. effect — As a verb, effect means “to bring about,” so the sentence would say lack of sleep creates the ability.
- C. effects — A noun or a verb form that doesn’t fit after can.
- D. affection — Affection is a noun meaning fondness.
Source: Merriam-Webster, affect
Question 13 of 15 · Sentence structure & punctuation · ID A2-G13
Which sentence uses parallel structure?
- A. Before the exam, she reviewed her notes, got some sleep, and was eating breakfast.
- B. Before the exam, she reviewed her notes, getting some sleep, and ate breakfast.
- C. Before the exam, she reviewed her notes, got some sleep, and ate breakfast.
- D. Before the exam, she was reviewing her notes, got some sleep, and to eat breakfast.
Show answer and explanation
Answer: C. Before the exam, she reviewed her notes, got some sleep, and ate breakfast.
Items in a series should share the same grammatical form. This choice uses three past-tense verbs in a row: reviewed, got, ate.
Why the other choices are wrong:
- A. Before the exam, she reviewed her notes, got some sleep, and was eating breakfast. — Switches to was eating in the last item.
- B. Before the exam, she reviewed her notes, getting some sleep, and ate breakfast. — Switches to getting in the middle item.
- D. Before the exam, she was reviewing her notes, got some sleep, and to eat breakfast. — Mixes three different forms.
Source: Purdue OWL, Parallel Structure — Words and Phrases: matching grammatical forms.
Question 14 of 15 · Parts of speech · ID A2-G14
In the sentence “The nurse spoke softly to the frightened child,” what part of speech is softly?
- A. adjective
- B. noun
- C. verb
- D. adverb
Show answer and explanation
Answer: D. adverb
Softly tells how the nurse spoke, so it describes a verb. Words that describe verbs are adverbs. By contrast, frightened is an adjective describing child.
Why the other choices are wrong:
- A. adjective — Adjectives describe nouns.
- B. noun — Softly doesn’t name a person, place, thing, or idea.
- C. verb — The verb in the sentence is spoke.
Source: Purdue OWL, Adjectives and Adverbs — The Basic Rules: Adverbs; adjectives versus adverbs.
Question 15 of 15 · Modifiers & comparisons · ID A2-G15
Which sentence is clear and correct?
- A. Walking into the lab, the smell of disinfectant was strong.
- B. The smell of disinfectant, walking into the lab, was strong.
- C. Walking into the lab, strong was the smell of disinfectant.
- D. Walking into the lab, I noticed the strong smell of disinfectant.
Show answer and explanation
Answer: D. Walking into the lab, I noticed the strong smell of disinfectant.
An opening phrase like “walking into the lab” describes the subject that comes right after it. Here, I is the one walking.
Why the other choices are wrong:
- A. Walking into the lab, the smell of disinfectant was strong. — The phrase seems to describe the smell, which can’t walk (a dangling modifier).
- B. The smell of disinfectant, walking into the lab, was strong. — The phrase still attaches to the smell.
- C. Walking into the lab, strong was the smell of disinfectant. — Same problem, with awkward word order.
Source: Purdue OWL, Dangling Modifiers — Main-clause subject must logically perform the introductory action.
Anatomy & Physiology practice questions
15 questions · anatomical terms, body cavities, the skeleton, heart and blood flow, muscle, and the nervous, respiratory, digestive, urinary and endocrine systems · optional practice target: 15 minutes.
Question 1 of 15 · Terminology & body organization · ID A2-A01
Using anatomical terms, how is the elbow positioned relative to the wrist?
- A. Distal
- B. Proximal
- C. Lateral
- D. Anterior
Show answer and explanation
Answer: B. Proximal
Proximal means closer to the trunk or to the point where a limb attaches. The elbow is closer to the shoulder than the wrist is, so the elbow is proximal to the wrist.
Why the other choices are wrong:
- A. Distal — Distal means farther from the trunk; the wrist is distal to the elbow.
- C. Lateral — Lateral means away from the body’s midline, not along a limb.
- D. Anterior — Anterior means toward the front of the body.
Source: NCI SEER Training, Anatomical Terminology — Directional Terms; Planes of the Body; Body Cavities.
Question 2 of 15 · Terminology & body organization · ID A2-A02
The nose is ___ to the ears. Which term correctly completes the sentence?
- A. lateral
- B. distal
- C. medial
- D. posterior
Show answer and explanation
Answer: C. medial
Medial means toward the body’s midline. The nose sits on the midline, while the ears are off to the sides, so the nose is medial to the ears.
Why the other choices are wrong:
- A. lateral — Lateral is the reverse relationship: the ears are lateral to the nose.
- B. distal — Distal describes position along a limb.
- D. posterior — Posterior means toward the back; the nose is on the front of the head.
Source: NCI SEER Training, Anatomical Terminology — Directional Terms; Planes of the Body; Body Cavities.
Question 3 of 15 · Terminology & body organization · ID A2-A03
Which plane divides the body into right and left portions?
- A. Coronal (frontal) plane
- B. Transverse (axial) plane
- C. Oblique plane
- D. Sagittal plane
Show answer and explanation
Answer: D. Sagittal plane
A sagittal plane runs vertically from front to back and divides the body into right and left sides. The median plane is the sagittal plane that runs exactly through the midline, creating equal halves.
Why the other choices are wrong:
- A. Coronal (frontal) plane — A coronal plane divides the body into front (anterior) and back (posterior) portions.
- B. Transverse (axial) plane — A transverse plane divides the body into upper and lower portions.
- C. Oblique plane — An oblique plane cuts at an angle rather than straight side to side or front to back.
Source: NCI SEER Training, Anatomical Terminology — Directional Terms; Planes of the Body; Body Cavities.
Question 4 of 15 · Terminology & body organization · ID A2-A04
Which structure separates the thoracic cavity from the abdominopelvic cavity?
- A. Diaphragm
- B. Sternum
- C. Pericardium
- D. Pleura
Show answer and explanation
Answer: A. Diaphragm
The diaphragm, a dome-shaped breathing muscle, divides the ventral body cavity into the thoracic cavity above and the abdominopelvic cavity below.
Why the other choices are wrong:
- B. Sternum — The sternum (breastbone) is part of the front of the chest wall.
- C. Pericardium — The pericardium is the sac around the heart.
- D. Pleura — The pleura are membranes that line the chest cavity and cover the lungs.
Source: NCI SEER Training, Anatomical Terminology — Directional Terms; Planes of the Body; Body Cavities.
Question 5 of 15 · Terminology & body organization · ID A2-A05
Which organ is located in the thoracic cavity?
- A. Kidney
- B. Adrenal gland
- C. Esophagus
- D. Urinary bladder
Show answer and explanation
Answer: C. Esophagus
The thoracic (chest) cavity contains the heart, lungs, trachea, esophagus, large blood vessels, and nerves.
Why the other choices are wrong:
- A. Kidney — The kidneys are in the abdominal portion of the ventral cavity.
- B. Adrenal gland — The adrenal glands are also in the abdominal cavity.
- D. Urinary bladder — The bladder is in the pelvic cavity, with most of the urogenital system.
Source: NCI SEER Training, Anatomical Terminology — Directional Terms; Planes of the Body; Body Cavities.
Question 6 of 15 · Skeletal & muscular · ID A2-A06
Which bone is part of the appendicular skeleton?
- A. Sternum
- B. Femur
- C. Vertebra
- D. Rib
Show answer and explanation
Answer: B. Femur
The appendicular skeleton is made of the limb bones and the girdles that attach the limbs to the body. The femur (thigh bone) is a limb bone. SEER’s module counts 126 bones in the appendicular skeleton and 80 in the axial skeleton.
Why the other choices are wrong:
- A. Sternum — The sternum belongs to the axial skeleton, the body’s central axis.
- C. Vertebra — Vertebrae form the spine, part of the axial skeleton.
- D. Rib — Ribs are part of the axial skeleton.
Source: NCI SEER Training, Appendicular Skeleton — Shoulder girdle, upper and lower extremities; appendicular skeleton.
Question 7 of 15 · Heart & blood flow · ID A2-A07
Blood pumped out of the right ventricle flows directly into which vessel?
- A. Superior vena cava
- B. Aorta
- C. Pulmonary veins
- D. Pulmonary trunk
Show answer and explanation
Answer: D. Pulmonary trunk
The pulmonary semilunar valve sits between the right ventricle and the pulmonary trunk. From the right ventricle, blood is pumped toward the lungs to pick up oxygen.
Why the other choices are wrong:
- A. Superior vena cava — The superior vena cava is one of the large systemic veins that returns blood to the right atrium.
- B. Aorta — The aorta receives blood from the left ventricle, through the aortic semilunar valve.
- C. Pulmonary veins — The pulmonary veins bring oxygenated blood from the lungs to the left atrium.
Source: NCI SEER Training, Structure of the Heart — Heart wall, chambers, valves and blood-flow pathway.
Question 8 of 15 · Heart & blood flow · ID A2-A08
Which valve is located between the left atrium and the left ventricle?
- A. Tricuspid valve
- B. Bicuspid (mitral) valve
- C. Pulmonary semilunar valve
- D. Aortic semilunar valve
Show answer and explanation
Answer: B. Bicuspid (mitral) valve
The left atrioventricular valve is the bicuspid valve, also called the mitral valve.
Why the other choices are wrong:
- A. Tricuspid valve — The tricuspid valve is the right atrioventricular valve.
- C. Pulmonary semilunar valve — The pulmonary semilunar valve is between the right ventricle and the pulmonary trunk.
- D. Aortic semilunar valve — The aortic semilunar valve is between the left ventricle and the aorta.
Source: NCI SEER Training, Structure of the Heart — Heart wall, chambers, valves and blood-flow pathway.
Question 9 of 15 · Heart & blood flow · ID A2-A09
Which chamber of the heart receives oxygenated blood from the pulmonary veins?
- A. Left atrium
- B. Right atrium
- C. Right ventricle
- D. Left ventricle
Show answer and explanation
Answer: A. Left atrium
The atria are thin-walled receiving chambers. The left atrium receives oxygenated blood from the pulmonary veins; the right atrium receives deoxygenated blood from the systemic veins.
Why the other choices are wrong:
- B. Right atrium — The right atrium receives deoxygenated blood from the body.
- C. Right ventricle — The ventricles pump blood out of the heart rather than receive it from veins.
- D. Left ventricle — The left ventricle receives blood from the left atrium, not directly from the pulmonary veins.
Source: NCI SEER Training, Structure of the Heart — Heart wall, chambers, valves and blood-flow pathway.
Question 10 of 15 · Skeletal & muscular · ID A2-A10
Which tissue forms the muscular layer of the heart wall and contracts involuntarily?
- A. Skeletal muscle
- B. Smooth muscle
- C. Cardiac muscle
- D. Dense connective tissue
Show answer and explanation
Answer: C. Cardiac muscle
Cardiac muscle makes up the myocardium, the muscular layer of the heart wall. Like skeletal muscle it’s striated (striped), but like smooth muscle it works involuntarily.
Why the other choices are wrong:
- A. Skeletal muscle — Skeletal muscle moves the skeleton and is under voluntary control.
- B. Smooth muscle — Smooth muscle forms muscle layers in the walls of hollow organs such as the stomach and blood vessels, not the myocardium.
- D. Dense connective tissue — Dense connective tissue provides structural support; it is not the contracting muscle layer.
Source: NCI SEER Training, Muscle Types — Skeletal, Smooth and Cardiac Muscle paragraphs.
Related explanations: NCI SEER Training, Structure of the Heart — Heart wall, chambers, valves and blood-flow pathway.; NCI SEER Training, Connective Tissue — Structural support; dense connective tissue classification.
Question 11 of 15 · Nervous system · ID A2-A11
Which structures make up the central nervous system?
- A. The brain and spinal cord
- B. Peripheral ganglia and spinal nerves
- C. The brain and peripheral ganglia
- D. The spinal cord and spinal nerves
Show answer and explanation
Answer: A. The brain and spinal cord
The central nervous system (CNS) is the brain and spinal cord. Peripheral ganglia and spinal nerves are part of the peripheral nervous system (PNS).
Why the other choices are wrong:
- B. Peripheral ganglia and spinal nerves — Peripheral ganglia and spinal nerves are part of the PNS.
- C. The brain and peripheral ganglia — The brain is part of the CNS, but peripheral ganglia are part of the PNS.
- D. The spinal cord and spinal nerves — Spinal nerves belong to the PNS.
Source: NCI SEER Training, Organization of the Nervous System — CNS and PNS paragraphs; voluntary/involuntary organization.
Question 12 of 15 · Respiratory, digestive & urinary · ID A2-A12
Where in the lungs does gas exchange between air and blood take place?
- A. Bronchi
- B. Trachea
- C. Alveoli
- D. Larynx
Show answer and explanation
Answer: C. Alveoli
Alveoli are tiny air sacs with very thin walls surrounded by capillaries. Oxygen moves into the blood and carbon dioxide moves out across those walls.
Why the other choices are wrong:
- A. Bronchi — The bronchi are airways that carry air into the lungs.
- B. Trachea — The trachea (windpipe) carries air toward the bronchi.
- D. Larynx — The larynx (voice box) contains the vocal cords and conducts air; it is not a gas-exchange surface.
Source: NCI SEER Training, Bronchi, Bronchial Tree, & Lungs — Bronchial tree and alveolar gas-exchange paragraphs.
Related explanations: NCI SEER Training, Larynx & Trachea — Voice box, vocal cords and air conduction.
Question 13 of 15 · Respiratory, digestive & urinary · ID A2-A13
Which organ produces bile?
- A. Gallbladder
- B. Pancreas
- C. Stomach
- D. Liver
Show answer and explanation
Answer: D. Liver
The liver makes bile, which helps break fats into smaller droplets so they can be digested. The gallbladder stores and concentrates bile but doesn’t make it.
Why the other choices are wrong:
- A. Gallbladder — The gallbladder stores bile made by the liver.
- B. Pancreas — The pancreas makes digestive enzymes and hormones, not bile.
- C. Stomach — The stomach secretes gastric juice.
Source: NCI SEER Training, Accessory Organs (digestive) — Liver; Gallbladder; Pancreas.
Question 14 of 15 · Respiratory, digestive & urinary · ID A2-A14
What is the functional unit of the kidney?
- A. Nephron
- B. Neuron
- C. Alveolus
- D. Ureter
Show answer and explanation
Answer: A. Nephron
Nephrons are the kidney’s functional units: they filter blood and form urine.
Why the other choices are wrong:
- B. Neuron — A neuron is a nerve cell.
- C. Alveolus — An alveolus is an air sac in the lung.
- D. Ureter — A ureter is a tube that carries urine from the kidney to the bladder.
Source: NIDDK, Your Kidneys & How They Work — How do my kidneys work? Nephrons, glomerulus and tubule; urine flow/ureter.
Related explanations: NCI SEER Training, Nerve Tissue — Opening definition of a neuron as a nerve cell.; NCI SEER Training, Bronchi, Bronchial Tree, & Lungs — Bronchial tree and alveolar gas-exchange paragraphs.
Question 15 of 15 · Endocrine · ID A2-A15
Which hormone, released by the pancreas, lowers blood glucose?
- A. Glucagon
- B. Insulin
- C. Thyroxine
- D. Cortisol
Show answer and explanation
Answer: B. Insulin
Insulin, made by beta cells in the pancreatic islets, lowers blood glucose. Glucagon, from alpha cells, has the opposite effect and raises it.
Why the other choices are wrong:
- A. Glucagon — Glucagon raises blood glucose.
- C. Thyroxine — Thyroxine comes from the thyroid gland.
- D. Cortisol — Cortisol comes from the adrenal glands.
Source: OpenStax, Anatomy and Physiology 2e: The Endocrine Pancreas — 17.9: Cells and Secretions of Pancreatic Islets; Glucagon; Insulin; Table 17.7.
Related explanations: NCI SEER Training, Thyroid & Parathyroid Glands — Thyroid hormones thyroxine and triiodothyronine.; NCI SEER Training, Adrenal Gland — Cortical hormones, including cortisol.
Biology practice questions
15 questions · water, biological molecules, enzymes, cells, membrane transport, cell division, cellular respiration and photosynthesis · optional practice target: 15 minutes.
Question 1 of 15 · Water · ID A2-B01
Table salt (sodium chloride) dissolves easily in water mainly because water molecules
- A. are nonpolar
- B. are polar and attract charged ions
- C. cannot form hydrogen bonds
- D. have a very low specific heat
Show answer and explanation
Answer: B. are polar and attract charged ions
In a water molecule, oxygen pulls the shared electrons closer, giving the molecule a slightly negative end and slightly positive ends. Those charged ends surround the sodium and chloride ions and pull them apart.
Why the other choices are wrong:
- A. are nonpolar — Nonpolar is the opposite; oil is nonpolar, which is why it doesn’t mix with water.
- C. cannot form hydrogen bonds — Water molecules form hydrogen bonds with each other.
- D. have a very low specific heat — Water’s specific heat is high, and specific heat is about temperature change, not dissolving.
Source: OpenStax, Biology 2e: Water — Polarity, hydrogen bonding and high specific heat.
Question 2 of 15 · Water · ID A2-B02
Large lakes warm up and cool down more slowly than the air around them. Which property of water best explains this?
- A. High specific heat
- B. Ice is less dense than liquid water
- C. Water is a poor solvent
- D. Water molecules are nonpolar
Show answer and explanation
Answer: A. High specific heat
Water has a high specific heat: it takes a lot of energy to change its temperature, largely because hydrogen bonds between water molecules absorb energy first.
Why the other choices are wrong:
- B. Ice is less dense than liquid water — True, but it explains why ice floats on top of a lake, not slow temperature change.
- C. Water is a poor solvent — Water is an excellent solvent.
- D. Water molecules are nonpolar — Water molecules are polar.
Source: OpenStax, Biology 2e: Water — Polarity, hydrogen bonding and high specific heat.
Question 3 of 15 · Biological molecules · ID A2-B03
Proteins are built from which smaller units?
- A. Nucleotides
- B. Monosaccharides
- C. Fatty acids and glycerol
- D. Amino acids
Show answer and explanation
Answer: D. Amino acids
Amino acids link together through peptide bonds to form proteins.
Why the other choices are wrong:
- A. Nucleotides — Nucleotides build nucleic acids such as DNA and RNA.
- B. Monosaccharides — Monosaccharides (simple sugars) build carbohydrates.
- C. Fatty acids and glycerol — Fatty acids and glycerol form many lipids.
Source: OpenStax, Biology 2e: Proteins — Amino Acids; peptide-bond formation.
Related explanations: OpenStax, Biology 2e: Carbohydrates — Monosaccharides and polysaccharides.; OpenStax, Biology 2e: Lipids — Fats and Oils: glycerol and fatty acids.; OpenStax, Biology 2e: Nucleic Acids — DNA/RNA nucleotide structure, standard bases, mRNA; DNA in organelles.
Question 4 of 15 · Biological molecules · ID A2-B04
Among the four standard bases used in each nucleic acid, which base is used in RNA in place of DNA’s thymine?
- A. Uracil
- B. Thymine
- C. Adenine
- D. Guanine
Show answer and explanation
Answer: A. Uracil
RNA uses uracil where DNA uses thymine. Adenine, guanine, and cytosine appear in both.
Why the other choices are wrong:
- B. Thymine — Thymine is one of DNA’s four standard bases; RNA uses uracil in its corresponding standard set.
- C. Adenine — Adenine is found in both.
- D. Guanine — Guanine is found in both.
Source: OpenStax, Biology 2e: Nucleic Acids — DNA/RNA nucleotide structure, standard bases, mRNA; DNA in organelles.
Question 5 of 15 · Enzymes & energy · ID A2-B05
How does an enzyme speed up a chemical reaction?
- A. By supplying extra energy to the reactants
- B. By lowering the activation energy needed for the reaction to start
- C. By being used up as one of the reactants
- D. By changing which products the reaction forms
Show answer and explanation
Answer: B. By lowering the activation energy needed for the reaction to start
Enzymes are biological catalysts. They lower the activation energy, the energy barrier a reaction must get over, so the reaction goes faster.
Why the other choices are wrong:
- A. By supplying extra energy to the reactants — Enzymes don’t add energy to a reaction.
- C. By being used up as one of the reactants — Enzymes aren’t consumed; the same enzyme can be used again.
- D. By changing which products the reaction forms — An enzyme speeds up a reaction without changing its products.
Source: OpenStax, Biology 2e: Enzymes — Enzymes and activation energy.
Question 6 of 15 · Cells & organelles · ID A2-B06
Which feature is found in eukaryotic cells but not in prokaryotic cells?
- A. A cell membrane
- B. Ribosomes
- C. A membrane-bound nucleus
- D. DNA
Show answer and explanation
Answer: C. A membrane-bound nucleus
A membrane-bound nucleus is characteristic of eukaryotic cells. Prokaryotic cells, such as bacteria, have DNA but no membrane-bound nucleus.
Why the other choices are wrong:
- A. A cell membrane — All cells have a cell (plasma) membrane.
- B. Ribosomes — Both cell types have ribosomes.
- D. DNA — Both cell types have DNA.
Source: OpenStax, Biology 2e: Eukaryotic Cells — Nucleus, nucleolus, ribosomes and mitochondria.
Related explanations: OpenStax, Biology 2e: Prokaryotic Cells — Components of Prokaryotic Cells; no membrane-bound nucleus.
Question 7 of 15 · Cells & organelles · ID A2-B07
During aerobic respiration in a typical animal cell, which organelle produces most of the cell’s ATP?
- A. Golgi apparatus
- B. Mitochondrion
- C. Lysosome
- D. Nucleolus
Show answer and explanation
Answer: B. Mitochondrion
Mitochondria carry out later stages of aerobic cellular respiration. Oxidative phosphorylation at the inner mitochondrial membrane produces most of the ATP in this setting.
Why the other choices are wrong:
- A. Golgi apparatus — The Golgi apparatus modifies, sorts, and packages proteins.
- C. Lysosome — Lysosomes break down worn-out materials.
- D. Nucleolus — The nucleolus makes ribosome components.
Source: OpenStax, Biology 2e: Oxidative Phosphorylation — Electron transport, inner mitochondrial membrane and ATP synthesis.
Related explanations: OpenStax, Biology 2e: Eukaryotic Cells — Nucleus, nucleolus, ribosomes and mitochondria.; OpenStax, Biology 2e: The Endomembrane System and Proteins — Golgi Apparatus; Lysosomes.
Question 8 of 15 · Cells & organelles · ID A2-B08
Which molecule carries genetic information from the DNA in the nucleus to the sites of protein synthesis in the cytoplasm?
- A. Messenger RNA (mRNA)
- B. ATP
- C. Glucose
- D. Phospholipids
Show answer and explanation
Answer: A. Messenger RNA (mRNA)
DNA in the nucleus directs protein synthesis, and messenger RNA carries that genetic information out to the cytoplasm, where proteins are made.
Why the other choices are wrong:
- B. ATP — ATP carries energy, not genetic information.
- C. Glucose — Glucose is a sugar used for energy.
- D. Phospholipids — Phospholipids build membranes.
Source: OpenStax, Biology 2e: Nucleic Acids — DNA/RNA nucleotide structure, standard bases, mRNA; DNA in organelles.
Related explanations: OpenStax, Biology 2e: Eukaryotic Cells — Nucleus, nucleolus, ribosomes and mitochondria.
Question 9 of 15 · Membranes & transport · ID A2-B09
Net movement of particles directly through a cell membrane from higher to lower concentration, without a transport protein, is called
- A. active transport
- B. exocytosis
- C. filtration
- D. simple diffusion
Show answer and explanation
Answer: D. simple diffusion
Simple diffusion moves particles down their concentration gradient, from higher concentration to lower concentration.
Why the other choices are wrong:
- A. active transport — Active transport moves substances the other way, from lower to higher concentration, using energy.
- B. exocytosis — Exocytosis releases material when a vesicle fuses with the cell membrane.
- C. filtration — Filtration uses pressure to push substances through a membrane.
Source: OpenStax, Biology 2e: Passive Transport — Diffusion versus facilitated transport; Osmosis; Tonicity and hypertonic cells.
Related explanations: OpenStax, Biology 2e: Bulk Transport — Exocytosis: vesicle fusion and release.; NCI SEER Training, Cell Function — Membrane transport; Cell Division; DNA and protein synthesis.
Question 10 of 15 · Membranes & transport · ID A2-B10
Osmosis is the movement of which substance across a selectively permeable membrane?
- A. Glucose
- B. Proteins
- C. Oxygen only
- D. Water
Show answer and explanation
Answer: D. Water
Osmosis is the diffusion of water (or another solvent) through a selectively permeable membrane.
Why the other choices are wrong:
- A. Glucose — Glucose movement isn’t osmosis.
- B. Proteins — Protein movement isn’t osmosis.
- C. Oxygen only — Oxygen moves by simple diffusion.
Source: OpenStax, Biology 2e: Passive Transport — Diffusion versus facilitated transport; Osmosis; Tonicity and hypertonic cells.
Question 11 of 15 · Membranes & transport · ID A2-B11
Which statement correctly describes active transport?
- A. It moves only water across a membrane.
- B. It moves substances from higher to lower concentration without using energy.
- C. It moves substances from lower to higher concentration and requires energy and a carrier molecule.
- D. It uses pressure to push fluid through a membrane.
Show answer and explanation
Answer: C. It moves substances from lower to higher concentration and requires energy and a carrier molecule.
Active transport moves substances against their concentration gradient, from lower to higher concentration. That requires a carrier molecule and energy.
Why the other choices are wrong:
- A. It moves only water across a membrane. — That describes osmosis.
- B. It moves substances from higher to lower concentration without using energy. — That describes diffusion.
- D. It uses pressure to push fluid through a membrane. — That describes filtration.
Source: OpenStax, Biology 2e: Active Transport — Energy and transport against an electrochemical gradient.
Question 12 of 15 · Membranes & transport · ID A2-B12
A red blood cell is placed in a solution with a much higher concentration of nonpenetrating solute particles than the fluid inside the cell. The membrane lets water pass but not these solute particles. What happens?
- A. Water moves into the cell, and the cell swells.
- B. Water moves out of the cell, and the cell shrinks.
- C. Nothing changes, because the membrane blocks water.
- D. Solutes are pumped out, and the cell swells.
Show answer and explanation
Answer: B. Water moves out of the cell, and the cell shrinks.
Water moves by osmosis toward the side with more nonpenetrating solute particles. The outside solution is hypertonic to the cell, so water leaves the cell and the cell shrinks.
Why the other choices are wrong:
- A. Water moves into the cell, and the cell swells. — That happens in a hypotonic solution, which has a lower concentration of nonpenetrating solute particles than the cell.
- C. Nothing changes, because the membrane blocks water. — Cell membranes let water pass; that’s what makes osmosis possible.
- D. Solutes are pumped out, and the cell swells. — This mixes up solute pumping with osmosis and gets the direction wrong.
Source: OpenStax, Biology 2e: Passive Transport — Diffusion versus facilitated transport; Osmosis; Tonicity and hypertonic cells.
Question 13 of 15 · Cell division · ID A2-B13
Human egg and sperm cells are produced by meiosis. How many chromosomes does each normal human egg or sperm cell contain?
- A. 46
- B. 92
- C. 23
- D. 12
Show answer and explanation
Answer: C. 23
Meiosis halves the chromosome number. Typical nucleated body (somatic) cells have 46 chromosomes, so eggs and sperm have 23. At fertilization, 23 + 23 restores 46.
Why the other choices are wrong:
- A. 46 — 46 is the usual chromosome number in a nucleated human body cell.
- B. 92 — 92 would double the normal number.
- D. 12 — 12 isn’t the human gamete number.
Source: NCI SEER Training, Cell Function — Membrane transport; Cell Division; DNA and protein synthesis.
Question 14 of 15 · Cellular respiration & photosynthesis · ID A2-B14
In which part of the cell does glycolysis take place?
- A. Cytoplasm
- B. Nucleus
- C. Mitochondrial matrix
- D. Chloroplast
Show answer and explanation
Answer: A. Cytoplasm
Glycolysis, the first stage of cellular respiration, splits glucose into two pyruvate molecules in the cytoplasm. In eukaryotic cells, later stages of aerobic respiration take place in the mitochondria.
Why the other choices are wrong:
- B. Nucleus — The nucleus holds DNA; glycolysis doesn’t happen there.
- C. Mitochondrial matrix — The citric acid cycle happens in the mitochondrial matrix, after glycolysis.
- D. Chloroplast — Chloroplasts carry out photosynthesis.
Source: OpenStax, Biology 2e: Glycolysis — Opening location in cytoplasm; glucose-to-pyruvate stages.
Related explanations: OpenStax, Biology 2e: Oxidation of Pyruvate and the Citric Acid Cycle — Mitochondrial matrix; oxygen dependence without direct consumption by the cycle.; OpenStax, Biology 2e: Overview of Photosynthesis — Basic process, carbon dioxide, water, carbohydrate and oxygen.
Question 15 of 15 · Cellular respiration & photosynthesis · ID A2-B15
Which pair lists the main products of photosynthesis in a green plant?
- A. Carbon dioxide and water
- B. Oxygen and carbon dioxide
- C. Glucose and nitrogen
- D. Glucose (a sugar) and oxygen
Show answer and explanation
Answer: D. Glucose (a sugar) and oxygen
Photosynthesis uses light energy to turn carbon dioxide and water into sugar (glucose), releasing oxygen.
Why the other choices are wrong:
- A. Carbon dioxide and water — Carbon dioxide and water are the reactants, not the products.
- B. Oxygen and carbon dioxide — Carbon dioxide is taken in, not produced.
- C. Glucose and nitrogen — Nitrogen isn’t a product of photosynthesis.
Source: OpenStax, Biology 2e: Overview of Photosynthesis — Basic process, carbon dioxide, water, carbohydrate and oxygen.
Chemistry practice questions
15 questions · matter, atomic structure, the periodic table, bonding, equations and reactions, acids and bases, and radioactive decay · optional practice target: 15 minutes.
Question 1 of 15 · Matter · ID A2-C01
Which of the following is a chemical change?
- A. Ice melting into water
- B. Sugar dissolving in tea
- C. An iron nail rusting
- D. A glass breaking
Show answer and explanation
Answer: C. An iron nail rusting
In a chemical change, substances become new substances with different compositions. Rust (an iron oxide) forms when iron reacts with oxygen in the presence of water.
Why the other choices are wrong:
- A. Ice melting into water — Melting changes water’s state, not its identity.
- B. Sugar dissolving in tea — Dissolving mixes sugar into the tea; the sugar molecules are unchanged.
- D. A glass breaking — Breaking changes the glass’s shape, not what it’s made of.
Source: OpenStax, Chemistry 2e: Physical and Chemical Properties — Physical changes versus chemical reaction; rusting.
Question 2 of 15 · Atomic structure · ID A2-C02
An atom has 17 protons, 18 neutrons, and 17 electrons. What is its atomic number?
- A. 17
- B. 18
- C. 34
- D. 35
Show answer and explanation
Answer: A. 17
The atomic number is the number of protons, so it’s 17 (chlorine). The mass number would be protons + neutrons = 35.
Why the other choices are wrong:
- B. 18 — 18 is the number of neutrons.
- C. 34 — Adds protons and electrons, which doesn’t give any standard quantity.
- D. 35 — 35 is the mass number.
Source: OpenStax, Chemistry 2e: Atomic Structure and Symbolism — Atomic number, mass number, protons/neutrons/electrons, ions and isotopes.
Question 3 of 15 · Atomic structure · ID A2-C03
Carbon-14 has 6 protons. How many neutrons does a carbon-14 atom have?
- A. 6
- B. 8
- C. 14
- D. 20
Show answer and explanation
Answer: B. 8
The 14 in carbon-14 is the mass number: protons + neutrons. Neutrons = 14 − 6 = 8.
Why the other choices are wrong:
- A. 6 — 6 is the number of protons.
- C. 14 — 14 is the mass number.
- D. 20 — Adds the mass number and the protons.
Source: OpenStax, Chemistry 2e: Atomic Structure and Symbolism — Atomic number, mass number, protons/neutrons/electrons, ions and isotopes.
Question 4 of 15 · Atomic structure · ID A2-C04
Isotopes of the same element have different numbers of
- A. protons
- B. electrons, when the atoms are neutral
- C. neutrons
- D. chemical symbols
Show answer and explanation
Answer: C. neutrons
Isotopes have the same number of protons, which is what makes them the same element, but different numbers of neutrons, so their mass numbers differ.
Why the other choices are wrong:
- A. protons — A different number of protons would make a different element.
- B. electrons, when the atoms are neutral — Neutral atoms of the same element have the same number of electrons as protons.
- D. chemical symbols — Isotopes of an element share its chemical symbol.
Source: OpenStax, Chemistry 2e: Atomic Structure and Symbolism — Atomic number, mass number, protons/neutrons/electrons, ions and isotopes.
Question 5 of 15 · Atomic structure · ID A2-C05
An atom has 11 protons and 10 electrons. What is its overall charge?
- A. −1
- B. 0
- C. +10
- D. +1
Show answer and explanation
Answer: D. +1
Charge = protons − electrons = 11 − 10 = +1. With one more proton than electrons, it’s a positive ion (a cation). This is a sodium ion, Na⁺.
Why the other choices are wrong:
- A. −1 — Reverses the subtraction.
- B. 0 — A neutral atom would need equal numbers of protons and electrons.
- C. +10 — Counts the electrons as the charge.
Source: OpenStax, Chemistry 2e: Atomic Structure and Symbolism — Atomic number, mass number, protons/neutrons/electrons, ions and isotopes.
Question 6 of 15 · Periodic table & bonding · ID A2-C06
For main-group elements other than helium, elements in the same group (vertical column) tend to react in similar ways mainly because they have the same number of
- A. neutrons
- B. valence electrons
- C. protons
- D. occupied energy levels
Show answer and explanation
Answer: B. valence electrons
These main-group elements in a group have the same number of valence (outermost) electrons, which largely determines how they react.
Why the other choices are wrong:
- A. neutrons — Neutron numbers vary among the elements in a group.
- C. protons — Each element has its own number of protons.
- D. occupied energy levels — Elements in the same period (row), not group, share the same number of occupied energy levels.
Source: OpenStax, Chemistry 2e: Electronic Structure of Atoms — Valence Electrons and the Periodic Table; main-group scope and helium configuration.
Related explanations: OpenStax, Chemistry 2e: The Periodic Table — Groups/periods, element listing and group 18 noble gases.
Question 7 of 15 · Periodic table & bonding · ID A2-C07
Which element is a noble gas?
- A. Sodium
- B. Chlorine
- C. Oxygen
- D. Neon
Show answer and explanation
Answer: D. Neon
Neon is in Group 18, the noble gases, which are very unreactive.
Why the other choices are wrong:
- A. Sodium — Sodium is an alkali metal (Group 1).
- B. Chlorine — Chlorine is a halogen (Group 17).
- C. Oxygen — Oxygen is in Group 16.
Source: OpenStax, Chemistry 2e: The Periodic Table — Groups/periods, element listing and group 18 noble gases.
Question 8 of 15 · Periodic table & bonding · ID A2-C08
Sodium chloride (NaCl) is held together by which type of bond?
- A. Ionic bond
- B. Nonpolar covalent bond
- C. Hydrogen bond
- D. Metallic bond
Show answer and explanation
Answer: A. Ionic bond
Sodium transfers an electron to chlorine, forming Na⁺ and Cl⁻ ions. The attraction between these oppositely charged ions is an ionic bond.
Why the other choices are wrong:
- B. Nonpolar covalent bond — Covalent bonds share electrons rather than transfer them.
- C. Hydrogen bond — Hydrogen bonds can form between water molecules; they do not hold the Na⁺ and Cl⁻ lattice together.
- D. Metallic bond — Metallic bonding holds pure metals together.
Source: OpenStax, Chemistry 2e: Ionic Bonding — NaCl and electrostatic attraction between opposite ions.
Related explanations: OpenStax, Biology 2e: Water — Polarity, hydrogen bonding and high specific heat.; OpenStax, Chemistry 2e: The Solid State of Matter — Metallic Solids.
Question 9 of 15 · Periodic table & bonding · ID A2-C09
In a water molecule, oxygen and hydrogen share electrons unequally. What type of bond is this?
- A. Ionic bond
- B. Nonpolar covalent bond
- C. Polar covalent bond
- D. Hydrogen bond
Show answer and explanation
Answer: C. Polar covalent bond
The atoms share electrons, which makes the bond covalent, and oxygen pulls the shared electrons closer, which makes it polar.
Why the other choices are wrong:
- A. Ionic bond — No electrons are fully transferred.
- B. Nonpolar covalent bond — Nonpolar bonds share electrons equally.
- D. Hydrogen bond — A hydrogen bond is an attraction between separate molecules, not the bond inside one water molecule.
Source: OpenStax, Chemistry 2e: Covalent Bonding — Polar Covalent Bonds; unequal sharing and partial charges.
Related explanations: OpenStax, Biology 2e: Water — Polarity, hydrogen bonding and high specific heat.
Question 10 of 15 · Equations & reactions · ID A2-C10
Which coefficients balance this equation? __H₂ + __O₂ → __H₂O
- A. 1, 1, 1
- B. 1, 2, 2
- C. 2, 2, 2
- D. 2, 1, 2
Show answer and explanation
Answer: D. 2, 1, 2
With 2H₂ + O₂ → 2H₂O, each side has 4 hydrogen atoms and 2 oxygen atoms.
Why the other choices are wrong:
- A. 1, 1, 1 — Leaves 2 oxygen atoms on the left and only 1 on the right.
- B. 1, 2, 2 — Leaves 2 hydrogen atoms on the left and 4 on the right, and 4 oxygen atoms on the left but 2 on the right.
- C. 2, 2, 2 — Balances hydrogen but leaves 4 oxygen atoms on the left and 2 on the right.
Source: OpenStax, Chemistry 2e: Writing and Balancing Chemical Equations — Methane combustion, coefficients, equal atom counts and conservation.
Question 11 of 15 · Equations & reactions · ID A2-C11
Why must a chemical equation be balanced?
- A. Atoms are not created or destroyed in a chemical reaction.
- B. The molecules on each side must be identical.
- C. Every reaction must produce water.
- D. The coefficients must add up to the same total on both sides.
Show answer and explanation
Answer: A. Atoms are not created or destroyed in a chemical reaction.
Mass is conserved: a reaction rearranges atoms, so each element needs the same number of atoms on both sides.
Why the other choices are wrong:
- B. The molecules on each side must be identical. — Reactions turn reactants into different products.
- C. Every reaction must produce water. — Many reactions produce no water.
- D. The coefficients must add up to the same total on both sides. — The number of molecules can change: 2H₂ + O₂ → 2H₂O has 3 molecules on the left and 2 on the right.
Source: OpenStax, Chemistry 2e: Writing and Balancing Chemical Equations — Methane combustion, coefficients, equal atom counts and conservation.
Question 12 of 15 · Equations & reactions · ID A2-C12
In the reaction CH₄ + 2O₂ → CO₂ + 2H₂O, which substances are the products?
- A. CH₄ and O₂
- B. CO₂ and H₂O
- C. CH₄ and CO₂
- D. O₂ and H₂O
Show answer and explanation
Answer: B. CO₂ and H₂O
Products are written to the right of the arrow; reactants are on the left. Here methane reacts with oxygen to produce carbon dioxide and water.
Why the other choices are wrong:
- A. CH₄ and O₂ — These are the reactants.
- C. CH₄ and CO₂ — Mixes a reactant with a product.
- D. O₂ and H₂O — Mixes a reactant with a product.
Source: OpenStax, Chemistry 2e: Writing and Balancing Chemical Equations — Methane combustion, coefficients, equal atom counts and conservation.
Question 13 of 15 · Acids, bases & nuclear · ID A2-C13
At 25 °C, which dilute aqueous solution is the most acidic?
- A. pH 5
- B. pH 2
- C. pH 7
- D. pH 11
Show answer and explanation
Answer: B. pH 2
A lower pH means a higher concentration of hydrogen (hydronium) ions, so pH 2 is the most acidic choice. Each whole pH unit is a tenfold change, so pH 2 corresponds to 1,000 times the hydronium-ion concentration at pH 5.
Why the other choices are wrong:
- A. pH 5 — pH 5 is acidic, but less acidic than pH 2.
- C. pH 7 — At 25 °C, pH 7 is neutral.
- D. pH 11 — pH 11 is basic.
Source: OpenStax, Chemistry 2e: pH and pOH — pH logarithm and dilute hydronium concentration; neutrality at 25 °C.
Question 14 of 15 · Acids, bases & nuclear · ID A2-C14
In aqueous solution, hydrochloric acid (HCl) reacts with sodium hydroxide (NaOH). What are the products?
- A. Sodium chloride and water
- B. Hydrogen gas and oxygen gas
- C. Chlorine gas and sodium metal
- D. Sodium hydroxide and water
Show answer and explanation
Answer: A. Sodium chloride and water
This is a neutralization reaction: HCl(aq) + NaOH(aq) → NaCl(aq) + H₂O(l). The acid’s H⁺ and the base’s OH⁻ form water; sodium and chloride remain dissolved as spectator ions.
Why the other choices are wrong:
- B. Hydrogen gas and oxygen gas — Neither gas is produced in this reaction.
- C. Chlorine gas and sodium metal — Neither element is produced in this reaction.
- D. Sodium hydroxide and water — Sodium hydroxide is a reactant consumed in the reaction, not a product.
Source: OpenStax, Chemistry 2e: Classifying Chemical Reactions — Acid-Base Reactions; HCl/NaOH and net ionic neutralization.
Question 15 of 15 · Acids, bases & nuclear · ID A2-C15
A radioactive isotope has a half-life of 6 hours. If you start with 80 grams of that isotope, how many grams of the original isotope remain undecayed after 18 hours?
- A. 40 g
- B. 26.7 g
- C. 20 g
- D. 10 g
Show answer and explanation
Answer: D. 10 g
18 hours is three half-lives (18 ÷ 6 = 3). Halve the amount of the original isotope three times: 80 → 40 → 20 → 10 g.
Why the other choices are wrong:
- A. 40 g — Stops after one half-life.
- B. 26.7 g — Divides 80 by 3 instead of halving three times.
- C. 20 g — Stops after two half-lives.
Source: OpenStax, Chemistry 2e: Radioactive Decay — Half-life and number of undecayed nuclei remaining.
Score your practice
Write down your first answer before opening an explanation. Count only questions you answered before seeing the answer: first-attempt correct ÷ first-attempt answered × 100. Also record how many of the section’s 15 questions you answered.
For example, 7 correct out of 10 answered is 70.0%, with 10 of 15 answered. A question you revealed before answering is “viewed without answering,” not a scored attempt; leave it out of both counts. With no answered questions, there is no percentage yet. Reviewing an answer does not change your recorded first attempt; start a new run to try the set again.
When you have answered all 15 questions in a section, use this table:
| Correct (out of 15 answered) | Percent |
|---|---|
| 15 | 100.0% |
| 14 | 93.3% |
| 13 | 86.7% |
| 12 | 80.0% |
| 11 | 73.3% |
| 10 | 66.7% |
| 9 | 60.0% |
| 8 | 53.3% |
| 7 | 46.7% |
| 6 | 40.0% |
| 5 | 33.3% |
| 4 | 26.7% |
| 3 | 20.0% |
| 2 | 13.3% |
| 1 | 6.7% |
| 0 | 0.0% |
With all 15 questions answered, each correct answer changes the score by about 6.7 percentage points, so one lucky guess or one slip moves your number a lot. Treat the percent as a signal about these 15 questions. It isn’t an Elsevier score, it isn’t your school’s cutoff, and it doesn’t predict your result.
What to do with your misses
- Open the explanation for every question you missed or guessed.
- Name why you missed it: you didn’t know the rule, you misread the question, you made a slip, or you ran out of time. Each one needs a different fix.
- Rework the problem without looking, and open the linked source for any topic that still feels shaky.
- A few days later, test the same skill on a fresh problem using the rule in the linked explanation. Redoing these same 15 questions can reflect memory of the answers as well as understanding.
Keep a short review note as you go:
| Question ID | What I missed | What I’ll do next |
|---|---|---|
| A2-M01 | Added the fractions straight across | Find a common denominator first, then add |
If a college tutoring program asks you to bring practice results — Temple College’s HESI study sessions do — bring your section scores and this note.
How this practice test compares with the real HESI A2
Elsevier’s 2022 white paper describes seven academic HESI A2 exams and says programs choose which ones to give. This page gives you 15 original questions for each. The historical reference table below is not a current universal exam-length promise or a full-length simulation.
| Academic exam | Scored items in Elsevier’s 2022 table | Estimated minutes in that table | Questions on this page | Optional practice target |
|---|---|---|---|---|
| Basic Math Skills | 50 | 50 | 15 | 15 min |
| Reading Comprehension | 50 | 60 | 15 | 18 min |
| Vocabulary and General Knowledge | 50 | 50 | 15 | 15 min |
| Grammar | 50 | 50 | 15 | 15 min |
| Anatomy and Physiology | 25 | 25 | 15 | 15 min |
| Biology | 25 | 25 | 15 | 15 min |
| Chemistry | 25 | 25 | 15 | 15 min |
Elsevier figures: Elsevier’s 2022 HESI A2 white paper, Table 1, p. 4. These are that publication’s scored-item counts and estimated times, not official weightings for this practice set.
- Current program instructions can differ from that historical table: Temple College’s April 2026 instructions list 47 Reading Comprehension questions, while the 2022 table lists 50 scored reading items. Use your program’s current instructions for the actual question count and clock; do not assume every discrepancy represents unscored questions.
- The optional practice targets use the 2022 table’s rates: 60 seconds per scored item for six of the exams, and 72 seconds for Reading (60 minutes ÷ 50 items). At those rates, 15 questions take 15 minutes, or 18 for Reading. These are pacing exercises, not official limits or validated readiness measures.
- These are four-option multiple-choice questions, plus five write-in math answers. At least one program, Temple College, describes its HESI math exam as multiple choice and fill-in-the-blank. Your exam’s formats may look different.
- Calculator rules vary by program and testing site. Mesa Community College says a pop-up calculator appears when available and personal calculators aren’t allowed; Houston Christian University allows a simple four-function calculator. Check your own instructions, and practice working by hand.
Which sections should you practice?
The ones your program assigns. Elsevier’s 2022 white paper says programs can give all seven academic exams or fewer (white paper, p. 5), so two applicants can take very different tests under the same name:
- Mesa Community College lists Math, Reading Comprehension, Vocabulary and General Knowledge, and Grammar, and says the science modules won’t be administered or used for its nursing admission.
- Temple College requires Vocabulary & General Knowledge, Math, and Reading Comprehension, plus the unscored Personality Profile and Learning Style.
- Houston Christian University requires Math, Grammar, Anatomy & Physiology, and Reading Comprehension.
Find your program’s current list before you study. Castleport’s HESI A2 program-rule guide explains the questions to ask about assigned sections and score rules.
Why isn’t there a Physics section?
Physics is not one of the seven academic exams in Elsevier’s 2022 published table, and this set does not cover Physics or Critical Thinking. If your program lists either component, confirm its scope and preparation instructions with the program. This set also does not cover the Personality Profile or Learning Style inventories that Temple College lists as unscored components.
HESI A2 practice test FAQ
Are these real HESI A2 questions? No. These are original, unofficial practice questions about the academic subjects in Elsevier’s published table, not actual Elsevier exam items. The set does not claim to reproduce the exam’s difficulty or full content distribution.
What score do I need on the HESI A2? Use your program’s current admission rule, not a percentage from this practice set. For example, Houston Christian University requires at least 85% in each of its four required sections. Other programs set different rules, so check whether a requirement applies to each section, a combined result, or an admission-ranking calculation.
Sources and independence
Written by the Castleport Test Prep Editorial Team.
Exam-source checks: September 21, 2026. This date covers the cited passages in Elsevier’s 2022 white paper and the Mesa, Houston Christian University and Temple College program pages. It does not turn the 2022 table into a new exam blueprint. The worked answers and linked teaching references were also checked for this version.
This version used AI-assisted source checking and editing; that is not review by a qualified instructor or clinician. See Castleport’s editorial standards and methodology.
Main sources:
- Elsevier, 2022 Scientific Evidence for the HESI Admission Assessment (A2): Table 1, p. 4 (exams, scored items, estimated minutes); p. 5 (programs choose which exams to give).
- Program pages: Mesa Community College, Houston Christian University, Temple College.
- Measurement: NIST Handbook 44 (2026), Appendix C and NIST Metric Kitchen equivalencies.
- Each explanation links its specific teaching reference: NCI SEER or NIDDK for anatomy and physiology, OpenStax sections for science, Purdue OWL for writing rules, Merriam-Webster entries for word meanings, and the MedlinePlus word-parts tables. Math calculations show their steps; reading answers point to the relevant fictional passage.
Found an error? Report it. Corrections are published with dates.
Castleport Test Prep is an independent exam prep publisher. It is not affiliated with, endorsed by, or approved by Elsevier, which owns the HESI exams. Exam names, including HESI and HESI Admission Assessment (A2), are used only to identify the exam; trademarks belong to their respective owners. The practice questions on this page are original and unofficial, not actual exam items. Practice results don’t guarantee a score, admission, or licensure.