5.4 Comprehensive Practice Questions
Key Takeaways
- These mixed items span all three NEX sections — Verbal (58), Mathematics (45), Science (60) — for a final readiness check
- Work the set under timed conditions to rehearse the 60-minute-per-section pace before exam day
- Read the explanation for EVERY item, including ones you got right, to confirm your reasoning was correct
- Wrong answers are your highest-value material; log each by topic, the rule you broke, and the missed clue
- If you miss several items in one domain, return to that chapter before continuing
- Aim to finish this set in about 30 minutes to mimic the exam's brisk per-item pace
- After finishing, list your three weakest topics and review those sections
- Treat a score above ~70% as a sign you are well-prepared, but keep drilling the misses
How to Use This Practice Set
This set mixes items from all three NEX sections — Verbal Ability, Mathematics, and Science — so you can rehearse the real exam's blend and pace. Treat it as an active-recall checkpoint, not a reading assignment: answer the entire set before reading any explanation, then mark each miss by skill area, rule, or term.
Instructions
- Set a timer and aim to finish in about 30 minutes to mirror the NEX's roughly 1-minute-per-item pace
- Answer each item from memory before checking the explanation
- Tally right vs wrong and note the topic each wrong answer belongs to
- Use your results to choose the chapters that get one last review
For every miss, write the reason the correct option wins and why the most tempting distractor fails. That habit matters because the real exam tests the same concept with different wording — if you only memorize the right letter, the reworded version will still trap you. If you miss several items from one domain (say, blood flow through the heart, or percentage change), stop and reread that chapter before moving on.
A Three-Column Review Log
After finishing, build a log with three columns and fill one row per miss:
| Topic | Rule I broke | Clue I should have caught |
|---|---|---|
| Heart blood flow | Atria empty into ventricles on each side | "Right atrium" had to come first for deoxygenated return |
| Percent change | Divide the change by the ORIGINAL value | 18 ÷ 180, not 18 ÷ 162 |
| Suffix -ectomy | -ectomy = surgical removal | "appendectomy" = remove the appendix |
A Strong Final-Review Loop
- Timed attempt of the full set
- Explanation review of every item, right and wrong
- Targeted reread of the chapters behind your misses
- Second attempt after a short break — but mix in a few new items so you are recalling concepts, not memorizing answer order
For calculation or scenario items, say the first step aloud before choosing an option ("first I find the daily dose, then multiply by days"). Verbalizing the plan stops you from snatching a familiar-looking but wrong answer. A score above roughly 70% across this mixed set is a reassuring readiness signal — but the misses, not the score, are what you study in your final days.
Verbal Ability Practice
The items below test vocabulary-in-context and medical-term roots, exactly the Word Knowledge skills the 58-item Verbal section rewards. Use prefix/suffix logic to reason toward each answer rather than relying on a memorized definition. A short, high-yield reference table:
| Element | Meaning | Example |
|---|---|---|
| contra- | against | contraindicated = recommended against |
| bi- | two / both | bilateral = both sides |
| a- / an- | without | asymptomatic = without symptoms |
| hyper- | excessive | hypertension = high blood pressure |
| -emia | blood condition | anemia = deficiency of red cells |
| -itis | inflammation | appendicitis = inflamed appendix |
When a vocabulary item stumps you, build the meaning from its parts before reading the choices, then match. This converts a memory test into a reasoning test, which is far more reliable under time pressure.
The word "contraindicated" most nearly means:
Which word is an ANTONYM of "acute"?
"The patient presented with bilateral edema in the lower extremities." The word "bilateral" means:
Mathematics Practice
These items rehearse the Numbers & Operations, Measurement & Conversions, and word-problem skills that dominate the 45-item Math section. Remember there is no geometry on the NEX, so do not waste review time on area/volume formulas. Estimate first, then verify with your optional 4-function calculator. Keep these conversions memorized — they recur constantly:
| Conversion | Factor |
|---|---|
| Pounds to kilograms | ÷ 2.2 |
| Celsius to Fahrenheit | (C × 9/5) + 32 |
| Cups to milliliters | × 240 |
| Percent of a number | (part ÷ whole) × 100 |
| Percent change | (original − new) ÷ original × 100 |
The single most common careless error in this section is dividing by the wrong base in a percent-change problem (using the new value instead of the original) — circle the word "original" or "started" in the stem before you compute.
A patient takes 2.5 mL of medication 3 times daily for 10 days. How many total mL are needed?
A patient's temperature is 39.5°C. What is this in Fahrenheit?
If a patient's weight drops from 180 lb to 162 lb, what is the percentage of weight loss?
A solution contains 15 mL of medication in 500 mL of saline. What is the concentration as a percentage?
Science Practice
These items span biology, anatomy & physiology, genetics, and nutrition — the content that fills the 60-item Science section (the largest on the NEX, and physics has been removed, so skip mechanics in review). Eliminate options from the wrong body system, and let absolute words ("always," "never," "all," "none") flag likely-wrong choices. A quick orientation to the eight systems most tested:
| System | Core job | High-yield fact |
|---|---|---|
| Cardiovascular | Transport blood | Right side handles deoxygenated return |
| Respiratory | Gas exchange | Occurs across alveoli into capillaries |
| Urinary | Filter blood, make urine | Kidneys filter ~180 L/day |
| Nervous | Electrical signaling | Neurons transmit impulses |
| Endocrine | Hormonal regulation | Insulin lowers blood glucose |
| Digestive | Break down food | Absorption mainly in small intestine |
When two answers both look plausible, the one stated in moderate, precise language usually wins over the extreme-sounding option.
Which organ system filters blood and removes waste products as urine?
Diffusion is the movement of molecules from:
Which type of blood vessel has walls only ONE cell thick, allowing gas and nutrient exchange?
A Punnett-square cross of Bb × bb produces what phenotype ratio?
Which vitamin deficiency causes scurvy?
Which sequence correctly describes blood flow through the heart?
The suffix "-ectomy" in "appendectomy" indicates:
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