FreeExam

Test of Essential Academic Skills English and Language Usage

Spelling, punctuation, sentence structure, clarity, and word choice in short texts.

These questions are original. This is not an official Test of Essential Academic Skills exam, and FreeExam is not affiliated with Assessment Technologies Institute.

Locker coats

The night shift left a note on the medication cart. The aides said [they're] coats were still in the locker room. A spare key hangs beside the door.

  1. 1.Which choice replaces the bracketed word so the sentence about the aides' coats is correct?

Tank gauge

A label is taped to the oxygen tank in the supply closet. [It's] gauge must be checked before morning rounds. The clipboard hangs from a hook on the door.

  1. 2.Which form is correct in the sentence about the gauge on the oxygen tank?

Missed meal

The charge nurse explained how a missed meal can [effect] a patient's blood sugar. She wrote the warning on the diet card. The card stays in the front of the chart.

  1. 3.Which word correctly replaces the bracketed verb in the sentence about blood sugar?

Evening walk

Every resident may join the evening walk [accept] those on bed rest. The aide posts the list beside the elevator. Walkers are lined up along the wall.

  1. 4.Which word correctly introduces the residents who will not join the walk?

Two thermometers

The new thermometer reads a tenth of a degree higher [then] the old one. Both devices sit in the same drawer. Staff compare them at the start of the shift.

  1. 5.Which word correctly completes the comparison of the two thermometers?

Slipping band

A [lose] wristband can slip off during a transfer. The clerk tightens the clip before the patient leaves the bay. A spare band is kept in the top drawer.

  1. 6.Which spelling fits a wristband that is not tight enough to stay on?

Storm ramp

The supervisor asked [weather] the ramp would stay open during the storm. She checked the radio before she answered. A wet-floor sign already stood by the door.

  1. 7.Which word correctly introduces the indirect question about the ramp?

Lab reminder

A reminder is taped to the skills-lab door. [Your] expected in the lab by eight, and you should sign the sheet. Extra gowns hang on the rack inside.

  1. 8.Which choice corrects the bracketed word at the start of the lab reminder?

Cold vial

The vial was [to] cold to hold without a glove. The tech set it back on the metal tray. A towel lay folded beside the sink.

  1. 9.Which word means excessively in the sentence about the vial that could not be held?

End room

The chart belongs to the resident [who's] room is at the end of the hall. A name card is taped above the bed. The door is kept partly open.

  1. 10.Which choice correctly shows possession in the sentence about the resident's room?

Sodium pamphlet

The dietitian will [advice] the patient about sodium before discharge. A one-page pamphlet goes in the folder. The appointment is written on the whiteboard.

  1. 11.Which choice is the correct verb in the sentence about the dietitian?

Dawn check

The night aide had [all ready] checked the oxygen tubing before dawn. The flow sheet shows the time. A new cannula is sealed in its package.

  1. 12.Which choice correctly replaces the bracketed words in the sentence about the tubing?

Counter cloth

Staff wipe the intake counter [everyday] before the first patient arrives. The cloth is stored under the sink. A fresh bottle of cleaner stands beside it.

  1. 13.Which choice correctly replaces the bracketed word in the sentence about wiping the counter?

Handbook note

The instructor asked students to [site] the handbook page in their notes. The number belongs in the left margin. Highlighters are kept in a cup on the desk.

  1. 14.Which word means to name a source in the sentence about the handbook page?

Linen turn

The aide walked [passed] the linen closet and turned at the nurses' station. A cart blocked the next doorway. She waited until the path was clear.

  1. 15.Which choice correctly replaces the bracketed word after walked?

Still scan

The protocol says the patient should [lay] still during the scan. A pillow supports the neck. The technologist watches from the window.

  1. 16.Which verb correctly completes the instruction to rest still during the scan?

Sent note

The resident to [who] the note was sent had already left for imaging. The clerk placed the page in the chart. A copy stayed at the desk.

  1. 17.Which pronoun is the correct object of to in the sentence about the note?

Home-care talk

The social worker will [council] the family about home care. The meeting is set for Thursday afternoon. Chairs are already arranged in the small conference room.

  1. 18.Which word is the correct verb in the sentence about advising the family?

Dose timing

On this order, vital signs should [proceed] the medication dose. The nurse records both times on the flow sheet. A clock hangs above the medication cart.

  1. 19.Which word means to come before in the sentence about vital signs and the dose?

Pain numbers

The questionnaire is meant to [illicit] a clear description of the pain. The patient circles one number from zero to ten. A pencil is tied to the clipboard.

  1. 20.Which word means to draw out a response in the sentence about the questionnaire?

Quiet chair

A short break can lift [moral] during a long shift. The lounge has one quiet chair and a dim lamp. Staff sign out before they sit down.

  1. 21.Which word names spirit or confidence in the sentence about a short break?

Locked room

Only authorized [personal] may enter the medication room. The door locks when it closes. A badge reader is mounted at eye level.

  1. 22.Which word correctly names the staff allowed into the medication room?

Slow count

The patient should [breath] slowly while the cuff inflates. The aide counts the seconds aloud. The gauge needle climbs in a steady line.

  1. 23.Which choice is the correct verb in the instruction about breathing during the reading?

Steady cuff

The blood pressure cuff should stay [stationery] while the reading is taken. Movement can change the number. The patient rests the arm on a pillow.

  1. 24.Which spelling means not moving in the sentence about the cuff?

Late pudding

The kitchen will place sugar-free pudding on the late tray as the [desert]. The label faces outward. A spoon is wrapped in a napkin.

  1. 25.Which word names the sweet course in the sentence about the late tray?

Raised rails

Please [assure] that both side rails are up before you leave the room. A small sign on the bed frame states the same rule. The call button rests within reach.

  1. 26.Which verb means to make certain in the instruction about the side rails?

Snack portions

The evening snack should [compliment] the prescribed diet rather than replace a meal. The menu card lists both portions. Juice cups are stacked beside the napkins.

  1. 27.Which word means to complete or go along with in the sentence about the snack?

Bedtime count

The revised order calls for [less] tablets at bedtime. The pharmacist circled the new number. The bottle stays in the locked cabinet.

  1. 28.Which word correctly compares a countable number of tablets?

Lobby crowd

A large [amount] of visitors waited in the lobby before visiting hours. The clerk opened the inner door at two. Name stickers sat in a tray on the counter.

  1. 29.Which word correctly fits a group of people who can be counted?

Quiet hour

The patient slept [good] after the evening medication. The aide dimmed the lamp and closed the curtain. A note about the quiet hour is posted by the switch.

  1. 30.Which word correctly modifies the verb slept?

Warm tube

The sample [could of] been warmer than the lab allows. The tech placed it in the refrigerator at once. A timer was set for twenty minutes.

  1. 31.Which choice correctly replaces the bracketed words before been?

Short quiz

From the instructor's silence, the student [implied] that the quiz would be short. The class opened notebooks anyway. A clock ticked above the whiteboard.

  1. 32.Which verb correctly names a conclusion the student drew from the silence?

Extra hour

An [averse] reaction kept the patient in the clinic for another hour. The nurse recorded the symptoms on the chart. Water was offered in a paper cup.

  1. 33.Which word means harmful in the sentence about the reaction?

Chamber visit

The field trip includes a stop at the state [capital] building to see the legislative chamber. Students will meet the bus at noon. Permission slips are due on Friday.

  1. 34.Which word names the government building in the sentence about the field trip?

Consent delay

The [principle] reason for the delay was a missing consent form. The clerk called the office twice. The patient waited in a chair by the window.

  1. 35.Which word means main or primary in the sentence about the delay?

Soft hallway

The aide made a [conscience] effort to speak softly in the hallway. A patient was resting with the door open. The linen cart rolled on rubber wheels.

  1. 36.Which word means deliberate in the phrase about the aide's effort?

Intake pouch

The intake kit holds [gauze tape, and gloves] in a clear pouch. The clerk checks the pouch before each appointment. A spare pouch sits in the cabinet.

  1. 37.Which choice correctly punctuates the series of three items in the intake kit?

Far bed

[After the alarm sounded the aide] checked the call light at the far bed. The bulb above the door was still lit. She reset the switch and wrote the time.

  1. 38.Which choice correctly punctuates the introductory clause about the alarm?

Diet order

[Dr. Okonkwo the night hospitalist signed] the diet order before midnight. A copy was placed in the chart. The kitchen received the change by fax.

  1. 39.Which choice correctly sets off the extra name for Dr. Okonkwo?

Missing barcode

One [patients] wristband was missing a barcode. The clerk printed a new band before the transport team arrived. The old band went into the shredder.

  1. 40.Which choice shows the singular possessive for the one patient who had the wristband?

Chair by the scale

The aide greeted the patient at the door and said, [Please sit down.] She then pointed to the chair beside the scale. A paper drape covered the exam table.

  1. 41.Which choice correctly punctuates the exact words the aide spoke?

Labeled sample

[The lab called, the sample was labeled] before it left the clinic. The courier signed the log at the desk. A copy of the requisition stayed in the chart.

  1. 42.Which choice fixes the comma splice in the bracketed portion about the lab?

Three tools

The front drawer holds three [tools a penlight, a reflex hammer, and a tape measure]. The nurse checks them at the start of the shift. A spare battery is taped inside the drawer.

  1. 43.Which choice correctly introduces the list of tools after a complete clause?

Sink sign

[Wash your hands the sign reads] above the sink in the medication room. A stack of paper towels sits on the shelf. The soap dispenser is mounted on the wall.

  1. 44.Which choice correctly punctuates the sign's words and the phrase that identifies them?

Break room

The [nurses] lounge, shared by the night nurses, is past the clean utility room. A sign asks staff to rinse their mugs. The refrigerator is labeled by shift.

  1. 45.Which choice shows the plural possessive for a lounge shared by the nurses?

Room 12

[The hallway was quiet, however, the call light] flashed above room 12. The aide answered it at once. She recorded the request on the shift note.

  1. 46.Which choice correctly joins the two independent clauses about the hallway and the call light?

Morning faxes

[During the first hour of the morning shift the clerk] sorts the incoming faxes. Each page is stamped with the time. Urgent pages go in a red folder.

  1. 47.Which choice correctly punctuates the long introductory phrase?

Blank line

[The chart, that was missing a signature, stayed] on the desk until the provider returned. Other charts had already been filed. A sticky note marked the blank line.

  1. 48.Which choice correctly punctuates the clause that tells which chart stayed on the desk?

One gown

The patient [does'nt] need a second gown for the short exam. One gown is folded on the table. A robe hangs on the back of the door.

  1. 49.Which choice spells the contraction for does not correctly?

Under the clock

The patient asked, [Where should I wait?] The clerk pointed to the chairs under the clock. A magazine lay on the nearest seat.

  1. 50.Which choice correctly punctuates the patient's question?

Linen cart

[The hallway was crowded, the linen cart] could not pass the stretchers. The aide waited by the supply door. A second cart was parked in the alcove.

  1. 51.Which choice correctly joins the clauses about the crowded hallway and the cart?

Skills check

Before the skills check, each student must bring [the following a watch with a second hand, a pen, and a photo badge]. The instructor checks the items at the door. Late arrivals wait until the next session.

  1. 52.Which choice correctly uses a colon to introduce the list of required items?

Label check

[Maya please check] the label before you hand over the cup. The name should match the wristband. A second nurse watches the handoff.

  1. 53.Which choice correctly punctuates the name used to address Maya?

Same line

[The nurse recorded the temperature and the aide] noted the time on the same line. Both numbers were easy to read. The log stayed on the clipboard.

  1. 54.Which choice correctly punctuates this compound sentence?

Allergy list

[The pharmacist, checked] the allergy list before filling the order. The label printed on yellow paper. The patient signed the pickup log.

  1. 55.Which choice removes the comma that wrongly separates the subject from the verb?

Training Friday

The clinic will close on [Friday March 6, 2026 for] staff training. A notice is taped to the entrance. Patients were called earlier in the week.

  1. 56.Which choice correctly punctuates the date in the middle of the sentence?

Return visit

The clinic offers a [follow up] visit within ten days of discharge. The date is written on the after-visit page. Patients may call to change the time.

  1. 57.Which choice correctly writes the compound modifier before the noun visit?

Shuttle stops

The shuttle stops at [Maple Clinic, 10 Oak, River Clinic, 14 Elm, and Lake Clinic, 8 Pine]. Riders should be outside five minutes early. The driver calls each stop.

  1. 58.Which choice correctly separates the three clinic-and-address items?

Chart handoff

The nurse looked up from the desk and asked, "[Would you hand me the chart.]" A student passed it across the counter. The nurse checked the name on the tab.

  1. 59.Which choice correctly ends the nurse's direct question?

Hearing test

The aide gave a [calm clear] explanation of the hearing test. The patient repeated the steps without help. The headphones were wiped afterward.

  1. 60.Which choice correctly punctuates the two equal adjectives before explanation?

West stairwell

The clinic posted a notice by the stairs. [Because the elevator was out of service.] A staff member stood at the landing to give directions.

  1. 61.Which choice replaces the bracketed fragment with a complete sentence?

Pickup window

[The pickup window is closed drivers must] circle back to the side lane. A sign gives the reopening time. Cones mark the turn.

  1. 62.Which choice repairs the fused sentence about the closed pickup window?

Consent stack

The stack of consent forms [are] on the clerk's desk. Each form needs a date and a signature. A pen is tied to the clipboard.

  1. 63.Which verb agrees with the singular subject stack?

Empty room

Neither the nurse nor the aides [was] in the room when the alarm sounded. The charge nurse stepped in from the hall. The alarm stopped within a minute.

  1. 64.Which verb agrees with the nearer subject in this neither/nor sentence?

Labeled caps

Each vial in the tray has [their] own labeled cap. The tech checks the match before storage. Caps that do not match go into a reject bin.

  1. 65.Which pronoun agrees with the singular subject each vial?

Evening tray

[Wrapped in foil, the aide handed the sandwich] before the evening meal. The soup stayed covered as well. A napkin was tucked under the spoon.

  1. 66.Which choice places the foil detail next to the sandwich it describes?

Home goals

The discharge goals are [to rest, to drink fluids, and walking each day]. The nurse reviewed them aloud. A copy went home in the folder.

  1. 67.Which choice makes the three discharge goals parallel?

Lab badge

If a student wants to enter the lab, [you] must wear a badge. The rule is posted beside the card reader. Visitors sign in at the desk.

  1. 68.Which choice keeps the pronoun consistent with a student?

Slipped tubes

[Hurrying down the hall, the samples slipped] from the tray. The tech stopped to pick them up. None of the tubes had opened.

  1. 69.Which choice makes clear that the tech, not the samples, was hurrying?

Utility sink

[There is two basins] in the utility sink, and both are labeled. One is for clean water. The other is for rinse water.

  1. 70.Which choice makes the verb agree with the plural subject that follows there?

Printed copy

The message was sent to [Priya and she] before the meeting. Both names appear on the email. The clerk printed a copy for the folder.

  1. 71.Which choice uses the correct object form after the preposition to?

First-day list

The role requires [measuring doses, recording times, and to call the pharmacy]. A checklist hangs above the counter. New staff review it on the first day.

  1. 72.Which choice puts the three duties in one parallel form?

Window log

[Checked the label twice before] the medication left the pharmacy window. The second nurse initialed the log. The patient left with a written dose on the bottle.

  1. 73.Which choice supplies the missing subject so the label sentence is complete?

Ice pack

[The swelling had eased the ice pack] could come off for ten minutes. The nurse set a timer. The patient kept the limb on a pillow.

  1. 74.Which choice repairs the run-on about the swelling and the ice pack?

Cooler lid

The criteria for an acceptable sample [is] printed on the cooler lid. Temperature and labeling are both on the list. A nurse checks them before the courier leaves.

  1. 75.Which verb agrees with the plural noun criteria?

Circled value

When Alex handed Jordan the printout, [he] circled the abnormal value. The page was still warm from the printer. A second copy stayed in the tray.

  1. 76.The writer means that Jordan, not Alex, circled the value. Which choice makes that actor clear?

Lunch trays

The tech [almost washed all] the trays before the lunch cart arrived. Two trays were still in the sink. She finished them after the cart left.

  1. 77.Which choice places almost so that it limits how many trays were washed?

Chair transfer

The training covers both [how to lift a patient and transferring] a patient to a chair. Practice follows the short lecture. Mats are stored in the corner.

  1. 78.Which choice makes the pair after both and and match in form?

Retractable reel

Everyone in the two labs [have] a badge on a retractable reel. Security checks the badges at the inner door. Spare reels are kept in a drawer.

  1. 79.Which verb agrees with the singular pronoun everyone?

Afternoon pulse

The afternoon pulse was faster [than the morning chart]. The nurse compared the two numbers. Both were written in the same column.

  1. 80.Which choice completes a logical comparison between two pulse readings?

Door request

The patient [didn't want no visitors] during the quiet hour. The aide posted the request on the door. Family members waited in the lounge.

  1. 81.Which choice states the refusal with only one negative?

Graduated cylinder

The student poured the solution [careful] into the graduated cylinder. The meniscus sat at the 40-milliliter line. The instructor watched from the side.

  1. 82.Which choice correctly modifies the verb poured?

Zero mark

Yesterday the lab tech calibrated the scale before the clinic opened. She [checks] the zero mark while the supervisor watched. The certificate was filed in the binder.

  1. 83.Which verb matches the past tense of the sentences around it?

Room 4

The monitor [who] beeped was in room 4, not in the hallway. A nurse silenced it after checking the leads. The patient was talking with a visitor.

  1. 84.Which word correctly refers to the monitor, which is a thing rather than a person?

Courtyard room

[The only treatment room which faces the courtyard] stays cool in the morning. Blinds are lowered after ten. A small fan sits on the counter.

  1. 85.Which choice correctly punctuates the extra clause about the only treatment room?

Staff board

The news about the schedule change [are] posted on the staff board. The paper is dated this morning. Pins hold each corner.

  1. 86.Which verb agrees with the singular noun news?

Second result

[Due to the fact that the sample was warm, the lab repeated the test.] The second result was filed beside the first. The courier was asked to use a colder pack next time.

  1. 87.Which revision of the bracketed sentence is clear and free of extra words?

Water shutoff

The clinic sent [an advance warning ahead of time] about the water shutoff. The message went out on Tuesday. Bottled water was placed at the desk.

  1. 88.Which choice removes the repeated idea in the sentence about the shutoff?

Home fever note

The nurse needs one sentence for a note the patient will take home. The note should say when to call about a fever. The rest of the page lists the clinic phone number.

  1. 89.Which sentence is the most appropriate wording for that note to the patient?

Handoff fever

A nurse is adding one line to a handoff note for the next nurse, not for the patient. The line should report a fever of 101 degrees and say what to do if it continues. The rest of the note lists medications.

  1. 90.Which sentence best fits that handoff note to a coworker?

Second pressure

The first blood pressure reading was high. ______, the second reading, taken after five quiet minutes, was inside the expected range. The nurse documented both numbers.

  1. 91.Which transition shows the contrast between the two blood pressure readings?

Blocked hall

A pipe had leaked beside the medication room. ______, the floor was blocked off until it was mopped and dried. A yellow sign stood at each end of the hall.

  1. 92.Which transition shows that the blocked floor resulted from the leak?

Left eye

The patient reported a headache that started after lunch. ______, the patient reported blurred vision in the left eye. The nurse recorded both symptoms before calling the provider.

  1. 93.Which transition simply adds a second symptom?

Refill list

Soap dispensers are mounted at every sink. Paper towels sit on open shelves, and alcohol wipes are stocked in each exam room. A checklist on the door reminds staff to refill these items before the clinic opens.

  1. 94.Which sentence is the best topic sentence for this paragraph about supplies?

Late dose

The evening dose was given thirty minutes late because the pharmacy delivery arrived after six. The nurse documented the actual time and the reason.

  1. 95.Which sentence best concludes the paragraph about the late dose?

Home summary

The discharge summary should be [brief and short in length] so patients can reread it at home. Long quotations from the chart are left out. The final page lists phone numbers only.

  1. 96.Which choice says the idea once, in clear words?

Cane plan

The home exercise note now says only, "Do some walking sometimes." The therapist wants one sentence the patient can follow without guessing. The rest of the note explains how to hold the cane.

  1. 97.Which revision gives the patient a clear, specific instruction?

Front clipboards

Patients are asked to arrive early [in order to the filling out of] paperwork before the visit. Clipboards are ready at the front desk. The first appointment is at eight.

  1. 98.Which choice states the purpose in the fewest clear words?

Phone notice

The clinic wants a notice for adults in the waiting room about silencing phones. The notice should be polite and direct. It will be posted beside the check-in desk.

  1. 99.Which sentence has the most appropriate tone for that waiting-room notice?

Wristband scan

First, the nurse confirms the patient's name and date of birth. ______, the nurse scans the wristband and matches it to the medication label. The dose is given only after both checks agree.

  1. 100.Which transition correctly marks the second step in this sequence?

Coming and going

The patient described the pain as ______, coming and going through the afternoon rather than staying constant. The nurse marked the pattern on the chart. A heat pack was offered between episodes.

  1. 101.Which word matches pain that starts and stops rather than staying constant?

Questions first

The patient was ______ to receive the injection and asked several questions before agreeing. The nurse waited and answered each one. The dose was given only after the patient consented.

  1. 102.Which word describes someone who holds back at first without refusing outright?

One-minute report

The incident report was ______, covering the facts in a few plain sentences and leaving out repeated details. The supervisor could read it in a minute. A longer chart note was stored separately.

  1. 103.Which word describes writing that is brief yet complete?

Second test

The lab posted a ______ result and noted that the final report would follow after the second test. The nurse did not treat the early number as the last word. The chart flagged the value as incomplete.

  1. 104.Which word means coming before the final version?

Diet card

Patients are asked to ______ to the fluid limit written on the diet card, even when they feel thirsty in the evening. The aide reviews the number at dinner. A marked cup is kept on the tray.

  1. 105.Which word means to follow a rule or limit closely?

No treatment

The provider described the skin finding as ______, explaining that it was harmless and needed no treatment. The patient was still offered a printed summary. A follow-up visit was optional.

  1. 106.Which word means harmless in the provider's description of the finding?

Two-week check

The rash faded at the first visit, but a ______ check two weeks later showed that it had returned. The nurse compared the two notes. A new photo was added to the chart.

  1. 107.Which word means coming later in time?

Evening total

The evening intake was ______, meeting the goal on the diet card without going over it. The aide recorded the total in milliliters. The cup was rinsed and put away.

  1. 108.Which word means enough, but not more than enough?