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A sign at the hospital entrance reads: “All visitors must sign in at the front desk and wear a visitor badge at all times.” What must every visitor do?

1. ALeave their bags at the desk
2. BSign in and wear a badge
3. CCall the ward before arriving
4. DWear a mask and gloves

Crows are clever birds. Scientists have seen them use sticks as tools to pull insects out of tree bark. What have scientists seen crows do?

1. ASwim to catch fish
2. BNest underground
3. CCopy human words
4. DUse sticks as tools

Sloths are very slow animals that live in the rainforests of Central and South America. They spend most of their lives hanging upside down in trees and rarely come down to the ground. Where do sloths spend most of their lives?

1. AWalking on the forest floor
2. BSwimming in rivers
3. CHanging in trees
4. DDigging underground

“The nurse checked the patient’s wristband, asked his name and date of birth, and compared them with the medicine order before giving the tablet.” Why did the nurse most likely do these checks?

1. ATo decide what the patient should eat for lunch
2. BTo see whether he had visitors waiting
3. CTo find out how long the patient would stay
4. DTo make sure the medicine went to the right patient

“After the storm, the town came together. Neighbours cleared fallen trees, shared food and checked on elderly residents.” What is the main theme of the passage?

1. AThe best way to prepare for a storm
2. BWhy older people should move away
3. CThe danger of living near old trees
4. DPeople helping one another in hard times

In the 1840s, the doctor Ignaz Semmelweis noticed that many mothers died after childbirth in wards where doctors came straight from performing autopsies. When he required doctors to wash their hands in a chlorine solution, the death rate dropped sharply. What does the passage suggest?

1. AChlorine was used to make medicines for new mothers.
2. BHand washing reduced the spread of infection to the mothers.
3. CAutopsies were no longer performed in that hospital after the year 1840.
4. DThe mothers died because of problems during birth only.

Passage 1: “Night shifts are hard on nurses’ health because they disrupt sleep.” Passage 2: “Many nurses prefer night shifts because they pay more and allow daytime family time.” Which statement could BOTH authors accept?

1. AAll nurses dislike working night shifts at the hospital.
2. BNight shifts have both costs and benefits for nurses.
3. CNight shifts should be banned in all hospitals.
4. DNight shifts have no effect on nurses’ sleep.

“Jon shoved his hands in his pockets and kicked a stone along the path. ‘Fine,’ he muttered, ‘I didn’t want to play anyway.’” What do Jon’s words and actions suggest?

1. AHe is excited to go home early.
2. BHe is happy for the other players.
3. CHe is disappointed but hiding it.
4. DHe truly never wanted to play.