NHS Healthcare Assistant

Literacy Skills

40 free practice questions with explanations

PassNova has 40 free NHS Healthcare Assistant practice questions on Literacy Skills, each with a clear explanation. Practise them in the browser with instant feedback — 100% free, no sign-up, on any device. Updated for 2026.

Sample questions

Literacy Skills: example questions & answers

12 worked examples with answers and explanations below. Practise all 40 Literacy Skills questions free in the browser, with instant feedback on every answer.

  1. You are reading a patient's care plan which states 'Monitor vitals qid'. What does 'qid' mean?

    • AOnce daily
    • BFour times daily
    • CEvery hour
    • DAs needed

    Answer: 'Qid' is medical abbreviation for 'quater in die' (Latin), meaning four times daily. Understanding medical abbreviations is essential for safe care delivery.

  2. A medication label reads: 'Take 2 tablets twice daily with food'. What is the total daily dose?

    • A2 tablets
    • B4 tablets
    • C6 tablets
    • D8 tablets

    Answer: 2 tablets × 2 times daily = 4 tablets daily. Understanding medication instructions is critical for patient safety and correct administration.

  3. Which of these is the correct spelling of the medical term for high blood pressure?

    • AHypertenion
    • BHipertension
    • CHypertension
    • DHyper-tension

    Answer: Hypertension (from 'hyper' meaning high and 'tension' meaning pressure) is the correct medical spelling. Accurate terminology prevents confusion in healthcare.

  4. A care plan note reads: 'Patient is incontinent of both faeces and urine.' Which term is most appropriate?

    • ADouble incontinent
    • BDoubly incontinent
    • CTotal incontinence
    • DDual incontinence

    Answer: Double incontinent is the correct clinical term for incontinence of both faeces and urine. Professional terminology ensures clear communication.

  5. You're reading patient notes that state: 'Patient exhibits signs of dyspnea.' What does this mean?

    • ADifficulty swallowing
    • BDifficulty breathing
    • CDifficulty hearing
    • DDifficulty moving

    Answer: Dyspnea (from Greek 'dys' = difficult and 'pnea' = breathing) means laboured or difficult breathing. Recognising medical terms is essential.

  6. Which spelling is correct for the condition affecting the liver?

    • ACirhosis
    • BSirhosis
    • CCirrhosis
    • DCirosis

    Answer: Cirrhosis (with double 'r' and double 's') is the correct spelling for chronic liver disease. Accurate medical spelling is important for record-keeping.

  7. A patient's medical record states they are 'NPO from midnight'. What does NPO mean?

    • ANo oral intake
    • BNormal patient observation
    • CNothing per os (mouth)
    • DBoth A and C

    Answer: NPO stands for 'nothing per os' (Latin for nothing by mouth). It indicates the patient should not eat or drink, typically before surgery or procedures.

  8. You read a care plan that says a patient needs 'catheter care bid'. How often should this be done?

    • AOnce daily
    • BTwice daily
    • CThree times daily
    • DAs needed

    Answer: 'Bid' means 'bis in die' (Latin for twice daily). Recognising abbreviations prevents errors in care frequency and patient safety.

  9. Which word is spelled correctly in a medical context?

    • ADiarrhoea
    • BDiarhea
    • CDiarrhea
    • DBoth A and C

    Answer: Both 'diarrhoea' (British English) and 'diarrhea' (American English) are acceptable. The British spelling with double 'r' is standard in UK healthcare.

  10. A handover note reads: 'Patient is awaiting an ECG.' What does ECG stand for?

    • AElectro cardio gram
    • BElectrocardiogram
    • CElectric cardiac graph
    • DElectro cardiac gauge

    Answer: ECG stands for electrocardiogram (a recording of heart electrical activity). Understanding common abbreviations is crucial for healthcare literacy.

  11. Which sentence contains correct grammar for a nursing handover?

    • AThe patient were in pain all night
    • BThe patient was in pain all night
    • CThe patients was in pain all night
    • DThe patient are in pain all night

    Answer: 'Patient' is singular, so requires 'was' not 'were'. Correct grammar ensures clear, professional communication in healthcare records.

  12. A patient leaflet states: 'This medication may cause side affects.' What is the error?

    • A'May' should be 'might'
    • B'Affects' should be 'effects'
    • C'Cause' should be 'causes'
    • DNo error

    Answer: 'Effects' (noun) = results/consequences. 'Affects' (verb) = influences. The correct term here is 'side effects'.

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