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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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'.