The study aimed to assess the effect of the types of examination to the academic performance of students in NCM-105. Further, the researchers intended to assess the difference between academic preparation and performance of the students. The study was prompted to an observation that students were not exerting enough effort in studying with their knowledge of taking purely multiple choice type of examination in the periodical examinations. The study utilized an experimental research design wherein there was a control group who took multiple choice tests and the experimental group who took the mixed type of examination who were “mind set” prior to the conduct of the test. The respondents were the BSN 3 students. The study also employed a validated survey questionnaire to measure the academic preparation of the students in terms of intensity of studying and study techniques. The results showed that the experimental group has a higher academic preparation and performance compared to the control group. And, there was a significant difference on the academic performance of the students. It implied that students who were introduced to a new or unfamiliar type of examination were motivated to intensify their studying and improved their study techniques. Recommendation was suggested to encourage the nursing program and its instructors to formulate and conduct periodical examinations in a mixed type manner, provided that, multiple choice type of questions should be in majority of items.