I didn’t take it in English, but I took it in Hebrew and it’s probably pretty similar.
In the first part, you listen to a paragraph in the language once with the opportunity to write notes, and then you answer somewhere around 10 questions. It’s pretty basic.
The next section is a 150-word composition in the language. They give you 3 choices of topic.
The third section is to translate from English to the language, and the 4th is to translate from the language to English.
With my American background in Hebrew (though admittedly, I am pretty good with dikduk), I got a 12 out of 12. I didn’t prepare for the test at all.