Question No: 1
A 55-year-old male is admitted to the medical-surgical unit with a diagnosis of community-acquired pneumonia. The patient has a history of hypertension and Type 2 Diabetes. The nurse assesses the patient and notes a temperature of 38.8°C (101.8°F), a productive cough with thick yellow sputum, and a respiratory rate of 28 breaths/min. Which of the following is the most appropriate initial nursing action?
A) Administer a prescribed antipyretic medication.
B) Obtain a sputum culture and send it to the lab.
C) Encourage the patient to increase fluid intake.
D) Place the patient in a High Fowler’s position.

Question No: 2
A nurse is preparing to administer a medication via a nasogastric (NG) tube to a patient who is receiving continuous enteral feeding. The nurse should first:
A) Mix the crushed medication with the feeding solution.
B) Flush the NG tube with 30 mL of water.
C) Stop the enteral feeding.
D) Check the tube’s pH to confirm placement.

Question No: 3
A nurse is caring for a 70-year-old female patient with chronic obstructive pulmonary disease (COPD). The patient has a sudden onset of shortness of breath and complains of sharp chest pain. The nurse’s assessment reveals a diminished breath sound on the right side. The most likely cause is:
A) Congestive heart failure (CHF).
B) Pulmonary embolism (PE).
C) Pneumothorax.
D) Exacerbation of COPD.

Question No: 4
A nurse is teaching a patient about self-monitoring blood glucose. The patient’s blood sugar reading is 280 mg/dL. The nurse should instruct the patient to:
A) Administer an extra dose of insulin.
B) Go for a brisk walk.
C) Recheck the blood sugar in 30 minutes.
D) Document the finding and call the healthcare provider for further instructions.

Question No: 5
A patient is admitted to the hospital with a diagnosis of acute kidney injury (AKI). The nurse is monitoring the patient’s fluid balance. Which of the following is the most reliable indicator of fluid status?
A) Daily fluid intake and output.
B) Daily weight.
C) Blood pressure.
D) Urine specific gravity.

Question No: 6
A nurse is caring for a patient who is 24 hours post-operative from an appendectomy. The patient complains of increasing abdominal pain, and the nurse notes that the patient’s abdomen is rigid and distended. What is the most appropriate action for the nurse to take?
A) Administer a prescribed pain medication.
B) Encourage the patient to ambulate.
C) Notify the physician immediately.
D) Place a warm pack on the patient’s abdomen.

Question No: 7
A nurse is preparing to administer a subcutaneous injection of heparin. The nurse should select which of the following sites?
A) Deltoid muscle.
B) Dorsogluteal muscle.
C) Abdomen, at least 2 inches from the umbilicus.
D) Outer aspect of the thigh.

Question No: 8
A patient with a history of alcohol abuse is admitted with signs of severe alcohol withdrawal. The nurse should be most vigilant for the development of:
A) Hypoglycemia.
B) Grand mal seizures.
C) Hypertension.
D) Ataxia.

Question No: 9
A nurse is caring for a patient who has a feeding tube. The nurse prepares to check for gastric residual volume. Which of the following is the most appropriate action?
A) Check the residual volume every 8 hours.
B) Return the residual volume to the stomach.
C) Discard the residual volume.
D) Hold the feeding if the residual volume is less than 100 mL.

Question No: 10
A nurse is teaching a patient about a new prescription for metoprolol, a beta-blocker. The nurse should instruct the patient to report which of the following side effects to the healthcare provider immediately?
A) Dizziness.
B) Cold hands and feet.
C) A heart rate of 55 beats/min.
D) Fatigue.

Question No: 11
A nurse is caring for a 6-month-old infant with bronchiolitis. The nurse notes the infant has a respiratory rate of 60 breaths/min, nasal flaring, and subcostal retractions. What is the priority nursing intervention?
A) Administering a prescribed cough suppressant.
B) Placing the infant in a prone position.
C) Providing small, frequent feedings to prevent dehydration.
D) Administering oxygen as prescribed.

Question No: 12
A patient with a history of heart failure is scheduled for discharge. The nurse is providing patient teaching. Which statement by the patient indicates a need for further teaching?
A) “I will weigh myself every morning before breakfast.”
B) “I will limit my fluid intake to 1.5 liters per day.”
C) “I will call the doctor if I gain more than 1 kg in one day.”
D) “I will eat foods that are high in sodium to stay hydrated.”

Question No: 13
A nurse is caring for a patient who is two days post-operative from a bowel resection. The patient has a temperature of 39.1°C (102.4°F) and a heart rate of 110 beats/min. The nurse should be most concerned about:
A) Wound dehiscence.
B) Deep vein thrombosis (DVT).
C) Peritonitis.
D) A normal inflammatory response.

Question No: 14
A nurse is assessing a patient with a suspected deep vein thrombosis (DVT). Which assessment finding is most indicative of a DVT?
A) Bilateral lower leg edema.
B) A positive Homan’s sign.
C) Unilateral calf redness, swelling, and pain.
D) A weak pedal pulse in the affected leg.

Question No: 15
A patient is admitted with a diagnosis of a stroke. The patient has right-sided weakness and aphasia. When feeding the patient, the nurse should:
A) Place food on the right side of the mouth.
B) Encourage the patient to drink from a straw.
C) Place the patient in a supine position.
D) Place food on the left side of the mouth.

Question No: 16
A nurse is caring for a patient who has a chest tube connected to a drainage system. The nurse notes tidaling in the water seal chamber. What is the appropriate nursing action?
A) Clamp the chest tube to check for an air leak.
B) Document the finding as normal.
C) Strip the tubing to remove clots.
D) Notify the physician immediately.

Question No: 17
A patient with a history of dementia is confused and tries to climb out of bed. Which of the following is the most appropriate initial nursing intervention?
A) Apply wrist restraints to the patient.
B) Administer a prescribed sedative.
C) Use a bed alarm and orient the patient to their surroundings.
D) Call the family to stay with the patient.

Question No: 18
A nurse is caring for a patient who is receiving a blood transfusion. The patient reports back pain, chills, and a feeling of “impending doom.” The nurse should immediately:
A) Administer an antihistamine.
B) Slow the transfusion rate.
C) Stop the transfusion and notify the physician.
D) Document the findings and continue the transfusion.

Question No: 19
A nurse is providing care for a patient with a newly inserted indwelling urinary catheter. The nurse should be most alert for which complication in the first 24 hours?
A) Bladder spasms.
B) Urinary tract infection (UTI).
C) Hematuria.
D) Catheter occlusion.

Question No: 20
A nurse is caring for a patient with a closed-head injury. The nurse observes the patient’s pupils are fixed and dilated. This finding is a late sign of:
A) Increased intracranial pressure (ICP).
B) Spinal cord injury.
C) Hypoglycemia.
D) Cerebral palsy.

Question No: 21
A patient with a history of diabetes mellitus is admitted with complaints of frequent urination and thirst. The nurse suspects diabetes insipidus. Which of the following lab values would support this diagnosis?
A) Low urine specific gravity.
B) High blood glucose level.
C) High urine specific gravity.
D) Low serum sodium level.

Question No: 22
A nurse is caring for a patient who has a traumatic injury to the spinal cord at the level of C4. The nurse understands that this patient is at risk for which complication?
A) Paralysis of the lower extremities.
B) Respiratory arrest.
C) Autonomic dysreflexia.
D) Neurogenic shock.

Question No: 23
A nurse is teaching a patient with a newly placed ileostomy. The nurse should include which of the following instructions?
A) The patient should expect formed stool from the stoma.
B) The patient should limit fluid intake to prevent dehydration.
C) The patient should expect liquid to semi-liquid stool from the stoma.
D) The patient should avoid eating high-fiber foods.

Question No: 24
A nurse is preparing to administer digoxin to a 7-month-old infant. The nurse should check which of the following before administering the medication?
A) The infant’s respiratory rate.
B) The infant’s blood pressure.
C) The infant’s apical pulse.
D) The infant’s blood glucose.

Question No: 25
A patient has a long leg cast. The nurse assesses the patient and notes that the patient’s toes are swollen, pale, and cold. The patient complains of severe pain that is not relieved by pain medication. The nurse should be concerned about:
A) Phlebitis.
B) A superficial wound infection.
C) Compartment syndrome.
D) A normal post-cast finding.

Question No: 26
A nurse is providing wound care for a patient with a stage IV pressure ulcer. The wound has a large amount of slough and is not healing. The physician orders a debridement. The nurse understands that debridement is performed to:
A) Remove healthy tissue to promote healing.
B) Remove dead tissue to promote wound healing.
C) Decrease pain and inflammation.
D) Prevent the wound from getting infected.

Question No: 27
A nurse is teaching a patient who has been prescribed warfarin. Which of the following foods should the nurse instruct the patient to limit?
A) Oranges and strawberries.
B) Green leafy vegetables.
C) Dairy products.
D) Whole grains.

Question No: 28
A nurse is caring for a patient who has a feeding tube. The patient develops diarrhea. What is the most likely cause of the diarrhea?
A) The patient’s fluid intake is too low.
B) The feeding formula is too cold.
C) The feeding rate is too slow.
D) The patient has an intestinal obstruction.

Question No: 29
A patient is admitted with a diagnosis of a peptic ulcer. The nurse should teach the patient to avoid which of the following?
A) Milk.
B) Spices.
C) Caffeine.
D) Yogurt.

Question No: 30
A nurse is caring for a patient with a traumatic brain injury (TBI) who is hyperventilating. The nurse knows that hyperventilation can lead to which of the following?
A) Respiratory acidosis.
B) Metabolic alkalosis.
C) Respiratory alkalosis.
D) Metabolic acidosis.

Question No: 31
A nurse is teaching a group of parents about infant safety. The nurse should advise them that the safest position for an infant to sleep is:
A) On their side.
B) On their back.
C) On their stomach.
D) On a soft mattress.

Question No: 32
A patient is scheduled for a lumbar puncture. The nurse should position the patient in which of the following positions?
A) Supine with legs extended.
B) Lateral recumbent with the head and knees flexed.
C) Prone with the head turned to the side.
D) Sitting upright with arms supported.

Question No: 33
A nurse is providing care for a patient with a history of hypertension. The nurse finds the patient’s blood pressure is 180/100 mmHg. The patient is complaining of a severe headache and blurred vision. The nurse should be concerned about:
A) A hypertensive urgency.
B) A hypertensive emergency.
C) A stroke.
D) A normal response to hypertension.

Question No: 34
A nurse is teaching a patient about a new prescription for nitroglycerin tablets for angina. The nurse should instruct the patient to:
A) Swallow the tablet with a glass of water.
B) Place the tablet under the tongue.
C) Take the tablet on an empty stomach.
D) Take the tablet only when the pain is severe.

Question No: 35
A patient is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA). The nurse would expect to find which of the following signs and symptoms?
A) Bradycardia and hypothermia.
B) Kussmaul respirations and fruity breath.
C) Weight gain and peripheral edema.
D) Low blood glucose and hypertension.

Question No: 36
A nurse is caring for a patient who has a T-tube in place after a cholecystectomy. The nurse notes a sudden increase in bile drainage. What is the most likely cause?
A) The patient’s fluid intake has increased.
B) The patient’s liver is failing.
C) There is a blockage in the common bile duct.
D) The patient has just finished a meal.

Question No: 37
A nurse is caring for a patient who is experiencing acute asthma exacerbation. The nurse should anticipate administering which of the following medications first?
A) Oral steroids.
B) Inhaled short-acting beta-agonists.
C) Long-acting bronchodilators.
D) Antibiotics.

Question No: 38
A patient has a traumatic spinal cord injury and is experiencing hypotension, bradycardia, and warm, dry skin. The nurse should be concerned about:
A) Hypovolemic shock.
B) Cardiogenic shock.
C) Septic shock.
D) Neurogenic shock.

Question No: 39
A nurse is teaching a new mother about postpartum hemorrhage. The nurse should instruct the mother to report which of the following to the healthcare provider?
A) Heavy bleeding that soaks more than one pad per hour.
B) Breast engorgement.
C) Pain in the perineal area.
D) Lochia that is red for the first three days.

Question No: 40
A nurse is caring for a patient who is receiving continuous bladder irrigation after a transurethral resection of the prostate (TURP). The nurse notes that the drainage is a dark red color with many clots. What is the most appropriate action?
A) Increase the flow rate of the irrigating solution.
B) Decrease the flow rate of the irrigating solution.
C) Stop the irrigation and notify the physician.
D) Administer a prescribed diuretic.

Question No: 41
A nurse is caring for a patient who is receiving a heparin infusion. The nurse should monitor which of the following lab values?
A) Prothrombin time (PT).
B) Activated partial thromboplastin time (aPTT).
C) International normalized ratio (INR).
D) Platelet count.

Question No: 42
A nurse is assessing a child with a diagnosis of meningitis. Which of the following is an expected finding?
A) Hyperactivity.
B) A positive Kernig’s sign.
C) Hypotension.
D) Absence of fever.

Question No: 43
A patient with a history of schizophrenia is admitted with an acute psychotic episode. The nurse’s priority in the initial phase of care is to:
A) Establish trust and rapport with the patient.
B) Administer an antipsychotic medication.
C) Ensure the safety of the patient and others.
D) Orient the patient to reality.

Question No: 44
A nurse is caring for a patient who is post-operative from a total knee arthroplasty. The nurse is concerned about the risk of a pulmonary embolism (PE). Which of the following is a classic symptom of a PE?
A) Chest pain and shortness of breath.
B) Coughing and wheezing.
C) Swelling and redness in the affected leg.
D) Fever and chills.

Question No: 45
A patient is scheduled for a colonoscopy. The nurse should instruct the patient to:
A) Drink only clear liquids for 24 hours before the procedure.
B) Eat a high-fiber meal the night before the procedure.
C) Take all regular medications as scheduled.
D) Administer a fleet enema the morning of the procedure.

Question No: 46
A nurse is teaching a patient with a new prescription for an inhaled corticosteroid for asthma. The nurse should instruct the patient to:
A) Use the inhaler only when they feel short of breath.
B) Rinse their mouth with water after each use.
C) Take a deep breath and hold it for 3 seconds after inhaling.
D) Use the inhaler to treat an acute asthma attack.

Question No: 47
A nurse is caring for a patient who has a traumatic injury to the thoracic spine. The nurse notes that the patient has a blood pressure of 80/50 mmHg and a heart rate of 55 beats/min. The patient’s skin is warm and dry. The nurse should be concerned about:
A) Hypovolemic shock.
B) Neurogenic shock.
C) Cardiogenic shock.
D) Septic shock.

Question No: 48
A nurse is preparing to administer an intramuscular (IM) injection to a 2-year-old child. The nurse should select which of the following sites?
A) Deltoid muscle.
B) Vastus lateralis muscle.
C) Dorsogluteal muscle.
D) Ventrogluteal muscle.

Question No: 49
A nurse is teaching a patient about a low-potassium diet. Which of the following food choices should the nurse instruct the patient to avoid?
A) Applesauce.
B) Cooked rice.
C) Bananas.
D) Cauliflower.

Question No: 50
A nurse is assessing a patient with a diagnosis of liver cirrhosis. The nurse notes that the patient has a distended abdomen. What is the most likely cause of this finding?
A) Ascites.
B) Intestinal obstruction.
C) Pancreatitis.
D) Peritonitis.

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Saudi Prometric Exam for Nurses
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