SAUDI PROMETRIC SAMPLE EXAM 1

The Prometric Exam for Nurses is an assessment and qualifying exam for nurses who want to work in the Kingdom of Saudi Arabia.

TIP: Focus on prioritization, medical-surgical, and fundamentals of nursing.

1. The nurse is teaching a mother whose daughter has iron deficiency anemia. The nurse determines the parent understood the dietary modifications, if she selects?

a)  Bread and coffee
b)  Fish and Pork meat
c)  Cookies and milk
d)  Oranges and green leafy vegetables

2. Which of the following is the most common clinical manifestation of G6PD following ingestion of aspirin?

a)   Kidney failure
b)  Acute hemolytic anemia
c)   Hemophilia A
d)  Thalassemia

3. The nurse assesses a client with an ileostomy for possible development of which of the following acid-base imbalances?

a)  Respiratory acidosis
b)  Metabolic acidosis
c)  Metabolic alkalosis
d)  Respiratory alkalosis

4. The nurse anticipates which of the following responses in a client who develops metabolic acidosis.

a)   Heart rate of 105 bpm
b)  Urinary output of 15 ml
c)   Respiratory rate of 30 cpm
d)    Temperature of 39 degree Celsius

 5. A client has a phosphorus level of 5.0mg/dL. The nurse closely monitors the client for?

a)     Signs of tetany
b)    Elevated blood glucose
c)     Cardiac dysrhythmias
d)    Hypoglycemia

6. A nurse is caring for a child with pyloric stenosis. The nurse would watch out for symptoms of?

a)   Vomiting large amounts
b)   Watery stool
c)    Projectile vomiting
d)   Dark-colored stool

7. The nurse responder finds a patient unresponsive in his house. Arrange steps for adult CPR.

a)   Assess consciousness
b)  Give 2 breaths
c)   Perform chest compression
d)  Check for serious bleeding and shock
e)   Open patient’s airway
f)    Check breathing

___, ___, ___, ___, ___, ___

8. Which of the following has mostly likely occurred when there is continuous bubbling in the water seal chamber of the closed chest drainage system?

a)   The connection has been taped too tightly
b)   The connection tubes are kinked
c)    Lung expansion
d)   Air leak in the system

9. Which if the following young adolescent and adult male clients are at most risk for testicular cancer?

a)  Basketball player who wears supportive gear during basketball games
b)  Teenager who swims on a varsity swim team
c)   20-year-old with undescended testis
d)   Patient with a family history of colon cancer

10. The nurse plans to frequently assess a post-thyroidectomy patient for?

a)   Polyuria
b)   Hypoactive deep tendon reflex
c)    Hypertension
d)   Laryngospasm

11. An 18-month-old baby appears to have a rounded belly, bowlegs and slightly large head. The nurse concludes?

a)   The child appears to be a normal toddler
b)   The child is developmentally delayed
c)   The child is malnourished
d)   The child’s large head may have neurological problems.

12. A nurse is going to administer 500mg capsule to a patient. Which is the correct route?

A.)

B.)

C.)

D.)

13. An appropriate instruction to be included in the discharge teaching of a patient following a spinal fusion is?

a)  Don’t use the stairs
b)  Don’t bend at the waist
c)   Don’t walk for long hours
d)   Swimming should be avoided

14. A nurse is preparing to give an IM injection of Iron Dextran that is irritating to the subcutaneous tissue. To prevent irritation to the tissue, what is the best action to be taken?

a)   Apply ice over the injection site
b)  Administer drug at a 45 degree angle
c)  Use a 24-gauge-needle
d)  Use the z-track technique

15. What should a nurse do prior to taking the patient’s history?

a)  Offer the patient a glass of water
b)  Establish rapport
c)   Ask the patient to disrobe and put on gown
d)  Ask pertinent information for insurance purposes

16. A pregnant woman is admitted for pre-eclampsia. The nurse would include in the health teaching that magnesium will be part of the medical management to accomplish the following?

a)     Control seizures
b)    promote renal perfusion
c)     To decrease sustained contractions
d)    Maintain intrauterine homeostasis

17. A nurse is going to administer ear drops to a 4-year-old child. What is the correct way of instilling the medicine after tilting the patient’s head sidewards?

a)  Pull the pinna back then downwards
b)  Pull the pinna back then upwards
c)  Pull the pinna up then backwards
d)  Pull the pinna down then backwards

18. A nursing student was intervened by the clinical instructor if which of the following is observed?

a)  Inserting a nasogastric tube
b)  Positioning the infant in a “sniffing “position
c)  Suctioning first the mouth, then the nose
d)  Squeezing the bulb syringe to suction mouth

19. Choose amongst the options illustrated below that best describes the angle for an intradermal injection?

A.)

B.)

C.)

D.)

20. During a basic life support class, the instructor said that blind finger sweeping is not advisable for infants. Which among the following could be the reason?

a)  The mouth is still too small
b)  The object may be pushed deeper into the throat
c)  Sharp fingernails might injure the victim
d)  The infant might bite

21.  A nurse enters a room and finds a patient lying on the floor. Which of the following actions should the nurse perform first?

a)   Call for help
b)   Establish responsiveness of patient
c)   Ask the patient what happened
d)   Assess vital signs

22. A patient with complaints of chest pain was rushed to the emergency department. Which priority action should the nurse do first?

a)   Administer morphine sulfate intravenously
b)  Initiate venous access by performing venipunture
c)   Administer oxygen via nasal cannula
d)  Complete physical assessment and patient history

23. A rehab nurse reviews a post-stroke patient’s immunization history. Which immunization is a priority for a 72-year-old patient?

a)   Hepatitis A vaccine
b)  Hepatitis B vaccine
c)  Rotavirus Vaccine
d)  Pneumococcal Vaccine

24. Several patients from a reported condominium fire incident were rushed to the emergency room. Which should the nurse attend to first?

a)   A 15-year-old girl, with burns on the face and chest, reports hoarseness of the voice
b)  A 28-year-old man with burns on all extremities
c)  A 4-year-old child who is crying inconsolably and reports severe headache
d)  A 40-year-old woman with complaints of severe pain on the left thigh

25.The doctor ordered 1 pack of red blood cells (PRBC) to be transfused to a patient.  The nurse prepares the proper IV tubing. The IV tubing appropriate for blood transfusion comes with?

a)   Air vent
b)   Microdrip chamber
c)   In-line filter
d)   Soluset

26. The expected yet negative (harmful ) result for posthemodialysis is a decrease in?

a)   Creatinine
b)   BUN
c)   Phosphorus
d)   Red blood cell count

27. A patient was brought to the emergency room after she fell down the stairs. Which of the following is the best indicator for increased intracranial pressure in head and spinal injury?

a)  Inability to move extremities
b)  Decreased respiratory rate
c)  Increase in pulse and blood pressure
d)  Decrease level of consciousness

28. A new nurse is administering an enema to a patient. The senior nurse should intervene if the new nurse?

a)  Hangs the enema bag 18 inches above the anus
b)  Positions the client on the right side
c)  Advances the catheter 4 inches into the anal canal
d)  Lubricates 4 inches of the catheter tip

29. The medication nurse is going to give a patient his morning medications. What is the primary action a nurse should do before administering the medications?

a)  Provide privacy
b)  Raise head of the bed
c)  Give distilled water
d)  Check client’s identification bracelet

30.  A 30-year-old client is admitted with inflammatory bowel syndrome (Crohn’s disease). Which of the following instructions should the nurse include in the health teaching? Select all that apply

a)  Corticosteroid medication is part of the treatment
b)  Include milk in the diet
c)  Aspirin should be administered
d)  Antidiarrheal medication can help

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