Introduction
For the Saudi Prometric Nursing Exam, candidates need conceptual clarification, prioritization skills, and frequent exposure to exam-oriented questions. The question patterns are highly focused on patient safety, infection control, pharmacology, emergency nursing, and ethical decision-making, which also test the application of knowledge in nurses during real clinical scenarios. That's where structured preparation can make all the difference. Tiju's Academy’s Saudi Prometric exam course is designed to closely align with the actual pattern of the exam.
Students practice Saudi Prometric nursing questions that reflect real exam difficulty, helping them understand how to analyze scenarios, eliminate distractors, and select the safest intervention. Learners are built up in confidence and strengthened clinically with concept-based explanations and focused revision to meet the essential requirement for clearing the Saudi Prometric exam in one attempt.
1. The most effective measure to reduce hospital-acquired infections (HAIs) is:
A. Using disposable supplies
B. Restricting visitors
C. Hand hygiene
Answer: C
2. A patient is in isolation. Where should the thermometer be kept?
A. At the nurses' station
B. On the isolation cart outside
C. In the patient’s room
Answer: C
3. Before administering Digoxin, the nurse must check the apical pulse for 1 full minute. The medication should be withheld if the pulse is below:
A. 70 bpm
B. 60 bpm
C. 50 bpm
Answer: B
4. Which position is most appropriate for a patient receiving a tube feeding to prevent aspiration?
A. Supine
B. Semi-Fowler’s (30–45 degrees)
C. High-Fowler’s (90 degrees)
Answer: B
5. When discovering a fire in a patient’s room, what is the nurse's first action according to the RACE acronym?
A. Activate the alarm
B. Rescue the patient
C. Extinguish the fire
Answer: B
Medical-Surgical Nursing
6. A patient has a chest tube that accidentally gets pulled out. What is the nurse’s immediate action?
A. Call the doctor
B. Reinsert the tube
C. Cover the site with Vaseline gauze/occlusive dressing
Answer: C
7. The nurse is caring for a patient with hypovolemic shock. Which IV fluid is most appropriate for rapid volume replacement?
A. 0.45% Sodium Chloride
B. 0.9% Sodium Chloride (Normal Saline)
C. D5W
Answer: B
8. Which of the following is a classic sign of early increased intracranial pressure (ICP)?
A. Widening pulse pressure
B. Change in level of consciousness (LOC)
C. Bradycardia
Answer: B
9. What should the nurse advise a patient on Warfarin (Coumadin) regarding their diet?
A. Avoid all green leafy vegetables
B. Maintain a consistent intake of Vitamin K-rich foods
C. Increase intake of spinach and broccoli
Answer: B
10. A patient with deep vein thrombosis (DVT) is on Heparin. Which lab value must the nurse monitor?
A. PT/INR
B. aPTT
C. Platelet count
Answer: B
Maternal & Child Health
11. Where is the best site to administer a Vitamin K injection in a neonate?
A. Deltoid
B. Vastus lateralis
C. Gluteus maximus
Answer: B
12. A woman in active labour has a prolapsed umbilical cord. What is the priority nursing action?
A. Call the doctor
B. Place the patient in the Trendelenburg or knee-chest position
C. Push the cord back into the vagina
Answer: B
13. Which sign in a 6-month-old infant indicates severe dehydration?
A. Bulging fontanelles
B. Sunken fontanelles
C. Increased tearing
Answer: B
14. What is the most critical post-operative complication to monitor after a tonsillectomy in a child?
A. Pain
B. Haemorrhage (frequent swallowing)
C. Nausea
Answer: B
15. A patient with gestational diabetes is at higher risk for which neonatal complication?
A. Hyperglycemia
B. Hypoglycemia
C. Low birth weight
Answer: B
Pharmacology & Procedures
16. The rationale for having a patient void before an abdominal paracentesis is to:
A. Reduce infection
B. Prevent bladder puncture
C. Improve comfort
Answer: B
17. A patient is prescribed Furosemide (Lasix). The nurse should monitor for which electrolyte imbalance?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
Answer: B
18. The "10 Rights" of medication administration are intended to prevent:
A. Patient dissatisfaction
B. Medication errors
C. Cost overruns
Answer: B
19. An 82-year-old with heart failure is confused and short of breath. Which action is first?
A. Administer oxygen as ordered
B. Call the family
C. Document the confusion
Answer: A
20. A patient with TB requires which type of isolation precautions?
A. Droplet
B. Contact
C. Airborne
Answer: C
Prioritization & Ethics
21. Which patient should the nurse assess first?
A. Post-op patient with 5/10 pain
B. Pneumonia patient with 88% O2 saturation and confusion
C. Patient needing discharge education
Answer: B
22. The nurse accidentally gives the wrong dose of medication. What is the first thing the nurse should do?
A. Fill out an incident report
B. Assess the patient’s condition
C. Notify the supervisor
Answer: B
23. In the nursing process (ADPIE), which step involves setting measurable patient goals?
A. Assessment
B. Diagnosis
C. Planning
Answer: C
24. Which term refers to the ethical principle of "doing good"?
A. Autonomy
B. Beneficence
C. Non-maleficence
Answer: B
25. A patient with Parkinson’s disease typically exhibits which gait?
A. Steady, long gaits
B. Shuffling, small steps
C. High-stepping gait
Answer: B
Additional Clinical Scenarios
26. Which finding is expected for a healthy stoma 8 hours post-op?
A. Pale and dry
B. Pink to red and moist
C. Purple and firm
Answer: B
27. A patient has an IV site that is red, warm, and painful. This is most likely:
A. Infiltration
B. Phlebitis
C. Extravasation
Answer: B
28. Which diagnostic test confirms a Tuberculosis (TB) diagnosis?
A. Chest X-ray
B. Tuberculin skin test
C. Sputum culture
Answer: C
29. The priority nursing intervention for a patient with Anorexia Nervosa and extreme weight loss is:
A. Cognitive therapy
B. Nutritional stabilization
C. Group counselling
Answer: B
30. What is the first step in SBAR communication?
A. Background
B. Situation
C. Assessment
Answer: B
Conclusion
Success in the Saudi Prometric Nursing Exam is all about practicing time and again-developed ability to think like the examiner. Frequently going through Saudi Prometric practice questions teaches nurses how to prioritize work appropriately, act quickly, and avoid common exam mistakes. Every practice question at Tiju's Academy is designed to improve critical thinking skills and reinforce frequently tested concepts in pharmacology, ethics, maternal and child health, and medical-surgical nursing. This focused approach will take the student into the examination hall with clarity and confidence rather than fear.
If you wish to clear the Saudi Prometric exam and move closer to an effective nursing career in Saudi Arabia, now is the time to take action. Join Tiju's Academy, the best Prometric coaching centre in Kerala, for exam-focused practice and unwavering support.
