Prometric Nursing Exam Practice Questions and Answers with Explanation
Prometric nursing exam preparation is very important for nurses planning to work in Gulf countries such as Saudi Arabia, Qatar, Oman, UAE, Kuwait, and Bahrain. This post includes 30 Prometric-style nursing MCQs with answers and explanations to help nurses revise important topics.
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Prometric Nursing Practice MCQs 1–30
1. A patient has a blood pressure of 86/54 mmHg. What is the nurse's priority action?
A. Encourage ambulation
B. Assess for signs of shock
C. Restrict fluid intake
D. Administer antihypertensive medication
Answer: B
Explanation: Hypotension can indicate shock and poor tissue perfusion. The nurse should assess immediately.
2. Which electrolyte imbalance is most commonly associated with cardiac arrhythmias?
A. Hypercalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hyperphosphatemia
Answer: B
Explanation: Potassium is essential for normal cardiac conduction. Low potassium can cause arrhythmias.
3. A patient receiving oxygen through a nasal cannula at 4 L/min receives approximately:
A. 24% oxygen
B. 28% oxygen
C. 36% oxygen
D. 60% oxygen
Answer: C
Explanation: Nasal cannula provides about 24% at 1 L/min and increases by 4% for each litre.
4. Which finding is a classic sign of left-sided heart failure?
A. Peripheral edema
B. Ascites
C. Pulmonary crackles
D. Jugular vein distention
Answer: C
Explanation: Left-sided heart failure causes pulmonary congestion, leading to crackles and dyspnoea.
5. The Glasgow Coma Scale assesses:
A. Pain level
B. Neurological status
C. Respiratory function
D. Nutritional status
Answer: B
Explanation: GCS assesses eye opening, verbal response, and motor response.
6. Which insulin has the fastest onset of action?
A. Regular insulin
B. NPH insulin
C. Insulin Lispro
D. Insulin Glargine
Answer: C
Explanation: Insulin lispro is rapid acting and starts working quickly after administration.
7. A patient develops sudden chest pain and shortness of breath after surgery. The nurse suspects:
A. Pneumonia
B. Pulmonary embolism
C. Asthma
D. Heartburn
Answer: B
Explanation: Sudden chest pain and shortness of breath after surgery may indicate pulmonary embolism.
8. Which laboratory value is most important when administering heparin?
A. Hemoglobin
B. Platelets
C. aPTT
D. Sodium
Answer: C
Explanation: aPTT is used to monitor unfractionated heparin therapy.
9. A patient with COPD should receive oxygen therapy:
A. At the highest possible concentration
B. Carefully and as prescribed
C. Only at night
D. Never
Answer: B
Explanation: Oxygen should be given carefully in COPD patients according to prescription and saturation target.
10. Which is the first priority in CPR?
A. Check pulse
B. Airway
C. Chest compressions
D. Give oxygen
Answer: C
Explanation: Current CPR sequence focuses on compressions first: C-A-B.
11. A patient has a serum potassium level of 2.8 mEq/L. Which ECG change is expected?
A. Peaked T waves
B. U waves
C. ST elevation
D. Complete heart block
Answer: B
Explanation: Hypokalemia may cause U waves, flattened T waves, and arrhythmias.
12. Which patient should the nurse assess first?
A. BP 140/90 mmHg
B. Temperature 38°C
C. Chest pain rated 8/10
D. Pulse 88 bpm
Answer: C
Explanation: Chest pain may indicate myocardial infarction and needs urgent assessment.
13. A patient with diabetes reports sweating, tremors, and confusion. The nurse should first:
A. Administer insulin
B. Check blood glucose level
C. Restrict fluids
D. Call the physician
Answer: B
Explanation: These are signs of hypoglycemia. Blood glucose should be checked first.
14. Which isolation precaution is required for pulmonary tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
Explanation: Tuberculosis requires airborne precautions and appropriate respiratory protection.
15. A patient receiving blood develops chills and fever. The nurse should:
A. Slow the infusion
B. Stop the transfusion immediately
C. Continue the transfusion
D. Administer acetaminophen first
Answer: B
Explanation: Fever and chills during blood transfusion may indicate transfusion reaction.
16. Which ABG result indicates respiratory acidosis?
A. pH 7.30, PaCO₂ 55 mmHg
B. pH 7.50, PaCO₂ 30 mmHg
C. pH 7.48, HCO₃ 30 mEq/L
D. pH 7.32, HCO₃ 18 mEq/L
Answer: A
Explanation: Low pH with high PaCO₂ indicates respiratory acidosis.
17. Which symptom is most common in left-sided heart failure?
A. Hepatomegaly
B. Ascites
C. Pulmonary edema
D. Peripheral edema
Answer: C
Explanation: Left-sided heart failure causes fluid accumulation in the lungs.
18. The antidote for opioid overdose is:
A. Flumazenil
B. Naloxone
C. Protamine sulfate
D. Vitamin K
Answer: B
Explanation: Naloxone reverses opioid-induced respiratory depression.
19. Which finding suggests increased intracranial pressure?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Hyperactive bowel sounds
Answer: A
Explanation: Bradycardia can occur with increased intracranial pressure.
20. The normal urine output for an adult should be at least:
A. 10 mL/hr
B. 20 mL/hr
C. 30 mL/hr
D. 100 mL/hr
Answer: C
Explanation: Normal adult urine output should be at least 30 mL/hr.
21. Which medication is used for severe anaphylaxis?
A. Furosemide
B. Epinephrine
C. Metformin
D. Digoxin
Answer: B
22. Which electrolyte imbalance causes muscle weakness and cardiac arrhythmias?
A. Hypokalemia
B. Hypernatremia
C. Hypercalcemia
D. Hyperphosphatemia
Answer: A
23. A patient with a head injury has clear fluid draining from the nose. The nurse suspects:
A. Allergic rhinitis
B. Sinus infection
C. Cerebrospinal fluid leak
D. Common cold
Answer: C
24. Which oxygen delivery device provides the highest oxygen concentration?
A. Nasal cannula
B. Venturi mask
C. Simple face mask
D. Non-rebreather mask
Answer: D
25. Which patient is at highest risk for pressure ulcers?
A. Ambulatory patient
B. Young athlete
C. Bedridden elderly patient
D. Postpartum mother
Answer: C
26. Normal adult respiratory rate is:
A. 8–12/min
B. 12–20/min
C. 20–30/min
D. 30–40/min
Answer: B
27. Which ECG finding is characteristic of hyperkalemia?
A. U waves
B. Peaked T waves
C. Prolonged PR interval only
D. ST depression
Answer: B
28. The antidote for heparin is:
A. Vitamin K
B. Naloxone
C. Protamine sulfate
D. Flumazenil
Answer: C
29. Which patient should be seen first?
A. Fever 38.1°C
B. BP 150/90 mmHg
C. Oxygen saturation 84%
D. Mild headache
Answer: C
30. A patient with COPD is best positioned in:
A. Supine
B. Trendelenburg
C. High Fowler's
D. Prone
Answer: C
Important Prometric Nursing Topics
- ABG interpretation
- ECG changes
- CPR and emergency nursing
- Oxygen therapy devices
- Shock and hypotension
- Diabetes and insulin
- Electrolyte imbalance
- Infection control
- Medication antidotes
- Heart failure and respiratory care
Meta Description
Prometric nursing exam practice questions and answers with explanations. Includes 30 Prometric-style MCQs for nurses preparing for Saudi, Qatar, Oman, UAE, DHA, HAAD, and MOH nursing exams.
Disclaimer: These are Prometric-style practice questions for study purposes only. They are not actual recalled exam questions.
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