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The exam is 200 MCQs (up to 10% unscored pilot items), two 120-minute blocks with a 30-minute break, four-option single best answer. Question domains follow the shared Gulf nursing core: Nursing Fundamentals, Adult (medical-surgical, critical care, community, mental health) Nursing, Maternal-Child Nursing, and Nursing Management — the structure published in the SCFHS SNLE blueprint. Always confirm current format details in your official applicant materials.
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A selection of free questions with answers and source-cited rationales. Use the interactive modules above for timed, scored drills.
According to the source, what remains the gold standard for definitive diagnosis of endometriosis?
Why: The source states that while pelvic ultrasound and MRI may visualize pelvic anatomy, laparoscopic surgery with direct visualization and biopsy of endometrial implants remains the gold standard for definitive diagnosis of endometriosis.
Source: Open RN Nursing Health Promotion, 18.10 Endometriosis
A nurse is obtaining a tympanic temperature on an adult. According to the source, to visualize the ear canal the nurse should gently pull the helix (outer ear):
Why: The source states that for an adult or older child the nurse should gently pull the helix up and back to visualize the ear canal, whereas for an infant or child under age 3 the helix is pulled down. Pulling down for all ages or straight out contradicts the source.
Source: Open RN Nursing Skills 2e, 1.3 Vital Signs
A patient on the floor begins a generalized seizure with clenched jaws. According to the source, what should the nurse do?
Why: The source directs the nurse to protect the patient's head with a pad and prevent it from hitting the floor. It explicitly states not to insert anything into the mouth or pry clenched jaws, and not to restrain the patient or attempt to stop movements.
Source: Open RN Nursing Health Alterations, 9.7 Seizures and Epilepsy
A postoperative patient had an indwelling catheter removed. According to the source, within how many hours should the patient be anticipated to void?
Why: The source states that if an indwelling catheter was placed for surgery and removed, the patient should be anticipated to void within eight hours of removal; otherwise additional interventions such as bladder scanning are required.
Source: Open RN Nursing Health Alterations, 2.5 Postoperative Nursing Care
For a patient with increased ICP following a hemorrhagic stroke, the source directs the nurse to position the head of the bed at what level?
Why: The source directs elevating the head of the bed to greater than 30 degrees (or as determined by the provider) and keeping the neck midline to facilitate venous drainage from the head. It also warns against clustering nursing activities, which can drastically raise ICP.
Source: Open RN Nursing Health Alterations, 9.9 Cerebrovascular Accident
Immediately after delivery, a newborn is breathing and crying with good tone, even though the amniotic fluid contained meconium. According to the source, what is the appropriate action?
Why: The source states newborns who are breathing and/or crying can be placed skin-to-skin with their parent and do not require routine tactile stimulation or suctioning, even if the amniotic fluid was notable for meconium, because suctioning can cause bradycardia.
Source: Open RN Nursing Health Promotion, 20.9 Neonatal Resuscitation
The source states that kernicterus, or bilirubin-related brain damage, is caused by bilirubin levels greater than which value?
Why: The source states kernicterus is brain damage caused by bilirubin levels greater than 25 mg/dL, and that levels greater than 30 mg/dL can cause irreversible brain damage.
Source: Open RN Nursing Health Promotion, 12.3 Common Complications During the Neonatal Period
A patient with a suspected increase in intracranial pressure is being considered for morphine. What caution does the source describe for this situation?
Why: The source cautions that with head injury or increased intracranial pressure, morphine's respiratory depressant effects may be exaggerated and it can affect pupillary response and consciousness, obscuring neurologic signs of rising intracranial pressure. It does not reliably lower intracranial pressure.
Source: Open RN Nursing Pharmacology 2e, 10.7 Opioid Analgesics and Antagonists
A nurse prepares a patient with impaired mobility for a meal. Which positioning intervention does the source recommend to promote safe eating?
Why: The source directs the nurse to assist the patient to a sitting position before eating or feeding, and to sit in a chair or high Fowler's position in bed. A supine or flat position during eating increases aspiration risk and is not recommended.
Source: Open RN Nursing Fundamentals 2e, 14.3 Applying the Nursing Process
The source states hepatitis A is commonly transmitted by which route?
Why: The source states hepatitis A is commonly transmitted via the fecal-to-oral route and is common in places with poor sanitation. Hepatitis B and C are transmitted via contact with infected body fluids.
Source: Open RN Nursing Health Alterations, 11.15 Hepatitis
According to the source, which risk factor is associated with neural tube defects during early pregnancy?
Why: The source lists risk factors for neural tube defects including genetic factors, low folate (vitamin B9) levels during early pregnancy, poorly controlled diabetes, certain medications, and overheating or fever.
Source: Open RN Nursing Health Promotion, 20.6 Congenital and Genetic Disorders
Immediately after a patient's tonic-clonic seizure ends, which nursing action does the source identify to prevent aspiration?
Why: The source states that after a seizure, the nurse should keep the patient on their side to prevent aspiration and ensure the airway is open and patent. There is often a period of confusion after a tonic-clonic seizure, so a safe environment is maintained.
Source: Open RN Nursing Health Alterations, 9.7 Seizures and Epilepsy
Birth is imminent and an opioid is prescribed for labor pain. According to the source, why might the nurse use clinical judgment to withhold it?
Why: The source states that if birth is imminent and an opioid can cause neonatal respiratory depression, the nurse may use clinical judgment and withhold the opioid. Opioids cross the placenta and, if the fetus is born while the drug circulates, depressed respirations may result.
Source: Open RN Nursing Health Promotion, 10.6 Pain Management During Labor and Delivery
A nurse reviews the record of a patient newly diagnosed with hypertension. Which finding is most consistent with a secondary cause of hypertension as described in the source?
Why: The source states secondary hypertension results from an underlying condition or medication, such as kidney disease. Gradual rise over time, family history, and high-sodium diet are features or risk factors of primary hypertension.
Source: Open RN Nursing Health Alterations, 5.5 Hypertension
According to the source's CLABSI prevention guidance, semipermeable transparent CVAD dressings should be changed at which interval (if not sooner soiled)?
Why: The source states dressings are changed every two days for gauze dressings and every seven days for semipermeable dressings, or as needed if they become damp, loose, or visibly soiled.
Source: Open RN Nursing Advanced Skills, 4.2 Basic Concepts
A patient identified at risk for suicide is being discharged from an inpatient unit. Based on the source, why is providing follow-up information and a safety plan especially important at this time?
Why: The source states that a patient's risk for suicide is high after discharge from psychiatric inpatient or emergency department settings, and that developing a safety plan and providing crisis call center numbers can decrease suicidal behavior after the patient leaves the organization.
Source: Open RN Nursing Mental Health and Community Concepts 2e, 1.6 Establishing Safety
A clinic offers patients access to their records and results through patient portals. According to the source, this best supports which benefit of informatics?
Why: The source states informatics promotes patient-centered care through patient portals, in addition to improving patient safety, reducing delays in care, reducing waste, and supporting quality improvement.
Source: Open RN Nursing Management and Professional Concepts, Quality and Evidence-Based Practice
The source describes the 'CAUTION' mnemonic for early warning signs of cancer. What does the 'C' represent?
Why: The source states the CAUTION mnemonic begins with C for Changes in bowel or bladder habits, followed by A sore that does not heal, Unusual bleeding, Thickening or lump, Indigestion, Obvious change in a wart or mole, and Nagging cough or hoarseness.
Source: Open RN Nursing Health Alterations, 4.3 Cancer
The source lists the assessment findings of a postoperative deep vein thrombosis (DVT) as which of the following?
Why: The source states DVT presents with unilateral redness, warmth, edema, and possible calf pain. The nurse promptly notifies the provider for diagnostic testing and anticoagulant therapy to prevent embolism.
Source: Open RN Nursing Health Alterations, 2.5 Postoperative Nursing Care
According to the source, which antiviral medication is used to reduce the severity and duration of influenza?
Why: The source states oseltamivir is used for influenza to reduce severity and duration, while remdesivir is used for COVID-19.
Source: Open RN Nursing Health Promotion, 15.11 Respiratory Viral Infections
A nurse applies anti-embolism stockings and sequential compression devices to a preoperative patient. These devices help prevent which complication?
Why: The source states compression stockings and sequential compression devices prevent venous stasis and possible deep vein thrombosis (DVT) by providing compression to the legs.
Source: Open RN Nursing Health Alterations, 2.3 Preoperative Nursing Care
A nurse uses a blood pressure cuff that is too small for the patient's arm. According to the source, this will most likely produce:
Why: The source states an undersized cuff will cause an artificially high blood pressure reading, while an oversized cuff produces an artificially low reading. Inflating higher does not correct an undersized cuff, so the other options are incorrect.
Source: Open RN Nursing Skills 2e, 3.2 Blood Pressure Basics
According to the source, the study of the social, cultural, psychological, cognitive, and biological aspects of aging is called:
Why: The source defines gerontology as the study of the social, cultural, psychological, cognitive, and biological aspects of aging. Ageism, by contrast, is the stereotyping and discrimination against individuals on the basis of their age.
Source: Open RN Nursing Fundamentals 2e, 19.2 Older Adult Basic Concepts
According to the source, when administering medications a nurse validates the medication is doing more 'good' than 'harm.' This reflects which ethical concepts from Provision 6 of the ANA Code?
Why: The source states Provision 6 focuses on virtues and holds nurses accountable to use clinical judgment to avoid causing harm (maleficence) and to do good (beneficence); when administering medications, nurses validate the medication is doing more good than harm.
Source: Open RN Nursing Pharmacology, 2.2 Ethical & Professional Foundations
According to the source, the American Heart Association recommends inflating the blood pressure cuff to what level before beginning to deflate it?
Why: The source states the AHA recommends the cuff be inflated at least 30 mmHg above the point at which the radial pulse is no longer palpable. A fixed 200 mmHg, the expected systolic, or a diastolic-based figure are not the recommendation.
Source: Open RN Nursing Skills 2e, 3.2 Blood Pressure Basics
According to the source, why must a newborn CBC collected within 72 hours of birth be interpreted with caution for sepsis?
Why: The source states newborn CBCs collected within 72 hours of birth reflect more about the mother's immune status rather than serving as a biomarker for neonatal sepsis. Diagnosis is based on positive culture results.
Source: Open RN Nursing Health Promotion, 20.5 Neonatal Sepsis
The source states that on an ECG, ischemia to cardiac muscle tissue is indicated by which finding?
Why: The source states ischemia is indicated by ST segment depression, injury by ST segment elevation, and infarcted (dead) tissue produces a Q wave change. The other options are not the ischemia marker described.
Source: Open RN Nursing Health Alterations, 5.7 Coronary Artery Disease
A patient has dysphagia (difficulty swallowing). According to the source, why is this a nutritional safety concern, and what is typically prescribed?
Why: The source states dysphagia can make it dangerous to swallow food because it can result in pneumonia from aspiration of food into the lungs. Special soft diets or enteral or parenteral nutrition are typically prescribed, and nurses collaborate with speech therapists when assessing and managing dysphagia.
Source: Open RN Nursing Fundamentals, 14.2 Nutrition Basic Concepts
Under the Patient's Bill of Rights, which document allows a patient to designate a surrogate decision-maker for health care?
Why: The Patient's Bill of Rights states the patient has the right to have an advance directive - such as a living will, health care proxy, or durable power of attorney for health care - concerning treatment or designating a surrogate decision-maker, and the hospital will honor its intent to the extent permitted by law.
Source: Open RN Nursing Fundamentals, 3.3 Patient's Bill of Rights
According to the source, anemia may develop in acute renal failure as a result of which mechanism?
Why: The source states a complete blood count may reflect anemia as the result of decreased erythropoietin production during acute renal failure. The kidneys normally produce erythropoietin to stimulate red blood cell production.
Source: Open RN Nursing Health Alterations, 8.5 Acute Renal Failure