SCFHS PROMETRIC EXAM PREPARATION 2026 |SAUDI NURSING
LICENSURE EXAM (SNLE) STUDY GUIDE EXAM NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+|
|BRAND NEW VERSION!!
SECTION 1: NURSING FUNDAMENTALS & PATIENT SAFETY (Questions 1-50)
Q1. A nurse is caring for a confused patient who is attempting to pull out their IV
line. What is the PRIORITY nursing intervention?
A) Apply wrist restraints immediately
B) Administer an as-needed sedative medication
C) Assess the patient and attempt less restrictive measures first
D) Notify the physician immediately
Correct Answer: C
Rationale: The least restrictive intervention should always be attempted first. This
includes reorientation, diversion, family presence, or using mittens. Restraints
require a physician's order and frequent monitoring.
Why the others are wrong:
A) Restraints are a last resort, not first-line, and require a specific order with
time limits.
B) Sedation is not the initial response; it can mask underlying issues and carries
risks of oversedation.
D) Notifying the physician is appropriate but not the priority before attempting
basic, non-invasive interventions.
Q2. An elderly patient is admitted with swollen ankles. The BEST way to limit
edema
of the feet is for the nurse to:
A) Restrict fluids
1
,B) Apply elastic bandages
C) Elevate the legs
D) Perform passive range of motion exercises
Correct Answer: C
Rationale: Elevating the legs above the level of the heart promotes venous return
and reduces dependent edema through gravity-assisted drainage.
Why the others are wrong:
A) Fluid restriction may be indicated for heart failure, but it is not the primary
intervention for localized dependent edema.
B) Elastic bandages (compression) can help but are not as immediately effective
as
elevation for acute swelling and require proper application to avoid tourniquet
effect.
D) Passive ROM improves joint mobility but does not directly reduce edema.
Q3. When measuring a patient's blood pressure, the nurse notes that the
Korotkoff
sounds disappear and then reappear. This is known as:
A) Systolic gap
B) Auscultatory gap
C) Diastolic fade
D) Pulse deficit
Correct Answer: B
Rationale: An auscultatory gap is a period of silence during blood pressure
measurement
where Korotkoff sounds disappear and then reappear, often seen in hypertensive
patients.
The nurse should inflate the cuff higher to ensure accurate systolic reading.
Why the others are wrong:
2
,A) Systolic gap is not a standard term.
C) Diastolic fade is not the correct terminology for this phenomenon.
D) Pulse deficit is the difference between apical and radial pulses, not related to
Korotkoff sounds.
Q4. A nurse is preparing to insert a urinary catheter. Which technique should be
used
to maintain surgical asepsis?
A) Clean technique
B) Sterile technique
C) Medical aseptic technique
D) Standard precautions only
Correct Answer: B
Rationale: Urinary catheterization requires sterile technique (sterile gloves, sterile
field, sterile catheter) to prevent introduction of microorganisms into the sterile
urinary bladder.
Why the others are wrong:
A) Clean technique (medical asepsis) is insufficient for invasive procedures
entering
sterile body cavities.
C) Medical aseptic technique reduces the number of organisms but does not
eliminate them.
D) Standard precautions are essential but do not replace sterile technique for this
invasive procedure.
Q5. The nurse assesses a patient's surgical wound and notices dehiscence
(separation
of wound edges). What is the nurse's immediate action?
A) Cover the wound with a dry sterile dressing
3
, B) Place the patient in a supine position with knees bent
C) Apply pressure to the wound edges
D) Irrigate the wound with normal saline
Correct Answer: B
Rationale: Placing the patient in a supine position with knees bent reduces
tension
on the abdominal incision. The nurse should cover the wound with sterile saline-
soaked
gauze and notify the surgeon immediately.
Why the others are wrong:
A) Dry dressing would stick to exposed tissues; a moist sterile dressing (saline) is
indicated.
C) Applying pressure to wound edges can cause further tissue damage.
D) Irrigation is not the immediate action; the nurse should protect the exposed
tissue
and prepare for surgical closure.
Q6. A patient is receiving oxygen via nasal cannula at 4 L/min. Which assessment
finding indicates that the patient is experiencing hypoxia?
A) Increased appetite
B) Restlessness and confusion
C) Decreased respiratory rate
D) Warm, flushed skin
Correct Answer: B
Rationale: Restlessness and confusion are early signs of hypoxia due to decreased
oxygen delivery to the brain. Other signs include tachycardia, tachypnea, and
cyanosis (late sign).
Why the others are wrong:
A) Appetite changes are not acute indicators of hypoxia.
4
LICENSURE EXAM (SNLE) STUDY GUIDE EXAM NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+|
|BRAND NEW VERSION!!
SECTION 1: NURSING FUNDAMENTALS & PATIENT SAFETY (Questions 1-50)
Q1. A nurse is caring for a confused patient who is attempting to pull out their IV
line. What is the PRIORITY nursing intervention?
A) Apply wrist restraints immediately
B) Administer an as-needed sedative medication
C) Assess the patient and attempt less restrictive measures first
D) Notify the physician immediately
Correct Answer: C
Rationale: The least restrictive intervention should always be attempted first. This
includes reorientation, diversion, family presence, or using mittens. Restraints
require a physician's order and frequent monitoring.
Why the others are wrong:
A) Restraints are a last resort, not first-line, and require a specific order with
time limits.
B) Sedation is not the initial response; it can mask underlying issues and carries
risks of oversedation.
D) Notifying the physician is appropriate but not the priority before attempting
basic, non-invasive interventions.
Q2. An elderly patient is admitted with swollen ankles. The BEST way to limit
edema
of the feet is for the nurse to:
A) Restrict fluids
1
,B) Apply elastic bandages
C) Elevate the legs
D) Perform passive range of motion exercises
Correct Answer: C
Rationale: Elevating the legs above the level of the heart promotes venous return
and reduces dependent edema through gravity-assisted drainage.
Why the others are wrong:
A) Fluid restriction may be indicated for heart failure, but it is not the primary
intervention for localized dependent edema.
B) Elastic bandages (compression) can help but are not as immediately effective
as
elevation for acute swelling and require proper application to avoid tourniquet
effect.
D) Passive ROM improves joint mobility but does not directly reduce edema.
Q3. When measuring a patient's blood pressure, the nurse notes that the
Korotkoff
sounds disappear and then reappear. This is known as:
A) Systolic gap
B) Auscultatory gap
C) Diastolic fade
D) Pulse deficit
Correct Answer: B
Rationale: An auscultatory gap is a period of silence during blood pressure
measurement
where Korotkoff sounds disappear and then reappear, often seen in hypertensive
patients.
The nurse should inflate the cuff higher to ensure accurate systolic reading.
Why the others are wrong:
2
,A) Systolic gap is not a standard term.
C) Diastolic fade is not the correct terminology for this phenomenon.
D) Pulse deficit is the difference between apical and radial pulses, not related to
Korotkoff sounds.
Q4. A nurse is preparing to insert a urinary catheter. Which technique should be
used
to maintain surgical asepsis?
A) Clean technique
B) Sterile technique
C) Medical aseptic technique
D) Standard precautions only
Correct Answer: B
Rationale: Urinary catheterization requires sterile technique (sterile gloves, sterile
field, sterile catheter) to prevent introduction of microorganisms into the sterile
urinary bladder.
Why the others are wrong:
A) Clean technique (medical asepsis) is insufficient for invasive procedures
entering
sterile body cavities.
C) Medical aseptic technique reduces the number of organisms but does not
eliminate them.
D) Standard precautions are essential but do not replace sterile technique for this
invasive procedure.
Q5. The nurse assesses a patient's surgical wound and notices dehiscence
(separation
of wound edges). What is the nurse's immediate action?
A) Cover the wound with a dry sterile dressing
3
, B) Place the patient in a supine position with knees bent
C) Apply pressure to the wound edges
D) Irrigate the wound with normal saline
Correct Answer: B
Rationale: Placing the patient in a supine position with knees bent reduces
tension
on the abdominal incision. The nurse should cover the wound with sterile saline-
soaked
gauze and notify the surgeon immediately.
Why the others are wrong:
A) Dry dressing would stick to exposed tissues; a moist sterile dressing (saline) is
indicated.
C) Applying pressure to wound edges can cause further tissue damage.
D) Irrigation is not the immediate action; the nurse should protect the exposed
tissue
and prepare for surgical closure.
Q6. A patient is receiving oxygen via nasal cannula at 4 L/min. Which assessment
finding indicates that the patient is experiencing hypoxia?
A) Increased appetite
B) Restlessness and confusion
C) Decreased respiratory rate
D) Warm, flushed skin
Correct Answer: B
Rationale: Restlessness and confusion are early signs of hypoxia due to decreased
oxygen delivery to the brain. Other signs include tachycardia, tachypnea, and
cyanosis (late sign).
Why the others are wrong:
A) Appetite changes are not acute indicators of hypoxia.
4
