SAUDI PROMETRIC SAMPLE QUESTIONS AND ANSWERS 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

****CLICK HERE FOR ANSWERS AND RATIONALES

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HOW TO SCHEDULE THE PROMETRIC EXAM (Saudi Council Exam)

SAUDI PROMETRIC EXAM

How to schedule Prometric Exam (Saudi Council Exam) for Filipino Nurses

Here are the Step by Step Procedures

Go to the website: https://www.prometric.com/en-us/clients/schs/Pages/landing.aspx

1. Under For Test Takers, tick the dropdown list box on Academic, Professional, Government & Corporate, scroll down and click Saudi Commission for Health Specialties.

2. You will be directed to a new window of SCHS: Saudi Commission for Health Specialties Testing and you may read on some articles there regarding the organization itself. On the Get Started Box click Start.

3. From the Program Name drop down list box: choose the Saudi Commission for Health Specialties (Non-elig)

***NOTE: the other options apply only to those who are currently in the kingdom --- then choose Philippines then click Next.

4. You will then be directed to a new window. Click Schedule an Exam. A new window will appear showing the details of registration (requirements, scheduling, payment, etc.). Click Next.

5. You will tick "I Agree on the Policy Statement" and click Next.

6. Under Exam Selection you will choose Nurse technician --- There are actually 2 options for nurses: Nurse Specialist and Nurse Technician.

Nurse Specialist - more than 3 years and beyond practice.

Nurse technician - 2 years experience

***NOTE: Nurses from Saudi Recruitment Office (SRO) and recruitment agencies instruct applicants to take the Nurse Technician Exam regardless of years of experience.

7. For Test Center Selection, type Manila or Cebu then click Search. Check the information of the testing Centers below:

#8475 and #8479: MANILA, Philippines

Acess 2 Floor Ateneo Professional Schools,

130 H. Dela Costa St., Salcedo Village, Makati City

Telephone No.: (632) 892-0383

For Manila the schedule of exams are from Tuesdays to Fridays.

Directions: Prometric Testing Center-Manila is located at the Ateneo Professional Schools Salcedo (APS Salcedo) on H.V. de la Costa Street, Salcedo Village, Makati City. APS Salcedo is between Tordesillas and Sanchez Streets. Across APS Salcedo are the Megaworld Center and GF Partners. From the EDSA – Buendia Metro Rail Transit (MRT) station or Gil Puyat – Light Rail Transit (LRT) station, take a jeepney going to Gil Puyat Avenue. Disembark at Yupangco Building or Mapua Information Technology, cross to the covered walk between ACT Tower and GF Partners to get to APS Salcedo at H. V. de la Costa Street.

#8473: CEBU CITY, Philippines

Tread, Inc., Suite 308, Centro Maximo D.,

Jakosalem St., Cebu City

Tel no. 032-2535514

For Cebu the schedule of exams are from Mondays to Thursdays.

Directions: Name of the building is Centro Maximo, it is located at the corner of Jakosalem and Ranudo Sts. Cebu City. It is across the AMWAY. Other landmarks are near the Bayantel Building and IAU Building.

8. Click Schedule an Exam. You will be prompted to select your desired exam month, date and time.

9. You will be directed to another window and you will type some additional information. Type the required information including your name, address, birth date, e-mail address, government identification card, etc.Type PRC ID.  You may use other government issued card like Driver’s License and Passport. --- and in the Government ID Issuing the Card, choose: Philippines.

10. After that, you will proceed to another window and you will be typing the necessary information under the Payment Information. Type the Card Number, the Security Code.. Take in mind that they would only accept credit card payment from major credit card companies such as MasterCard, Visa and America Express. Type in the Name (the owner of the card) and the Expiration Date of the card. Review the information and click Next.

Exam Cost: 90 USD

11. After that you will be asked to review the entered information once again and you will click Complete Registration.

PRINT the Appointment Summary or save it as PDF to print at a later time. You can also check your email for the Appointment Confirmation.

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MY EXPERIENCE DURING THE TEST - SAUDI PROMETRIC EXAM

Before you take the exam, one of the staff members will ask to register your name in the attendance logbook and validate your ID. After verifying my identification, she gave me keys where I can put all my things. Remember, identification documents are the only personal things you are allowed to have in the testing area. Gadgets and other devices are not permitted but you are allowed to bring soft ear plugs (with no wires/cords attached) or center-supplied tissues in the test room.

I came an hour earlier so I thought I still have to wait for the scheduled time but the staff member asked me to go inside to take the test. Inside the room, there are 3 staff members who assisted me before I went to the actual testing area, one of them will check your pockets by asking you to turn it inside out. The guy who assisted me even asked to raise my slacks/pants legs above my ankles prior to entry into the test room. They used a hand held metal detector to ensure security. Right after, another staff will ask again for your ID, your photo will be taken which will also appear on your score report. He input my information to their database and verifies it with me if information is correct.

Someone escorted me to the testing room. The area has several cubicles with computers inside and each has its own CCTV. You will be continuously monitored by video, physical walk-throughs and the observation window during your test. All testing sessions are video and audio recorded.

The exam....

The exam covers almost everything, there are questions that were really nerve cracking but there are also some which are quite easy. On my case, I got most questions related to pediatric nursing like Cystic Fibrosis, Chron's disease, Celiac disease, Anemia, Congenital Heart diseases and many others, I didn't get any question related to computation and drugs though.

You have an option to mark your unsure answers to questions during the test, and if you still have remaining time then you can go back or review previous questions with marked unsure. You have 2 hours to finish the 70-item test. Remember to take the sample online test few days before the test. The good thing is you will get your result right after finishing the exam then someone will give the printed result with signature and dry seal. Remember to be careful with the paper because they only give one copy of it.

Godbless and Goodluck!!!

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CHART BLOOPERS FOUND ON ACTUAL HOSPITAL RECORDS

Here are the list of chart bloopers found on actual medical records. Enjoy!

1. Patient had waffles for breakfast and anorexia for lunch.
2. She has no rigors or shaking chills, but her husband states she was very hot in bed last night.
3. Patient has chest pain if she lies on her left side for over a year.
4. Patient was alert and unresponsive.
5. Rectal examination revealed a normal size thyroid.
6. On the second day the knee was better, and on the third day it disappeared.
7. The patient is tearful and crying constantly. She also appears to be depressed.
8. The patient has been depressed since she began seeing me in 1993.
9. Discharge status: Alive but without my permission.
10. Healthy appearing decrepit 69 year old male, mentally alert but forgetful.
11. The patient refused autopsy.
12. The patient has no previous history of suicides.
13. Patient has left white blood cells at another hospital.
14. Patient's medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days.
15. She is numb from her toes down.
16. While in ER, she was examined, X-rated and sent home.
17. The skin was moist and dry.
18. Occasional, constant infrequent headaches.
19. She stated that she had been constipated for most of her life, until she got a divorce.
20. I saw your patient today, who is still under our car for physical therapy.
21. Both breasts are equal and reactive to light and accommodation.
22. Examination of genitalia reveals that he is circus sized.
23. The lab test indicated abnormal lover function.
24. The patient was to have a bowel resection. However, he took a job as a stock broker instead.
25. Skin: somewhat pale but present.
26. The pelvic exam will be done later on the floor.
27. Patient was seen in consultation by Dr. Blank, who felt we should sit on the abdomen and I agree.
28. Large brown stool ambulating in the hall.
29. Patient has two teenage children, but no other abnormalities.

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PATHOGNOMONIC SIGNS OF DIFFERENT DISEASES

Pathognomonic sign is a particular sign of a disease whose presence intensifies that a disease is present without any hesitations. Here are the list of the most common diseases and their pathognomonic signs:

1. Addison’s Dse. - Bronze-like skin
2. Appendicitis-McBurney’s Point/ Rovsing Sign/Psoas Sign
3. Asthma-Wheezing Inspiration
4. Bulimia Nervosa - Chipmunk Face
5. Cataract- Blurry Vision / Hizzy Vision
6. Cholecystitis-Murphy’s Sign (pain RUQ)
7. Cholera -Rice Watery Stool
8. COPD -Barrel-Chested
9. Cushing Syndrome- Buffalo Hump
10. Dengue-Petechiae
11. Down Syndrome- Single Crease on Palm/Clubbing of Fingernails
12. Glucoma- Tunnel-like Vision
13. Hepatitis-Icteric Sclera (yellowish discoloration of sclera)
14. Hyperpituitarism - CAROTENEMIA (Discoloration of skin)/ XANTHAMIA
15. Hyperthyroidism - Exopthalmus
16. Kawasaki Dse.- Strawberry Tongue
17. Leprosy-Leoning Face (contracted face)
18. Liver Cirrhosis - Spider Angioma
19. Malaria -Stepladder Fever
20. Measles-Koplick’s Spot
21. Meningitis-Burdzinski Sign (Pain on nape)/Karnig Sign (pain on leg/ knee area)
22. MI-Levine's sign
23. Myasthemia Gravis (MG) - Ptosis (inability to open upper eyelids)
24. Pancreatitis - Cullen Sign (Bluish discoloration preumbilical area)
25. Parkinson’s Dse. - Pill Rolling Tremors
26. Pernicious Anemia - Beefy Red Tongue (Schilling’s Test)
27. Pneumonia - Greenish Rusty Sputum
28. PTB-Low grade fever in afternoon
29. Pyloric Stenosis - Olive-Shaped Mass
30. SLE-Butterfly Rashes
31. Tetany- Chvostek Sign)/Trosseau’s Sign
32. Thrombophlebitis - Homan’s Sign
33. Typhoid - Rose Spot

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Renewal of Professional ID

In line with the new online registration system in place starting July 18, 2012, professionals renewing their professional identification cards (PICs) are advised of the following revised procedures:

RENEWAL AT PRC CENTRAL AND REGIONAL OFFICES

1. Professional or duly authorized representative must secure and accomplish a renewal form from the Registration Division and submit one (1) passport size picture with nametag and in white background.
2. Professional pays to cashier the renewal fee upon securing his/her printed renewal application. The schedule for claiming the PIC is printed on the lower portion of the printed form.
3. On the scheduled date, the professional or his/her duly authorized representative must present claim stub to the Registration Division. He/she shall also present the Official Receipt showing payment of the renewal fee and sign an acknowledgment of receipt of the PIC. When the PIC is claimed by a representative, the said representative must also present together with the official receipt a *letter of authority or **Special Power of Attorney from the professional.

RENEWAL AT SM MALLS

1. Professional fills out renewal form at Business Center of any SM Mall.
2. He/she pays assessed fee for renewal, photo fee, convenience fee and/or courier service fee, the latter if he/she desires to have the PIC sent through courier to his/her address. Please note that the photo fee, convenience and/or courier fee are payments to SM Mart, Inc. and do not form part of PRC's fees.
3. A professional not availing himself of courier service must claim the PICs on the date indicated in the claim stub. When the PIC is claimed by a representative, the said representative must also present together with the official receipt, a *letter of authority or **Special Power of Attorney from the professional.

Important Notice

Professions to submit an updated certificate of good standing from their respective Accredited Professional Organization (APO) are the following:

• Agricultural Engineers
• Architects
• Customs Brokers
• Electrical Engineers
• Electronics Engineers
• Geodetic Engineers
• Guidance and Counseling
• Interior Designers
• Landscape Architects
• Mechanical Engineers
• Real Estate Services

NOTE:
     *PRC-registered professional acting as representatives may transact with PRC upon presentation of Authorization Letter and his/her professional ID.

     **Representatives filing the application and claiming the professional ID in behalf of the professional must present Special Power of Attorney and valid identification of the professional and the representative.

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SHOCK- In shock, the first hour of treatment is most critical. Early detection is key. There are different ways to categorize shock. Basically, shock presents three potential problems:

1. Not enough fluid in the blood vessels (hypovolemia) OR
2. Fluid has moved outside the vessels, so cannot be pumped to the organs (distributive) OR
3. Heart cannot pump fluid that is present (cardiogenic)

Shock and Temperature

In septic shock, the skin and body temperature may increase. In other shock states, body and skin temperature will decrease.

Shock and Heart Signs

1. Early stages of shock activate the sympathetic nervous system. So in early stages, the client will not always be hypotensive.
2. Bradycardia is a very late sign in shock.
3. Another late sign is cardiac arrhythmia (other than sinus tachycardia). Arrhythmias reflect less perfusion of the coronary arteries and myocarditis.
4. As the myocardium receives less perfusion, heart pumps less.
5. Because less blood perfuses the brain, level of consciousness drops.

Shock and Urinary Output

Average adult urinary output is 0.5 to 1.0 ml/kg/hr. Less than 35 ml/hour reflects decreased renal blood flow. Acute renal failure can result.

Shock and Respiration

1. As blood flow to lungs decreases, less gas exchange will occur.
2. When tissues receive less oxygen, they produce more lactate and metabolic acidosis sets in. Metabolic acidosis increases risk of cardiac arrhythmias.
3. For a client in shock, body cells receive less oxygen and nutrients. Thus treatment aims at increasing both available oxygen and volume of blood in vessels (unless the heart has failed).
4. Medications can improve tone of blood vessels (inotropes) or treat the cause of shock (corticosteroids, antibiotics).
5. When treating a trauma client, you must quickly assess ABCs. After you know the client is breathing and has a pulse, vital signs can wait while you stop any bleeding and start other interventions (such as starting IVS). Don't rely only on the vital sign numbers.

Head and Spine Injury

1. If client has head injury, the most important assessment is level of consciousness; next is pupil response to light. Changes in vitals are very late sign.
2. With trauma clients, assume spine is injured until proven otherwise. While you open the airway, you must keep cervical spine immobile.

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