SCFHS Saudi Prometric Nursing Exam Emergency and Disaster Nursing

Question 1

During a multi-vehicle accident outside Riyadh, a field nurse applies the START triage system. A victim is breathing after repositioning the airway, has a respiratory rate of 26 breaths/min, a radial pulse present, and cannot follow commands. What is the correct triage color for this patient?

Accepted Answer

Red (Immediate)

Answer

In START triage: breathing after airway repositioning (would have been Black if not breathing), RR >30 = Red, RR 10–29 with absent radial pulse = Red, RR 10–29 with radial pulse present but altered mental status = Red (Immediate). The patient has RR 26 (within 10–29) with a radial pulse present, but cannot follow commands (altered mental status), placing them in the Red/Immediate category requiring urgent intervention.

Question 2

A Saudi hospital activates its Hospital Incident Command System (HICS) during a chemical exposure mass-casualty event. What is the FIRST nursing priority in the hospital's decontamination zone?

Accepted Answer

Remove the patient's clothing and irrigate exposed skin with large amounts of water

Answer

For chemical exposure, decontamination always precedes treatment. Removing clothing eliminates up to 80% of contamination, and copious water irrigation removes residual chemical agents from the skin and eyes. Administering antidotes or transferring to ICU before decontamination endangers staff and contaminates the facility. History-taking is secondary to life-saving decontamination.

Question 3

A nurse working in a Saudi hospital emergency department assesses a patient using the Manchester Triage System (MTS). The patient presents with severe chest pain radiating to the left arm, diaphoresis, and a pulse oximetry of 94%. Which triage category should be assigned?

Accepted Answer

Red — Immediate (0 minutes)

Answer

Severe chest pain with radiation, diaphoresis, and hypoxia (SpO2 94%) are classic signs of acute myocardial infarction — a life-threatening emergency. Under the Manchester Triage System used in many Saudi hospitals, such presentations are classified as Red/Immediate (0 minutes wait), triggering an immediate 12-lead ECG and activation of the cardiac catheterization team per Saudi Heart Association STEMI protocols.

Question 4

During a Hajj season mass-casualty event, Saudi Civil Defense coordinates with hospitals. Under the Saudi National Disaster Management Plan, which agency has PRIMARY authority for field medical coordination during a mass-casualty incident?

Accepted Answer

Saudi Red Crescent Authority (SRCA)

Answer

The Saudi Red Crescent Authority (SRCA) is the primary agency responsible for field emergency medical services and on-scene medical coordination during mass-casualty incidents in Saudi Arabia, including Hajj-related events. SCFHS regulates health professionals; GACA oversees aviation; SFDA handles medications and food safety. SRCA's field teams work in coordination with Civil Defense and MOH hospitals.

Question 5

A nurse triages a 7-year-old child who was brought in during a building collapse. The child is breathing spontaneously at 22 breaths/min, has a palpable radial pulse, but is crying inconsolably and will not follow commands. Using the JumpSTART pediatric triage system, what is the correct classification?

Accepted Answer

Red (Immediate)

Answer

JumpSTART (used for pediatric patients) parallels START but adjusts for normal pediatric physiology. For children: breathing present, RR 15–45 (22 is normal), pulse present, but AVPU score of 'P' or 'U' (not following commands = responds to pain at best) → classified as Red/Immediate. A child who is only crying and not following verbal commands cannot be classified as merely Delayed (Yellow).

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

SCFHS Saudi Prometric Nursing Exam Emergency and Disaster Nursing