SCFHS Saudi Prometric Nursing Exam Nursing Leadership and Management

Question 1

A Saudi MOH head nurse on a 24-bed medical ward has one registered nurse (RN) and two nursing technicians on the night shift. Which task is appropriate to delegate to a nursing technician?

Accepted Answer

Measuring and recording vital signs for a stable postoperative patient

Answer

Measuring and recording vital signs for a stable patient is within the scope of a nursing technician (assistant-level) in Saudi MOH facilities. Initial assessment, medication titration, and patient education are professional nursing responsibilities that cannot be delegated to technicians under SCFHS and Saudi MOH scope-of-practice guidelines.

Question 2

According to the Saudi MOH Nursing Staffing Standards, which nurse-to-patient ratio is recommended for a general medical-surgical ward during the day shift?

Accepted Answer

1 nurse to 6 patients

Answer

Saudi MOH guidelines recommend a 1:6 nurse-to-patient ratio on general medical-surgical wards during the day shift. ICU and critical care units have stricter ratios (1:1 or 1:2), while the 1:6 standard balances safe care with available workforce in general wards.

Question 3

A nurse notices a colleague administering a medication without checking the patient's allergy bracelet. Using the SCFHS Code of Professional Conduct framework, what is the nurse's FIRST action?

Accepted Answer

Immediately inform the charge nurse and document the near-miss in the incident reporting system

Answer

The SCFHS Code of Professional Conduct obligates nurses to report safety concerns and near-miss events through the hospital's incident reporting system and to inform the charge nurse immediately. Ignoring the event violates patient safety obligations; public confrontation is unprofessional; escalating to MOH before using internal channels bypasses the required chain of command.

Question 4

A ward manager wants to improve hand hygiene compliance from 55% to the WHO target. Which quality improvement model is most commonly applied in Saudi MOH hospitals for such initiatives?

Accepted Answer

PDCA (Plan-Do-Check-Act) cycle

Answer

The PDCA (Plan-Do-Check-Act) cycle is the standard continuous quality improvement model used in Saudi MOH hospitals for process improvement initiatives such as hand hygiene campaigns. FMEA and RCA are used reactively to analyze potential or actual failures, while SWOT is a strategic planning tool, not a QI cycle.

Question 5

Under the Saudi MOH Patient Rights Charter, a patient refuses a blood transfusion based on personal beliefs. The physician has documented medical necessity. What should the nurse do?

Accepted Answer

Document the refusal, ensure the patient has signed an informed refusal form, and notify the physician and nurse manager

Answer

The Saudi MOH Patient Rights Charter recognizes the competent adult patient's right to refuse treatment. The nurse must document the refusal thoroughly, obtain a signed informed refusal form, and notify both the physician and nurse manager so alternative care can be planned. Overriding a competent patient's decision or pressuring family to override it violates patient autonomy.

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

SCFHS Saudi Prometric Nursing Exam Nursing Leadership and Management