SAUDI PROMETRIC NURSING Cheat Sheet 2026

The 30 highest-yield SAUDI PROMETRIC NURSING facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. A mechanically ventilated patient's ABG shows: pH 7.50, PaCO2 28 mmHg, HCO3 22 mEq/L. How should the ventilator be adjusted? → Decrease respiratory rate or tidal volume
2. A patient post-gastrectomy experiences dizziness, sweating, and palpitations 30 minutes after eating. This presentation is most consistent with: → Dumping syndrome
3. Which opioid analgesic is considered safest in patients with renal failure? → Fentanyl
4. The nurse is performing a suicide risk assessment. Which factor places the patient at HIGHEST risk? → Specific plan with access to means and previous attempt
5. Which acid-base disturbance is most commonly seen in a patient with prolonged nasogastric suctioning? → Metabolic alkalosis
6. A patient with a chest tube is being transported. Which action is correct? → Keep the drainage system below the level of the chest at all times
7. A patient on long-term corticosteroid therapy is at risk for which electrolyte imbalance? → Hypokalemia and hypernatremia
8. A patient is admitted with opiate overdose. Which medication does the nurse anticipate administering? → Naloxone
9. What are the signs of respiratory distress in a newborn? → Nasal flaring, grunting, intercostal retractions, tachypnea (>60/min), and cyanosis
10. The nurse is caring for a patient post-thyroidectomy. Which finding should the nurse assess for as the most serious immediate complication? → Stridor and respiratory distress
11. The nurse is developing a care plan for a patient with major depressive disorder. Which nursing diagnosis has the highest priority? → Risk for suicide related to hopelessness
12. At what age should a healthy infant be able to sit independently without support? → 6 months
13. The nurse is assessing a child for signs of increased intracranial pressure (ICP). Which finding is most specific to increased ICP in a 9-month-old infant? → Bulging anterior fontanelle
14. A neonate is born with Apgar scores of 4 at 1 minute and 6 at 5 minutes. What do these scores indicate? → Moderate depression requiring continued assessment and intervention
15. The nurse is preparing to insert a urinary catheter in a female patient. In what order should anatomical structures be cleaned? → Labia majora, labia minora, urethral meatus
16. Which physiological change of normal aging MOST directly increases an elderly patient's risk for hypothermia in air-conditioned Saudi hospital environments? → Decreased subcutaneous fat and impaired thermoregulatory mechanisms
17. Which epidemiological measure would a public health nurse use to compare the risk of disease in an exposed group versus an unexposed group? → Relative risk (risk ratio)
18. Which behavior by a patient with anorexia nervosa should be addressed as the highest priority by the nurse? → Cardiac arrhythmias due to severe electrolyte imbalance
19. Which early sign of septic shock differentiates it from other forms of shock? → Warm, flushed skin with high cardiac output (hyperdynamic state)
20. Which antidote is administered for acetaminophen (paracetamol) overdose? → N-acetylcysteine
21. A nurse is teaching a new mother about breastfeeding. Which finding indicates the newborn is latching correctly? → The infant's mouth covers most of the areola, not just the nipple
22. The nurse is preparing to give a subcutaneous injection of insulin. At what angle should the needle be inserted? → 45–90 degrees depending on body fat
23. A nurse administers IV vancomycin too rapidly and the patient develops flushing, erythema, and hypotension. This reaction is called: → Red man syndrome
24. The nurse is teaching a patient about taking oral iron supplements. Which instruction maximizes iron absorption? → Take on an empty stomach or with vitamin C (orange juice)
25. According to WHO, the recommended duration of exclusive breastfeeding is: → 6 months
26. Which element is ESSENTIAL for obtaining valid informed consent from a patient? → Patient's voluntary agreement after receiving adequate information
27. A 70-year-old patient is confused, agitated, and disoriented at night but calm and alert during the day. This presentation is most consistent with: → Delirium
28. A patient refuses a blood transfusion on religious grounds despite a life-threatening hemorrhage. What is the nurse's primary ethical obligation? → Respect the patient's autonomy and document the refusal
29. A patient's family asks a nurse not to inform the patient of a terminal cancer diagnosis. What is the MOST ethically appropriate response? → Assess the patient's own wishes regarding information disclosure
30. Which antiseptic agent is recommended for skin antisepsis before central line insertion according to Saudi MOH/CDC guidelines? → Chlorhexidine gluconate 2% in 70% isopropyl alcohol