SNLE - Saudi Nursing Licensing Adult Medical-Surgical Nursing Questions and Answers

Question 1

A 45-year-old male patient with a known history of Type 2 Diabetes Mellitus presents to a primary health clinic in Riyadh.
His latest HbA1c is 8.5%.
According to the Saudi Ministry of Health (MOH) guidelines for diabetes management, which of the following is the most appropriate initial action for the nurse to anticipate?

Accepted Answer

Reinforcing education on lifestyle modifications and assessing medication adherence.

Answer

Recommending immediate initiation of insulin therapy.

Answer

Scheduling the patient for a consultation with a nephrologist.

Answer

Advising the patient to double his current oral hypoglycaemic dose.

Question 2

A nurse working in a surgical unit in Jeddah is preparing a patient for an elective cholecystectomy. Which of the following actions is a mandatory part of the pre-operative verification process according to the surgical safety checklist endorsed by the Saudi Ministry of Health?

Accepted Answer

Confirming the patient’s identity, procedure, site, and consent.

Answer

Ensuring the patient has arranged for post-discharge transportation.

Answer

Administering a prophylactic dose of a broad-spectrum antibiotic 4 hours before incision.

Answer

Verifying that the patient's family members are present in the waiting area.

Question 3

A 28-year-old female from the Eastern Province is admitted with a painful vaso-occlusive crisis. Given the high prevalence of Sickle Cell Disease (SCD) in this region of Saudi Arabia, what is the priority nursing intervention?

Accepted Answer

Providing aggressive intravenous hydration and pain management.

Answer

Administering high-flow oxygen via a non-rebreather mask.

Answer

Initiating prophylactic antibiotic therapy.

Answer

Preparing the patient for an emergency splenectomy.

Question 4

A nurse is caring for a patient suspected of having Middle East Respiratory Syndrome (MERS-CoV) in a hospital in Al-Ahsa. According to Saudi Ministry of Health and WHO guidelines, which combination of personal protective equipment (PPE) is required when providing routine care for this patient?

Accepted Answer

Gown, gloves, eye protection, and a surgical mask.

Answer

Surgical mask and gloves only.

Answer

Gown, gloves, and an N95 respirator.

Answer

Shoe covers, gown, and a surgical mask.

Question 5

A nurse is reviewing the post-operative orders for a 60-year-old patient who underwent a total knee replacement. To align with the Enhanced Recovery After Surgery (ERAS) principles being adopted in many Saudi hospitals, which order should the nurse prioritize and encourage?

Accepted Answer

Early mobilization and physiotherapy on post-operative day 1.

Answer

Bed rest for the first 48 hours post-operatively.

Answer

Nil per os (NPO) until bowel sounds return.

Answer

Routine administration of opioid analgesics every 4 hours.

Question 6

A nurse in a medical ward is reviewing the lab results of an adult Saudi male patient. The complete blood count (CBC) shows a haemoglobin (Hb) level of 110 g/L. How should the nurse interpret this finding based on reference intervals for the adult Saudi population?

Accepted Answer

Below the normal reference range, indicating mild anaemia.

Answer

Within the normal reference range.

Answer

Indicative of severe anaemia.

Answer

Above the normal reference range, indicating polycythaemia.