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SAUDI PROMETRIC NURSING EXAM (SCFHS)
PREPARATION: COMPLETE PRACTICE
EXAMINATION 2026 FIRST-TIME PASS
GUARANTEE | 150+ HIGH-YIELD QUESTIONS
WITH DETAILED RATIONALES | BASED ON
SCFHS SNLE BLUEPRINT
## Table of Contents
| Section | Domain | Questions |
|---------|-------|-----------|
| 1 | Nursing Fundamentals (ADPIE, Ethics, Documentation,
Communication) | 25 |
| 2 | Medical-Surgical Nursing (Cardiovascular, Respiratory, Endocrine,
GI, Renal) | 35 |
| 3 | Pharmacology & Medication Administration (Drug Calculations, 10
Rights, Side Effects) | 20 |
| 4 | Patient Safety & Infection Control (Isolation Precautions, Fall
Prevention, Safety Protocols) | 20 |
| 5 | Maternal & Child Health (Obstetric, Newborn, Pediatric) | 20 |
| 6 | Psychiatric Nursing & Mental Health | 10 |
| 7 | Leadership, Management & Prioritization (Delegation, SBAR, ABC
Framework) | 20 |
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Section 1: Nursing Fundamentals (25 Questions)
**Question 1.**
A nurse is caring for a patient who is confused and trying to pull out
their IV line. What is the priority nursing intervention?
A) Apply wrist restraints
B) Administer as-needed sedative medication
C) Assess the patient and attempt less restrictive measures first
D) Notify the physician immediately
**Answer:** C
**Rationale:** The least restrictive intervention should always be
attempted first. This includes reorientation, diversion, family presence,
or mittens before considering restraints. Restraints require a physician
order and frequent monitoring .
---
**Question 2.**
A nurse discovers a small fire in a patient's trash can. What is the correct
order of actions using the RACE protocol?
A) Rescue, Alarm, Contain, Extinguish
B) Alarm, Rescue, Contain, Extinguish
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C) Contain, Extinguish, Alarm, Rescue
D) Rescue, Contain, Alarm, Extinguish
**Answer:** A
**Rationale:** RACE = Rescue patients in immediate danger, Activate
the alarm, Contain the fire by closing doors/windows, Extinguish if safe
to do so. Patient safety is always first.
---
**Question 3.**
Which of the following demonstrates correct documentation practice?
A) "Patient seems upset today"
B) "Patient complained of pain, rated 8/10, morphine 2mg administered"
C) "Patient was difficult and uncooperative"
D) "I think the patient is exaggerating symptoms"
**Answer:** B
**Rationale:** Documentation must be objective, factual, and
measurable. Subjective opinions, judgments, and vague terms are
inappropriate. Use quotes when documenting patient statements.
---
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**Question 4.**
A patient refuses a prescribed medication. What is the nurse's best
response?
A) "You must take this medication, it's doctor's orders"
B) "Tell me why you don't want to take this medication so I can help
address your concerns"
C) "I'll call your family to convince you"
D) "I'll hide it in your food"
**Answer:** B
**Rationale:** Patients have the right to refuse treatment. The nurse
should explore the reason for refusal, provide education, document the
refusal, and notify the provider. Coercion or deception is unethical .
---
**Question 5.**
A nurse is preparing to insert a Foley catheter. After opening the sterile
kit, the nurse realizes a needed supply is missing. What should the nurse
do?
A) Reach out of the sterile field to get the supply
B) Ask an unlicensed assistive personnel to hand the supply from the
drawer
SAUDI PROMETRIC NURSING EXAM (SCFHS)
PREPARATION: COMPLETE PRACTICE
EXAMINATION 2026 FIRST-TIME PASS
GUARANTEE | 150+ HIGH-YIELD QUESTIONS
WITH DETAILED RATIONALES | BASED ON
SCFHS SNLE BLUEPRINT
## Table of Contents
| Section | Domain | Questions |
|---------|-------|-----------|
| 1 | Nursing Fundamentals (ADPIE, Ethics, Documentation,
Communication) | 25 |
| 2 | Medical-Surgical Nursing (Cardiovascular, Respiratory, Endocrine,
GI, Renal) | 35 |
| 3 | Pharmacology & Medication Administration (Drug Calculations, 10
Rights, Side Effects) | 20 |
| 4 | Patient Safety & Infection Control (Isolation Precautions, Fall
Prevention, Safety Protocols) | 20 |
| 5 | Maternal & Child Health (Obstetric, Newborn, Pediatric) | 20 |
| 6 | Psychiatric Nursing & Mental Health | 10 |
| 7 | Leadership, Management & Prioritization (Delegation, SBAR, ABC
Framework) | 20 |
,2|Page
Section 1: Nursing Fundamentals (25 Questions)
**Question 1.**
A nurse is caring for a patient who is confused and trying to pull out
their IV line. What is the priority nursing intervention?
A) Apply wrist restraints
B) Administer as-needed sedative medication
C) Assess the patient and attempt less restrictive measures first
D) Notify the physician immediately
**Answer:** C
**Rationale:** The least restrictive intervention should always be
attempted first. This includes reorientation, diversion, family presence,
or mittens before considering restraints. Restraints require a physician
order and frequent monitoring .
---
**Question 2.**
A nurse discovers a small fire in a patient's trash can. What is the correct
order of actions using the RACE protocol?
A) Rescue, Alarm, Contain, Extinguish
B) Alarm, Rescue, Contain, Extinguish
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C) Contain, Extinguish, Alarm, Rescue
D) Rescue, Contain, Alarm, Extinguish
**Answer:** A
**Rationale:** RACE = Rescue patients in immediate danger, Activate
the alarm, Contain the fire by closing doors/windows, Extinguish if safe
to do so. Patient safety is always first.
---
**Question 3.**
Which of the following demonstrates correct documentation practice?
A) "Patient seems upset today"
B) "Patient complained of pain, rated 8/10, morphine 2mg administered"
C) "Patient was difficult and uncooperative"
D) "I think the patient is exaggerating symptoms"
**Answer:** B
**Rationale:** Documentation must be objective, factual, and
measurable. Subjective opinions, judgments, and vague terms are
inappropriate. Use quotes when documenting patient statements.
---
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**Question 4.**
A patient refuses a prescribed medication. What is the nurse's best
response?
A) "You must take this medication, it's doctor's orders"
B) "Tell me why you don't want to take this medication so I can help
address your concerns"
C) "I'll call your family to convince you"
D) "I'll hide it in your food"
**Answer:** B
**Rationale:** Patients have the right to refuse treatment. The nurse
should explore the reason for refusal, provide education, document the
refusal, and notify the provider. Coercion or deception is unethical .
---
**Question 5.**
A nurse is preparing to insert a Foley catheter. After opening the sterile
kit, the nurse realizes a needed supply is missing. What should the nurse
do?
A) Reach out of the sterile field to get the supply
B) Ask an unlicensed assistive personnel to hand the supply from the
drawer
