Prometric Exam Questions 2025 – 25 MCQs with Answers

Prometric examination covers Medical-Surgical Nursing, Pharmacology, Maternity & Pediatric Nursing, Psychiatric Nursing, and Community Health Nursing. Below is a set of 25 MCQs with answers based on the latest Prometric exam pattern for nurses in Saudi Arabia.

Prometric Saudi Exam for Nurses – 25 MCQs with Answers

1. Medical-Surgical Nursing

1. A patient with deep vein thrombosis (DVT) is prescribed heparin. The nurse should monitor for which major side effect?

• a) Hypertension
• b) Hyperkalemia
• c) Bleeding
• d) Bradycardia

2. Which of the following is the first sign of hypoxia in a patient?

• a) Cyanosis
• b) Restlessness
• c) Bradycardia
• d) Hypotension

3. A diabetic patient complains of dizziness and sweating. The nurse should first:

• a) Administer insulin
• b) Give oral glucose
• c) Check blood pressure
• d) Call the doctor

4. The priority intervention for a patient with acute myocardial infarction (AMI) is:

• a) Administer morphine
• b) Provide oxygen
• c) Administer aspirin
• d) Start an IV line

5. A patient with COPD should be advised to:

• a) Breathe rapidly
• b) Use pursed-lip breathing
• c) Avoid all physical activity
• d) Increase oxygen flow to 6 L/min

2. Pharmacology

6. Which drug is used to reverse warfarin toxicity?

• a) Vitamin B12
• b) Vitamin K
• c) Protamine sulfate
• d) Naloxone

7. A patient on furosemide (Lasix) should be monitored for:

• a) Hyperkalemia
• b) Hypokalemia
• c) Hypernatremia
• d) Hypoglycemia

8. Insulin glargine (Lantus) is characterized by:

• a) Rapid onset, short duration
• b) No peak, long duration
• c) Intermediate peak
• d) Used only in type 2 diabetes

9. The antidote for acetaminophen (paracetamol) overdose is:

• a) Naloxone
• b) N-acetylcysteine (NAC)
• c) Flumazenil
• d) Atropine

10. Digoxin toxicity is suspected if a patient has:

• a) Tachycardia
• b) Visual disturbances (yellow-green halos)
• c) Hypertension
• d) Hyperkalemia

3. Maternity & Pediatric Nursing

11. The Apgar score assesses which of the following?

• a) Maternal health
• b) Newborn’s immediate adaptation
• c) Fetal heart rate
• d) Placental function

12. A newborn with jaundice is prescribed phototherapy. The nurse should:

• a) Cover the baby’s eyes
• b) Expose maximum skin to light
• c) Keep the baby clothed
• d) Avoid breastfeeding

13. Eclampsia is characterized by:

• a) Mild hypertension
• b) Seizures in a pregnant woman
• c) Low urine output
• d) Fetal distress only

14. The first vaccine given to a newborn is:

• a) MMR
• b) Hepatitis B
• c) BCG
• d) Polio

15. Kernicterus in newborns is caused by:

• a) Hypoglycemia
• b) Severe untreated jaundice
• c) Hypothermia
• d) Dehydration

4. Psychiatric Nursing

16. A patient with major depressive disorder is at highest risk for:

• a) Mania
• b) Suicide
• c) Hallucinations
• d) Aggression

17. Extrapyramidal symptoms (EPS) are a side effect of:

• a) Antidepressants
• b) Antipsychotics
• c) Benzodiazepines
• d) Mood stabilizers

18. The first-line treatment for schizophrenia is:

• a) SSRIs
• b) Atypical antipsychotics
• c) Lithium
• d) Benzodiazepines

19. A patient with alcohol withdrawal may develop:

• a) Hypoglycemia
• b) Delirium tremens (DTs)
• c) Hypertension
• d) Bradycardia

20. Cognitive Behavioral Therapy (CBT) is most effective for:

• a) Bipolar disorder
• b) Anxiety and depression
• c) Schizophrenia
• d) Personality disorders

5. Community Health Nursing

21. The primary prevention of tuberculosis (TB) includes:

• a) Treating active cases
• b) BCG vaccination
• c) Sputum testing
• d) Isolation of patients

22. Saudi MOH recommends screening for breast cancer using:

• a) CT scan
• b) Mammography
• c) Ultrasound
• d) MRI

23. The most common mode of HIV transmission in Saudi Arabia is:

• a) Mosquito bites
• b) Unprotected sexual contact
• c) Blood transfusion
• d) Sharing food

24. Oral rehydration therapy (ORT) is used for:

• a) Hypertension
• b) Dehydration due to diarrhea
• c) Diabetes
• d) Malnutrition

25. The main cause of death in Saudi Arabia is:

• a) Infectious diseases
• b) Cardiovascular diseases
• c) Road accidents
• d) Cancer

Answers Summary (Key: Bold = Correct Option)