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The exam is 150 MCQs in about 180 minutes (as commonly published for the QCHP nursing qualifying exam), four-option single best answer. Question domains follow the shared Gulf nursing core: Nursing Fundamentals, Adult (medical-surgical, critical care, community, mental health) Nursing, Maternal-Child Nursing, and Nursing Management — the structure published in the SCFHS SNLE blueprint. Always confirm current format details in your official applicant materials.
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A selection of free questions with answers and source-cited rationales. Use the interactive modules above for timed, scored drills.
A nurse reviews screening guidance for a sexually active woman who is 22 years old. According to the source, this patient should be tested annually for which infections?
Why: The source cites screening guidance that all sexually active women younger than age 25 (as well as women with new or multiple partners or whose partners have an STI) should be tested for gonorrhea and chlamydia annually.
Source: Open RN Nursing Health Promotion, 8.5 Reproductive Screening
A patient taking lithium asks the nurse about pain relief options. According to the source, which type of medication is NOT recommended because it increases lithium levels?
Why: The source states that NSAIDs are not recommended for patients taking lithium because they increase lithium levels, which raises the risk of toxicity.
Source: Open RN Nursing Mental Health and Community Concepts 2e, 6.4 Mood Stabilizer - Lithium
According to the source, before receiving a first dose of buprenorphine for opioid withdrawal, the patient must be in what state to avoid worsening symptoms?
Why: The source states buprenorphine can worsen opioid withdrawal if not administered carefully, so the patient must be in a state of mild to moderate withdrawal (COWS score greater than 10) before receiving their first dose, which is typically 2 to 4 mg sublingually.
Source: Open RN Nursing Mental Health and Community Concepts 2e, 14.3 Withdrawal Management/Detoxification
According to the source's Aseptic Non-Touch Technique (ANTT), a 'key part' refers to:
Why: The source defines a key part as any sterile part of equipment used during an aseptic procedure, such as needle hubs, syringe tips, needles, and dressings. A key site, by contrast, is any nonintact skin, potential insertion site, or access site for medical devices.
Source: Open RN Nursing Skills 2e, 4.3 Aseptic Technique
A nurse prepares to administer an IV fluid containing potassium. According to the source, why must the correct infusion rate be maintained?
Why: The source states electrolytes administered via the IV route must always be given cautiously at the correct rate because over supplementation can be deadly; for example, potassium infused too rapidly can cause sudden cardiac arrest.
Source: Open RN Nursing Advanced Skills, 1.2 Basic Concepts of Venipuncture and Intravenous Therapy
Using the CURE hierarchy, a nurse has two competing needs. Which should be addressed first?
Why: The source gives this exact example: a critical need (rapid fluttering heartbeat plus shortness of breath) takes priority over an urgent need (assisting a weak patient on a bed alarm to the restroom). Critical needs require immediate action and never fall below urgent, routine, or extra activities.
Source: Open RN Nursing Management and Professional Concepts, Prioritization
A nurse wants to post about an interesting patient case on social media without using the patient's name. According to the source, what is the appropriate action?
Why: The source states information related to patients, patient care, or health care agencies should never be posted on social media; nurses have been fired for such violations, and even private-group posts can become public. Nurses must not post photos or videos of patients.
Source: Open RN Nursing Fundamentals, Legal and Ethical Considerations
A nurse selects an intramuscular injection site for an adult. Which site does the source identify as preferred, and why?
Why: The source states the ventrogluteal site is preferred in adults because it has the greatest muscle thickness, is free of nerves and blood vessels, and has a small fat layer, giving less painful administration and optimal absorption. The vastus lateralis is preferred for infants, and the deltoid is recommended for vaccinations.
Source: Open RN Nursing Skills 2e, 18.3 Evidence-Based Practices for Injections
A nurse is floated to an unfamiliar unit and is given an assignment that clearly exceeds their skill set and orientation. According to professional nursing guidance in the source, what is the nurse's obligation?
Why: The source states that when floating, the nurse remains accountable under the nursing scope-of-practice regulations and should ensure the assignment fits their skill set and receive orientation; per professional nursing guidance, nurses have an OBLIGATION to refuse an unsafe assignment.
Source: Open RN Nursing Management and Professional Concepts, Health Care Economics
A new mother struggles to cope with the major life changes after the birth of her baby. According to the source's categories of crises, this is an example of which type?
Why: The source categorizes the birth of a baby as a maturational (developmental) crisis, which results from normal processes of growth and development and commonly occurs at specific developmental periods such as birth, adolescence, marriage, and death.
Source: Open RN Nursing Mental Health and Community Concepts 2e, 3.5 Crisis and Crisis Intervention
A protein found in heart muscle cells that is released into the bloodstream when heart tissue dies and helps diagnose myocardial infarction is:
Why: The source identifies troponin as a protein released when heart tissue dies, used to help diagnose myocardial infarction. BNP relates to heart failure, D-dimer to clot breakdown, and creatinine to kidney function.
Source: Open RN Nursing Health Alterations, 5.7 Coronary Artery Disease
A nurse manager is discussing time scarcity with staff. Which statement accurately reflects how the source describes time scarcity?
Why: The source describes time scarcity as the feeling of racing against a clock that continually works against the nurse, causing frustration, inadequacy, and burnout, and impairing patient safety through adverse events and increased mortality. Frameworks provide structure so critical interventions are safely implemented first.
Source: Open RN Nursing Management and Professional Concepts, Prioritization
A nurse reviews the drug schedule classification system. According to the source, which statement correctly contrasts Schedule I and Schedule V substances?
Why: The source states Schedule I drugs have a high potential for abuse and severe dependence, whereas Schedule V drugs represent the least potential for abuse. Only Schedule I is described as having no currently accepted medical use, so the options reversing or equating the two schedules are incorrect.
Source: Open RN Nursing Pharmacology 2e, 2.3 Legal Foundations and National Guidelines
According to the source, which medication is the first-line drug for anaphylaxis?
Why: The source states epinephrine (1:1000) is administered as the first-line drug for anaphylaxis. It helps counteract the severe effects by increasing heart rate, improving breathing, and reducing blood vessel dilation.
Source: Open RN Nursing Health Alterations, 4.5 Autoimmune and Hypersensitivity Reactions
A patient with an NG feeding tube develops respiratory symptoms suggesting possible aspiration. According to the source, what is the appropriate action?
Why: The source states that if the patient develops respiratory symptoms indicating potential aspiration, the nurse should immediately notify the provider and withhold enteral feedings and medications until placement is verified.
Source: Open RN Nursing Advanced Skills, 5.2 Basic Concepts
A patient asks the nurse to explain a living will. According to the source, a living will does which of the following?
Why: The source defines a living will as an advance directive that specifies which treatments to receive or refuse if incapacitated (for example CPR, mechanical ventilation, tube feeding), typically effective only when specific medical criteria are met. Naming a decision-maker is a durable power of attorney for health care.
Source: Open RN Nursing Management and Professional Concepts, Legal Implications
According to the source, vascular access for hemodialysis is typically established through which of the following?
Why: The source states hemodialysis vascular access is typically established through a surgically created arteriovenous fistula, arteriovenous graft, or central venous catheter, and these access sites are only used for dialysis. A peritoneal catheter is used for peritoneal dialysis.
Source: Open RN Nursing Health Alterations, 8.5 Acute Renal Failure
A nurse assigns personal hygiene and ambulation for several patients to a UAP. Who retains overall accountability for these patients' care?
Why: The source states the RN remains accountable for the patient's care despite assignments made to others, and the licensed nurse retains overall accountability for patient care when delegating. Accountability means being answerable for one's choices, decisions, and actions.
Source: Open RN Nursing Management and Professional Concepts, Delegation and Supervision
A patient with influenza (a viral infection) requests an antibiotic. Based on the source, what is true about antibiotics for this patient?
Why: The source states antibiotics are used to treat bacterial infections and do not work against viral infections such as colds or influenza. Overprescription of antibiotics for nonbacterial infections is a factor in antibiotic resistance; the nurse educates the patient about effective treatment for the type of pathogen.
Source: Open RN Nursing Fundamentals, 9.5 Treating Infection
A patient being treated for a DVT suddenly develops difficulty breathing, tachycardia, chest pain that worsens with a deep breath, and sudden anxiety. Based on the source, the nurse should recognize these as signs of which complication?
Why: The source lists sudden dyspnea, tachycardia, pleuritic chest pain, hemoptysis, hypotension, and sudden anxiety as signs of pulmonary embolism, an emergency complication of DVT. These do not indicate resolution of the DVT.
Source: Open RN Nursing Health Alterations, 5.11 Deep Vein Thrombosis
A nurse cares for a patient with suspected acute myocardial infarction. According to the source, supplemental oxygen should be administered when the SpO2 is below which value or per agency protocol?
Why: The source lists administering oxygen if SpO2 is less than 92% or per agency protocol to help ensure adequate oxygen to the heart tissue. The other thresholds are not the value stated.
Source: Open RN Nursing Health Alterations, 5.7 Coronary Artery Disease
According to the source, all patients of which age group admitted for acute health care should be screened for suicidal ideation with a validated tool?
Why: The source states that all patients aged 12 and older admitted for acute health care should be screened for suicidal ideation with a validated tool, such as the Patient Safety Screener, because coexisting mental health issues can cause suicidal ideation.
Source: Open RN Nursing Mental Health and Community Concepts 2e, 1.6 Establishing Safety
When infusing a hypotonic IV solution such as 0.45% normal saline, the source warns that too much fluid shifting out of the intravascular space can cause which complication?
Why: The source states hypotonic solutions cause osmotic movement of water into cells, and if too much fluid moves out of the intravascular compartment, cerebral edema can occur, as well as worsening hypovolemia and hypotension.
Source: Open RN Nursing Advanced Skills, 1.2 Basic Concepts of Venipuncture and Intravenous Therapy
A patient receiving chemotherapy experiences hair loss. According to the source, this occurs because chemotherapy has cytotoxic effects on which cells?
Why: The source states chemotherapy has cytotoxic effects, impacting all cells that are rapidly dividing. This is important for killing cancer cells but also impacts other rapidly dividing cells, such as those in hair follicles, which is why many patients experience hair loss.
Source: Open RN Nursing Health Alterations, 4.3 Cancer
Per the source, metformin is used in the treatment of PCOS primarily because it does what?
Why: The source states metformin, a biguanide, can improve cellular sensitivity to insulin and may help restore ovulation in women with abnormal menstrual cycles. Spironolactone is listed separately as the agent used to reduce hyperandrogenism symptoms.
Source: Open RN Nursing Health Promotion, 18.18 Polycystic Ovary Syndrome
A nurse uses the CURE hierarchy to organize care during a shift. What do the letters in CURE stand for?
Why: The source states CURE expands the ABCs for novice nurses and stands for Critical, Urgent, Routine, Extras. Critical needs require immediate action, urgent needs cause discomfort or safety risk, routine is typical daily care, and extras are non-essential comfort activities.
Source: Open RN Nursing Management and Professional Concepts, Prioritization
The nurse is planning milieu activities for a patient experiencing acute psychosis. According to the source, which type of activity should be AVOIDED?
Why: The source states that structured activities provide security and focus and physical exercise can decrease tension, but competitive activities should be avoided because they may be too stimulating and can cause escalation of anxiety and agitation.
Source: Open RN Nursing Mental Health and Community Concepts 2e, 11.4 Applying the Nursing Process to Schizophrenia
A nurse calculates a patient's BMI as 27.5. According to the interpretation ranges in the source, how is this value classified?
Why: The source interprets BMI 25-29.9 as overweight. A value under 18.5 is underweight, 18.5-24.9 is the desirable range, and 30 or greater is obese, so 27.5 falls in the overweight category.
Source: Open RN Nursing Fundamentals 2e, 14.3 Applying the Nursing Process
A child returns to the unit after a tonsillectomy and is not fully awake. According to the source, in which position should the nurse place the child?
Why: The source states that post-operatively the patient should be positioned prone or side-lying to prevent aspiration of blood or saliva, and suction equipment should be kept at the bedside.
Source: Open RN Nursing Health Promotion, 15.7 Pharyngitis, Tonsillitis, & Adenoiditis
According to the source, hepatitis is considered chronic when the inflammation lasts for what duration?
Why: The source states that when hepatitis lasts six months or less it is considered acute, and when it lasts over six months it is considered chronic.
Source: Open RN Nursing Health Alterations, 11.15 Hepatitis