Saudi Arabia · Saudi Commission for Health Specialties (SCFHS), Saudi Arabia · licensing · secondary source
Computer-based multiple choice, in English. Single-best-answer across the nursing curriculum. Delivered at approved test centres on booking.
Required for classification and registration as a nurse in Saudi Arabia, which employs a very large internationally recruited nursing workforce, particularly from India, the Philippines and across Africa. Sat in English by candidates whose training was in many different languages, which makes clinical vocabulary a real part of the preparation. Confirm the current paper against the regulator's own published specification before planning around it. This entry is compiled from published descriptions of the examination rather than from a specification document obtained from the examining body.
Official source: https://www.scfhs.org.sa/en
The questions are the end-of-manual checks written with each SUNYRA nursing manual. An examination's practice paper draws on the subjects that examination's published blueprint covers; the questions were written to the subject, not to the examination's own pattern, and none is a past paper.
1. Why does listening precede palpation in abdominal assessment, unlike elsewhere?
B. Pressing on the abdomen alters the bowel sounds
Palpation stimulates the bowel and changes the sounds you are about to assess, so listening first is the only way to hear them undisturbed. The order everywhere else is look, feel, listen — the abdomen is the deliberate exception, and knowing why prevents it being forgotten.
Health Assessment and Physical Examination · End-of-manual check
2. A nurse is interrupted while drawing up an intravenous antibiotic. What is the safest action on returning to the task?
D. Restart the check sequence from the prescription
An interruption empties working memory, so the step a nurse believes they reached is not reliably the step they actually reached — which is how doses get repeated or components omitted. Resuming from memory relies on exactly the faculty that was just disrupted. A colleague cannot know the step either. Checking afterwards cannot detect a component already added twice.
Medication Administration and Safety · End-of-manual check
3. A nurse wears gloves to reposition a patient, removes them, and moves directly to the next bed. Which precaution has been missed?
D. Hand hygiene after glove removal
Hands are contaminated during glove removal and gloves can be perforated without the wearer noticing, so hand hygiene is required after every removal. Gloves reduce contamination; they never replace decontamination, and the belief that they do is one of the most common causes of transmission on a ward.
Infection Prevention and Control · End-of-manual check
4. An unresponsive adult is making occasional noisy gasps. What should the nurse do?
A. Begin chest compressions and call for help
Agonal gasping is not normal breathing; it occurs in the first minutes after circulation stops and is one of the commonest reasons resuscitation is delayed. An unresponsive person who is not breathing normally needs compressions immediately, and pulse checks are unreliable even among experienced clinicians, which is why they no longer gate the decision at basic level.
First Aid and Basic Life Support · End-of-manual check
5. A patient's food chart records that a full meal was delivered at each mealtime. What is the main limitation of this record?
D. It records what was served rather than what was eaten
The clinically useful information is what the patient actually consumed. A chart recording delivery can look complete while a patient eats almost nothing for days, and that is exactly the situation food charts exist to detect.
Nutrition and Dietetics · End-of-manual check
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