Fundamentals
32%of exam
Adult Nursing
33%of exam
CardiacRespiratoryRenalEndocrineGIPharmacology
Maternal-Child Nursing
18%of exam
AntenatalIntrapartumPostpartumNewbornPediatric
Unit Management & Leadership
17%of exam
DelegationEthicsLegalUAE ScopeQuality
Quick Facts
- Exam
- DHA RN (RNT0312)
- Format
- Prometric CBT
- Questions
- 150 single-best-answer MCQ
- Time
- 3 hours
- RN Pass Score
- 50% (75/150)
- Assistant Pass Score
- 45%
- Fee
- USD 240 (Prometric)
- Retake Wait
- 45 days minimum
- Licensing Portal
- Sheryan (DHA)
- Verification
- DataFlow PSV required
5 Moments
Clean before, clean after, every moment
Before touchBefore asepticAfter fluid riskAfter touchAfter surroundings
Airborne vs Droplet
Airborne
- N95 respirator
- Negative pressure room
- TB measles varicella
Droplet
- Surgical mask
- Within 1 meter
- Influenza meningitis pertussis
N95 for airborne only
Precaution Picker
- TB or measles→Airborne N95
- Influenza pertussis→Droplet mask
- MRSA C diff→Contact gown gloves
- Hands visibly soiled→Soap and water
- Hands not soiled→Alcohol rub
- Before sterile procedure→Hand hygiene first
Normal Vital Signs
- Temperature
- 36.5-37.5°C
- Pulse
- 60-100 bpm
- Respirations
- 12-20/min
- Blood pressure
- Under 120/80
- SpO2
- 95-100%
- GCS range
- 3 to 15
ABC Priority
Airway beats breathing beats circulation beats comfort
AirwayBreathingCirculationThen comfort
Standard vs Contact Precautions
Standard
- Every patient always
- Hand hygiene PPE
Contact
- MRSA C diff
- Gown and gloves
All patients vs specific organisms
Transmission Precautions
- Standard
- All patients always
- Airborne
- N95 negative pressure room
- Droplet
- Mask within 1 meter
- Contact
- Gown and gloves
- Hand rub time
- 20-30 seconds
Medication Safety
- Rights count
- Patient dose route time
- High-alert meds
- Insulin opioids anticoagulants K+
- KCl IV push
- Never undiluted
- Double-check
- Independent second nurse
- Error report
- Never punitive always filed
- Documentation
- Objective facts only
Oxygen & BLS
- Nasal cannula
- 1-6 L/min 24-44%
- Simple mask
- 5-8 L/min 40-60%
- Non-rebreather
- 10-15 L/min 80-95%
- Compression rate
- 100-120/min
- Compression depth
- 5-6 cm
ROME ABG Rule
Respiratory opposite, metabolic equal direction
Respiratory = oppositeMetabolic = equalpH 7.35 to 7.45
Left HF vs Right HF
Left-Sided
- Dyspnea orthopnea
- Crackles
- Pink frothy sputum
Right-Sided
- Peripheral edema
- JVD
- Hepatomegaly
Left lungs right body
Priority Picker
- Sudden chest pain→Assess immediately(Possible ACS)
- SpO2 under 90→Oxygen now
- Apical pulse under 60→Hold digoxin
- Magnesium reflexes absent→Stop infusion(Give calcium gluconate)
- Late FHR decelerations→Reposition oxygen notify
- Fundus boggy postpartum→Massage fundus first
Cardiac & Respiratory
- Normal sinus PR
- 0.12-0.20 sec
- QRS duration
- Under 0.12 sec
- Troponin rise
- 4-6 hours post-injury
- Left HF signs
- Dyspnea crackles pink sputum
- Right HF signs
- Edema JVD hepatomegaly
- ABG normal pH
- 7.35-7.45
Hypoglycemia vs DKA
Hypoglycemia
- Glucose under 70
- Shaky sweaty
- Fast-acting carbs
DKA
- Glucose above 250
- Kussmaul fruity breath
- IV fluids then insulin
Sugar low fast ketones high
ABG & Renal
- PaCO2 normal
- 35-45 mmHg
- HCO3 normal
- 22-26 mEq/L
- AKI oliguric
- Under 400 mL/day
- AV fistula check
- Thrill and bruit
- Fistula arm
- No BP or draws
- DKA glucose
- Above 250 mg/dL
Heparin vs Warfarin
Heparin
- Antidote protamine sulfate
- Monitor aPTT
Warfarin
- Antidote vitamin K
- Monitor INR 2-3
Different antidote different monitor
Pharmacology & Antidotes
- Heparin antidote
- Protamine sulfate
- Warfarin antidote
- Vitamin K
- INR therapeutic
- 2 to 3
- Digoxin therapeutic
- 0.5-2 ng/mL
- Digoxin hold rule
- Apical pulse under 60
- Opioid antidote
- Naloxone repeat dosing
Endocrine & GI
- Hypoglycemia value
- Under 70 mg/dL
- 15-15 rule
- 15g carbs recheck 15min
- DKA breath
- Fruity Kussmaul respirations
- Hepatic encephalopathy sign
- Asterixis flapping tremor
- Lactulose goal
- 2-3 soft stools
Magnesium Safety Check
Reflexes first, then respirations, then heart
Absent reflexes = first signRR under 12 = stopCalcium gluconate = antidote
Early vs Late Decelerations
Early Decel
- Mirrors contraction
- Head compression
- Benign finding
Late Decel
- After contraction peak
- Uteroplacental insufficiency
- Reposition give oxygen
Benign vs emergency deceleration
Maternal Values
- Preeclampsia BP
- 140/90 after 20wk
- Severe range
- 160/110 or higher
- MgSO4 therapeutic
- 4-7 mEq/L
- MgSO4 toxicity sign
- Loss of reflexes first
- MgSO4 antidote
- Calcium gluconate
- PPH vaginal
- Over 500 mL
Fetal & Newborn
- PPH cesarean
- Over 1000 mL
- FHR baseline
- 110-160 bpm
- Late decel action
- Reposition oxygen notify
- Newborn HR
- 110-160 bpm
- Newborn RR
- 30-60/min
- Apgar scored at
- 1 and 5 minutes
5 Rights of Delegation
Task, person, direction, supervision, right circumstance
Right taskRight personRight directionRight supervisionRight circumstance
Registered vs Assistant Nurse
Registered Nurse
- RNT0312 exam code
- 150 questions
- 50% pass mark
Assistant Nurse
- ARN5061 exam code
- 45% pass mark
- Lower scope tasks
Different pass score threshold
Delegation Picker
- New assessment needed→RN performs
- Suspected child abuse→Report per Wadeema's Law
- Consent form signing→Witness only
- Medication error occurs→File incident report
- Routine stable vitals→Delegate to UAP
UAE Scope & Delegation
- Licensing portal
- Sheryan
- Verification step
- DataFlow PSV
- Eligibility letter
- Valid one year
- Liability law
- Federal Law No.4 2016
- Child protection law
- Wadeema's Law No.3
- Delegation rights
- Task person direction supervision
Ethics & Legal
- Consent explainer
- Physician not nurse
- Nurse consent role
- Witness signature only
- Confidentiality basis
- Need-to-know only
- Incident report use
- Quality not punishment
- Incident report charting
- Never referenced in chart
Common Traps
Consent Confusion
Provider explains procedure ≠ Nurse only witnesses
Precaution Mixup
Droplet uses surgical mask ≠ Airborne needs N95 respirator
Fistula Arm Errors
No BP that arm ≠ No draws that arm
Digoxin Hold Threshold
Hold if pulse under 60 ≠ Notify provider before giving
Incident Report Charting
Never named in chart ≠ Chart only objective facts
Magnesium Toxicity Sequence
Reflexes disappear first ≠ Give calcium gluconate fast
K+ Administration Error
Never IV push undiluted ≠ Always dilute before infusing
Last Minute
- 1.150 questions in 3 hours
- 2.RN pass mark is 50%
- 3.Assistant Nurse pass mark 45%
- 4.Prometric CBT fee USD 240
- 5.Wait 45 days to retake
- 6.Airborne precautions require N95 respirator
- 7.Digoxin hold if pulse under 60
- 8.Magnesium antidote is calcium gluconate
- 9.Fistula arm: no BP or draws
- 10.Nurse witnesses consent, never explains
- 11.Incident reports are never punitive
- 12.Preeclampsia is 140/90 after 20wk
- 13.Late decels mean uteroplacental insufficiency
- 14.K+ never given as IV push
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