DHCA Nursing Licensing Exam

A nurse in a Dubai Healthcare City (DHCC) facility is preparing to administer an oral medication. After identifying the patient using two identifiers, what is the BEST way to confirm correct patient identification before giving the drug?

• ACompare the name and date of birth or MRN on the wristband against the medication record
• BCall the patient by name and proceed when they respond
• CAsk the family member at the bedside to confirm the patient's identity
• DMatch the room and bed number to the medication administration record

A nurse measures an adult patient's blood pressure and obtains 138/88 mmHg on two separate readings. According to current classification, this reading is BEST described as:

• ANormal blood pressure
• BStage 1 hypertension
• CHypertensive crisis
• DOptimal blood pressure

A nurse is performing hand hygiene before an aseptic procedure. According to the WHO 'Five Moments for Hand Hygiene', which moment does this action represent?

• AAfter touching patient surroundings
• BBefore touching a patient
• CBefore a clean/aseptic procedure
• DAfter body fluid exposure risk

A patient is placed on contact precautions for a multidrug-resistant organism. Which personal protective equipment is required EVERY time the nurse enters the room for direct patient care?

• AN95 respirator and goggles
• BGloves only
• CSurgical mask only
• DGown and gloves

Using the nursing process, a nurse has just collected subjective and objective data and identified a patient problem. What is the NEXT step?

• APlanning with measurable goals
• BImplementation of interventions
• CEvaluation of outcomes
• DReassessment of vital signs

A nurse is documenting in a patient's record. Which entry BEST meets professional documentation standards?

• APatient seems fine and in good spirits today
• BPatient reports pain 7/10 in right calf; calf warm, reddened, 3 cm larger than left; MD n…
• CPatient ate well and slept all night
• DPatient is a difficult and uncooperative complainer

A nurse working in Dubai Healthcare City must maintain a valid license. According to DHCR requirements, a Registered Nurse must accumulate how many Continuing Professional Development (CPD) points to renew the license?

• A20 CPD points
• B50 CPD points
• C30 CPD points
• D80 CPD points

An applicant fails the DHCA Prometric nursing licensing exam. According to DHCR rules, what is the maximum number of attempts permitted before additional qualifications are required?

• ATwo attempts
• BUnlimited attempts
• CFour attempts
• DThree attempts

A nurse obtains informed consent witnessing for a surgical procedure. The nurse's PRIMARY responsibility in the consent process is to:

• AVerify the patient signed voluntarily and witness the signature
• BExplain the surgical risks and alternatives to the patient
• CDecide whether the patient has enough information to consent
• DObtain consent from the next of kin in all cases

A nurse needs to move a patient up in bed and is concerned about back injury. Which body mechanics principle should the nurse apply?

• ABend at the waist and keep the legs straight to reach the patient
• BBend the knees, keep a wide base of support, and use leg muscles
• CTwist the torso quickly to transfer the load
• DHold the patient as far from the body as possible for leverage

A nurse assesses a patient's pressure injury that presents as intact skin with a localized area of non-blanchable erythema. This is classified as which stage of pressure injury?

• AStage 3
• BStage 2
• CStage 1
• DStage 4

A nurse is calculating intake and output for a patient. Which of the following is counted as fluid OUTPUT?

• AIntravenous fluids infused
• BIce chips consumed
• COral medications with water
• DNasogastric tube drainage

A patient's pulse oximetry reads 88% on room air and the patient appears dyspneic. Applying the principle of prioritizing airway, breathing, and circulation, what should the nurse do FIRST?

• AApply supplemental oxygen and reassess
• BDocument the reading and continue monitoring
• CCall the family to inform them
• DRecheck the probe placement in 30 minutes

A nurse identifies that a colleague made a medication error that did not reach the patient. In a just-culture and DHCC patient-safety framework, the nurse should:

• AIgnore it because the patient was not harmed
• BReport the near-miss through the incident reporting system
• CConfront the colleague publicly to deter repetition
• DWait until the colleague repeats the error before reporting

A nurse must administer 0.5 mg of a drug. The vial is labeled 1 mg per 2 mL. How many milliliters should the nurse draw up?

• A0.5 mL
• B1.5 mL
• C1 mL
• D2 mL

A nurse is caring for a Muslim patient during the holy month of Ramadan who is fasting. The patient must take an essential oral antibiotic three times daily. The culturally competent action is to:

• AInsist the patient break the fast immediately without discussion
• BChange the route to intravenous without consulting the patient or physician
• CWithhold the medication until Ramadan ends
• DDiscuss timing options around suhoor and iftar and involve the patient in the plan

A nurse receives a verbal telephone order from a physician for a STAT medication. To comply with safe-practice standards, the nurse should:

• AWrite down the order and read it back to the physician to verify
• BAdminister the drug immediately and document later from memory
• CAsk another nurse to listen and proceed without read-back
• DRefuse all verbal orders under any circumstance

A patient has an order for a soft diet and the nurse notes a risk of aspiration. Before feeding, the MOST important nursing action to reduce aspiration risk is to:

• APosition the patient supine and flat
• BPosition the patient upright at 90 degrees and assess swallowing
• COffer thin liquids quickly to finish the meal
• DFeed the patient rapidly to limit fatigue

A nurse discovers a small fire in a patient's waste bin. Using the RACE protocol, what is the FIRST action?

• AExtinguish the fire with an appropriate extinguisher
• BActivate the fire alarm
• CRescue/remove anyone in immediate danger
• DContain the fire by closing doors

A nurse notes a patient's temperature is 38.9 degrees C, pulse 110, and the patient is flushed and diaphoretic. Which nursing intervention is appropriate for this febrile patient?

• AApply several heavy blankets to promote comfort
• BPlace the patient in a hot room to induce diaphoresis
• CRestrict all oral fluids to reduce sweating
• DEncourage fluids and administer antipyretic as ordered

A nurse is delegating tasks to a Nursing Assistant. Which task is APPROPRIATE to delegate?

• AMeasuring and recording routine vital signs on a stable patient
• BAdministering an intravenous antibiotic
• CPerforming the initial admission assessment
• DDeveloping the patient's nursing care plan

When obtaining a sterile urine specimen from an indwelling catheter, the nurse should:

• ADisconnect the catheter from the drainage bag and collect from the tubing end
• BAspirate from the designated sampling port after cleaning it with antiseptic
• CCollect urine directly from the drainage bag
• DSqueeze urine backward from the bag into the tubing

A patient asks the nurse to explain test results that the nurse has not yet reviewed with the physician. The ethical principle that BEST guides withholding speculation while ensuring the patient is informed is:

• APaternalism
• BMaleficence
• CVeracity (truthfulness)
• DConfidentiality breach

A nurse is reviewing the rights of medication administration. In addition to the right patient, drug, dose, route, and time, which additional 'right' emphasizes recording after administration?

• ARight to refuse
• BRight evaluation
• CRight assessment
• DRight documentation

A patient's laboratory report shows a serum potassium of 6.8 mmol/L. Recognizing this as a critical value, the nurse's priority action is to:

• ANotify the physician immediately and monitor the cardiac rhythm
• BRepeat the test in the morning routine draw
• CEncourage a high-potassium diet
• DDocument the value and take no further action

A nurse practicing in DHCC suspects that a patient is a victim of abuse. The nurse's professional and legal obligation is to:

• AKeep the suspicion private to protect the patient's privacy
• BDocument objective findings and report through the facility's safeguarding/reporting poli…
• CConfront the suspected abuser directly
• DDischarge the patient quickly to avoid involvement

When a nurse uses the SBAR communication tool during a handover, the 'R' stands for:

• AReassessment
• BResponse
• CRecommendation
• DReview

A nurse is teaching a patient about a new diagnosis. To confirm the teaching was effective, the BEST method is to:

• AAsk the patient if they understood and accept a yes answer
• BRepeat the information louder and more slowly
• CProvide a written pamphlet and assume comprehension
• DUse the teach-back method, asking the patient to explain it in their own words

A nurse is assessing pain in a non-verbal, cognitively impaired older adult. The MOST appropriate pain assessment approach is to:

• AUse a behavioral pain scale observing facial expression, body movement, and vocalization
• BAssume no pain because the patient cannot report it
• CWait for the family to describe the pain
• DUse a 0 to 10 numeric rating scale only

A nurse must maintain patient confidentiality. Which action represents a BREACH of confidentiality?

• ADiscussing a patient's case with the treating team in a private area
• BSharing a patient's diagnosis with a colleague who is not involved in the patient's care
• CVerifying identity before releasing information by telephone
• DStoring records in a secured electronic system

A nurse is removing soiled gloves and gown after caring for an isolation patient. To prevent self-contamination, the nurse should:

• ARemove the gown first, then perform hand hygiene, then remove gloves
• BRemove gloves first, perform hand hygiene, then remove the gown last
• CRemove gloves and gown together rolling contaminated surfaces outward, then perform hand…
• DRemove the mask first before gloves and gown

A patient receiving care in DHCC has an advance directive declining resuscitation. During cardiac arrest, the nurse's correct action is to:

• ABegin full CPR regardless of the directive
• BCall the hospital lawyer before acting
• CAsk the family in the room to decide at that moment
• DHonor the documented and valid do-not-resuscitate order

A nurse is caring for a patient at risk of falls. Which intervention is the MOST effective initial fall-prevention measure?

• APlace the call light within reach and keep the bed in the low, locked position
• BKeep the bed in the highest position for easy access
• CApply physical restraints to prevent the patient from moving
• DLeave the side rails all the way up at all times

A nurse sustains a needlestick injury from a used hollow-bore needle. The FIRST immediate action the nurse should take is to:

• AApply a tourniquet above the puncture site
• BSqueeze the site and encourage bleeding, then wash with soap and water
• CSuck the wound to remove blood
• DCover the site with an occlusive dressing and continue working

A patient with type 2 diabetes presents with a blood glucose of 2.8 mmol/L (50 mg/dL), sweating, and confusion but is able to swallow. The nurse's FIRST action is to:

• AWithhold all food and recheck in one hour
• BGive the patient a high-fat snack such as cheese
• CAdminister 15 grams of a fast-acting oral carbohydrate
• DAdminister the patient's regular insulin dose

A patient is admitted with acute chest pain radiating to the left arm. While awaiting the ECG, which medication, if not contraindicated, is typically given FIRST to a patient with suspected acute coronary syndrome?

• AIntravenous furosemide
• BSubcutaneous heparin only
• COral metformin
• DChewable aspirin

A nurse is monitoring a patient with chronic obstructive pulmonary disease (COPD) who has chronic CO2 retention. When administering oxygen, the nurse should:

• ATitrate low-flow oxygen to a target SpO2 of about 88-92%
• BGive high-flow oxygen at 10 L/min via non-rebreather routinely
• CWithhold oxygen entirely to avoid suppressing respiration
• DAim for an SpO2 of 100% in all COPD patients

A patient with heart failure is prescribed digoxin. Before administering the dose, the nurse should assess:

• AThe respiratory rate only
• BThe apical pulse for one full minute
• CThe blood pressure in both arms
• DThe patient's temperature

A patient presents with sudden facial droop, arm weakness, and slurred speech. Recognizing the FAST signs of stroke, the nurse's priority is to:

• AGive the patient food and fluids to maintain strength
• BEncourage the patient to rest and reassess in two hours
• CActivate the stroke pathway and note the time of symptom onset
• DAdminister aspirin immediately before any imaging

A patient with chronic kidney disease has a serum potassium of 6.2 mmol/L and peaked T waves on ECG. Which prescribed treatment works by shifting potassium into the cells temporarily?

• AOral sodium polystyrene sulfonate
• BCalcium gluconate
• CLoop diuretic furosemide
• DIntravenous insulin with dextrose

A nurse is caring for a patient with pneumonia who is receiving antibiotics. Which finding BEST indicates the treatment is effective?

• ADecreasing temperature and improving oxygen saturation
• BIncreasing respiratory rate and oxygen requirement
• CWorsening productive cough with green sputum
• DRising white blood cell count

A patient is started on warfarin therapy. Which laboratory value should the nurse monitor to assess the therapeutic effect of this anticoagulant?

• AActivated partial thromboplastin time (aPTT)
• BInternational normalized ratio (INR)
• CSerum amylase
• DPlatelet count only

A patient with asthma is using a salbutamol (albuterol) metered-dose inhaler. The nurse teaches that the MOST common expected side effect of this short-acting beta-2 agonist is:

• ABradycardia
• BSevere constipation
• CFine tremor and tachycardia
• DHypoglycemia

A patient is admitted with acute gastrointestinal bleeding and is hypotensive and tachycardic. After ensuring airway and breathing, the nurse's priority circulatory intervention is to:

• APlace the patient in a high-Fowler's position
• BGive an oral antacid
• CEncourage the patient to drink clear fluids
• DInsert two large-bore IV cannulas and begin fluid resuscitation