FREE SCFHS SNLE Exam Guide 2026: Saudi Nursing Licensure Exam Format, Eligibility & Prep
Video
A 58-year-old man with acute myocardial infarction reports crushing chest pain rated 8/10. After ensuring airway and oxygen, which medication should the nurse anticipate administering first to relieve his pain and reduce myocardial oxygen demand?
Adult Nursing
Question · Medium
Which precautions?
Short
SNLE Adult Nursing Study Plan 2026: Use the 40% Blueprint Without Guessing
A focused SNLE Adult Nursing study plan built from the current SCFHS blueprint: organize the 40% domain into five official areas, apply seven competencies, diagnose errors, and practice safe clinical decisions without inventing item counts.
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Suspected acute coronary syndrome — initial ECG and medication priorities
Flashcard
A nurse is caring for a patient with left-sided heart failure. Which assessment finding is the nurse MOST likely to observe?
Temporary elevation in core body temperature above 100.4 degrees Fahrenheit (38 degrees Celsius) triggered by illness or infection.
Fundamentals of Nursing
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Exam Map and Nursing Fundamentals
SNLE Exam Format and Scoring
Study guide
Cheat sheet
A patient receiving a continuous heparin infusion has an activated partial thromboplastin time (aPTT) that is more than three times the control value and is bleeding from the IV site. Which medication should the nurse have readily available?
Read the clue and guess the term in 6 tries.
Game
Left-sided heart failure — classic lung assessment finding
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which oxygen delivery setting is safest to begin with for this patient?
A source-checked 2026 SNLE guide covering 200 MCQs, two 120-minute blocks, the 500 scaled pass score, current attempt rules, eligibility, PSV boundaries, fees, and Prometric scheduling.
Rhythmic arterial beat palpated over a superficial vessel that normally ranges from 60 to 100 beats per minute in resting adults.
A nurse reviews morning labs for a patient with chronic kidney disease and notes a serum potassium of 6.8 mmol/L. Which finding on the cardiac monitor most urgently confirms a life-threatening effect of this value?
Question · Hard
Pharmacy tech check-off
Unfractionated heparin overdose with bleeding — reversal agent
A patient is admitted with diabetic ketoacidosis (DKA). After initial fluid resuscitation and insulin therapy are started, which electrolyte must the nurse monitor most closely because insulin will drive it into the cells?
Observable tissue swelling caused by interstitial fluid buildup that is classified as pitting when finger pressure for five seconds leaves a skin dent.
Nursing Process and Critical Thinking
A patient with type 1 diabetes is found diaphoretic, tremulous, and confused with a capillary blood glucose of 2.8 mmol/L. The patient is alert enough to swallow safely. What is the nurse's priority action?
Question · Easy
Swap tiles to line up three of the same term.
Term Match
Acute COPD exacerbation with risk of hypercapnia — initial oxygen target
A nurse is assessing a patient suspected of having an acute ischemic stroke. Which assessment tool is most appropriate for a rapid, focused neurological screen of stroke signs in the field or at the bedside?
Indwelling bladder catheter that drains urine continuously through tubing into a collection bag kept below waist level.
A patient returns from surgery with a chest tube connected to a closed water-seal drainage system. The nurse notes continuous, vigorous bubbling in the water-seal chamber. What does this finding most likely indicate?
Digoxin doo-wop: one full minute
Serum potassium 6.8 mmol/L — ECG assessment and urgent response
A nurse is caring for a postoperative patient who suddenly develops dyspnea, pleuritic chest pain, tachycardia, and a drop in oxygen saturation. Pulmonary embolism is suspected. What is the nurse's immediate priority action?
Surgically created opening on the abdominal wall for intestinal waste diversion whose healthy mucosal surface appears pink or red, moist, and slightly shiny.
Infection Control and Patient Safety
A patient with cirrhosis develops worsening confusion, asterixis (flapping tremor), and an elevated ammonia level. Which medication is the nurse most likely to administer to reduce ammonia absorption?
Flip two cards at a time to find matching terms.
Term Pairs
Diabetic ketoacidosis — hallmark labs and priority intervention
A nurse is teaching a patient newly diagnosed with peptic ulcer disease who tests positive for Helicobacter pylori. Which statement by the patient indicates correct understanding of the treatment?
Lowest bloodstream concentration of a narrow-therapeutic-index medication, measured before the next scheduled dose to prevent drug toxicity.
A patient in the ICU has an arterial blood gas showing pH 7.30, PaCO2 60 mmHg, and HCO3 26 mmol/L. How should the nurse interpret these results?
Suspected tension pneumothorax with shock or severe respiratory compromise — immediate action
A nurse is monitoring a patient receiving a blood transfusion. Fifteen minutes after starting, the patient develops fever, chills, flank pain, and dark urine. What is the nurse's first action?
Single-use 4 mg naloxone hydrochloride nasal spray administered into one nostril for the emergency reversal of known or suspected opioid overdose.
Medication Administration and Rights
A patient with Addison's disease (adrenal insufficiency) is admitted with hypotension, weakness, and hyponatremia. Which medication is essential to replace the deficient hormone and is the cornerstone of treatment?
Find five hidden terms in a grid of letters.
Term Search
Stroke FAST assessment — what each letter represents
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