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100+ Free Afghanistan Nursing Exit Exam Practice Questions

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Key Facts: Afghanistan Nursing Exit Exam Exam

MCQ

Four-option multiple-choice paper on OMR sheets

Ministry of Public Health exit-exam notice

MoPH + NExA

Administered jointly by the ministry and the National Examination Authority

Ministry of Public Health exit-exam notice

Per sitting

Item count, duration, fee and pass mark are announced per sitting, not published as standing values

Ministry of Public Health exit-exam notice

Mandatory

Passing is required before the diploma practice licence is issued

Ministry of Public Health

The Afghanistan Nursing Exit Exam (امتحان خروجی/ایگزیت انستیتیوت‌های علوم صحی) is the national exit examination that Institute of Health Sciences diploma graduates must pass to obtain a diploma nurse practice licence. It is announced and administered by the Ministry of Public Health with the National Examination Authority as a four-option multiple-choice paper on OMR answer sheets; the ministry publishes a subject reference for the discipline but does not publish a standing item count, duration, fee or pass mark. The official examination is administered in Dari and Pashto; this bank is an English-language MCQ study adaptation for conceptual preparation, not an official translation or a simulation of the official paper.

Sample Afghanistan Nursing Exit Exam Practice Questions

Try these sample questions to test your Afghanistan Nursing Exit Exam exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A nurse is caring for a patient admitted with acute diarrhea confirmed to be caused by Clostridioides difficile. Which method of hand hygiene is mandatory for healthcare workers after providing direct care to this patient?
A.Application of an alcohol-based hand rub for 20 seconds
B.Washing hands thoroughly with soap and running water
C.Rinsing hands with chlorhexidine gluconate solution without water
D.Wiping hands with an antimicrobial benzalkonium chloride wipe
Explanation: Clostridioides difficile produces bacterial endospores that are physically resistant to alcohol-based hand rubs. Washing hands vigorously with soap and warm running water creates mechanical friction that physically rinses and removes the spores from the skin surface. Alcohol rubs do not kill C. difficile spores and are insufficient in this clinical scenario.
2When removing personal protective equipment (PPE) after leaving an isolation room, which sequence represents the correct standard order for doffing to minimize self-contamination?
A.Gown, mask, goggles, gloves
B.Gloves, goggles or face shield, gown, mask or respirator
C.Mask, gloves, gown, goggles
D.Goggles, gloves, mask, gown
Explanation: According to standard infection control protocols, the gloves are the most contaminated item and should be removed first, followed by eye protection (goggles/face shield), gown, and finally the mask or respirator after exiting the room. Performing hand hygiene immediately after removing PPE is also an essential safety step. This sequence protects the healthcare worker's face and mucous membranes from cross-contamination.
3A 45-year-old patient is admitted with active, smear-positive pulmonary tuberculosis. Which type of transmission-based isolation precautions must the nurse immediately implement?
A.Standard precautions only with surgical mask during direct contact
B.Droplet precautions in a standard private room with 1-meter physical distance
C.Airborne precautions in a negative-pressure isolation room with N95 or FFP2 respirators
D.Contact precautions with disposable gown and non-sterile gloves
Explanation: Mycobacterium tuberculosis is transmitted via airborne droplet nuclei (smaller than 5 microns) that remain suspended in the air and travel across distances. Airborne precautions require placement of the patient in an airborne infection isolation room (AIIR) with negative air pressure (at least 6–12 air changes per hour) and healthcare workers must wear an N95 or FFP2 respirator. The door must remain strictly closed at all times.
4While preparing a sterile field for a surgical wound dressing change, which action by the nurse would immediately contaminate the sterile field?
A.Opening the furthest flap of the sterile package first
B.Allowing sterile forceps to touch within the outer 2.5 cm (1-inch) border of the drape
C.Holding sterile items above the level of the waist
D.Pouring sterile normal saline without splashing onto the sterile gauze
Explanation: The outer 2.5 cm (1-inch) border of a sterile drape or package is considered unsterile/contaminated by surgical asepsis standards. If sterile instruments or supplies contact this border, they are immediately contaminated and must be replaced. Maintaining strict sterile technique prevents surgical site infections.
5A bedridden, elderly patient develops a localized area of intact skin over the sacrum with persistent non-blanchable erythema. How should the nurse classify this pressure injury?
A.Stage 1 pressure injury
B.Stage 2 pressure injury
C.Stage 3 pressure injury
D.Unstageable pressure injury
Explanation: A Stage 1 pressure injury is characterized by intact skin with a localized area of non-blanchable erythema, which may be preceded by changes in sensation, temperature, or firmness. Early detection at Stage 1 allows for prompt pressure relief, barrier cream application, and scheduled repositioning every 2 hours to prevent progression to skin breakdown. Stage 2 involves partial-thickness loss of dermis with an exposed wound bed.
6A nurse is assessing a patient for orthostatic hypotension. Which clinical finding confirms a positive test result after the patient transitions from supine to standing?
A.A drop in systolic blood pressure of ≥ 20 mm Hg or a drop in diastolic blood pressure of ≥ 10 mm Hg within 3 minutes
B.An increase in systolic blood pressure of ≥ 15 mm Hg with a decrease in heart rate of 10 bpm
C.A decrease in heart rate of ≥ 20 beats per minute with stable blood pressure
D.A transient drop in systolic blood pressure of 5 mm Hg that resolves within 15 seconds
Explanation: Orthostatic (postural) hypotension is clinically defined as a sustained drop in systolic blood pressure of at least 20 mm Hg or a drop in diastolic blood pressure of at least 10 mm Hg within 3 minutes of standing compared to supine values. It is commonly accompanied by symptoms of cerebral hypoperfusion such as dizziness, lightheadedness, or syncope. The nurse must implement fall precautions immediately.
7Which principle of body mechanics should the nurse practice when lifting a heavy object or assisting a dependent patient in bed to prevent occupational back injury?
A.Keep feet closely touching together and bend at the waist with straight knees
B.Maintain a wide base of support, bend at the knees and hips, and keep the load close to the body
C.Twist the spine and trunk simultaneously while lifting the patient upward
D.Position the bed at the lowest possible height before beginning the transfer
Explanation: Proper body mechanics involve maintaining a wide base of support (feet shoulder-width apart), bending at the knees and hips rather than the waist, keeping the center of gravity low, and holding the weight close to the body. Lifting with large leg muscles (quadriceps and gluteals) rather than lumbar back muscles minimizes spinal strain. The bed should also be raised to the nurse's waist level before manual handling.
8Which nursing intervention is most critical for preventing catheter-associated urinary tract infections (CAUTI) in a patient with an indwelling Foley catheter?
A.Irrigating the catheter bladder daily with sterile normal saline solution
B.Maintaining an uninterrupted closed drainage system and keeping the drainage bag below the level of the bladder
C.Changing the indwelling urinary catheter routinely every 48 to 72 hours
D.Clamping the drainage tubing for two hours prior to each emptying
Explanation: The primary intervention for CAUTI prevention is maintaining an uninterrupted, sterile closed drainage system with unobstructed downhill urine flow. The collection bag must always remain below bladder level to prevent intraluminal reflux of contaminated urine into the bladder. Routine breaks into the closed system, routine irrigation, or unnecessary catheter exchanges drastically increase infection risk.
9A nurse is preparing to administer enteral feeding through a newly inserted nasogastric (NG) tube. What is the gold standard method to verify correct tube placement in the stomach prior to initiating the first feeding?
A.Auscultation of an injected air bolus (whoosh test) over the epigastrium
B.Radiographic confirmation via an abdominal X-ray
C.Immersing the distal end of the tube in a cup of water to check for bubbling
D.Visual inspection of the tube depth markings at the nares only
Explanation: Radiographic examination (abdominal X-ray) is the definitive gold standard to verify correct anatomical placement of a newly placed nasogastric tube before any medication or feeding is administered. Auscultating air boluses ('whoosh test') is unreliable because air sounds in the respiratory tract or esophagus can mimic gastric sounds and lead to fatal pulmonary aspiration. Gastric aspirate pH testing (pH < 5.5) is used for ongoing verification.
10To minimize the risk of pulmonary aspiration during continuous enteral tube feeding, which nursing action is essential?
A.Position the patient completely flat in a supine position
B.Maintain the head of the bed elevated at 30 to 45 degrees at all times during feeding and for at least 30-60 minutes after
C.Administer the feeding rapidly as a large bolus over 2 minutes
D.Add blue food dye to the enteral formula to detect tracheal secretions
Explanation: Elevating the head of the bed between 30 and 45 degrees (semi-Fowler position) utilizes gravity to prevent gastroesophageal reflux and aspiration of enteral formula into the tracheobronchial tree. If the patient must be placed flat for hygiene or repositioning, feeding should be paused temporarily. Bolus feeds must be given slowly over 20-30 minutes.

About the Afghanistan Nursing Exit Exam Exam

The Afghanistan Nursing Exit Exam (امتحان دولتی نرسنگ عالی) is the statutory national exit and licensing examination administered by NExA for graduates of Institutes of Health Sciences, required to obtain official diploma attestation and practice licensure.

Assessment

Four-option multiple-choice paper marked on OMR answer sheets, announced per sitting by the Ministry of Public Health with NExA and set against the ministry's published discipline reference covering Fundamentals of Nursing, Medical-Surgical Nursing, Pediatric Nursing, Community Health, Emergency and Critical Care, and Pharmacology and Ethics. The official item count and session length are not published.

Time Limit

Not published by the Ministry of Public Health or the National Examination Authority

Passing Score

Set by the Ministry of Public Health for each sitting; no standing pass mark published

Exam Fee

Set per sitting by the Ministry of Public Health; the current fee is not published (Ministry of Public Health (MoPH — انستیتوت های علوم صحی) and National Examination Authority (NExA))

Afghanistan Nursing Exit Exam Exam Content Outline

25 practice items in this bank

Fundamentals of Nursing & Infection Control

Nursing process, aseptic techniques, vital signs, wound care, catheterization, and patient safety protocols.

25 practice items in this bank

Adult Medical-Surgical Nursing

Cardiovascular, respiratory, gastrointestinal, endocrine, and post-operative surgical nursing care.

15 practice items in this bank

Pediatric Nursing & Neonatal Care

Neonatal care, IMNCI protocols, immunization, growth assessment, and pediatric illness management.

15 practice items in this bank

Community Health Nursing & Primary Care

Epidemiology, communicable disease management, tuberculosis, malaria, and community health education.

10 practice items in this bank

Emergency, Trauma & Critical Care

Cardiopulmonary resuscitation, triage, hemorrhage control, shock recognition, and trauma care.

10 practice items in this bank

Pharmacology, Dosages & Nursing Ethics

Medication administration, dosage calculations, side effects, patient documentation, and ethical standards.

How to Pass the Afghanistan Nursing Exit Exam Exam

What You Need to Know

  • Passing score: Set by the Ministry of Public Health for each sitting; no standing pass mark published
  • Assessment: Four-option multiple-choice paper marked on OMR answer sheets, announced per sitting by the Ministry of Public Health with NExA and set against the ministry's published discipline reference covering Fundamentals of Nursing, Medical-Surgical Nursing, Pediatric Nursing, Community Health, Emergency and Critical Care, and Pharmacology and Ethics. The official item count and session length are not published.
  • Time limit: Not published by the Ministry of Public Health or the National Examination Authority
  • Exam fee: Set per sitting by the Ministry of Public Health; the current fee is not published

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Afghanistan Nursing Exit Exam Study Tips from Top Performers

1Master drug dose calculations (tablets, liquid suspensions, and IV drip rates per minute).
2Memorize the steps and timing of WHO IMNCI and neonatal resuscitation guidelines.
3Review the clinical signs and priority nursing interventions for diabetic emergencies, pulmonary edema, and acute asthma.

Frequently Asked Questions

What is the format of the Afghanistan Nursing Exit Exam?

The examination is a paper-and-pencil four-option multiple-choice test on OMR sheets administered under NExA supervision. The Ministry of Public Health announces each sitting and publishes a nursing subject reference, but not a standing item count or session length.

Who is required to take the Nursing Exit Exam?

All graduates of 3-year High Nursing diploma programs from public (Ghazanfar IHS) and private Institutes of Health Sciences in Afghanistan.

What is the passing score and registration fee?

The Ministry of Public Health sets the pass mark and registration fee for each announced sitting; neither is published as a standing value. Registration is completed before biometric verification.

What language is the official examination administered in?

The official exam is in Dari and Pashto. Our practice bank provides an English-language MCQ adaptation for study and self-assessment.