100+ Free ORDENFA National Exam Practice Questions

Prepare for the Exame Nacional de Acesso da Ordem dos Enfermeiros de Angola (ORDENFA) exam with instant access — no signup required.

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2026 Statistics

Key Facts: ORDENFA National Exam Exam

Decreto 179/10

Governing Statute

Diário da República de Angola

Mandatory

Licensing Requirement

Ordem dos Enfermeiros de Angola

10 / 20

Minimum Final Grade

Regulamento n.º 1/23 (art. 33)

Written + Practical

Official Exam Format

Regulamento n.º 1/23 (art. 26)

3 hours max

Written Paper Duration

Regulamento n.º 1/23 (art. 27)

3 per year

Exam Sittings

Regulamento n.º 1/23 (arts. 17, 23)

Portuguese

Official Exam Language

Ordem dos Enfermeiros de Angola

The ORDENFA Exame Nacional de Acesso is Angola's statutory licensing gateway for nurses, created under Decreto Presidencial n.º 179/10 and regulated by Regulamento n.º 1/23. It evaluates theoretical clinical competence, nursing fundamentals, pharmacotherapy, medical-surgical care, maternal-child health, prevalent diseases, and professional deontology through a written paper plus a laboratory practical.

Sample ORDENFA National Exam Practice Questions

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

1In the professional practice of nursing, what is the correct chronological sequence of the five interrelated phases of the Nursing Process (Sistematização da Assistência de Enfermagem - SAE)?

A.Nursing Diagnosis, Medical Prescription, Implementation, Assessment, and Discharge

B.Planning, Nursing Assessment, Intervention, Evaluation, and Prognosis

C.Nursing Assessment (Investigação), Nursing Diagnosis, Planning, Implementation, and Evaluation

D.Nursing Assessment, Planning, Medical Diagnosis, Execution, and Outcome Review

Explanation: The Nursing Process consists of five systematic, dynamic, and interrelated phases: Assessment (Investigação/Coleta de dados), Nursing Diagnosis (Diagnóstico de Enfermagem), Planning (Planeamento), Implementation (Implementação), and Evaluation (Avaliação do processo).

2According to standard clinical guidelines for adult vital signs, what are the normal reference parameters for resting blood pressure in a healthy adult?

A.Systolic blood pressure between 140 and 159 mmHg and diastolic blood pressure between 90 and 99 mmHg

B.Systolic blood pressure below 120 mmHg and diastolic blood pressure below 80 mmHg

C.Systolic blood pressure between 130 and 139 mmHg and diastolic blood pressure between 85 and 89 mmHg

D.Systolic blood pressure below 90 mmHg and diastolic blood pressure below 60 mmHg

Explanation: Normal resting adult blood pressure is defined as a systolic pressure < 120 mmHg and a diastolic pressure < 80 mmHg. Values from 120-129/<80 are considered elevated, while >= 130/80 mmHg meets the diagnostic threshold for hypertension.

3What is the standard methodological sequence for conducting a general physical examination on an adult patient?

A.Palpation, Inspection, Auscultation, and Percussion

B.Auscultation, Percussion, Inspection, and Palpation

C.Percussion, Palpation, Auscultation, and Inspection

D.Inspection, Palpation, Percussion, and Auscultation

Explanation: The standard sequence of physical examination for most body systems (respiratory, cardiovascular, musculoskeletal, neurological) is Inspection (Inspecção), Palpation (Palpação), Percussion (Percussão), and Auscultation (Auscultação).

4Why is the sequence of physical examination modified specifically during abdominal assessment to Inspection, Auscultation, Percussion, and Palpation?

A.Palpation and percussion can stimulate peristalsis and artificially alter bowel sounds prior to auscultation

B.Auscultation must always be performed when the abdominal musculature is completely tensed from palpation

C.Inspection and percussion provide all diagnostic data without the need for manual palpation

D.Bowel motility ceases permanently if deep palpation is performed before percussion

Explanation: During abdominal examination, auscultation is performed immediately after inspection (before percussion and palpation) because mechanical manipulation of the abdominal wall during palpation and percussion can stimulate or alter bowel motility (ruídos hidroaéreos), yielding inaccurate auscultatory findings.

5Which bed elevation angle corresponds to the High-Fowler position, and in which clinical situation is it most urgently indicated?

A.Head of bed elevated 15 to 30 degrees; indicated for pelvic surgery recovery

B.Bed completely horizontal with feet elevated 45 degrees; indicated for severe hypoxemia

C.Head of bed elevated 60 to 90 degrees; indicated for acute respiratory distress and severe orthopnea

D.Head of bed elevated 30 to 45 degrees; indicated exclusively for spinal cord shock

Explanation: The High-Fowler position involves elevating the head of the bed to 60-90 degrees. This position maximizes thoracic expansion, lowers abdominal organs away from the diaphragm, and facilitates easier breathing for patients in acute respiratory distress.

6What is the primary hemodynamic purpose and risk of placing a patient in the Trendelenburg position (bed tilted with feet higher than head)?

A.It decreases central venous pressure while permanently curing cardiogenic pulmonary edema

B.It prevents aspiration of gastric contents during general anesthesia induction without affecting cerebral perfusion

C.It accelerates renal filtration while completely eliminating the risk of cerebral edema

D.It promotes venous return from lower extremities in acute hypotension, but increases intracranial pressure and restricts diaphragmatic excursion

Explanation: Trendelenburg position tilts the patient supine with feet higher than the head, temporarily shifting blood volume toward the central circulation to improve venous return. However, it increases intracranial and intraocular pressure, impedes diaphragmatic movement, and increases the work of breathing.

7Where is the precise anatomical landmark located for auscultating the apical pulse (point of maximal impulse - PMI) in an adult?

A.Second intercostal space at the right sternal border

B.Fifth intercostal space at the left midclavicular line

C.Second intercostal space at the left sternal border

D.Fourth intercostal space at the right midclavicular line

Explanation: The apical pulse (ictus cordis / PMI) is located at the apex of the heart, anatomically positioned at the fifth intercostal space (5th ICS) along the left midclavicular line (MCL) in adults.

8What are the three behavioral assessment components and the minimum/maximum score range of the Glasgow Coma Scale (GCS)?

A.Eye opening (1-4), Verbal response (1-5), and Motor response (1-6); total score ranges from 3 to 15

B.Pupillary reflex (1-5), Respiration (1-5), and Mobility (1-5); total score ranges from 0 to 15

C.Eye opening (1-3), Speech (1-3), and Reflexes (1-4); total score ranges from 1 to 10

D.Blood pressure (1-4), Pulse (1-4), and Temperature (1-4); total score ranges from 3 to 12

Explanation: The Glasgow Coma Scale evaluates three parameters: Eye Opening (E: 1-4 points), Verbal Response (V: 1-5 points), and Motor Response (M: 1-6 points). The lowest possible score is 3 (deep coma or brain death) and the maximum is 15 (fully alert and oriented).

9According to the international National Pressure Injury Advisory Panel (NPIAP) staging system, which clinical finding characterizes a Stage 2 pressure ulcer (lesão por pressão de estágio 2)?

A.Non-blanchable erythema of intact skin over a bony prominence

B.Full-thickness skin loss with visible subcutaneous adipose tissue, slough, and epibole

C.Full-thickness skin and tissue loss with directly palpable exposed muscle, tendon, ligament, or bone

D.Partial-thickness skin loss with exposed dermis, presenting as a shallow open ulcer with a red/pink wound bed or an intact/ruptured serum-filled blister

Explanation: A Stage 2 pressure injury presents with partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist, and may present as an intact or ruptured serum-filled blister. Granulation tissue, slough, and eschar are not present.

10Which six clinical subscales constitute the Braden Scale used by nurses to predict pressure injury risk in hospitalized patients?

A.Age, Blood pressure, Oxygen saturation, Capillary refill, Consciousness, and Edema

B.Sensory perception, Moisture, Activity, Mobility, Nutrition, and Friction & Shear

C.Body mass index, Pain score, Serum albumin, Hemoglobin, Temperature, and Hygiene

D.Physical condition, Mental state, Incontinence, Hydration, Sleep quality, and Pulse rate

Explanation: The Braden Scale assesses six risk domains: Sensory Perception, Moisture, Activity, Mobility, Nutrition, and Friction & Shear. Total scores range from 6 to 23, with lower scores indicating higher risk of developing pressure injuries (<= 18 considered at risk in hospital settings).

About the ORDENFA National Exam Exam

The Exame Nacional de Acesso à Ordem dos Enfermeiros de Angola (ORDENFA) is the mandatory national qualifying examination introduced by ORDENFA in 2023 (announced in 2022) under the Estatuto Orgânico (Decreto Presidencial n.º 179/10) and the Regulamento de Acesso à Enfermagem (Regulamento n.º 1/23). Passing this examination is legally required for nursing graduates (Licenciados, Bacharéis, Técnicos Médios/Básicos, and foreign-trained nurses with recognized equivalence) to obtain the professional nursing licence (Carteira Profissional) and practise legally throughout Angola.

Assessment

Under Regulamento n.º 1/23 (Regulamento de Acesso à Enfermagem), the examination comprises: (1) a single written theoretical paper integrating all official modules (nursing fundamentals, anatomy, pharmacotherapy, medication administration, medical-surgical nursing, women's health, pediatric health, most frequent diseases, professional deontology, Portuguese language, and management/leadership), delivered physically or digitally with a maximum duration of 3 hours; and (2) a laboratory practical evaluation of 15 to 30 minutes per candidate. Each module is graded from 0 to 20 values; the final classification is the average across modules, and admission requires a final classification of at least 10 values (art. 33).

Time Limit

Written paper: up to 3 hours; laboratory practical: 15-30 minutes per candidate

Passing Score

Final classification of at least 10 out of 20 values (average across examined modules) required for admission (Regulamento n.º 1/23, art. 33)

Exam Fee

Set per examination cycle by the Direcção Executiva Nacional da ORDENFA (Regulamento n.º 1/23, art. 30); a fixed national fee amount is not published (Ordem dos Enfermeiros de Angola (ORDENFA))

ORDENFA National Exam Exam Content Outline

20%

Fundamentals of Nursing & Clinical Semiotics

Nursing process (SAE), vital signs assessment, physical examination, patient positioning, comfort, and fluid balance

15%

Biosafety, Aseptic Technique & Infection Control

Standard precautions, transmission-based precautions, WHO hand hygiene, sterilization, and waste management

15%

Pharmacology, Medication Administration & Calculations

Medication rights, parenteral/enteral routes, IV drip rate formulas, pediatric dosages, and high-alert drug safety

20%

Medical-Surgical Nursing & Emergency Care

Perioperative care, blood transfusion protocols, emergency life support (BLS), shock, and acute/chronic clinical disorders

15%

Maternal, Neonatal & Pediatric Health

Antenatal care (CPN), labor management, postpartum hemorrhage prevention, APGAR scoring, newborn care, and AIDI/IMCI

15%

Public Health, Endemic Diseases & ORDENFA Ethics/Legislation

Malaria, tuberculosis, HIV, cholera protocols, immunization (PAV), cold chain, ORDENFA Code of Ethics, and nursing career laws

How to Pass the ORDENFA National Exam Exam

What You Need to Know

Passing score: Final classification of at least 10 out of 20 values (average across examined modules) required for admission (Regulamento n.º 1/23, art. 33)
Assessment: Under Regulamento n.º 1/23 (Regulamento de Acesso à Enfermagem), the examination comprises: (1) a single written theoretical paper integrating all official modules (nursing fundamentals, anatomy, pharmacotherapy, medication administration, medical-surgical nursing, women's health, pediatric health, most frequent diseases, professional deontology, Portuguese language, and management/leadership), delivered physically or digitally with a maximum duration of 3 hours; and (2) a laboratory practical evaluation of 15 to 30 minutes per candidate. Each module is graded from 0 to 20 values; the final classification is the average across modules, and admission requires a final classification of at least 10 values (art. 33).
Time limit: Written paper: up to 3 hours; laboratory practical: 15-30 minutes per candidate
Exam fee: Set per examination cycle by the Direcção Executiva Nacional da ORDENFA (Regulamento n.º 1/23, art. 30); a fixed national fee amount is not published

Keys to Passing

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ORDENFA National Exam Study Tips from Top Performers

1Master the five phases of the Nursing Process (Sistematização da Assistência de Enfermagem - SAE)

2Practice intravenous drip rate calculations (gtts/min and microgtts/min) and pediatric weight-based medication dosages

3Thoroughly review national guidelines for endemic diseases in Angola, including malaria treatment with ACTs, tuberculosis DOTS protocols, and PAV vaccination schedules

4Study standard and transmission-based precautions, WHO 5 moments for hand hygiene, and biomedical waste sorting

5Understand the Estatuto Orgânico da ORDENFA (Decreto Presidencial n.º 179/10) and the Código de Ética e Deontologia (Deliberação n.º 12/2016), particularly rules on professional secrecy and patient autonomy

Frequently Asked Questions

What is the Exame Nacional de Acesso da ORDENFA?

The Exame Nacional de Acesso is the mandatory national qualifying examination organized by the Ordem dos Enfermeiros de Angola (ORDENFA) under the Estatuto Orgânico (Decreto Presidencial n.º 179/10) and the Regulamento de Acesso à Enfermagem (Regulamento n.º 1/23). Passing this examination is legally required for nursing graduates to obtain the professional nursing licence (Carteira Profissional) to practise legally in Angola.

Who is required to sit for the ORDENFA examination?

All graduates holding a Licenciatura, Bacharelato, or Técnico Médio/Básico qualification in nursing from recognized Angolan institutions, as well as Angolan and foreign nationals with nursing degrees obtained abroad (with equivalence recognized by the competent authorities, such as INAAREES), must pass the examination to register with ORDENFA. The candidate's name must also appear on the training institution's final grade roster sent to ORDENFA.

What is the structure and grading system of the ORDENFA exam?

The exam consists of a single written theoretical paper integrating all official modules (delivered physically or digitally, maximum 3 hours) plus a laboratory practical evaluation of 15 to 30 minutes per candidate. Each module is graded from 0 to 20 values; the final classification is the average across modules, and candidates are admitted with a final classification of at least 10 values (Regulamento n.º 1/23, arts. 26-27 and 33).

What key clinical topics are assessed on the ORDENFA exam?

The examination covers the official modules of ORDENFA's access framework: Fundamentos de Enfermagem, Anatomia, Farmacoterapia, Administração de Medicamentos, Enfermagem Médico-Cirúrgica, Saúde da Mulher, Saúde Pediátrica, Doenças Mais Frequentes, Deontologia Profissional, Língua Portuguesa, and Gestão e Liderança. Our practice bank covers the clinical and deontological core of these modules.

How often is the ORDENFA examination administered?

The national examination is called three times per civil year (trimestral), held simultaneously across the national territory by convocation of the Direcção Executiva Nacional; first-sitting registrations open in January (Regulamento n.º 1/23, arts. 17 and 23).

Is this question bank an official ORDENFA test simulation?

No. This question bank is an independent English-language MCQ study adaptation designed to help candidates master the clinical knowledge, pharmacology formulas, disease protocols, and ethical principles assessed by the official examination. The official ORDENFA exam is conducted in Portuguese and includes a mandatory laboratory practical evaluation; this bank does not simulate the official format and is no substitute for practical-skills preparation.