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100+ Free NHRA Nurse Exam Practice Questions

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A nurse is caring for a client with acute kidney injury who has a serum potassium of 6.8 mmol/L and peaked T waves on the ECG. Which medication order should the nurse anticipate FIRST to protect the heart?

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Sample NHRA Nurse Exam Practice Questions

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

1A 68-year-old man with chronic heart failure is admitted with worsening dyspnea, bilateral basal crackles, and pitting pedal edema. The physician orders intravenous furosemide. Which laboratory value should the nurse monitor most closely during therapy?
A.Serum potassium
B.Serum calcium
C.Serum amylase
D.Serum bilirubin
Explanation: Furosemide is a loop diuretic that promotes renal excretion of potassium along with sodium and water, so hypokalemia is the most important and common electrolyte disturbance to monitor. Hypokalemia increases the risk of cardiac dysrhythmias, especially in a patient who may also be on digoxin.
2A nurse is caring for a client 2 days after an acute myocardial infarction. The client suddenly reports crushing chest pain radiating to the left arm. After ensuring safety, what is the nurse's FIRST priority action?
A.Obtain a 12-lead ECG and notify the physician
B.Document the episode in the chart
C.Encourage the client to take slow deep breaths
D.Reassure the client that the pain is normal after MI
Explanation: Recurrent chest pain after MI may indicate extension of infarction or reinfarction and is an emergency. Obtaining a 12-lead ECG and notifying the physician allows rapid assessment of ischemic changes so treatment (oxygen, nitrates, analgesia) can begin promptly.
3A client with type 1 diabetes mellitus is found drowsy, with cool clammy skin, tremors, and a capillary blood glucose of 3.0 mmol/L. The client is conscious and able to swallow. What is the most appropriate immediate nursing action?
A.Administer 15 grams of a fast-acting oral carbohydrate
B.Give the next scheduled dose of subcutaneous insulin
C.Encourage the client to eat a high-protein meal
D.Withhold all intake until the physician reviews the client
Explanation: A blood glucose of 3.0 mmol/L with symptoms indicates hypoglycemia. For a conscious client who can swallow, giving 15 grams of fast-acting carbohydrate (such as glucose tablets or juice) and rechecking in 15 minutes is the standard 'rule of 15' treatment.
4A nurse is assessing a client admitted with acute exacerbation of chronic obstructive pulmonary disease (COPD). Which oxygen delivery target is generally most appropriate for this client?
A.Maintain SpO2 at 100% using a non-rebreather mask
B.Maintain SpO2 below 85% to stimulate respiration
C.Withhold oxygen entirely to avoid suppressing the drive to breathe
D.Maintain SpO2 between 88% and 92%
Explanation: In COPD with chronic carbon dioxide retention, the target oxygen saturation is typically 88-92% to prevent hypoxia while avoiding suppression of the hypoxic respiratory drive and worsening hypercapnia. Controlled oxygen therapy balances these risks.
5A client is admitted with suspected acute pancreatitis. Which assessment finding would the nurse expect to support this diagnosis?
A.Painless jaundice with clay-colored stools
B.Severe epigastric pain radiating to the back, relieved by leaning forward
C.Burning retrosternal pain worsened by lying flat after meals
D.Crampy lower abdominal pain relieved by defecation
Explanation: Acute pancreatitis classically presents with severe, constant epigastric pain that radiates to the back and is often partially relieved by leaning forward (the knee-chest or fetal position). Elevated serum amylase and lipase confirm the diagnosis.
6A nurse is caring for a client with acute kidney injury who has a serum potassium of 6.8 mmol/L and peaked T waves on the ECG. Which medication order should the nurse anticipate FIRST to protect the heart?
A.Intravenous calcium gluconate
B.Oral sodium polystyrene sulfonate
C.Intravenous normal saline bolus
D.Subcutaneous erythropoietin
Explanation: Severe hyperkalemia with ECG changes is a medical emergency. Intravenous calcium gluconate is given first to stabilize the cardiac membrane and protect against fatal dysrhythmias, even though it does not lower the potassium level itself.
7A client recovering from a total hip replacement asks the nurse how to prevent dislocation of the new joint. Which instruction is correct?
A.Cross your legs at the knees when sitting
B.Bend forward at the hips beyond 90 degrees to put on socks
C.Keep a pillow between your legs to maintain abduction
D.Sleep on the operated side without support
Explanation: After total hip replacement, the prosthesis is most stable when the hip is kept abducted and not flexed beyond 90 degrees. Placing an abduction pillow between the legs prevents adduction and internal rotation, which are the positions that most commonly cause dislocation.
8A nurse is monitoring a client receiving a unit of packed red blood cells. Fifteen minutes into the transfusion the client develops fever, chills, flank pain, and dark urine. What is the nurse's priority action?
A.Slow the transfusion rate and continue observing
B.Increase the transfusion rate to finish the unit quickly
C.Administer an antipyretic and resume the transfusion
D.Stop the transfusion immediately and keep the IV line open with normal saline
Explanation: Fever, chills, flank pain, and hemoglobinuria suggest an acute hemolytic transfusion reaction, which is life-threatening. The transfusion must be stopped immediately, and the IV kept patent with normal saline using new tubing to maintain access and support renal perfusion while the physician and blood bank are notified.
9A client with cirrhosis develops confusion, asterixis (flapping tremor), and a rising serum ammonia level. The nurse anticipates administration of which medication to reduce ammonia?
A.Lactulose
B.Loperamide
C.Omeprazole
D.Furosemide
Explanation: These findings indicate hepatic encephalopathy. Lactulose lowers blood ammonia by acidifying the colon, trapping ammonia as ammonium for excretion, and increasing bowel transit, thereby improving mental status.
10A nurse is caring for a client with a new tracheostomy. Which finding requires the MOST immediate intervention?
A.Small amount of clear secretions in the tracheostomy tube
B.Sudden onset of high-pitched whistling and visible accessory muscle use
C.Mild redness at the stoma site
D.Client communicating by writing on a notepad
Explanation: A high-pitched whistling sound with accessory muscle use suggests airway obstruction of the tracheostomy, which is an emergency. Immediate suctioning or assessment of tube patency is required to prevent respiratory arrest; airway always takes priority.

About the NHRA Nurse Exam Exam

The NHRA Nurse Licensure Examination, also known as the Bahrain Nursing Licensure Examination (BNLE), is the mandatory Prometric computer-based test that internationally trained and local nurses must pass to be licensed by the National Health Regulatory Authority in the Kingdom of Bahrain. It is built around approximately 100 case-based MCQs assessing safe general nursing practice. Candidates apply through NHRA, complete DataFlow verification, and book the exam via Prometric.

Assessment

Computer-based single-best-answer MCQ exam delivered at Prometric centers; case-based, scenario-driven questions across general nursing practice with no negative marking.

Time Limit

Approximately 2 hours 30 minutes (seating time around 3 hours)

Passing Score

50% for nursing/midwifery/allied per the official NHRA licensure procedure; some sources cite 60%. No negative marking. Confirm the current standard with NHRA.

Exam Fee

Prometric fee approximately USD 140-190 per attempt, plus separate NHRA application/registration and DataFlow verification fees; exact amounts vary by source and category. (Bahrain National Health Regulatory Authority (NHRA))

NHRA Nurse Exam Exam Content Outline

32%

Medical-Surgical (Adult) Nursing

Care of adults with cardiac, respiratory, renal, endocrine, neurological, gastrointestinal, musculoskeletal and perioperative conditions, plus prioritization and complication management.

10%

Pharmacology

Safe medication administration, dosage and IV flow-rate calculation, drug actions, adverse effects, antidotes and high-alert medications.

10%

Fundamentals of Nursing

Vital signs, physical assessment, the nursing process, documentation, body mechanics, pain assessment, nutrition and culturally competent care.

10%

Pediatric Nursing

Growth and development, pediatric dosing, immunization, common childhood illnesses, neonatal care and pediatric emergencies.

9%

Infection Control and Patient Safety

Hand hygiene, isolation and standard precautions, PPE, sharps and needlestick safety, medication safety, fall prevention and incident reporting.

9%

Professional Ethics and Bahrain Regulations

NHRA licensing and CPD renewal, scope of practice, informed consent, confidentiality, delegation, accountability and legal documentation.

8%

Mental Health Nursing

Therapeutic communication, anxiety and panic, suicide risk, schizophrenia, mood disorders, psychotropic drug safety, dementia and substance use.

7%

Maternal and Newborn Nursing

Antenatal danger signs, intrapartum fetal monitoring, postpartum hemorrhage, pre-eclampsia, newborn assessment and breastfeeding.

5%

Community Health Nursing

Levels of prevention and care, communicable disease reporting, home safety, health promotion and school health in the Bahrain/Gulf context.

How to Pass the NHRA Nurse Exam Exam

What You Need to Know

  • Passing score: 50% for nursing/midwifery/allied per the official NHRA licensure procedure; some sources cite 60%. No negative marking. Confirm the current standard with NHRA.
  • Assessment: Computer-based single-best-answer MCQ exam delivered at Prometric centers; case-based, scenario-driven questions across general nursing practice with no negative marking.
  • Time limit: Approximately 2 hours 30 minutes (seating time around 3 hours)
  • Exam fee: Prometric fee approximately USD 140-190 per attempt, plus separate NHRA application/registration and DataFlow verification fees; exact amounts vary by source and category.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

NHRA Nurse Exam Study Tips from Top Performers

1Prioritize medical-surgical (adult) nursing and pharmacology, including dosage and IV flow-rate calculations, since these make up the largest share of the exam.
2Practice with case-based, scenario-driven MCQs that ask for the safest or highest-priority action, because the exam tests clinical judgment rather than pure recall.
3Review Bahrain/NHRA professional regulations, scope of practice, infection control and patient safety, and use full-length timed mocks to build pacing for the 2.5-hour test.

Frequently Asked Questions

How many questions are on the NHRA nurse exam and how long is it?

The NHRA nurse exam (BNLE) is a Prometric computer-based test of roughly 100 single-best-answer multiple-choice questions, completed in about 2 hours 30 minutes of testing time (seating time is around 3 hours). There is no negative marking.

What is the passing score for the NHRA nurse licensure exam?

The official NHRA licensure procedure document sets the pass mark for nursing, midwifery and allied professions at 50%, while several preparation providers cite 60% and advise aiming for 70% or higher. Confirm the current standard directly with NHRA, as published figures vary.

Who administers the NHRA nurse exam and how do I register?

The exam is set by Bahrain's National Health Regulatory Authority (NHRA) and delivered through Prometric test centers. Candidates first submit a license application to NHRA, complete DataFlow primary source verification, receive an eligibility code, and then book the exam through Prometric.

How long are NHRA nurse exam results valid?

Passing results for the Bahrain Nursing Licensure Examination are valid for 5 years. Nurses must hold a current NHRA license and maintain it through continuing professional development (CPD) credits during each renewal cycle.