Free Practice Questions for Egypt Nursing Licensure Exam

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Key Facts: Egypt Nursing Licensure Exam Exam

100

Multiple-Choice Questions

Egyptian Health Council (EHC)

3 Hours

Maximum Exam Duration

EHC Examination Regulations

EGP 200

First Sitting Fee (Egyptian Candidates)

EHC Round Announcements

5 Years

Renewable Practice Licence Duration

Law No. 12 of 2022

6 Months

Minimum Internship Required Before Sitting

EHC Eligibility Rules

Pass / Fail

Result Format (No Numeric Cut Score Published)

EHC Practice Exam Rules

The Egypt nursing licensure exam is Egypt's mandatory national licensure exam under Law No. 12 of 2022 for BSN graduates after at least 6 months of internship. It consists of 100 MCQs taken in up to 3 hours via remotely proctored computer testing. Passing is required for the 5-year renewable professional practice licence. Fee is EGP 200 for Egyptian candidates.

Sample Egypt Nursing Licensure Exam Practice Questions

Try these sample questions to review concepts for the Egypt Nursing Licensure Exam exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 58-year-old male with acute myocardial infarction is admitted to the coronary care unit. The nurse notes sudden onset of ventricular tachycardia on the cardiac monitor. The patient is unresponsive and has no palpable carotid pulse. Which action must the nurse take immediately?

A.Initiate immediate cardiopulmonary resuscitation (CPR) and prepare for defibrillation

B.Administer an intravenous bolus of amiodarone 150 mg over 10 minutes

C.Perform synchronized electrical cardioversion at 100 Joules

D.Deliver 100% oxygen via a non-rebreather mask and elevate the legs

Explanation: Pulseless ventricular tachycardia is a non-perfusing cardiac arrest rhythm managed identically to ventricular fibrillation. Immediate high-quality chest compressions and early unsynchronized defibrillation are the critical initial interventions. Pharmacotherapy and advanced airway management follow basic life support and defibrillation.

2A 45-year-old female who underwent total thyroidectomy 18 hours ago reports numbness and tingling around her lips and in her fingertips. Her vital signs are stable. Which diagnostic assessment should the nurse perform first?

A.Evaluate the surgical dressing for active hemorrhage or neck hematoma

B.Auscultate the anterior trachea for inspiratory high-pitched stridor

C.Check the patient's vocal clarity to assess for recurrent laryngeal nerve damage

D.Inflate a blood pressure cuff on the upper arm to assess for Trousseau sign

Explanation: Perioral paresthesia and digital tingling after thyroidectomy are classic early warning signs of acute hypocalcemia resulting from accidental parathyroid gland removal or ischemia. Inflating a blood pressure cuff above systolic pressure for 3 minutes evaluates for carpopedal spasm (Trousseau sign), confirming latent neuromuscular irritability.

3A 62-year-old male with chronic obstructive pulmonary disease (COPD) is admitted with acute hypercapnic respiratory failure. Arterial blood gas (ABG) analysis reveals: pH 7.28, PaCO2 62 mmHg, PaO2 55 mmHg, and HCO3- 31 mEq/L. How should the nurse interpret these findings?

A.Fully compensated metabolic acidosis with moderate hypoxemia

B.Uncompensated respiratory acidosis with secondary metabolic compensation

C.Partially compensated respiratory acidosis with hypoxemia

D.Combined mixed respiratory and metabolic alkalosis

Explanation: The pH is acidemic (< 7.35), the PaCO2 is elevated (> 45 mmHg) pointing to a primary respiratory etiology, and the HCO3- is elevated (> 26 mEq/L) reflecting renal retention of bicarbonate as a compensatory buffer. Because the pH has not returned to the normal reference range (7.35–7.45), this is classified as partially compensated respiratory acidosis.

4A 70-year-old patient admitted with septic shock is receiving aggressive intravenous fluid resuscitation. The central venous pressure (CVP) is 14 mmHg, mean arterial pressure (MAP) is 54 mmHg, and urine output over the past 2 hours has been 12 mL/hr. Which medical order should the nurse anticipate next?

A.Infuse a rapid 1,000 mL bolus of 0.45% normal saline over 30 minutes

B.Administer intravenous furosemide 40 mg to promote immediate diuresis

C.Transfuse two units of fresh frozen plasma to expand intravascular volume

D.Initiate a continuous infusion of norepinephrine titrated to maintain MAP >= 65 mmHg

Explanation: According to Surviving Sepsis Campaign guidelines, when fluid resuscitation has restored central venous filling (CVP 8–12 mmHg or higher) but mean arterial pressure remains inadequate (< 65 mmHg) with persistent hypoperfusion (oliguria), the first-line vasopressor of choice is norepinephrine. Norepinephrine restores vascular tone and vital organ perfusion.

5A nurse is caring for a patient who has a closed-chest drainage system for a traumatic pneumothorax. During the shift assessment, the nurse observes continuous, vigorous bubbling in the water-seal chamber. What does this observation indicate?

A.Normal functioning of the system during deep exhalation or coughing

B.An active air leak within the drainage circuit or from the pleural space

C.Complete re-expansion of the affected lung tissue

D.Obstruction of the drainage tube by a blood clot or fibrinous exudate

Explanation: Continuous bubbling in the water-seal chamber of a chest drainage unit indicates that air is entering the system, signifying either a persistent air leak from the lung parenchyma or a disconnection/leak in the tubing connections. Intermittent bubbling during expiration or coughing is expected with an unhealed pneumothorax, but continuous bubbling requires immediate systematic inspection.

6A 24-year-old male with type 1 diabetes is admitted to the medical intensive care unit with diabetic ketoacidosis (DKA). His blood glucose is 540 mg/dL, serum potassium is 3.1 mEq/L, and arterial pH is 7.15. Which nursing action takes precedence before initiating continuous intravenous regular insulin?

A.Administer an intravenous push of 50 mEq sodium bicarbonate

B.Administer a subcutaneous dose of long-acting insulin glargine

C.Administer intravenous potassium replacement until serum potassium is above 3.3 mEq/L

D.Administer an intravenous bolus of regular insulin at 0.1 units/kg

Explanation: Insulin drives potassium from the extracellular fluid into cells, causing a rapid decline in serum potassium levels. If insulin is administered when serum potassium is already dangerously low (< 3.3 mEq/L), severe hypokalemia can trigger fatal ventricular arrhythmias and respiratory muscle paralysis. Clinical guidelines mandate replenishing potassium before starting insulin therapy.

7A 68-year-old male with a history of hypertension arrives at the emergency department exhibiting right-sided facial droop, slurred speech, and right arm weakness. Symptoms began exactly 75 minutes ago. Which diagnostic examination is the highest priority?

A.12-lead electrocardiogram to evaluate for atrial fibrillation

B.Lumbar puncture to analyze cerebrospinal fluid for elevated protein

C.Carotid Doppler ultrasound to evaluate internal carotid artery stenosis

D.Non-contrast computed tomography (CT) scan of the brain

Explanation: In acute stroke evaluation, immediate non-contrast head CT is essential to differentiate between ischemic stroke and intracranial hemorrhage. Intravenous thrombolysis (alteplase/tenecteplase) is time-sensitive (within 4.5 hours of symptom onset) and strictly contraindicated in the presence of intracranial hemorrhage.

8A patient recovering from abdominal surgery has a patient-controlled analgesia (PCA) pump delivering intravenous morphine. Upon entering the room, the nurse notes the patient is sleeping soundly, respiratory rate is 7 breaths/min, and oxygen saturation is 86% on room air. What is the nurse's immediate priority?

A.Attempt vigorous verbal and tactile stimulation, stop the PCA, and prepare naloxone

B.Apply supplemental oxygen at 2 L/min via nasal cannula and check again in 15 minutes

C.Review the PCA pump history to determine the number of demands delivered

D.Position the patient in high Fowler position and document the findings

Explanation: A respiratory rate of 7 breaths/min with hypoxemia in a patient receiving opioid analgesia indicates life-threatening opioid-induced respiratory depression. The nurse must immediately stimulate the patient, halt the opioid delivery device, support oxygenation/ventilation, and prepare to administer the opioid antagonist naloxone.

9A 35-year-old worker sustains second- and third-degree thermal burns covering the entire anterior chest, abdomen, and the entire right upper extremity. According to the Rule of Nines, what is the total body surface area (TBSA) percentage burned?

A.18 percent

B.36 percent

C.27 percent

D.45 percent

Explanation: According to the Wallace Rule of Nines: the entire anterior torso (chest 9% + abdomen 9%) accounts for 18%, and the entire right upper extremity (circumferential arm, forearm, hand) accounts for 9%. Summing these values gives 18% + 9% = 27% TBSA.

10A 70 kg adult patient with 40% TBSA burns arrives at the emergency department 1 hour post-injury. Using the Parkland formula (4 mL x kg x % TBSA of lactated Ringer solution), what is the prescribed fluid infusion rate in mL/hr for the first 7 hours remaining of the initial 8-hour resuscitation period?

A.700 mL/hr

B.1,400 mL/hr

C.1,120 mL/hr

D.800 mL/hr

Explanation: Total 24-hour requirement = 4 mL x 70 kg x 40 = 11,200 mL. Half of this volume (5,600 mL) must be infused within the first 8 hours from the TIME OF INJURY. Because 1 hour has already elapsed, the remaining 5,600 mL must be delivered over the remaining 7 hours: 5,600 mL / 7 hr = 800 mL/hr.

About the Egypt Nursing Licensure Exam Exam

The Egypt National Examination for the Practice of Nursing and Midwifery is the mandatory national professional licensing examination established under Law No. 12 of 2022 and administered by the Egyptian Health Council (EHC). Baccalaureate nursing and midwifery graduates (BSN) who have completed at least six months of their mandatory 12-month post-graduate internship training must pass this computer-based examination to obtain the statutory five-year renewable licence to practice nursing in the Arab Republic of Egypt. The examination features 100 multiple-choice questions administered over up to three hours under remote camera proctoring on the candidate's personal device. Candidates may attempt up to three real sittings per examination round, with the score of the LAST attempt counting. Practice domain weightings in this question bank derive from the National Academic Reference Standards (NARS Nursing 2nd edition 2017, issued by NAQAAE under Law No. 82 of 2006) combined with entry-to-practice clinical scope, rather than an EHC domain blueprint. NARS standards serve as a national competency benchmark rather than a prescribed curriculum.

Exam sponsor: Egyptian Health Council (EHC). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The examination comprises 100 single-best-answer multiple-choice questions delivered over a single sitting of up to 3 hours via remote computer-based testing with camera proctoring on the candidate's personal device.

Time Limit

Up to 3 hours

Passing Score

Reported as pass or fail without grades; EHC does not publish a numeric cut score.

Exam / Certification Fees

EGP 200 (first attempt for Egyptian candidates; non-Egyptian candidate fee unpublished)

Exam sponsor website

Reported exam pass rate: Not publicly released as a fixed statistical percentage by the EHC.. Results are issued strictly on a pass/fail basis in candidate accounts following review by the EHC Examination Committee. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

22%

Adult Health Nursing & Critical Care

Cardiovascular, respiratory, neurological, metabolic, and perioperative nursing care, emergency triage, ICU monitoring, and acute clinical pharmacotherapy.

18%

Maternal & Newborn Health Nursing / Midwifery

Antenatal surveillance, intrapartum labor monitoring, normal delivery and obstetric emergencies, postpartum care, neonatal resuscitation, and family health.

14%

Pediatric & Child Health Nursing

Pediatric developmental assessment, dehydration management, Integrated Management of Childhood Illness (IMCI), pediatric emergencies, and childhood vaccination.

14%

Community & Public Health Nursing

Primary healthcare principles, national vaccination programs, epidemiological investigation, environmental hygiene, family planning, and community health education.

12%

Psychiatric & Mental Health Nursing

Therapeutic communication, psychiatric assessment, crisis intervention, mood and psychotic disorders, suicidal behavior, and psychotropic medication safety.

10%

Nursing Leadership, Management & Quality

Clinical prioritization, task delegation, interprofessional communication, healthcare quality standards (GAHAR), conflict management, and patient advocacy.

10%

Patient Safety, Infection Control & Professional Ethics

Infection prevention and control precautions, safe medication delivery, clinical negligence avoidance, patient autonomy, informed consent, and EHC professional ethics.

Preparing for the Egypt Nursing Licensure Exam Exam

What You Need to Know

Passing score: Reported as pass or fail without grades; EHC does not publish a numeric cut score.
Assessment: The examination comprises 100 single-best-answer multiple-choice questions delivered over a single sitting of up to 3 hours via remote computer-based testing with camera proctoring on the candidate's personal device.
Time limit: Up to 3 hours
Exam / certification fees: EGP 200 (first attempt for Egyptian candidates; non-Egyptian candidate fee unpublished) Official sources

Using Our Practice Resources

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

Egypt Nursing Licensure Exam: Suggested Study Strategy

1Review high-acuity nursing priorities including the ABCDE assessment framework, early signs of septic shock, and diabetic ketoacidosis management.

2Master obstetric milestones, Partograph interpretation, postpartum hemorrhage resuscitation protocols, and neonatal Apgar score assessment.

3Study pediatric dehydration stages and the WHO Integrated Management of Childhood Illness (IMCI) oral rehydration and fluid management guidelines.

4Solidify infection prevention principles: WHO 5 moments for hand hygiene, aseptic non-touch technique (ANTT), and standard vs transmission-based isolation precautions.

5Review Egyptian healthcare ethics and professional boundaries, patient rights, informed consent, and legal accountability under Law No. 12 of 2022.

6Practice pacing yourself to ensure you can comfortably read, analyze, and answer 100 clinical scenario questions within 180 minutes (approx. 1.8 minutes per question).

Frequently Asked Questions

What is the legal basis for the Egyptian Nursing & Midwifery Licensure Exam (Egypt nursing licensure exam)?

The Egypt nursing licensure exam was established under Egyptian Law No. 12 of 2022, which created the Egyptian Health Council (EHC) as the central regulatory authority responsible for standardizing healthcare professional licensing across Egypt.

Who is eligible to register for the Egypt nursing licensure exam?

Graduates holding a recognised Bachelor of Science in Nursing (BSN) or Midwifery degree who have completed at least six months of the mandatory 12-month post-graduate internship training period are eligible to register.

What is the format and duration of the official Egypt nursing licensure exam exam?

The examination comprises 100 single-best-answer multiple-choice questions (MCQs) administered on the candidate's personal computer or laptop using remote proctoring software with mandatory camera surveillance. The time allowed is up to 3 hours.

How are examination results scored and reported?

Results are reported strictly as 'Pass' or 'Fail' without numerical grades or scaled percentages. The Egyptian Health Council does not publish an official numeric passing cut score.

What is the retake policy if a candidate attempts the exam multiple times in one round?

EHC regulations allow candidates up to three real examination sittings within a given round. However, the result of the LAST attempt taken is the one that officially counts, regardless of earlier scores.

How long is the resulting nursing practice licence valid?

Upon passing the Egypt nursing licensure exam, candidates are granted a statutory professional practice licence valid for five years. Licence renewal is contingent on accumulating required Continuing Professional Development (CPD) credit hours as designated by EHC regulations.

How were the topic weightings in this practice bank determined?

Because the EHC does not publish a percentage blueprint by subject, the weightings in this practice bank derive from the National Academic Reference Standards (NARS Nursing 2nd edition 2017, issued by NAQAAE under Law No. 82 of 2006) and entry-to-practice clinical scope. NARS standards provide competency benchmarks rather than a national curriculum.