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Exam Review

Key Facts: Israel RN Licensure Exam Exam

85-145

Adaptive Test Length (15 Unscored)

Nursing Division — exam content and format

4 h

Maximum Testing Time

Nursing Division — exam content and format

60

Pass Mark

Nursing Division — examination results page

Apr & Sep

Two Sittings a Year

Nursing Division — exam content and format

5

Foreign Languages for Internationally Graduated Nurses

Nursing Division — exam content and format

100

Practice Questions

OpenExamPrep Practice Bank

Israel's registered nurse licensure examination is a computerised adaptive test of 85 to 145 multiple-choice questions (15 unscored), ending once the algorithm can classify the candidate, after all 145 items, or after 4 hours. It is held in April and September, written in Hebrew with Arabic, Russian, English, Spanish or French available to internationally graduated nurses, and the pass mark is 60. This 100-question set is independent English-language practice by OpenExamPrep across adult and older-adult care, maternal-newborn, paediatrics, mental health, and community care, law and ethics, including medication dosage calculations.

Sample Israel RN Licensure Exam Practice Questions

Try these sample questions to review concepts for the Israel RN 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 on telemetry following an acute anterior myocardial infarction suddenly develops wide-complex ventricular tachycardia at a rate of 160 bpm. The nurse assesses the patient and finds him diaphoretic, responsive only to loud voice, with a carotid pulse and a blood pressure of 82/50 mmHg. What is the immediate priority nursing action?
A.Initiate immediate chest compressions and prepare for unsynchronized defibrillation.
B.Prepare for urgent synchronized cardioversion and ensure the defibrillator is in sync mode.
C.Administer oral amiodarone 400 mg with a small sip of water.
D.Perform a vagal maneuver such as unilateral carotid sinus massage.
Explanation: The patient is in unstable ventricular tachycardia with a pulse, evidenced by hypotension (BP 82/50 mmHg), altered mental status, and diaphoresis. According to advanced cardiac life support (ACLS) guidelines, immediate synchronized cardioversion is the treatment of choice to restore hemodynamic stability and prevent deterioration into ventricular fibrillation. The synchronizer must be active to deliver energy on the R wave and avoid inducing ventricular fibrillation during the vulnerable T-wave period.
2A 72-year-old female with chronic heart failure takes digoxin 0.25 mg daily and furosemide 40 mg daily. During a morning assessment, she reports nausea, anorexia, and seeing yellowish rings around the ceiling lights. Her heart rate is 48 bpm and irregular. Which laboratory finding most strongly predisposes her to this clinical picture?
A.Serum sodium of 138 mEq/L
B.Serum calcium of 9.2 mg/dL
C.Serum potassium of 3.0 mEq/L
D.Serum magnesium of 2.1 mg/dL
Explanation: Hypokalemia (serum potassium < 3.5 mEq/L) potentiates digoxin toxicity because potassium and digoxin compete for binding sites on the myocardial Na+/K+-ATPase pump. Lower extracellular potassium levels allow increased digoxin binding, amplifying its cardiac and systemic toxicity even at normal therapeutic serum levels. The patient's symptoms—bradycardia, gastrointestinal distress, and xanthopsia (yellow-green visual halos)—are classic hallmarks of digitalis toxicity.
3An intensive care nurse receives an order to infuse dopamine at 5 mcg/kg/min for a 70 kg patient experiencing cardiogenic shock. The pharmacy supplies dopamine as 400 mg premixed in 250 mL of 5% dextrose in water (D5W). At what infusion pump rate in mL/hr should the nurse program the device?
A.13.1 mL/hr
B.21.0 mL/hr
C.26.2 mL/hr
D.6.5 mL/hr
Explanation: First, calculate the patient's dose requirement: 70 kg × 5 mcg/kg/min = 350 mcg/min. In one hour, this equals 350 mcg/min × 60 min/hr = 21,000 mcg/hr. Next, determine the concentration of the dopamine solution: 400 mg = 400,000 mcg. 400,000 mcg / 250 mL = 1,600 mcg/mL. Finally, calculate the flow rate: 21,000 mcg/hr ÷ 1,600 mcg/mL = 13.125 mL/hr, which rounds to 13.1 mL/hr.
4A 64-year-old male is admitted to the cardiac step-down unit after an uneventful percutaneous coronary intervention (PCI) with stent placement via the right common femoral artery. Two hours later, he reports severe, unremitting right flank and lower back pain. His blood pressure drops from 134/80 to 86/52 mmHg, pulse rises to 122 bpm, and he appears pale and diaphoretic. The right groin puncture dressing remains dry and intact without an external hematoma. What clinical complication should the nurse suspect first?
A.Acute stent thrombosis with recurrent inferior myocardial infarction
B.Renal artery embolization secondary to iodinated contrast administration
C.Vagal reaction from prolonged immobilization and sheath discomfort
D.Retroperitoneal hemorrhage secondary to femoral puncture site arterial bleeding
Explanation: Retroperitoneal hemorrhage is a severe, life-threatening complication of transfemoral cardiac catheterization, often occurring when the arterial puncture is made above the inguinal ligament into the external iliac artery. Blood dissects into the retroperitoneal cavity, which can accommodate large volumes of blood before external signs are visible at the femoral puncture site. Classic symptoms include unexplained hypotension, tachycardia, pallor, and sudden severe flank or back pain.
5A 68-year-old female presents to the emergency department with acute decompensated heart failure and pulmonary edema. She is gasping for air, tachypneic at 36 breaths/min, with bilateral coarse crackles extending throughout both lung fields and an oxygen saturation of 84% on room air. Before administering ordered intravenous medications, which nursing intervention should be performed immediately to relieve respiratory distress?
A.Place the patient in Trendelenburg position to increase cerebral perfusion pressure.
B.Place the patient in high Fowler's position with legs dangling over the edge of the bed.
C.Instruct the patient to lie flat in a left lateral decubitus position.
D.Encourage the patient to perform sustained incentive spirometry exercises.
Explanation: Positioning the patient in high Fowler's position (head of the bed elevated 90 degrees) with the legs dependent allows blood to pool in the peripheral vascular bed via gravity, decreasing venous return (preload) to the failing right and left ventricles. This decreases pulmonary vascular congestion and hydrostatic pressure, while maximizing diaphragmatic excursion and lung expansion to improve oxygenation.
6A community health nurse is educating an Israeli patient recently diagnosed with stable angina on the proper self-administration of sublingual nitroglycerin tablets. Which instruction must the nurse emphasize regarding emergency protocols?
A.Dissolve one tablet under the tongue at the onset of chest pain; if pain does not improve or worsens after 5 minutes, call Magen David Adom (101) immediately.
B.Swallow the tablet with a full glass of water and wait 30 minutes before evaluating pain relief.
C.Take up to five tablets spaced 2 minutes apart before considering calling emergency medical services.
D.Chew the tablet immediately and place an ice pack over the central sternum to reduce myocardial demand.
Explanation: Current cardiac guidelines instruct patients with suspected angina to sit down and dissolve one sublingual nitroglycerin tablet under the tongue at the onset of pain. If chest pain does not improve or worsens 5 minutes after the first dose, the patient or family must immediately activate emergency medical services (Magen David Adom via 101 in Israel), as the pain may represent an acute coronary syndrome or myocardial infarction. While awaiting the ambulance, a second and third tablet may be taken at 5-minute intervals, up to a maximum of 3 doses.
7A 45-year-old male with a history of intravenous drug use is hospitalized for native aortic valve infective endocarditis caused by Staphylococcus aureus. On hospital day 4, he suddenly reports severe left flank pain and gross hematuria. Vital signs reveal BP 138/84 mmHg, HR 96 bpm, and temperature 38.5°C. What underlying pathophysiological mechanism best explains this development?
A.Direct ascending bacterial pyelonephritis caused by urinary catheter instrumentation
B.Contrast-induced nephropathy from baseline diagnostic CT imaging
C.Systemic arterial embolization of vegetative valvular lesions to the renal arterial circulation
D.Acute tubular necrosis secondary to systemic septic shock and hypoperfusion
Explanation: Infective endocarditis involving left-sided heart valves (mitral or aortic) frequently sheds septic micro-emboli into the systemic arterial circulation. The kidneys receive roughly 20-25% of cardiac output, making them a common target for embolic occlusion, resulting in acute renal infarction characterized by sudden flank pain, costovertebral angle tenderness, hematuria, and localized ischemia.
8A 52-year-old male presents in hypertensive emergency with a blood pressure of 228/134 mmHg, severe throbbing headache, and retinal hemorrhages on fundoscopy. The medical team orders a continuous intravenous infusion of sodium nitroprusside. What is the essential nursing guideline regarding the rate and target of blood pressure reduction during the initial hour of therapy?
A.Rapidly normalize the blood pressure to < 120/80 mmHg within the first 30 minutes to prevent intracerebral hemorrhage.
B.Reduce the mean arterial pressure (MAP) by no more than 20% to 25% over the first hour, avoiding precipitous drops.
C.Maintain a constant systolic blood pressure reduction of at least 80 mmHg per hour until diastolic pressure reaches 70 mmHg.
D.Administer IV boluses of normal saline simultaneously to prevent any reduction in renal perfusion pressure.
Explanation: In a hypertensive emergency, the therapeutic goal is to lower mean arterial pressure (MAP) by no more than 20% to 25% within the first hour, or to a target of approximately 160/100-110 mmHg over 2 to 6 hours. Excessive or abrupt reduction of blood pressure can overcome autoregulatory limits in the cerebral, coronary, and renal circulations, precipitating cerebral ischemia, ischemic stroke, acute myocardial infarction, or acute renal failure.
9A 24-year-old female with a history of severe asthma is brought to the emergency department in acute distress. After receiving three back-to-back nebulized treatments of albuterol and ipratropium bromide, the nurse auscultates her chest and observes that the loud inspiratory and expiratory wheezes previously heard have become virtually inaudible. The patient is sitting upright, diaphoresis is pronounced, and she responds only with single-word utterances. How should the nurse interpret this assessment finding?
A.The bronchodilator therapy has successfully reversed the bronchospasm and resolved airway obstruction.
B.The patient has developed acute pulmonary edema secondary to beta-2 adrenergic overstimulation.
C.The patient is experiencing conversion disorder and hyperventilation rather than physiological asthma.
D.The patient has developed 'silent chest,' an ominous sign of severe airway narrowing and imminent respiratory arrest.
Explanation: The disappearance of wheezing in an acutely dyspneic asthmatic patient who remains in severe distress is known as 'silent chest.' It indicates that airflow has become so critically reduced by bronchospasm, mucosal edema, and mucus plugging that insufficient air moves through the airways to produce acoustic wheezes. This is a medical emergency signaling respiratory muscle exhaustion and imminent asphyxia, requiring immediate preparation for endotracheal intubation.
10An arterial blood gas (ABG) drawn on a 62-year-old male with severe acute exacerbation of chronic bronchitis reveals the following values on room air: pH 7.26, PaCO2 62 mmHg, PaO2 54 mmHg, HCO3- 26 mEq/L, and SaO2 84%. How should the nurse accurately document this acid-base status?
A.Uncompensated respiratory acidosis with moderate hypoxemia
B.Fully compensated metabolic acidosis with hypoxemia
C.Partially compensated respiratory alkalosis with hypoxemia
D.Uncompensated metabolic alkalosis with hypercapnia
Explanation: A pH of 7.26 is below the normal range (7.35-7.45), indicating acidemia. The PaCO2 of 62 mmHg is elevated above normal (35-45 mmHg), which explains the acidemia and identifies the primary disturbance as respiratory. The serum bicarbonate (HCO3-) of 26 mEq/L is within normal limits (22-26 mEq/L), demonstrating that renal compensation has not yet occurred (uncompensated). The PaO2 of 54 mmHg indicates moderate hypoxemia (< 60 mmHg).

About the Israel RN Licensure Exam Exam

The Israel Registered Nurse State Licensure Examination (בחינת רישוי ממשלתית לתואר אחות מוסמכת - RN) is the statutory national licensing examination administered by the Nursing Division (מינהל הסיעוד) of the Ministry of Health under the Public Health Regulations (Nursing Practitioners), 5749-1988 (תקנות בריאות העם (עוסקים בסיעוד), התשמ"ט-1988). Success in this examination is the mandatory legal prerequisite to obtain entry into the National Registry of Nurses (פנקס המורשים לעסוק בסיעוד) and practice as an independent Registered Nurse in hospitals, community clinics, and public health settings across Israel. The test is delivered via Computerized Adaptive Testing (CAT) and is offered in six official languages: Hebrew, Arabic, Russian, English, French, and Spanish. This question bank is an independent English-language multiple-choice practice adaptation authored by OpenExamPrep to assist nursing students and internationally trained nurses preparing for the Israeli licensing standard; it is not an official translation or government question pool.

Exam sponsor: Ministry of Health — Nursing Division (משרד הבריאות - מינהל הסיעוד). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Computerised adaptive test drawn from the Nursing Division's published topics: nursing care of adults and older adults (surgical and conservative, including community and rehabilitative care), gerontology, paediatric nursing, gynaecology and midwifery nursing, mental health nursing, urgent care, trauma and first aid, medication dosage calculations, clinical pharmacology, and Israeli laws and regulatory professional standards from the mandatory reading list. Professional terms appear in Latin or Hebrew with Latin in brackets, medicines are given by generic name with the brand in brackets, and laboratory values are given in metric units.

Time Limit

Up to 4 hours (5 hours with approved extra time); the test may end sooner once the algorithm can classify the candidate

Passing Score

60 (Nursing Division published pass mark for registered nurse status)

Exam / Certification Fees

Statutory fee set by the Ministry of Health; the amount is displayed in the healthcare professionals portal during registration

Exam sponsor website

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

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.

40%

Adult Health & Medical-Surgical Nursing

Acute and chronic disease management across cardiovascular, pulmonary, gastrointestinal, renal, endocrine, and neurological systems. Includes perioperative care, hemodynamic monitoring, advanced life support interventions, emergency stabilization, oncology, and adult pharmacotherapy.

15%

Maternal-Newborn & Women's Health

Antenatal screening, high-risk pregnancies (gestational diabetes, preeclampsia/HELLP syndrome), intrapartum progression and fetal heart rate decelerations, obstetric emergencies (postpartum hemorrhage, shoulder dystocia), postpartum recovery, breastfeeding, and immediate neonatal assessment (Apgar scoring, resuscitation).

15%

Pediatric Nursing

Pediatric growth milestones, congenital anomalies, acute respiratory illnesses (croup, bronchiolitis, epiglottitis), pediatric dehydration and rehydration, pediatric pain assessment, child safety, and weight-based pediatric medication calculations.

15%

Mental Health & Psychiatric Nursing

Therapeutic communication techniques, acute psychosis and schizophrenia, affective disorders (depression and bipolar mania), crisis intervention, suicide assessment, eating disorders, substance withdrawal, and psychopharmacology (SSRIs, lithium, antipsychotics, and neuroleptic malignant syndrome).

15%

Community Health, Safety, Law & Ethics

Patient Rights Act 1996 (חוק זכויות החולה), Dying Patient Act 2005 (חוק החולה הנוטה למות), Nursing Division circulars, legal scope and delegation rules, infection prevention protocols, epidemiological surveillance, palliative care, and complex clinical dosage calculations.

Preparing for the Israel RN Licensure Exam Exam

What You Need to Know

  • Passing score: 60 (Nursing Division published pass mark for registered nurse status)
  • Assessment: Computerised adaptive test drawn from the Nursing Division's published topics: nursing care of adults and older adults (surgical and conservative, including community and rehabilitative care), gerontology, paediatric nursing, gynaecology and midwifery nursing, mental health nursing, urgent care, trauma and first aid, medication dosage calculations, clinical pharmacology, and Israeli laws and regulatory professional standards from the mandatory reading list. Professional terms appear in Latin or Hebrew with Latin in brackets, medicines are given by generic name with the brand in brackets, and laboratory values are given in metric units.
  • Time limit: Up to 4 hours (5 hours with approved extra time); the test may end sooner once the algorithm can classify the candidate
  • Exam / certification fees: Statutory fee set by the Ministry of Health; the amount is displayed in the healthcare professionals portal during registration 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

Israel RN Licensure Exam: Suggested Study Strategy

1Prioritize using the ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy of needs when answering clinical prioritization questions.
2Thoroughly review statutory Israeli health laws, especially the exceptions to informed consent under the Patient Rights Act and mandatory reporting laws.
3Practice multi-step weight-based pediatric dosage calculations and IV drip rate formulas (gtt/min and mL/hr) without relying on guessing.
4Focus on adverse effects and nursing considerations for high-alert medications such as insulin, heparin, lithium, digoxin, aminoglycosides, and psychotropics.
5Familiarize yourself with Computerized Adaptive Testing (CAT) dynamics: take your time on early questions, as they establish your baseline performance level.

Frequently Asked Questions

What is the format and length of the Israeli Registered Nurse licensing examination?

It is a computerised adaptive test. Each candidate answers between 85 and 145 four-option questions, 15 of which are unscored pilot items; questions cannot be skipped or answered again, and the test ends when the algorithm can classify the candidate, after all 145 questions, or after 4 hours (5 hours with approved extra time). The pass mark is 60, and results are published within 30 working days.

In which languages can the Israeli RN licensing exam be taken?

The examination is written in Hebrew. Internationally graduated nurses may choose Arabic, Russian, English, Spanish or French; if they sit in one of those languages they must pass a Hebrew proficiency test within three years in order to receive a work permit in Israel. This practice bank is an independent English-language study adaptation by OpenExamPrep, not an official translation.

What is the passing score for the Israeli RN state exam?

The statutory passing grade is 60 out of 100 on the standardized scaled scoring system. Test takers receive an official notification via the Ministry of Health Health Portal (פורטל עוסקים בבריאות) several weeks after the exam date.

What specific Israeli legislation is tested on the nursing exam?

Candidates are expected to know Israeli healthcare legislation, particularly the Patient Rights Act 1996 (חוק זכויות החולה - covering informed consent, patient privacy, and medical records), the Public Health Regulations (Nursing Practitioners) 1988 (delegation of duties and emergency interventions), the Dying Patient Act 2005 (חוק החולה הנוטה למות), and mandatory reporting of suspected abuse under the Penal Code.

Can internationally educated nurses take this examination to practice in Israel?

Yes. Internationally trained nurses who have completed a recognized academic nursing degree abroad must submit their credentials to the Ministry of Health Nursing Division (מינהל הסיעוד) for academic evaluation, background verification, and eligibility approval before registering for the state licensing examination.

Is this practice question bank an official government test pool?

No. The official Ministry of Health exam items are confidential and protected by Israeli state copyright. This practice bank consists of 100 high-yield, independently authored English-language multiple-choice questions designed by OpenExamPrep to mirror the official blueprint, clinical difficulty, and statutory scope of the Israeli RN examination.