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Free Practice Questions for Cambodia Nursing Exit Exam

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Key Facts: Cambodia Nursing Exit Exam Exam

200

Official written MCQ items in the October 2012 BSN national-exit blueprint

http://cambodiancouncilofnurse.com/wp-content/uploads/2017/05/National-Exit-Examination-Blueprint.pdf

70%

Written-paper passing score in the 2012 BSN blueprint

http://cambodiancouncilofnurse.com/wp-content/uploads/2017/05/National-Exit-Examination-Blueprint.pdf

7 stations

OSCE stations of 15 minutes each after a passing written score

http://cambodiancouncilofnurse.com/wp-content/uploads/2017/05/National-Exit-Examination-Blueprint.pdf

Free 100-question English MCQ practice for Cambodia's national nursing exit exam. Official written paper: 200 MCQs, 70% pass, then 7 OSCE stations. Independent study aid, not an official NECHS paper.

Sample Cambodia Nursing Exit Exam Practice Questions

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

1A health-centre nurse is teaching a community DOTS volunteer about the organism that causes pulmonary tuberculosis. Which statement is accurate?
A.Tuberculosis is caused by a virus that is destroyed by ordinary soap within seconds
B.Tuberculosis is caused by Plasmodium falciparum transmitted by Anopheles mosquitoes
C.Tuberculosis is caused by Mycobacterium tuberculosis, an acid-fast bacillus spread mainly by airborne droplet nuclei
D.Tuberculosis is caused by Aedes aegypti bacteria that breed in clean standing water
Explanation: Pulmonary tuberculosis is caused by Mycobacterium tuberculosis, an acid-fast bacillus. Infectious droplet nuclei from coughing can remain suspended in air, which is why well-ventilated sputum collection and airborne precautions matter in Cambodian DOTS practice. Ordinary soap does not rapidly destroy mycobacteria the way it removes many transient viruses from hands.
2Which Plasmodium species is most strongly associated with severe malaria, including cerebral malaria and high parasite densities?
A.Plasmodium falciparum
B.Plasmodium malariae
C.Plasmodium ovale
D.Plasmodium knowlesi exclusively in highland rice fields
Explanation: Plasmodium falciparum invades red cells of all ages and can reach high parasitaemia, producing severe malaria with cerebral involvement, severe anaemia, and metabolic acidosis. This is why febrile patients from endemic Cambodian forests need prompt parasitological testing and urgent referral if danger signs of severe malaria appear. Other human malaria species can cause illness but are less often linked to this fulminant picture.
3During dengue season at a Kampong Cham health centre, a nurse explains how dengue virus is transmitted. Which vector is the primary transmitter in Cambodia?
A.Anopheles mosquitoes that bite mainly after midnight in forests
B.Aedes aegypti mosquitoes that bite during the day and breed in household water containers
C.Culex mosquitoes that transmit only Mycobacterium tuberculosis
D.Tsetse flies that breed in fast-flowing Mekong rapids
Explanation: Dengue virus is transmitted by Aedes mosquitoes, principally Aedes aegypti, which rest indoors, bite in daylight, and lay eggs in clean standing water such as jars, tyres, and flower pots. Community nursing education therefore emphasises covering water stores and eliminating container breeding sites. Anopheles mosquitoes transmit malaria, not dengue.
4HIV preferentially infects which human cells, explaining progressive immune deficiency if untreated?
A.Mature erythrocytes that lack nuclei
B.Platelets stored in the spleen
C.Goblet cells of the intestinal mucosa only
D.CD4-positive T-helper lymphocytes
Explanation: HIV binds CD4 receptors (with chemokine co-receptors) and infects T-helper lymphocytes, steadily depleting cell-mediated immunity. Falling CD4 counts explain opportunistic infections and the need for lifelong antiretroviral therapy in NCHADS programmes. Mature red cells lack nuclei and are not the primary HIV target.
5Which pancreatic cells secrete insulin that lowers blood glucose by promoting cellular uptake?
A.Beta cells of the islets of Langerhans
B.Alpha cells that secrete glucagon
C.Acinar cells that secrete digestive enzymes
D.Delta cells that secrete only gastrin
Explanation: Insulin is produced by beta cells of the pancreatic islets. It promotes glucose uptake into muscle and adipose tissue and suppresses hepatic glucose output, which is why insulin deficiency produces hyperglycaemia in diabetes. Alpha cells secrete glucagon, which raises blood glucose.
6Angiotensin II raises blood pressure primarily by which combined actions?
A.Direct vasodilation of arterioles and suppression of aldosterone
B.Slowing the sinoatrial node and increasing renal sodium excretion
C.Arteriolar vasoconstriction and stimulation of aldosterone release
D.Blocking antidiuretic hormone so that large volumes of dilute urine form
Explanation: Angiotensin II is a potent arteriolar vasoconstrictor and stimulates the adrenal cortex to release aldosterone, which retains sodium and water. Both actions raise blood pressure and are part of the renin–angiotensin–aldosterone response to low renal perfusion. Understanding this pathway helps nurses interpret ACE-inhibitor effects and volume status in hypertension and heart failure.
7A 62-year-old man with left-sided heart failure becomes acutely breathless at night. Which pathophysiologic finding best explains the pulmonary crackles?
A.Decreased hydrostatic pressure in pulmonary capillaries
B.Elevated pulmonary capillary hydrostatic pressure forcing fluid into alveoli
C.Primary destruction of alveolar surfactant by Mycobacterium tuberculosis only
D.Obstruction of the common bile duct causing hypoalbuminaemia
Explanation: When the left ventricle fails, blood backs up into the pulmonary circulation and capillary hydrostatic pressure rises, pushing fluid into the interstitium and alveoli. The result is pulmonary oedema with crackles, orthopnoea, and hypoxaemia. Nursing priority is oxygenation and upright positioning while medical therapy reduces preload.
8A patient produces large volumes of very dilute urine and has a high serum sodium after pituitary surgery. Which hormone disturbance best explains this picture?
A.Excess antidiuretic hormone causing water retention and hyponatraemia
B.Excess aldosterone causing potassium retention and oliguria
C.Insulin deficiency causing osmotic diuresis of glucose only, with low serum sodium
D.Deficient antidiuretic hormone causing diabetes insipidus with hypernatraemia
Explanation: Antidiuretic hormone (vasopressin) from the posterior pituitary concentrates urine. After pituitary injury, ADH deficiency produces central diabetes insipidus: high-output dilute urine and rising serum sodium as free water is lost. SIADH is the opposite pattern—water retention and hyponatraemia.
9Why may an oral dose of a drug need to be higher than an equivalent intravenous dose of the same medicine?
A.First-pass hepatic metabolism can reduce the amount of drug reaching systemic circulation after oral absorption
B.Intravenous drugs are always excreted unchanged in bile before they act
C.Oral tablets bypass the gastrointestinal tract entirely
D.The kidneys metabolise all oral drugs before they reach the liver
Explanation: After intestinal absorption, many oral drugs pass through the portal vein to the liver and are metabolised before reaching the systemic circulation—the first-pass effect. Intravenous administration avoids this first pass, so a smaller IV dose may achieve similar plasma levels. Nurses use this concept when converting routes and when liver disease alters drug effect.
10What is the functional unit of the kidney that filters blood and forms urine?
A.Alveolus
B.Hepatocyte plate
C.Nephron
D.Islet of Langerhans
Explanation: Each kidney contains about a million nephrons, each with a glomerulus and tubule that filter plasma and modify the filtrate into urine. Nephron function determines fluid, electrolyte, and waste handling, which is why urine output is a vital nursing observation. Alveoli exchange gas; hepatocytes metabolise nutrients and drugs.

About the Cambodia Nursing Exit Exam Exam

Cambodia requires nursing graduates of public and private programmes to sit a national exit examination under Sub-Decree 21 ANKr.BK. The October 2012 National Exit Examination Blueprint for Bachelor of Science in Nursing sets a 200-item written MCQ (70% pass) followed by a 7-station OSCE. Content follows the professional-nurse core competency framework in MoH Prakas 640 ABS.ATM (20 August 2012). Associate-degree nursing (ADN) graduates also sit the national exam; the Ministry of Health continued ADN OSCE-tool work in May 2026. This free bank is independent OpenExamPrep English MCQ study for those knowledge domains, not an official NECHS paper and not a substitute for OSCE skills.

Exam sponsor: National Examination Committee for Health Sector Training (NECHS). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Written MCQ (200 items; four or five choices, one correct; 70% pass) drawn from a 2,000-item bank mapped to Prakas 640 ABS.ATM (20 August 2012). OSCE has 7 stations: hand hygiene/sterile gloves, surgical care, medical care, injections/IV/blood, decontamination, CPR, and patient education. Official sitting is in Khmer. This 100-question bank is an independent English MCQ study adaptation, not an OSCE simulation.

Time Limit

Written duration set by NECHS (not published as a minute count in the 2012 blueprint). OSCE: 15 minutes × 7 stations.

Passing Score

Written ≥70%. OSCE: pass 7 stations at ≥75% essential points, or 6 stations plus ≥60% on the remaining station.

Exam / Certification Fees

Not published in the 2012 BSN blueprint

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.

20% official written (20 practice questions)

Biomedical Science

Anatomy, physiology, microbiology, and pharmacology supporting nursing care.

5% official written (5 practice questions)

Behavioural Science

Communication, psychology, and professional behaviour.

20% official written (20 practice questions)

Nursing Science

Fundamentals of nursing science in the 2012 competency framework.

10% official written (10 practice questions)

Nursing Process

Assessment, planning, implementation, and evaluation.

35% official written (35 practice questions)

Nursing Care

Mother-and-child, adult, and elderly nursing care.

10% official written (10 practice questions)

Nursing Procedures

Asepsis, injections, wound care, oxygenation, and related procedures.

Preparing for the Cambodia Nursing Exit Exam Exam

What You Need to Know

  • Passing score: Written ≥70%. OSCE: pass 7 stations at ≥75% essential points, or 6 stations plus ≥60% on the remaining station.
  • Assessment: Written MCQ (200 items; four or five choices, one correct; 70% pass) drawn from a 2,000-item bank mapped to Prakas 640 ABS.ATM (20 August 2012). OSCE has 7 stations: hand hygiene/sterile gloves, surgical care, medical care, injections/IV/blood, decontamination, CPR, and patient education. Official sitting is in Khmer. This 100-question bank is an independent English MCQ study adaptation, not an OSCE simulation.
  • Time limit: Written duration set by NECHS (not published as a minute count in the 2012 blueprint). OSCE: 15 minutes × 7 stations.
  • Exam / certification fees: Not published in the 2012 BSN blueprint 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

Cambodia Nursing Exit Exam: Suggested Study Strategy

1Weight review to maternal-child and adult/elderly care (35% of the official written blueprint).
2Rehearse procedure safety (asepsis, injections, CPR) in the skills lab; MCQs cannot replace OSCE practice.
3Use this English bank to check concepts, then review Khmer terminology because the official sitting is in Khmer.

Frequently Asked Questions

How many questions are on the official nursing exit exam?

The October 2012 BSN blueprint sets 200 written MCQs. Passing candidates then sit a 7-station OSCE. This OpenExamPrep bank has 100 English study items and is not the official paper.

What is the passing score?

The 2012 blueprint requires at least 70% on the written paper. OSCE pass is 75% of essential points on all 7 stations, or 6 stations plus at least 60% on the remaining station.

Is this bank a simulation of the OSCE?

No. Official clinical stations use standardised patients, manikins, and timed procedures. These English MCQs practise the knowledge and safety judgments used in those stations; they do not certify clinical skill.