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Key Facts: Stručni ispit za medicinske sestre i tehničare Exam

26 weeks

Supervised internship under the qualification-specific programme

Pravilnik 33/2019

30 days

Minimum interval before repeating the examination

Pravilnik 33/2019, Article 11

40

Independent practice items, not an official question count

Independent English-language MCQ study adaptation, not an official translation, format simulation, or substitute for oral, written, or practical nursing preparation. Official materials are in Serbian, but the reviewed sources do not specify permitted assessment languages; confirm them and the assigned mode with the Ministry. The 40 items sample knowledge and cannot assess bedside performance or replace the mandatory internship.

Sample Stručni ispit za medicinske sestre i tehničare Practice Questions

Try these sample questions to review concepts for the Stručni ispit za medicinske sestre i tehničare exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 40+ question experience with AI tutoring.

1A competent adult is scheduled for non-emergency urinary catheterisation in Serbia. The patient has not been told what the procedure involves. What should the nurse establish before proceeding within their authorised role?
A.That a family member agrees, even if the patient objects
B.That the procedure is listed on the ward's usual schedule
C.That admission to hospital counts as unlimited procedural consent
D.That the patient receives appropriate information and gives valid consent, with required documentation
Explanation: Routine care must respect the competent patient's right to information and consent. Explain the procedure within the nurse's role, address questions or obtain further clinical explanation, and follow the required consent and documentation process rather than assuming admission authorises every intervention.
2Which distinction between Serbia's Ministry of Health and Komora medicinskih sestara i zdravstvenih tehničara Srbije (KMSZTS) is correct?
A.KMSZTS administers every initial professional examination instead of the Ministry
B.The Ministry administers the initial stručni ispit; KMSZTS has professional registration and licensing responsibilities
C.RFZO issues nursing practice licences after reimbursing the exam fee
D.Passing a KMSZTS continuing-education course automatically replaces the initial professional examination
Explanation: The initial professional examination is administered under the Ministry of Health framework after the required internship. KMSZTS manages professional membership and licensing matters; its separate licencni ispit for insufficient continuing-education points must not be confused with the initial stručni ispit.
3Which entry best supports continuity of care in a patient's nursing record (sestrinska dokumentacija)?
A.Objective observations, care delivered, the patient's response, and escalation of concerns, recorded with time and author identification
B.Only a final diagnosis copied from the medical discharge summary
C.An unsigned list of tasks planned for the next week without recording what occurred
D.A statement that all care was normal despite unrecorded abnormal vital signs
Explanation: Nursing documentation should make assessments, interventions, responses, and communication traceable. Accurate time and author identification help the next clinician understand what happened and what still needs attention.
4A nurse must dispose of a blood-soaked dressing and a used injection needle. Which segregation approach is safe?
A.Place both loose in a general-waste bag
B.Put the needle into a flexible infectious-waste bag with the dressing
C.Use the designated infectious-waste receptacle for the dressing and a suitable puncture-resistant sharps container for the needle
D.Recap the needle with two hands before putting it in ordinary waste
Explanation: Infectious non-sharps and sharps require appropriate segregated collection at the point of use. Follow the facility's current Serbian waste-management procedure for labels and receptacles; a flexible bag is not a substitute for a puncture-resistant sharps container.
5A nurse notices that a paper nursing record contains an incorrectly entered blood-pressure value. Which correction preserves a trustworthy record?
A.Erase the original entry completely
B.Use correction fluid so the original cannot be read
C.Ask a colleague to rewrite the page under the original nurse's name
D.Make a traceable correction under the approved procedure, retaining the original entry and identifying the correction's author and time
Explanation: Corrections must preserve the record's integrity and make the change attributable and traceable. Follow the approved paper or electronic-record procedure, and promptly communicate any error that could affect clinical decisions.
6Which ethical principle is expressed by taking positive action to promote a patient's welfare and relieve suffering?
A.Beneficence
B.Autonomy
C.Distributive justice
D.Veracity
Explanation: Beneficence means acting to benefit the patient. It operates alongside respect for autonomy, fairness, truthfulness, and avoidance of harm; a beneficial aim does not automatically authorise overriding a capable patient's choices.
7Before premedication for elective surgery, a competent patient says, 'I signed yesterday, but I do not understand the operation and do not want it now.' What is the nurse's priority?
A.Give the sedative first so anxiety no longer interferes with consent
B.Treat yesterday's signature as irrevocable permission
C.Pause preparation, clarify the expressed refusal, and promptly obtain the responsible clinician's review before proceeding
D.Ask the family to authorise surgery without involving the patient
Explanation: A prior signature does not remove the patient's right to withdraw consent or request further explanation. Preserve the patient's ability to decide, pause the elective pathway, and escalate for an informed discussion while documenting the concern; anxiety alone does not establish incapacity.
8Which handover best supports safe transfer of nursing responsibility at a shift change?
A.A list of bed numbers without patient identifiers or current concerns
B.A structured account of patient identity, current condition, risks, outstanding tasks, and required follow-up, with an opportunity for clarification
C.A verbal assurance that the next nurse can discover all changes later
D.A description limited to social conversation with the patient
Explanation: Clinical handover should convey actionable information needed for continuing care, including deterioration and tasks awaiting completion. A structured method such as SBAR can help, but the essential purpose is accurate communication and clear transfer of responsibility rather than use of a particular acronym.
9During an adult's auscultatory blood-pressure measurement, what does the first clear Korotkoff sound usually identify?
A.Diastolic pressure
B.Mean arterial pressure
C.Pulse pressure
D.Systolic pressure
Explanation: The first Korotkoff sound corresponds to systolic pressure during controlled cuff deflation. Disappearance of sounds usually identifies adult diastolic pressure; correct cuff size, positioning, and technique remain necessary for a reliable measurement.
10A blood-pressure cuff is substantially too small for an adult's upper-arm circumference. How does this usually affect the reading?
A.It changes pulse rate but never blood pressure
B.It reliably lowers the measured pressure
C.It can falsely elevate the measured pressure
D.It guarantees an accurate reading if the arm is at heart level
Explanation: An undersized cuff can overestimate blood pressure. Select a cuff appropriate to the arm circumference and repeat the measurement with correct technique before interpreting an unexpected result, while responding promptly to concerning symptoms.

About the Stručni ispit za medicinske sestre i tehničare Exam

This page concerns the initial nursing professional examination after supervised internship, administered by the Ministry of Health. It does not represent every health-technician occupation's examination. KMSZTS manages separate chamber registration and licensing matters, including a different licencni ispit for specified continuing-education shortfalls.

Exam sponsor: Ministry of Health of the Republic of Serbia (Ministarstvo zdravlja Republike Srbije). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The opšti deo covers constitutional order, labour and pension/disability rules, healthcare, health insurance, patients' rights, and medicines/devices. The posebni deo checks profession-specific knowledge needed for practice. Nursing scope and internship rotations depend on qualification and profile and include primary and inpatient care, assessment, procedures, documentation, infection prevention, and emergencies. Higher/first-degree routes also specify settings including intensive care and psychiatry. Article 9 permits oral or written examination; the session notice specifies the mode.

Time Limit

No fixed duration published in the reviewed Ministry instructions or rulebook.

Passing Score

Položio / nije položio (pass/fail), decided by the commission considering the general and special parts; no numerical threshold specified.

Exam / Certification Fees

12,130 RSD in Ministry instructions checked 10 October 2026; confirm before payment.

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.

8/40 practice items; official weight unpublished

Nursing ethics and regulations

Consent, professional roles, documentation, waste, and handover.

10/40 practice items; official weight unpublished

General and specialised nursing care

Assessment, pressure injuries, glucose, swallowing, tubes, and urinary care.

8/40 practice items; official weight unpublished

Clinical procedures and therapeutics

Medication checks, IV care, cultures, calculations, and transfusion reactions.

8/40 practice items; official weight unpublished

Emergency nursing and first aid

Resuscitation, anaphylaxis, hypoglycaemia, triage, choking, and urgent deterioration.

6/40 practice items; official weight unpublished

Infection prevention and sterilisation

Hand hygiene, airborne protection, sterilisation monitoring, and exposure response.

Preparing for the Stručni ispit za medicinske sestre i tehničare Exam

What You Need to Know

  • Passing score: Položio / nije položio (pass/fail), decided by the commission considering the general and special parts; no numerical threshold specified.
  • Assessment: The opšti deo covers constitutional order, labour and pension/disability rules, healthcare, health insurance, patients' rights, and medicines/devices. The posebni deo checks profession-specific knowledge needed for practice. Nursing scope and internship rotations depend on qualification and profile and include primary and inpatient care, assessment, procedures, documentation, infection prevention, and emergencies. Higher/first-degree routes also specify settings including intensive care and psychiatry. Article 9 permits oral or written examination; the session notice specifies the mode.
  • Time limit: No fixed duration published in the reviewed Ministry instructions or rulebook.
  • Exam / certification fees: 12,130 RSD in Ministry instructions checked 10 October 2026; confirm before payment. Official sources

Using Our Practice Resources

  • Work through all 40 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Stručni ispit za medicinske sestre i tehničare: Suggested Study Strategy

1Identify your exact qualification and Ministry examination profile before planning study.
2Practise explaining nursing decisions aloud in the assessment language confirmed for your sitting.
3Use the current local procedure and exact product instructions for invasive procedures and medicine administration.
4Check calculation units, concentrations, and final-volume assumptions, then apply the required clinical checks.
5Rehearse communication, assessment, infection control, and emergency skills under supervision; MCQs cannot verify bedside competence.

Frequently Asked Questions

Is this the KMSZTS licencni ispit?

No. This is independent study for the initial Ministry stručni ispit following internship. The Chamber's licencni ispit addresses specified continuing-education-point shortfalls in licence renewal and has a different process and fee. Check which requirement applies to you.

Does every nursing qualification have the same internship rotations?

No. The Ministry lists different programmes by qualification and profile. General secondary-level nursing uses 13 primary-care and 13 inpatient weeks, while higher/first-degree nursing uses nine primary-care and 17 inpatient weeks with specified rotations. Follow the programme for your exact qualification.

Is the assessment oral or written, and can I take it in English?

The rulebook permits oral or written examination, and the Ministry says the session notice gives the mode. The reviewed sources do not establish permitted assessment languages or availability in English; confirm directly before applying.

Are practical stations or assignments required?

Supervised internship with certified documentation is mandatory before application. The reviewed rulebook does not list a separate exam-day OSCE, practical station, project, or case-study submission; confirm actual session requirements. This MCQ bank cannot replace practical assessment or skills preparation.

Does this bank cover the whole programme?

No. It samples general nursing decisions and safety. Study the full qualification-specific programme, the wider general legal part, and clinical areas such as psychiatry, community care, and specialised nursing that are not comprehensively covered here.