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100+ Free SNLE Practice Questions

Pass your Saudi Nursing Licensure Examination (SNLE) (CBT via Prometric) exam on the first try — instant access, no signup required.

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A patient is admitted with suspected meningitis. Which sign would the nurse expect to elicit that indicates meningeal irritation?

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Sample SNLE Practice Questions

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

1A 58-year-old man with acute myocardial infarction reports crushing chest pain rated 8/10. After ensuring airway and oxygen, which medication should the nurse anticipate administering first to relieve his pain and reduce myocardial oxygen demand?
A.Sublingual nitroglycerin
B.Intravenous furosemide
C.Oral aspirin 81 mg only
D.Intravenous heparin bolus
Explanation: Sublingual nitroglycerin is given first for ischemic chest pain because it dilates coronary arteries and reduces preload, lowering myocardial oxygen demand and relieving pain. It is part of the initial MONA-based management once blood pressure permits.
2A nurse is caring for a patient with left-sided heart failure. Which assessment finding is the nurse MOST likely to observe?
A.Jugular venous distension
B.Crackles in the lung bases
C.Peripheral pitting edema
D.Hepatomegaly
Explanation: Left-sided heart failure causes blood to back up into the pulmonary circulation, producing pulmonary congestion. This manifests as crackles, dyspnea, orthopnea, and a productive cough with frothy sputum.
3A patient receiving a continuous heparin infusion has an activated partial thromboplastin time (aPTT) that is more than three times the control value and is bleeding from the IV site. Which medication should the nurse have readily available?
A.Vitamin K (phytonadione)
B.Calcium gluconate
C.Protamine sulfate
D.Fresh frozen plasma only
Explanation: Protamine sulfate is the specific antidote that reverses heparin by binding to it and neutralizing its anticoagulant effect. A markedly elevated aPTT with active bleeding indicates heparin overdose requiring reversal.
4A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which oxygen delivery setting is safest to begin with for this patient?
A.Non-rebreather mask at 15 L/min
B.Simple face mask at 10 L/min
C.Venturi mask at 60% FiO2
D.Nasal cannula at 2 L/min
Explanation: Patients with COPD may rely on a hypoxic respiratory drive, so low-flow oxygen (typically 1-2 L/min via nasal cannula) is started to maintain target saturations (often 88-92%) without abolishing the drive to breathe.
5A nurse reviews morning labs for a patient with chronic kidney disease and notes a serum potassium of 6.8 mmol/L. Which finding on the cardiac monitor most urgently confirms a life-threatening effect of this value?
A.Peaked (tall, tented) T waves
B.Prominent U waves
C.Shortened PR interval
D.ST-segment depression
Explanation: Hyperkalemia produces peaked T waves as an early ECG sign, progressing to widened QRS and sine waves that can precede ventricular fibrillation or asystole. A potassium of 6.8 mmol/L is critically high and requires emergency treatment.
6A patient is admitted with diabetic ketoacidosis (DKA). After initial fluid resuscitation and insulin therapy are started, which electrolyte must the nurse monitor most closely because insulin will drive it into the cells?
A.Sodium
B.Potassium
C.Calcium
D.Magnesium
Explanation: Insulin shifts potassium from the extracellular space into cells, so serum potassium can fall rapidly during DKA treatment, risking dangerous hypokalemia. Potassium is replaced once levels are below the upper-normal limit and urine output is adequate.
7A patient with type 1 diabetes is found diaphoretic, tremulous, and confused with a capillary blood glucose of 2.8 mmol/L. The patient is alert enough to swallow safely. What is the nurse's priority action?
A.Give the scheduled dose of regular insulin
B.Notify the physician and wait for orders
C.Administer 15 g of a fast-acting oral carbohydrate
D.Encourage the patient to eat a high-protein meal
Explanation: For conscious hypoglycemia, the rule of 15 applies: give 15 g of fast-acting carbohydrate (such as juice or glucose tablets), recheck glucose in 15 minutes, and repeat if still low. This rapidly corrects the deficit.
8A nurse is assessing a patient suspected of having an acute ischemic stroke. Which assessment tool is most appropriate for a rapid, focused neurological screen of stroke signs in the field or at the bedside?
A.Glasgow Coma Scale only
B.Mini-Mental State Examination
C.Braden Scale
D.FAST assessment (Face, Arms, Speech, Time)
Explanation: The FAST mnemonic (Facial droop, Arm weakness, Speech difficulty, Time to call emergency services) is a validated rapid screen for stroke. Early recognition is critical because thrombolytic therapy is time-dependent.
9A patient returns from surgery with a chest tube connected to a closed water-seal drainage system. The nurse notes continuous, vigorous bubbling in the water-seal chamber. What does this finding most likely indicate?
A.An air leak in the system or patient
B.Normal functioning of the system
C.The lung has fully re-expanded
D.Suction is set too low
Explanation: Continuous bubbling in the water-seal chamber indicates an air leak, either from the patient's pleural space or a loose connection in the tubing. The nurse should assess all connections and the insertion site to locate the source.
10A nurse is caring for a postoperative patient who suddenly develops dyspnea, pleuritic chest pain, tachycardia, and a drop in oxygen saturation. Pulmonary embolism is suspected. What is the nurse's immediate priority action?
A.Ambulate the patient to improve circulation
B.Apply oxygen and position the patient upright
C.Administer an oral analgesic for chest pain
D.Document the findings and reassess in one hour
Explanation: The immediate priority for a suspected pulmonary embolism is to support oxygenation by applying oxygen and positioning the patient upright to ease breathing, then notifying the provider for urgent evaluation. Maintaining airway and oxygenation is always first.

About the SNLE Exam

The Saudi Nursing Licensure Examination (SNLE) is the SCFHS computer-based exam, delivered via Prometric, required to practice as a nurse in Saudi Arabia. It contains 200 multiple-choice questions across two 100-question parts and is scored on a 200-800 scale with a passing score of 500.

Assessment

Computer-based exam of 200 multiple-choice questions (up to 10% unscored pilot items), split into two parts of 100 questions each.

Time Limit

120 minutes per part (two parts), with a scheduled break between parts

Passing Score

A scaled score of 500 on a reporting scale of 200-800, set by a panel of Saudi nursing experts.

Exam Fee

Prometric exam fee is approximately 220-290 USD depending on test location; SCFHS classification, registration, and DataFlow verification fees are paid separately. Confirm current amounts on the SCFHS Mumaris Plus portal. (Saudi Commission for Health Specialties (SCFHS))

SNLE Exam Content Outline

40%

Adult Nursing

Medical-surgical, critical care, community health, and mental/psychiatric nursing for adults, including cardiac, respiratory, renal, endocrine, neurological, and gastrointestinal conditions.

30%

Maternal-Child Nursing

Maternity nursing across antenatal, intrapartum, and postpartum care, plus gynecology, neonatal nursing, and pediatric medical and surgical nursing.

20%

Nursing Fundamentals

Basic human needs, physical assessment, pharmacology and dosage calculation, infection prevention, the nursing process, and nutrition in clinical care.

10%

Nursing Management & Leadership

Prioritization, delegation and scope of practice, quality improvement, patient safety, ethics, informed consent, and interprofessional communication.

How to Pass the SNLE Exam

What You Need to Know

  • Passing score: A scaled score of 500 on a reporting scale of 200-800, set by a panel of Saudi nursing experts.
  • Assessment: Computer-based exam of 200 multiple-choice questions (up to 10% unscored pilot items), split into two parts of 100 questions each.
  • Time limit: 120 minutes per part (two parts), with a scheduled break between parts
  • Exam fee: Prometric exam fee is approximately 220-290 USD depending on test location; SCFHS classification, registration, and DataFlow verification fees are paid separately. Confirm current amounts on the SCFHS Mumaris Plus portal.

Keys to Passing

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

SNLE Study Tips from Top Performers

1Weight your study time to match the blueprint: spend the most time on Adult Nursing (40%) and Maternal-Child Nursing (30%), which together make up 70% of the exam.
2Practice applied vignettes, not just recall, because the SNLE tests interpretation, prioritization, and clinical decision-making alongside knowledge questions.
3Drill safe medication administration, dosage calculations, and prioritization/delegation rules, since these patient-safety themes are integrated throughout every domain.

Frequently Asked Questions

How many questions are on the SNLE and how is it structured?

The SNLE has 200 multiple-choice questions (which may include up to 10% unscored pilot items), delivered in two parts of 100 questions each, with 120 minutes allotted per part.

What is the passing score for the SNLE?

The passing standard is a scaled score of 500 on a reporting scale of 200 to 800, established through a standard-setting process by a panel of Saudi nursing experts.

Who administers the SNLE and where do I take it?

The Saudi Commission for Health Specialties (SCFHS) owns the exam, which is delivered as a computer-based test through Prometric test centers. Registration is handled through the SCFHS Mumaris Plus portal.

What topics does the SNLE cover?

The blueprint weights Adult Nursing at 40%, Maternal-Child Nursing at 30%, Nursing Fundamentals at 20%, and Nursing Management & Leadership at 10%, with patient safety integrated across all domains. Domain weights may vary by up to plus or minus 5%.