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A discharged patient needs ongoing wound care at home, physiotherapy and help with daily activities. Demonstrating collaborative practice, the nurse should:
A
B
C
D
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Sample SNB Licensure Exam Practice Questions
Try these sample questions to test your SNB Licensure Exam exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A foreign-trained nurse begins working in a Singapore hospital. Under the Nurses and Midwives Act, which body is legally responsible for regulating her registration and scope of practice?
A.The Singapore Nursing Board (SNB)
B.The Ministry of Manpower
C.The Singapore Medical Council
D.Her employing hospital's HR department
Explanation: The Singapore Nursing Board (SNB) is the statutory body established under the Nurses and Midwives Act that registers, enrols and regulates nurses and midwives in Singapore. It sets the Core Competencies, the Code for Nurses and Midwives, and the licensure requirements.
2A patient asks a nurse not to share his HIV diagnosis with his visiting relatives. Which principle of the SNB Code for Nurses and Midwives most directly supports honouring this request?
A.Beneficence to the family
B.Confidentiality and the client's right to privacy
C.Professional collaboration
D.Continuing professional development
Explanation: The SNB Code requires nurses to maintain confidentiality and respect the client's right to dignity, autonomy and control over access to their information. Disclosure of a diagnosis to relatives without consent would breach this duty.
3A staff nurse realises after handover that she charted a medication as given but actually forgot to administer it. What is the most legally and ethically appropriate action?
A.Leave the record unchanged to avoid alarming the next shift
B.Quietly give the dose now and say nothing
C.Document the error honestly, report it, and notify the nurse in charge and prescriber as per policy
D.Ask a colleague to amend the record on her behalf
Explanation: Accurate, honest documentation and incident reporting are core legal and ethical obligations. The nurse must correct the record truthfully, escalate per institutional incident-reporting policy, and inform the nurse in charge and prescriber so patient safety can be assessed.
4An RN is asked to perform a procedure she has never been trained or assessed on. According to her professional accountability under the SNB Code, she should:
A.Perform it because a doctor ordered it
B.Delegate it immediately to an enrolled nurse
C.Attempt it and document that she was unsupervised
D.Decline and inform the nurse in charge that the task is outside her current competence, seeking appropriate supervision or training
Explanation: RNs are accountable for practising only within their scope of competence. When asked to do something beyond her assessed competence, the nurse must recognise her limits, decline to proceed unsupervised, and seek training or supervision to ensure patient safety.
5A Muslim patient declines a porcine-derived insulin product on religious grounds. The culturally appropriate nursing response is to:
A.Respect his beliefs, document the refusal, and liaise with the medical team about a suitable alternative
B.Insist he take it because it is medically necessary
C.Administer it covertly in food
D.Tell him his religion is endangering his health
Explanation: Providing culturally appropriate care means respecting the values, customs and spiritual beliefs of clients. The nurse should acknowledge the refusal, document it, and work with the team to find an acceptable alternative such as a non-porcine or recombinant insulin.
6Which of the following best describes valid informed consent for a nursing procedure?
A.The patient signed a form, regardless of understanding
B.The patient is competent, has been given relevant information, and agrees voluntarily without coercion
C.A relative agreed on the patient's behalf while the patient was alert and competent
D.The nurse believes the procedure is in the patient's best interest
Explanation: Valid consent requires that the patient has capacity, receives adequate information about the procedure and its risks, and gives agreement freely without coercion. A signature alone does not constitute informed consent.
7A newly registered RN delegates routine vital-sign monitoring to an enrolled nurse. Where does accountability for the appropriateness of this delegation lie?
A.Solely with the enrolled nurse
B.With the ward clerk who assigns staff
C.With the RN who delegated, who must ensure the task and the EN's competence are appropriate
D.With the patient who accepted the EN
Explanation: The SNB Core Competencies state RNs are accountable for the supervision and delegation of nursing activities to enrolled nurses and ancillary staff. The delegating RN must ensure the task is suitable and the EN is competent to perform it safely.
8An RN witnesses a senior colleague repeatedly bypassing hand hygiene before patient contact. Acting within her ethical and legal duty, she should first:
A.Ignore it because the colleague is senior
B.Post about it on social media
C.Refuse to work on the ward
D.Raise the concern respectfully and, if unresolved, escalate through the appropriate channels
Explanation: Nurses have a duty to safeguard clients and to escalate practice concerns. The appropriate first step is to raise the issue directly and professionally, then escalate to a supervisor or through incident-reporting channels if the unsafe practice continues.
9Under the SNB Code, fitness to practise includes ensuring one's own:
A.Physical, cognitive, psychological and emotional fitness to deliver safe care
B.Financial stability only
C.Social media popularity
D.Membership in a nurses' union
Explanation: The Core Competencies require RNs to ensure their own physical, cognitive, psychological and emotional fitness to practise so they can deliver safe care. A nurse who is impaired or unwell must not jeopardise patient safety.
10A nurse documents nursing care in the electronic health record. To be legally defensible, the entry must be:
A.Written in personal shorthand only she understands
B.Clear, accurate, legible, timely and attributable to her
C.Backdated to the start of the shift for tidiness
D.Free of any reference to patient refusals
Explanation: Documentation must be clear, accurate, legible, contemporaneous and traceable to the author. These standards ensure records are reliable for continuity of care and for medico-legal purposes.
About the SNB Licensure Exam Practice Questions
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