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Exam Review

Key Facts: Taiwan Registered Nurse Licensing Examination Exam

250 items

Total questions across five 50-question CBT papers in the official licensing examination.

MOEX 2026 nursing examination handbook and timetable

60% mean

Arithmetic mean of at least 60/100 across five equally weighted subjects, with no zero-scoring subject.

Medical Care Personnel Examination Regulations, Article 12

300 min

Total testing time (60 minutes allotted for each of the five subject papers).

MOEX CBT Examination Schedule

NTD 2,500

Standard examination registration fee for computerized medical licensure testing.

MOEX Examination Fee Standards, fee appendix effective September 1, 2025 (FL044192)

Independent 110-question English study bank for the five subjects of Taiwan's Registered Nurse Examination.

Sample Taiwan Registered Nurse Licensing Examination Practice Questions

Try these sample questions to review concepts for the Taiwan Registered Nurse Licensing Examination exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 110+ question experience with AI tutoring.

1Which sequence correctly represents the normal unidirectional pathway of blood flow through the heart valves beginning from systemic venous return?
A.Tricuspid valve, pulmonary semilunar valve, bicuspid (mitral) valve, aortic semilunar valve
B.Bicuspid (mitral) valve, aortic semilunar valve, tricuspid valve, pulmonary semilunar valve
C.Tricuspid valve, aortic semilunar valve, bicuspid (mitral) valve, pulmonary semilunar valve
D.Pulmonary semilunar valve, tricuspid valve, aortic semilunar valve, bicuspid (mitral) valve
Explanation: Deoxygenated systemic venous blood enters the right atrium and passes through the tricuspid valve into the right ventricle, then through the pulmonary semilunar valve into the pulmonary trunk. After oxygenation in the lungs, blood enters the left atrium, traverses the bicuspid (mitral) valve into the left ventricle, and exits through the aortic semilunar valve into the systemic circulation.
2In response to decreased renal perfusion, renin is secreted by juxtaglomerular cells. What is the primary physiological action of aldosterone released downstream in this pathway?
A.Promotes sodium and water reabsorption while enhancing potassium excretion in renal distal tubules and collecting ducts
B.Inhibits sodium reabsorption in the proximal convoluted tubules to induce osmotic diuresis
C.Directly relaxes vascular smooth muscle to reduce systemic vascular resistance
D.Stimulates calcium excretion while reabsorbing magnesium in the thick ascending limb
Explanation: Aldosterone, a mineralocorticoid secreted by the adrenal cortex under stimulation by angiotensin II and hyperkalemia, acts on the principal cells of the late distal tubules and collecting ducts. It upregulates apical epithelial sodium channels (ENaC) and basolateral Na+/K+ ATPase pumps, leading to sodium and water retention and potassium/hydrogen ion excretion.
3A patient with chronic heart failure who is receiving digoxin reports new-onset anorexia, nausea, and seeing yellow-green halos around lights. What pharmacological mechanism underlies these clinical findings?
A.Digoxin toxicity resulting from excessive inhibition of cardiac sarcolemmal Na+/K+ ATPase pumps
B.Cholinergic receptor blockade causing acute muscarinic crisis and visual accommodation failure
C.Histamine-mediated hypersensitivity reaction involving retinal mast cell degranulation
D.Beta-1 adrenergic down-regulation causing decreased myocardial contractility and cerebral hypoperfusion
Explanation: Digoxin exerts a positive inotropic effect by selectively inhibiting Na+/K+ ATPase, which elevates intracellular sodium and subsequently intracellular calcium via the Na+/Ca2+ exchanger. Because digoxin possesses a narrow therapeutic index (0.5–2.0 ng/mL), excessive inhibition or accumulation leads to toxicity, classically manifested by gastrointestinal distress (anorexia, nausea, vomiting), cardiac arrhythmias, and xanthopsia (yellow-green halo vision).
4Which bacterial structural component is primarily responsible for triggering the systemic inflammatory cascade and septic shock in severe Gram-negative bacteremia?
A.Lipopolysaccharide (specifically the Lipid A moiety) within the outer bacterial membrane
B.Peptidoglycan monomer cross-links within the periplasmic thick cell wall
C.Exotoxin A secreted into the extracellular matrix during the bacterial logarithmic growth phase
D.Flagellin proteins located on the peritrichous bacterial motility apparatus
Explanation: Lipopolysaccharide (LPS), also known as endotoxin, is an integral constituent of the outer membrane of Gram-negative bacteria. The Lipid A moiety is the toxic component that binds to Toll-like receptor 4 (TLR4) on macrophages and monocytes, triggering massive synthesis and release of pro-inflammatory cytokines such as TNF-alpha, IL-1, and IL-6, which drive systemic vasodilation, capillary leakage, and septic shock.
5A patient experiences an acute ischemic stroke resulting in irreversible focal brain parenchymal necrosis. What pattern of tissue necrosis is characteristically observed in ischemic lesions of the central nervous system?
A.Liquefactive necrosis due to high hydrolytic enzymatic activity and lipid content
B.Coagulative necrosis characterized by preservation of underlying cellular architectural outlines
C.Caseous necrosis with friable, cheese-like macroscopic appearance and granulomatous inflammation
D.Fat necrosis caused by enzymatic digestion of peripancreatic adipose tissue
Explanation: Ischemic injury to brain tissue characteristically produces liquefactive necrosis. Because neural tissue has a high lipid content and abundant hydrolytic enzymes released by lysosomes of dead neurons and microglial cells, the necrotic cellular debris is rapidly digested into a viscous, liquid mass that eventually resolves into a cystic cavity.
6A nurse is administering intravenous furosemide to a patient with acute pulmonary edema. What is the specific nephron site of action of this loop diuretic, and what electrolyte pattern is commonly induced?
A.Inhibition of the Na+/K+/2Cl- cotransporter in the thick ascending limb of the loop of Henle, causing hypokalemia and metabolic alkalosis
B.Inhibition of the Na+/Cl- cotransporter in the early distal convoluted tubule, causing hypercalcemia and metabolic acidosis
C.Antagonism of aldosterone receptors in the cortical collecting duct, causing hyperkalemia and hyponatremia
D.Inhibition of carbonic anhydrase in the proximal convoluted tubule, causing hypokalemic metabolic acidosis
Explanation: Furosemide is a potent loop diuretic that blocks the luminal Na+/K+/2Cl- symporter in the thick ascending limb of the loop of Henle. By preventing the reabsorption of these electrolytes, it abolishes the hypertonic medullary gradient and drives massive natriuresis and diuresis. The increased distal delivery of sodium leads to enhanced potassium and hydrogen ion excretion, frequently causing hypokalemia, hypomagnesemia, and contraction metabolic alkalosis.
7During neurological assessment, a nurse checks the gag reflex and observes the client swallowing. Which cranial nerve provides major parasympathetic preganglionic innervation to the heart, lungs, and gastrointestinal tract down to the splenic flexure?
A.Cranial Nerve X (Vagus nerve)
B.Cranial Nerve IX (Glossopharyngeal nerve)
C.Cranial Nerve VII (Facial nerve)
D.Cranial Nerve XII (Hypoglossal nerve)
Explanation: The vagus nerve (Cranial Nerve X) provides extensive parasympathetic autonomic innervation to the thoracic and abdominal viscera, including the heart (slowing heart rate), lungs (bronchoconstriction), and gastrointestinal tract down to the transverse colon/splenic flexure. It also carries visceral afferents and supplies motor fibers to the pharyngeal and laryngeal musculature.
8A patient experiences sudden stridor, diffuse urticaria, and severe hypotension minutes after receiving an intramuscular injection of penicillin. What immunologic classification and primary mediator mediate this reaction?
A.Type I hypersensitivity mediated by antigen cross-linking of specific IgE antibodies on mast cells and basophils
B.Type II hypersensitivity mediated by IgM and IgG autoantibodies targeting circulating erythrocytes
C.Type III hypersensitivity mediated by circulating immune complex deposition in microvascular basement membranes
D.Type IV hypersensitivity mediated by sensitized CD4+ T helper cells releasing inflammatory lymphokines
Explanation: Anaphylaxis is a life-threatening Type I (immediate) hypersensitivity reaction. Upon re-exposure to an offending allergen (e.g., penicillin), the antigen cross-links preformed allergen-specific IgE bound to high-affinity Fc-epsilon-RI receptors on mast cells and basophils. This triggers immediate degranulation and release of histamine, tryptase, leukotrienes, and prostaglandins, causing bronchospasm, mucosal edema, vasodilation, and vascular collapse.
9A patient with deep vein thrombosis is transitioned from continuous unfractionated heparin infusion to oral warfarin. Which coagulation tests are used to monitor heparin and warfarin therapy respectively, and what are their specific reversal agents?
A.Heparin: activated partial thromboplastin time (aPTT), reversed by protamine sulfate; Warfarin: prothrombin time / international normalized ratio (PT/INR), reversed by vitamin K
B.Heparin: prothrombin time (PT), reversed by vitamin K; Warfarin: activated clotting time (ACT), reversed by protamine sulfate
C.Heparin: bleeding time, reversed by aminocaproic acid; Warfarin: thrombin time (TT), reversed by idarucizumab
D.Heparin: international normalized ratio (INR), reversed by fresh frozen plasma; Warfarin: platelet count, reversed by desmopressin
Explanation: Unfractionated heparin potentiates antithrombin III, which inactivates thrombin (factor IIa) and factor Xa; it affects the intrinsic and common pathways and is monitored using activated partial thromboplastin time (aPTT), with protamine sulfate as its specific antidote. Warfarin inhibits vitamin K epoxide reductase, depleting factors II, VII, IX, and X; it affects the extrinsic pathway and is monitored via PT/INR, with phytonadione (vitamin K1) and prothrombin complex concentrate (PCC) as its antidotes.
10An arterial blood gas from a client with a COPD exacerbation shows pH 7.31, PaCO2 58 mmHg, and HCO3- 28 mEq/L. Which introductory acid-base classification best describes these findings?
A.Partially compensated respiratory acidosis
B.Uncompensated metabolic acidosis
C.Fully compensated respiratory alkalosis
D.Uncompensated respiratory acidosis
Explanation: The low pH and elevated PaCO2 identify respiratory acidosis. Bicarbonate is also elevated, consistent with compensation, but the pH remains acidemic. These values are internally consistent with the Henderson-Hasselbalch equation; a full clinical interpretation also considers baseline results and possible mixed disorders.

About the Taiwan Registered Nurse Licensing Examination Exam

Independent English-language MCQ study adaptation by OpenExamPrep for 專門職業及技術人員高等考試醫事人員考試護理師考試. MOEX administers the official CBT in Traditional Chinese. This bank is not an official translation, a full exam-format simulation, or a substitute for supervised nursing and practical training.

Exam sponsor: Ministry of Examination (考選部 / MOEX). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Computer-based testing (CBT) covering 基礎醫學 (50 items, 60 min), 基本護理學與護理行政 (50 items, 60 min), 內外科護理學 (50 items, 60 min), 產兒科護理學 (50 items, 60 min), and 精神科與社區衛生護理學 (50 items, 60 min).

Time Limit

300 minutes (60 minutes per subject paper).

Passing Score

Arithmetic mean of at least 60/100 across the five equally weighted subjects, with no zero-scoring subject.

Exam / Certification Fees

NTD 2,500 standard computerized examination registration fee.

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.

20 study questions; 50 official items and 20% of the official score

Basic Medical Sciences (基礎醫學)

Anatomy, physiology, pathology, pharmacology, and microbiology/immunology relevant to nursing clinical care.

23 study questions; 50 official items and 20% of the official score

Fundamental Nursing & Nursing Administration (基本護理學與護理行政)

Core nursing principles, asepsis, vital signs, pharmacotherapy administration, ethical principles, Nursing Personnel Act, and ward management.

23 study questions; 50 official items and 20% of the official score

Medical-Surgical Nursing (內外科護理學)

Adult medical-surgical nursing across cardiovascular, respiratory, neurological, gastrointestinal, endocrine, oncology, and perioperative care.

22 study questions; 50 official items and 20% of the official score

Maternal and Pediatric Nursing (產兒科護理學)

Comprehensive obstetric care, normal and high-risk labor, postpartum recovery, neonatal assessment, pediatric developmental milestones, and childhood illnesses.

22 study questions; 50 official items and 20% of the official score

Psychiatric and Community Health Nursing (精神科與社區衛生護理學)

Psychiatric mental health disorders, psychopharmacology, therapeutic nurse-client communication, community health epidemiology, long-term care, and public health systems.

Preparing for the Taiwan Registered Nurse Licensing Examination Exam

What You Need to Know

  • Passing score: Arithmetic mean of at least 60/100 across the five equally weighted subjects, with no zero-scoring subject.
  • Assessment: Computer-based testing (CBT) covering 基礎醫學 (50 items, 60 min), 基本護理學與護理行政 (50 items, 60 min), 內外科護理學 (50 items, 60 min), 產兒科護理學 (50 items, 60 min), and 精神科與社區衛生護理學 (50 items, 60 min).
  • Time limit: 300 minutes (60 minutes per subject paper).
  • Exam / certification fees: NTD 2,500 standard computerized examination registration fee. Official sources

Using Our Practice Resources

  • Work through all 110 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Taiwan Registered Nurse Licensing Examination: Suggested Study Strategy

1Master drug-class mechanisms, critical adverse reactions, and nursing contraindications—especially cardiovascular agents, insulins, psychotropics, and emergency medications.
2Thoroughly review clinical signs and critical nursing interventions for emergency conditions such as acute coronary syndromes, increased intracranial pressure, respiratory failure, and thyroid storm.
3Memorize developmental milestones (gross motor, fine motor, language, psychosocial) along with pediatric medication calculations and immunization schedules.
4Understand Taiwan's legal nursing frameworks under the Nursing Personnel Act, patient rights, mandatory reporting obligations, and community epidemiological surveillance measures.

Frequently Asked Questions

What is the passing criterion for the Taiwan Registered Nurse Examination?

Article 12 of the Medical Care Personnel Examination Regulations requires an arithmetic mean of at least 60/100 across the five subjects, with no subject scoring zero. All five papers have equal weight. Required clinical internships are eligibility requirements separate from the written CBT; there is no separate oral examination or submitted assignment in this assessment.

How is the examination delivered by MOEX?

The examination is administered in Taiwan via computerized Computer-Based Testing (CBT). Candidates complete five 60-minute subject papers, each consisting of 50 four-option multiple-choice questions in Traditional Chinese.

What are the eligibility requirements to sit the nurse licensure examination?

The Article 6 eligibility appendix includes specified nursing and nursing/midwifery education routes with satisfactory prescribed internship, plus applicable historical qualifying-examination routes. Foreign qualifications must meet recognition requirements. Applicants should check the exact appendix route rather than assume any healthcare degree qualifies.

Does this study adaptation replace official MOEX past exam papers?

No. This question bank is an independent English-language MCQ conceptual study adaptation designed for clinical knowledge review and critical thinking practice. Candidates should also review official past examination papers in Traditional Chinese released by MOEX to become accustomed to official question phrasing.