100+ Free UHPAB Nursing & Midwifery Exam Practice Questions

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Sample UHPAB Nursing & Midwifery Exam Practice Questions

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

1A nurse is recording a healthy adult patient's vital signs on admission. Which set of values is within the normal expected range for a resting adult?

A.Temperature 36.8 C, pulse 78/min, respirations 16/min, BP 118/76 mmHg

B.Temperature 38.5 C, pulse 120/min, respirations 28/min, BP 90/50 mmHg

C.Temperature 35.0 C, pulse 44/min, respirations 8/min, BP 160/100 mmHg

D.Temperature 37.9 C, pulse 100/min, respirations 24/min, BP 150/95 mmHg

Explanation: Normal adult resting values are temperature 36.1-37.2 C, pulse 60-100/min, respirations 12-20/min and BP below 120/80 mmHg. The values 36.8 C, 78/min, 16/min and 118/76 mmHg all fall within these ranges.

2When using the ABCDE approach to assess an acutely deteriorating patient, which step must always be addressed first?

A.Disability (neurological status)

B.Breathing (oxygenation and ventilation)

C.Airway (patency and protection)

D.Circulation (pulse and bleeding)

Explanation: The ABCDE approach is performed in strict order: Airway first, because an obstructed airway will cause death within minutes regardless of any other intervention. Only once the airway is patent does the nurse move to Breathing, Circulation, Disability and Exposure.

3A nurse is documenting in a patient's record. Which entry best reflects correct nursing documentation principles?

A.An entry written in pencil so it can be corrected later if needed

B.A factual, timed and dated entry signed with the nurse's name and title

C.A retrospective summary written at the end of the shift for all patients together

D.An entry that records the nurse's personal opinion that the patient is lazy

Explanation: Nursing records must be factual, accurate, contemporaneous, timed, dated and signed with the nurse's name and designation. This provides a legal record of care and protects both patient and practitioner.

4A patient who is confined to bed is at risk of pressure injury. Which nursing action is most effective in preventing pressure ulcers?

A.Massaging vigorously over bony prominences that appear red

B.Repositioning the patient at least every 2 hours and keeping the skin clean and dry

C.Restricting the patient's fluid intake to reduce incontinence

D.Using a ring or doughnut cushion under the sacrum

Explanation: Regular repositioning at least every 2 hours redistributes pressure and is the cornerstone of pressure-injury prevention, combined with keeping skin clean, dry and well moisturised and ensuring adequate nutrition and hydration.

5A nurse is preparing to assist a patient who has been on bed rest to stand for the first time. The patient suddenly feels dizzy and faint on standing. What is the most likely cause?

A.Orthostatic (postural) hypotension

B.Hypertensive crisis

C.Hyperglycaemia

D.Pulmonary embolism

Explanation: Orthostatic hypotension is a fall in blood pressure on standing, common after prolonged bed rest because of reduced vascular tone and blood volume redistribution. The nurse should sit the patient down, allow gradual position changes and monitor blood pressure.

6A nurse measures urine output for a catheterised adult patient over 24 hours. Which finding indicates oliguria and should be reported?

A.1500 mL in 24 hours

B.Urine output of 50 mL per hour

C.Urine output of less than 400 mL in 24 hours

D.2000 mL in 24 hours

Explanation: Oliguria is defined as a urine output of less than 400 mL in 24 hours (or below about 0.5 mL/kg/hour) in an adult. It is an early warning sign of dehydration, shock or acute kidney injury and must be reported promptly.

7A nurse is caring for an unconscious patient. To maintain a patent airway and reduce the risk of aspiration, in which position should the patient be placed if no spinal injury is suspected?

A.Supine flat on the back

B.The recovery (lateral) position

C.High Fowler's sitting upright

D.Prone lying face down

Explanation: The recovery (lateral) position allows the tongue to fall forward and secretions or vomit to drain from the mouth, protecting the airway in an unconscious patient who is breathing and has no suspected spinal injury.

8According to the nursing process, which is the correct sequence of its five steps?

A.Assessment, diagnosis, planning, implementation, evaluation

B.Planning, assessment, implementation, diagnosis, evaluation

C.Diagnosis, assessment, evaluation, planning, implementation

D.Implementation, assessment, planning, diagnosis, evaluation

Explanation: The nursing process follows the sequence assessment, nursing diagnosis, planning, implementation and evaluation (ADPIE). It is a systematic, patient-centred problem-solving framework that begins with gathering data and ends with evaluating outcomes.

9A nurse is about to administer a medication and follows the rights of medication administration. Which set correctly lists core rights of safe drug administration?

A.Right colour, right shape, right smell, right taste, right cost

B.Right patient, right drug, right dose, right route, right time

C.Right doctor, right ward, right trolley, right nurse, right shift

D.Right brand, right manufacturer, right supplier, right pharmacy, right label

Explanation: The core rights of medication administration are the right patient, right drug, right dose, right route and right time, with right documentation also commonly included. Checking these reduces medication errors and protects patient safety.

10A nurse needs to administer 600 mg of a drug that is supplied as 250 mg per 5 mL syrup. What volume should be given?

A.6 mL

B.10 mL

C.12 mL

D.15 mL

Explanation: Using the formula (dose required / stock strength) x volume of stock: (600 / 250) x 5 mL = 2.4 x 5 = 12 mL. Accurate dosage calculation is an essential nursing skill to prevent under- or overdosing.

About the UHPAB Nursing & Midwifery Exam Exam

The UHPAB nursing and midwifery examination is the national assessment that diploma and certificate nursing and midwifery trainees in Uganda must pass before registration with the Uganda Nurses and Midwives Council. It is administered by the Uganda Health Professions Assessment Board (UHPAB), formed from the merger of the former UNMEB and UAHEB, and covers the full nursing and midwifery curriculum through written theory papers and practical/clinical assessments.

Assessment

UHPAB assessment combines written theory papers (multiple-choice and short-answer questions across the nursing and midwifery curriculum) with separate practical and clinical/OSCE assessments. Candidates must pass both the written and the practical components to qualify.

Time Limit

Each written paper is timed, commonly around 2-3 hours; the exact duration is set per paper by UHPAB.

Passing Score

UHPAB sets the minimum mark for each paper, and candidates must reach the required standard in both theory and practical assessments. Confirm the current pass mark with your training institution.

Exam Fee

Assessment and certification fees are set by UHPAB and usually paid through the candidate's training institution. Fees change periodically, so confirm the current charges with your school and UHPAB. (Uganda Health Professions Assessment Board (UHPAB, formerly the Uganda Nurses and Midwives Examinations Board, UNMEB))

UHPAB Nursing & Midwifery Exam Exam Content Outline

12%

Fundamentals of Nursing

Vital signs, the nursing process, documentation, hygiene, pressure-injury prevention, mobility, pain assessment and safe care.

Anatomy and Physiology

Structure and function of the cardiovascular, respiratory, renal, digestive, endocrine, nervous and integumentary systems and blood.

14%

Medical-Surgical Nursing

Cardiac, respiratory, neurological, GI, endocrine, renal, orthopaedic and emergency conditions, shock, wounds and perioperative care.

14%

Maternal and Child Health and Midwifery

Antenatal care, labour and the partograph, obstetric emergencies, newborn care, family planning and child health.

17%

Community Health Nursing and Tropical Disease

Primary health care, malaria, HIV/PMTCT, tuberculosis, immunisation/EPI, IMCI, outbreak response and prevention.

Pharmacology and Drug Administration

Drug classes, dosage and IV calculations, injection technique, controlled drugs and medication safety.

Infection Prevention and Control

Hand hygiene, standard and transmission-based precautions, sterilisation, sharps and waste handling and post-exposure management.

Nutrition

Breastfeeding, complementary feeding, MUAC, acute malnutrition and micronutrient deficiencies.

Mental Health Nursing

Depression and suicide risk, psychosis, de-escalation, substance misuse, perinatal mental health and psychotropic drugs.

Nursing Ethics and Law

Consent, confidentiality, accountability, ethical principles, the Nurses and Midwives Act and CPD.

How to Pass the UHPAB Nursing & Midwifery Exam Exam

What You Need to Know

Passing score: UHPAB sets the minimum mark for each paper, and candidates must reach the required standard in both theory and practical assessments. Confirm the current pass mark with your training institution.
Assessment: UHPAB assessment combines written theory papers (multiple-choice and short-answer questions across the nursing and midwifery curriculum) with separate practical and clinical/OSCE assessments. Candidates must pass both the written and the practical components to qualify.
Time limit: Each written paper is timed, commonly around 2-3 hours; the exact duration is set per paper by UHPAB.
Exam fee: Assessment and certification fees are set by UHPAB and usually paid through the candidate's training institution. Fees change periodically, so confirm the current charges with your school and UHPAB.

Keys to Passing

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

UHPAB Nursing & Midwifery Exam Study Tips from Top Performers

1Prioritise Uganda's high-burden community-health topics: the national EPI immunisation schedule, malaria treatment (artemether-lumefantrine for uncomplicated, parenteral artesunate for severe), HIV/PMTCT Option B+, tuberculosis and IMCI danger signs and dehydration classification.

2Drill core clinical numbers and safety skills until they are automatic: normal vital signs, dosage and IV drip-rate calculations, the medication rights, the partograph and active management of the third stage of labour, and emergency drugs such as magnesium sulphate for eclampsia and adrenaline for anaphylaxis.

3Do not neglect nursing ethics and law, including consent, confidentiality, accountability and the role of the Uganda Nurses and Midwives Council, because these are predictable, scorable marks that also underpin safe, professional practice in the clinical assessment.

Frequently Asked Questions

Who administers the Uganda nursing and midwifery qualifying examination?

The Uganda Health Professions Assessment Board (UHPAB), formed from the merger of the former Uganda Nurses and Midwives Examinations Board (UNMEB) and the Uganda Allied Health Examinations Board (UAHEB), assesses and certifies all diploma and certificate nursing and midwifery trainees in Uganda before they register with the Uganda Nurses and Midwives Council.

What is assessed in the UHPAB nursing and midwifery examination?

The examination covers the full nursing and midwifery curriculum through written theory papers (multiple-choice and short-answer questions) and separate practical and clinical assessments. Candidates must pass both the written and practical components to qualify.

What clinical topics should I focus on for the Uganda nursing exam?

Focus on fundamentals of nursing, anatomy and physiology, medical-surgical nursing, maternal and child health and midwifery, and community health, with strong emphasis on Uganda's high-burden conditions such as malaria, HIV and PMTCT, tuberculosis, the national immunisation (EPI) schedule, IMCI, nutrition, pharmacology, infection prevention and nursing ethics and law.

What happens after I pass the UHPAB examination?

After passing the UHPAB qualifying examination and completing your training, you apply to register or enrol with the Uganda Nurses and Midwives Council, the statutory regulator established under the Nurses and Midwives Act 1996, before you can practise legally as a nurse or midwife in Uganda.