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100+ Free SANC Foreign Nurse Exam Practice Questions

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Sample SANC Foreign Nurse Exam Practice Questions

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

1A registered nurse on a medical ward assesses a patient admitted with severe diarrhoea for 3 days. The patient has a dry tongue, sunken eyes, reduced skin turgor and a postural drop in blood pressure. Which nursing diagnosis is the highest priority?
A.Deficient fluid volume related to excessive gastrointestinal losses
B.Impaired skin integrity related to frequent stools
C.Knowledge deficit related to dietary management
D.Anxiety related to hospitalisation
Explanation: Dry mucous membranes, sunken eyes, poor skin turgor and postural hypotension are classic signs of dehydration. Deficient fluid volume is life-threatening and takes priority, addressed with oral rehydration solution or IV fluids per the South African Standard Treatment Guidelines.
2A patient with type 2 diabetes mellitus is found unconscious. The nurse measures a capillary blood glucose of 2.1 mmol/L. According to South African emergency management, what is the most appropriate immediate intervention for this unconscious, hypoglycaemic patient?
A.Give a sugary drink by mouth immediately
B.Wait and recheck the glucose in 30 minutes
C.Administer intravenous dextrose (for example 40-50 mL of 50% dextrose) or IM glucagon
D.Administer the patient's usual dose of insulin
Explanation: A blood glucose of 2.1 mmol/L with loss of consciousness is severe hypoglycaemia. An unconscious patient cannot safely swallow, so IV dextrose (or IM glucagon if no IV access) is the correct emergency treatment to restore glucose and protect the brain.
3When measuring blood pressure with a manual sphygmomanometer, using a cuff that is too small (too narrow) for the patient's arm will most likely cause the reading to be:
A.Falsely low
B.Falsely high
C.Unaffected by cuff size
D.Impossible to obtain
Explanation: A cuff that is too narrow requires more pressure to occlude the artery, producing a falsely high blood pressure reading. Correct cuff selection (bladder width about 40% of arm circumference) is essential for accurate measurement.
4A patient newly diagnosed with pulmonary tuberculosis is started on the standard South African first-line regimen. Which combination of drugs forms the intensive phase of treatment for drug-susceptible TB?
A.Rifampicin, isoniazid, pyrazinamide and ethambutol
B.Rifampicin and isoniazid only
C.Streptomycin and ethambutol only
D.Bedaquiline, linezolid and clofazimine
Explanation: South Africa follows the WHO-aligned regimen: the 2-month intensive phase for drug-susceptible TB uses fixed-dose rifampicin, isoniazid, pyrazinamide and ethambutol (RHZE), followed by a continuation phase of rifampicin and isoniazid.
5A nurse is caring for a patient who has just returned from theatre after abdominal surgery. The patient is drowsy and lying supine. To maintain a patent airway in this immediate post-anaesthetic period, the nurse should:
A.Position the patient in the lateral (recovery) position if not contraindicated
B.Sit the patient fully upright immediately
C.Place a firm pillow under the head to flex the neck forward
D.Encourage the patient to talk continuously
Explanation: The lateral or recovery position allows the tongue to fall forward and secretions or vomitus to drain from the mouth, preventing airway obstruction and aspiration in a drowsy post-anaesthetic patient.
6A patient is admitted with acute left ventricular failure and pulmonary oedema. The patient is severely dyspnoeic, has pink frothy sputum and crackles to the mid-zones. Which nursing position will most help relieve the breathlessness?
A.Upright sitting position with legs dependent (orthopnoeic)
B.Flat supine with one pillow
C.Left lateral recovery position
D.Trendelenburg (head down) position
Explanation: Sitting upright with legs dependent reduces venous return and pulmonary congestion, lowers the work of breathing and improves lung expansion. This position is combined with oxygen, diuretics and other medical management.
7Which of the following is the single most effective measure for preventing healthcare-associated infection in a nursing ward?
A.Wearing gloves at all times
B.Hand hygiene before and after patient contact
C.Routine use of prophylactic antibiotics
D.Daily disinfection of all floors
Explanation: Hand hygiene, performed at the WHO 'five moments', is the cornerstone of infection prevention and control and the most effective single intervention to break the chain of transmission in healthcare settings.
8A patient with chronic kidney disease has a serum potassium of 6.8 mmol/L and peaked T waves on the ECG. Which finding represents the greatest immediate danger requiring urgent intervention?
A.Mild muscle weakness
B.Increased urine output
C.Risk of life-threatening cardiac arrhythmia
D.Nausea
Explanation: Severe hyperkalaemia destabilises cardiac membranes and can cause ventricular fibrillation or asystole. Peaked T waves are an early ECG sign; urgent treatment (for example calcium gluconate, insulin-dextrose, salbutamol) is required to protect the heart.
9A patient with a long leg plaster cast complains of severe, increasing pain not relieved by analgesia, with numbness and pallor of the toes. The nurse should suspect:
A.Normal post-application discomfort
B.Simple anxiety
C.An allergic reaction to the cast material
D.Compartment syndrome
Explanation: Severe pain out of proportion to injury, unrelieved by analgesia, with pallor, paraesthesia and pulselessness suggests compartment syndrome, a surgical emergency. The nurse must report immediately and prepare for cast splitting or fasciotomy.
10A nurse is preparing to administer an intramuscular injection into the ventrogluteal site. The main advantage of the ventrogluteal site over the dorsogluteal site is that it:
A.Allows larger volumes up to 10 mL
B.Avoids major nerves and blood vessels, improving safety
C.Requires no aspiration before injection
D.Is the only site suitable for children
Explanation: The ventrogluteal site is bounded by bony landmarks and is free of major nerves and large vessels, making it one of the safest IM sites and reducing the risk of sciatic nerve injury associated with the dorsogluteal site.

About the SANC Foreign Nurse Exam Exam

The SANC Admission Examination for Foreign Applicants is the examination foreign-qualified nurses must pass to register as a General Nurse in South Africa. Foreign candidates write the same qualifying examination as South African graduates, covering general nursing, midwifery, community health, mental health and South African nursing law and ethics. SANC, the statutory body under the Nursing Act 33 of 2005, administers the examination and applicants apply individually rather than through a nursing education institution.

Assessment

Written examination mirroring the South African general-nurse qualifying examination, organised into papers covering Integrated General Nursing Science and Ethos & Professional Practice (including ward administration), drawing on the R171/R425 curriculum.

Time Limit

Set per paper in the SANC examination timetable; written papers typically run about 2-3 hours each. No single fixed duration is published.

Passing Score

50% per paper, in line with the standard SANC and South African nurse-education pass mark.

Exam Fee

A prescribed non-refundable application fee applies for foreign-applicant examinations; SANC does not publish a single fixed figure online. Confirm the current fee directly with SANC (012 420 1000). (South African Nursing Council (SANC) — NOTE: id prefix 'hpcsa' is a misnomer; nursing is regulated by SANC, not HPCSA)

SANC Foreign Nurse Exam Exam Content Outline

34%

General Nursing Science

Adult medical-surgical nursing, assessment and vital signs, fluid, electrolyte and acid-base balance, cardiac, respiratory, renal and neurological care, surgical and emergency nursing, infection control, wound care and drug calculations.

20%

Ethos and Professional Practice

Nursing Act 33 of 2005, SANC scope of practice and registration, code of ethics, ethical principles, informed consent, confidentiality, negligence and duty of care, patients' rights, Batho Pele and ward management.

13%

Midwifery Science

Antenatal care (BANC Plus), labour monitoring and the partogram, obstetric emergencies, active management of the third stage, newborn assessment and resuscitation, PMTCT and breastfeeding.

13%

Community Health Nursing Science

Primary health care principles, district health system and referral, levels of prevention, immunisation, IMCI, growth monitoring, epidemiology, TB/HIV and non-communicable disease programmes and health promotion.

10%

Mental Health Nursing Science

Psychiatric assessment, suicide-risk and crisis management, schizophrenia, mood and anxiety disorders, substance use, the Mental Health Care Act 17 of 2002 and therapeutic communication.

10%

Pharmacology and Applied Sciences

Drug actions and classes, safe medication administration and the rights of administration, dosage calculation, controlled substances and key drug safety, side-effect and toxicity considerations.

How to Pass the SANC Foreign Nurse Exam Exam

What You Need to Know

  • Passing score: 50% per paper, in line with the standard SANC and South African nurse-education pass mark.
  • Assessment: Written examination mirroring the South African general-nurse qualifying examination, organised into papers covering Integrated General Nursing Science and Ethos & Professional Practice (including ward administration), drawing on the R171/R425 curriculum.
  • Time limit: Set per paper in the SANC examination timetable; written papers typically run about 2-3 hours each. No single fixed duration is published.
  • Exam fee: A prescribed non-refundable application fee applies for foreign-applicant examinations; SANC does not publish a single fixed figure online. Confirm the current fee directly with SANC (012 420 1000).

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

SANC Foreign Nurse Exam Study Tips from Top Performers

1Anchor your revision in South African practice: the Nursing Act 33 of 2005, the SANC scope of practice and code of ethics, the Mental Health Care Act 17 of 2002, BANC Plus, IMCI and national TB/HIV guidelines are frequently tested.
2Build confidence in nursing dosage and drip-rate calculations and the rights of medication administration, since applied pharmacology and safe administration recur across the general nursing paper.
3Practise applied clinical scenarios (prioritisation, emergencies, ethics dilemmas) rather than pure recall, because the examination emphasises safe, accountable decision-making at registered-nurse level.

Frequently Asked Questions

Who administers the SANC admission examination for foreign applicants?

The South African Nursing Council (SANC), the statutory body that regulates nursing under the Nursing Act 33 of 2005, administers the examination. Foreign applicants apply individually to SANC rather than through a nursing education institution. Despite this exam ID's 'hpcsa' prefix, nursing is regulated by SANC, not the HPCSA.

Is the foreign-applicant examination different from the exam South African nurses write?

No. SANC circulars confirm that foreign candidates (and South Africans with foreign qualifications) write the same qualifying examination as South African nurses. For the General Nurse category it covers the R171/R425 curriculum, including general nursing, midwifery, community health, mental health and professional practice.

What is the pass mark and how is the exam structured?

The standard pass mark is 50% per paper, consistent with SANC and South African nurse-education requirements. The examination is set in papers, notably Integrated General Nursing Science and Ethos & Professional Practice (including ward administration), rather than a single published number of multiple-choice items.

How much does the examination cost?

SANC charges a prescribed non-refundable application fee for foreign-applicant examinations, but it does not publish a single fixed figure online and fees are updated periodically. Confirm the current amount directly with SANC on 012 420 1000 or via www.sanc.co.za before applying.