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Saudi Licensure Examination – Nursing Technician: free practice test

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Practice test questions with answers and explanations

Try the questions in the test above first, then open each one here to see the correct answer and why every other option is wrong.

01A charge nurse asks a nursing technician to start a peripheral IV on a newly admitted adult. The technician has never been trained or competency-checked for IV insertion. What should the technician do?

Practice question Unit: Unit Management and Leadership

  1. AExplain the competency gap and request a trained practitioner ✓ Correct answer

    An unverified invasive skill must be referred to a competent practitioner.

  2. BInsert the IV while the charge nurse gives verbal instructions

    Verbal coaching during the procedure does not replace training and competency assessment.

  3. CWatch a demonstration and insert the IV independently afterward

    Observing a demonstration does not establish competence for independent insertion.

  4. DProceed after confirming that the physician prescribed IV access

    A prescription establishes clinical need, not the technician’s procedural competence.

Reference: Sullivan Leadership; QSEN; SCFHS Ethics; SCFHS NT Blueprint 2024 §1

02During morning assignment, which task is most appropriate for a nursing technician who is competent in basic care?

Practice question Unit: Unit Management and Leadership

  1. AAdjusting the insulin infusion for a patient with fluctuating glucose

    Infusion titration requires specific authorization, competence, and clinical assessment.

  2. BHelping a stable ambulatory patient with a supervised shower ✓ Correct answer

    Hygiene assistance for a stable patient is a basic-care task.

  3. CPerforming the initial assessment of a newly admitted patient

    The initial comprehensive assessment requires an appropriately qualified nurse.

  4. DTeaching a new ostomy patient the complete discharge care plan

    Initial complex education requires assessment and planning beyond basic-care competence.

Reference: Sullivan Leadership; QSEN; SCFHS Ethics; SCFHS NT Blueprint 2024 §1

03A nursing technician finishes a shift and must hand over three patients. Which handoff content is most essential to include?

Practice question Unit: Unit Management and Leadership

  1. ARoom assignments, meal preferences, and routine visiting arrangements

    These details do not communicate immediate clinical risks or outstanding care.

  2. BAdmission diagnoses, previous occupations, and insurance arrangements

    Background details cannot replace current condition and time-sensitive follow-up.

  3. CCompleted hygiene care, linen changes, and supplies used today

    Completed routine care is less critical than unresolved clinical needs.

  4. DCurrent changes, pending results, outstanding orders, and safety risks ✓ Correct answer

    These details let the receiving team prioritize monitoring and unfinished care.

Reference: Sullivan Leadership; QSEN; SCFHS Ethics; SCFHS NT Blueprint 2024 §1

04The unit is short-staffed. A colleague asks the technician to 'just sign that I checked the hourly neuro observations' for a post-stroke patient the technician did not see. What is the correct response?

Practice question Unit: Unit Management and Leadership

  1. ADecline the signature and notify the responsible nurse of missing observations ✓ Correct answer

    Records must reflect actual observations; missing neurological checks require follow-up.

  2. BCountersign after the colleague verbally confirms the observations were normal

    A verbal assurance does not justify attesting to an assessment not witnessed.

  3. CMeasure the observations now and enter them under the earlier hourly time

    Current findings cannot establish the patient’s condition at an earlier time.

  4. DCopy the preceding normal observations and request review at handoff

    Copying unmeasured values fabricates data and may conceal deterioration.

Reference: Sullivan Leadership; QSEN; SCFHS Ethics; SCFHS NT Blueprint 2024 §1

05Which situation should the nursing technician escalate to the registered nurse immediately?

Practice question Unit: Unit Management and Leadership

  1. AA stable patient asking for help ordering a different lunch

    A meal preference does not indicate acute physiological deterioration.

  2. BA postoperative patient with new confusion and a falling oxygen saturation ✓ Correct answer

    New confusion with hypoxemia may indicate acute deterioration requiring prompt assessment.

  3. CA patient with unchanged chronic knee pain requesting the scheduled heat pack

    Unchanged chronic symptoms need routine care rather than emergency escalation.

  4. DA patient awaiting discharge asking when transportation will arrive

    Transport coordination is less urgent than a new respiratory or neurological change.

Reference: Sullivan Leadership; QSEN; SCFHS Ethics; SCFHS NT Blueprint 2024 §1

06A patient is scheduled for transfer to another ward in 20 minutes. What should the nursing technician verify before the move?

Practice question Unit: Unit Management and Leadership

  1. AConfirm the discharge prescription and arrange transport to the exit

    An internal ward transfer is not a discharge from the facility.

  2. BSend personal belongings ahead and allow the receiving team to check identity

    Identity must be verified before departure, not deferred until arrival.

  3. CDisconnect oxygen for the journey and reconnect it in the receiving ward

    Required oxygen must continue during transport with suitable equipment.

  4. DVerify identity, receiving-team readiness, and required transport support ✓ Correct answer

    Safe transfer requires correct identification, coordinated acceptance, and continuity of support.

Reference: Sullivan Leadership; QSEN; SCFHS Ethics; SCFHS NT Blueprint 2024 §1

07Which statement best describes the nursing technician’s role when a physician gives a telephone order to the technician?

Practice question Unit: Unit Management and Leadership

  1. ARefer the call to a nurse authorized to receive telephone orders ✓ Correct answer

    Medication orders must be received by personnel authorized under local policy.

  2. BWrite the order in the medication record for the nurse to countersign later

    Later countersigning does not authorize an unapproved recipient to accept the order.

  3. CRepeat the order to the physician and prepare the medication immediately

    Read-back improves accuracy but does not expand authority to receive orders.

  4. DAsk the physician to send the order to the technician’s personal phone

    A personal message is not an authorized medication-order pathway.

Reference: Sullivan Leadership; QSEN; SCFHS Ethics; SCFHS NT Blueprint 2024 §1

08Before inserting a urinary catheter, which WHO hand-hygiene moment applies?

Practice question Unit: Fundamentals

  1. ABefore a clean or aseptic procedure ✓ Correct answer

    Catheter insertion can introduce organisms into a normally sterile urinary tract.

  2. BAfter touching patient surroundings

    This moment follows environmental contact rather than immediately preceding catheter insertion.

  3. CAfter a body-fluid exposure risk

    This indication applies after exposure; the question concerns preparation for insertion.

  4. DAfter touching the patient

    Post-contact hygiene does not replace hygiene immediately before an aseptic task.

Reference: Kozier & Erb; Perry & Potter; Jarvis; SCFHS NT Blueprint 2024 §2

09A woman at 32 weeks has sudden painless bright-red vaginal bleeding. First technician action?

Practice question Unit: Maternal-Child Nursing

  1. APlace on bed rest, avoid vaginal exams, notify RN/physician now, as the indicated priority log 10A ✓ Correct answer

    Best action: Place on bed rest, avoid vaginal exams, notify RN/physician now

  2. BWithhold ordered monitoring because the client feels well, against indicated u3.1 priorities row001a

    Not chosen — Withhold ordered monitoring because the client feels well, c

  3. CDocument later and leave the bedside during a red-flag change row001b

    Rejected — Document later and leave the bedside during a red-flag chang

  4. DOffer oral intake freely during an airway or surgical risk window row001c

    Unsafe here — Offer oral intake freely during an airway or surgical risk w

Reference: Murray Maternal-Newborn Nursing; Wong Pediatrics; SCFHS NT Blueprint 2024 §3

10A client with heart failure should report which finding promptly to the care team?

Practice question Unit: Adult Nursing

  1. ASudden weight gain, worsening dyspnea, or new ankle swelling ✓ Correct answer

    Rapid weight gain, rising dyspnea, and new edema signal decompensation needing prompt review.

  2. BStable appetite with unchanged daily weight for a week

    Stable weight and appetite do not match fluid-overload warning patterns.

  3. COccasional dry cough that resolves after a sip of water, with no chest pain, edema, or fever to escalate

    Brief cough relieved by water is not a classic heart-failure escalation cluster.

  4. DMild muscle stiffness after starting a walking program

    Early exercise-related stiffness is expected with conditioning, not heart-failure crisis.

Reference: Lewis Medical-Surgical Nursing; Brunner & Suddarth; SCFHS NT Blueprint 2024 §4

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