Gulf Nurse Prometric Exam Questions & Answers 2026 (11–20)

Question 1

A nurse is performing a wound assessment. Which finding is consistent with normal wound healing in the inflammatory phase (days 1–4)?

TheoryPractice · Accepted Answer

Redness, warmth, and swelling around the wound edges. The inflammatory phase (days 1–4) is characterized by redness (rubor), warmth (calor), swelling (tumor), and pain (dolor) — the cardinal signs of inflammation. This is a normal response that promotes healing through increased blood flow and immune cell migration. Concern arises if signs persist beyond day 5 with fever or purulent discharge.

Question 2

Which route of temperature measurement is considered the most accurate (core temperature)?

TheoryPractice · Accepted Answer

Rectal. Rectal temperature measurement is considered the most accurate reflection of core body temperature because the rectum is a closed cavity with little air exposure. Normal rectal temperature is approximately 37.5°C (99.5°F). Tympanic is convenient but less accurate; axillary is least accurate.

Question 3

A nurse is calculating a patient's Glasgow Coma Scale (GCS). The patient opens eyes to voice (3), makes incomprehensible sounds (2), and shows abnormal flexion (3). What is the total GCS score?

TheoryPractice · Accepted Answer

8. GCS = Eye opening + Verbal response + Motor response = 3 + 2 + 3 = 8. GCS 8 or below indicates coma and the need to consider airway protection. The scale ranges from 3 (deep coma/death) to 15 (fully conscious).

Question 4

A nurse is monitoring a patient's chest tube with water-seal drainage. Which observation is expected and normal?

TheoryPractice · Accepted Answer

Tidaling (water rising during inspiration, falling during expiration). Tidaling (fluctuation of water level with breathing) in the water-seal chamber is a normal finding indicating the system is patent and functioning. Continuous bubbling indicates an air leak. No fluctuation may indicate lung re-expansion or a blocked tube. Output >200 mL/hr warrants physician notification.

Question 5

A nurse is inserting a peripheral IV catheter. After inserting the needle and seeing a blood flashback, what is the next step?

TheoryPractice · Accepted Answer

Advance the catheter off the needle while holding the needle still, then remove the needle. Blood flashback confirms the needle is in the vein. The correct next step is to advance the plastic catheter forward off the needle into the vein, then withdraw and discard the needle, and secure the catheter. Advancing the needle further risks puncturing the posterior wall of the vein.

Question 6

Which minimum urine output per hour is acceptable for an adult patient and indicates adequate kidney perfusion?

TheoryPractice · Accepted Answer

30 mL/hr. The minimum acceptable urine output for an adult is 30 mL/hr (0.5 mL/kg/hr for a 60-kg patient). Output below 30 mL/hr for two consecutive hours suggests oliguria and potential renal hypoperfusion, requiring prompt physician notification.

Question 7

A nurse is preparing to administer a blood transfusion. Which two identifiers must be used to verify the patient's identity before starting?

TheoryPractice · Accepted Answer

Full name and date of birth (or medical record number). Before any blood transfusion, two unique patient identifiers (e.g., full name and date of birth, or name and medical record number) must be verified against the blood product label and compatibility report. Using room/bed numbers alone is unsafe and does not uniquely identify the patient.

Question 8

A nurse is caring for a patient who is at high risk for falls. Which intervention is the highest priority?

TheoryPractice · Accepted Answer

Ensure the call light is within reach and the bed is in the lowest position. The priority fall prevention measures include keeping the bed in the lowest position, ensuring the call light is within reach, locking bed wheels, and keeping frequently needed items accessible. Restraints are a last resort and require physician orders. Sedatives increase fall risk. Signage alone is insufficient.

Question 9

When performing tracheostomy care, how often should the inner cannula be cleaned, and which solution is appropriate for cleaning?

TheoryPractice · Accepted Answer

Every 8 hours (or per facility policy) using hydrogen peroxide followed by normal saline rinse. Tracheostomy inner cannula care is typically performed every 8 hours (varies by policy). Hydrogen peroxide (3%) is used to remove secretions and debris, followed by a normal saline rinse to remove residual peroxide which can damage tissue. Some facilities use normal saline only for silver-lined cannulas.

Question 10

A patient has a central venous catheter (CVC). Which nursing assessment indicates a serious complication requiring immediate action?

TheoryPractice · Accepted Answer

Sudden onset of chest pain, dyspnea, and decreased breath sounds on the side of catheter insertion. Sudden chest pain, dyspnea, and unilateral decreased breath sounds following CVC insertion or manipulation suggest pneumothorax — a serious, potentially life-threatening complication. Immediate notification of the physician and preparation for chest X-ray and possible needle decompression are required. CVP 6 mmHg is normal.

Gulf Nurse Prometric Exam Questions & Answers 2026 (11–20)

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