Assistant_Nurse_Prometric_Exam_Dubai_2026
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Assistant Nurse Prometric Exam
Prep Questions — Dubai 2026
■ Specialty: Assistant Nurse ■ Exam: DHA Dubai Prometric ■ Questions: 20 MCQs ■ Edition: 2026
1. A patient is admitted with a blood pressure of 180/110 mmHg and complains of severe headache. As an Assistant Nurse, what is your FIRST priority action?
A. Administer oral antihypertensive medication immediately
B. Place the patient in a comfortable position and notify the registered nurse
C. Encourage the patient to drink plenty of water
D. Record the blood pressure and continue routine care
✔ Correct Answer: B. Place the patient in a comfortable position and notify the registered nurse
Explanation: A blood pressure of 180/110 mmHg represents a hypertensive crisis. The assistant nurse's
immediate priority is patient safety — positioning the patient comfortably and promptly notifying the
registered nurse for further assessment and intervention.
2. When performing hand hygiene, the World Health Organization (WHO) recommends that alcohol-based hand rub should be applied for a minimum of:
A. 10 seconds
B. 20 seconds
C. 30 seconds
D. 60 seconds
✔ Correct Answer: C. 30 seconds
Explanation: WHO guidelines recommend rubbing hands with alcohol-based hand rub for a minimum of
20–30 seconds until dry. This duration ensures effective decontamination of all hand surfaces.
3. A patient who is bedridden is at risk of developing pressure ulcers. Which area is MOST commonly affected?
A. Elbow
B. Sacrum
C. Shoulder blade
D. Back of the head
✔ Correct Answer: B. Sacrum
Explanation: The sacrum is the most common site for pressure ulcer development in bedridden patients due
to prolonged pressure over a bony prominence with limited tissue padding.
4. A patient's oral temperature is recorded as 38.8°C. This finding is best described as:
A. Normal body temperature
B. Hypothermia
C. Pyrexia (fever)
D. Hyperthermia
✔ Correct Answer: C. Pyrexia (fever)
Explanation: Normal oral temperature ranges from 36.1°C to 37.2°C. A temperature of 38.8°C indicates
pyrexia (fever), which warrants further assessment and reporting to the registered nurse.
5. When assisting a patient with ambulation after surgery, the assistant nurse should position themselves:
A. Behind the patient
B. On the patient's stronger side
C. On the patient's weaker side
D. In front of the patient
✔ Correct Answer: C. On the patient's weaker side
Explanation: The assistant nurse should stand on the patient's weaker or affected side during ambulation to
provide maximum support and prevent falls on the side most likely to give way.
6. A patient receiving intravenous (IV) fluid therapy develops swelling, coolness, and pallor at the IV insertion site. These signs indicate:
A. Phlebitis
B. Infiltration
C. Thrombosis
D. Air embolism
✔ Correct Answer: B. Infiltration
Explanation: Infiltration occurs when IV fluid leaks into surrounding tissue instead of the vein. Signs include
local swelling, coolness, and pallor at the site. The IV should be discontinued immediately and the RN
notified.
7. Which isolation precaution category requires the use of a fitted N95 respirator mask?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions
✔ Correct Answer: C. Airborne precautions
Explanation: Airborne precautions are used for pathogens transmitted through airborne particles, such as
tuberculosis and measles. An N95 or higher respirator is required when entering the patient's room.
8. A patient is ordered to be placed in the Fowler's position. The head of the bed should be elevated to:
A. 15 to 30 degrees
B. 30 to 45 degrees
C. 45 to 60 degrees
D. 60 to 90 degrees
✔ Correct Answer: C. 45 to 60 degrees
Explanation: Fowler's position requires the head of the bed to be elevated between 45 and 60 degrees. This
position is commonly used for patients with respiratory difficulties and those receiving nasogastric feeding.
9. When collecting a clean-catch midstream urine specimen, the patient should be instructed to:
A. Collect the first stream of urine in the specimen container
B. Clean the genital area, discard initial urine, then collect midstream
C. Collect urine at any time without special preparation
D. Collect urine after drinking a large amount of water
✔ Correct Answer: B. Clean the genital area, discard initial urine, then collect midstream
Explanation: A clean-catch midstream specimen requires cleaning the perineal area, discarding the initial
urine stream, and then collecting the midstream sample to minimize contamination from skin flora.
10. The normal range for adult resting heart rate is:
A. 40 to 60 beats per minute
B. 60 to 100 beats per minute
C. 100 to 120 beats per minute
D. 50 to 80 beats per minute
✔ Correct Answer: B. 60 to 100 beats per minute
Explanation: The normal adult resting heart rate is 60 to 100 beats per minute. A rate below 60 is
bradycardia and above 100 is tachycardia — both requiring assessment and reporting.
11. A patient complains of pain rated 8 out of 10 on the numeric pain scale. The MOST appropriate action for the assistant nurse is to:
A. Administer the prescribed analgesic immediately
B. Reassure the patient that the pain will subside
C. Report the pain rating to the registered nurse promptly
D. Apply a cold pack to the painful area
✔ Correct Answer: C. Report the pain rating to the registered nurse promptly
Explanation: Pain assessment and reporting is within the scope of the assistant nurse. Administering
medication is outside the assistant nurse's scope. Prompt reporting ensures timely intervention by the
registered nurse.
12. When applying a sterile dressing, the assistant nurse should handle sterile items:
A. With clean gloves
B. With bare hands after handwashing
C. With sterile gloves or sterile forceps
D. With non-sterile forceps
✔ Correct Answer: C. With sterile gloves or sterile forceps
Explanation: Sterile technique requires that sterile items be handled only with sterile gloves or sterile
instruments to prevent contamination and reduce the risk of wound infection.
13. A patient is on fluid restriction of 1000 mL per 24 hours. The patient asks for an extra glass of water. The BEST response is:
A. Allow the patient to drink freely as water is harmless
B. Explain the fluid restriction and offer an alternative oral hygiene measure
C. Ignore the request and continue routine care
D. Provide the water and document the intake
✔ Correct Answer: B. Explain the fluid restriction and offer an alternative oral hygiene measure
Explanation: Fluid restriction must be strictly followed for patients with conditions such as heart failure or
renal disease. Educating the patient and providing mouth care alternatives respects both the medical order
and patient comfort.
14. The correct sequence for donning Personal Protective Equipment (PPE) is:
A. Gloves, gown, mask, eye protection
B. Gown, mask, eye protection, gloves
C. Mask, gloves, gown, eye protection
D. Eye protection, gloves, gown, mask
✔ Correct Answer: B. Gown, mask, eye protection, gloves
Explanation: The correct sequence for donning PPE per infection control guidelines is: gown first, then mask
or respirator, then eye protection or face shield, and finally gloves. This sequence ensures maximum
protection.
15. A patient has been ordered nothing by mouth (NBM/NPO) before surgery. The patient asks to take their regular morning medication with a sip of water. The assistant nurse should:
A. Allow the patient to take the medication with a small sip of water
B. Withhold the medication and notify the registered nurse
C. Crush the medication and give without water
D. Postpone the medication until after surgery without consulting anyone
✔ Correct Answer: B. Withhold the medication and notify the registered nurse
Explanation: NPO orders require clarification from the registered nurse or physician before any oral intake
including medications. Some medications may be approved with a small sip of water while others must be
withheld.
16. When performing oral care for an unconscious patient, the patient should be positioned in:
A. Supine position with head flat
B. Lateral (side-lying) position
C. Prone position
D. High Fowler's position
✔ Correct Answer: B. Lateral (side-lying) position
Explanation: Unconscious patients should be placed in a lateral position during oral care to prevent
aspiration of secretions or fluids into the airway — a critical safety measure in dependent care.
17. A patient's nasogastric (NG) tube feeding is running. The patient suddenly starts coughing vigorously and appears to be in respiratory distress. The FIRST action is:
A. Increase the feeding rate
B. Stop the feeding and notify the registered nurse immediately
C. Reposition the NG tube
D. Encourage the patient to breathe deeply
✔ Correct Answer: B. Stop the feeding and notify the registered nurse immediately
Explanation: Respiratory distress during NG feeding may indicate aspiration — a life-threatening
complication. Stopping the feed immediately and notifying the RN is the correct priority action to protect the
patient's airway.
18. The five rights of medication administration include the right patient, right drug, right dose, right route, and:
A. Right documentation
B. Right time
C. Right nurse
D. Right ward
✔ Correct Answer: B. Right time
Explanation: The five rights of medication administration are: right patient, right drug, right dose, right route,
and right time. These rights serve as a fundamental safety checklist to prevent medication errors.
19. A patient who has been immobile for several days reports calf pain, swelling, and warmth in one leg. These symptoms are MOST suggestive of:
A. Muscle cramp
B. Deep vein thrombosis (DVT)
C. Cellulitis
D. Peripheral arterial disease
✔ Correct Answer: B. Deep vein thrombosis (DVT)
Explanation: Calf pain, unilateral swelling, and warmth in an immobile patient are classic signs of DVT — a
serious condition that can lead to pulmonary embolism. Immediate reporting to the registered nurse is
essential.
20. When documenting patient care, which principle is MOST important for the assistant nurse to follow?
A. Document care before it is given to save time
B. Use correction fluid to fix errors in handwritten records
C. Document care accurately, objectively, and promptly after it is performed
D. Use abbreviations freely to save documentation time
✔ Correct Answer: C. Document care accurately, objectively, and promptly after it is performed
Explanation: Accurate, objective, and timely documentation is a fundamental legal and professional
requirement. Documentation should never be done before care is given, and errors must be corrected by
drawing a single line through them — never using correction fluid.
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