Prometric Nursing Preparation Book PDF 2026 (Free Download)

What is in the Prometric Nursing book

Each model paper carries the same number of MCQs per subject as the real Prometric Nursing paper, so sitting it is a rehearsal of the real thing, not a random worksheet.

Sample MCQs from the Prometric Nursing book

The first 10 questions of model paper 1.

1. Medical Surgical Nursing

   1. A patient with pleurisy has sharp chest pain that worsens during inspiration. Which breath sound should the nurse expect to hear over the painful area?

   • A. A harsh pleural friction rub
   • B. A low-pitched rhonchus
   • C. A high-pitched inspiratory wheeze
   • D. A hollow bronchial breathing sound
   Show answer

   Answer: A, A harsh pleural friction rub. See the explanation

2. Fundamentals of Nursing

   2. A conscious adult suddenly develops severe choking and becomes unable to speak or cough. After giving back blows without relief, what should the rescuer do next?

   • A. Give up to five abdominal thrusts and reassess
   • B. Give water slowly to clear the obstruction
   • C. Put fingers into the mouth to search for the object
   • D. Lay the person flat and begin rescue breaths
   Show answer

   Answer: A, Give up to five abdominal thrusts and reassess. See the explanation

3. Nursing Pharmacology

   3. A patient taking clonidine for hypertension stops the medicine suddenly. Which problem is the nurse most concerned about?

   • A. Rebound hypertension and severe headache
   • B. Gradual hypoglycaemia and sweating
   • C. Permanent hearing loss and tinnitus
   • D. Immediate fluid loss and dehydration
   Show answer

   Answer: A, Rebound hypertension and severe headache. See the explanation

4. Midwifery and Obstetric Nursing

   4. A newborn of a mother with diabetes appears well after birth. Which nursing plan is most appropriate?

   • A. Start early feeding and monitor blood glucose
   • B. Withhold feeds until the first stool passes
   • C. Give plain water to prevent hypoglycaemia
   • D. Monitor only if the newborn becomes cyanosed
   Show answer

   Answer: A, Start early feeding and monitor blood glucose. See the explanation

5. Paediatric Nursing

   5. Which statement best distinguishes growth from development in a child?

   • A. Growth is measurable physical change, while development is progressive skill acquisition
   • B. Growth is emotional change, while development is increase in height and weight
   • C. Growth is learned behaviour, while development is only genetically determined
   • D. Growth and development are identical terms for increasing age and maturity
   Show answer

   Answer: A, Growth is measurable physical change, while development is progressive skill acquisition. See the explanation

6. Community Health Nursing

   6. Which feature is central to the Lady Health Worker Programme in Pakistan?

   • A. Community-based workers linked with the formal health system
   • B. Specialist nurses working only in teaching hospitals
   • C. Laboratory technicians conducting hospital-based screening
   • D. Ambulance staff providing emergency transport only
   Show answer

   Answer: A, Community-based workers linked with the formal health system. See the explanation

7. Mental Health Nursing

   7. A patient remains silent after describing a painful childhood experience. Which nursing response is most therapeutic?

   • A. Change the subject to reduce discomfort
   • B. Use silence and remain present with the patient
   • C. Ask several questions to obtain details quickly
   • D. Tell the patient to focus on positive memories
   Show answer

   Answer: B, Use silence and remain present with the patient. See the explanation

8. Nursing Management and Ethics

   8. Which statement best defines malpractice in nursing practice?

   • A. A deliberate threat made to a patient
   • B. A professional error that breaches the expected standard of care
   • C. A patient’s refusal to follow the treatment plan
   • D. A disagreement between nurses about a clinical decision
   Show answer

   Answer: B, A professional error that breaches the expected standard of care. See the explanation

9. Anatomy and Physiology for Nursing

   9. Which structure is the main site of gas exchange between inspired air and pulmonary capillary blood?

   • A. Terminal bronchioles
   • B. Alveolar sacs
   • C. Laryngeal cavity
   • D. Main bronchi
   Show answer

   Answer: B, Alveolar sacs. See the explanation

10. Medical Surgical Nursing

    10. A patient with extensive burns reports severe pain during dressing changes despite receiving prescribed analgesia beforehand. Which nursing action is best?

    • A. Delay all analgesia until the procedure is complete
    • B. Use prescribed analgesia with additional non-drug comfort measures
    • C. Tell the patient that severe pain is expected after burns
    • D. Clean the wound rapidly without explaining the procedure
    Show answer

    Answer: B, Use prescribed analgesia with additional non-drug comfort measures. See the explanation

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