NHRA Nurse Exam case studies
NHRA Nurse Exam · Put your knowledge to work in context.
The NHRA Nurse Exam is a multiple-choice licensing assessment for nurses seeking registration with the National Health Regulatory Authority. It is intended for nursing graduates and internationally trained nurses who must demonstrate that their clinical knowledge meets the standard required to practise safely within the national health system. The exam is organised around six domains: patient assessment and clinical judgment; provision of care and clinical interventions; patient safety and infection control; pharmacology and medication administration; professional practice, ethics, and legal aspects; and communication, documentation, and care coordination. Questions are scenario-based, asking you to interpret findings, prioritise actions, and apply local standards rather than recall isolated facts. The NHRA Nurse Exam case studies are 5 cases and about 2,200 words.
1Post-Operative Respiratory Deterioration on a Short-Staffed Night Shift
Okafor, 68, is 18 hours post open cholecystectomy. He has a history of COPD (FEV1 55% predicted) and obstructive sleep apnea, and he uses CPAP at home but his machine was not brought in.
580 words, about 3 min2Chest Pain in a Patient Who Cannot Consent
Lindqvist, 79, is admitted with a hip fracture. She has moderate dementia (MMSE 18) and no documented healthcare proxy.
500 words, about 3 min3Medication Reconciliation and a Look-Alike Insulin Error
Adeyemi, 54, is admitted with a diabetic foot infection. His home regimen is insulin glargine 40 units subcutaneously at bedtime and insulin lispro 8 units with meals.
374 words, about 2 min4Suspected Infection Control Breach During a Wound Care Round
You are observing a colleague perform a dressing change on a patient with a chronic sacral wound colonized with MRSA. The nurse dons gloves but not a gown, places the dressing tray on the bed, cleans the wound from clean to dirty but returns to a previously cleaned area, and then uses the same gloves to touch the IV pump keypad and the patient's call light.
380 words, about 2 min5Goals-of-Care Conversation at Discharge
Chen, 82, has stage IV heart failure (EF 25%) and stage 3 chronic kidney disease. She has been admitted three times in four months.
366 words, about 2 min