The SNLE nursing exam (Saudi Commission for Health Specialties (SCFHS)) is the licensing test nurses must pass to work in Saudi Arabia. It is delivered by Prometric with 200 multiple-choice questions and a 4-hour testing time. The pass mark is a scaled score of 500 (200β800).
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The SNLE nursing licensing exam for Saudi Arabia is a 200-question computer-based test lasting 240 minutes, delivered by Prometric for Saudi Commission for Health Specialties (SCFHS). The SNLE pass mark is a scaled score of 500 on a 200β800 scale (not a percentage). Domains: Fundamentals 20%, Adult Health 40%, Maternal-Child 30%, Management 10%. SNLE uniquely tests Saudi public-health context (Hajj, MERS, Vision 2030) and cultural competence, on top of the standard GCC nursing blueprint.
Source: SCFHS β SNLE Applicant Guide (PDF) Β· Verified 2026-09-30
| Exam | Country | Questions | Duration | Pass mark | Vendor |
|---|---|---|---|---|---|
| SNLE | Saudi Arabia | 200 | 240 min | 500 scaled (200β800) | Prometric |
| DHA | UAE | 150 | 180 min | 50% | Prometric |
| MOH Kuwait | Kuwait | 150 | 170 min | 60% | Prometric |
| NHRA | Bahrain | Not published | 150 min | 60% | Prometric |
| DOH | UAE | Not published | Not published | Not published | Pearson VUE |
| MOHAP | UAE | Not published | Not published | Not published | Prometric |
| QCHP | Qatar | 150 | 180 min | 50% | Prometric |
| OMSB | Oman | 100 | 150 min | Not published | Pearson VUE |
Only figures published by each regulator or its testing vendor are shown. Where a board does not publish a question count, duration or pass mark, we say so rather than estimate β always confirm on the authority's own portal before booking.
Reviewed by Phoenix RN Clinical Faculty, Registered Nurse Educators at Phoenix RN Coaching Center Β· Last reviewed 6 August 2026
Published by Saudi Commission for Health Specialties (SCFHS) and delivered by Prometric. Last verified 2026-09-30.
| Regulator | Saudi Commission for Health Specialties (SCFHS) |
|---|---|
| Testing vendor | Prometric |
| Total questions | 200 multiple-choice questions delivered as two blocks of 100. Up to 10% of items may be unscored pilot questions. |
| Exam duration | Two testing blocks of 120 minutes each, plus a 30-minute break between blocks. |
| Passing score | The SNLE pass mark is a scaled score of 500 on a 200β800 scale (not a percentage). Domains: Fundamentals 20%, Adult Health 40%, Maternal-Child 30%, Management 10%. |
| Exam fee | The exam fee is not published by Saudi Commission for Health Specialties (SCFHS) β confirm on the official portal before booking. |
| Language | English |
| Re-attempt rules | Up to 4 attempts a year until you pass, then 2 further improvement attempts (SCFHS applicant guide). |
Other sites quote numbers for these. We do not β SCFHS has never published them, so any figure you see elsewhere is an estimate. Confirm the current details in your own application portal before booking.
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Everything you need to know about the Saudi Nursing Licensure Examination (SNLE) nursing licensure exam
3 hours
English
SCFHS registration valid 2 years (renewable)
β USD 290 (SAR 1,100 classification + exam)
Click each topic to explore subtopics and their weightage in the SNLE Prometric exam
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Follow this expert-recommended study plan to pass the SNLE exam on your first attempt
Preparing for the SNLE requires a structured 12-week approach given its comprehensive nature. Phase 1 (Weeks 1-4) should build your foundation in Physiological Integrity since it carries 50% weightage. Focus on one body system per week β cardiovascular, respiratory, gastrointestinal, and neurological. For each system, study the pathophysiology, assessment findings, nursing interventions, and related pharmacology together rather than separately.
Phase 2 (Weeks 5-8) covers Safe and Effective Care Environment alongside continued pharmacology practice. Study Saudi healthcare laws, patient rights under Saudi regulations, and infection control protocols specific to Saudi hospitals. Master delegation, prioritization, and clinical decision-making using the ABCDE framework.
Phase 3 (Weeks 9-10) covers Health Promotion and Psychosocial Integrity. Learn the Saudi MOH immunization schedule, premarital screening requirements, and cultural considerations unique to Saudi nursing practice. Practice therapeutic communication scenarios and understand common psychiatric medications.
Phase 4 (Weeks 11-12) is dedicated to intensive mock testing. Complete at least 4-5 full-length SNLE practice exams. Phoenix RN's SNLE-specific mock tests replicate the actual exam pattern and difficulty level. Analyze every wrong answer to identify knowledge gaps and revise those topics specifically.
The SCFHS Saudi Nursing Licensure Examination (SNLE) follows a unique four-domain structure modeled after international nursing competency frameworks. Unlike other GCC Prometric exams that divide content by nursing specialties, the SNLE organizes questions by client needs categories, making it more similar to NCLEX-RN in structure.
Safe and Effective Care Environment (25%) is divided into Management of Care and Safety/Infection Control. Management of Care tests your knowledge of healthcare team coordination, informed consent procedures, advance directives, ethical decision-making, quality improvement methodologies, and Saudi healthcare regulations under the Saudi Health Council guidelines. Safety and Infection Control covers standard precautions, surgical asepsis, restraint use policies, fire safety, hazardous material handling, and needle stick injury protocols aligned with Saudi MOH infection control standards.
Health Promotion and Maintenance (15%) covers health screening programs available in Saudi Arabia (including premarital screening, newborn screening), immunization schedules following the Saudi MOH vaccination calendar, lifestyle modification counseling, disease prevention strategies, and patient education techniques. This section often includes questions about Saudi-specific public health initiatives.
Psychosocial Integrity (10%) tests your understanding of mental health concepts, cultural competency in Saudi healthcare settings, grief and loss stages, substance abuse assessment, crisis intervention techniques, and therapeutic communication. Expect questions that test your sensitivity to Saudi cultural and religious practices in healthcare delivery.
Physiological Integrity (50%) β the largest domain β encompasses Basic Care and Comfort (nutrition, mobility, elimination, pain management), Pharmacological Therapies (drug calculations, IV therapy, blood transfusion protocols, chemotherapy precautions), Reduction of Risk Potential (laboratory value interpretation, diagnostic procedures, patient monitoring), and Physiological Adaptation (fluid and electrolyte balance, shock management, respiratory failure, cardiac emergencies). This section requires deep clinical knowledge and strong critical thinking skills.
The SNLE is administered at Prometric centers worldwide, allowing you to take it from India, Philippines, or any country with a Prometric facility. Register through the Mumaris Plus portal and pay the exam fee of SAR 600. On exam day, arrive 30 minutes early with your original passport. The 150-question exam must be completed in 3 hours β that gives you approximately 1.2 minutes per question, so time management is critical. The SNLE uses a scaled scoring system where your raw score is converted to a standardized score to maintain consistency across different test administrations. Focus on eliminating obviously wrong answers first, then choose the MOST correct answer among remaining options. Remember that SNLE questions tend to be longer with more clinical detail compared to other GCC exams.
The SNLE stands apart from all other GCC nursing exams in several key ways. First, it's structured by client needs (similar to NCLEX) rather than nursing specialties, requiring candidates to think across multiple domains simultaneously. Second, Saudi Arabia's Vision 2030 healthcare transformation means the exam increasingly includes questions about evidence-based practice, quality improvement, patient safety goals, and healthcare technology integration. Third, the SNLE has a 5-year license validity β the longest among GCC exams β but requires continuing medical education (CME) credits for renewal through the Mumaris Plus system. Fourth, Saudi cultural competency questions are unique to SNLE, testing your understanding of gender-segregated healthcare delivery, religious practices during patient care (prayer times, Ramadan fasting considerations), and end-of-life care within Islamic principles. Finally, the SCFHS professional classification system categorizes nurses into different levels (Technician, Specialist, Consultant) based on qualifications, which directly affects salary and scope of practice.
Real-style SNLE Prometric practice questions with expert explanations. Explore the full bank. Visit our SNLE Q&A bank.
Explanation: Before administering insulin in DKA, potassium levels MUST be assessed. Insulin drives potassium into cells, and if potassium is already low, insulin administration can cause life-threatening hypokalemia and cardiac arrhythmias.
Explanation: Fever, chills, and back pain during a blood transfusion indicate a possible hemolytic transfusion reaction. The FIRST action is to stop the transfusion immediately to prevent further harm, then notify the physician.
Explanation: Hyperkalemia (K+ > 5.0 mEq/L) characteristically causes tall, peaked T waves on ECG. Severe hyperkalemia can progress to widened QRS complex and eventually cardiac arrest.
Explanation: Current evidence-based practice recommends rotating injection sites within the same anatomical area (e.g., within the abdomen) to ensure consistent absorption while preventing lipodystrophy.
Explanation: Obtaining vital signs on stable patients is within the scope of practice for nursing assistants. Initial assessments, medication administration, and patient teaching require RN-level competency and cannot be delegated.
Complete eligibility criteria and step-by-step application process for SNLE Saudi Arabia nursing licensure
Complete primary source verification through Saudi Dataflow
Create account on SCFHS Mumaris Plus portal (SCFHS is the licensing authority)
Upload verified documents to Mumaris Plus
Schedule SNLE exam at nearest Prometric center
Take the exam and receive results within 48-72 hours
Receive professional classification and license
What you can expect as a nurse working in Kingdom of Saudi Arabia
SAR 5,000 - 12,000
per month (Tax-Free)
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The SNLE exam (also searched as Saudi Prometric exam, SCFHS nursing exam) is the licensing test nurses must pass to work under the Saudi Commission for Health Specialties (SCFHS) β SNLE. It is a computer-based (prometric) in English. Question count: 200 MCQs (two blocks of 100; up to 10% may be unscored pilot items). Duration: 240 minutes (two 120-minute blocks) plus a 30-minute break. Pass mark: Scaled score 500 (on a 200β800 scale) β not a percentage.
Eligibility in short: Bachelor's (BSN) or Diploma in Nursing; Valid home-country license; Minimum 2 years experience (depends on classification level). Fees: Fees are quoted during the SCFHS classification application on Mumaris+. Result and licence validity: SCFHS registration validity is confirmed at issuance β verify on Mumaris+. Retakes: A candidate cannot re-sit the SNLE within the same testing window; a second attempt in the same window is invalidated.
How to apply: Register on the SCFHS Mumaris+ portal β Apply for professional classification and pay fees β Complete DataFlow verification β Receive SNLE Prometric exam authorization β Book exam, sit it, then complete licensure. Always confirm current rules on the official SCFHS Saudi Arabia website before paying, as authorities update fees and categories without notice.
The syllabus is weighted towards Fundamentals & Safety (~15%), Medical-Surgical Nursing (~35%), Maternal & Newborn (~10%). Nurses prepare in one of three ways with Phoenix RN: live SNLE exam coaching with a tutor, the 28-day guided self-study plan with video lessons, or the 10-day crash course when the exam date is close.
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