Prometric Sample Questions: 7 Examples and How to Practise
Seven worked Prometric style questions with the reasoning behind each answer, the distractor patterns to watch for, and the practice method that works.
Candidates who have never seen Prometric phrasing lose easy marks in the first half hour of the exam, and it is rarely because they do not know the medicine. It is because they have not trained the format. Below are seven worked questions in the real style, the reasoning behind each answer, and the practice method that turns those patterns into marks.
The format: single best answer
Every GCC authority uses single best answer multiple choice questions. You get four options, sometimes five, and more than one of them may be defensible. Your job is not to find an answer that is not wrong. It is to find the best one. There is no negative marking, so never leave a blank.
Seven worked examples
1. The most appropriate next step pattern
A 58 year old presents with crushing central chest pain for 40 minutes. The ECG shows ST elevation in leads II, III and aVF. What is the most appropriate next step?
- Order a chest X ray
- Administer aspirin and activate primary PCI
- Start IV antibiotics
- Discharge with outpatient follow up
Answer: B. Option A is not wrong in general practice, which is exactly why it is there. The question asks for the most appropriate step in an inferior STEMI. Prometric tests prioritisation at least as often as it tests knowledge.
2. The EXCEPT reversal
All of the following are complications of prolonged immobility EXCEPT:
- Pressure ulcers
- Deep vein thrombosis
- Increased intestinal peristalsis
- Muscle contractures
Answer: C. Peristalsis decreases with immobility, it does not increase. Reversal questions punish skim reading. Mark EXCEPT, NOT and LEAST every time you see them.
3. Nursing prioritisation
A post operative patient suddenly develops dyspnoea, chest pain and oxygen saturation of 88 percent. What should the nurse do first?
Answer: Raise the head of the bed and apply oxygen. Airway and breathing interventions come before calling the physician or preparing medication. This is classic ABC priority logic and it appears in every nursing paper.
4. General practice diagnosis
A 55 year old smoker presents with three weeks of painless hoarseness. What is the most appropriate next step?
Answer: Referral for laryngoscopy. Persistent hoarseness beyond two to three weeks in a smoker needs visualisation to exclude laryngeal carcinoma, not empirical proton pump inhibitors or antibiotics.
5. Pharmacology safety
Which electrolyte must be monitored in a patient taking digoxin and furosemide?
Answer: Potassium. Hypokalaemia caused by a loop diuretic potentiates digoxin toxicity. This is a high yield interaction across every GCC exam, whatever your profession.
6. Paediatric milestones
A healthy infant sits without support and transfers objects between hands, but cannot yet pull to stand. What is the estimated age?
Answer: Seven to eight months. Milestone windows are free marks if you have drilled them, and lost marks if you have not.
7. Infection control
What is the single most effective measure to prevent healthcare associated infections?
Answer: Hand hygiene. When an option this basic appears among more technical choices, it is almost always the intended answer.
The distractor patterns to recognise
- The plausible but generic option. Order more tests, refer to a specialist. It sits next to the guideline specific action that the question is actually asking for.
- Right treatment, wrong urgency. The correct drug, but not as the first step.
- Numbers one unit off. Dosage distractors that differ only in milligrams against micrograms.
- Outdated practice. Guidelines that were correct ten years ago make very tempting wrong answers.
The practice system that works
Reading notes does not train best answer selection. Only volume of questions does, and only if the volume is structured. Bingeing questions feels productive and produces a plateau.
Chapter first, then mixed
Master chapters one at a time before you attempt mixed mocks. Our question banks are built this way because it mirrors the real blueprints.
Keep an error log
Every wrong answer gets one line: the topic, why you missed it, and the rule to remember. Re attempt logged questions after 48 hours and again after a week. Spaced repetition is what turns a miss into a permanent mark.
Read the explanation, especially when you were right
Understanding why the correct option wins and why the others lose is what builds the elimination skill the exam rewards. A right answer for the wrong reason will not survive a reworded question.
Finish with timed, full length mocks
Two or three three hour simulations in your final fortnight build pacing and stamina. Book the real exam when your mocks hold above 75 percent.
Where these questions come from
Sample questions only help when they match your own paper. Each bank is built to its exam blueprint with a written explanation after every question, and the first 15 questions of every exam are free to try without a card. For the exam logistics, booking, centres and pass scores, see the Prometric guide.
- General Practice practice bank
- Registered Nurse practice bank
- Specialist Internal Medicine practice bank
Frequently asked questions
Are these the real Prometric questions?
No, and you should be wary of anyone claiming otherwise. Live exam questions are confidential. These are written in the same style and to the same blueprints, which is what actually trains the skill.
Is there negative marking in the Prometric exam?
No. Every GCC authority uses single best answer scoring with no penalty for a wrong choice, so an educated guess always beats a blank.
How many practice questions should I do before the exam?
Volume matters less than review. A candidate who works through 1,000 questions and reviews every explanation will outperform one who rushes 3,000 and reviews none.
How do I know when I am ready to book?
When two or three timed full length mocks hold above 75 percent. That margin absorbs a bad day and an unfamiliar topic.
Can I try questions before paying?
Yes. The first 15 questions of every exam bank are free and no card is needed.
Sample questions only take you so far without the blueprint they are drawn from. Each profession sits a different paper with its own code and its own weighting, so the areas worth drilling change completely from one licence to the next. Start with the GCC licensing exam codes directory to find your code, then read the guide for your profession, for example radiographer RAD5152 or dental assistant DAS5111.