BTSC Staff Nurse, 3 August 2025 question paper

BTSC Staff Nurse · 2025 · 100 questions · 120 minutes · 0.25 mark deducted per wrong answer

Medical & Surgical Nursing 18
Nursing Foundations 13
Obstetrics & Gynaecology 12
Community Health Nursing 8
Applied Microbiology & Infection control 8
Mental Health Nursing 6
Child Health Nursing (Pediatrics) 6
Applied Physiology 6
Applied Psychology 5
Nursing Management & Leadership 4
Pharmacology 4
Applied Nutrition & Dietetics 3
Applied Anatomy 2
Biochemistry & Nutrition 2
Forensic Nursing & Indian laws 1
General Knowledge 1
Pathology & Genetics 1

See the answers and explanations

Q1 · Medical & Surgical Nursing · Integumentary Function
Which stage of pressure injury involves full-thickness skin loss where adipose tissue is visible, but bone, tendon, or muscle are not exposed?
1. A.
  Stage 1
2. B.
  Stage 2
3. C.
  Stage 3
4. D.
  Stage 4
Answer and explanation
Q2 · Nursing Management & Leadership · Organisational Behaviour & Human Relations
Which of the following leadership styles is characterised by the leader empowering their team and encouraging participation in decision-making?
1. A.
  Authoritarian
2. B.
  Autocratic
3. C.
  Democratic
4. D.
  Laissez-faire
Answer and explanation
Q3 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
The term 'empathy' in therapeutic relationship represents:
1. A.
  giving the child whatever they want or ask
2. B.
  sympathising with the child's situation or disability
3. C.
  feeling sorry for the child's illness and injury
4. D.
  understanding and sharing the child's feelings
Answer and explanation
Q4 · Nursing Foundations · History of Nursing & Nursing as a profession
All of the following are the core components that define the practice and purpose of the nursing profession, EXCEPT?
1. A.
  Professionalism and holism
2. B.
  Caring and communication
3. C.
  Critical thinking
4. D.
  Naturalism and idealism
Answer and explanation
Q5 · Nursing Foundations · Miscellaneous
What is the main purpose of decontamination in a healthcare setting?
1. A.
  To reduce the number of pathogenic microorganisms to a safe level
2. B.
  To increase the risk of infection transmission and cross-infection
3. C.
  To dispose of contaminated waste and general waste in colour-coded bins
4. D.
  To eliminate all microorganisms, including beneficial ones and spores
Answer and explanation
Q6 · Medical & Surgical Nursing · Other Acute Problems
Which manoeuvre is used to treat upper airway obstructions caused by foreign bodies?
1. A.
  Epley manoeuvre
2. B.
  Heimlich manoeuvre
3. C.
  Valsalva manoeuvre
4. D.
  Toynbee manoeuvre
Answer and explanation
Q7 · Nursing Foundations · Miscellaneous
Which sign is indicative of hypocalcemia when a blood pressure cuff is inflated above systolic pressure?
1. A.
  Chvostek’s sign
2. B.
  Trousseau’s sign
3. C.
  Homan’s sign
4. D.
  Kernig’s sign
Answer and explanation
Q8 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
What is the fear of marriage called?
1. A.
  Gamophobia
2. B.
  Acrophobia
3. C.
  Claustrophobia
4. D.
  Insectophobia
Answer and explanation
Q9 · Applied Psychology · Soft Skills & its applications
What is represented by the 'Blind Spot' in the Johari Window?
1. A.
  Things only the individual knows about themselves
2. B.
  Things that are known to others but not to the individual
3. C.
  Things that are known to the individual but not to others
4. D.
  Things that are unknown to both the individual and others
Answer and explanation
Q10 · Forensic Nursing & Indian laws · Dummy
The main purpose of an MLC record is:
1. A.
  to track the number of patients seen in the emergency room
2. B.
  to document medical findings relevant to legal proceedings
3. C.
  to provide a detailed history of the patient's illness
4. D.
  to replace the patient's routine medical record
Answer and explanation
Q11 · Child Health Nursing (Pediatrics) · Immunization and Immunodeficiency
The rotavirus vaccine is primarily administered to protect against which of the following types of childhood illness?
1. A.
  Diarrhoea
2. B.
  Hepatitis
3. C.
  Pneumonia
4. D.
  Measles
Answer and explanation
Q12 · Child Health Nursing (Pediatrics) · Newborn Infants
Which congenital anomaly requires immediate surgery?
1. A.
  Single palmer crease
2. B.
  Cleft earlobe
3. C.
  Minor birthmark
4. D.
  Gastroschisis
Answer and explanation
Q13 · Community Health Nursing · Assisting individuals and families to promote and maintain their health
What is the primary goal of health promotion?
1. A.
  To manage chronic conditions using an algorithm
2. B.
  To improve overall well-being and prevent disease
3. C.
  To provide rehabilitation services
4. D.
  To cure existing or anticipated illnesses
Answer and explanation
Q14 · Community Health Nursing · Assisting individuals and families to promote and maintain their health
Which of the following best describes the technical specifications of a large deep freezer used in the immunisation cold chain system?
1. A.
  Temperature: -25°C to -35°C; Storage: 400 Litres; Holdover time: 4 hours
2. B.
  Temperature: 2°C to 8°C; Storage: 50 Litres; Holdover time: 6 hours
3. C.
  Temperature: -15°C to -25°C; Storage: 275–300 Litres; Holdover time: At 43°C for 2 hrs 30 mins
4. D.
  Temperature: -2°C to 2°C; Storage: 100 Litres; Holdover time: 1 hour
Answer and explanation
Q15 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The "Golden Hour" for the administration of thrombolytics in a suspected Myocardial Infarction is ideally within:
1. A.
  30 minutes
2. B.
  60 minutes
3. C.
  90 minutes
4. D.
  120 minutes
Answer and explanation
Q16 · General Knowledge · Miscellaneous
Transformational leaders generally tend to show all of the following characteristics, EXCEPT?
1. A.
  Charisma
2. B.
  Intellectual stimulation
3. C.
  Inspirational leadership
4. D.
  Consideration of only self-needs
Answer and explanation
Q17 · Nursing Foundations · Nursing Process
The main characteristic of modular nursing is:
1. A.
  focus on the efficient use of resources within a defined area
2. B.
  decentralised decision-making and protocol developme
3. C.
  assignment of patients based on diagnosis and surgery plan
4. D.
  increased specialisation of nursing tasks and functions
Answer and explanation
Q18 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Which is an emergency medicine used to treat severe hypoglycaemia?
1. A.
  Insulin injection
2. B.
  Serotonin injection
3. C.
  Glucagon injection
4. D.
  Calcitonin injection
Answer and explanation
Q19 · Child Health Nursing (Pediatrics) · Skin Disorders
What are Koplik’s spots?
1. A.
  Tiny white spots on the inner cheeks, near the molars, that appear before the skin rash, seen in measles
2. B.
  Round, oval, or flame-shaped haemorrhages with a white or pale centre, seen in the retina in measles
3. C.
  Painless, flat, reddish or purplish macules on the palms and soles of the feet, seen in infective endocarditis
4. D.
  Painful, red or purple, raised lesions, typically found on the pads of the fingers and toes, seen in infective endocarditis
Answer and explanation
Q20 · Community Health Nursing · Assisting individuals and families to promote and maintain their health
Which of the following is NOT a measure to maintain health?
1. A.
  Establish a regular sleep schedule and create a relaxing bedtime routine.
2. B.
  Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
3. C.
  Limit intake of fruits, vegetables, lean proteins and whole grains.
4. D.
  Drink plenty of water throughout the day if there are no contraindications.
Answer and explanation
Q21 · Nursing Foundations · Communication & Nurse-Patient Relationship
Which of the following health communication models emphasises a two-way exchange of information and shared decision-making between health professionals and patients?
1. A.
  Participatory/Patient-centred model
2. B.
  Passive information-delivery model
3. C.
  Authoritative/Autocratic model
4. D.
  Paternalistic model
Answer and explanation
Q22 · Applied Microbiology & Infection control · General Characteristics of Microbes
Which of the following is an inanimate object that can carry and spread disease and infectious agents?
1. A.
  Reservoir
2. B.
  Body defences
3. C.
  Fomite
4. D.
  Fomite
Answer and explanation
Q23 · Medical & Surgical Nursing · Neurologic Function
What is the characteristic feature of hemiplegia?
1. A.
  Paralysis of the upper body
2. B.
  Paralysis of both sides of the body
3. C.
  Paralysis of the lower body
4. D.
  Paralysis of one side of the body
Answer and explanation
Q24 · Applied Nutrition & Dietetics · Balanced Diet
The amount of salt recommended for adults in diet is ________.
1. A.
  10g/day
2. B.
  15g/day
3. C.
  20g/day
4. D.
  < 5g/day
Answer and explanation
Q25 · Nursing Foundations · Administration of medications
What is the angle used for a subcutaneous injection?
1. A.
  90°
2. B.
  180°
3. C.
  15°
4. D.
  45°
Answer and explanation
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Q26 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
During which phase of the nurse-patient relationship do the nurse and the patient work together to establish goals?
1. A.
  Orientation phase
2. B.
  Termination phase
3. C.
  Pre-interaction phase
4. D.
  Working phase
Answer and explanation
Q27 · Medical & Surgical Nursing · Shock and Multisystem Failure
Which of the following systemic effects is observed in a patient with hypovolemic shock?
1. A.
  Decreased capillary permeability
2. B.
  Activation of the sympathetic response
3. C.
  Activation of parasympathetic response
4. D.
  Decreased production of mineralocorticoids
Answer and explanation
Q28 · Applied Nutrition & Dietetics · Fats
Which macronutrient provides the highest caloric value per gram?
1. A.
  Proteins
2. B.
  Carbohydrates
3. C.
  Fats
4. D.
  Alcohol
Answer and explanation
Q29 · Applied Psychology · Personality
Which stage of Erikson’s Psychosocial Development theory covers the age range of 6–12 years?
1. A.
  Initiative vs. Guilt
2. B.
  Identity vs. Role Confusion
3. C.
  Industry vs. Inferiority
4. D.
  Intimacy vs. Isolation
Answer and explanation
Q30 · Applied Microbiology & Infection control · Biomedical Waste Management (BMW)
What is the ideal way to handle contaminated sharps, including needles?
1. A.
  Recap needles to prevent accidental puncture and injury
2. B.
  Leave them on the bedside table for later disposal
3. C.
  Wash them with soap and water before disposal
4. D.
  Dispose of them immediately in a puncture-resistant container
Answer and explanation
Q31 · Medical & Surgical Nursing · Sensorineural Function
Which of the following symptoms is correctly matched with the BE FAST acronym used to identify signs of a stroke?
1. A.
  B – Breathing difficulty
2. B.
  S – Sweating
3. C.
  E – Eye pain
4. D.
  F – Facial drooping
Answer and explanation
Q32 · Community Health Nursing · Assisting individuals and families to promote and maintain their health
What is the most effective way to prevent infectious diseases?
1. A.
  Reducing sugar in diets
2. B.
  Vaccination
3. C.
  Annual physical examination
4. D.
  Drinking herbal tea
Answer and explanation
Q33 · Nursing Foundations · Health Assessment
What is the primary clinical significance of assessing skin turgor of a patient?
1. A.
  To measure skin temperature for signs of fever
2. B.
  To assess hydration status by checking the elasticity of the skin
3. C.
  To determine the presence of a skin infection and erythema
4. D.
  To evaluate oxygen saturation in the skin
Answer and explanation
Q34 · Nursing Foundations · Nursing Theories
What is EBP in clinical practice?
1. A.
  Evidence-based practice
2. B.
  Elocution-based practice
3. C.
  Economy-based practice
4. D.
  Ergonomics-based practice
Answer and explanation
Q35 · Medical & Surgical Nursing · Miscellaneous
Roper-Hall, modified Hughes classification and the Dua classification are commonly used to classify:
1. A.
  strabismus
2. B.
  corneal burns
3. C.
  retinal detachment
4. D.
  amblyopia
Answer and explanation
Q36 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
Which of the following signs is characterised by a bluish or purplish hue in the cervix, vagina and vulva during pregnancy?
1. A.
  Cullen sign
2. B.
  Bryant sign
3. C.
  Chadwick's Sign
4. D.
  Turner sign
Answer and explanation
Q37 · Nursing Foundations · History of Nursing & Nursing as a profession
Why is accountability essential for nurses?
1. A.
  To ensure responsibility
2. B.
  To shortens shift hours
3. C.
  To increases salary
4. D.
  To reduces paper work
Answer and explanation
Q38 · Applied Microbiology & Infection control · General Characteristics of Microbes
The place where an infectious agent lives and multiplies is termed as:
1. A.
  agent
2. B.
  reservoir
3. C.
  portal of entry
4. D.
  portal of exit
Answer and explanation
Q39 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
In the administration of blood products, how long after initiation must the nurse stay with the patient to monitor for an acute hemolytic transfusion reaction?
1. A.
  5 minutes
2. B.
  15 minutes
3. C.
  30 minutes
4. D.
  60 minutes
Answer and explanation
Q40 · Medical & Surgical Nursing · Miscellaneous
In the context of infection control, which type of precaution is required for a patient with Pulmonary Tuberculosis?
1. A.
  Contact precautions
2. B.
  Droplet precautions
3. C.
  Airborne precautions
4. D.
  Standard precautions
Answer and explanation
Q41 · Obstetrics & Gynaecology · Anatomy of the Female Pelvic Organs
The main anatomical target for female sterilisation procedures is:
1. A.
  removal of the ovaries and ampulla
2. B.
  removal of the uterus and isthmus
3. C.
  blocking of the cervix
4. D.
  ligation of the fallopian tubes
Answer and explanation
Q42 · Obstetrics & Gynaecology · Abnormalities of the Puerperium
Which of the following statements is INCORRECT related to the advantages of early ambulation in puerperium?
1. A.
  Hampers uterine drainage and uterine involution
2. B.
  Lessens the number of days of stay in the hospital
3. C.
  Reduces bladder complications and constipation
4. D.
  Reduces the chances of puerperal venous thrombosis and embolism
Answer and explanation
Q43 · Applied Physiology · Digestive system
What is the primary role of the bile in digestion?
1. A.
  Production of amino acids
2. B.
  To breakdown carbohydrates
3. C.
  To breakdown proteins
4. D.
  To emulsify fats
Answer and explanation
Q44 · Medical & Surgical Nursing · Other Acute Problems
What is the primary goal when using a stretcher for trauma patients?
1. A.
  Spinal motion restriction
2. B.
  Elevating the legs
3. C.
  Speed of transport
4. D.
  Comfort positioning
Answer and explanation
Q45 · Applied Physiology · Circulatory & Lymphatic system
During intense exercise, the heart rate may accelerate to 150 beats/min and the stroke volume may rise to 130 mL/beat. Calculate the cardiac output.
1. A.
  19.5 L/min
2. B.
  10 L/min
3. C.
  1.95 L/min
4. D.
  195 L/min
Answer and explanation
Q46 · Medical & Surgical Nursing · Miscellaneous
The recommended minimum space for an individual ICU room (excluding ancillary spaces) to ensure adequate patient care and workflow is:
1. A.
  150 ft²
2. B.
  100 ft²
3. C.
  50 ft²
4. D.
  250 ft²
Answer and explanation
Q47 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
Which of the following is the most reliable indicator of fluid volume status in a critically ill patient?
1. A.
  Daily weight
2. B.
  Intake and Output (I&O) record
3. C.
  Serum sodium level
4. D.
  Skin turgor
Answer and explanation
Q48 · Obstetrics & Gynaecology · Normal Labor
What is the normal length of the cervix before effacement begins?
1. A.
  2-4 cm
2. B.
  1-2 cm
3. C.
  0.5-1 cm
4. D.
  5-6 cm
Answer and explanation
Q49 · Obstetrics & Gynaecology · Hemorrhage in Early Pregnancy
Which of the following abortion occurs when the foetus has died or failed to develop, but the body has not expelled the pregnancy tissue?
1. A.
  Complete Abortion
2. B.
  Threatened abortion
3. C.
  Missed Abortion
4. D.
  Inevitable Abortion
Answer and explanation
Q50 · Applied Microbiology & Infection control · Pathogenic Organisms
Salmonella that causes typhoid fever is a:
1. A.
  gram-negative cocci
2. B.
  gram-negative bacillus
3. C.
  gram-positive cocci
4. D.
  gram-positive bacillus
Answer and explanation
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Q51 · Pharmacology · Drugs Acting on Central Nervous System
The anxiolytics drugs mainly work by affecting which of the following neurotransmitters in the brain?
1. A.
  Acetylcholine
2. B.
  Serotonin
3. C.
  Dopamine
4. D.
  GABA
Answer and explanation
Q52 · Applied Physiology · Renal system
The nurse recognizes that the "normal" hourly urine output for a healthy adult is approximately:
1. A.
  10–20 mL/hr
2. B.
  30–50 mL/hr
3. C.
  60–80 mL/hr
4. D.
  100–120 mL/hr
Answer and explanation
Q53 · Applied Physiology · Digestive system
Which of the following is NOT the main intestinal enzyme?
1. A.
  Lactase
2. B.
  Proteases
3. C.
  Amylase
4. D.
  Lingual lipase
Answer and explanation
Q54 · Applied Nutrition & Dietetics · National Nutritional Program and Role
Which of the following is a compound of iodine used for iodization of salt?
1. A.
  Sodium nitrate
2. B.
  Calcium carbonate
3. C.
  Potassium iodate
4. D.
  Potassium chloride
Answer and explanation
Q55 · Community Health Nursing · Demography, Surveillance and Interpretation of Data
Which health indicator shows the number of live births in a year per 1,000 population?
1. A.
  General fertility rate
2. B.
  Net reproduction rate
3. C.
  Fertility rate
4. D.
  Crude birth rate
Answer and explanation
Q56 · Community Health Nursing · Epidemiology – Epidemiological Approaches and Processes
Which decontamination method destroys all microbes including spores on surgical instruments?
1. A.
  Sanitisation
2. B.
  Disinfection
3. C.
  Sterilisation
4. D.
  Antisepsis
Answer and explanation
Q57 · Applied Physiology · Circulatory & Lymphatic system
The primary electrolyte responsible for maintaining resting membrane potential in cardiac cells is:
1. A.
  Sodium
2. B.
  Potassium
3. C.
  Calcium
4. D.
  Magnesium
Answer and explanation
Q58 · Obstetrics & Gynaecology · Placenta and Fetal Membranes
Central separation of placenta is otherwise called:
1. A.
  Shirodkar
2. B.
  Mathews-Duncan
3. C.
  McDonald
4. D.
  Schultze
Answer and explanation
Q59 · Applied Physiology · Digestive system
Succus entericus is also known as:
1. A.
  gastric juice
2. B.
  saliva
3. C.
  intestinal juice
4. D.
  cerebrospinal fluid
Answer and explanation
Q60 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The nurse is assessing a patient with suspected appendicitis. Which point of tenderness is specifically associated with this condition?
1. A.
  McBurney’s point
2. B.
  Erb’s point
3. C.
  Murphy’s point
4. D.
  Cullen’s point
Answer and explanation
Q61 · Applied Anatomy · Reproductive System
What is a dome-shaped portion superior to the uterine tubes called?
1. A.
  Fundus
2. B.
  Cervix
3. C.
  Isthmus
4. D.
  Body
Answer and explanation
Q62 · Applied Microbiology & Infection control · Miscellaneous
Which of the following stains is used to differentiate between Gram-positive and Gram-negative bacteria?
1. A.
  Ziehl-Neelsen stain
2. B.
  Gram stain
3. C.
  Albert's stain
4. D.
  Acid-fast stain
Answer and explanation
Q63 · Community Health Nursing · Epidemiology – Epidemiological Approaches and Processes
What is the usual route of administration of the measles vaccine as per the National

Immunization Schedule?
1. A.
  Intravenous
2. B.
  Intradermal
3. C.
  Intramuscular
4. D.
  Subcutaneous
Answer and explanation
Q64 · Nursing Management & Leadership · Management Process
Which type of audit compares care against predefined standards?
1. A.
  Patient-focused
2. B.
  Incident-based
3. C.
  Concurrent
4. D.
  Structure audit
Answer and explanation
Q65 · Pharmacology · Miscellaneous
Which type of IV fluid is used for a patient experiencing cellular dehydration?
1. A.
  Hypertonic
2. B.
  Blood products
3. C.
  Hypotonic
4. D.
  Isotonic
Answer and explanation
Q66 · Pharmacology · Drugs Acting on Central Nervous System
All of the following are common examples of inhalation anaesthesia, EXCEPT:
1. A.
  Isoflurane
2. B.
  Halothane
3. C.
  Propofol
4. D.
  Nitrous oxide
Answer and explanation
Q67 · Mental Health Nursing · Behavioural & Emotional Disorders of Childhood and Adolescence
All of the following are the core symptoms of ADHD EXCEPT:
1. A.
  inattention
2. B.
  hyperactivity
3. C.
  social anxiety
4. D.
  impulsivity
Answer and explanation
Q68 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
The Bishop Score is primarily used to assess ___________ in obstetrics.
1. A.
  foetal lung maturity
2. B.
  the readiness of the cervix for labour induction
3. C.
  the position of the placenta
4. D.
  the risk of postpartum haemorrhage
Answer and explanation
Q69 · Community Health Nursing · Concepts of Community Health and Community Health Nursing
Administration of the Gardasil vaccine comes under which level of prevention?
1. A.
  Tertiary prevention
2. B.
  Primary prevention
3. C.
  Secondary prevention
4. D.
  Primordial prevention
Answer and explanation
Q70 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
During the third stage of labour, a patient exhibits signs of placental separation, but the placenta fails to deliver within 30 minutes despite active management. Which of the following is the most appropriate next step in management?
1. A.
  Administer tocolytics to relax the uterus
2. B.
  Continue uterine massage and observe for another hour
3. C.
  Manual removal of the placenta under appropriate anaesthesia
4. D.
  Immediately initiate caesarean section
Answer and explanation
Q71 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
Jacquemier's sign in early pregnancy is also known as:
1. A.
  Osiander's sign
2. B.
  Hegar sign
3. C.
  Chadwick sign
4. D.
  Goodell sign
Answer and explanation
Q72 · Applied Psychology · Developmental Psychology
What is the psychosocial stage of an infant as per Erik Erikson?
1. A.
  Trust vs. Mistrust
2. B.
  Intimacy vs. Isolation
3. C.
  Initiative vs. Guilt
4. D.
  Autonomy vs. Shame and Doubt
Answer and explanation
Q73 · Nursing Foundations · Patient Education
A person who has injured his right arm has heavy external bleeding from the open wound. What should be the first-aid measure to control bleeding?
1. A.
  Apply a tourniquet above the wound
2. B.
  Without applying pressure, wrap a bandage around the wound
3. C.
  Press the wound with both hands using a clean cloth or bandage
4. D.
  Apply ice bags over the wound
Answer and explanation
Q74 · Medical & Surgical Nursing · Sensorineural Function
Which is the most common cause of viral conjunctivitis?
1. A.
  Herpes simplex virus
2. B.
  Enterovirus
3. C.
  Adenovirus
4. D.
  Varicella-zoster virus
Answer and explanation
Q75 · Nursing Foundations · Patient Education
Inspection shows that a loose eyelash has lodged in a girl’s left lower eye. Which of these is the immediate first aid measure in this situation?
1. A.
  Remove the foreign object with a narrow, warm swab or a cloth
2. B.
  Cover the eye and transport her to the nearest healthcare facility
3. C.
  Rinse the eye with plenty of clean water for 10-15 minutes from the nose outwards
4. D.
  Put medication into the affected eye and wait for 10 minutes
Answer and explanation
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Q76 · Pathology & Genetics · General Pathology
Which chemical mediator is primarily responsible for dolor during inflammation?
1. A.
  Serotonin
2. B.
  Haemoglobin
3. C.
  Bradykinin
4. D.
  Fibrinogen
Answer and explanation
Q77 · Applied Microbiology & Infection control · Miscellaneous
The biological indicator used in autoclaves to confirm the complete and consistent destruction of microorganisms is the spores of Bacillus ___________.
1. A.
  anthracis
2. B.
  cereus
3. C.
  amyloliquefaciens
4. D.
  stearothermophilus
Answer and explanation
Q78 · Child Health Nursing (Pediatrics) · Modern concepts of child- care
What is the core principle of paediatric nursing?
1. A.
  Provide family-centred care
2. B.
  Treat children as small adults
3. C.
  Prioritise paper works over play
4. D.
  Minimise family involvement
Answer and explanation
Q79 · Nursing Management & Leadership · Organisational Behaviour & Human Relations
Which of the following leadership styles is characterised by a leader who uses rewards and punishments to motivate employees?
1. A.
  Democratic leadership
2. B.
  Transactional leadership
3. C.
  Laissez-faire leadership
4. D.
  Transformational leadership
Answer and explanation
Q80 · Obstetrics & Gynaecology · Physiological Changes During Pregnancy
Around what gestational age does the amniotic fluid volume typically reach its peak?
1. A.
  34 to 36 weeks
2. B.
  40 to 42 weeks
3. C.
  24 to 28 weeks
4. D.
  18 to 20 weeks
Answer and explanation
Q81 · Pharmacology · Gastrointestinal Drugs
Which of the following laxatives is used in the form of a suppository?
1. A.
  Bisacodyl
2. B.
  Docusate sodium
3. C.
  Lactulose
4. D.
  Psyllium
Answer and explanation
Q82 · Applied Microbiology & Infection control · Pathogenic Organisms
What is the hall mark sign of rubella infection?
1. A.
  Bull's eye rash
2. B.
  Koplik spots
3. C.
  Jaundice
4. D.
  Tender lymphnodes benhind the ears
Answer and explanation
Q83 · Applied Psychology · Mental Health & mental hygiene
Which of the following counselling approaches integrates techniques from different therapeutic orientations?
1. A.
  Gestalt therapy
2. B.
  Psychodynamic therapy
3. C.
  Centralised therapy
4. D.
  Eclectic counselling
Answer and explanation
Q84 · Nursing Foundations · Administration of medications
The most common site for an intramuscular injection in an infant is the:
1. A.
  Deltoid muscle
2. B.
  Dorsogluteal muscle
3. C.
  Vastus lateralis muscle
4. D.
  Ventrogluteal muscle
Answer and explanation
Q85 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders
Which of the following group therapy techniques emphasises that helping others in the group can boost self-esteem and promote a sense of purpose?
1. A.
  Altruism
2. B.
  Anhedonia
3. C.
  Ambivalence
4. D.
  Ataxia
Answer and explanation
Q86 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
Which of the following conditions involves the placenta penetrating through the uterine wall and extending to other organs?
1. A.
  Placenta increta
2. B.
  Placenta percreta
3. C.
  Placenta accreta
4. D.
  Battledore placenta
Answer and explanation
Q87 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
What are the two primary conditions that are classified under COPD?
1. A.
  Pleurisy and Pneumonia
2. B.
  Chronic Bronchitis and Emphysema
3. C.
  Bronchiectasis and Empyema
4. D.
  Bronchiectasis and Cystic Fibrosis
Answer and explanation
Q88 · Biochemistry & Nutrition · Insulin, Glucose Homeostasis & Diabetes Mellitus
Which of the following hormones primarily stimulates the glycogenolysis process?
1. A.
  Aldosterone
2. B.
  Insulin
3. C.
  Calcitonin
4. D.
  Glucagon
Answer and explanation
Q89 · Medical & Surgical Nursing · Immunologic Function
In an HIV infection, a diagnosis of AIDS is made when the CD4+ T-cell count falls below which of the following values?
1. A.
  200 cells/mm³
2. B.
  350 cells/mm³
3. C.
  800 cells/mm³
4. D.
  500 cells/mm³
Answer and explanation
Q90 · Applied Anatomy · Respiratory System
Which of the following is referred to as an artificial manual breathing unit?
1. A.
  Nasopharyngeal airway
2. B.
  I gel supraglottic airway
3. C.
  Combi tube
4. D.
  Bag valve mask
Answer and explanation
Q91 · Biochemistry & Nutrition · Vitamins & Minerals
The primary storage forms of iron in the human body are ______.
1. A.
  endorphin and melanin
2. B.
  melatonin and encephalin
3. C.
  serotonin and prolactin
4. D.
  ferritin and hemosiderin
Answer and explanation
Q92 · Child Health Nursing (Pediatrics) · Modern concepts of child- care
Which of the following is a primary principle of atraumatic care in paediatric nursing?
1. A.
  Avoiding the use of play therapy and use of toys in hospital premises
2. B.
  Using physical, chemical or mechanical restraints whenever necessary
3. C.
  Minimising physical and psychological stress for the child
4. D.
  Ignoring the child's emotional needs and the family's involvement
Answer and explanation
Q93 · Child Health Nursing (Pediatrics) · Integrated Management of Neonatal and Childhood Illness
The 'yellow' colour coding in the IMNCI chart represents:
1. A.
  a healthy child with no apparent illness or infection
2. B.
  minor illness needing home care advice and treatment
3. C.
  illness requiring specific medical treatment and advice
4. D.
  severe illness requiring immediate referral and surgery
Answer and explanation
Q94 · Nursing Foundations · Procedures
Which of the following is the primary focus of the secondary survey in trauma assessment?
1. A.
  Administering advanced cardiac life support (ACLS) medications
2. B.
  Performing a head-to-toe assessment after stabilisation of vital functions
3. C.
  Identifying and managing immediate life-threatening conditions
4. D.
  Initiating cardiopulmonary resuscitation (CPR)
Answer and explanation
Q95 · Nursing Management & Leadership · Management of Nursing Educational Institute
When does the 'halo effect' occur in performance appraisals of employees?
1. A.
  When a manager rates an employee high on all traits because of one outstanding trait
2. B.
  When a manager focuses only on the most recent performance of an employee
3. C.
  When a manager avoids giving negative feedback to an employee
4. D.
  When a manager rates an employee low on all traits due to one negative trait
Answer and explanation
Q96 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
The Bracht manoeuvre is a technique used in the delivery of which of the following presentations to facilitate the delivery of the foetal head?
1. A.
  Breech presentation delivery
2. B.
  Vertex presentation delivery
3. C.
  Shoulder presentation delivery
4. D.
  Brow presentation delivery
Answer and explanation
Q97 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Which endocrine disorder occurs when the hypothalamus or pituitary gland is damaged, leading to insufficient vasopressin production or release?
1. A.
  Diabetes mellitus
2. B.
  Diabetes insipidus
3. C.
  SIADH
4. D.
  DKA
Answer and explanation
Q98 · Applied Microbiology & Infection control · Disinfection and Sterilization
Which method helps achieve complete sterilisation?
1. A.
  Autoclaving at 121°C
2. B.
  70% alcohol wiping
3. C.
  UV light exposure
4. D.
  Chlorine disinfection
Answer and explanation
Q99 · Applied Psychology · Cognitive Process
Which is a cognitive behaviour technique where individuals gradually expose themselves to feared situations or objects?
1. A.
  Contingency management
2. B.
  Rational emotive behavior therapy
3. C.
  Aversion therapy
4. D.
  Systematic desensitisation
Answer and explanation
Q100 · Mental Health Nursing · Mood disorders
Which of the following best distinguishes Bipolar I Disorder from Bipolar II Disorder?
1. A.
  Bipolar I includes at least one manic episode, while Bipolar II includes at least one hypomanic episode.
2. B.
  Bipolar I includes major depressive episodes, while Bipolar II does not.
3. C.
  Bipolar I is diagnosed only when both manic and depressive episodes are present.
4. D.
  Bipolar II includes full manic episodes, while Bipolar I includes hypomanic episodes.
Answer and explanation

BTSC Staff Nurse, 3 August 2025 question paper

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