CIP Ranchi, 9 July 2022 question paper

Central Institute of Psychiatry · 2022 · 60 questions · 60 minutes · 0.25 mark deducted per wrong answer

Medical & Surgical Nursing 25
Pharmacology 8
Mental Health Nursing 7
Obstetrics & Gynaecology 5
Applied Microbiology & Infection control 3
Applied Physiology 3
Nursing Foundations 3
Community Health Nursing 2
Applied Anatomy 2
Child Health Nursing (Pediatrics) 1
General Knowledge 1

See the answers and explanations

Q1 · Community Health Nursing · Concepts of Community Health and Community Health Nursing
HDI stands for?
1. A.
  Health Department of India
2. B.
  Human Development Index
3. C.
  Human Development Institute
4. D.
  Health Development Institute
Answer and explanation
Q2 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A patient with depressed consciousness has lab report: blood sugar 586 mg/dl, urine ketone +++ . Which IV fluid is preferable?
1. A.
  NS
2. B.
  DNS with insulin
3. C.
  RL with insulin
4. D.
  None of the above
Answer and explanation
Q3 · Mental Health Nursing · Mood disorders
Which mental illness is linked to Hypothyroidism?
1. A.
  Depression
2. B.
  Delirium
3. C.
  Mania
4. D.
  Cognitive Dysfunction
Answer and explanation
Q4 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Hyponatremia with Hypervolemia would be seen in?
1. A.
  Congestive Heart Failure
2. B.
  Nephrotic Syndrome
3. C.
  Liver cirrhosis
4. D.
  All of the above
Answer and explanation
Q5 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Which is the confirmative test of TB?
1. A.
  Sputum culture
2. B.
  Chest X ray
3. C.
  Mantoux Test
4. D.
  PFT
Answer and explanation
Q6 · Obstetrics & Gynaecology · Endocrinology in Relation to Reproduction
Before the placenta functions the corpus luteum is the primary source of synthesis of which of the following hormones?
1. A.
  T4 and TSH
2. B.
  Estrogen and progesterone
3. C.
  Cortisol and thyroxine
4. D.
  LH and FSH
Answer and explanation
Q7 · Pharmacology · Miscellaneous
Class 2 antipsychotic drugs act as?
1. A.
  Serotonin Inhibitor
2. B.
  Dopamine Antagonist
3. C.
  Epinephrine Antagonist
4. D.
  Acetylcholine Antagonist
Answer and explanation
Q8 · Community Health Nursing · Arthropod-borne infections
The drug of choice for treatment of 'Filariasis' is?
1. A.
  Tetracycline
2. B.
  Amphetamine
3. C.
  Dapsone
4. D.
  Diethyl carbamazepine citrate
Answer and explanation
Q9 · Applied Microbiology & Infection control · Review of Specimen Collection
Which is a most reliable method for collection of urine?
1. A.
  Mid-stream urine
2. B.
  Collect at any time
3. C.
  Beginning of first urine in the morning
4. D.
  All of above
Answer and explanation
Q10 · Applied Physiology · Digestive system
Digestion of food in human starts from?
1. A.
  Duodenum
2. B.
  Small intestine
3. C.
  Mouth
4. D.
  Large intestine
Answer and explanation
Q11 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Which Antigen is involved in hepatitis B transmission?
1. A.
  Surface antigen
2. B.
  Core antigen
3. C.
  Anti hep-B antigen
4. D.
  HbsAg
Answer and explanation
Q12 · Applied Anatomy · Musculoskeletal System
A sprain may be defined as?
1. A.
  Injury to bone
2. B.
  Injury to ligament structures surrounding a joint
3. C.
  Excessive stretching of muscle, its fascial sheath or tendon
4. D.
  Injury to joints
Answer and explanation
Q13 · Child Health Nursing (Pediatrics) · Development
Which of the following factors affect the development of children?
1. A.
  Endocrinal glands
2. B.
  Nutritious diet
3. C.
  Disease and injuries
4. D.
  All of the above
Answer and explanation
Q14 · Medical & Surgical Nursing · Miscellaneous
In ribs fracture, which type of respiration pattern is seen in a patient during respiration?
1. A.
  Pain during inspiration
2. B.
  Deep & rapid respiration
3. C.
  Paradoxical respiration
4. D.
  Pain while expiration
Answer and explanation
Q15 · Nursing Foundations · Administration of medications
Identify the correct way to mix NPH insulin with regular insulin?
1. A.
  Mix regular and NPH insulin
2. B.
  Take NPH first
3. C.
  Take regular insulin first
4. D.
  All of the above
Answer and explanation
Q16 · Applied Microbiology & Infection control · Pathogenic Organisms
Cerebral malaria is caused by?
1. A.
  Plasmodium vivax
2. B.
  Plasmodium falciparum
3. C.
  Plasmodium malariae
4. D.
  Plasmodium ovale
Answer and explanation
Q17 · Mental Health Nursing · Psychiatric Emergencies
How to restrain a violent psychiatric patient?
1. A.
  Restrain only hand
2. B.
  Restrain both legs with opposite side of bed
3. C.
  Restrain both legs
4. D.
  Restrain both hands & legs
Answer and explanation
Q18 · Nursing Foundations · Infection control & BMW management
The technique which is used to prevent cross infection is known as?
1. A.
  Nursing care
2. B.
  Actual nursing
3. C.
  Preventive nursing
4. D.
  Barrier nursing
Answer and explanation
Q19 · Medical & Surgical Nursing · Immunologic Function
Foods which need to be avoided with a latex allergy?
1. A.
  Egg
2. B.
  Banana
3. C.
  Milk
4. D.
  Yoghurt
Answer and explanation
Q20 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
Causes of APH, except?
1. A.
  Abruption placenta
2. B.
  Placenta previa
3. C.
  PPH
4. D.
  Option both A and B
Answer and explanation
Q21 · Medical & Surgical Nursing · Integumentary Function
In a burn patient, the best nursing intervention in the first 24 hours is?
1. A.
  Antibiotic therapy
2. B.
  Pain management
3. C.
  Fluid resuscitation
4. D.
  Monitor urine output
Answer and explanation
Q22 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
A patient is having anxiety, headache due to stress, or feeling physically weak after trauma and sometimes diarrhoea and constipation due to overthinking. On the basis of signs & symptoms, the diagnosis would be?
1. A.
  Irritable bowel syndrome
2. B.
  Somatisation disorder
3. C.
  Conversion disorder
4. D.
  Factitious disorder
Answer and explanation
Q23 · Applied Physiology · Endocrine system
All of the following are hormones of the anterior pituitary gland, except?
1. A.
  TSH
2. B.
  GH
3. C.
  ADH
4. D.
  Prolactin
Answer and explanation
Q24 · Medical & Surgical Nursing · Shock and Multisystem Failure
Complication of Toxic shock syndrome?
1. A.
  Pulmonary embolism
2. B.
  Liver failure
3. C.
  Renal failure
4. D.
  All of the above
Answer and explanation
Q25 · Medical & Surgical Nursing · Integumentary Function
Which layer of the skin is involved in cellulitis?
1. A.
  Hypodermis and Dermis
2. B.
  Epidermis and Dermis
3. C.
  Dermis
4. D.
  Affected epidermis and dermis due to staphylococcus
Answer and explanation
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Q26 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A Patient's BP is 80/65 mm of hg and heart rate is not recordable. The patient may go into shock. What would be the first nursing intervention?
1. A.
  Digoxin
2. B.
  Massage
3. C.
  Subcutaneous pacing
4. D.
  Defibrillation
Answer and explanation
Q27 · Applied Physiology · Sensory organs
Which type of lens is used to correct Myopia?
1. A.
  Concave Lens
2. B.
  Convex Lens
3. C.
  Bifocal Lens
4. D.
  Cylindrical Lens
Answer and explanation
Q28 · Mental Health Nursing · Schizophrenia
A person is unable to enjoy pleasurable events in life is termed as?
1. A.
  Anhedonia
2. B.
  Ataxia
3. C.
  Alexithymia
4. D.
  Aphonia
Answer and explanation
Q29 · Medical & Surgical Nursing · Sensorineural Function
Early Sign of Cataract include?
1. A.
  Float Formation
2. B.
  Halos Formation
3. C.
  Blurred Vision
4. D.
  Pain
Answer and explanation
Q30 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A newly admitted client has sickle cell crisis and is complaining of pain in his feet and hands. The nurse's assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?
1. A.
  Adjust the room temperature
2. B.
  Give a bolus of IV fluid
3. C.
  Administer meperidine
4. D.
  Start oxygen
Answer and explanation
Q31 · Medical & Surgical Nursing · Sensorineural Function
A patient comes to the emergency ward with a snake bite. What would be the first nursing priority intervention by the nursing officer?
1. A.
  Keep the patient's extremities below the heart level
2. B.
  Take patient to the safer side
3. C.
  Remove jewellery and clothes
4. D.
  Immobilize affected extremity
Answer and explanation
Q32 · Mental Health Nursing · Miscellaneous
In a patient, repeated senseless thoughts are coming and the person has a feeling that someone else is putting these thoughts in his mind, is?
1. A.
  Obsession
2. B.
  Thought insertion
3. C.
  Hallucination
4. D.
  Delusion
Answer and explanation
Q33 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A client diagnosed with valvular heart disease is at risk for developing heart failure. What should the nurse assess as the priority when monitoring for heart failure?
1. A.
  Heart rate
2. B.
  Blood pressure
3. C.
  Breath sounds
4. D.
  Activity tolerance
Answer and explanation
Q34 · Pharmacology · General Pharmacology
Route of administration for promethazine (Phenergan) Drug?
1. A.
  Oral
2. B.
  IM
3. C.
  IV
4. D.
  All of the above
Answer and explanation
Q35 · Medical & Surgical Nursing · Pain Management
As a nurse, what will you advise to a patient who is having postural hypotension?
1. A.
  Change the position slowly while lying to standing up
2. B.
  Change the position instantly
3. C.
  Do strenuous activity
4. D.
  Don't stand up
Answer and explanation
Q36 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
A pregnant woman had her last LMP on 9 February 2018. Calculate the EDD by using Naegele's formula?
1. A.
  16 October 2018
2. B.
  16 November 2018
3. C.
  7 November 2018
4. D.
  7 February 2018
Answer and explanation
Q37 · Pharmacology · Drug Affecting Blood & Blood Formation
A patient is being discharged for home and needs to self-administer heparin. What action by the patient requires re-educating him about self-administration of heparin?
1. A.
  The patient injects the needle into the fatty tissue of the abdomen
2. B.
  The patient injects the needle 1 inch away from the umbilicus
3. C.
  The patient rotated the injection site from the previous dose of heparin
4. D.
  The patient does not massage the injection site after administering the medication
Answer and explanation
Q38 · Nursing Foundations · Promoting safety in health care environment
The Heimlich maneuver (abdominal thrust) is used for a patient who has?
1. A.
  A bloody nose
2. B.
  A blocked airway
3. C.
  Fallen out of bed
4. D.
  Impaired eyesight
Answer and explanation
Q39 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
While catheterizing a male patient, the nurse observes blood around the meatus, what action would be taken by the nurse?
1. A.
  Insert the catheter
2. B.
  Clean the blood and insert the catheter
3. C.
  Inform to the doctor
4. D.
  Lubricate with anaesthetics jelly
Answer and explanation
Q40 · Mental Health Nursing · Substance Use Disorders
A patient is having multiple scratches at his veins. The patient may be habitual to which drug?
1. A.
  LSD
2. B.
  Phencyclidine
3. C.
  Cocaine
4. D.
  Opiates
Answer and explanation
Q41 · Pharmacology · Miscellaneous
A client is hospitalized for ingesting an overdose of acetaminophen. The nurse prepares to administer which specific antidote for this medication overdose?
1. A.
  Phytonadione
2. B.
  Flumazenil
3. C.
  N-acetylcysteine
4. D.
  Naloxone hydrochloride
Answer and explanation
Q42 · Pharmacology · Drug Affecting Blood & Blood Formation
A patient is taking carbamazepine, which of the following lab finding is suggestive of a side effect of carbamazepine?
1. A.
  Sodium level 140 mEq/L
2. B.
  BUN 10 mg/dl
3. C.
  WBC count 3000 cu mm
4. D.
  Creatinine level 3.5 mg/dl
Answer and explanation
Q43 · Medical & Surgical Nursing · Pain Management
Most common clinical features seen in trigeminal neuralgia?
1. A.
  Facial pain
2. B.
  Diarrhoea
3. C.
  Constipation
4. D.
  Diaphoresis
Answer and explanation
Q44 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Which of the following infection is transmitted through Blood Transfusion?
1. A.
  Viral Hepatitis C & Hepatitis B
2. B.
  Malaria
3. C.
  Cytomegalovirus (CMV) infection
4. D.
  All of the above
Answer and explanation
Q45 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
ABG report of a Patient is: PCO2 - 31 mEq/L, HCO3 - 21, pH - 7.43. What would be the possible acid base imbalance?
1. A.
  Compensated respiratory acidosis
2. B.
  Compensated respiratory alkalosis
3. C.
  Uncompensated respiratory alkalosis
4. D.
  Uncompensated respiratory acidosis
Answer and explanation
Q46 · Applied Anatomy · Nervous System
What is the outermost layer of meninges of the brain?
1. A.
  Dura mater
2. B.
  Pia mater
3. C.
  Arachnoid mater
4. D.
  Bia mater
Answer and explanation
Q47 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
Which is the Somatoform disorder?
1. A.
  Hypochondriasis
2. B.
  Conversion disorder
3. C.
  Pain disorder
4. D.
  All of above
Answer and explanation
Q48 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
A client with pregnancy induced hypertension admitted for C-section. Before the surgery, the nurse should keep the client in?
1. A.
  On her right side
2. B.
  Supine with a small pillow
3. C.
  On her left side
4. D.
  In semi fowler's position
Answer and explanation
Q49 · Pharmacology · Antimicrobial Drugs
Which test should be done before starting the Isoniazid therapy to a patient?
1. A.
  LFT
2. B.
  Serum creatinine
3. C.
  Serum Electrolyte
4. D.
  None of these
Answer and explanation
Q50 · Medical & Surgical Nursing · Integumentary Function
Fluid of choice for treatment of Hypovolemic shock in a Burnt Patient is?
1. A.
  Normal Saline
2. B.
  Ringer lactate
3. C.
  DNS
4. D.
  GNS
Answer and explanation
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Q51 · Applied Microbiology & Infection control · Hospital-Acquired Infections
What is the term for an infection that a patient acquires during their stay in a hospital?
1. A.
  Primary infection
2. B.
  Nosocomial infection
3. C.
  Secondary infection
4. D.
  Focal infection
Answer and explanation
Q52 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
What is the most important step to abort the sickle cell crisis?
1. A.
  Hourly BP monitoring
2. B.
  Oxygen saturation monitoring
3. C.
  Hourly offering water to drink
4. D.
  Cooling by fan
Answer and explanation
Q53 · Obstetrics & Gynaecology · Antepartum Hemorrhage
Principle clinical feature of Abruptio placenta?
1. A.
  Rigid abdomen
2. B.
  Painless vaginal bleeding
3. C.
  Lengthening of umbilical cord
4. D.
  Painful vaginal bleeding
Answer and explanation
Q54 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Assessment of hypothyroidism diagnosis would be done by?
1. A.
  Neck Inspection
2. B.
  Thyroid auscultation
3. C.
  Seen facial feature
4. D.
  Performed Thyroid Gland Assessment
Answer and explanation
Q55 · Medical & Surgical Nursing · Miscellaneous
Which of the following is a differentiating test between mucus and cerebrospinal fluid (CSF) from a nasal discharge?
1. A.
  Specific gravit
2. B.
  Protein
3. C.
  Microorganism
4. D.
  Glucose
Answer and explanation
Q56 · Medical & Surgical Nursing · Pain Management
Pernicious anaemia is caused by the deficiency of?
1. A.
  Vita. B1
2. B.
  Vita. B12
3. C.
  Vita. B6
4. D.
  Vita. B1
Answer and explanation
Q57 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient of hemorrhagic shock requires Blood transfusion. His blood group is B+ve. Blood bank informed that B+ blood is not available. Which blood can be used?
1. A.
  A+
2. B.
  AB-
3. C.
  AB+
4. D.
  O+
Answer and explanation
Q58 · Pharmacology · Drug Affecting Blood & Blood Formation
Which of the following is the most common adverse effect of Alteplase?
1. A.
  Headache
2. B.
  Weight loss
3. C.
  Epistaxis
4. D.
  Hypoglycaemia
Answer and explanation
Q59 · General Knowledge · Basic Physics
Which of the following option is the correct formula to convert °C to °F?
1. A.
  C=(F-32)5/9
2. B.
  C=(F+32)5/9
3. C.
  F=C9/5+32
4. D.
  C=(F-32)9/5
Answer and explanation
Q60 · Pharmacology · Gastrointestinal Drugs
A patient is complaining of nausea & vomiting and the nurse gave inj. Ondansetron 4 mg. Which would be the possible early side effect of ondansetron?
1. A.
  Confusion
2. B.
  Dizziness
3. C.
  Tachycardia
4. D.
  Blurred vision
Answer and explanation

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CIP Ranchi, 9 July 2022 question paper

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