NORCET-11 Prelims question paper

NORCET · 2026 · 100 questions · 90 minutes · 0.33 mark deducted per wrong answer

Medical & Surgical Nursing 21
General Knowledge 17
Child Health Nursing (Pediatrics) 11
Obstetrics & Gynaecology 11
Community Health Nursing 7
English 6
Pharmacology 6
Mental Health Nursing 6
Applied Physiology 4
Applied Microbiology & Infection control 3
Quantitative Aptitude and Mathematics 2
Pathology & Genetics 2
Nursing Research & Statistics 1
Applied Anatomy 1
Biochemistry & Nutrition 1
Nursing Foundations 1

See the answers and explanations

Q1 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient with severe COPD is receiving mechanical ventilation. ABG VALUES shows Ph: 7.24 pCO2 68mmhg pO2 72mmhg. Waveform shows prolonged expiratory phase without touching normal before the next breath suddenly becomes hypotensive and tachycardic. Which ventilator adjustment will the nurse make immediately?
1. A.
  Increase PEEP to 12 cm H2O
2. B.
  Increase FiO2 to 100%
3. C.
  Decrease respiratory rate to allow longer expiratory time
4. D.
  Increase tidal volume to 600 mL
Answer and explanation
Q2 · Quantitative Aptitude and Mathematics · Profit & loss
A shopkeeper purchased some dresses and pairs of shoes for a total cost of Rs.48,000. The cost of one dress is Rs.400 and the cost of one pair of shoes is Rs.1,000. He sold all the items at a total profit of Rs.18,000. How many dresses and pairs of shoes did he purchase?
1. A.
  60 dresses and 10 pairs of shoes
2. B.
  70 dresses and 20 pairs of shoes
3. C.
  80 dresses and 30 pairs of shoes
4. D.
  50 dresses and 25 pairs of shoes
Answer and explanation
Q3 · Child Health Nursing (Pediatrics) · Nutrition
A child whose weight is 55% of the expected weight for age presents with severe muscle wasting, bilateral pedal edema and lethargy. According to the Wellcome classification of protein-energy malnutrition based on weight-for-age and edema, which category does this child fall under?
1. A.
  Marasmic kwashiorkor
2. B.
  Severe underweight
3. C.
  Kwashiorkor
4. D.
  Marasmus
Answer and explanation
Q4 · Obstetrics & Gynaecology · Multiple Pregnancy, Amniotic Fluid Disorders, Abnormalities of Placenta and Cord
On ultrasound assessment of amniotic fluid volume, the deepest vertical pockets measured in the four quadrants are 1.5 cm, 0.8 cm, 1.2 cm and 1.0 cm. This finding suggests which of the following?
1. A.
  Oligohydramnios
2. B.
  Polyhydramnios
3. C.
  Borderline oligohydramnios
4. D.
  Normal amniotic fluid volume
Answer and explanation
Q5 · Applied Microbiology & Infection control · Pathogenic Organisms
The MMR vaccine provides protection against all of the following diseases, except:
1. A.
  Measles
2. B.
  Mumps
3. C.
  Rubella
4. D.
  Rickettsia
Answer and explanation
Q6 · General Knowledge · Miscellaneous
What is the major supporting ligamentous structure of the breast?
1. A.
  Pectoral ligament
2. B.
  Clavipectoral fascia
3. C.
  Suspensory ligament, or Cooper's ligaments
4. D.
  Costoclavicular ligament
Answer and explanation
Q7 · General Knowledge · Miscellaneous
Ivacaftor is prescribed for a child diagnosed with cystic fibrosis. Before initiating therapy with this medication, which baseline laboratory assessment is most essential for the nurse to verify?
1. A.
  Serum lipase and amylase levels
2. B.
  Liver function tests
3. C.
  Complete blood count
4. D.
  Serum creatinine and blood urea nitrogen
Answer and explanation
Q8 · Medical & Surgical Nursing · Shock and Multisystem Failure
An unresponsive patient is found to have pulseless electrical activity. CPR is initiated and epinephrine is administered. After resuscitation efforts, the patient develops jugular venous distension, hypotension Which condition should the nurse suspect as the underlying reversible cause?
1. A.
  Massive pulmonary embolism
2. B.
  Tension pneumothorax
3. C.
  Cardiac tamponade
4. D.
  Acute myocardial infarction
Answer and explanation
Q9 · Nursing Research & Statistics · Research Approaches and Designs
A nurse researcher wants to determine the prevalence of hypertension in a defined community and conducts a single survey to assess exposure and disease status simultaneously. What type of study design is this?
1. A.
  Cross-sectional study
2. B.
  Case-control study
3. C.
  Cohort study
4. D.
  Retrospective study
Answer and explanation
Q10 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
If a pressure transducer or central venous pressure manometer zero-level is placed above the phlebostatic axis, what type of reading is expected?
1. A.
  Falsely high central venous pressure reading
2. B.
  Falsely low central venous pressure reading
3. C.
  No change in central venous pressure
4. D.
  Complete loss of the central venous pressure waveform
Answer and explanation
Q11 · General Knowledge · Miscellaneous
Complete the sentence: The sun's _____ bring pleasure to the flooded people.
1. A.
  Rays
2. B.
  Raise
3. C.
  Ray
4. D.
  Raze
Answer and explanation
Q12 · General Knowledge · Miscellaneous
A child is found unconscious and needs to be measured using a Broselow Pediatric Emergency Tape to determine appropriate equipment sizing and resuscitation medication dosages. How should the tape be positioned and measured?
1. A.
  Align the red portion at the top of the head and measure down to the heels
2. B.
  Align the red portion at the tips of the toes and measure up to the heels
3. C.
  Lay the tape beside the child's body measuring from toes to head
4. D.
  Position the child in semi-Fowler's position and measure arm span from fingertip to fingertip
Answer and explanation
Q13 · Child Health Nursing (Pediatrics) · Central Nervous System
A pediatric patient is brought to the emergency department following a road traffic accident. On assessment, the nurse notes unequal pupils. Which of the following is the immediate and most appropriate nursing action to reduce intracranial pressure?
1. A.
  Elevate the head of the bed to 15 to 30 degrees with the head in a neutral midline position
2. B.
  Maintain the patient in a strictly lateral position
3. C.
  Administer rapid intravenous fluid boluses
4. D.
  Limit activities that increase intracranial pressure while keeping the bed completely flat
Answer and explanation
Q14 · Obstetrics & Gynaecology · Normal Puerperium
A 4th-day postpartum mother is observed crying, feeling overwhelmed ,mood swings, irritability , anxiety, but she is able to care and love and has no suicidal thoughts or intentions of harming her baby Which condition is the patient most likely experiencing?
1. A.
  Postpartum blues
2. B.
  Postpartum psychosis
3. C.
  Postpartum depression
4. D.
  Post-traumatic stress disorder
Answer and explanation
Q15 · English · Grammar
The Bird…….above the bridge & caught in the net?
1. A.
  Flu
2. B.
  Flew
3. C.
  Flight
4. D.
  flying
Answer and explanation
Q16 · Child Health Nursing (Pediatrics) · Poisonings, Injuries and Accidents
An 18-month-old child is brought to the emergency department with altered sensorium and lethargy. The parents claim the child sustained the injury after an accidental fall from a low bed. Which finding strongly suggests Battered Baby Syndrome rather than a simple accidental fall?
1. A.
  Intraocular hemorrhage
2. B.
  Intracranial hematoma and contusion on the forehead
3. C.
  Shaft fracture of the radius
4. D.
  Intraorbital hemorrhage
Answer and explanation
Q17 · Medical & Surgical Nursing · Neurologic Function
A patient with severe traumatic brain injury exhibits signs of acutely increased intracranial pressure, including bradycardia, systolic hypertension and irregular respirations. Which nursing action should be avoided in the care of this patient?
1. A.
  Keeping the head in a neutral, midline position
2. B.
  Elevating the head of the bed 15 to 30 degrees
3. C.
  Changing the position side-to-side frequently
4. D.
  Providing uninterrupted periods of rest with careful clustering of care
Answer and explanation
Q18 · General Knowledge · Economy and Business Current Affairs
In economics, what does the abbreviation GDP stand for?
1. A.
  Gross Domestic Product
2. B.
  General Domestic Performance
3. C.
  Gross Development Progress
4. D.
  Gross Department Profit
Answer and explanation
Q19 · Applied Physiology · Respiratory system
A patient presents with continuous pink frothy sputum due to a cardiogenic cause, acute pulmonary edema. What is the primary underlying pathophysiology?
1. A.
  Rupture of bronchial arteries
2. B.
  Transudate fluid leaking due to increased hydrostatic pressure
3. C.
  Continuous alveolar irritation causing mucosal hypersecretion
4. D.
  Exudative fluid accumulation due to increased vascular permeability
Answer and explanation
Q20 · Child Health Nursing (Pediatrics) · Development
A 7-year-old child prefers to arrange toys in a fixed, orderly pattern, has limited social interaction and poor eye contact, and frequently exhibits severe temper tantrums whenever this routine or arrangement is disturbed. Which condition is most likely?
1. A.
  Attention-deficit hyperactivity disorder
2. B.
  Autism spectrum disorder
3. C.
  Conduct disorder
4. D.
  Oppositional defiant disorder
Answer and explanation
Q21 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient with a permanent pacemaker suddenly develops persistent hiccups occurring at the same rate as the pacemaker's pacing rate. What is the priority nursing action?
1. A.
  Inform the physician or healthcare provider immediately
2. B.
  Check the patient's vital signs and obtain an ECG
3. C.
  Administer prescribed anti-hiccup medication
4. D.
  Reassure the patient that hiccups are a normal effect of pacemaker therapy
Answer and explanation
Q22 · Medical & Surgical Nursing · Urinary Tract Function
A post-renal transplant patient receiving maintenance immunosuppression with cyclosporine presents with elevated serum creatinine and decreased urine output, mimicking allograft failure. On physical examination there is fever and graft tenderness or swelling. How should the nurse interpret these findings?
1. A.
  Cyclosporine toxicity
2. B.
  Acute allograft rejection
3. C.
  Chronic allograft arteriopathy
4. D.
  Cytomegalovirus infection
Answer and explanation
Q23 · Medical & Surgical Nursing · Integumentary Function
Which of the following dermatologic manifestations commonly appears on the posterior neck and flexural folds in patients with diabetes mellitus and insulin resistance?
1. A.
  Acanthosis nigricans
2. B.
  Atopic dermatitis
3. C.
  Psoriasis
4. D.
  Eczema
Answer and explanation
Q24 · General Knowledge · Miscellaneous
Under the updated operational guidelines of the Anemia Mukt Bharat Abhiyaan, what does the fourth T in the T4 approach stand for?
1. A.
  Target
2. B.
  Track
3. C.
  Train
4. D.
  Talk
Answer and explanation
Q25 · English · Vocabulary
Choose the correctly spelt word from the options below.
1. A.
  Embarass
2. B.
  Embarres
3. C.
  Embarrass
4. D.
  Embarras
Answer and explanation
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Q26 · Pharmacology · Drugs Acting on Central Nervous System
In the long-term management or substitution therapy of heroin dependence, which drug is used to prevent withdrawal and drug craving without producing sharp peaks of euphoria?
1. A.
  Methadone
2. B.
  Diazepam
3. C.
  Chlorpromazine
4. D.
  Naloxone
Answer and explanation
Q27 · Applied Anatomy · Reproductive System
In the provided anatomical diagram of the female internal reproductive tract, which label points to the suspensory ligament of the ovary?
1. A.
  A
2. B.
  B
3. C.
  C
4. D.
  D
Answer and explanation
Q28 · Community Health Nursing · National Health Programs
The mascot shown in the image, commonly named Amruth or Amritha, is associated with which National Health Programme in India?
1. A.
  Pulse Polio Immunization Programme
2. B.
  Jal Jeevan Mission
3. C.
  Integrated Child Development Services
4. D.
  National Vector Borne Disease Control Programme
Answer and explanation
Q29 · Obstetrics & Gynaecology · Multiple Pregnancy, Amniotic Fluid Disorders, Abnormalities of Placenta and Cord
During Artificial Rupture of Membranes or amniotomy in a patient with polyhydramnios, which of the following practices should be strictly avoided?
1. A.
  Uncontrolled, rapid drainage of liquor
2. B.
  Controlled, gradual drainage of liquor
3. C.
  Continuous assessment for cord prolapse
4. D.
  Assessment of fetal heart rate and maternal blood pressure
Answer and explanation
Q30 · Obstetrics & Gynaecology · Preterm Labor, Preterm Rupture of the Membranes, Postmaturity, Intrauterine Fetal Death
At 36 weeks of pregnancy, a woman presents for an antenatal visit with suspected rupture of membranes. A Nitrazine paper test is conducted to differentiate amniotic fluid from normal vaginal secretions. Which statement correctly describes the physiological basis of this test?
1. A.
  Amniotic fluid contains more nutrients and electrolytes than vaginal fluid
2. B.
  Amniotic fluid has a higher pH, whereas vaginal secretions have a lower pH
3. C.
  Amniotic fluid is always thick and yellow in appearance
4. D.
  Amniotic fluid has fewer electrolytes than vaginal secretions
Answer and explanation
Q31 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
Why is radiotherapy administered in small, divided daily doses rather than as a single large dose?
1. A.
  To allow normal cells time to repair sublethal damage
2. B.
  This will cause secondary relapse
3. C.
  A single dose has no biological effect on tumors
4. D.
  To prevent immediate systemic leukopenia
Answer and explanation
Q32 · Child Health Nursing (Pediatrics) · Development
A hospitalized toddler who was previously screaming, crying loudly and calling out for his parents has now stopped crying, refuses food, avoids eye contact and shows no interest in toys or play. Which transition in separation anxiety is the child experiencing?
1. A.
  Protest to despair
2. B.
  Despair to detachment, or denial
3. C.
  Detachment to protest
4. D.
  Denial to acceptance
Answer and explanation
Q33 · Mental Health Nursing · Substance Use Disorders
A nurse is assessing a patient in a de-addiction centre. Which question will help her find the pattern of alcohol abuse in the patient?
1. A.
  How long have you been drinking and how often do you drink?
2. B.
  Have you ever tried de-addiction before and how did it go?
3. C.
  Do you think you can quit drinking on your own?
4. D.
  If you leave alcohol, will your family support this?
Answer and explanation
Q34 · Child Health Nursing (Pediatrics) · Development
According to the theory of play development, which of the following behaviours is not correctly matched with the type of play?
1. A.
  7-year-old children playing together and sharing toys with each other
2. B.
  3-year-old children playing side by side with similar toys but not interacting with each other
3. C.
  4-year-old child sitting alone and playing independently in their own imaginary world
4. D.
  5-year-old child sitting separately and repeatedly banging or manipulating a spoon without engaging with other children
Answer and explanation
Q35 · General Knowledge · Indian history
What was the name of the boundary line demarcating India and Pakistan drawn in 1947?
1. A.
  Radcliffe Line
2. B.
  McMahon Line
3. C.
  Oder-Neisse Line
4. D.
  Durand Line
Answer and explanation
Q36 · General Knowledge · Miscellaneous
A 50% sulfuric acid solution and a 20% sulfuric acid solution are mixed to prepare 12 litres of a 30% sulfuric acid solution. How much of each solution is required?
1. A.
  2 litres of 50% + 10 litres of 20%
2. B.
  3 litres of 50% + 9 litres of 20%
3. C.
  4 litres of 50% + 8 litres of 20%
4. D.
  5 litres of 50% + 7 litres of 20%
Answer and explanation
Q37 · Medical & Surgical Nursing · Integumentary Function
A nurse while changing the dressing of a bed sore found out that the wound is having a necrotic edge. Which intervention would the nurse expect the doctor to order next?
1. A.
  irrigation
2. B.
  culture
3. C.
  incision and drain
4. D.
  debridements
Answer and explanation
Q38 · General Knowledge · Miscellaneous
A child presenting with severe anaphylaxis is given intramuscular adrenaline. After 5 minutes, reassessment reveals persistent stridor, bronchospasm and respiratory distress. What is the immediate next step in management?
1. A.
  Treat bronchospasm then proceed further
2. B.
  Repeat intramuscular adrenaline
3. C.
  Start intravenous adrenaline immediately
4. D.
  Give nebulised salbutamol
Answer and explanation
Q39 · General Knowledge · Miscellaneous
An adult patient presents with acute pain in the groin area and a known history of hernia. Which type of hernia does this presentation most strongly suggest?
1. A.
  Inguinal hernia
2. B.
  Diaphragmatic hernia
3. C.
  Hiatal hernia
4. D.
  Strangulated hernia
Answer and explanation
Q40 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A cancer patient undergoing chemotherapy develops a fever of 38.4 C. The latest complete blood count reveals an Absolute Neutrophil Count of 400 cells per microliter. What is the priority nursing intervention?
1. A.
  Administer an antipyretic or analgesic and encourage rest
2. B.
  Encourage oral fluid intake and reassess the temperature in four hours
3. C.
  Place the patient on neutropenic precautions and await the next scheduled assessment
4. D.
  Notify the treating physician immediately
Answer and explanation
Q41 · General Knowledge · Miscellaneous
A child presents with a retracted foreskin that has become trapped behind the glans penis and cannot be returned to its normal position. This condition is known as:
1. A.
  Phimosis
2. B.
  Paraphimosis
3. C.
  Balanoposthitis
4. D.
  Peyronie's disease
Answer and explanation
Q42 · Obstetrics & Gynaecology · Hemorrhage in Early Pregnancy
A patient at 7 weeks of gestation presents with lower abdominal pain and slight vaginal bleeding. Serum beta-hCG is slightly elevated, and transvaginal ultrasound reveals an empty intrauterine cavity. Which condition does this presentation most strongly suggest?
1. A.
  Ectopic pregnancy
2. B.
  Threatened abortion
3. C.
  Complete abortion
4. D.
  Hydatidiform mole
Answer and explanation
Q43 · Pharmacology · Drugs acting on Autonomic Nervoys system
A 70 kg patient in septic shock is prescribed an intravenous infusion of Noradrenaline at 0.1 mcg per kg per minute. The pharmacy prepares a solution containing 4 mg of Noradrenaline diluted in 250 mL of 0.9% normal saline. At what rate in mL per hour should the nurse set the infusion pump?
1. A.
  35 mL/hr
2. B.
  16.5 mL/hr
3. C.
  26.25 mL/hr
4. D.
  6.5 mL/hr
Answer and explanation
Q44 · General Knowledge · Indian history
Which river was the cradle of the largest river valley civilization in ancient history in terms of geographic land area?
1. A.
  Indus River
2. B.
  Nile River
3. C.
  Amazon River
4. D.
  Huang He River
Answer and explanation
Q45 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Identify the ECG pattern shown in the image below.
1. A.
  Brugada Type 1
2. B.
  Brugada Type 2
3. C.
  Brugada Type 3
4. D.
  Wellens Type A
Answer and explanation
Q46 · Applied Physiology · Nervous System
A patient with parietal lobe dysfunction is asked by the examiner to point to their knees, but instead points to their elbows, and repeatedly confuses body parts, particularly between upper and lower limbs. What is the clinical term for this inability to correctly locate, identify or differentiate one's own body parts?
1. A.
  Autotopagnosia
2. B.
  Anosognosia
3. C.
  Astereognosis
4. D.
  Apraxia
Answer and explanation
Q47 · Medical & Surgical Nursing · Neurologic Function
A patient with Multiple Sclerosis shows a continuous, steady decline in neurological function from disease onset, punctuated by acute, clearly defined flare-ups followed by incomplete recovery. Which clinical pattern of Multiple Sclerosis is depicted in this graph?
1. A.
  Relapsing-remitting
2. B.
  Secondary-progressive
3. C.
  Primary-progressive
4. D.
  Progressive-relapsing
Answer and explanation
Q48 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A patient recently initiated on systemic chemotherapy for a hematologic malignancy presents with nausea, abdominal cramping and oliguria. Laboratory workup reveals hyperuricemia, hyperkalemia, elevated serum creatinine and decreased urine concentrating ability. Which oncologic emergency is the patient most likely experiencing?
1. A.
  Tumor Lysis Syndrome
2. B.
  Syndrome of Inappropriate Antidiuretic Hormone
3. C.
  Diabetes Insipidus, deficient ADH
4. D.
  Dehydration
Answer and explanation
Q49 · Obstetrics & Gynaecology · Normal Puerperium
A postpartum mother is observed to be in the taking-in phase of maternal adaptation. Which action is most characteristic of or appropriate for this phase?
1. A.
  Provide contraceptive counselling
2. B.
  Assist with breastfeeding and rest
3. C.
  Encourage independent newborn care
4. D.
  Teach long-term parenting skills
Answer and explanation
Q50 · Mental Health Nursing · Psychiatric Emergencies
A patient in the emergency department is observed maintaining an awkward, rigid posture with one hand raised and one leg stretched out for an extended period. When asked why he is maintaining this posture, he replies, I do not know. I am not aware of my position. This psychomotor abnormality is known as:
1. A.
  Delusion
2. B.
  Hallucination
3. C.
  Catalepsy
4. D.
  Echolalia
Answer and explanation
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Q51 · Community Health Nursing · Health Care Planning and Organization of Health Care at various levels
The state government decided to improve the health care service?
1. A.
  Encourage health insurance coverage
2. B.
  Expand the Primary health care in outreach
3. C.
  Open more pharmaceuticals
4. D.
  Establishment of more medical college
Answer and explanation
Q52 · Medical & Surgical Nursing · Musculoskeletal Function
To prevent brachial plexus nerve injury and axillary artery compression during crutch walking, what is the recommended distance between the axilla and the top of the axillary crutch pad?
1. A.
  1 to 1.5 inches
2. B.
  2 to 2.5 inches
3. C.
  2.5 to 3 inches
4. D.
  3 to 4 inches
Answer and explanation
Q53 · General Knowledge · Miscellaneous
The sum of two numbers is 115 and their difference is 21. What are the two numbers?
1. A.
  68 and 47
2. B.
  67 and 48
3. C.
  69 and 46
4. D.
  65 and 50
Answer and explanation
Q54 · Medical & Surgical Nursing · Neurologic Function
A patient opens his eyes only when periorbital pressure is applied, makes incomprehensible sounds, and shows abnormal flexion to painful stimulus. What is the patient's Glasgow Coma Scale score?
1. A.
  E2 V2 M3 = 7/15
2. B.
  E2 V1 M4 = 8/15
3. C.
  E3 V2 M4 = 9/15
4. D.
  E3 V3 M4 = 10/15
Answer and explanation
Q55 · Community Health Nursing · Occupational Health
The Employees' State Insurance scheme is administered under which Ministry or Department of the Government of India?
1. A.
  Ministry of Health and Family Welfare
2. B.
  Ministry of Labour and Employment
3. C.
  Ministry of Social Justice and Empowerment
4. D.
  Ministry of Finance
Answer and explanation
Q56 · Biochemistry & Nutrition · Insulin, Glucose Homeostasis & Diabetes Mellitus
Convert a patient's HbA1c value of 7% into estimated average glucose in mg/dL.
1. A.
  158 mg/dL
2. B.
  154 mg/dL
3. C.
  150 mg/dL
4. D.
  145 mg/dL
Answer and explanation
Q57 · Pharmacology · General Pharmacology
A healthcare provider prescribes a medication dose of 45 mg intramuscularly. The medication is available in a vial labelled 80 mg per 2 mL. How many millilitres should the nurse draw into the syringe?
1. A.
  1.6 mL
2. B.
  1.5 mL
3. C.
  1.125 mL
4. D.
  1.0 mL
Answer and explanation
Q58 · Quantitative Aptitude and Mathematics · Profit & loss
A vendor purchases 50 dozen bananas for Rs.700 and sells them at a rate of Rs.25 per dozen. What is the net profit earned by the vendor?
1. A.
  Rs.450
2. B.
  Rs.550
3. C.
  Rs.600
4. D.
  Rs.1250
Answer and explanation
Q59 · Applied Physiology · Circulatory & Lymphatic system
A chronic diabetic who is at risk of developing peripheral artery disease. For further evaluation following blood pressure values are obtained from ; BP in the right brachial artery measure 120mmhg % in the left brachial artery measure 118 mmhg. Similarly, the value of BP in the right posterior tibial artery measures 126 mmhg and in the left posterior tibial artery measures 110 mmhg. Calculate ABI value for this patient?
1. A.
  Left ABI 1.05 ; Right ABI 0.85
2. B.
  Left ABI 0.93 ; Right ABI 1.05
3. C.
  Left ABI 0.65 ; Right ABI 1.09
4. D.
  Left ABI 1.32 ; Right ABI 0.73
Answer and explanation
Q60 · English · Grammar
The guest bring……..for the bride and groom at the wedding ceremony ?
1. A.
  Present
2. B.
  Tariff
3. C.
  Presentation
4. D.
  Presents
Answer and explanation
Q61 · General Knowledge · Indian geography
Which of the following rivers drains into the Arabian Sea?
1. A.
  Godavari
2. B.
  Mahanadi
3. C.
  Kaveri
4. D.
  Tapi
Answer and explanation
Q62 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
A 34-week pregnant woman presents with a sudden drop in platelets from 200,000 to 90,000 per microliter and a drop in hematocrit from 37% to 29% within one week. Which of the following laboratory findings is most likely to also be present in this patient?
1. A.
  Increased red blood cells
2. B.
  Decreased AST
3. C.
  Increased AST
4. D.
  Increased hemoglobin
Answer and explanation
Q63 · Community Health Nursing · National Health Programs
A nurse inspects a vaccine vial before administration and observes the Vaccine Vial Monitor shown in the image. What is the appropriate nursing action?
1. A.
  Administer the vaccine immediately
2. B.
  Discard the vaccine vial and do not administer it
3. C.
  Shake the vial to test for the shake test after thawing
4. D.
  Thaw the vial at room temperature for 30 minutes before use
Answer and explanation
Q64 · Child Health Nursing (Pediatrics) · Infections and Infestations
A child with acute lymphoblastic leukemia develops systemic candidiasis. The nurse should know that which systems or sites are most commonly involved?
1. A.
  Gastrointestinal tract and bloodstream
2. B.
  Central nervous system and sinus
3. C.
  Integumentary system and joints
4. D.
  Genitourinary system and respiratory system
Answer and explanation
Q65 · General Knowledge · Indian geography
What is the capital of Arunachal Pradesh?
1. A.
  Agartala
2. B.
  Itanagar
3. C.
  Kohima
4. D.
  Imphal
Answer and explanation
Q66 · Pathology & Genetics · Clinical Pathology
A patient with suspected meningitis has the following cerebrospinal fluid findings: white blood cells predominantly neutrophils, glucose 25 mg/dL, protein 180 mg/dL. Which type of meningitis is most likely?
1. A.
  Viral meningitis
2. B.
  Bacterial meningitis
3. C.
  Tubercular meningitis
4. D.
  Fungal meningitis
Answer and explanation
Q67 · Pharmacology · Antimicrobial Drugs
A nurse is preparing to administer an intramuscular injection of Benzathine Penicillin G to an adult patient. What are the recommended needle gauge and length?
1. A.
  18 to 20 gauge with a length of 1.5 to 2 inches
2. B.
  23 to 25 gauge with a length of 5/8 to 1 inch
3. C.
  18 gauge with a length of 1 inch
4. D.
  26 gauge with a length of 5/8 to 1/2 inch
Answer and explanation
Q68 · Applied Microbiology & Infection control · Pathogenic Organisms
Which of the following conditions is caused by a protozoan parasite?
1. A.
  Dengue
2. B.
  Chikungunya
3. C.
  Kala-azar
4. D.
  Leptospirosis
Answer and explanation
Q69 · Community Health Nursing · National Health Programs
Under the National Leprosy Eradication Programme, what is the threshold target for the Annual New Case Detection Rate?
1. A.
  Less than 1 per 10,000
2. B.
  Less than 10 per 1 lakh population
3. C.
  Less than 15 per 10,000
4. D.
  Less than 20 per 10,000
Answer and explanation
Q70 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System
Identify the condition shown in the X-ray?
1. A.
  Ebstein anomaly
2. B.
  Tetralogy of Fallot
3. C.
  Total anomalous pulmonary venous return
4. D.
  Tricuspid atresia
Answer and explanation
Q71 · Child Health Nursing (Pediatrics) · Central Nervous System
The given diagram illustrates the three main anatomical variants of neural tube defects Identify the correct sequential order of the types shown?
1. A.
  Spina bifida occulta, then meningocele, then myelomeningocele
2. B.
  Spina bifida occulta, then myelomeningocele, then meningocele
3. C.
  Meningocele, then spina bifida occulta, then myelomeningocele
4. D.
  Myelomeningocele, then meningocele, then spina bifida occulta
Answer and explanation
Q72 · Obstetrics & Gynaecology · Physiological Changes During Pregnancy
A pregnant woman has low blood pressure despite having tachycardia. Which physiological change of pregnancy is the most likely cause?
1. A.
  Decreased cardiac output
2. B.
  Increased systemic vascular resistance
3. C.
  Decreased systemic vascular resistance
4. D.
  Increased blood viscosity
Answer and explanation
Q73 · Pathology & Genetics · Systemic Pathology
The histopathology image reveals a pathognomonic cell with a caterpillar-like nucleus, an Anitschkow cell. In which condition is this characteristic finding seen?
1. A.
  Viral myocarditis
2. B.
  Acute myocardial infarction
3. C.
  Old or healed myocardial infarction
4. D.
  Pharyngitis 2 weeks ago with Group A beta hemolytic streptococcus infection
Answer and explanation
Q74 · Obstetrics & Gynaecology · Antenatal Care, Preconceptional Counseling and Care
A pregnant woman presents for an antenatal check-up at 36 weeks of gestation. Which of the following investigations should be performed at this time?
1. A.
  Glucose Tolerance Test
2. B.
  Amniotic fluid assessment
3. C.
  Fetal anomaly scan
4. D.
  Culture of vaginal swab for infection
Answer and explanation
Q75 · English · Grammar
Fill in the blank with the correct word: _____ is no use crying over spilled milk.
1. A.
  There
2. B.
  Dare
3. C.
  Their
4. D.
  They're
Answer and explanation
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Q76 · Obstetrics & Gynaecology · Antenatal Care, Preconceptional Counseling and Care
A pregnant woman reports that the first day of her Last Menstrual Period was 27 August. According to Naegele's rule, what is her Estimated Date of Delivery?
1. A.
  3 May
2. B.
  4 May
3. C.
  3 April
4. D.
  3 June
Answer and explanation
Q77 · Applied Physiology · Circulatory & Lymphatic system
A patient's recorded blood pressure is 150/90 mmHg. What is the calculated Mean Arterial Pressure?
1. A.
  100 mmHg
2. B.
  110 mmHg
3. C.
  120 mmHg
4. D.
  130 mmHg
Answer and explanation
Q78 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A nurse is assessing a patient with long-standing Addison's crisis presenting with hyponatremia and hyperkalemia. Which additional finding is most suggestive of this condition?
1. A.
  Hypernatremia
2. B.
  Hypoglycemia
3. C.
  Hyperglycemia
4. D.
  Hypokalemia
Answer and explanation
Q79 · Pharmacology · Cardiovascular Drugs
A patient is receiving digoxin. Which electrolyte imbalance must the nurse monitor most closely to prevent toxicity?
1. A.
  Hypokalemia
2. B.
  Hyponatremia
3. C.
  Hypercalcemia
4. D.
  Hypernatremia
Answer and explanation
Q80 · English · Vocabulary
Select the correctly spelt word from the options given below.
1. A.
  Wiered
2. B.
  Weired
3. C.
  Weird
4. D.
  Wierd
Answer and explanation
Q81 · Child Health Nursing (Pediatrics) · Development
Which of the following is the correct sequence of development of grasping skills in an infant?
1. A.
  Pincer grasp, then finger grasp, then hand grasp
2. B.
  Finger grasp, then hand grasp, then pincer grasp
3. C.
  Hand grasp, then finger grasp, then pincer grasp
4. D.
  Involuntary grasp, then voluntary grasp, then pincer grasp
Answer and explanation
Q82 · Child Health Nursing (Pediatrics) · Newborn Infants
Identify the type of conjoined twins shown in the given image?
1. A.
  Xiphopagus
2. B.
  Craniopagus
3. C.
  Pygopagus
4. D.
  Ischiopagus
Answer and explanation
Q83 · Mental Health Nursing · Mood disorders
A patient diagnosed with Bipolar Disorder experiences four or more distinct mood episodes within a 12-month period. Which clinical pattern best describes this condition?
1. A.
  Rapid cycling episode
2. B.
  Mixed features episode
3. C.
  Dysthymic disorder
4. D.
  Bipolar Disorder
Answer and explanation
Q84 · English · Vocabulary
Select the correctly spelt word from the options given below.
1. A.
  Priviledge
2. B.
  Privlege
3. C.
  Privilege
4. D.
  Privillage
Answer and explanation
Q85 · General Knowledge · Miscellaneous
A fully conscious, oriented, and competent adult patient in a life-or-death emergency refuses a critical intervention. The family members insist that the healthcare team perform the procedure immediately. What is the most appropriate action by the nurse?
1. A.
  Administer forceful treatment to save the patient's life
2. B.
  Agree with the family and proceed with the emergency intervention
3. C.
  Respect the patient's decision to refuse treatment
4. D.
  Delay the treatment
Answer and explanation
Q86 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A patient with Chronic Kidney Disease is most likely to develop which combination of electrolyte imbalances and acid-base disorder?
1. A.
  Metabolic acidosis, hyperkalemia, hyperphosphatemia and hypermagnesemia
2. B.
  Metabolic acidosis, hypokalemia, hypophosphatemia and hypercalcemia
3. C.
  Metabolic acidosis, hypernatremia, hypermagnesemia and hypokalemia
4. D.
  Metabolic alkalosis hyponatremia, hypokalemia and hypophosphatemia
Answer and explanation
Q87 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders
A patient is on psychiatric medications. Which medication requires routine complete blood count monitoring?
1. A.
  Clozapine
2. B.
  Lithium
3. C.
  Haloperidol
4. D.
  Chlorpromazine
Answer and explanation
Q88 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders
In the FRAMES model of brief motivational intervention, what does the letter M stand for?
1. A.
  Modification
2. B.
  Menu
3. C.
  Motivation
4. D.
  Meal
Answer and explanation
Q89 · Nursing Foundations · Oxygenation needs
A patient is irritable, restless and experiencing difficulty in breathing. The nurse immediately administers oxygen therapy. According to Maslow's Hierarchy of Needs, which level of need is being addressed by providing oxygen?
1. A.
  Love and belongingness
2. B.
  Safety and security
3. C.
  Physiological needs
4. D.
  Self-esteem
Answer and explanation
Q90 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A pregnant woman non-compliant with oral iron therapy is prescribed an intramuscular iron injection. Which technique should the nurse employ to prevent medication leakage into the subcutaneous tissue and avoid skin staining?
1. A.
  Insert the needle at a 45-degree angle to prevent leakage
2. B.
  Administer in the dorsogluteal site without displacement
3. C.
  Pull the skin laterally, give the injection, withdraw the needle, then release the skin
4. D.
  Massage the site vigorously immediately after injection
Answer and explanation
Q91 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient is under permanent pacemaker support. The pacemaker is programmed in the VVIR mode according to the NG protocol What does the VVIR mode indicate?
1. A.
  right atrium & ventricle sensed and Increase heart rate with increased activity
2. B.
  right atrium & ventricle sensed and ,Increase heart rate with heat
3. C.
  right atrium & ventricle sensed and, stable heart rate with 80 beats per minute
4. D.
  right atrium & ventricle sensed
Answer and explanation
Q92 · Pharmacology · Drugs Acting on Central Nervous System
A patient is receiving a morphine infusion. Suddenly the patient becomes unconscious and the respiratory rate falls to 10 per minute. Which medication should the nurse anticipate administering?
1. A.
  Naltrexone
2. B.
  Naloxone
3. C.
  Methadone
4. D.
  Benzodiazepine
Answer and explanation
Q93 · Community Health Nursing · Demography, Surveillance and Interpretation of Data
According to recent demographic health data from the Sample Registration System, what is the Under-Five Mortality Rate in India?
1. A.
  29
2. B.
  27
3. C.
  20
4. D.
  32
Answer and explanation
Q94 · Community Health Nursing · National Health Programs
According to the Community Based Assessment Checklist used under the National Programme for Prevention and Control of Non-Communicable Diseases, a person is considered to have a high risk of non-communicable diseases and requires prioritization for screening or referral when the score is:
1. A.
  More than or equal to 4
2. B.
  More than or equal to 5
3. C.
  More than or equal to 6
4. D.
  More than or equal to 7
Answer and explanation
Q95 · Applied Microbiology & Infection control · Immunity
Which immunological mechanism is responsible for mediating a Type I immediate hypersensitivity reaction?
1. A.
  T lymphocytes activate and secrete inflammatory cytokines
2. B.
  IgE antibodies cross-link on mast cells, triggering the release of chemical mediators
3. C.
  IgG and IgM antibodies activate the complement cascade against cell-surface antigens
4. D.
  Deposition of circulating antigen-antibody immune complexes in microvasculature
Answer and explanation
Q96 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
Which laboratory test will the nurse anticipate as essential to evaluate prior to performing a percutaneous liver biopsy to prevent major bleeding complications?
1. A.
  AST and ALT
2. B.
  Clotting profile
3. C.
  Lipid and glucose profile
4. D.
  Serum albumin
Answer and explanation
Q97 · Obstetrics & Gynaecology · Normal Labor
A labouring patient is receiving an intravenous oxytocin infusion for labour augmentation. The nurse recognizes that the oxytocin infusion rate should not be increased further when uterine contractions reach which of the following patterns?
1. A.
  5 contractions in 10 minutes
2. B.
  3 contractions in 10 minutes
3. C.
  Contractions occurring every 5 minutes
4. D.
  Contractions lasting 30 to 40 seconds with resting intervals of 3 minutes
Answer and explanation
Q98 · Medical & Surgical Nursing · Shock and Multisystem Failure
A critically deteriorating patient exhibiting severe hypotension and bradycardia was administered intravenous epinephrine in an incorrect concentration of 1:1,000. Despite this, the patient's blood pressure and heart rate continue to drop. What is the immediate priority action for the nurse?
1. A.
  Administer a repeat dose of epinephrine 1:1,000 immediately
2. B.
  Administer epinephrine 1:10,000 without waiting
3. C.
  Immediately notify the physician or resuscitation team while initiating CPR and standard life support protocols
4. D.
  Increase the maintenance intravenous fluid rate and recheck vitals in 15 minutes
Answer and explanation
Q99 · General Knowledge · Miscellaneous
What is the official currency of Iran?
1. A.
  Dinar
2. B.
  Dirham
3. C.
  Rial
4. D.
  Qiran
Answer and explanation
Q100 · Mental Health Nursing · Substance Use Disorders
A patient with a history of chronic alcohol dependence presents 48 hours after the last drink with coarse tremors, visual hallucinations, marked autonomic hyperactivity, and a low-grade fever. Which condition is the patient experiencing?
1. A.
  Uncomplicated alcohol withdrawal
2. B.
  Delirium tremens
3. C.
  Wernicke's encephalopathy
4. D.
  Korsakoff's psychosis
Answer and explanation

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