NORCET-9 Mains question paper

NORCET · 2025 · 160 questions · 180 minutes · 0.33 mark deducted per wrong answer

Medical & Surgical Nursing 38
Obstetrics & Gynaecology 23
Mental Health Nursing 22
Child Health Nursing (Pediatrics) 20
Pharmacology 14
Community Health Nursing 13
Nursing Foundations 7
Applied Microbiology & Infection control 4
Nursing Research & Statistics 4
Biochemistry & Nutrition 3
Pathology & Genetics 2
Applied Sociology 2
Applied Nutrition & Dietetics 2
Applied Psychology 2
Applied Physiology 2
Applied Anatomy 1
Health Information and Technology (Basic Computer) 1

See the answers and explanations

Q1 · Nursing Foundations · Communication & Nurse-Patient Relationship
When using non-verbal communication in a nurse-client relationship, the nurse must be aware of:?
1. A.
  Nervous hand movements
2. B.
  Ethnic background
3. C.
  The client's development level
4. D.
  Contradictions to the clients
Answer and explanation
Q2 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
A patient with schizophrenia refuses to eat, saying, “It’s poisoned.” What is the most therapeutic nursing response? .
1. A.
  “There’s no poison. You’re safe.”
2. B.
  “You’re imagining things. Please eat.”
3. C.
  “I understand you’re worried. Let’s find something you feel safe eating.”
4. D.
  “If you don’t eat, we’ll have to inform the doctor.”
Answer and explanation
Q3 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
A patient is excessively worried about having a serious illness despite medical reassurance and normal reports. This condition is called:
1. A.
  Somatization disorder
2. B.
  Illness anxiety disorder
3. C.
  Conversion disorder
4. D.
  Factitious disorder
Answer and explanation
Q4 · Medical & Surgical Nursing · Urinary Tract Function
Bougie catheter is primarily used for:
1. A.
  Urethral dilation in patients with urethral strictures
2. B.
  Endotracheal tube guidance during difficult airway intubation
3. C.
  Decompression and enteral feeding in pediatric clients
4. D.
  Continuous monitoring of intravesical bladder pressure
Answer and explanation
Q5 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
Which drug is the drug of choice in pre-eclampsia?
1. A.
  Magnesium sulfate
2. B.
  Diazepam
3. C.
  Phenytoin
4. D.
  Haloperidol
Answer and explanation
Q6 · Child Health Nursing (Pediatrics) · Central Nervous System
What is the earliest sign of increased intracranial pressure (ICP) in a neonate?
1. A.
  Sun-setting eyes
2. B.
  Diplopia
3. C.
  Projectile vomiting
4. D.
  Bulging fontanelle
Answer and explanation
Q7 · Child Health Nursing (Pediatrics) · Newborn Infants
Which feeding bottle is specifically designed for infants with cleft lip/palate?
1. A.
  Dr. Brown's bottle
2. B.
  Haberman feeder
3. C.
  Ordinary feeding bottle
4. D.
  Peigon bottle
Answer and explanation
Q8 · Community Health Nursing · National Health Programs
Which of the following programs was launched first in India?
1. A.
  NACO (National AIDS Control Organization)
2. B.
  NHM (National Health Mission)
3. C.
  NFPP (National Family Planning Program)
4. D.
  None of the above
Answer and explanation
Q9 · Mental Health Nursing · Schizophrenia
Which of the following is NOT a negative symptom of schizophrenia?
1. A.
  Anhedonia
2. B.
  Ambivalence
3. C.
  Alogia
4. D.
  Avolition
Answer and explanation
Q10 · Obstetrics & Gynaecology · Special Topics
A 35-year-old pregnant woman is at high risk of which malignancy?
1. A.
  Breast cancer
2. B.
  Ovarian cancer
3. C.
  Cervical cancer
4. D.
  Uterine cancer
Answer and explanation
Q11 · Nursing Foundations · Administration of medications
A patient is prescribed 6 units of insulin. The available insulin concentration is 100 units in 100 ml. How many ml should the nurse administer?
1. A.
  0.6 ml
2. B.
  1 ml
3. C.
  6 ml
4. D.
  60 ml
Answer and explanation
Q12 · Pharmacology · Antimicrobial Drugs
A patient is prescribed disulfiram for alcohol dependence. Which of the following instructions should the nurse provide?
1. A.
  Avoid alcohol and alcohol-containing products
2. B.
  Take alcohol to reduce cravings
3. C.
  Disulfiram has no interaction with alcohol
4. D.
  Alcohol can be consumed in small amounts only
Answer and explanation
Q13 · Obstetrics & Gynaecology · Pharmacotherapeutics in Obstetrics
A woman in the labor room is augmented with prostaglandins and develops uterine hyperstimulation. Which of the following drugs is used as an antidote for prostaglandin-induced hyperstimulation?
1. A.
  Calcium gluconate
2. B.
  Magnesium sulphate
3. C.
  Terbutaline
4. D.
  Hydralazine
Answer and explanation
Q14 · Obstetrics & Gynaecology · Fundamentals of Reproduction
What is the viability period (life span) of the ovum?
1. A.
  6–8 hours
2. B.
  12–24 hours
3. C.
  48–72 hours
4. D.
  Above 72 hours
Answer and explanation
Q15 · Mental Health Nursing · Mood disorders
Bipolar I disorder is best characterized by:
1. A.
  At least one manic episode with or without depression
2. B.
  Recurrent major depressive episodes without mania
3. C.
  Hypomanic episode without depression
4. D.
  Cyclothymic episodes
Answer and explanation
Q16 · Pharmacology · Cardiovascular Drugs
Which antihypertensive drug is most commonly used in pregnancy?
1. A.
  Methyldopa
2. B.
  Enalapril
3. C.
  Losartan
4. D.
  Atenolol
Answer and explanation
Q17 · Pharmacology · Antimicrobial Drugs
Adjuvants used in vaccines for?
1. A.
  To enhance the immune response of the body
2. B.
  To prevent the side effects of vaccines
3. C.
  To kill the pathogens in the vaccines
4. D.
  To enhance the stability of the vaccines
Answer and explanation
Q18 · Applied Anatomy · Introduction to Anatomical terms & Organization of Human Body
A patient with diabetes insipidus is receiving vasopressin. Which finding shows the treatment is working?
1. A.
  Increased thirst
2. B.
  Weight loss of 1.5 kg in a week
3. C.
  Urine output remains high
4. D.
  Urine specific gravity is 1.015
Answer and explanation
Q19 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
A 31-year-old woman presents with a history of two prior miscarriages; testing shows antiphospholipid antibodies. What is the most likely diagnosis?
1. A.
  Antiphospholipid syndrome
2. B.
  Thyroid disorder
3. C.
  Cervical insufficiency
4. D.
  Chromosomal abnormality in the fetus
Answer and explanation
Q20 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A 65-year-old patient with COPD is receiving oxygen via nasal prongs at 4 L/min. Over the past hour, the nurse observes increasing wheezing, use of accessory muscles, and SpO₂ dropping to 86% despite oxygen therapy. What is the next best action?
1. A.
  Start nebulized salbutamol/ipratropium immediately
2. B.
  Apply oxygen at 10 L/min
3. C.
  Use a BiPAP mask
4. D.
  Intubate the patient
Answer and explanation
Q21 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A trauma patient needs to be intubated and is being resuscitated in the emergency department. Which of the following is a best method to confirm the correct placement of the endotracheal (ET) tube?
1. A.
  Assess lung sounds
2. B.
  Capnography
3. C.
  Direct visualization of the vocal cords
4. D.
  None of the above .
Answer and explanation
Q22 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
Laryngeal mask airway (LMA) is used for:
1. A.
  Difficult intubation
2. B.
  Short surgical procedures under general anesthesia
3. C.
  Cardiopulmonary resuscitation
4. D.
  All of the above
Answer and explanation
Q23 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient's ECG shows ST depression with abnormal QRS complex. Which management is most appropriate?
1. A.
  Cardioversion
2. B.
  Amiodarone
3. C.
  Pacing
4. D.
  Defibrillation
Answer and explanation
Q24 · Pathology & Genetics · Systemic Pathology
Stenosis/atresia of the foramina of Luschka and Magendie is characteristic of which condition?
1. A.
  Normal pressure hydrocephalus
2. B.
  Aqueductal stenosis
3. C.
  Arnold–Chiari malformation (Chiari II)
4. D.
  Dandy–Walker malformation
Answer and explanation
Q25 · Obstetrics & Gynaecology · Multiple Pregnancy, Amniotic Fluid Disorders, Abnormalities of Placenta and Cord
A 38-week pregnant woman is found to have “tobacco-juice” colored amniotic fluid on rupture of membranes. What is the most likely cause?
1. A.
  Intrauterine fetal death
2. B.
  Placental abruption
3. C.
  Placenta previa
4. D.
  Chorioamnionitis
Answer and explanation
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Q26 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
An ICU patient with acute stroke is undergoing airway suctioning. During the procedure, the patient suddenly develops expiratory wheeze and increased work of breathing. Which immediate complication is most likely?
1. A.
  Pneumothorax
2. B.
  Laryngospasm
3. C.
  Atelectasis
4. D.
  Bronchospasm and laryngospasm
Answer and explanation
Q27 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
A patient is excessively worried about having a serious illness despite medical reassurance and normal reports. This condition is called?
1. A.
  Factitious disorder
2. B.
  Conversion disorder
3. C.
  Illness anxiety disorder
4. D.
  Dissociation
Answer and explanation
Q28 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
An image shows showing in the following picture. What is the most likely underlying cause?
1. A.
  Dehydration
2. B.
  Hypovolemia
3. C.
  Hypervolemia
4. D.
  Fluid overload
Answer and explanation
Q29 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System
A child comes to the hospital. His chest X-ray reveals a “boot-shaped heart.” This finding is indicative of which congenital heart disorder?
1. A.
  Atrial septal defect (ASD)
2. B.
  Ventricular septal defect (VSD)
3. C.
  Tetralogy of Fallot (TOF)
4. D.
  Patent ductus arteriosus (PDA)
Answer and explanation
Q30 · Community Health Nursing · National Health Programs
Which of the following program is related to reduction in maternal and newborn mortality rate through institutional delivery?
1. A.
  PMSMA (Pradhan Mantri Surakshit Matritva Abhiyan)
2. B.
  JSY (Janani Suraksha Yojana)
3. C.
  AMB (Anemia Mukt Bharat)
4. D.
  RBSK (Rashtriya Bal Swasthya Karyakram)
Answer and explanation
Q31 · Obstetrics & Gynaecology · Operative Obstetrics
Identify the following image?
1. A.
  Obstetric drape
2. B.
  Caesarean plastic drape
3. C.
  Laparotomy drape
4. D.
  Lithotomy drape
Answer and explanation
Q32 · Biochemistry & Nutrition · Lipids
Ketone bodies are found in urine of patients with uncontrolled diabetes due to:?
1. A.
  Decomposition of excess sugar in blood
2. B.
  Impaired kidney function
3. C.
  Increased metabolism of fat
4. D.
  Increased metabolism of protein
Answer and explanation
Q33 · Medical & Surgical Nursing · Urinary Tract Function
The AKIN (Acute Kidney Injury Network) criteria are used for:
1. A.
  Classification of liver disease
2. B.
  Classification of acute kidney injury
3. C.
  Staging of myocardial infarction
4. D.
  Classification of lung fibrosis
Answer and explanation
Q34 · Community Health Nursing · Health Care Planning and Organization of Health Care at various levels
Family Planning Programme in India was first started in which year?
1. A.
  1947
2. B.
  1952
3. C.
  1965
4. D.
  1971
Answer and explanation
Q35 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
Identify the surgical instrument shown in the image.
1. A.
  Weitlaner
2. B.
  Army-Navy retractor
3. C.
  Doyen’s Retractor
4. D.
  Deaver retractor
Answer and explanation
Q36 · Applied Sociology · Social organization and disorganization
A country's population pyramid shows a triangular shape with a narrow top and wide bottom. Which characteristic best describes this demographic pattern?
1. A.
  Low birth rates
2. B.
  High elderly population
3. C.
  High birth rates with a large young population
4. D.
  Very low dependency ratio
Answer and explanation
Q37 · Medical & Surgical Nursing · Neurologic Function
Which of the following is a differentiating test between mucus and cerebrospinal fluid (CSF) from a nasal discharge?
1. A.
  Protein
2. B.
  Microorganism
3. C.
  Specific gravity
4. D.
  Glucose
Answer and explanation
Q38 · Pharmacology · Drugs Acting on Central Nervous System
A patient taking antipsychotic medication develops extrapyramidal symptoms (EPS). What should be the management?
1. A.
  Increase the drug dose
2. B.
  Decrease the drug dose
3. C.
  Add an anticholinergic drug (e.g., trihexyphenidyl)
4. D.
  Stop the drug immediately
Answer and explanation
Q39 · Child Health Nursing (Pediatrics) · Disorders of Respiratory System
In NICU, which scoring system is commonly used to assess respiratory failure/severity of respiratory distress in a newborn? Choose the most appropriate option?
1. A.
  Downes scale
2. B.
  Silverman–Andersen scale
3. C.
  New Ballard scale
4. D.
  A & B
Answer and explanation
Q40 · Mental Health Nursing · Organic Brain Disorders
A 70-year-old woman with a known psychiatric history presents with depressed mood, poor oral intake, and minimal speech. Her relatives approach the nurse at the counter, asking what should be done next. What is the most appropriate initial action?
1. A.
  Call for psychiatry consultation
2. B.
  Check for dementia immediately
3. C.
  Start an antidepressant at the counter
4. D.
  Order basic labs and thyroid function tests
Answer and explanation
Q41 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
Which of the following conditions can cause hyperphosphatemia?
1. A.
  Hypocalcaemia
2. B.
  Hypokalaemia
3. C.
  Hypercalcemia
4. D.
  Hyperglycaemia
Answer and explanation
Q42 · Pharmacology · Miscellaneous
A patient is prescribed nicotine gum as part of smoking cessation therapy. Which of the following is the correct instruction regarding chewing nicotine gum?
1. A.
  Slowly chew the gum until a tingling sensation is felt
2. B.
  Chew the gum quickly and swallow
3. C.
  Keep the gum in the mouth while eating food
4. D.
  Chew and swallow immediately without holding in the mouth
Answer and explanation
Q43 · Health Information and Technology (Basic Computer) · Shared Care & Electronic Health Records
The digitalization initiative under Ayushman Bharat Digital Mission (ABDM) primarily aims to:?
1. A.
  Make every citizen’s health records available online
2. B.
  Create an online database of all empaneled hospitals
3. C.
  Provide online cashless insurance claims only
4. D.
  Launch mobile health apps for doctors
Answer and explanation
Q44 · Child Health Nursing (Pediatrics) · Newborn Infants
A newborn presents with a midline lumbosacral defect and a protruding sac containing meninges and nerve tissue through a vertebral defect. What is the most likely diagnosis?
1. A.
  Meningocele
2. B.
  Meningomyelocele
3. C.
  Spina bifida occulta
4. D.
  Encephalocele
Answer and explanation
Q45 · Applied Nutrition & Dietetics · National Nutritional Program and Role
PM POSHAN (Pradhan Mantri Poshan Shakti Nirman) scheme was started in which year?
1. A.
  2020
2. B.
  2021
3. C.
  2022
4. D.
  2019
Answer and explanation
Q46 · Applied Psychology · Motivation & Emotional Processes
The human need to get value and respect from others is called as?
1. A.
  Physiological need
2. B.
  Stimulation need
3. C.
  Esteem need
4. D.
  Safety and security need
Answer and explanation
Q47 · Mental Health Nursing · Schizophrenia
Which of the following are NOT included in Schneider’s First Rank Symptoms of schizophrenia?
1. A.
  Delusional perception
2. B.
  Command hallucination
3. C.
  Voices commanding
4. D.
  Visual hallucinations
Answer and explanation
Q48 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A patient with bladder carcinoma is receiving intravesical therapy with mitomycin. What instruction should the nurse give to the patient regarding bladder management?
1. A.
  Perform frequent catheterization
2. B.
  Avoid fluids during therapy
3. C.
  Stop urination for 1–2 hours to retain the drug in the bladder
4. D.
  Drink plenty of water and void immediately after instillation
Answer and explanation
Q49 · Mental Health Nursing · Schizophrenia
A schizophrenia patient believes that the neighbor has installed a circuit inside his body. This is an example of which type of delusion?
1. A.
  Delusion of persecution
2. B.
  Delusion of reference
3. C.
  Delusion of control
4. D.
  Somatic delusion
Answer and explanation
Q50 · Mental Health Nursing · Psychiatric Emergencies
What treatment should a nurse anticipate will be ordered for a client with severe, persistent, intractable depression and suicidal ideation?
1. A.
  Electroconvulsive therapy
2. B.
  Short-term psychoanalysis
3. C.
  Nondirective psychotherapy
4. D.
  High doses of anxiolytic drugs
Answer and explanation
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Q51 · Medical & Surgical Nursing · Sensorineural Function
On ophthalmoscopic examination, a patient with chronic uncontrolled hypertension shows retinal vessel abnormalities and tiny hemorrhagic spots. What is this presentation termed?
1. A.
  Flea-bitten retina
2. B.
  Cherry-red spot
3. C.
  Papilledema only
4. D.
  Cotton wool spots only
Answer and explanation
Q52 · Medical & Surgical Nursing · Neurologic Function
Which neurotransmitter is deficient in Parkinson's disease?
1. A.
  Dopamine
2. B.
  Serotonin
3. C.
  Acetylcholine
4. D.
  GABA
Answer and explanation
Q53 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
Which of the following maneuvers is used during normal vaginal delivery for the assisted delivery of the fetal head?
1. A.
  Burns Marshall maneuver
2. B.
  Ritgen maneuver
3. C.
  McRoberts maneuver
4. D.
  Kristeller maneuver
Answer and explanation
Q54 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
Identify the following image?
1. A.
  Epidural anesthesia
2. B.
  Lumber puncture
3. C.
  Spinal anesthesia
4. D.
  Paracervical block
Answer and explanation
Q55 · Pharmacology · Antimicrobial Drugs
A patient is taking isoniazid for the treatment of active tuberculosis and nurse know that its side effects of peripheral neuritis and instruct the patient for taking?
1. A.
  Vitamin-B6 (Pyridoxine)
2. B.
  Vitamin-B12 (Cobalamin)
3. C.
  Vitamin-B1 (Thiamine)
4. D.
  Vitamin-A (Retinol)
Answer and explanation
Q56 · Pharmacology · Drugs Acting on Central Nervous System
A psychiatric patient is discharged with phenelzine (MAOI) medicine. The nursing officer instructs him about dietary modification. Which of the following is the most appropriate intervention? .
1. A.
  To avoid tyramine-rich foods
2. B.
  Take the medicine with milk and water
3. C.
  Take the medicine on empty stomach
4. D.
  None of the above
Answer and explanation
Q57 · Medical & Surgical Nursing · Urinary Tract Function
RIFLE criteria are used for classification of:
1. A.
  Heart failure
2. B.
  Acute kidney injury
3. C.
  Liver failure
4. D.
  Pulmonary embolism
Answer and explanation
Q58 · Pharmacology · Autacoids & Related Drugs
A patient with osteoarthritis and a known gastric ulcer presents with joint pain. Which of the following analgesics is most appropriate for pain relief?
1. A.
  Etoricoxib
2. B.
  Naproxen
3. C.
  Ibuprofen
4. D.
  Diclofenac
Answer and explanation
Q59 · Applied Microbiology & Infection control · Immunity
Which of the following is a killed vaccine?
1. A.
  BCG
2. B.
  OPV (Oral Polio Vaccine)
3. C.
  Rabies vaccine
4. D.
  Measles vaccine
Answer and explanation
Q60 · Mental Health Nursing · Mood disorders
Bipolar II disorder is best characterized by:
1. A.
  Hypomanic episodes and major depressive episodes
2. B.
  Only manic episodes
3. C.
  Only depressive episodes
4. D.
  Manic episodes with psychosis
Answer and explanation
Q61 · Biochemistry & Nutrition · Acid base Maintenance
Normal anion gap is?
1. A.
  8-16 mEq/L
2. B.
  18-24 mEq/L
3. C.
  4-8 mEq/L
4. D.
  1-4 mEq/L
Answer and explanation
Q62 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A nurse caring for an adult on high-flow nasal cannula (HFNC) should understand which statement is correct?
1. A.
  Choose the largest cannula size to minimize leak
2. B.
  HFNC provides an oxygen fraction below 50% only
3. C.
  Prongs should cover no more than about 50% of the nares
4. D.
  HFNC provides humidification intermittently
Answer and explanation
Q63 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
In COPD, the arterial blood gas (ABG) imbalance commonly shows:
1. A.
  Respiratory alkalosis
2. B.
  Respiratory acidosis
3. C.
  Metabolic alkalosis
4. D.
  Metabolic acidosis
Answer and explanation
Q64 · Community Health Nursing · Epidemiology – Epidemiological Approaches and Processes
Which of the following communicable disease causes the highest mortality in India?
1. A.
  Tuberculosis (TB)
2. B.
  Dengue
3. C.
  Malaria
4. D.
  HIV
Answer and explanation
Q65 · Obstetrics & Gynaecology · Practical Obstetrics
The image shows an instrument used in obstetric and gynecology for packing and traction. Identify the instrument?
1. A.
  Green Armytage
2. B.
  Allis Forceps
3. C.
  Kocher Forceps
4. D.
  Foerter Forceps
Answer and explanation
Q66 · Child Health Nursing (Pediatrics) · Immunization and Immunodeficiency
After BCG vaccine administration, after how many weeks should the vaccine site be checked for ‘take’ response?
1. A.
  6–8 weeks
2. B.
  4–6 weeks
3. C.
  3–4 weeks
4. D.
  2–3 weeks
Answer and explanation
Q67 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
In cardiac failure, serum sodium levels are usually:
1. A.
  Increased (Hypernatremia)
2. B.
  Decreased (Hyponatremia)
3. C.
  Normal
4. D.
  Fluctuating
Answer and explanation
Q68 · Community Health Nursing · Epidemiology – Epidemiological Approaches and Processes
A public health nurse is conducting a community health assessment to determine the burden of chronic diseases such as diabetes and hypertension in her area. She wants to use a measure that reflects both existing and ongoing cases of disease in the population. Which of the following indicators is most appropriate to measure the burden of chronic disease in the community?
1. A.
  Mortality rate
2. B.
  Prevalence
3. C.
  Case fatality rate
4. D.
  Incidence
Answer and explanation
Q69 · Mental Health Nursing · Mood disorders
Which of the following is classified as a thought form disorder?
1. A.
  Grandiose delusion
2. B.
  Circumstantiality and tangentiality
3. C.
  Delusion of reference
4. D.
  Delusion of persecution
Answer and explanation
Q70 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
Which of the following are risk factors for postpartum hemorrhage (PPH)?
1. A.
  Twin pregnancy
2. B.
  Gestational hypertension
3. C.
  Hyperemesis gravidarum
4. D.
  Oligohydramnios
Answer and explanation
Q71 · Community Health Nursing · Environmental Science, Environmental Health, and Sanitation
Which of the following is a major constituent in polluted water in India?
1. A.
  Particulate matter 2.5 (PM2.5)
2. B.
  Sulphur Dioxide (SO2)
3. C.
  Carbon monoxide (CO)
4. D.
  Presence of Coliform Bacteria
Answer and explanation
Q72 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
During a blood transfusion, a patient complains of chills, low back pain, and fever. The nurse's first action should be to?
1. A.
  Slow the infusion rate and monitor vital signs
2. B.
  Stop the transfusion and keep the IV line open with normal saline
3. C.
  Administer an antihistamine as per standing orders
4. D.
  Check the patient's identification bracelet against the blood bag
Answer and explanation
Q73 · Child Health Nursing (Pediatrics) · Central Nervous System
In a newborn with spina bifida myelomeningocele, which clinical sign most strongly suggests an associated complication?
1. A.
  Bulging fontanelle
2. B.
  Tuft of hair over the lumbosacral area
3. C.
  Sunken fontanelle
4. D.
  Hyperactive deep tendon reflexes
Answer and explanation
Q74 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient with decompensated heart failure presents with peripheral edema, pulmonary congestion, and serum sodium 132 mEq/L. Blood pressure is 100/68 mmHg, and IV furosemide has been started for renal failure and fluid overload. What is the best next step to address the sodium abnormality?
1. A.
  Restrict free water and monitor sodium while continuing loop diuresis
2. B.
  Infuse 3% hypertonic saline
3. C.
  Infuse 0.9% normal saline and continue furosemide
4. D.
  Add spironolactone
Answer and explanation
Q75 · Nursing Research & Statistics · Population, Sample & Sampling
A researcher wants to ensure that every group in a population has an equal chance of being selected. Which sampling technique is most appropriate?
1. A.
  Simple Random Sampling
2. B.
  Stratified Random Sampling
3. C.
  Purposive Sampling
4. D.
  Convenience Sampling
Answer and explanation
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Q76 · Child Health Nursing (Pediatrics) · Immunization and Immunodeficiency
The route of administration for Rotavirus vaccine is:
1. A.
  Intramuscular
2. B.
  Oral
3. C.
  Subcutaneous
4. D.
  Intradermal
Answer and explanation
Q77 · Applied Physiology · Sensory organs
Which of the following helps prevent water loss through skin?
1. A.
  Carotene
2. B.
  Collagen
3. C.
  Melanin
4. D.
  Keratin
Answer and explanation
Q78 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
A 28-year-old primigravida at 32 weeks gestation comes to the labor room with complaints of headache, blurred vision, and edema in the hands and legs. On examination, her blood pressure is 160/100 mmHg, and a urine dipstick shows +3 proteinuria. What is the most likely diagnosis?
1. A.
  Gestational hypertension
2. B.
  Transient hypertension
3. C.
  Preeclampsia
4. D.
  Eclampsia
Answer and explanation
Q79 · Nursing Research & Statistics · Population, Sample & Sampling
Systematic sampling is related to which field of study?
1. A.
  Nursing procedures
2. B.
  Statistical methods
3. C.
  Laboratory techniques
4. D.
  Epidemiology only
Answer and explanation
Q80 · Mental Health Nursing · Behavioural & Emotional Disorders of Childhood and Adolescence
What best describes Conduct Disorder in children and adolescents?
1. A.
  A mood disorder seen in childhood
2. B.
  A repetitive and persistent pattern of violating rules, norms, and rights of others
3. C.
  A type of anxiety disorder
4. D.
  A communication disorder
Answer and explanation
Q81 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System
In Kawasaki disease, coronary artery aneurysm is diagnosed when the median internal diameter is greater than:
1. A.
  2 mm
2. B.
  3 mm
3. C.
  4 mm
4. D.
  5 mm
Answer and explanation
Q82 · Child Health Nursing (Pediatrics) · Disorders of Respiratory System
"Steeple sign" on X-ray is characteristic of:
1. A.
  Epiglottitis
2. B.
  Croup (laryngotracheobronchitis)
3. C.
  Foreign body aspiration
4. D.
  Bronchiolitis
Answer and explanation
Q83 · Applied Microbiology & Infection control · Immunity
Which of the following statements is correct regarding killed (inactivated) vaccines?
1. A.
  They provide lifelong immunity after a single dose
2. B.
  They require booster doses to maintain immunity
3. C.
  They are contraindicated in immunocompromised individuals
4. D.
  They replicate in the host to produce immunity
Answer and explanation
Q84 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
A G1P0T1 client presents to the Primary Health Centre (PHC) with signs suggestive of postpartum hemorrhage (PPH). The nursing officer initiates emergency care. What is the most appropriate first-line management for this patient?
1. A.
  Perform uterine massage and administer Oxytocin (10 IU)
2. B.
  Perform hysterectomy
3. C.
  Administer antibiotics only
4. D.
  Observe the patient
Answer and explanation
Q85 · Nursing Foundations · Administration of medications
An asthma patient is prescribed 2 puffs of inhaler every 6 hours. The inhaler contains a total of 200 puffs. Based on this prescription, for how many full days will the inhaler last?
1. A.
  20 days
2. B.
  25 days
3. C.
  30 days
4. D.
  15 days
Answer and explanation
Q86 · Community Health Nursing · Family planning
In ICDS (Integrated Child Development Services) program, what is the anthropometric criterion for classifying a child as "severely malnourished"?
1. A.
  Weight for age <70% of reference
2. B.
  Weight for age <80% of reference
3. C.
  Mid-arm circumference 14 cm
4. D.
  Height for age <90% of reference
Answer and explanation
Q87 · Obstetrics & Gynaecology · Special Topics in Obstetrics
Identify the CTG graph pattern?
1. A.
  Variable acceleration
2. B.
  Early deceleration
3. C.
  Fetal distress
4. D.
  Late deceleration
Answer and explanation
Q88 · Mental Health Nursing · Introduction
Which cultural problem in India most significantly hinders achieving mental health goals?
1. A.
  Mental illness is a sign of personal weakness
2. B.
  Limited availability of mental health professionals
3. C.
  Widespread belief in the population that mental illness is treatable
4. D.
  Language differences between patients and providers
Answer and explanation
Q89 · Community Health Nursing · National Health Programs
The full form of INAP in public health programs is?
1. A.
  Indian National AIDS Programme
2. B.
  Integrated Newborn Action Plan
3. C.
  Indian Neonatal Advancement Programme
4. D.
  India Newborn Action Plan
Answer and explanation
Q90 · Pharmacology · Drugs acting on Autonomic Nervoys system
A patient is going to operation theatre for abdominal surgery and the nurse administers injection atropine sulphate. The patient’s attendant asks why this injection is given just before the procedure. The nurse explains that:?
1. A.
  It will reduce the patient’s anxiety
2. B.
  It will prevent the anesthetic drug induced bradycardia
3. C.
  to reduce salivary and bronchial secretions
4. D.
  It enhances the effects of anaesthetic medicines
Answer and explanation
Q91 · Community Health Nursing · Concepts of Community Health and Community Health Nursing
Physical activity, good nutrition, family planning, reduced stress, absence of violence is?
1. A.
  Social factors
2. B.
  Mental factors
3. C.
  Physical factors
4. D.
  Lifestyle factors
Answer and explanation
Q92 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
According to Anemia Mukt Bharat, the minimum Hb level to define anemia in pregnant women is:
1. A.
  <13 g/dl
2. B.
  <12 g/dl
3. C.
  <10 g/dl
4. D.
  <11 g/dl
Answer and explanation
Q93 · Obstetrics & Gynaecology · Infertility
What is the best time to perform hysterosalpingography (HSG) in a woman being evaluated for infertility?
1. A.
  Day 8 of menstrual cycle
2. B.
  Day 21 of menstrual cycle
3. C.
  Day 14 of menstrual cycle
4. D.
  Day 3 of menstrual cycle
Answer and explanation
Q94 · Nursing Research & Statistics · Research Approaches and Designs
Cohort study is best described as:
1. A.
  Retrospective study
2. B.
  Prospective observational study
3. C.
  Experimental study
4. D.
  Case–control study
Answer and explanation
Q95 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient on mechanical ventilation suddenly triggers a high peak inspiratory pressure alarm. What should be the nurse’s immediate action?
1. A.
  Perform suctioning to clear airway secretions
2. B.
  Increase the tidal volume to improve ventilation
3. C.
  Decrease the tidal volume to reduce pressure
4. D.
  Adjust ventilator settings without assessing the patient
Answer and explanation
Q96 · Obstetrics & Gynaecology · Normal Labor
A 40-week gravida presents with cervical dilation of 6 cm and uterine contractions every 5 minutes. What is the appropriate next nursing action?
1. A.
  Administer oxytocin injection now
2. B.
  Instruct to begin pushing
3. C.
  Perform fundal massage
4. D.
  Continue monitoring labor progress and fetal status
Answer and explanation
Q97 · Nursing Foundations · History of Nursing & Nursing as a profession
Nursing has a code of ethics that professional registered nurses follow and:
1. A.
  Improve self-health care
2. B.
  Define the principles by which nurses provide care to their clients
3. C.
  Ensure identical care to all clients
4. D.
  Protect the client from harm
Answer and explanation
Q98 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
Which is NOT a Therapeutic Technique?
1. A.
  Advice
2. B.
  Active listening
3. C.
  Accepting
4. D.
  Using silence
Answer and explanation
Q99 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A 68-year-old patient with a gastrostomy tube has just completed enteral feeding. As the nurse prepares to continue care, which of the following is the priority intervention immediately after feeding?
1. A.
  Reposition the patient to left lateral side
2. B.
  Check for abdominal distension
3. C.
  Flush the tube with sterile water
4. D.
  Maintain upright position
Answer and explanation
Q100 · Mental Health Nursing · Miscellaneous
Which of the following statements complies with mental health ethical principles?
1. A.
  Confidentiality is necessary for every patient
2. B.
  Patient with severe psychiatric illness can always refuse treatment, regardless of risk
3. C.
  Mental health patients cannot refuse treatment under any circumstances
4. D.
  Psychiatric treatment should be given without consent in all cases
Answer and explanation
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Q101 · Community Health Nursing · Epidemiology – Epidemiological Approaches and Processes
Which of the following best defines herd immunity?
1. A.
  Protection of a population from a disease when larger portion is immune
2. B.
  Immunity developed in an individual after natural infection only
3. C.
  Immunity achieved only through vaccination in every individual
4. D.
  Resistance to a disease caused by temporary use of antibiotics
Answer and explanation
Q102 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
During the labor, a nurse observes cord prolapse. Which maternal position is most appropriate to relieve pressure on the cord?
1. A.
  Supine with legs flat
2. B.
  Trendelenburg position
3. C.
  Lithotomy position
4. D.
  Sitting upright
Answer and explanation
Q103 · Nursing Foundations · Patient Education
What is the first action in emergency management when facing a victim during an electric shock?
1. A.
  Do not touch them
2. B.
  Switch off the electricity power supply
3. C.
  Once contact is broken, perform primary survey
4. D.
  Call 999
Answer and explanation
Q104 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A patient presents with fresh bright red blood per rectum during defecation. On examination, an anal fissure is noted. What is this type of bleeding called? .
1. A.
  Hematemesis
2. B.
  Occult bleeding
3. C.
  Hematochezia
4. D.
  Melena
Answer and explanation
Q105 · Child Health Nursing (Pediatrics) · Orthopedic disorders
A 5-year-old child is diagnosed with clubfoot (talipes varus). The mother asks about the possible interventions. Which of the following statements is correct?
1. A.
  Surgical correction is the only option
2. B.
  Bracing and casting can be used as treatment
3. C.
  No treatment is required; it resolves spontaneously
4. D.
  Physical therapy alone is sufficient
Answer and explanation
Q106 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A 30-year-old unconscious trauma patient is brought to the emergency department. Despite performing the jaw-thrust maneuver, he is unable to maintain airway patency. Which airway adjunct is most appropriate to maintain the airway?
1. A.
  Oropharyngeal Airway (OPA)
2. B.
  Nasopharyngeal Airway (NPA)
3. C.
  Endotracheal Tube (ET Tube)
4. D.
  Laryngeal Mask Airway (LMA)
Answer and explanation
Q107 · Applied Psychology · Developmental Psychology
A nurse must consider a child’s cognitive level of development when providing preoperative teaching. At which stage of Piaget’s cognitive theory should the nurse anticipate a child will experience the greatest fear of surgery?
1. A.
  Sensorimotor
2. B.
  Preoperational
3. C.
  Formal operational
4. D.
  Concrete operational
Answer and explanation
Q108 · Child Health Nursing (Pediatrics) · Integrated Management of Neonatal and Childhood Illness
Recommended daily dose of zinc for management of diarrhea in children (as per WHO):
1. A.
  10 mg/day for <6 months, 20 mg/day for >6 months
2. B.
  5 mg/day for all children
3. C.
  15 mg/day for all children
4. D.
  25 mg/day for >6 months
Answer and explanation
Q109 · Child Health Nursing (Pediatrics) · Pediatric Critical Care
A 2-year-old child is brought to the pediatric emergency unit with suspected foreign body aspiration. The child is conscious, sitting upright, stridorous at rest, has intercostal retractions, and a SpO2 of 88% on room air. According to Emergency Severity Index (ESI) triage, which level should the nurse assign?
1. A.
  ESI Level 1 (Resuscitation)
2. B.
  ESI Level 2 (Emergent)
3. C.
  ESI Level 3 (Urgent)
4. D.
  ESI Level 4 (Less Urgent)
Answer and explanation
Q110 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
Kawasaki disease primarily affects which type of blood vessels?
1. A.
  Medium vessels
2. B.
  Large vessels
3. C.
  Small vessels
4. D.
  None of the above
Answer and explanation
Q111 · Applied Microbiology & Infection control · Pathogenic Organisms
Which of the following vector causes kala azar (leishmaniasis)?
1. A.
  Sandfly
2. B.
  Tsetse
3. C.
  Mite
4. D.
  Tick
Answer and explanation
Q112 · Obstetrics & Gynaecology · Dysmenorrhea and Other Disorders of Menstrual Cycles
During hysterosalpingography, intrauterine adhesions consistent with Asherman syndrome are identified. Which clinical feature is most characteristic of this condition?
1. A.
  Metrorrhagia
2. B.
  Menorrhagia
3. C.
  Hypomenorrhea
4. D.
  Polymenorrhagia
Answer and explanation
Q113 · Obstetrics & Gynaecology · Genital Malignancy
Acetoacetic Acid method is commonly used in rural areas to screening the which of the following cancer?
1. A.
  Cervical cancer
2. B.
  Breast cancer
3. C.
  Ovary cancer
4. D.
  Oral cancer
Answer and explanation
Q114 · Applied Microbiology & Infection control · Hospital-Acquired Infections
What is the best way to prevent the spread of infection in the ICU?
1. A.
  Vaccination
2. B.
  Sterilization
3. C.
  Mask gloves
4. D.
  Hand hygiene
Answer and explanation
Q115 · Medical & Surgical Nursing · Urinary Tract Function
According to standard protocol, a patient presents with scrotal ecchymosis and prostate swelling after trauma. Which of the following should be avoided?
1. A.
  Pain management
2. B.
  Intravenous fluid administration
3. C.
  Gastric tube insertion
4. D.
  Urinary catheterization
Answer and explanation
Q116 · Applied Sociology · Social organization and disorganization
Government of India announced year of empowerment of women in the year?
1. A.
  2003
2. B.
  2002
3. C.
  2001
4. D.
  2000
Answer and explanation
Q117 · Medical & Surgical Nursing · Neurologic Function
Another tentative diagnosis made for the client is Wernicke's Encephalopathy. If the client has this, the nurse anticipates that the first physician's order will include:
1. A.
  Ordering an EEG
2. B.
  Giving Thiamine 100 mg IM STAT
3. C.
  Administering a steroid medication, such as Decadron
4. D.
  Ordering an MRI
Answer and explanation
Q118 · Applied Nutrition & Dietetics · Proteins
Which of the following has the highest protein content?
1. A.
  Soybean
2. B.
  Pulses
3. C.
  Egg
4. D.
  Milk
Answer and explanation
Q119 · Medical & Surgical Nursing · Integumentary Function
A 68-year-old bedridden client is admitted to the medical unit. During the initial skin assessment, the nurse observes a localized area of intact skin with non-blanchable erythema over the sacral region. How should the nurse stage this pressure injury?
1. A.
  Stage 1 Pressure Injury
2. B.
  Stage 2 Pressure Injury
3. C.
  Deep Tissue Injury (DTI)
4. D.
  Unstageable Pressure Injury
Answer and explanation
Q120 · Pharmacology · Antimicrobial Drugs
Isoniazid (INH) causes deficiency of which vitamin?
1. A.
  Vitamin B1
2. B.
  Vitamin B6
3. C.
  Vitamin B12
4. D.
  Vitamin K
Answer and explanation
Q121 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
To prevent tracheal mucosal ischemia, necrosis, and tissue damage, what is the maximum recommended safe cuff pressure for a tracheostomy tube?
1. A.
  Cuff pressure less than 25 mmHg
2. B.
  Cuff pressure greater than 40 mmHg
3. C.
  Cuff pressure 50 to 60 mmHg
4. D.
  Cuff pressure less than 5 mmHg
Answer and explanation
Q122 · Biochemistry & Nutrition · Clinical Enzymology
Which of the following enzymes disturbances are seen in pancreatic disorders (e.g., acute pancreatitis)?

1. Increased Amylase

2. Increased Lipase

3. Decreased Trypsin

4. Increased lactose,

Choose the most appropriate answer?
1. A.
  1 and 2
2. B.
  3 only
3. C.
  2 and 3
4. D.
  1, 2 and 3
Answer and explanation
Q123 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
What is the minimum amount of blood loss that defines postpartum hemorrhage (PPH) in vaginal delivery?
1. A.
  200 ml
2. B.
  300 ml
3. C.
  400 ml
4. D.
  500 ml
Answer and explanation
Q124 · Medical & Surgical Nursing · Urinary Tract Function
A patient has a urine output of less than 100 mL in 24 hours. This condition is called:
1. A.
  Nocturia
2. B.
  Anuria
3. C.
  Polyuria
4. D.
  Oliguria
Answer and explanation
Q125 · Mental Health Nursing · Eating Disorders
A patient is taking a proper diet as prescribed for bulimia nervosa, but the patient's weight is not gaining. Which nursing action is appropriate?
1. A.
  Keep NPO until further order
2. B.
  Add palatable food items to the diet
3. C.
  Change the diet
4. D.
  Observe the patient for two hours after a meal
Answer and explanation
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Q126 · Mental Health Nursing · Schizophrenia
A patient diagnosed with schizophrenia tells the nurse “there’s a mention of me in today’s newspaper.” Which thought disorder does this statement most likely indicate?
1. A.
  Thought insertion
2. B.
  Thought broadcasting
3. C.
  Delusion of reference
4. D.
  Ideas of reference
Answer and explanation
Q127 · Child Health Nursing (Pediatrics) · Integrated Management of Neonatal and Childhood Illness
According to the IMNCI program, if a child comes with fever, which of the following should the nurse assess first?
1. A.
  Typhoid
2. B.
  Malaria
3. C.
  Measles
4. D.
  Dehydration
Answer and explanation
Q128 · Child Health Nursing (Pediatrics) · Fluid and Electrolyte Disturbances
A paediatrician orders intravenous calcium for a 1-year-old with symptomatic hypocalcemia. Which method of administration SHOULD NOT be performed?
1. A.
  Intraosseous administration in an emergency
2. B.
  Diluted continuous IV infusion
3. C.
  Slow IV push over several minutes
4. D.
  Fast IV (rapid IV bolus)
Answer and explanation
Q129 · Obstetrics & Gynaecology · Placenta and Fetal Membranes
Regarding the placenta and chorion, which of the following statements is NOT true?
1. A.
  Fetal capillaries are in direct contact with maternal blood in the intervillous space
2. B.
  The fetal part of the placenta is the chorion frondosum
3. C.
  The amnion and chorion fuse by the end of the first trimester to form the amnio chorionic membrane
4. D.
  The maternal part of the placenta is the decidua basalis
Answer and explanation
Q130 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A 55-year-old patient with a chest tube for pneumothorax suddenly pulls out the drainage system while repositioning in bed. What should be the priority nursing action?
1. A.
  Increase suction and observe for bubbling
2. B.
  Apply an occlusive dressing over the insertion site
3. C.
  Place the end of the chest tube into a sterile normal saline bottle
4. D.
  Clamp the chest tube and call the provider
Answer and explanation
Q131 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A patient with chronic kidney disease (CKD) on regular dialysis presents with serum potassium 6.2 mEq/L and ECG tracing Tall peaked T waves. What is the most effective immediate action to prevent cardiac membrane instability?
1. A.
  Administer Glucose-Insulin Infusion
2. B.
  Administer Calcium Gluconate
3. C.
  Administer Sodium Polystyrene Sulfonate
4. D.
  Hemodialysis
Answer and explanation
Q132 · Medical & Surgical Nursing · Neurologic Function
A patient presents with burning, shooting neurogenic pain in the right leg without signs of acute inflammation. Which of the following medications is most appropriate as first-line therapy for neurogenic pain?
1. A.
  Diclofenac
2. B.
  Ibuprofen
3. C.
  Acetaminophen (Paracetamol)
4. D.
  Gabapentin
Answer and explanation
Q133 · Community Health Nursing · Health Care Planning and Organization of Health Care at various levels
How much health insurance coverage under Pradhan Mantri Ayushman Bharat Jan Arogya Yojana (PM-JAY)?
1. A.
  10 Lakh
2. B.
  5 Lakh
3. C.
  8 Lakh
4. D.
  15 Lakh
Answer and explanation
Q134 · Community Health Nursing · Reproductive, maternal, newborn, child and adolescent Health (Review from OBG Nursing and application in community setting)
An HIV-positive mother is in her last trimester of pregnancy. Which of the following statements is correct regarding prevention of mother-to-child transmission (PMTCT)?
1. A.
  Start ART prophylaxis only in the last trimester of pregnancy
2. B.
  Breastfeeding is not allowed in this condition
3. C.
  Caesarean section (LSCS) will completely prevent HIV transmission
4. D.
  ART should be continued and prophylaxis given throughout pregnancy
Answer and explanation
Q135 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient is receiving Extracorporeal Membrane Oxygenation (ECMO) with stable machine settings. Suddenly, the patient’s oxygen saturation drops to 85%. What should be the priority nursing action?
1. A.
  Increase ventilator FiO₂ without evaluating ECMO function
2. B.
  Administer supplemental oxygen via face mask
3. C.
  Assess the ECMO circuit for possible clot formation
4. D.
  Immediately discontinue ECMO support
Answer and explanation
Q136 · Pharmacology · Miscellaneous
Organophosphate poisoning is commonly treated with:
1. A.
  Atropine + Pralidoxime
2. B.
  Diazepam
3. C.
  Naloxone
4. D.
  Physostigmine
Answer and explanation
Q137 · Obstetrics & Gynaecology · Induction of Labor
In a partograph, which line crossing indicates the need for immediate action or emergency intervention during labor?
1. A.
  Alert line
2. B.
  Action line
3. C.
  Zone 1
4. D.
  Zone 2
Answer and explanation
Q138 · Applied Physiology · Respiratory system
Which statement is about hypoxia is correct?
1. A.
  Hypoxia and hypercapnia cannot co-exist
2. B.
  Drowsiness is the early sign of hypoxia
3. C.
  Cyanosis is a late sign of hypoxia
4. D.
  Throbbing headache
Answer and explanation
Q139 · Medical & Surgical Nursing · Other Acute Problems
A patient with organophosphorus poisoning is brought to the emergency department. Which of the following actions is not appropriate in the initial management?
1. A.
  Prepare for intubation
2. B.
  Suction the patient’s airway
3. C.
  Remove patient’s clothes and decontaminate
4. D.
  Start adrenaline infusion
Answer and explanation
Q140 · Mental Health Nursing · Psychiatric Emergencies
A 38-year-old woman with schizophrenia on haloperidol reports restlessness and trouble sleeping: "I can't stay still at night." What side effect is she likely experiencing?
1. A.
  Opisthotonos
2. B.
  Dystonia
3. C.
  Akinesia
4. D.
  Akathisia
Answer and explanation
Q141 · Child Health Nursing (Pediatrics) · Newborn Infants
Which of the following is the normal preductal oxygen saturation (SpO₂) level in a full-term newborn at 1 minute after birth?
1. A.
  60–65 %
2. B.
  90–95 %
3. C.
  75–80 %
4. D.
  85–90 %
Answer and explanation
Q142 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders
A patient develops involuntary, continuous, restless movements after taking antipsychotics. This condition is known as:
1. A.
  Akathisia
2. B.
  Parkinsonism
3. C.
  Acute dystonia
4. D.
  Tardive dyskinesia
Answer and explanation
Q143 · Mental Health Nursing · Personality and Sexual Disorders
A patient with narcissistic personality disorder is admitted to the psychiatric unit. He complains to the nurse, saying, “You are not giving me proper time for my treatment.” What is the most appropriate nursing response?
1. A.
  Ignore the patient’s complaint
2. B.
  Make him understand that unit rules are same for everyone
3. C.
  Confront him about his behavior
4. D.
  Give him extra time to maintain therapeutic relationship
Answer and explanation
Q144 · Nursing Foundations · Fluid, electrolytes & Acid-base balances
A patient is prescribed 500 ml of 0.9% Normal Saline to be infused over 4 hours. Using a standard IV set with a drop factor of 15 drops/ml, what should be the correct drip rate in drops per minute?
1. A.
  34 drops/min
2. B.
  33 drops/min
3. C.
  35 drops/min
4. D.
  31 drops/min
Answer and explanation
Q145 · Child Health Nursing (Pediatrics) · Development
A 3-year-old child’s fine motor development is to be assessed. Which of the following activities is most appropriate?
1. A.
  Asking the child to ride a bicycle
2. B.
  Giving the child clay/playdough to shape
3. C.
  Making the child run across the room
4. D.
  Asking the child to Kick a ball
Answer and explanation
Q146 · Pharmacology · Cardiovascular Drugs
In a child with high blood pressure receiving methyldopa, what should the nurse know about this medicine?
1. A.
  Methyldopa commonly causes drowsiness
2. B.
  Expect the urine to turn blue
3. C.
  Continuous cardiac monitoring is necessary
4. D.
  Give the doses before meals and at bedtime
Answer and explanation
Q147 · Child Health Nursing (Pediatrics) · Diseases of Gastrointestinal System and Liver
Which of the following is a key clinical sign of congenital hypertrophic pyloric stenosis in infants?
1. A.
  Bile-stained vomitus
2. B.
  Non-bilious projectile vomiting with palpable olive-shaped mass
3. C.
  Abdominal distension with constipation
4. D.
  Watery diarrhea with dehydration
Answer and explanation
Q148 · Pharmacology · General Pharmacology
A patient is administered sublingual nitroglycerin (NTG). Which of the following adverse effects should the nurse expect? .
1. A.
  Hyperglycemia
2. B.
  Constipation
3. C.
  Dizziness & headache
4. D.
  Diplopia
Answer and explanation
Q149 · Pharmacology · Antimicrobial Drugs
Which of the following is a bactericidal drug in tuberculosis treatment, EXCEPT?
1. A.
  Ethambutol
2. B.
  Streptomycin
3. C.
  Rifampicin
4. D.
  Isoniazid
Answer and explanation
Q150 · Obstetrics & Gynaecology · Normal Labor
When does the second stage of labor begin?
1. A.
  Onset of regular painful uterine contractions
2. B.
  Complete effacement of the cervix
3. C.
  Crowning of the fetal head
4. D.
  Full cervical dilation
Answer and explanation
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Q151 · Medical & Surgical Nursing · Other Acute Problems
Which of the following clinical manifestations are seen in heat stroke, EXCEPT?
1. A.
  Excessive sweating
2. B.
  Confusion or altered mental status
3. C.
  Bounding pulse
4. D.
  Elevated body temperature >103°F (39.4°C)
Answer and explanation
Q152 · Medical & Surgical Nursing · Integumentary Function
A 40-year-old male is brought to the casualty with severe burns following a industrial fire. On assessment, the nurse notes full-thickness burns covering the entire anterior torso, the entire left arm, and the anterior surface of the right leg. Using the Rule of Nines, what is the estimated Total Body Surface Area (TBSA) burned?
1. A.
  27%
2. B.
  36%
3. C.
  45%
4. D.
  54%
Answer and explanation
Q153 · Child Health Nursing (Pediatrics) · Newborn Infants
What is the expected decline in total serum bilirubin with effective phototherapy?
1. A.
  4 to 6 mg/dL in 4 to 6 hours
2. B.
  1 to 2 mg/dL in 4 to 6 hours
3. C.
  4 to 6 mg/dL in 1 to 2 hours
4. D.
  1 to 2 mg/dL in 1 to 2 hours
Answer and explanation
Q154 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient diagnosed with Deep Vein Thrombosis (DVT) is receiving unfractionated heparin infusion. The latest activated partial thromboplastin time (aPTT) is 85 seconds. What should be the most appropriate immediate nursing action?
1. A.
  Continue current treatment without any changes
2. B.
  Initiate warfarin therapy immediately
3. C.
  Increase the heparin dose to enhance anticoagulation
4. D.
  Hold the heparin infusion
Answer and explanation
Q155 · Pathology & Genetics · Systemic Pathology
Major contributor to chronic hepatitis leading to chronic disease?
1. A.
  Hepatitis A and D
2. B.
  Hepatitis A and B
3. C.
  Hepatitis A and C
4. D.
  Hepatitis B and C
Answer and explanation
Q156 · Nursing Foundations · Loss, Death & Grief
The ability of a person to readily recover from stressful situations is called:
1. A.
  Mental freedom
2. B.
  Hardiness
3. C.
  Androgyny
4. D.
  Resilience
Answer and explanation
Q157 · Mental Health Nursing · Personality and Sexual Disorders
A 30-year-old unmarried man reports intense sexual arousal when dressing in women’s clothes. He sometimes masturbates during these episodes. He denies any desire to be a woman or to change his sex, and does this only in private. What is the most likely diagnosis?
1. A.
  Gender dysphoria
2. B.
  Transsexualism disorder
3. C.
  Fetishistic disorder
4. D.
  Transvestic disorder
Answer and explanation
Q158 · Nursing Research & Statistics · Research Approaches and Designs
A researcher collects historical data on a group of subjects and follows them to determine the occurrence of a disease or outcome. Which type of study design does this describe?
1. A.
  Prospective cohort study
2. B.
  Retrospective (historical) cohort study
3. C.
  Case-control study
4. D.
  Cross-sectional study
Answer and explanation
Q159 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders
is the procedure of artificial induction of grand mal seizure, through the application of electrical current to the brain?
1. A.
  Electroconvulsive therapy
2. B.
  Phototherapy
3. C.
  Reflexology
4. D.
  Trans-cranial magnetic stimulation
Answer and explanation
Q160 · Community Health Nursing · National Health Programs
Balwadi programme in India is mainly related to:
1. A.
  Supplementary nutrition for school children
2. B.
  Early childhood education and nutrition
3. C.
  Women empowerment
4. D.
  Old age health care
Answer and explanation

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