RRB Nursing Superintendent 2026 (Shift 2) question paper

RRB Nursing Superintendent · 2026 · 100 questions · 90 minutes · 0.33 mark deducted per wrong answer

Obstetrics & Gynaecology 13
General Knowledge 13
Nursing Foundations 8
Community Health Nursing 7
Child Health Nursing (Pediatrics) 6
Applied Physiology 6
Reasoning 5
Mental Health Nursing 5
Medical & Surgical Nursing 5
Nursing Management & Leadership 4
Applied Sociology 4
Quantitative Aptitude and Mathematics 4
Applied Psychology 4
Nursing Education 3
Nursing Research & Statistics 3
Applied Microbiology & Infection control 2
Pharmacology 2
Applied Anatomy 2
Biochemistry & Nutrition 2
Pathology & Genetics 1
Forensic Nursing & Indian laws 1

See the answers and explanations

Q1 · Child Health Nursing (Pediatrics) · Newborn Infants
Which is an important sign of a healthy newborn?
1. A.
  Strong cry
2. B.
  Pale skin
3. C.
  Low temperature
4. D.
  No movement
Answer and explanation
Q2 · Obstetrics & Gynaecology · Vomiting in Pregnancy
A 30-year-old pregnant woman with hyperemesis gravidarum is at risk for Wernicke's encephalopathy. Which vitamin supplement is essential in her treatment plan?
1. A.
  Suggest vitamin C supplements daily
2. B.
  Administer intravenous thiamine therapy
3. C.
  Start vitamin D injections only
4. D.
  Prescribe oral folic acid tablets
Answer and explanation
Q3 · General Knowledge · Books, authors & institutions
Who has written the book 'Beyond the Syllabus: The Real-Life Guide for Teenagers Who Want More than Just Marks', published in July 2025?
1. A.
  Amish Tripathi
2. B.
  Santanu Bhattacharya
3. C.
  Ankur Warikoo
4. D.
  Prajakta Koli
Answer and explanation
Q4 · Community Health Nursing · Intestinal Infections
A community health nurse must evaluate the risk of infection transmission in a crowded refugee camp. Which combined factors should be prioritized to prevent outbreaks?
1. A.
  Environmental sanitation and personal hygiene
2. B.
  Medication availability and transportation
3. C.
  Language barriers and dietary habits
4. D.
  Nutrition and immunity
Answer and explanation
Q5 · Nursing Foundations · Promoting safety in health care environment
A patient with limited mobility is being transferred from bed to wheelchair. Which nursing action best minimizes the risk of injury during transfer?
1. A.
  Locking the wheelchair brakes before moving the patient
2. B.
  Raising the bed to its highest position for transfer
3. C.
  Allowing the patient to transfer independently
4. D.
  Moving the patient quickly to minimize time spent
Answer and explanation
Q6 · Community Health Nursing · Reproductive, maternal, newborn, child and adolescent Health (Review from OBG Nursing and application in community setting)
A nurse is reviewing past reports to analyze trends in maternal health. Which step reflects proper maintenance of these community health records?
1. A.
  Editing previous records to match current observations
2. B.
  Combining unrelated reports into one file for convenience
3. C.
  Organizing records systematically for easy retrieval
4. D.
  Destroying old records after each analysis session
Answer and explanation
Q7 · Applied Microbiology & Infection control · Disinfection and Sterilization
Which of the following pairs correctly matches a method with its principle for controlling microbes?
1. A.
  Pasteurization - uses high pressure
2. B.
  Autoclaving - uses dry heat
3. C.
  Incineration - uses moist heat
4. D.
  Filtration - removes microbes without killing them
Answer and explanation
Q8 · Reasoning · Series
Each of the letters in the word JALOPIES are arranged in alphabetical order. How many letters are there in the English alphabetical order between the letter which is fourth from the left and the one which is second from the right in the new letter-cluster thus formed?
1. A.
  4
2. B.
  3
3. C.
  6
4. D.
  5
Answer and explanation
Q9 · General Knowledge · Miscellaneous
In a laboratory demonstration, a student adds hydrochloric acid to sodium hydrogencarbonate and collects the gas. How can the student confirm it is carbon dioxide?
1. A.
  It supports combustion.
2. B.
  It forms a blue precipitate.
3. C.
  It extinguishes a burning splint.
4. D.
  It turns limewater milky.
Answer and explanation
Q10 · Nursing Management & Leadership · Management Process
What is the primary goal of coordination in nursing administration?
1. A.
  To assign duties randomly
2. B.
  To increase paperwork
3. C.
  To reduce patient interaction
4. D.
  To ensure all team members work harmoniously
Answer and explanation
Q11 · Nursing Education · Assessment and Planning
During clinical teaching, which method is most effective for fostering critical thinking by discussing real-life scenarios among students?
1. A.
  Field visit
2. B.
  Case study method
3. C.
  Demonstration method
4. D.
  Role play method
Answer and explanation
Q12 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders
A nurse is tasked with creating a peer support network for individuals with chronic mental illness in the community. Which action best demonstrates application of the principles of community mental health nursing and promotes empowerment?
1. A.
  Focusing only on medication adherence
2. B.
  Encouraging clients to lead meetings and share experiences
3. C.
  Assigning all decisions to healthcare professionals
4. D.
  Scheduling infrequent group sessions
Answer and explanation
Q13 · Nursing Research & Statistics · Tools and Methods of Data Collection
Which of the following terms in research methodology refers to the consistency and reproducibility of a measurement tool?
1. A.
  Control
2. B.
  Reliability
3. C.
  Manipulation
4. D.
  Validity
Answer and explanation
Q14 · Applied Physiology · Blood
How do the spleen and thymus work together to support the immune system?
1. A.
  The spleen filters pathogens from blood and the thymus matures T-lymphocytes
2. B.
  The spleen digests fats and the thymus filters lymph
3. C.
  The spleen destroys bacteria and the thymus produces insulin
4. D.
  The spleen produces antibodies and the thymus stores iron
Answer and explanation
Q15 · Reasoning · Arrangements & Puzzles
Seven people H, I, J, K, O, P and Q are sitting around a circular table facing the center of the table. I sits third to the left of K. J sits second to the left of P. K is an immediate neighbour of both H and J. Q is not an immediate neighbor of I. How many people sit between O and J when counted from the right of O?
1. A.
  Four
2. B.
  Three
3. C.
  Two
4. D.
  One
Answer and explanation
Q16 · Obstetrics & Gynaecology · Normal Puerperium
What is the main physiological change in the puerperium period?
1. A.
  Increase in blood volume
2. B.
  Uterine involution
3. C.
  Decrease in heart rate
4. D.
  Increase in appetite
Answer and explanation
Q17 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
When caring for a patient experiencing a panic attack, which nursing intervention is most appropriate?
1. A.
  Leave the patient alone to calm down
2. B.
  Remain calm and stay with the patient
3. C.
  Administer stimulant medication
4. D.
  Encourage the patient to recall past traumas
Answer and explanation
Q18 · Mental Health Nursing · Principles and Concepts of Mental Health Nursing
A nurse believes that people with mental illness are dangerous. How might this misconception affect her professional behavior?
1. A.
  It increases the nurse's level of empathy and compassion for all hospitalized patients.
2. B.
  It may cause her to avoid or treat patients with prejudice, reducing quality of care.
3. C.
  It leads to more effective and therapeutic communication with various mentally ill patients.
4. D.
  It ensures the nurse provides more attention to these mentally ill patients.
Answer and explanation
Q19 · General Knowledge · Books, authors & institutions
Which of the following is considered the earliest known Marathi literary work?
1. A.
  Gathasaptasati
2. B.
  Dipavamsa
3. C.
  Lilacharitra
4. D.
  Jnanesvari
Answer and explanation
Q20 · General Knowledge · Basic Physics
What is the size of the image produced by a concave lens compared to the object?
1. A.
  Same size as the object
2. B.
  Larger than the object
3. C.
  Smaller than the object
4. D.
  Equal to the focal length
Answer and explanation
Q21 · Obstetrics & Gynaecology · Dysmenorrhea and Other Disorders of Menstrual Cycles
Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?
1. A.
  Oxytocin hormone
2. B.
  Follicle stimulating hormone
3. C.
  Estrogen and progesterone
4. D.
  Insulin and glucagon
Answer and explanation
Q22 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient has just returned to the ward after abdominal surgery. Which action should the nurse take first to evaluate the effectiveness of respiratory interventions in the immediate postoperative period?
1. A.
  Assess the patient's oxygen saturation and respiratory rate
2. B.
  Measure the patient's urine output
3. C.
  Check the surgical dressing for bleeding
4. D.
  Review the patient's medication chart
Answer and explanation
Q23 · Community Health Nursing · Bio-Medical Waste Management
While conducting a home visit, the nurse needs to dispose of contaminated materials. Which step aligns with proper bag technique?
1. A.
  Wrapping waste in paper and leaving it near the bag
2. B.
  Placing waste in a separate, leak-proof container brought in the bag
3. C.
  Disposing of waste in the client's kitchen trash bin
4. D.
  Putting contaminated items back in the bag's main compartment
Answer and explanation
Q24 · Obstetrics & Gynaecology · Population Dynamics and Control of Conception
Which family planning method is considered most appropriate to discuss with a woman during the normal puerperium if she desires long-term, reversible contraception?
1. A.
  Oral contraceptive pills
2. B.
  Intrauterine contraceptive device (IUCD)
3. C.
  Tubal ligation
4. D.
  Injectable contraceptives
Answer and explanation
Q25 · Pharmacology · Hormones & Related Drugs
A clinician is choosing between Depo Provera and combined oral contraceptives for a patient with migraine with aura. Why might Depo Provera's content be preferred?
1. A.
  It contains androgen, increasing stroke risk
2. B.
  It contains high estrogen, reducing migraines
3. C.
  It contains estrogen, increasing clotting risk
4. D.
  It lacks estrogen, reducing stroke risk
Answer and explanation
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Q26 · Applied Sociology · Family and Marriage
The family in which husband lives in wife's home is:
1. A.
  Monogamous family
2. B.
  Matrilocal family
3. C.
  Matrilineal family
4. D.
  Matriarchal family
Answer and explanation
Q27 · Reasoning · Coding-Decoding
If 'A' stands for '÷', 'B' stands for 'x', 'C' stands for '+' and 'D' stands for '-', what will come in place of the question mark '?' in the following equation? 6 B 2 D 14 A 7 C 2 - ?
1. A.
  8
2. B.
  10
3. C.
  12
4. D.
  14
Answer and explanation
Q28 · General Knowledge · Basic Physics
If the value of the universal gravitation constant (G) was accidentally used as ten times higher in a planetary orbit calculation, what would be the effect on the calculated gravitational force between the planet and the sun?
1. A.
  The calculated force would be ten times smaller than the actual value
2. B.
  The calculated force would be ten times greater than the actual value
3. C.
  The calculated force would be half the actual value
4. D.
  The calculated force would be unchanged
Answer and explanation
Q29 · General Knowledge · Basic Physics
Two machines complete the same amount of work, but Machine A does it in half the time compared to Machine B. Which machine has a greater power output?
1. A.
  Both are equal
2. B.
  Cannot be determined
3. C.
  Machine A
4. D.
  Machine B
Answer and explanation
Q30 · Child Health Nursing (Pediatrics) · Endocrine and Metabolic Disorders
A school-aged child with type 1 diabetes feels dizzy and sweaty during recess. What is the best initial nursing action?
1. A.
  Restrict fluids
2. B.
  Provide a fast-acting carbohydrate snack
3. C.
  Encourage exercise
4. D.
  Administer extra insulin
Answer and explanation
Q31 · Applied Anatomy · Circulatory & Lymphatic System
What is the specific lymphatic pathway that leads to the development of a Virchow's node (Troisier's sign)?
1. A.
  Right lymphatic duct
2. B.
  Axillary lymph nodes
3. C.
  Thoracic duct
4. D.
  Deep cervical chain
Answer and explanation
Q32 · Pathology & Genetics · Genetics
A nurse is providing genetic counseling to a couple with a family history of diabetes. Which type of counseling is most appropriate in this scenario?
1. A.
  Directive counseling focused on risk assessment and preventive advice
2. B.
  Non-directive counseling promoting informed decision-making
3. C.
  Supportive counseling centered on emotional adjustment only
4. D.
  Motivational counseling emphasizing unrelated lifestyle changes
Answer and explanation
Q33 · General Knowledge · Union government and Judiciary Bodies
Who appoints the members of the Union Public Service Commission in India?
1. A.
  President of India
2. B.
  Supreme Court of India
3. C.
  Prime Minister of India
4. D.
  Parliament of India
Answer and explanation
Q34 · Applied Physiology · Blood
When a blood vessel is injured, ______ help(s) to plug the leak by clotting the blood.
1. A.
  plasma
2. B.
  lymphocytes
3. C.
  platelets
4. D.
  red blood cells
Answer and explanation
Q35 · Biochemistry & Nutrition · Immunochemistry
Which of the following shows oxidation?
1. A.
  Addition of Hydrogen
2. B.
  Loss of oxygen
3. C.
  Addition of oxygen
4. D.
  Gain of electrons
Answer and explanation
Q36 · Quantitative Aptitude and Mathematics · Profit & loss
If 40% of a number is added to 120, then the result is the same number. 30% of the same number is:
1. A.
  60
2. B.
  80
3. C.
  180
4. D.
  90
Answer and explanation
Q37 · Nursing Foundations · Infection control & BMW management
In a health care setting, a nurse finds used gloves and a broken glass ampoule together. Which action ensures proper biomedical waste management?
1. A.
  Mix both in red bag
2. B.
  Dispose both in yellow bag
3. C.
  Place both in black bag
4. D.
  Segregate gloves and glass ampoules
Answer and explanation
Q38 · Nursing Management & Leadership · Management of Nursing Service in the Hospital & Community
A nurse manager is tasked with improving the safety culture on a medical-surgical unit. Which of the following strategies is most effective for promoting a sustained culture of safety within the hospital environment?
1. A.
  Implementing a non-punitive incident reporting system
2. B.
  Mandatory disciplinary action for errors and mistakes
3. C.
  Increasing the number of safety instructions posters
4. D.
  Quarterly safety audits to be made mandatory
Answer and explanation
Q39 · Obstetrics & Gynaecology · Normal Labor
During assessment, a midwife observes a blood-tinged mucus discharge, known as the 'show,' in a pregnant woman. What is the significance of this finding?
1. A.
  It suggests placental abruption is occurring
2. B.
  It reflects dehydration from prolonged labor
3. C.
  It indicates softening and opening of the cervix
4. D.
  It shows infection is present in the uterus
Answer and explanation
Q40 · Nursing Foundations · Patient Education
What is a primary role of a nurse in health education?
1. A.
  Administering medication
2. B.
  Diagnosing diseases
3. C.
  Providing information about healthy lifestyles
4. D.
  Performing surgery
Answer and explanation
Q41 · Child Health Nursing (Pediatrics) · Endocrine and Metabolic Disorders
A school nurse is designing a program to address obesity in adolescents. Which combination of interventions would best support healthy weight management?
1. A.
  Skipping meals and encouraging rapid weight loss
2. B.
  Providing nutrition education and encouraging regular sleep patterns
3. C.
  Advise competitive sports with a high fat diet
4. D.
  Promoting physical activity and a balanced diet
Answer and explanation
Q42 · General Knowledge · Indian history
Sidhu Murmu and Kanhu Murmu were the leaders of which of the following rebellions?
1. A.
  Jaintia and Garo Rebellion
2. B.
  Munda Rebellion
3. C.
  Santhal Rebellion
4. D.
  Halba Rebellion
Answer and explanation
Q43 · General Knowledge · Economy and Business Current Affairs
The Rural Infrastructure Development Fund is maintained by __________.
1. A.
  National Bank for Agriculture and Rural Development
2. B.
  Reserve Bank of India
3. C.
  Securities and Exchange Board of India
4. D.
  India Infrastructure Trust
Answer and explanation
Q44 · Nursing Foundations · Introduction to Health & Illness
In the context of nursing fundamentals, how does understanding the difference between health and disease assist nurses in planning patient care?
1. A.
  It limits nurses to physical health assessments.
2. B.
  It enables nurses to focus solely on disease treatment.
3. C.
  It assists nurses to promote holistic care and prevention.
4. D.
  It helps nurses to identify symptoms only.
Answer and explanation
Q45 · Forensic Nursing & Indian laws · Dummy
Which amendment act increased the Lok Sabha seats from 525 to 545?
1. A.
  Thirty-Ninth Amendment
2. B.
  Thirty-First Amendment
3. C.
  Twenty-Seventh Amendment
4. D.
  Thirty-Fifth Amendment
Answer and explanation
Q46 · Community Health Nursing · Assisting individuals and families to promote and maintain their health
Which of the following best describes the relationship between health and disease in the context of community health nursing?
1. A.
  Disease is static while health is dynamic
2. B.
  Health and disease are on a continuum and influence each other
3. C.
  Disease is a social dysfunction and health affects biologically
4. D.
  Health and disease are two unrelated concepts
Answer and explanation
Q47 · Applied Sociology · Family and Marriage
Which of the following best describes the sociological significance of marriage in most societies?
1. A.
  It exists solely for procreation.
2. B.
  It acts as a social institution that organizes kinship and inheritance.
3. C.
  It only provides legal status to partners.
4. D.
  It is primarily a private contract between two people.
Answer and explanation
Q48 · Child Health Nursing (Pediatrics) · Newborn Infants
When instructing parents on cup feeding for a preterm infant, which advice ensures effective feeding and reduces the risk of choking?
1. A.
  Use a large cup for faster feeding
2. B.
  Allow the infant to sip at their own pace
3. C.
  Tilt the infant's head backward
4. D.
  Pour milk directly into the mouth
Answer and explanation
Q49 · Biochemistry & Nutrition · Miscellaneous
What is the typical size range of particles in a colloidal solution?
1. A.
  1 to 100 nanometers
2. B.
  Larger than 1 millimeter
3. C.
  More than 1000 nanometers
4. D.
  Less than 1 nanometer
Answer and explanation
Q50 · Applied Psychology · Cognitive Process
Which of the following best describes intelligence?
1. A.
  The ability to learn and adapt to new situations
2. B.
  The capacity to remember only past events
3. C.
  The skill to speak multiple languages
4. D.
  The tendency to act impulsively
Answer and explanation
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Q51 · Applied Microbiology & Infection control · Disinfection and Sterilization
In a situation where an indwelling urinary catheter is inserted, which nursing action best applies the concept of surgical asepsis to minimize infection risk?
1. A.
  Lubricating the catheter tip with sodium hypochlorite
2. B.
  Reusing the same sterile gloves for multiple patients
3. C.
  Wearing clean gloves during the entire procedure
4. D.
  Maintaining a closed sterile system throughout the procedure
Answer and explanation
Q52 · General Knowledge · Indian geography
Majuli, which is recognised as the largest inhabited riverine island in the world, is located in the course of which river in India?
1. A.
  Teesta
2. B.
  Indus
3. C.
  Brahmaputra
4. D.
  Ganga
Answer and explanation
Q53 · Mental Health Nursing · Introduction
When a nurse combines information about a patient's verbal communication and nonverbal cues during psychological assessment, what is the nurse primarily aiming to understand?
1. A.
  The patient's social status
2. B.
  The patient's mental and emotional state
3. C.
  The patient's physical health
4. D.
  The patient's family history
Answer and explanation
Q54 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A patient presents with excessive thirst, frequent urination, and fatigue. Laboratory results reveal low levels of antidiuretic hormone. Which endocrine gland is most likely malfunctioning in this scenario?
1. A.
  Pineal gland
2. B.
  Adrenal cortex
3. C.
  Anterior pituitary gland
4. D.
  Posterior pituitary gland
Answer and explanation
Q55 · Nursing Research & Statistics · Research Approaches and Designs
A nurse researcher is planning to study the effects of a new intervention. She wants her results to be applicable to a wide population. Which characteristic should guide her research design?
1. A.
  Ensuring generalizability of the study findings
2. B.
  Limiting the research to a single hospital
3. C.
  Choosing an easily accessible sample
4. D.
  Focusing only on a unique patient group
Answer and explanation
Q56 · Applied Physiology · Renal system
What determines the amount of water reabsorbed during the formation of urine in human kidneys?
1. A.
  The specific type of food regularly eaten and normally consumed daily
2. B.
  The oxygen level present within the circulating blood throughout the body
3. C.
  The amount of excess water and dissolved waste the human body must remove
4. D.
  The overall physical size and measurable dimensions of the human kidneys
Answer and explanation
Q57 · Obstetrics & Gynaecology · Population Dynamics and Control of Conception
Which method of contraception releases hormones to stop ovulation?
1. A.
  Withdrawal method
2. B.
  Oral contraceptive pills
3. C.
  Copper-T
4. D.
  Condom
Answer and explanation
Q58 · Obstetrics & Gynaecology · Infertility
A 29-year-old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?
1. A.
  Serum thyroid function tests for evaluation
2. B.
  Endometrial biopsy for luteal phase assessment
3. C.
  Transvaginal ultrasound of pelvic organs
4. D.
  Diagnostic laparoscopy with chromopertubation
Answer and explanation
Q59 · Quantitative Aptitude and Mathematics · Miscellaneous
The volume of a solid cylinder is 80,850 cm3 and its height is 21cm**. Find the total surface area of the cylinder.** (Use pi=. 22/7
1. A.
  12,289 cm²
2. B.
  12,331 cm²
3. C.
  12,320 cm²
4. D.
  12,312 cm²
Answer and explanation
Q60 · Obstetrics & Gynaecology · Infertility
During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?
1. A.
  Abnormal cervical mucus
2. B.
  Hormonal imbalance leading to anovulation
3. C.
  Blocked fallopian tubes
4. D.
  Intrauterine adhesions preventing implantation
Answer and explanation
Q61 · Community Health Nursing · Health Care Planning and Organization of Health Care at various levels
Which committee emphasized strengthening district hospitals to provide specialist services as part of health planning in India?
1. A.
  Jungalwalla Committee
2. B.
  Srivastava Committee
3. C.
  Bhore Committee
4. D.
  Mudaliar Committee
Answer and explanation
Q62 · Child Health Nursing (Pediatrics) · Newborn Infants
A newborn with respiratory distress syndrome and requiring mechanical ventilation is admitted to a facility. Which level of NICU care should this facility provide to best meet the infant's needs?
1. A.
  Level II
2. B.
  Level III
3. C.
  Level IV
4. D.
  Level I
Answer and explanation
Q63 · Quantitative Aptitude and Mathematics · Miscellaneous
A train travels 1/3 of the total distance at 40km/hr, 1/4 of the total distance at 60km/hrand the remaining distance at 50km/hr. Find the average speed of the train.
1. A.
  50 km/hr
2. B.
  42 km/hr
3. C.
  45 km/hr
4. D.
  48 km/hr
Answer and explanation
Q64 · Obstetrics & Gynaecology · Menopause
Which hormone decreases most rapidly after surgical menopause?
1. A.
  Thyroxine
2. B.
  Estrogen
3. C.
  Insulin
4. D.
  Progesterone
Answer and explanation
Q65 · Reasoning · Direction Sense
A truck was facing the south. It turned 135 degree in the clockwise direction and then 45 degree in the anti-clockwise direction then moved 5km Then moved 45 degree in the anti-clockwise. In which direction is the truck facing now?
1. A.
  South-west
2. B.
  South
3. C.
  North
4. D.
  South-east
Answer and explanation
Q66 · Child Health Nursing (Pediatrics) · Adolescent Health and Development
Which age group is mainly considered in pediatric nursing?
1. A.
  Adults
2. B.
  Pregnant women
3. C.
  Seniors
4. D.
  Newborns to adolescents
Answer and explanation
Q67 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A nurse is monitoring a patient with a colostomy. Which observation requires immediate attention?
1. A.
  Stoma appears dark and bluish
2. B.
  Effluent is formed and brown
3. C.
  Output decreases temporarily after surgery
4. D.
  Stoma is moist and pink
Answer and explanation
Q68 · Nursing Education · Implementation
What is a key principle for making health education effective among diverse groups?
1. A.
  Adapt messages to audience needs
2. B.
  Assume all learners have the same background
3. C.
  Deliver information in one language only
4. D.
  Focus solely on scientific data
Answer and explanation
Q69 · Nursing Education · Implementation
When evaluating the effectiveness of communication in a health education session, which indicator most accurately shows that successful communication has been established?
1. A.
  The educator has thorough knowledge of the content
2. B.
  The educator uses effective mass media
3. C.
  Participants can accurately summarize the main points
4. D.
  The educator finishes the session early
Answer and explanation
Q70 · Nursing Management & Leadership · Organisational Behaviour & Human Relations
What is the best approach for the nurse administrator to solve the frequent conflicts between nurses and physicians regarding patient care responsibilities?
1. A.
  Increase the nurse-to-patient ratio
2. B.
  Assign all decision-making to physicians
3. C.
  Ignore the issue and hope it resolves naturally
4. D.
  Facilitate an inter-professional meeting to clarify roles
Answer and explanation
Q71 · Nursing Foundations · Procedures
A patient is receiving oxygen via nasal cannula and complains of nasal dryness. What should the nurse do to maintain comfort and oxygenation?
1. A.
  Discontinue oxygen therapy
2. B.
  Humidify the oxygen
3. C.
  Apply petroleum jelly inside the nose
4. D.
  Increase oxygen flow rate
Answer and explanation
Q72 · Applied Psychology · Motivation & Emotional Processes
Which of these represents the correct order of Maslow's hierarchy from the most basic to higher needs?
1. A.
  Safety needs, Belonging needs, Esteem needs, Physical needs
2. B.
  Esteem needs, Physical needs, Safety needs, Belonging needs
3. C.
  Physical needs, Safety needs, Belonging needs, Esteem needs
4. D.
  Belonging needs, Esteem needs, Safety needs, Physical needs
Answer and explanation
Q73 · Medical & Surgical Nursing · Integumentary Function
Which solution is commonly used for fluid replacement in burn patients?
1. A.
  Distilled water
2. B.
  Ringer's lactate
3. C.
  5% dextrose
4. D.
  Normal saline with glucose
Answer and explanation
Q74 · Mental Health Nursing · Legal Issues in Mental Health Nursing
What is a key provision of the Narcotic Drugs and Psychotropic Substances Act, 1985, regarding medical use?
1. A.
  Medical use is allowed without any oversight
2. B.
  Medical use is allowed only under strict regulation
3. C.
  Medical use is unrestricted for all substances
4. D.
  Medical use is completely banned
Answer and explanation
Q75 · Applied Sociology · Social structure
What is a major difference in the social structure of rural and urban communities?
1. A.
  Rural communities have larger populations
2. B.
  Urban communities rely mainly on agriculture
3. C.
  Rural communities have greater cultural diversity
4. D.
  Urban communities have more formal institutions
Answer and explanation
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Q76 · Medical & Surgical Nursing · Immunologic Function
Which nursing intervention is most appropriate when caring for a patient experiencing an anaphylactic reaction?
1. A.
  Place the patient in a supine position only
2. B.
  Maintain a patent airway and administer epinephrine
3. C.
  Apply a warm compress to the affected area
4. D.
  Administer oral antihistamines
Answer and explanation
Q77 · Nursing Foundations · Vital Signs
Which of the following best describes the nurse's role in addressing a patient's psychological needs during hospitalization?
1. A.
  Administering prescribed medications only
2. B.
  Providing emotional support and active listening
3. C.
  Monitoring vital signs regularly
4. D.
  Ensuring the patient follows dietary restrictions
Answer and explanation
Q78 · Nursing Research & Statistics · Analysis of data
Find the difference between the medians of the data 21, 41, 34, 19, 37 and the data 33, 23, 27, 39, 31.
1. A.
  3
2. B.
  5
3. C.
  10
4. D.
  8
Answer and explanation
Q79 · Community Health Nursing · Communication management and Health Education
When planning a family health education session, what approach best allows a community health nurse to tailor interventions for families with diverse cultural backgrounds and health beliefs?
1. A.
  Focusing the session only on the nurse's own cultural perspective
2. B.
  Avoiding discussion of cultural differences during the session
3. C.
  Using only standard educational materials for all families
4. D.
  Conducting a preliminary assessment of each family's health beliefs and cultural practices
Answer and explanation
Q80 · Applied Physiology · Endocrine system
Which hormone is most associated with the body's stress response?
1. A.
  Melatonin
2. B.
  Serotonin
3. C.
  Insulin
4. D.
  Cortisol
Answer and explanation
Q81 · Obstetrics & Gynaecology · Multiple Pregnancy, Amniotic Fluid Disorders, Abnormalities of Placenta and Cord
During active labor, a woman experiences sudden respiratory distress, hypotension, and cyanosis. What is the most likely diagnosis?
1. A.
  Identify placental abruption
2. B.
  Suspect amniotic fluid embolism
3. C.
  Diagnose uterine inversion
4. D.
  Consider cord prolapse
Answer and explanation
Q82 · General Knowledge · National Current Affairs
In December 2025, the plummeting AQI led to emergency-level restrictions, called GRAP-4, being implemented in which city of India?
1. A.
  Pune
2. B.
  Chennai
3. C.
  Chandigarh
4. D.
  Delhi
Answer and explanation
Q83 · Applied Psychology · Cognitive Process
Which technique is most commonly used in psychosocial therapy to help clients change negative thought patterns?
1. A.
  Social skills training
2. B.
  Electroconvulsive therapy
3. C.
  Cognitive restructuring
4. D.
  Psychoeducation
Answer and explanation
Q84 · Reasoning · Analogy
Select the pair that follows the same pattern as that followed by the two set of pairs given below. Both pairs follow the same pattern. OKN–JFI GCF–BXA
1. A.
  KGJ–FBE
2. B.
  KGJ–EBD
3. C.
  KFH–FBE
4. D.
  KFH–EAD
Answer and explanation
Q85 · Community Health Nursing · Communication management and Health Education
Which of the following is an example of a visual aid used in health education?
1. A.
  Song
2. B.
  Microphone
3. C.
  Poster
4. D.
  Radio
Answer and explanation
Q86 · General Knowledge · Miscellaneous
Which combination of factors is most responsible for widespread rainfall over mainland India during the summer season?
1. A.
  Localized convective rainfall generated only due to intense heating over the Deccan Plateau
2. B.
  Temperate cyclonic systems known as western disturbances originating from the Mediterranean region
3. C.
  Differential heating between the Indian landmass and surrounding seas creating low pressure over north-western India
4. D.
  Seasonal reversal of winds in the form of retreating north-east monsoon over the Indian subcontinent
Answer and explanation
Q87 · Applied Physiology · Respiratory system
What is the primary function of alveoli in the lungs?
1. A.
  Producing mucus
2. B.
  Filtering blood
3. C.
  Moving the rib cage
4. D.
  Exchanging gases
Answer and explanation
Q88 · Quantitative Aptitude and Mathematics · Miscellaneous
Simplify: 1.2x1.2x1.2-0.12x0.12x0.12/12x12x12
1. A.
  0.0000999
2. B.
  0.00999
3. C.
  0.0999
4. D.
  0.000999
Answer and explanation
Q89 · Obstetrics & Gynaecology · Abnormal Uterine Action
A woman in labor presents with uncoordinated, painful uterine contractions and no cervical progress. Which abnormal uterine action is most likely responsible?
1. A.
  Hypotonic uterine action
2. B.
  Normal uterine action
3. C.
  Hypertonic uterine action
4. D.
  Incoordinate uterine action
Answer and explanation
Q90 · Pharmacology · General Pharmacology
Following a course of broad-spectrum antibiotics, a patient develops gastrointestinal discomfort. Which change in the normal flora is most likely responsible for this symptom?
1. A.
  Migration of skin flora to the intestines
2. B.
  Overgrowth of respiratory tract organisms
3. C.
  Colonization by oral bacteria in the gut
4. D.
  Disruption of gut flora balance leads to symptoms
Answer and explanation
Q91 · Nursing Management & Leadership · Management of Nursing Service in the Hospital & Community
When urgent supplies are required outside the regular ordering cycle, which action aligns with proper ward management protocols?
1. A.
  Submit a special indent with justification for urgent need
2. B.
  Purchase the items personally and seek reimbursement later
3. C.
  Borrow supplies from another unit without formal process
4. D.
  Wait for the next scheduled indent submission period
Answer and explanation
Q92 · Nursing Foundations · Procedures
A patient with urinary retention is prescribed intermittent catheterization every six hours. Which action by the nurse demonstrates proper technique to minimize infection risk?
1. A.
  Administer prophylactic antibiotics after every catheterization
2. B.
  Change the catheter insertion site for each insertion
3. C.
  Perform hand hygiene before and after catheter insertion
4. D.
  Insert antibiotic injections directly into the urethra
Answer and explanation
Q93 · Nursing Foundations · Documentation & Reporting
During a health camp, a nurse ensures that all patient records are updated immediately after each consultation. Which essential requirement is she adhering to in this process?
1. A.
  Timeliness of data entry and review
2. B.
  Proper storage and retrieval systems
3. C.
  Confidentiality of patient information
4. D.
  Legibility in handwriting and ink
Answer and explanation
Q94 · Applied Psychology · Personality
Which scenario best illustrates the concept of industry versus inferiority according to Erikson's stages of development in school age children?
1. A.
  A child feels proud after completing a group project
2. B.
  A child throws a tantrum when told "no"
3. C.
  A child plays alone during recess
4. D.
  A child insists on dressing themselves
Answer and explanation
Q95 · Applied Sociology · Social organization and disorganization
Formal social control is most closely associated with which of the following?
1. A.
  Peer group opinions
2. B.
  Laws and official regulations
3. C.
  Personal habits and routines
4. D.
  Family traditions and customs
Answer and explanation
Q96 · General Knowledge · Basic Physics
A student observes a body moving with constant speed along a circular path. Which of the following best represents the graphical relationship between its speed and time for one complete revolution?
1. A.
  A curved line increasing with time
2. B.
  A horizontal straight line parallel to the time axis
3. C.
  A line sloping upwards with time
4. D.
  A sinusoidal curve above the time axis
Answer and explanation
Q97 · Obstetrics & Gynaecology · Normal Puerperium
Effective maternal-infant bonding in the immediate postnatal period primarily helps the mother to achieve which of the following?
1. A.
  Avoiding mandatory immunizations
2. B.
  Increasing infants' weight rapidly
3. C.
  Recognizing and responding to baby's needs
4. D.
  Eliminating the risk of physiological jaundice in neonate
Answer and explanation
Q98 · Obstetrics & Gynaecology · Infertility
Which hormone is typically measured during infertility investigations to assess ovarian reserve?
1. A.
  Prolactin
2. B.
  Thyroid Stimulating Hormone (TSH)
3. C.
  Follicle Stimulating Hormone (FSH)
4. D.
  Testosterone
Answer and explanation
Q99 · Applied Physiology · Nervous System
Which cortical area is responsible for the formulation of speech?
1. A.
  Broca Area
2. B.
  Hypothalamic Area
3. C.
  Hippocampus
4. D.
  Cerebellum Area
Answer and explanation
Q100 · Applied Anatomy · Reproductive System
In the male reproductive system, which structure among the following is primarily responsible for the production of sperm?
1. A.
  Vas deferens
2. B.
  Seminiferous tubules
3. C.
  Prostate gland
4. D.
  Epididymis
Answer and explanation

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