Lok Sewa AAyog

Nepal Health Service Aayog, General Nursing

Fifth Section, Staff Nurse Position Competitive Written Exam

2073/01/25

Key ( C )

Time: 45 mins

Full marks: 100

Subject: Service Related

  1. The best implication that a patient with diabetes mellitus is successful managing the disease discharge is a-
  1. Reduction is excess body weight
  2. Stabilization of serum glucose level
  3. Demonstration knowledge of disease
  4. Compliance with order for insulin for insulin administration
  1. Antibodies are produced 
  1. Eosinophils
  2. Erythrocytes
  3. Lymphocytes
  4. Plasma cells
  1. The inner layer of uterus is 
  1. Endocardium
  2. Myocardium
  3. Endometrium
  4. Myometrium
  1. Nursing care of a woman with Eclampsia are following except……
  1. Clear and maintain the airway and place in a semi prone position
  2. Administer oxygen via face mask at 8-10 L/m
  3. Frequently check foetal heart rate
  4. Allow to talk with visitors in the room
  1. The common implantation site for fertilized ovum in the fallopian tube is:
  1. Isthmus
  2. Infundibulum
  3. Ampullary region
  4. Cornua of the uterus
  1. Duration and intensity of contractions can be best felt by placing hand
  1. On the women’s abdomen at the mid portion of the uterus
  2. On the women’s abdomen at the lower portion of the uterus
  3. On the top of fundus
  4. On the women’s abdomen at the upper portion of the uterus
  1. Criteria for vacuum extraction are
  1. A term fetus, vertex presentation
  2. Fetal head at least at 2 station
  3. 7-8 cm dilated cervix
  4. Fetal distress in first stage of casaus
  1. Prolapse of the bladder and the anterior vaginal wall is called
  1. Cystocele
  2. Enterocele
  3. Rectocele
  4. Urethrocele
  1. ….….. is an absolute state of inability to conceive
  1. Sterility
  2. Fertility
  3. Infertility
  4. Subfertility
  1. The abnormal opening between vagina and urinary bladder is
  1. Rectocele
  2. Cystocele
  3. Fistula
  4. Opening
  1. The term metrorrhagia refers  to
  1. Presence of blood in vaginal discharge
  2. Bleeding in between menstrual period
  3. Severe bleeding during each menses
  4. Painful menstrual flow
  1. The MVA Procedure is complete when
  1. The wall of the uterus feels smooth
  2. The vacuum in the syringe decreases
  3. Red or pink foam and no more tissue in visible in the cannula
  4. The uterus relax
  1. Age for menache of a girl child is ………
  1. 10-15 years
  2. 6-12 years
  3. 15-18 years
  4. 8-12 years

C-2

  1. Whooping cough is caused by:
  1. Bordetella Pertussis
  2. Brucella abortus
  3. Staphylococcus aureus
  4. Brucella mitis
  1. Nephrotic syndrome is characterized by :
  1. Proteinuria
  2. Hypolipidemia
  3. Hypotension
  4. Haemoturia
  1. When palpating the abdomen of an infant with hypertrophic pyloric stenos is you find:
  1. A distended colon
  2. Marked tenderness around the umbilicus
  3. Rhythmic peristaltic waves in the lower abdomen
  4. An olive-sized mass in the right upper quadrant
  1. Which of the following conditions requires immediate treatment for newborn baby?
  1. Swollen breasts
  2. Cephalohematoma
  3. Swollen eye lids discharge pus
  4. Sub conjuntives hemorrhage
  1. Any sensory perception without corresponding external stimualtion is called:
  1. Hallucination
  2. Illution
  3. Delusion
  4. Agitation
  1. The disturbance of stream of thought in which thinking processes appear to run too quickly:
  1. Flight of ideas 
  2. Thought preservation
  3. Thought insertion
  4. Mood swing
  1. A client with cancer of the lungs says to the nurse “If I could just be free of pain for a few days, I might be able to eat more and regain strength.” Which stage of grieving does the nurse conclude the client is in ?
  1. Bargaining
  2. Firustration
  3. Depression
  4. Rationlization
  1. Primary purpose for the regulation of nursing practice is to protect :
  1. The public
  2. Protecting nurses
  3. The employing agency
  4. Professional standard
  1. The method of budgeting that uses the expenditure from the previous year as a basis for the current annual budget is :
  1. Budgetting
  2. Expenditure
  3. Incremental budgeting
  4. Annual budgeting
  1. The process of influencing group activities toward accomplishment of goal in a given situation is :
  1. Leader
  2. Leadership
  3. Expenditure
  4. Annual budgeting
  1. Ammonia is excreted by the kidneys to help to maintain
  1. Osmotic pressure of the blood
  2. Acid base balance of the body
  3. Low bacterial levels in the urine
  4. Normal RBC production
  1. Probable signs of pregnancy include
  1. Fetal movements
  2. Amenorrhea
  3. Fetus seen on ultrasound
  4. Auscultation of FHS by fetoscope
  1. Principles of bed making are following except …………
  1. Using correct body mechanics
  2. Preventing cross infection
  3. Preparing the bed neatly
  4. Place the articles near the foot of bed
  1. A patient is scheduled for a urinary catheterizatoin. In which position should the nurse place the patient ?
  1. Trendelenburg position
  2. Dorsal recumbent position
  3. Supine position
  4. Prone position
  1. A client’s temperature of 98.6 o F is equal to:
  1. 36.5 o c
  2. 37 o c
  3. 38 o c
  4. 36.8 o c
  1. Paracentesis is the
  1. Infusion of g.v fluid from parenteral route
  2. Placement of catheter by chest X-ray examination after insertion
  3. Removal of fluid peritoneum to reduce intra abdominal tension or obtain fluid for culture.
  4. Provide supplemental water to balance hypertonic formula if ordered by health care provider.

C-3

  1. The muscle of upper arm for administering intramuscular injection is ………….
  1. Gluteus medius
  2. Gluteus minimus
  3. Deltoid muscle
  4. Vastus lateralis
  1. Which is not the function of Kidney ?
  1. Secretion of urine
  2. Excretion excess water and electrolyte to balance fluid and electrolyte
  3. Secretion of erythropoietin hormone to produce RBC
  4. Secretion of trypsinogen
  1. In a resuscitation of a patient with cardiac arrest, the rescurer first attempts for:
  1. Defibrillation
  2. Chest compression
  3. Establish a patent airway
  4. Mouth to mouth breathing
  1. Oncotic pressure is …………
  1. When one solution has more osmotic pressure than another, it draws fluid from the other.
  2. When one solution has less osmotic pressure than another, it forces into the other.
  3. Movement of molecules from area of higher concentration to area of lesser concentration.
  4. Forces fluid across cell membrane exerted by large protein molecules.
  1. The reproduction of human requires the genetic process of
  1. Mitosis
  2. Meiosis
  3. Mutation
  4. Inheritance
  1. The oxygenated blood is supplied to the stomach by-
  1. Cephalic Artery
  2. Caeliac Artery
  3. Carotid Artery
  4. Coronary Artery
  1. Nursing management blood is supplied to the genetic process of
  1. Monitor pulse rate before giving digitalis drug
  2. Provide oxygen by nasal canula as needed
  3. Keep the patient in supine position
  4. Provide small frequent salt restricted food.
  1. Post Operative Nursing Care of the pyelolithotomy patient are following except …..
  1. Maintain accurate record of drainage from the drainage tubes
  2. Irrigate through catheter
  3. Chock operated site regular for any bleeding
  4. Administer medicinces as order
  1. Diabetic meal plan for diabetic person with sedentary habit needs (calories):
  1. 20 cal/kg body weight/day
  2. 30 cal/kg body weight/day
  3. 40 cal/kg body weight/day
  4. 35 cal/kg body weight/day
  1. When a patient receiving peritoneal dialysis complain of severe respriratory difficulty, the most immediate nursing action should be to-
  1. Notify the physician
  2. Discontinue the treatment
  3. Change patient position
  4. Drain fluid from peritoneal cavity
  1. A patient with brochial asthma has difficulty breathing because of……..
  1. Rapid expulsion of air
  2. Spasms of bronchi, which trap the air
  3. Hyperventilation due to an anxiety
  4. An increase in the vital capacity of the lungs
  1. A client experiences abdominal distension following surgery. Which nursing actions are appropriate?
  1. Encouraging ambulation
  2. Auscultating bowel sounds
  3. Providing a straw for drinking
  4. Offering the prescribed opaid analgesic
  1. A nurse in the surgical intensive care unit is caring for a client with a large surgical incision. What medication does the nurse anticipate will be prescribed for the client?
  1. Vitamin A
  2. Cynocobalamin
  3. Phytonadine
  4. Ascorbic Acid
  1. What is the PRIORITY nursing intervention for a client during the immediate post-operative period?
  1. Monitoring vital signs
  2. Observing hemorrhage
  3. Maintaining patent airway
  4. Recording the intake and output

C-4

44. A client has developed atrial fibrillation and has a ventricular rate of 150 beats per minute. The nurse assess the clients for-

  1. Hypotension and dizziness
  2. Nausea and vomiting
  3. Hypertension and headache
  4. Flat neck veins

45. In visual acuity of Snelln chart, If a patient has acuity of 20/40 in both eyes, this means-

  1. The patient can see twice as well as
  2. The patient has double vision
  3. The patient has less than normal vision
  4. The patient has normal vision

46. Which of the following Vitamin is readily destroyed on cooking?

  1. Vitamin A
  2. Vitamin C
  3. Vitamin B complex
  4. Vitamin D

47. Major air pollutant is-

  1. Sulphar dioxide
  2. Carbon monoxide
  3. Lead
  4. Nitrogen

48. Which element is not related to primary health care?

  1. HIV/AIDS
  2. FP/MCH
  3. Safe water and sanitation
  4. Provision of essential dru

49. Which of the following is the tertiary level of prevention?

  1. Health promotion
  2. Chemoprophylaxis
  3. Rehabilitation
  4. Easily diagnosis and treatment

50. Health of the children is usually adversely affected by

  1. Low birth weight
  2. Malnutrition
  3. Measles
  4. Respiratory infection