लोक सेवा आयोग

                                        नेपाल स्वास्थ्य सेवा, जनरल नर्सिङ समूह,

                               पाँचौ तह, स्टाफ नर्स पदको प्रतियोगितात्मक लिखित परीक्षा

Key (C)                                                                                                    

समय :- ४५ मिनेट                                                                                               पूर्ण अंक – 100

                                                           विषय:- सेवा सम्बन्धी


उत्तरपुस्तिकामा प्रश्नपत्रको Key अनिवार्य रूपले उल्लेख गर्नुपर्नेछ । उल्लेख नगरेमा उत्तरपुस्तिका र हुनेछ ।

1. The best implication that a patient with diabetes mellitus is successful managing the disease after discharge is a

(A) Reduction is excess body weight (B) Stabilization of serum glucose level

 (C) Demonstration knowledge of disease (D) Compliance with order for insulin administration

2. Antibodies are produced by  

(A) Eosinophils (B) Erythrocytes

(C) Lymphocytes (D) Plasma cells

3. The inner layer of uterus is

(A) Endocardium (B) Myocardium

(C) Endometrium (D) Myometrium

4. Nursing care of a woman with Eclampsia are following except……..

(A) Clear and maintain the airway and place in a semi-prone position (B) Administer oxygen via face mask at 8-10 L/m

(C) Frequently check foetal heart rate (D) Allow to talk with visitors in the room

5. The common implantation site for fertilized ovum in the fallopian tube is:

(A) Isthmus (B) Infundibulum

(C) Ampullary region (D) Cornua of the uterus

6. Duration and intensity of contractions can be best felt by placing hand

(A) On the women’s abdomen at the mid-portion of the uterus (B) On the women’s abdomen at the lower portion of the uterus

(C) On the top of fundus (D) On the women’s abdomen at the upper portion of the uterus

7. Criteria for vacuum exraction are

(A) A term fetus, vertex presentation (B) Fetal head at least at 2 station

(C) 7-8 cm dilated cervix (D) Fetal distress in first stage of casaus

8. Prolapse of the bladder and the anterior vaginal wall is called

(A) Cystocele (B) Enterocele

(C) Rectocele (D) Urethrocele

9. …………. is an absolute state of inability to conceive

(A) Sterility (B) Fertility  

(C) Infertility (D) Subfertility

10. The abnormal opening between vagina and urinary bladder is

(A) Rectocele (B) Cystocele

(C) Fistula (D) Opening

11. The term metrorrhagia refers to

(A) Presence of blood in vaginal discharge (B) Bleeding in between menstrual period

(C) Severe bleeding during each menses (D) Painful menstrual flow

12. The MVA procedure is complete when

(A) The wall of the uterus feels smooth (B) The vacuum in the syringe decreases

(C) Red or pink foam and no more tissue in visible in the cannula (D) The uterus relax

13. Age for menache of a girl child is……….

(A) 10-15 years (B) 6-12 years

(C) 15-18 years (D) 8-12 years  

14. Whooping cough is caused by:

(A) Bordetella Pertussis (B) Brucella abortus

(C) Staphylococcus aureus (D) Brucella mitis

15. Nephrotic syndrome is characterized by :

(A) Proteinuria (B) Hypolipidemia

(C) Hypotension (D) Haemoturia

16. When palpating the abdomen of an ingant with hypertrophic pyloric stenos is you find:

(A) A distended colon (B) Marked tenderness around the umbilicus

(C) Rhythmic peristaltic waves in the lower abdomen (D) An olive-sized mass in the right upper quadrant

17. Which of the following conditions requires immediate treatment for newborn baby?

(A) Swollen breasts (B) Cephalohematoma

(C) Swollen eye lids discharge pus (D) Sub conjuntives hemorrhage

18. Any sensory perception without corresponding external stimulation is called:

(A) Hallucination (B) Illution

(C) Delusion (D) Agitation

19. The disturbance of stream of thought in which thinking processes appear to run too quickly :

        (A) Flight of ideas (B) Thought preservation

(C) Thought insertion (D) Mood swing

20.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?

(A) Bargaining (B) Firustration

(C) Depression (D) Rationlization

21. Primary purpose for the regulation of nursing practice is to protect :

(A) The public (B) Protecting nurses

(C) The employing agency (D) Professional standard 22.

22.The method of budgeting that uses the expenditure from the previous year as a basis for the current annual budget is:

(A) Budgetting (B) Expenditure

(C) Incremental budgeting (D) Annual budgeting

23. The process of influencing group activities toward accomplishment of goal in a given situation is:

(A) Leader (B) Leadership

(C) Management (D) Manager

24. Ammonia is excreted by the kidneys to help to maintain

(A) Osmotic pressure of the blood (B) Acid-base balance of the body

(C) Low bacterial levels in the urine (D) Normal RBC production

25. Probable signs of pregnancy include

(A) Fetal movements (B) Amenorrhea

(C) Fetus seen on ultrasound (D) Auscultation of FHS by fetoscope

26. Principles of bed making are following except………

(A) Using correct body mechanics (B) Preventing cross-infection

(C) Preparing the bed neatly (D) Place the articles near the foot of bed

27. A patient is scheduled for a urinary catheterization. In which position should the nurse place the patient?

 (A) Trendelenburg position (B) Dorsal recumbent position

(C) Supine position (D) Prone position

 28. A client’s temperature of 98.6° F is equal to:

 (A) 36.5°C (B) 37°C

(C) 38°C (D) 36.8C.

29. Paracentesis is the

(A) Infusion of g.v fluid from parenteral route (B) Placement of catheter by chest X-ray examination after insertion

(C) Removal of fluid from peritoneum to reduce intra abdominal tension or obtain fluid for culture. (D) Provide supplemental water to balance hypertonic formula if ordered by health care a provider

30. The muscle of upper arm for administering intramuscular injection is…

(A) Gluteus medius (B) Gluteus minimus

(C) Deltoid muscle ( (D) Vastus lateralis

31. Which is not the function of kidney?

(A) Secretion of urine (B) Excretion excess water and electrolyte to balance fluid and electrolyte

(C) Secretion of erythropoietin hormone to produce RBC (D) Secretion of trypsinogen

32. In a resuscitation of a patient with cardiac arrest, the rescurer first attempts for:

(A) Defibrillation of the heart (B) Chest compression

(C) Establish a patent airway (D) Mouth to mouth breathing

33. Oncotic pressure is…………

(A) When one solution has more osmotic pressure than another, it draws fluid from the other. (B) When one solution has less osmotic pressure than another, it forces fluid into the other.

(C) Movement of molecules from area of higher concentration to area of lesser concentration. (D) Forces fluid across cell membrane exerted by large protein molecules.

34. The reproduction of human requires the genetic process of

(A) Mitosis (B) Meiosis

(C) Mutation (D) Inheritance

35.The oxygenated blood is supplied to the stomach by

(A) Cephalic Artery (B) Caeliac Artery

(C) Carotid Artery (D) Coronary Artery

36. Nursing management of congestive Heart Failure are following except………

(A) Monitor pulse rate before giving digitalis drug (B) Provide oxygen by nasal canula as needed

(C) Keep the patient in supine position

(D) Provide small frequent salt restricted food.

37. Post Operative Nursing Care of the pyelolithotomy patient are following except………..

(A) Maintain accurate record of drainage from the drainage tubes (B) Irrigate through catheter (C) Chock operated site regularly for any bleeding (D) Administer medicines as order

38. Diabetic meal plan for diabetic person with sedentary habit needs (calories):

(A) 20 cal/kg body weight/day (B) 30 cal/kg body weight/day

(C) 40 cal/kg body weight/day (D) 35 cal/kg body weight/day

39. When a patient receiving peritoneal dialysis complain of severe respiratory difficulty, the most immediate nursing action should be to

(A) Notify the physician (B) Discontinue the treatment

(C) Change patient position (D) Drain fluid from peritoneal cavity

40. A patient with brochial asthma has difficulty breathing because of……

(A) Rapid expulsion of air (B) Spasms of the bronchi, which trap the air

(C) Hyperventilation due to an anxiety (D) An incrcase in the vital capacity of the lungs

41. A client experiences abdominal distension following surgery. Which nursing actions are appropriate?

      (A) Encouraging ambulation (B) Auscultating bowel sounds

(C) Providing a straw for drinking (D) Offering the prescribed opaid analgesic

42. 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?

(A) Vitamin A (B) Cynocobalamin

(C) Phytonadine (D) Ascorbic Acid

43. What is the PRIORITY nursing intervention for a client during the immediate post-operative period?

(A) Monitoring vital signs (B) Observing hemorrhage

(C) Maintaining patent airway (D) Recording the intake and output 41.

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

(A) Hypotension and dizziness (B) Nausea and vomiting

(C) Hypertension and headache (D) Flat neck veins

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

(A) The patient can see twice as well as (B) The patient has double vision

(C) The patient has less than normal vision (D) The patient has normal vision

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

(A) Vitamin A (B) Vitamin C

(C) Vitamin B complex (D) Vitamin D

47. Major air pollutant is

(A) Sulphar dioxide (B) Carbon monoxide

(C) Lead (D) Nitrogen

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


(C) Safe water and sanitation (D) Provision of essential d

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

(A) Health promotion (B) Chemoprophylaxis

(C) Rehabilitation (D) Easily diagnosis and treatment

50. Health of the children is usually adversely affected by

(A) Low birth weight (B) Malnutrition

(C) Measles (D) Respiratory infection

                                                       – The End

 उत्तरपुस्तिकामा प्रश्नपत्रको Key अनिवार्य रुपले उल्लेख गर्नुपर्नेछ । उल्लेख नगरेमा उत्तरपुस्तिका रद्द हुनेछ ।

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