Kerala PG Nursing 2020 Question Paper with Answer Key

PROVISIONAL ANSWER KEY

Exam: PGN-2020
Date of Test: 18-10-2020

Question1:-The placenta is developed from
A:-Epiblast
B:-Hypoblast
C:-Embryoblast
D:-Trophoblast
Question2:-In fetal circulation connection between pulmonary artery and descending aorta is
A:-Ductus arteriosus
B:-Ductus venosus
C:-Foramen ovale
D:-Ligamentum arteriosus
Question3:-The first Leopold maneuver in abdominal palpation of a pregnant women is
A:-Pawlik grip
B:-Pelvic grip
C:-Fundal grip
D:-Lateral grip
Question4:-Triple test of second trimester fetal screening include all biochemical test EXCEPT
A:-Maternal serum alpha fetoprotein
B:-Unconjugated estriol
C:-Human chrionic gonadotropin
D:-Inhibin – A
Question5:-Placenta previa is suspected if there is
A:-Bright red vaginal bleeding with abdominal pain
B:-Bright red vaginal bleeding without abdominal pain
C:-Dark colour vaginal bleeding with abdominal pain
D:-Dark colour vaginal bleeding without abdominal pain
Question6:-The type of miscarriage where the fetus is dead and retained inside the uterus for a variable period
A:-Threatened miscarriage
B:-Complete miscarriage
C:-Silent miscarriage
D:-Inevitable miscarriage
Question7:-As a nurse what will be your action if a mother complaints of increased urine output on the first postnatal day
A:-Reassure that it is an expected outcome
B:-Restrict the fluid intake
C:-Inform the doctor
D:-Send a midstream urine specimen for culture and sensitivity
Question8:-Myasthenia Gravis is due to the
A:-Destruction of acetyl choline esterase receptors
B:-Degeneration of dopamine producing neurons
C:-Disseminated demyelination of nerve fibers
D:-Degeneration of motor neurons
Question9:-Polyhydramnios is sonographically diagnosed between the gestational age of 28 to 40 weeks by estimating
A:-Ponderal index
B:-Amniotic fluid index
C:-Cephalic index
D:-Pulsatility index
Question10:-The placental abnormality with increased risk of placental retention is
A:-Battledore placenta
B:-Circumvallate placenta
C:-Placenta marginata
D:-Placenta Succenturiat
Question11:-If a women is in the first stage of normal labour without any complications, the frequency of recording of fetal heart rate an

partograph is
A:-Every 15 minutes
B:-Every 30 minutes
C:-Every 45 minutes
D:-Every hour
Question12:-Which among the following statement is TRUE regarding methergine use in labour
A:-It is used for the induction of labour
B:-It is administered immediately after the delivery of the head of the baby
C:-It is used in the management of post partum haemorrhage
D:-It is the drug of choice in women with cardiac diseases
Question13:-Which among the following is not included as the criteria for the diagnosis of polycystic ovarian syndrome
A:-Oligo or anovulation
B:-Hyper androgenism
C:-Multiple cysts in the ovary
D:-Weight gain
Question14:-The assisted reproductive technology where spermatozoon is injected directly into the oocyte is
A:-IVF-ET
B:-GIFT
C:-ZIFT
D:-ICSI
Question15:-Every year Global hand washing day is observed on
A:-10th October
B:-13th October
C:-15th October
D:-24th October
Question16:-The ideal roller bandage application for the extended joints such as extended elbow
A:-Simple spiral
B:-Reverse spiral
C:-Figure of eight
D:-Divergent spica
Question17:-First action of a first aider when he reaches near a person with suspected carbon monoxide poisoning
A:-Assess the respiratory status
B:-Start mouth to mouth respiration
C:-Move the victim to a safe place
D:-Start oxygen administration
Question18:-Inflammation of gums are termed as
A:-Gingivitis
B:-Glossitis
C:-Cheilitis
D:-Stomatitis
Question19:-The particular manner or style of walking is
A:-Body alignment
B:-Posture
C:-Gait
D:-Range of motion
Question20:-In postural drainage ‘prone in Trendelenburg’s position with abdomen and thorax is elevated’ is given to drain secretions
A:-Anterior segment of both lower lobes of lungs
B:-Posterior segment of both lower lobes of lungs
C:-Lateral segment of left lower lobe
D:-Lateral segment of right lower lobe
Question21:-Cyanosis is
A:-An early sign of hypoxia
B:-A late sign of hypoxia
C:-A normal sign in respiratory failure
D:-A reliable measure of oxygenation
Question22:-Size of the outer diameter of the suction catheter, for endotracheal (ET) suctioning

A:-should not exceed half of the internal diameter of ET tube
B:-should be the smallest available catheter
C:-should be the largest available catheter
D:-should not exceed three fourth of the internal diameter of ET tube
Question23:-Which among the following is an example of hypertonic intravenous solution
A:-Dextrose normal saline
B:-Ringer’s Lactate
C:-0.9% NaCl
D:-5% Dextrose
Question24:-Calculate the drop per minute for administering 600ml of intravenous fluid over 8 hours using a drip set, that divides 1ml o
A:-20drops/min
B:-25 drops/min
C:-30drops/min
D:-35 drops/min
Question25:-The angle of insertion of needle for intra dermal injection
A:-90 degree
B:-60 degree
C:-45 degree
D:-10 degree
Question26:-The abbreviation used for the medication order ‘whenever there is a need’
A:-ac
B:-pc
C:-prn
D:-stat
Question27:-One milligram =
A:-1000 microgram
B:-1/1000 microgram
C:-100 microgram
D:-1/100 microgram
Question28:-Enteric coated tablets are intended to
A:-Absorb in small intestine
B:-Absorb in stomach
C:-Increase the duration of absorption
D:-Absorb only when body require it
Question29:-Electrolyte imbalance seen in patients receiving frequent salbutamol nebulisation
A:-Hypernatremia
B:-Hyponatremia
C:-Hyperkalemia
D:-Hypokalemia
Question30:-Size of green coloured IV cannula
A:-16G
B:-18G
C:-20G
D:-22G
Question31:-Wet to dry dressing is indicated in
A:-Surgical wounds
B:-Wound with granulation tissue
C:-Wound with necrotic tissue
D:-Clean wound of decubitus ulcer
Question32:-The Braden Scale is composed of all the following EXCEPT
A:-Sensory perception
B:-Oedema
C:-Moisture
D:-Nutrition
Question33:-Restraints are used to
A:-Prevent bed sore

B:-Prevent injury
C:-Improve the mobility
D:-Improve the functional ability
Question34:-Type of fever where there is fluctuations in body temperature of more than 2 degree Centigrade , all of which are above n
A:-Intermittent fever
B:-Remittent fever
C:-Relapsing fever
D:-Continuous fever
Question35:-While monitoring blood pressure if the nurse deflate the cuff too quickly reading will be
A:-Erroneously low systolic and high diastolic reading
B:-Erroneously high systolic and low diastolic reading
C:-Inconsistent
D:-Not affected
Question36:-Duration of the entire procedure of medical hand washing with soap and water as per WHO guidelines
A:-10-30 Sec
B:-20-30 Sec
C:-20-40 Sec
D:-40-60 Sec
Question37:-Most common type of health care associated infection is
A:-Catheter associated urinary tract infection
B:-Surgical site infection
C:-Catheter associated blood stream infection
D:-Ventilator associated pneumonia
Question38:-Normal breath sound heard over trachea
A:-Vesicular
B:-Broncho vesicular
C:-Bronchial
D:-Rhonchi
Question39:-Which among the following is NOT a cutaneous reflex
A:-Plantar reflex
B:-Patellar reflex
C:-Gluteal reflex
D:-Abdominal reflex
Question40:-A patient tells the nurse “I have headache and I am nauseated.”This is an example of
A:-Subjective data
B:-Historical data
C:-Objective data
D:-Medical data
Question41:-Which among the following is NOT applicable to a nurse’s record
A:-It has a legal value
B:-It is accessible to all staff members of hospital
C:-It provide data for research
D:-It is a means of communication between health care team
Question42:-Black tarry stool is seen in
A:-Upper gastro intestinal bleeding
B:-Lower gastro intestinal bleeding
C:-Colitis
D:-Constipation
Question43:-Ideal urine specimen for routine urine analysis
A:-First voided specimen in the morning
B:-Midstream specimen
C:-Catheter specimen
D:-Supra pubic specimen
Question44:-A nurse must suspect delayed gastric emptying if gastric residual volume is
A:-> 50ml
B:->100ml

C:->150ml
D:->200ml
Question45:-For a patient receiving nasogastric tube feeding, nurse anticipates pulmonary aspiration and formulates a nursing diagno
A:-Actual nursing diagnosis
B:-Risk nursing diagnosis
C:-Health promotion nursing diagnosis
D:-Wellness nursing diagnosis
Question46:-The nursing theorist who has emphasized the influence of environment in patient care
A:-Hildegard Peplau
B:-Florence Nightingale
C:-Virgenia Henderson
D:-Martha Rogers
Question47:-Which among the following is an example of expected outcome statement in measurable terms
A:-Patient remains pain free
B:-patient verbalizes less pain
C:-Nurse administer pain medication every 4 hour
D:-Patient reports pain less than 4 on a numeric pain scale
Question48:-An imaginary plane divides the body into superior and inferior part
A:-Median plane
B:-Sagittal plane
C:-Frontal plane
D:-Transverse plane
Question49:-Superficial veins of upper limbs are the following EXCEPT
A:-Brachial vein
B:-Basilic vein
C:-Cephalic vein
D:-Median cubital vein
Question50:-The most proximal part of the large intestine is
A:-Ascending Colon
B:-Caecum
C:-Transverse Colon
D:-Signoid Colon
Question51:-Largest commissural fiber of cerebrum is
A:-Corona radiata
B:-Internal capsule
C:-Corpus callosum
D:-Superior longitudinal fasciculus
Question52:-The location of blood brain barrier is considered to be
A:-At the level of brain capillaries
B:-At the level of glia
C:-At the level of axons
D:-At the level of dentrites
Question53:-Levator Ani muscles are the following EXCEPT
A:-Puborectalis
B:-Pubococcygeous
C:-Piriformis
D:-Iliococcygeous
Question54:-Receptors provide information about position of body and sense of equilibrium is
A:-Tele receptors
B:-Exteroceptors
C:-Interoceptors
D:-Proprioceptors
Question55:-Hormones produced by the anterior pituitary gland are the following EXCEPT
A:-Growth hormone
B:-Antidiuretic hormone
C:-Thyroid stimulating hormone

D:-Follicle stimulating hormone
Question56:-Diffusion occurs with the help of carrier molecules without the expenditure of energy is
A:-Simple diffusion
B:-Facilitated diffusion
C:-Endocytosis
D:-Active transport
Question57:-The net filtration pressure across the glomerular membrane is
A:-10 mmHg
B:-15 mmHg
C:-25 mmHg
D:-35 mmHg
Question58:-Fat splitting enzyme produced by glands of tongue is
A:-Ptyalin
B:-Salivary amylase
C:-Lingual lipase
D:-Lysozyme
Question59:-Hamburger shift is seen in
A:-Oxygen transport
B:-CO2 transport
C:-Carbohydrate metabolism
D:-Protein metabolism
Question60:-Gluconeogenesis is inhibited by
A:-Glucogon
B:-Growth hormone
C:-Insulin
D:-Glucocorticoids
Question61:-An example of tumour associated antigen(TAA) is
A:-Testis specific antigen(MAGE)
B:-Alpha fetoprotein (AFP)
C:-Carcino embryonic antigen(CEA)
D:-Prostate specific antigen(PSA)
Question62:-Which among the following test is expected by a nurse for a patient receiving parenteral heparin
A:-Activated partial thromboplastin time
B:-Bleeding time
C:-Total platelet count
D:-Prothrombin time
Question63:-The presence of which antigen indicate that the blood and body fluids of hepatitis B affected individuals are highly infectio
A:-HBsAg
B:-HBeAg
C:-HBcAg
D:-HBV-DNA
Question64:-Venous emboli are most often lodged in
A:-Intestine
B:-kidneys
C:-Heart
D:-lungs
Question65:-Negative staining with dyes such as Indian ink is used to demonstrate
A:-Bacterial nucleus
B:-Bacterial capsule
C:-Bacterial cell wall
D:-Bacterial cytoplasm
Question66:-Presence of which immunoglobulin in serum of newborn indicates congenital infections
A:-IgG
B:-IgA
C:-IgM
D:-IgE

Question67:-Who was considered as the ‘savior of mothers’ because he concluded that washing the hands in antiseptic solution preve
A:-Louis Pasteur
B:-Joseph Lister
C:-Ignaz Semmelweis
D:-Paul Ehrlich
Question68:-Chinese letter or cuneiform arrangement of bacilli is the characteristics feature of
A:-Mycobacterium tuberculosis
B:-Mycobacterium leprae
C:-Corynebacterium diphtheria
D:-Clostridium tetani
Question69:-Negri bodies are present in infection with
A:-Rabies virus
B:-Polio virus
C:-Epstein Barr virus
D:-Pox virus
Question70:-The most common cause of travelers diarrhea is
A:-Shigella
B:-Salmonella
C:-E.coli
D:-Vibrio cholera
Question71:-An example of high biological value protein food is
A:-Soyabean
B:-Egg
C:-Green gram
D:-Groundnut
Question72:-DASH diet is used in the prevention and management of
A:-Hypertension
B:-Diabetes mellitus
C:-Liver cirrhosis
D:-Peptic ulcer
Question73:-An example of essential fatty acid is
A:-Linoleic acid
B:-Aspartic acid
C:-Leucine
D:-Lysine
Question74:-Vitamin deficiency seen in pure vegetarians as this vitamin is present only in foods of animal origin
A:-Vitamin B1
B:-Folic Acid
C:-Vitamin B6
D:-Vitamin B12
Question75:-Complete oxidation of one molecule of glucose yields
A:-12ATPs
B:-24ATPs
C:-32ATPs
D:-129ATPs
Question76:-The key enzyme in fatty acid synthesis is
A:-Beta hydroxyacyl dehydrate
B:-Acetyl CoA carboxylase
C:-Enoyl reductase
D:-Acetyl transacylase
Question77:-Ammonia is formed with the help of all the following EXCEPT
A:-Trans aminase
B:-Glutamate dehydrogenase
C:-Aminoacid oxidase
D:-Threonine dehydratase

Question78:-Which among the following indicate an abnormal renal function test
A:-Blood urea 30mg/dl
B:-GFR 125ml/min
C:-S.Creatinine 8mg/dl
D:-Urine pH 6.8
Question79:-Pharmacodynamics means the mechanism of
A:-Drug action
B:-Drug absorption
C:-Drug distribution
D:-Drug excretion
Question80:-The most important vital sign monitoring for a patient receiving opioid analgesic such as morphine is
A:-Temperature
B:-Pulse
C:-Respiration
D:-Blood pressure
Question81:-The drug contraindicated in absence seizures is
A:-Ethosuximide
B:-Phenobarbital
C:-Valproic acid
D:-Carbamazepine
Question82:-The most common adverse effect of pantoprazole is
A:-Vomiting
B:-Headache
C:-Parasthesia
D:-Constipation
Question83:-The calcium channel blocker most likely to suppress the tachyarrhythmias involving A-V node is
A:-Verapamil
B:-Nifedipine
C:-Amlodipine
D:-Nicardipine
Question84:-The primary goal of glucocorticoid treatment in rheumatoid arthritis is
A:-Reversal of the degenerative process
B:-Suppression of inflammation
C:-Development of a sense of well being
D:-Eradication of all symptoms
Question85:-A patient is receiving aminoglycoside for 10 days. Nurse should monitor the patient for
A:-Hepatotoxicity
B:-Symptoms of gastric irritation
C:-Nephrotoxicity
D:-Visual disturbances
Question86:-The researcher want to generalize the study findings to
A:-Target population
B:-Accessible population
C:-Sample
D:-Individuals
Question87:-Which among the following is NOT a probability sampling technique
A:-Systematic sampling
B:-Stratified sampling
C:-Quota sampling
D:-Cluster sampling
Question88:-Which among the following is a measure of dispersion
A:-Arithmetic mean
B:-Geometric mean
C:-Standard deviation
D:-Median
Question89:-Nurse monitor a patient during the oliguric phase of acute kidney injury for all the following EXCEPT

A:-Seizures
B:-Hypokalemia
C:-Metabolic acidosis
D:-Azotemia
Question90:-In a research study the effectiveness of weekly iron and folic acid supplementation on haemoglobin values of adolescent
example of
A:-Extraneous variable
B:-Confounding variable
C:-Dependent variable
D:-Independent variable
Question91:-One should ensure the following for an informed consent EXCEPT
A:-Competence of the researcher
B:-Voluntary participation
C:-Comprehension
D:-Information
Question92:-Nurses responsibility while caring a patient during and after barium swallow include the following EXCEPT
A:-Administer laxatives and enema in the evening before procedures
B:-NPO for 8 to 12 hours before procedures
C:-Avoid smoking
D:-Increase fluid intake after the study
Question93:-Cost related to loss of work due to illness and hospitalization is termed as
A:-Direct cost
B:-Indirect cost
C:-Intangible cost
D:-Fixed cost
Question94:-The revolutionary women and child health campaign GOBI-FFF is formulated by
A:-WHO
B:-UNICEF
C:-UNESCO
D:-USAID
Question95:-Antituberculosis drugs used in the continuation phase of daily dose regimen for drug sensitive new cases are the followin
A:-Rifampicin
B:-INH
C:-Ethambutol
D:-Pyrazinamide
Question96:-A project offering free treatment for all children (below 18 years of age) in Kerala irrespective of their income status is
A:-Arogya kiranam
B:-Amrutham
C:-Aardram
D:-Aswamedham
Question97:-The age of administration of inactivated polio vaccine (IPV)
A:-6 weeks & 10 weeks
B:-10 weeks & 14 weeks
C:-6 weeks & 14 weeks
D:-9 months
Question98:-The route of administration of measles vaccine
A:-Intra dermal
B:-Intra muscular
C:-Subcutaneous
D:-Oral
Question99:-The most common side effect of intra uterine devices
A:-Expulsion
B:-Pain
C:-Pelvic inflammatory diseases
D:-Increased vaginal bleeding
Question100:-The women help line number of government of Kerala

A:-1070
B:-1091
C:-1090
D:-1098
Question101:-The number of death from a specific disease during a specific time period divided by total number of cases of that disea
A:-Case fatality rate
B:-Crude death rate
C:-Specific death rate
D:-Disease specific mortality rate
Question102:-The method of cleaning the rapid sand filter is
A:-Filter cleaning
B:-Filter control
C:-Back washing
D:-Flocculation
Question103:-The major signs included in the surveillance of AIDS include the following EXCEPT
A:-Chronic diarrhea for more than 1 month
B:-Weight loss of ≥10% of body weight
C:-Prolonged fever more than 1 month
D:-Persistent cough for more than 1 month
Question104:-In usual situation MTP act allows termination of pregnancy
A:-At any time
B:-Up to 20 weeks
C:-Up to 24 weeks
D:-Up to 28 weeks
Question105:-Conducting medical camp for pap smear screening for carcinoma cervix is an example of
A:-Primary prevention
B:-Secondary prevention
C:-Tertiary prevention
D:-It is not a preventive strategy
Question106:-Observational study where the population is studied at one point in time is
A:-Cross sectional study
B:-Longitudinal study
C:-Case control study
D:-Cohort study
Question107:-An example of food and water borne disease is
A:-Diphtheria
B:-Hepatitis A
C:-Hepatitis B
D:-Hepatitis C
Question108:-The time period during which an infectious agent may be transferred directly or indirectly from an infected person to ano
A:-Serial interval
B:-Generation time
C:-Period of communicability
D:-Incubation period
Question109:-Modifiable risk factor for hypertension
A:-Age
B:-Sex
C:-Ethinicity
D:-Obesity
Question110:-The method of prevention and control of air pollution where toxic substances are prevented from escaping into the ambi
A:-Dilution
B:-Legislation
C:-Containement
D:-Replacement
Question111:-Swollen bleeding gums are due to the deficiency of
A:-Vitamin C

B:-Vitamin K
C:-Vitamin A
D:-Vitamin E
Question112:-Every subordinate must receive orders and instructions and be accountable to only one superior. This principle of manag
A:-Unity of command
B:-Unity of direction
C:-Scalar chain of command
D:-Centralisation
Question113:-Structure, process, outcome model of quality assurance is popularly known as
A:-Wilson’s model
B:-Quality health outcome model
C:-Donabedian model
D:-Quality management model
Question114:-The organization structure where the authority flows from top to bottom in a step by step manner
A:-Divisional organization structure
B:-Matrix organization structure
C:-Line organization structure
D:-Functional organization structure
Question115:-The systematic review of records of nursing actions in order to evaluate the quality of nursing care by comparing the evi
A:-Accreditation
B:-Nursing standards
C:-Nursing audit
D:-Quality control
Question116:-Method of patient assignment where the nurse assumes twenty four hour period responsibility for planning the care of o
till discharge is
A:-Case Method
B:-Functional Method
C:-Team Method
D:-Primary Nursing
Question117:-Assigning the new employee to an appropriate position is
A:-Recruitment
B:-Selection
C:-Placement
D:-Induction
Question118:-The student patient ratio to be maintained for providing effective clinical training for students is
A:-1:2
B:-1:3
C:-1:4
D:-1:5
Question119:-The trained nurses association was established in
A:-1904
B:-1908
C:-1918
D:-1914
Question120:-Father of idealism
A:-Plato
B:-J.S. Rose
C:-Aristotle
D:-Rousseau
Question121:-Highest level of psychomotor domain of educational objective
A:-Mechanism
B:-Adaptation
C:-Guided response
D:-Origination
Question122:-Behavioural objective model of curriculum was developed by
A:-Beattie

B:-Lawrence Stenhouse
C:-Ralph Tyler
D:-Bloom
Question123:-The curriculum that is agreed by faculty either implicitly or explicitly
A:-Hidden curriculum
B:-Illegitimate curriculum
C:-Legitimate curriculum
D:-Null curriculum
Question124:-The type of learning in which acquisition of a series of related conditioned responses occur
A:-Signal learning
B:-Chaining
C:-Stimulus response learning
D:-Verbal association
Question125:-The factual description of meaningful incidents and events of the students observed by teacher
A:-Anecdotal records
B:-Checklist
C:-Rating scale
D:-Cumulative records
Question126:-Ideal teaching method for exploring the issues involved in social situation or challenges in human relations
A:-Demonstration
B:-Lecture
C:-Role play
D:-Symposium
Question127:-Chart that used to represent the family history of diseases
A:-Flow chart
B:-Cartogram
C:-Tree chart
D:-Pedigree chart
Question128:-Characteristics of an out-group include
A:-Small size
B:-Hostile feeling
C:-Common interest
D:-Group welfare
Question129:-Characteristics of competition include all the following EXCEPT
A:-It is continuous
B:-It observes social laws
C:-It deals with individual
D:-It is unconscious
Question130:-Informal rules that govern behaviour in groups and societies
A:-Norms
B:-Roles
C:-Morale
D:-Culture
Question131:-The process in which the child becomes socialized through the family in early childhood years is
A:-Pre socialization
B:-Primary socialization
C:-Secondary socialization
D:-Not a process of socialization
Question132:-The rule that one must marry within one’s own caste system is
A:-Hypogamy
B:-Endogamy
C:-Exogamy
D:-Hypergamy
Question133:-An industrial society is marked by
A:-Social mobility
B:-Ascribed status

C:-Caste system
D:-primary relationship
Question134:-Role of pediatric nurse in minimizing loss of control in a hospitalized child include all the following EXCEPT
A:-Establishing daily schedule in hospital
B:-Promoting freedom of movement
C:-Encourage self care activities within the limits of child
D:-Helping children to maintain their usual contact
Question135:-A form of play in which children play adjacent to each other but do not influence the play of other children
A:-Solitary play
B:-Onlooker play
C:-Parallel play
D:-Dramatic play
Question136:-Calculate the drug dose in millilitre (ml), if there is an order to administer 300mg of paracetamol syrup to a child. The av
250mg/5ml
A:-4ml
B:-4.5ml
C:-6ml
D:-6.5ml
Question137:-The weight of a child is 84% of expected weight. As per IAP classification, the grade of protein energy(PEM) malnutrion
A:-No PEM
B:-Grade I
C:-Grade II
D:-Grade III
Question138:-The ideal site of administration of intramuscular injection in children less than 18 months of age
A:-Rectus femoris
B:-Deltoid
C:-Dorsogluteal
D:-Vastus lateralis
Question139:-Frequency of breast feeding for a normal new born
A:-Demand feeding
B:-Every 30 minutes
C:-Every hour
D:-Every 2 hours
Question140:-A danger sign that a nurse should report while caring new born babies in post natal wards
A:-Multiple pearly white papule on face
B:-Scattered maculo papular rashes on the trunk, face and extremities
C:-Pigmented grayish blue lesions over the sacral region
D:-Yellowish discolouration extending up to palms and soles
Question141:-While caring a low birth weight baby weighing less than 2 kg the nurse should do all the following EXCEPT
A:-Encourage kangaroo mother care
B:-Weigh the baby daily
C:-Bath the baby daily
D:-Monitor vital signs 4th hourly
Question142:-Sign of respiratory distress in a newborn is
A:-Heart rate 130 beats/min
B:-Expiratory grunt
C:-Respiratory rate 40 breaths/ min
D:-Peripheral cyanosis
Question143:-The most accurate method of calculating the percentage of burned surface area in children
A:-Modified rule of nine
B:-Palm method
C:-Lund & Browder chart
D:-Rule of three
Question144:-In addition to ORS child with diarrhea in plan B should receive
A:-Intravenous fluids
B:-Antimotility drug like loperamide

C:-Antisecretory drug like racecadotril
D:-Zinc supplements
Question145:-Congenital cardiac anomaly causes right to left shunt of blood is
A:-Tetralogy of Fallot
B:-Coarctation of aorta
C:-Ventricular septal defect
D:-Patent ductus arteriosus
Question146:-Example of an autosomal recessive disorder is
A:-Turner syndrome
B:-Marfan syndrome
C:-Cystic fibrosis
D:-Hemophilia
Question147:-Massive proteinuria is commonly associated with
A:-Acute glomerulonephritis
B:-Acute renal failure
C:-Nephrotic syndrome
D:-Hydronephrosis
Question148:-Young child with intermittent, crampy abdominal pain and ‘currant jelly stool is the characteristic feature of
A:-Hirschprung’s disease
B:-Intussusception
C:-Malrotation
D:-Volvulus
Question149:-The nurses action during accidental removal of nasogastric tube in a child who had undergone tracheo-oesophageal fist
A:-Reinsert and aspirate the tube to confirm position
B:-Reinsert and inform the pediatric surgeon
C:-Reinsert and record the procedure in nurses record
D:-Do not reinsert and inform the pediatric surgeon
Question150:-The most common acid base imbalance associated with renal failure
A:-Respiratory acidosis
B:-Metabolic acidosis
C:-Respiratory alkalosis
D:-Metabolic alkalosis
Question151:-Which among the following is NOT a manifestation of dehydration
A:-Slow bounding pulse
B:-Poor skin stinger
C:-Sunken soft eye balls
D:-Postural hypotension
Question152:-The abnormal breathing pattern in patients with diabetic keto acidosis
A:-Kussmaul’s respiration
B:-Cheyne-stokes respiration
C:-Biot’s respiration
D:-Apneustic respiration
Question153:-Butterfly shaped rashes of malar region of the face characterized by erythema and edema is a clinical manifestation in
A:-Rheumatoid arthritis
B:-Systemic Lupus Erythematosis
C:-Systemic sclerosis
D:-Idiopathic Thrombocytopenic Purpura
Question154:-A patient attending the endocrine clinic present with weight gain, cold intolerance, dry thick skin and fatigue the nurse sh
A:-Hyper thyroidism
B:-Hypothyroidism
C:-Hyper parathyroidism
D:-Hypo parathyroidism
Question155:-Dietary modification for a patient with hepatic encephalopathy is diet with
A:-Low carbohydrate
B:-High protein
C:-Low protein

D:-High fat
Question156:-The most serious type of skin cancer is
A:-Basal cell carcinoma
B:-Squamous cell carcinoma
C:-Sarcoma
D:-Melanoma
Question157:-Which of the following medical order is expected for reducing fluid volume excess
A:-Low sodium diet
B:-Daily serum electrolytes
C:-Monitor intake output
D:-Elevation of foot end
Question158:-Which of the following is an early indicator of deterioration of patient’s neurological status
A:-Widening pulse pressure
B:-Decreased pulse rate
C:-Dilated fixed pupil
D:-Decrease in level of consciousness
Question159:-ECG changes due hyperkalemia is
A:-Tall peaked T wave
B:-Prominent U wave
C:-Widened QRS complex
D:-Prominent P wave
Question160:-A chronic respiratory disorder where one or more bronchi are permanently dilated
A:-Atelectasis
B:-Bronchiectasis
C:-Bronchitis
D:-Bronchial asthma
Question161:-A patient with appendicitis is at risk of developing
A:-Haemorrhage
B:-Pulmonary edema
C:-Peritonitis
D:-Bowel obstruction
Question162:-A patient describes his symptoms as light flashes, floaters, and ring in the field of vision. This is due to
A:-Detaching retina
B:-Glaucoma
C:-Cataract
D:-Keratitis
Question163:-Immediately after TURP, the continuous bladder irrigation out flow appears to be
A:-Clear
B:-Dark red
C:-Light pink
D:-Bright red
Question164:-While doing Rinne test for a patient the bone conduction is found to be better than air conduction. The nurse understand
A:-Conductive deafness
B:-Sensory neural deafness
C:-No deafness
D:-Mixed deafness
Question165:-A 30 years old man receives multiple blood transfusions after a major abdominal surgery. He complains of numbness ar
and positive chvostek sign. The treatment required is, intravenous administration of
A:-Bicarbonate
B:-Potassium
C:-Calcium
D:-Sodium Chloride
Question166:-The correct action that a patient with blunt chest injury performs while using an incentive spirometer is
A:-Exhales normally
B:-Takes rapid shallow breaths
C:-Seals the mouth piece during exhalation

D:-Tilts the incentive spirometer
Question167:-Which of the following symptom would be indicative of dumping syndrome
A:-Hunger
B:-Diaphoresis
C:-Vomiting
D:-Heart burn
Question168:-When assessing for common clinical manifestation of deep vein thrombosis (DVT), the nurse should observe the client f
A:-Absence of pulse distal to the clot
B:-Cyanosis distal to the clot
C:-Pain on dorsi flexion of foot
D:-Reddened area around the clot
Question169:-A 17 years old male is admitted following an automobile accident. He is very anxious, dyspnoeic and has severe pain. T
inspiration and balloons out when he exhales. These symptoms are suggestive of
A:-Hemothorax
B:-Flail chest
C:-Atelectasis
D:-Pleural effusion
Question170:-A 20 years old boy is admitted in neuro surgery ward with head injury. He opens his eyes to painful stimuli, His verbal re
response is flexion to pain. His Glasgow coma score would be
A:-3
B:-6
C:-9
D:-12
Question171:-What is the most lethal complication after myocardial infarction
A:-Cardiogenic shock
B:-Ventricular dysrthymia
C:-Pulmonary embolism
D:-Cardiac tamponade
Question172:-Which type of seizure is frequently preceded by an aura
A:-Jacksonian (focal motor)
B:-Petitmal (absence)
C:-Grandmal (tonic clonic)
D:-Myoclonic
Question173:-What should be the depth of chest compression during adult Cardio Pulmonary Resuscitation
A:-0.5-1 inch
B:-1-1.5 inches
C:-1.5-2 inches
D:-2-2.4 inches
Question174:-Which of the following complication is associated with mechanical ventilation
A:-Gastro intestinal bleeding
B:-Immuno suppression
C:-Increased cardiac output
D:-Pulmonary embolism
Question175:-A chronic auto immune disorder affecting the neuromuscular transmission of impulse in the voluntary muscles of the bod
A:-Guillian barre syndrome
B:-Myasthenia gravis
C:-Multiple sclerosis
D:-Muscular dystrophy
Question176:-A client is admitted with tetraplegia after a fall. The nurse should suspect the injury to which level of the spinal cord
A:-Cervical
B:-Thoracic
C:-Lumbar
D:-Sacral
Question177:-A common cause for airway obstruction in an unconscious patient is falling back of tongue. It is managed by
A:-Maintaining supine position
B:-Endotracheal intubation

C:-Placing oropharyngeal airway
D:-Oropharyngeal suctioning
Question178:-A 57 years old obese man has gastro esophageal reflux disease (GERD) .Endoscopic evaluation reveals evidence of B
dysplasia. What is the recommended management for this disease
A:-Endoscopy every 3 years
B:-Annual endosopy
C:-Mucosal resection or endoscopic ablation therapy
D:-Endoscopy every 6 months
Question179:-The neurotransmitter believed to be decreased in cognitive disorder such as Alzheimer’s disease
A:-GABA
B:-Dopamine
C:-Serotonin
D:-Acetylcholine
Question180:-The mode of ventilation which allows the patient to breathe at his or her own respiratory rate and depth between the ven
A:-Controlled Mandatory Ventilation (CMV)
B:-SIMV
C:-Assist Control Mode
D:-Pressure control mode
Question181:-Who wrote the book ‘Interpersonal Relations in Nursing’
A:-Linda Richards
B:-Virginia Henderson
C:-Hildegard Peplau
D:-Callista Roy
Question182:-The type of hallucination which accompanies a provoking stimulus and both are perceived simultaneously
A:-Functional hallucination
B:-Reflex hallucination
C:-Extracampine hallucination
D:-Panoramic hallucination
Question183:-The ‘development and advancement of object permanence’ in a child is explained by
A:-Psycho Sexual theory
B:-Psycho Social theory
C:-Cognitive developmental theory
D:-Moral developmental theory
Question184:-The branch of psychology which deals with the processes of sensing, perceiving, learning and thinking
A:-School psychology
B:-Evolutionary psychology
C:-Experimental psychology
D:-Cognitive psychology
Question185:-Neurotransmitter predominantly important in the pathology and management of anxiety disorders
A:-Dopamine
B:-Serotonin
C:-GABA
D:-Glutamate
Question186:-The side effect of antipsychotics associated with increased level of Creatinine PhosphoKinase (CPK)
A:-Akathisia
B:-Dystonia
C:-Tardive dyskinesia
D:-Neuroleptic Malignant Syndrome
Question187:-Which among the following is a therapeutic impasse
A:-Transference
B:-Theme identification
C:-Humor
D:-Silence
Question188:-The concept of therapeutic community was developed by
A:-Benjamin Rush
B:-Sullivan

C:-Maxwell Jones
D:-Philip Pinel
Question189:-Amount of electric current applied during ECT is
A:-60- 70 volts
B:-50-80 volts
C:-70 - 120 volts
D:-140-160 volts
Question190:-Which among the following is the Schneiders First Rank Symptom of Schizophrenia
A:-Delusion
B:-Somatic passivity
C:-Ambivalence
D:-Asociality
Question191:-Disorder characterised by hyper arousal, flashbacks, emotional numbness following disasters
A:-Phobia
B:-Post Traumatic Stress Disorder
C:-Acute Stress Reaction
D:-Adjustment disorder
Question192:-Drug used to improve the cognitive function in patients with Alzheimers disease
A:-Ritalin
B:-Risperidone
C:-Donepezil
D:-Oxetol
Question193:-Part of brain responsible for speech production and articulation
A:-Broca’s area
B:-Wernicke’s area
C:-Prefrontal area
D:-Primary motor cortex
Question194:-Two factor theory of intelligence was developed by
A:-Howard Gardner
B:-Stanford Binet
C:-Robert Sternberg
D:-Charles Spearman
Question195:-The type of learning in which a neutral stimulus brings about a response after it is paired with natural stimulus
A:-Classical conditioning
B:-Operant conditioning
C:-Trial and Error learning
D:-Insightful learning
Question196:-Projective technique used for the assessment of personality
A:-WAIS
B:-TAT
C:-MMPI
D:-MMSE
Question197:-Mild depression that lasts for at least 2 years is termed as
A:-Dysthymia
B:-Cyclothymia
C:-Euthymia
D:-Parathymia
Question198:-The form of behaviour therapy in which the patient is directly exposed to phobic stimuli and escape is made impossible
A:-Aversion therapy
B:-Systematic desensitization
C:-Token economy
D:-Flooding
Question199:-The drug of choice for Attention Deficit Hyperactivity Disorder
A:-Risperidone
B:-Ritalin
C:-Donepezil

D:-Oxetol
Question200:-World Mental Health day theme for the year 2020 is
A:-Young people and mental health in a changing world
B:-Mental health for all : Greater investment – Greater access
C:-Mental health in the work place
D:-Mental Health promotion and suicide prevention