NIMHANS Nursing Officer Question Paper & Answer Key 2019
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NIMHANS SCREENING TEST FOR THE POST OF NURSING OFFICER, FOR THE YEAR 2019 QUESTION PAPER & ANSWER KEY
DATE OF EXAM:
Q.1. Volume of Enema solution for infants:
- 100-200 ml
- 200-300 ml
- 300-400 ml
- 400-500 ml
Correct Answer: – 100-200 ml
Q.2. Symptoms of increased ICP in infant:
- Vomiting
- Heightened alertness
- Depressed fontanelle
- Diarrhea
Correct Answer: – Vomiting
Q.3. Contraindications for Lumbar Puncture include:
- Increase ICP
- Suspected meningitis
- Guillain-Barré syndrome
- All of the above
Correct Answer: – Increase ICP
Q.4. Therapeutic dosage of lithium:
- 300-600 mg/day
- 500-800 mg/day
- 900-2100 mg/day
- 2000-3000 mg/day
Correct Answer: – 900-2100 mg/day
Q.5. Most reliable index of cerebral status:
- Pupil response
- Deep tendon reflexes
- Muscle strength
- Level of consciousness
Correct Answer: – Level of consciousness
Q.6. A client is admitted with a head injury. He has a GCS score of 3-5-4. The Nurse’s understanding of this test is that the client………..
- Can follow simple commands
- Will make no attempt to vocalize
- Is unconscious
- Is able to open his eyes when spoken to
Correct Answer: – Is able to open his eyes when spoken to
Q.7. Clear fluid draining from the Nose and ear is indicative of:
- Rhinorrhea
- Basilar skull fracture
- Otitis media
- Cerebral edema
Correct Answer: – Basilar skull fracture
Q.8. Patient with Increased ICP is receiving Inj. Mannitol. The Nurse’s understanding about the reason for administration of this drug is:
- It reduce the secretion of CSF
- It increase the urine output
- It shift the fluid by osmosis thus decrease the ICP
- All of the above
Correct Answer: – It shift the fluid by osmosis thus decrease the ICP
Q.9. Third stage complications of labor is all except:
- PPH
- Retained Placental Fragments.
- Obstructed labor
- Pulmonary embolism.
Correct Answer: – Obstructed labor
Q.10. Absence to develop valve between the right atrium and right Ventricle is known as:
- Mitral stenosis
- PDA
- Tricuspid atresia
- Pulmonary stenosis
Correct Answer: – Tricuspid atresia
Q.11. Antidepressant used in children for depression:
- Amitryptyline
- Fluoxetine
- Methylphenidate
- Imipramine
Correct Answer: – Fluoxetine
Q.12. Which of the following drug is an antidote of opioids?
- Fluphenazine
- Flumazenil
- Benzodiazepines
- Naloxone
Correct Answer: – Naloxone
- Signs of imminent eclampsia:
- BP> 160 mm hg
- Nausea
- Headache
- All of the above
Correct Answer: – BP> 160 mm hg
Q.14. Sausage shape mass in abdominal palpation indicates:
- Pyloric stenosis
- Appendicitis
- Intussusception
- Hernia
Correct Answer: – Intussusception
Q.15. Nurse educator teaching about Pain management is:
- Doctor orders pain killer based on the patient’s need
- Patient can adjust with meter dose based on pain
- Modification of pain killer post operatively
- All of the above
Correct Answer: – Doctor orders pain killer based on the patient’s need
Q.16. Home visit planning will be based on:
- Need of the nurse
- Need of the client
- Financial status of the patient
- Whenever nurse feels
Correct Answer: – Need of the client
Q.17. Immediate management of Wernicke’s encephalopathy:
- Administer Inj Thiamine
- Ordering EEG
- Administer Steroids
- Tab Disulfiram
Correct Answer: – Administer Inj Thiamine
Q.18. Delusion of grandiosity is present in:
- Depression
- Mania
- Dissociative disorder
- Schizophrenia
Correct Answer: – Mania
Q.19. Asthma is a/an:
- Anaphylactic reaction
- Fluid accumulation in pleura
- Inflammatory disease
- Infection
Correct Answer: – Inflammatory disease
Q.20. Vomiting will cause:
- Metabolic acidosis
- Metabolic Alkalosis
- Respiratory acidosis
- Respiratory alkalosis
Correct Answer: – Metabolic Alkalosis
Q.21. Fluid replacement preferred in hypovolemic shock is:
- Isotonic crystalloid
- Hypotonic crystalloid
- Hypertonic crystalloid
- All of the above
Correct Answer: – Isotonic crystalloid
Q.22. Dose of RhoGAM is ……….
- 300 mcg IM within 72 hours after delivery
- 200 mcg IM within 72 hours after delivery
- 100 mcg IM within 24 hours of delivery
- 75 mcg IM within 24 hours of delivery
Correct Answer: – 300 mcg IM within 72 hours after delivery
Q.23. Purpose of antiretroviral therapy is to:
- Cure HIV disease
- Reduce viral RNA load
- Prevent HIV disease
- All of the above
Correct Answer: – Reduce viral RNA load
Q.24. Postoperatively, urine sample to be sent for:
- Pus cells
- Sugar
- Protein
- Albumin
Correct Answer: – Pus cells
Q.25. Drug of choice for trigeminal neuralgia:
- Lorazepam
- Naproxen
- Carbamazepine
Correct Answer: – Carbamazepine
Q.26. What is often the first symptom of Parkinson disease?
- Headache
- Nausea
- Shaking of hand or foot
- Turning of head
Correct Answer: – Shaking of hand or foot
Q.27. Parkinsonism is a/an:
- Inflammation of nerve pathway
- Autoimmune disorder
- Degenerative disorder
- Nutritional deficiency disorder
Correct Answer: – Degenerative disorder
Q.28. Earliest sign of myasthenia gravis is:
- Ptosis
- Diplopia
- Ascending weakness
- Presbycusis
Correct Answer: – Ptosis
Q.29. Sign of Guillain-Barre syndrome include:
- Weakness
- Diplopia
- Muscle rigidity
- Tremors
Correct Answer: – Weakness
Q.30. False fixed belief/ideas is known as:
- Hallucinations
- Illusion
- Confabulation
- Delusion
Correct Answer: – Delusion
Q.31. Physiological jaundice occurs between:
- 0-24 hrs
- 0-72 hrs
- 24-72 hrs
- After 72 hrs
Correct Answer: – 24-72 hrs
Q.32. What is public health nursing?
- Providing care to the client who is not in hospital
- Providing free treatment in the hospital
- Primary focus is on advanced surgical interventions
- All of the above
Correct Answer: – Providing care to the client who is not in hospital
Q.33. Which of the following is not an antipsychotic medication?
- Haloperidol
- Imipramine
- Risperidone
- Olanzapine
Correct Answer: – Imipramine
Q.34. Normal head circumference at birth:
- 30 cm
- 35 cm
- 40 cm
- 45 cm
Correct Answer: – 35 cm
Q.35. Sex ratio is defined as number of:
- Females for 1000 males
- Males for 100 females
- Females for 100 males
- Males for 100 females
Correct Answer: – Females for 1000 males
Q.36. Disinfectant of choice for soiled instruments:
- Glutaraldehyde
- Formaldehyde
- Hypochlorite solution
- 70% alcohol
Correct Answer: – Glutaraldehyde
Q.37. Management of hypernatremia includes:
- Restrict water
- Administer furosemide
- Free water through RT or by mouth
- Administer Normal saline
Correct Answer: – Free water through RT or by mouth
Q.38. Teaching parents of autistic child should include:
- Be consistent
- Change the routine frequently
- Set limits
- All of the above
Correct Answer: – Be consistent
Q.39. Disulfiram ethanol reaction is characterized by:
- Bradycardia, sweating and hypertension
- Headache, hypotension, chest pain
- Hypertension, bradycardia and blurred vision
- Tachypnea, hypertension and vomiting
Correct Answer: – Headache, hypotension, chest pain
Q.40. Specific test for varicose veins:
- Trendelenburg test
- Allen’s test
- Homan’s test
- Kernig’s test
Correct Answer: – Trendelenburg test
Q.41. Global loss of memory, cognition and personality is known as
- Delirium
- Dissociative disorder
- Alzheimer type dementia
- Conversion disorder
Correct Answer: – Alzheimer type dementia
Q.42. Which is characterized by recurrent recollection flash backs/ images/thoughts in dream:
- Acute stress disorder
- Post-traumatic stress disorder
- Psychosomatic disorder
- Sleep disorder
Correct Answer: – Post-traumatic stress disorder
Q.43. Preoccupation with details/rules, lists, order is seen in which type of personality:
- Narcissistic
- Histrionic
- Obsessive-compulsive
- Borderline
Correct Answer: – Obsessive-compulsive
Q.44. Cluster A of the personality disorders includes which disorders?
- Antisocial, narcissistic, and borderline
- Paranoid, schizotypal and schizoid
- Avoidant, obsessive and dependent
- Avoidant, schizoid and antisocial
Correct Answer: – Paranoid, schizotypal and schizoid
Q.45. Discharge teaching of paraplegic patient for homecare:
- Intermittent catheterization
- Percutaneous nephrostomy
- Suprapubic catheterization
- Heal conduit
Correct Answer: – Intermittent catheterization
Q.46. Spinal cord injury patients will develop:
- Loss of bladder control
- Preservation of bowel control
- Cullen’s sign
- Battle’s eye
Correct Answer: – Loss of bladder control
Q.47. Sacralization is a frequent cause of:
- Inclination dystocia
- Paraplegia
- Hemiplegia
- Paresthesia
Correct Answer: – Inclination dystocia
Q.48. Type-I hypersensitivity is a/an:
- Antibody dependent process
- Anaphylactic reaction
- Cell mediated process
- Delayed hypersensitivity
Correct Answer: – Anaphylactic reaction
Q.49. Ligament which is present in pectoral fascia of breast.
- Cooper’s ligament
- Round ligament
- Broad ligament
- Linear ligament
Correct Answer: – Cooper’s ligament
Q.50. Characteristics of malignancy includes:
- Controlled growth
- Invasiveness
- Defined margin
- All of the above
Correct Answer: – Invasiveness
- Major cause of mortality associated with anorexia nervosa is:
- Obesity
- Malnutrition
- Electrolyte imbalance
- Nausea and vomiting
Correct Answer: – Electrolyte imbalance
Q.52. Drug of choice for catatonia?
- Benzodiazepines
- Haloperidol
- Carbamazepine
- Sodium Valproate
Correct Answer: – Benzodiazepines
Q.53. Presbyopia is:
- Short sightedness
- Far sightedness
- Changes in curvature of the lens
- Retinal detachment
Correct Answer: – Far sightedness
Q.54. Signs of ectopic pregnancy include:
- Painless vaginal bleeding
- Sharp abdominal pain
- Rebound tenderness
- Boggy abdomen
Correct Answer: – Sharp abdominal pain
Q.55. Fertilization takes place in:
- Ovary
- Uterus
- Cervix
- Fallopian tube
Correct Answer: – Fallopian tube
Q.56. Nursing intervention appropriate for patient with increased ICP:
- Provide supine position to the client
- Use bright lights in the room
- Elevate the head end 15-30 degree
- 2 hourly suctioning
Correct Answer: – Elevate the head end 15-30 degree
Q.57. Most appropriate nursing action to a depressed client who do not want to join a group is to:
- Tell her the rules of the unit
- Better get out of bed or she will be hungry
- Tell her that the nurse will assist her out of bed and help her to dress
- Allow her to remain in bed until she feels ready to join the other patients
Correct Answer: – Tell her that the nurse will assist her out of bed and help her to dress
Q.58. Optimum bed occupancy of hospital is:
- 80%
- 85%
- 90%
- 95%
Correct Answer: – 85%
Q.59. Hand washing day observed on:
- September 15
- October 15
- November 15
- December 15
Correct Answer: – October 15
Q.60. Bloom’s taxonomy is used as:
- Learning domains
- Skill domain
- Affective domain
- Conative domain
Correct Answer: – Learning domains
Q.61. Directive counselling is also known as:
- Client oriented counseling
- Personal counseling
- Group counselling
- Counselor centered or prescriptive counseling
Correct Answer: – Counselor centered or prescriptive counseling
Q.62. How long does an ovum viable after ovulation?
- Less than 12 hours
- 12-24 hours
- 24-48 hours
- 48-72 hours
Correct Answer: – 12-24 hours
Q.63. Reflex which present at 9 months of age is all except:
- Tonic neck reflex
- Parachute reflex
- Swallowing
- Sucking
Correct Answer: – Tonic neck reflex
Q.64. Which of the following advice is appropriate for a mother who refuses to immunize her baby?
- Vaccines are expensive and here you get it free
- Immunization is okay for your child
- It is up to you if your baby get illness
- Vaccines will prevent diseases
Correct Answer: – Vaccines will prevent diseases
Q.65. What is the initial nursing action for a client who is in the clonic phase of a tonic-clonic seizure?
- Gently restrain the extremities
- Insert a padded mouth gag
- Place some padding under the head
- Get ready the equipment for orotracheal suction
Correct Answer: – Place some padding under the head
Q.66. A 47-year-old female client with a diagnosis of depression has been in the hospital for 3 days. During this time, she has not maintained her personal hygiene and show no interest in ward activities. On this day, the nurse observes that she is wearing a clean dress and has combed her hair. In working with a depressed client, the nurse should understand that depression is most directly related to a person’s:
- Experiencing poor IPR with others
- Remembering his traumatic childhood.
- Having experienced a sense of loss.
- Stage in life.
Correct Answer: – Having experienced a sense of loss.
Q.67. The client has been on long-term phenothiazines (Thorazine), 400 mg/day. Patient had jerky choreiform movements, lip smacking, neck and back tonic contractions. This indicates that the patient has developed…….
- Tardive dyskinesia
- Parkinsonism
- Dystonia
- Akathisia
Correct Answer: – Tardive dyskinesia
Q.68. A patient with diagnosis of BPAD is being discharged from the hospital with a regular lithium medication. The most important information to impart to the client and his family in the discharge teaching is that the patient should:
- Have an adequate intake of sodium
- Restrict his fluid intake
- Restrict intake of sodium
- Avoid tyramine rich foods
Correct Answer: – Have an adequate intake of sodium
Q.69. The nurse has to administer phenytoin 100 mg IV as an anticonvulsant. The priority action while administering this drug is to:
- Assess for infiltration of the drug
- Assess for effects of the drug
- Assess pupil dilation of the client to detect for overdose
- Administer the drug as quickly as possible to prevent a seizure
Correct Answer: – Assess for infiltration of the drug
Q.70. While caring for a patient who is in myasthenic and cholinergic crisis, which of the following is essential nursing knowledge when caring for a client in crisis?
- Loss of body function creates high levels of anxiety and fear
- Cholinergic drugs should be administered
- The clinical condition of the client usually improves after several days of treatment
- Weakness and paralysis of the muscles for swallowing and breathing occur in either crisis
Correct Answer: – Weakness and paralysis of the muscles for swallowing and breathing occur in either crisis