SCTIMST Staff Nurse Previous Question Paper 2015

SCTIMST Staff Nurse Previous Question Paper 2015

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Sree Chitra Tirunal Institute of Medical Sciences and Technology, Thiruvananthapuram, Conducted Staff Nurse Exam in 2015. The solved questions and answers given here.

Total Quiz Questions=80
Mark/Question= 5
Total Marks=400

1 The hierarchy of human needs, where nurses prioritize basic physiological needs
is identified by:
a. Sigmund Freud
b. Kubler-Ross
c. Erik Erikson
d. Abraham Maslow.
Correct answer!
2. The most reliable index of the cerebral status is:
a. Pupillary responses
b. Response to pain
c. Level of consciousness
d. Deep tendon reflexes.
Correct answer!
3. Which one of the following is a water soluble vitamin?
a. Vitamin A
b. Vitamin C
c. Vitamin D
d. Vitamin K
Correct answer!
4. You have a stock solution of 20%. To prepare one litre of 5% solution, how much diluent
will be added?
a. 100ml
b. 150mI
c. 200mI
d. 250mI.
Correct answer!
5. The antidote to Heparin is:
a. Calcium gluconate
b. Vitamin K
c. Protamine sulfate
d. Atropine
Correct answer!
6. For a comatose patient, the highest priority nursing diagnosis is:
a. Altered sensorium
b. Ineffective airway clearance.
c. Impaired physical mobility
d. Altered nutrition
Correct answer!
7. In a patient with decorticate posturing, the nurse observes:
a. Flexion of elbows, extension of knees, and plantar flexion of feet
b. Flexion of upper and lower extremities
c. Extension of upper and lower extremities
d. Extension of elbows and knees and flexion of the wrist.
Correct answer!
8. The normal central venous pressure (CVP) reading is between:
a. 0-5 cms
b. 5-10 cms
c. 10-15 cms
d. 15-20 cms
Correct answer!
9. A patient with congestive cardiac failure experiences dyspnoea due to:
a. Accumulation of fluid in the interstitial spaces and alveoli of lungs
b. Bronchial secretions and spasm
c. Pulmonary embolism
d. Pulmonary congestion resulting from cardiomegaly
Correct answer!
10. A client on anticoagulant therapy is specifically monitored for:
a. Nausea
b. Chest pain
c. Insomnia
d. Haematuria
Correct answer!
11. The nurse who observes projectile vomiting in a newborn suspects,
a. Tracheo-oesophageal fistula
b. Hirschprung’s disease
c. Congenital hypertrophic pyloric stenosis
d. Congenital heart disease
Correct answer!
12. A person with Diabetes mellitus is asking you the calories obtained from one teaspoon
of sugar. Your answer would be:
a. 5
b. 15
c. 20
d. 60
Correct answer!
13. Which of the following food items are rich sources of vitamin A?
a. Green leafy vegetables and yellow fruits
c. Green gram and Dhal
b. Rice and potatoes
d. Milk and milk products
Correct answer!
14. The urinary output of a client for 24 hours was 350 ml. The nurse has documented
the observation as:
a. Anuria
b. Polyuria
c. Dysuria
d. Oliguria
Correct answer!
15. Which one of the following terms indicates an increase in the size of cells without increase in
the number of cells:
a. Hyperplasia
b. Hypertrophy
c. Dysplasia
d. Atrophy
Correct answer!
16. When the client can breathe only in an upright position, it is termed as:
a. Orthopnoea
b. Dyspnoea
c. Tachypnoea
d. Apnoea
Correct answer!
17. A client with hypoventilation is prone to develop:
a. Metabolic acidosis
b. Respiratory acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis
Correct answer!
18. A client after pneumonectomy will be positioned on:
a. Supine position only
b. Supine and either sides
c. Operated side or back
d. Un-operated side or back
Correct answer!
19. When periods of hyperpnoea alternates with periods of apnoea, the breathing pattern is termed:
a. Kussmaul’s respiration
b. Cheyne-Stokes respiration
c. Bradypnoea
d. Tachypnoea
Correct answer!
20. A client who is sent home with an ileostomy requires dietary supplementation with:
a. Fibre
b. Sodium
c. Potassium
d. Vitamin Bl2
Correct answer!
21. A client after liver biopsy should be vigilantly observed for:
a. Haemorrhage
b. Dyspnoea
c. Vomiting
d. Pain
Correct answer!
22. The rationale for using normal saline to start blood transfusion is:
a. Normal saline is commonly used as a primary IV Solution
b. It is compatible with blood
c. Normal saline prevents haemolysis
d. Dextrose de-activates blood
Correct answer!
23. In case of blood transfusion reaction, the first nursing intervention would be:
a. Notify the physician
b. Stop transfusion
c. Slow down the transfusion
d. Administer antihistamines
Correct answer!
24. The priority nursing assessment in an immediate post-anaesthesia client is to:
a. Monitor vital signs
b. Check gag reflex
c. Assess pain
d. Assess airway patency
Correct answer!
25: Alkylating chemotherapeutic agents used in cancer treatment acts by:
a. Damaging DNA in the cell nucleus
b. Destroying messenger R.NA
c. Creating a hormonal imbalance
d. Interrupting cellular metabolism
Correct answer!
26. The most informative measurement for determining cardiogenic shock is:
a. Cardiac output
b. Arterial blood pressure
c. Oxygen saturation
d. Central Venous Pressure
Correct answer!
27. One of the important signs that nurse would observe in hypovolemic shock is:
a. Hypotension
b. Tachypnea
c. Oliguria
d. Cyanosis
Correct answer!
28. The normal PH of blood is:
a. < 7
b. 7 – 7.35
c. 7.35 – 7.45
d. < 7.45
Correct answer!
29. Normal serum potassium is:
a. 2.3-3.5 mEq/L
b. 3.5-5.3 mEq/L
c. 5.32-7.5 mEq/L
d. 7.5-8.9 mEq/L
Correct answer!
30. Normal serum creatinine is:
a. 0.5 -1.5 mg/dL
b. 1.5-3 mg/dL
c. 3-5 mg/dl.
d. 5-8 mg/dL
Correct answer!
31. Normal glomerular filtration rate (GFR) in male is:
a. 95 rnL/mt
b. 110 rnL/mt
c. 125 rnL/mt
d. 150 rnL/mt
Correct answer!
32. Normal serum albumin is:
a. 1.5 – 3 mg/100mL
b. 3.5 – 5 mg/100mL
c. 5 – 7.5 mg/100mL
d. 7 – 10 mg/l00mL
Correct answer!
33. A vaginal examination is indicated, when membranes rupture spontaneously in a pregnant
woman with polyhydramnios to:
a. Assess foetal maturity
b. Note the position of the foetus
c. Determine stage of labour
d. Rule out cord prolapse
Correct answer!
34. Which one of the following is a major cause for atonic postpartum haemorrhage?
a. Infection
b. Retained products
c. Systemic Lupus Erythematosus
d. Jaundice
Correct answer!
35. Normal respiratory rate in a newborn is
a. < 20 / mt
b. 20-40 / mt
c. 40-60 / mt
d. > 60/mt
Correct answer!
36. The most accurate area to check the pulse rate in an infant is
a. Carotid artery
b. Brachial artery
c. Temporal Artery
d. Apex of the heart
Correct answer!
37. A staff nurse, who was called by the Nursing Superintendent for a feed back on poor
performance, spent the remaining time of the shift, blaming her supervisor and colleagues.
The mental mechanism used by her is:
a. Projection
b. Reaction formation
c. Rationalization
d. Compensation
Correct answer!
38. Which one of the following drugs is a mood stabilizer?
a. Librium
b. Lithium Carbonate
c. Tofranil
d. Haloperidol
Correct answer!
39. In the ECG recording of a client, the nurse observes tall peaked T waves, flat P waves,
widened QRS complex and prolonged PR interval. The nurse identifies:
a. Hypokalaemia
b. Hyperkalaemia
c. Hypocalcaemia
d. Hypercalcaemia
Correct answer!
40. The physician has prescribed 20 mEq of KCl to a client. The available KCI is 10 mEq/5 ml. The nurse will administer:
a. 5 ml
b. 7.5 ml
c. 10 ml
d. l0.5 ml.
Correct answer!
41. Which one of the following indicates in teasing intracranial pressure following head injury?
a. Restlessness
b. Decreased pulse rate
c. Increasing blood pressure
d. Widening pulse pressure
Correct answer!
42. Which one of the following conditions is a common cause of cardiogenic shock?
a. Electrolve imbalance
b. Fluid overload
c. Left ventricular failure
d. Hypovolaemia
Correct answer!
43. Which one of the following is the drug of choice in ventricular arrhythmias?
a. Inderal
b. Digoxin
c. Sorbitrate
d. Lidocaine
Correct answer!
44. Cyanotic spell is a feature of:
a. TOF
b. VSD
c. PDA
d. ASD
Correct answer!
45. An infant experiencing hypercyanotic spells is placed in:
a. High fowler’s position
b. Knee-chest position
c. Prone position
d. Supine position
Correct answer!
46. When a haemophilic carrier female marries a normal male, the chance of their daughter
becoming a carrier is:
a. 100%
b. 75%
c. 50%
d. 25%
Correct answer!
47. A nurse observes koplik’s spots on oral examination of a child with fever. This is indicative of:
a. Measles
b. Diphtheria
c. Dengue fever
d. Whooping cough
Correct answer!
48. Census is taken once in every:
a. 5 years
b. 10 years
c. 15 years
d. 20 years
Correct answer!
49. The nurse is teaching a client about iron rich food to be consumed, to correct anaemia. Which one of the following vitamins has to be supplemented to increase iron absorption?
a. Vitamin C
b. Vitamin D
c. Vitamin B6
d. Folic acid.
Correct answer!
50. In which one of the following leadership styles, the leader values the individual characteristics
and abilities of each subordinate?
a. Autocratic
b. Democratic
c. Laissez faire
d. Bureaucratic
Correct answer!
51. Which one of the following is known as the pacemaker of the heart?
a. SA node
b. AV node
c. Bundle of His
d. Purkinje fibres
Correct answer!
52. The left atrium and the lateral and posterior surfaces of the left ventricle is supplied by the:
a. Left anterior descending coronary artery
b. The left coronary artery
c. The right coronary artery
d. The circumflex artery.
Correct answer!
53. Which one of the following is a potassium sparing diuretic?
a. Spironolactone
b. Mannitol
c. Furosemide
d. Chlorothiazide
Correct answer!
54. Tab Digoxin is withheld if the pulse rate is less than:
a. 40/mt
b. 50/mt
c. 60/mt
d. 70/mt.
Correct answer!
55. A nurse who observes absence of p waves and fibrillating waves before each QRS complex, on the cardiac monitor will interpret the client’s cardiac rhythm as:
a. Sinus tachycardia
b. Ventricular fibrillation,
c. Ventricular tachycardia
d. Atrial fibrillation
Correct answer!
56. The most important risk of deep vein thrombosis (DVT) is:
a. Myocardial infarction
b. Pulmonary embolism
c. Phlebitis,
d. Bleeding
Correct answer!
57. Which one of the following interventions should be avoided by the nurse, while caring a client
with deep vein thrombosis?
a. Providing bedrest
b. Elevation of affected extremity
c. Massaging the extremity
d. Administering analgesics.
Correct answer!
58. The normal volume of cerebrospinal fluid (CSF) is:
a. 25-50 ml
b. 50 -100 ml
c. 125-150 ml
d. 150 – 200 ml
Correct answer!
59. Which of the following neurotransmitter is deficient in Myasthenia gravis?
a. Acetylcholine
b. Dopamine
c. Serotonin
d. Nor-epinephrine
Correct answer!
60. In paraplegia, paralysis involves:
a. All four extremities
b. Only lower extremities
c. One side of the body
d. Only upper extremities.
Correct answer!
61. In the assessment of a client with Guillain-Barre syndrome, the nurse gives high priority to:
a. Pain
b. Level of consciousness
c. Motor functions
d. Respiratory status
Correct answer!
62. Which one of the following is an anticonvulsant drug?
a. Bromocriptine
b. Largactil
c. Phenytoin
d. Chlordiazepoxide
Correct answer!
63. Perception in the absence of external stimuli is termed as:
a. delusion
b. Illusion
C.Phobia
d. Hallucination
Correct answer!
64. One tablespoon is equal to ——- ml.
a. 5
b. 10
c. 15
d. 30
Correct answer!
65. The physician prescribed 1500ml Ringer Lactate to be infused in 12 hours (lml=15drops).
The drop rate would be:
a. 20 drops/mt
b. 25 drops/mt
c. 31 drops/mt
d. 35 drops/mt
Correct answer!
66. The physician prescribed Phenytoin 0.2g orally, twice daily. The medicine is available as 100mg capsule. How many capsules will be administered for a dose?
a. 1 capsule
b. 2 capsules
c. 3 capsules
d. 4 capsules
Correct answer!
67. During CPR of an adult client, while performing the chest compressions, the sternum will be
depressed to:
a. ½ to 3/4 inch
b. 3/4 inch to 1 inch
c. 2 to 2 1/2 inches
d. 1 1/2 to 2 inches.
Correct answer!
68. In which one of the following situations, the rescuer uses jaw thrust method to open airway?
a. In all situations requiring CPR
b. If the client has a history of epilepsy
c. If The client has a history of head injury
d. If injury of the neck is suspected.
Correct answer!
69. Which of the following assessment data is relevant for 3 clients diagnosed with Glaucoma?
a. History of Diabetes Mellitus
b. History of Migraine
c. History of Chronic Sinusitis
d. History of Bronchial Asthma
Correct answer!
70. A nurse monitoring the inter costal drainage system of a patient with pneumothorax, notes intermittent bubbling ill the water seal chamber. The most appropriate action would be LV.
a. Inform the Physician
b. Check for air leak
c. Document the observation
d. Clamp the chest drainage tube
Correct answer!
71. The arterial blood gas (ABG) report of a client shows a pH of 7.32, PC02- 52rrml Hg, P02-85 rnm
ofHg and Be03 of 27mEq/L. The nurse interprets that the client has :
a. Respiratory acidosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis
Correct answer!
72. While monitoring a child after tonsillectomy, the nurse observes him swallowing frequently.
This indicates that the child is:
a. Feeling thirsty
b. Recovering from anaesthesia
c. Bleeding
d. Having pain
Correct answer!
73. The nurse is reviewing the laboratory values of a patient scheduled for surgery. Which one of the following results is unfavourable?
a. FBS 84 mg%,
b. Hb 8 gm%
c. Serum-creatinine 0.7 mg/dl
d. Blood urea 28 mg/dl.
Correct answer!
74. Which one of the following statements is incorrect about Glasgow Coma scale?
a. The scale measures the neurological status
b. The sensory responses are easily assessed
c. The maximum score is 15
d. A score less than 8 indicates coma.
Correct answer!
75. The site selected by a nurse to administer an intramuscular injection to a 6 month infant is:
a. Vastus lateralis
b. Ventre-gluteal
c. Dorso-gluteal
d. Deltoid
Correct answer!
76. Which of the following age group children, engage in parallel play?
a. Infant
b. Toddler
c. Pre-schooler
d. Schooler
Correct answer!
77. In which one of the following conditions, Kemig’s sign is considered as a positive indicator?
a. Meningitis
b. Hepatitis
c. Deep vein thrombosis
d. Typhoid
Correct answer!
78. Which one of the following is the most potent stimulus for erythropoietin production?
a. Anemia
b. Proteinuria
c. Hypoglycemia
d. Hypoxia
Correct answer!
79. One of the major complications that occur during hemodialysis is:
a. Muscle cramps
b. Hypotension’
c. Air embolism
d. Pulmonary edema
Correct answer!
80. The left down reflex during breast feeding is influenced by the hormone:
a. Progesterone
b. Oestrogen
c. Prolactin
d. Oxytocin
Correct answer!
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