Kerala PSC Staff Nurse Gr II Mock 005

Q1.A patient is admitted with severe bleeding due to a laceration. Which component of the blood is primarily responsible for initiating the clotting cascade at the site of injury?

Q2.A nurse is educating a patient about the process of oxygen exchange in the lungs. Where does the primary exchange of oxygen and carbon dioxide occur between the respiratory and circulatory systems?

Q3.A patient with pancreatic insufficiency struggles to digest fats. Which enzyme, primarily secreted by the pancreas, is essential for the breakdown of dietary fats in the small intestine?

Q4.A nurse is reviewing a patient's lab results, which show elevated levels of creatinine and BUN, indicating impaired kidney function. Which hormone, primarily produced by the kidneys, would likely be affected, impacting red blood cell production?

Q5.A patient presents with symptoms of weight gain, fatigue, and cold intolerance. A nurse suspects hypothyroidism. Which hormone is primarily deficient in this condition?

Q6.A nurse is caring for a patient experiencing severe muscle spasms and rigidity. Which neurotransmitter, when deficient in certain brain regions, is primarily associated with movement disorders like Parkinson's disease?

Q7.During muscle contraction, which ion is released from the sarcoplasmic reticulum and binds to troponin, initiating the sliding filament mechanism?

Q8.A 5-year-old child is admitted with suspected measles. What is the most critical infection control precaution a nurse should implement regarding disease transmission?

Q9.A nurse is collecting a midstream urine sample for culture and sensitivity from a female patient. Which instruction is most crucial to ensure an accurate result?

Q10.A patient receives a tetanus toxoid booster shot after a deep puncture wound. This type of immunity is best described as:

Q11.A nurse is educating a group of community health workers about the importance of hand hygiene in preventing the spread of infections. Which of the following types of microorganisms are *most effectively* removed from hands through proper handwashing with soap and water?

Q12.A nurse has established a sterile field for a dressing change. What is the *next* step to ensure sterile technique before touching the wound?

Q13.A patient develops *Clostridium difficile* infection (CDI). Which of the following hand hygiene practices is most crucial for a nurse to prevent the spread of this infection?

Q14.A patient with active pulmonary tuberculosis coughs in a waiting room. Another susceptible individual inhales the contaminated air and later develops TB. In this scenario, what represents the 'mode of transmission'?

Q15.A group of individuals who share intimate, face-to-face association and cooperation, and exert a profound influence on an individual's attitudes, beliefs, and health behaviors, such as family and close friends, is best described as a:

Q16.Kerala has experienced significant out-migration and subsequent return migration, leading to various social changes. Which of the following is a common health-related consequence observed in families due to prolonged parental migration?

Q17.A staff nurse working in a primary health center suspects a female patient is a victim of domestic violence. The patient presents with recurring injuries, vague explanations, and visible signs of anxiety. What is the most appropriate initial action for the nurse in this situation?

Q18.In a community health setting, a nurse is planning an intervention to promote healthy eating habits among adolescents. Which of the following approaches best reflects the principles of community participation and empowerment in health promotion?

Q19.A public health nurse notes a significant disparity in health outcomes, such as higher rates of infant mortality and chronic diseases, between two neighboring communities. One community has higher levels of unemployment, lower educational attainment, and limited access to fresh food options, while the other does not. These observed differences are primarily attributed to:

Q20.In a specific community in Kerala, it is a common cultural practice for women to deliver babies at home with the assistance of traditional birth attendants (TBAs). A community health nurse aims to improve maternal and child health outcomes in this community. Which of the following strategies would be most effective and culturally sensitive?

Q21.A nurse is educating a patient about managing their newly diagnosed hypertension. The patient expresses a desire to lower their blood pressure primarily because they want to feel healthier and have more energy to play with their grandchildren. This type of motivation is best described as:

Q22.A school nurse is teaching adolescents about healthy eating habits. Instead of just lecturing, the nurse invites a popular, healthy athlete to share their personal diet and exercise routine with the students. This approach primarily utilizes which learning theory?

Q23.A patient recently diagnosed with a chronic, progressive illness repeatedly states, "This can't be happening to me; the doctors must have made a mistake." Which defense mechanism is primarily demonstrated by this patient?

Q24.A nurse is caring for a patient experiencing homelessness, who has been admitted for severe malnutrition. According to Maslow's Hierarchy of Needs, which need should the nurse prioritize first for this patient?

Q25.A nurse wants to encourage a pediatric patient to take their oral medication regularly. The nurse decides to praise the child and give them a small sticker every time they take their medicine without fuss. This strategy is an application of which learning principle?

Q26.A nurse is helping a patient quit smoking. The most effective initial strategy to help the patient break this habit would be to:

Q27.A 30-year-old patient admitted with extensive third-degree burns requires high caloric intake. Which macronutrient is the primary and most efficient source of energy to meet the increased metabolic demands and spare protein for tissue healing?

Q28.A nurse is caring for a patient with chronic alcoholism presenting with confusion, ataxia, and ophthalmoplegia. The nurse suspects Wernicke-Korsakoff syndrome. Which vitamin deficiency is primarily associated with these symptoms?

Q29.A nurse is providing dietary counseling to a healthy young adult aiming for a balanced diet to prevent chronic diseases. Which of the following recommendations is most crucial for long-term cardiovascular health and blood glucose regulation?

Q30.A patient is prescribed a "sodium-restricted diet." The primary therapeutic goal of this diet is to:

Q31.A nurse is educating a patient with chronic kidney disease (CKD) about their prescribed renal diet. Which food group restriction is typically emphasized in a renal diet to prevent complications?

Q32.A nurse is conducting a nutritional assessment for an elderly patient living alone. Which finding would be the most significant indicator of potential malnutrition requiring further intervention?

Q33.A patient undergoing a 12-hour fasting period before surgery requires energy. Which of the following is the primary immediate source of glucose for the body during the initial hours of fasting?

Q34.A 65-year-old patient is admitted to the emergency department with severe crushing chest pain, radiating to the left arm. Blood tests are ordered to assess for myocardial injury. Which enzyme marker is considered most specific for confirming myocardial infarction?

Q35.A nurse is reviewing the arterial blood gas results of a patient with metabolic acidosis. The body's most important extracellular buffer system that rapidly responds to changes in blood pH is:

Q36.A patient's routine lipid panel reveals elevated Low-Density Lipoprotein (LDL) cholesterol levels. The nurse educates the patient that consistently high LDL levels significantly increase the risk for which of the following conditions?

Q37.A nurse is caring for a patient with chronic alcohol use disorder who is showing signs of Wernicke-Korsakoff syndrome. This condition is primarily due to a deficiency of Thiamine (Vitamin B1). What is the main biochemical role of Thiamine in the body?

Q38.A patient recovering from extensive burns requires a high-protein diet to support healing. The nurse explains that proteins are essential for various bodily functions, including:

Q39.A patient receiving long-term furosemide therapy for heart failure is at risk for which of the following electrolyte imbalances?

Q40.A nurse is preparing to administer 10 units of regular insulin subcutaneously. Which of the following sites is generally preferred for consistent absorption and patient comfort?

Q41.A patient is prescribed Warfarin for a deep vein thrombosis. What laboratory test is crucial for the nurse to monitor regularly to ensure therapeutic dosing and prevent complications?

Q42.A physician orders Paracetamol 250 mg orally for a pediatric patient. The available medication is an oral suspension labeled 125 mg per 5 mL. How many milliliters should the nurse administer?

Q43.A nurse is caring for a patient who received an opioid analgesic for pain. The patient's respiratory rate drops to 8 breaths/minute, and they become difficult to arouse. What is the most appropriate initial nursing intervention?

Q44.Before administering a prescribed beta-blocker to a patient with hypertension, which vital signs are most crucial for the nurse to assess?

Q45.A 65-year-old male is admitted to the medical ward with pneumonia. During the initial phase of the nursing process, the nurse reviews the patient's medical history, performs a physical examination, and interviews the patient about his symptoms and lifestyle. This activity primarily represents which step of the nursing process?

Q46.After providing direct care to a patient diagnosed with Clostridioides difficile (C. diff) infection, the nurse removes gloves. What is the most appropriate and effective hand hygiene method the nurse should perform next?

Q47.A nurse is caring for a comatose patient who is at high risk for developing pressure injuries. To prevent sacral pressure injuries, which intervention is most effective and should be regularly implemented?

Q48.A patient reports persistent fatigue, states "I just don't have the energy to do anything anymore," and has a decreased intake of food. The nurse observes the patient moving slowly and expressing disinterest in activities. Based on this data, which nursing diagnosis is most appropriate?

Q49.A stethoscope, being a non-critical item, has been used to auscultate a patient's chest and abdomen. According to standard infection control practices, what level of reprocessing is generally sufficient for the stethoscope before using it on another patient?

Q50.The nurse is preparing to administer a medication via a nasogastric (NG) tube. Before administering the medication, what is the most important initial nursing action to ensure patient safety?

Q51.A client with a history of chronic heart failure is admitted to the hospital. Which assessment finding noted by the nurse would be most indicative of acute decompensation and require immediate notification of the physician?

Q52.A nurse is caring for a client with severe COPD who is receiving oxygen therapy at 4 L/min via nasal cannula. The client becomes increasingly drowsy and confused. What is the most appropriate initial nursing action?

Q53.A client with acute kidney injury (AKI) is experiencing hyperkalemia. Which prescribed medication would the nurse anticipate administering to rapidly shift potassium from the extracellular to the intracellular compartment?

Q54.A nurse is caring for a client who has recently had a stroke and is exhibiting signs of dysphagia. Which nursing intervention is most important to prevent complications related to dysphagia?

Q55.A client receiving chemotherapy for cancer develops neutropenia. Which instruction is most critical for the nurse to provide to the client and family upon discharge?

Q56.A nurse is reviewing the laboratory results for a client and notes a serum sodium level of 128 mEq/L. The client is asymptomatic. Which nursing intervention is most appropriate for this client?

Q57.A pregnant woman at 32 weeks gestation reports sudden, severe headache, blurred vision, and epigastric pain. What is the most appropriate initial nursing action?

Q58.During active labor, a nurse notes late decelerations on the fetal heart rate monitor. What is the most immediate nursing intervention?

Q59.A primipara delivered vaginally 30 minutes ago and is experiencing excessive vaginal bleeding with a boggy uterus. What is the nurse's priority intervention?

Q60.A newborn infant is assessed at 1 minute of life with the following: heart rate 90 bpm, weak cry, some flexion of extremities, body pink with blue extremities, and irregular respirations. What is the APGAR score?

Q61.A woman is considering an Intrauterine Device (IUD) for contraception. Which of the following statements indicates a need for further teaching by the nurse?

Q62.A mother is struggling with breastfeeding her newborn and reports painful, cracked nipples. What advice should the nurse prioritize to address this issue?

Q63.Which of the following gross motor milestones is typically expected in a 6-month-old infant?

Q64.A 10-month-old infant with diarrhea for 2 days shows restlessness, sunken eyes, and drinks eagerly. According to IMNCI guidelines, how would you classify the dehydration status of this infant?

Q65.Which of the following is NOT a core component of the Integrated Management of Neonatal and Childhood Illness (IMNCI) strategy?

Q66.According to Piaget's theory of cognitive development, a 5-year-old child typically demonstrates which of the following characteristics?

Q67.A 1-year-old child presents to the primary health center with fever and mild dehydration due to gastroenteritis. The most appropriate initial nursing intervention for this child would be:

Q68.According to IMNCI guidelines, when assessing a 1-year-old child with fever, which of the following is a 'danger sign' that requires immediate referral?

Q69.A newly posted Staff Nurse at a Sub-Centre is tasked with conducting a village health meeting. Which of the following activities is the most crucial for her to undertake before the meeting to ensure its effectiveness in addressing community health needs?

Q70.The National Health Mission (NHM) encompasses both the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). Which of the following is a primary objective of the NHM in strengthening public health infrastructure?

Q71.A Community Health Nurse is planning health education sessions for pregnant women in her assigned area under the RMNCH+A strategy. Which of the following topics would be the most critical to include in her sessions to align with the "A" component of RMNCH+A?

Q72.A Staff Nurse working in a rural PHC observes a consistent trend of high prevalence of anemia among adolescent girls in her catchment area. What would be the most effective primary prevention strategy she could implement at the community level?

Q73.A Staff Nurse at a PHC is evaluating the effectiveness of the antenatal care (ANC) services in her area. Which of the following indicators would best reflect the quality and reach of these services in preventing maternal complications?

Q74.A patient presents at a Sub-Centre with symptoms highly suggestive of complicated tuberculosis, requiring specialized diagnostic tests and multi-drug therapy initiation beyond the scope of a Sub-Centre. What is the appropriate next step for the Staff Nurse, adhering to the principles of the referral system in India's public health structure?

Q75.A patient diagnosed with schizophrenia exhibits a belief that the television newscaster is sending them personal messages directly. This symptom is best described as:

Q76.A nurse is speaking with a client who is reluctant to discuss their feelings. The nurse states, "It sounds like you're feeling overwhelmed, but it's hard to put it into words." This communication technique is known as:

Q77.A client admitted with severe depression expresses feelings of hopelessness and states, "I just want to end it all." The priority nursing intervention in this situation is to:

Q78.A client frequently experiences sudden, intense episodes of fear accompanied by palpitations, shortness of breath, dizziness, and a feeling of impending doom, even in non-threatening situations. These episodes are characteristic of:

Q79.During a conversation with a client, the nurse states, "Why don't you just try to look on the bright side? Everything will be fine." This statement is an example of which barrier to therapeutic communication?

Q80.A client admitted to the psychiatric unit for alcohol withdrawal suddenly develops tremors, diaphoresis, hallucinations, and increased vital signs. The nurse recognizes these symptoms as indicative of:

Q81.A charge nurse is delegating tasks on a busy medical-surgical unit. Which task is most appropriate to delegate to an experienced Licensed Practical Nurse (LPN) or Auxiliary Nurse Midwife (ANM) under the supervision of a Registered Nurse?

Q82.When designing a curriculum for a new nursing program, which type of curriculum model focuses on integrating knowledge, skills, and attitudes around a central theme or problem, promoting a holistic view of patient care?

Q83.A nurse researcher is conducting a study to explore the lived experiences of patients recovering from a stroke in a rural setting. Which research approach is most appropriate for this study?

Q84.A nurse manager observes a consistent pattern of delays in patient discharge, leading to longer wait times for new admissions. Which quality improvement tool would be most effective for graphically displaying the frequency of different reasons for discharge delays, ordered from most to least frequent?

Q85.During a staff meeting, a nurse educator emphasizes the importance of 'Andragogy' when teaching adult patients about managing their chronic illness. What is the core principle of Andragogy that the educator is referring to?

Q86.A nurse is preparing to conduct a literature review for an evidence-based practice project aimed at improving pain management in postoperative patients. Which of the following sources would provide the highest level of evidence?

Q87.A nurse is educating a family whose member has recently been diagnosed with active pulmonary tuberculosis. Besides medication adherence, which of the following immediate measures is most important to reduce the risk of transmission to other household members?

Q88.In a community experiencing a Dengue fever outbreak, a nurse is educating residents on personal protective measures. Which of the following is the most effective personal measure to prevent mosquito bites during the day?

Q89.A nurse is assessing a patient with long-standing Type 2 Diabetes Mellitus. Which of the following findings would be the most concerning indicator of a potential microvascular complication related to the disease?

Q90.A 60-year-old patient with newly diagnosed essential hypertension is starting medication. The nurse is providing education on lifestyle modifications. Which statement by the patient indicates a need for further teaching?

Q91.A nurse is providing first aid to a person who has sustained a significant burn to their hand and wrist from a hot liquid. After ensuring the safety of the scene and checking for consciousness, what is the immediate priority action before further cooling or dressing the wound?

Q92.A nurse overhears a colleague discussing a patient's confidential medical information in a public area of the hospital, including their diagnosis and prognosis, with another staff member who is not involved in the patient's care. Which ethical principle is primarily being violated in this situation?

Q93.A patient from an economically weaker section is admitted to a government hospital for a major surgery and expresses concern about the financial burden. Which of the following Kerala government schemes would a staff nurse primarily counsel the patient about for financial assistance for their treatment?

Q94.A community health nurse is conducting an awareness session about the Aardram Mission in a rural primary health center. Which of the following aspects should the nurse emphasize as a core objective of this mission to the community?

Q95.A Staff Nurse often encounters global health initiatives and guidelines. Which of the following statements best encapsulates the fundamental mission and primary objective of the World Health Organization (WHO)?

Q96.A Public Health Nurse (PHN) in Kerala is tasked with organizing community awareness activities for National Dengue Day. Which of the following initiatives would be the most appropriate primary focus for this observance?

Q97.The Ayushman Bharat Digital Mission (ABDM) aims to create a national digital health ecosystem. As a Staff Nurse, which of the following is a primary benefit you would anticipate from the effective implementation of ABDM in your daily practice?

Q98.Recent health policies in Kerala emphasize strengthening primary healthcare centers (PHCs) for the early detection and management of non-communicable diseases (NCDs). In this context, what expanded role is primarily expected from a Staff Nurse at a PHC?

Q99.A Staff Nurse in a primary health center observes a sudden surge in patients presenting with acute febrile illness, severe myalgia, and rash, which is uncommon for the season. Several patients are from the same locality. What is the nurse's MOST critical immediate action?

Q100.A Staff Nurse posted at a Primary Health Centre (PHC) in Kerala observes the implementation of new services, such as extended outpatient department (OPD) timings, improved specialist consultations through tele-medicine, and enhanced diagnostic facilities. These changes are primarily part of which major healthcare reform initiative by the Government of Kerala?