Kerala PSC Staff Nurse Gr II Mock 007

Q1.A nurse is explaining the cardiac cycle to a patient. Which of the following events correctly describes the closure of the atrioventricular (AV) valves?

Q2.During gas exchange in the lungs, oxygen moves from the alveoli into the pulmonary capillaries primarily due to which of the following principles?

Q3.A patient with pancreatitis is experiencing impaired digestion. Which of the following pancreatic enzymes is primarily responsible for breaking down fats in the small intestine?

Q4.A nurse observes a patient exhibiting symptoms of 'fight or flight' response, including dilated pupils, increased heart rate, and decreased digestive activity. Which part of the nervous system is primarily responsible for these physiological changes?

Q5.Which part of the nephron is primarily responsible for the reabsorption of most of the filtered water, glucose, and amino acids back into the blood?

Q6.A patient is diagnosed with hypothyroidism. The nurse would anticipate a deficiency in which of the following hormones, primarily affecting metabolic rate?

Q7.During skeletal muscle contraction, which of the following events directly leads to the shortening of the muscle fiber?

Q8.A nurse is preparing to assist with Gram staining a bacterial sample. Which of the following is the primary purpose of applying iodine solution during the Gram staining procedure?

Q9.A patient presents with symptoms characteristic of Dengue fever. The nurse understands that Dengue fever is primarily transmitted through which of the following modes?

Q10.A newborn infant receives antibodies from its mother through breast milk. This type of immunity is best described as:

Q11.A nurse is collecting a urine specimen for culture and sensitivity from a male patient. To ensure an accurate result, which instruction is most crucial for the patient to follow?

Q12.In a healthcare setting, the most effective single measure to prevent the spread of healthcare-associated infections (HAIs) is:

Q13.Which sterilization method is most suitable for heat-sensitive medical instruments like endoscopes?

Q14.A patient develops septic shock following a severe Gram-negative bacterial infection. The nurse understands that this severe systemic response is primarily due to the release of which bacterial component?

Q15.Which of the following characteristics is most indicative of a 'primary social group' crucial for an individual's emotional and social well-being in a community?

Q16.In the context of social change in Kerala, the rapid urbanization and migration of youth to cities often lead to specific community health challenges. Which of the following is a direct consequence of such demographic shifts on community health?

Q17.Poverty is a significant social problem with profound implications for community health. How does poverty primarily contribute to poor health outcomes in a community?

Q18.As a Staff Nurse Gr II working in a community health setting, which of the following actions best exemplifies your role in promoting community health and preventing social problems related to health?

Q19.A community health nurse identifies a potential case of domestic violence in a household. Recognizing domestic violence as a major social problem, what is the most critical immediate nursing intervention from a public health perspective?

Q20.When planning health interventions for a community, especially one with strong traditional beliefs and practices, which of the following sociological considerations is most important for a Staff Nurse Gr II to ensure the program's effectiveness?

Q21.A patient diagnosed with a terminal illness consistently blames their family for not taking them to the doctor earlier, despite having delayed seeking medical attention themselves. Which defense mechanism is this patient primarily exhibiting?

Q22.A pediatric nurse wants to encourage a child to take their oral medication without resistance. Each time the child takes the medication, the nurse praises them and gives them a small sticker. This strategy is an example of which learning principle?

Q23.A nurse admits a homeless patient to the emergency department who is malnourished, dehydrated, and suffering from hypothermia. According to Maslow's Hierarchy of Needs, which need should the nurse prioritize first for this patient?

Q24.A nurse consistently displays a condescending attitude towards patients who frequently visit the emergency department for non-urgent complaints. How might this attitude impact patient care and the nurse-patient relationship?

Q25.A patient frequently experiences severe anxiety attacks without any identifiable external trigger or conscious reason. A psychodynamic perspective would suggest that these attacks might be rooted in which part of the mind?

Q26.A nurse is counseling a patient who wants to quit smoking. To effectively help the patient break this habit, which approach is most aligned with psychological principles of habit formation and change?

Q27.A 5-year-old child is brought to the clinic with generalized edema, a distended abdomen, skin lesions, and sparse, discolored hair. The nurse recognizes these symptoms as characteristic of which form of protein-energy malnutrition?

Q28.A nurse is providing dietary counseling to a patient newly diagnosed with chronic kidney disease (CKD) who is not yet on dialysis. Which of the following dietary recommendations is most appropriate for this patient?

Q29.A pregnant woman in her first trimester expresses concern about ensuring proper fetal development. The nurse emphasizes the critical importance of which nutrient to prevent neural tube defects?

Q30.Which of the following describes a balanced diet for an adult, according to general nutritional guidelines?

Q31.A patient with diabetes is learning about carbohydrate counting. The nurse explains that carbohydrates are the body's primary source of energy. Which of the following food items would the nurse identify as a significant source of carbohydrates?

Q32.When assessing a patient for signs of potential malnutrition, which of the following objective findings would be most indicative of a nutritional deficit?

Q33.A nurse is caring for a patient experiencing profound fatigue and muscle weakness, particularly during strenuous activity. Understanding basic biochemistry, which metabolic pathway efficiently produces ATP from glucose *without* requiring oxygen, making it vital for short, intense energy demands?

Q34.A patient with severe protein malnutrition presents with generalized edema. The nurse understands that this is primarily due to a deficiency in which plasma protein, leading to a significant reduction in plasma oncotic pressure?

Q35.During a health education session, a nurse explains the roles of various lipoproteins in cholesterol transport. Which lipoprotein is primarily responsible for transporting cholesterol *from* peripheral tissues *back* to the liver for excretion or recycling, often associated with a lower risk of atherosclerosis?

Q36.A nurse reviews the lab results of a patient with suspected acute pancreatitis, noting elevated levels of specific enzymes. Which pair of enzymes would be most indicative of pancreatic inflammation and cellular injury?

Q37.A patient with a chronic liver disease is at risk for impaired absorption and synthesis of certain fat-soluble vitamins. A nurse understands that a deficiency of which vitamin would most directly impair the body's ability to form essential blood clotting factors?

Q38.In the body's primary extracellular fluid buffer system, which pair of components works together to swiftly neutralize excess acids or bases, thereby maintaining blood pH within a narrow range?

Q39.A nurse needs to administer 500mg of paracetamol orally to an adult patient. The available stock is paracetamol syrup 125mg/5mL. How many milliliters should the nurse administer for a single dose?

Q40.A patient receiving Digoxin for chronic heart failure reports experiencing blurred vision with yellow-green halos and persistent nausea. Which nursing action is most appropriate at this time?

Q41.A nurse is preparing to administer Warfarin, an anticoagulant, to a patient with a history of deep vein thrombosis. Which laboratory value is most crucial to assess before administering this medication?

Q42.When administering an intramuscular (IM) injection to an adult patient, which site is generally considered the safest and most preferred due to its adequate muscle mass and distance from major nerves and blood vessels?

Q43.A patient receiving morphine sulfate for severe postoperative pain is found to have a respiratory rate of 8 breaths per minute and is difficult to arouse. What is the most immediate and appropriate nursing intervention?

Q44.A nurse is providing education to a patient newly prescribed sublingual nitroglycerin for angina pectoris. The nurse should instruct the patient to place the tablet in which location?

Q45.A nurse collects data on a patient who reports severe abdominal pain, nausea, and has a temperature of 38.5°C. The nurse then formulates a problem statement: "Acute Pain related to inflammation of the appendix as evidenced by patient's report of 8/10 pain, guarding, and grimacing." This action represents which step of the nursing process?

Q46.A nurse is caring for a patient admitted with an unknown febrile illness. The patient is coughing frequently. What is the most appropriate initial infection control measure the nurse should implement, assuming no specific diagnosis has been made yet?

Q47.A bedridden patient is at high risk for developing pressure ulcers. Which of the following positions or devices would be LEAST effective and potentially harmful in preventing pressure on the sacrum and heels when the patient is lying supine?

Q48.A nurse is preparing to change a sterile dressing on a central venous catheter. Which action by the nurse indicates a breach in sterile technique?

Q49.After implementing a teaching plan for a patient with newly diagnosed diabetes, the nurse asks the patient to demonstrate how to self-administer insulin and verbalize understanding of dietary restrictions. This activity is part of which phase of the nursing process?

Q50.A nurse is assessing a patient's blood pressure and obtains a reading of 100/60 mmHg. The patient reports dizziness upon standing. Which nursing intervention is most appropriate FIRST?

Q51.A patient arrives in the emergency department with full-thickness burns covering 30% of their total body surface area (TBSA). Following the Parkland formula for fluid resuscitation, the nurse prepares to administer IV fluids. Which type of intravenous fluid is most appropriate for the initial 24 hours of resuscitation in this patient?

Q52.A nurse is educating a client with COPD about home oxygen therapy. The nurse emphasizes the importance of using oxygen at the prescribed low flow rates. What is the primary physiological reason for this caution in COPD patients?

Q53.A nurse is educating a patient with Chronic Kidney Disease (CKD) about dietary modifications. Which food choice indicates the patient understands the most important dietary restriction for managing CKD?

Q54.A nurse is caring for a patient admitted with an acute ischemic stroke. Which assessment finding is the priority to report immediately to the healthcare provider to prevent a life-threatening complication?

Q55.A patient receiving furosemide (Lasix) for fluid overload reports muscle weakness and fatigue. The nurse reviews the lab results and anticipates which electrolyte imbalance?

Q56.A patient undergoing chemotherapy for cancer is at risk for neutropenia. Which instruction is most important for the nurse to include in the discharge teaching to prevent a serious complication?

Q57.A primigravida at 36 weeks gestation reports experiencing sudden, severe epigastric pain and blurred vision. Upon assessment, her blood pressure is 150/98 mmHg, and a urine dipstick shows +3 proteinuria. Which of the following conditions should the nurse suspect immediately?

Q58.During active labor, a client's fetal heart rate (FHR) tracing shows recurrent late decelerations with decreased variability. The nurse's priority action should be to:

Q59.A client who delivered vaginally 30 minutes ago is experiencing continuous heavy vaginal bleeding, and her fundus is boggy and above the umbilicus despite uterine massage. The nurse should anticipate administering which medication as a first-line treatment for uterine atony?

Q60.A newborn baby at 1 minute of life has a heart rate of 98 bpm, a weak cry, some flexion of extremities, a pink body with blue extremities, and responds with a grimace to stimulation. What is the APGAR score for this infant?

Q61.A 32-year-old woman is seeking family planning advice. She has a history of migraine with aura, is a smoker, and has controlled hypertension. Which of the following contraceptive methods is absolutely contraindicated for her?

Q62.A mother has just delivered a preterm infant at 32 weeks gestation. She expresses concern about breastfeeding due to the baby's prematurity. Which of the following statements by the nurse provides the MOST accurate and encouraging information regarding breastfeeding for her preterm infant?

Q63.A 10-month-old infant is brought for a routine check-up. Which of the following gross motor milestones would the nurse expect this child to have achieved?

Q64.During an assessment of a 6-month-old infant presenting with cough and difficulty breathing, the nurse identifies severe chest indrawing. According to the IMNCI guidelines, this finding indicates:

Q65.A 2-year-old child presents with diarrhea for 3 days. On examination, the nurse notes that the child is irritable, has sunken eyes, and skin pinch goes back slowly. Based on IMNCI guidelines, how would the nurse classify this child's dehydration?

Q66.Which of the following fine motor skills would a nurse expect an 18-month-old toddler to typically demonstrate?

Q67.A 1-year-old child is brought to the clinic with bilateral pitting edema of the feet and lower legs. The child's weight-for-height Z-score is -1.5. According to WHO criteria, how should the nurse classify this child's nutritional status?

Q68.A 9-month-old infant presents with a fever of 39°C. During the IMNCI assessment, the nurse observes that the child is lethargic and unable to drink. What is the most appropriate initial action according to IMNCI guidelines?

Q69.A newly posted Staff Nurse at a Sub-Centre in a rural area is primarily responsible for which of the following activities?

Q70.The National Health Mission (NHM) in India integrates several key health programs. Which of the following is NOT a core component or mission under the NHM umbrella?

Q71.A Staff Nurse working at a Primary Health Centre (PHC) is expected to provide a range of essential services to the community. Which of the following services is typically offered at a PHC?

Q72.A mother brings her 10-month-old infant to the Sub-Centre for routine immunization. According to the National Immunization Schedule (NIS) in India, which vaccine is typically due around this age?

Q73.During a community health assessment, a Staff Nurse observes an Accredited Social Health Activist (ASHA) worker interacting with villagers. Which of the following activities is a primary role of an ASHA worker in the community?

Q74.The National Vector Borne Disease Control Programme (NVBDCP) aims to control diseases like Malaria, Dengue, and Chikungunya. A Staff Nurse participating in this program understands that an effective strategy primarily involves:

Q75.A 30-year-old male is admitted to the psychiatric unit exhibiting disorganized speech, paranoid delusions, and auditory hallucinations commanding him to harm himself. What is the immediate priority nursing intervention?

Q76.A patient tells the nurse, "I feel so alone and useless since my husband passed away. I don't see the point in anything anymore." The nurse responds, "It sounds like you're feeling a deep sense of loss and despair, and finding it hard to see meaning in life right now." Which therapeutic communication technique is the nurse using?

Q77.A patient newly prescribed Olanzapine (an atypical antipsychotic) for schizophrenia should be closely monitored by the nurse for which significant adverse effect?

Q78.A nurse is caring for a patient experiencing an acute manic episode of Bipolar I disorder. Which nursing intervention should be prioritized to address the patient's immediate physical needs?

Q79.A 45-year-old patient suddenly develops intense fear, shortness of breath, chest pain, dizziness, and a feeling of impending doom in the waiting room. The nurse identifies this as a probable panic attack. What is the initial and most appropriate nursing action?

Q80.A patient admitted involuntarily to a psychiatric unit due to acute psychosis and danger to self expresses a strong desire to leave the hospital against medical advice. Which ethical principle primarily guides the nurse's decision to maintain the patient's hospitalization?

Q81.A nurse manager observes frequent conflicts among her team members regarding shift duties and patient assignments. To address this, she decides to involve the entire team in discussing the issues, brainstorming solutions, and reaching a consensus. Which leadership style is she primarily demonstrating?

Q82.Before initiating a study on the effectiveness of a new pain management protocol, a nurse researcher must ensure that all potential participants fully understand the study's purpose, procedures, risks, and benefits, and freely agree to participate without coercion. This ethical principle is known as:

Q83.A nurse researcher has identified a significant gap in knowledge regarding patient adherence to medication regimens post-discharge. What is the *next* logical step after identifying the research problem in the nursing research process?

Q84.Following a significant increase in medication errors on a ward, the nurse manager decides to implement a systematic process to identify the *potential causes* contributing to these errors. Which quality improvement tool would be most appropriate for this purpose?

Q85.A nurse wants to explore the lived experiences of patients undergoing long-term hemodialysis, focusing on their feelings, perceptions, and daily challenges. Which type of research approach would be most suitable for this study?

Q86.A Registered Nurse (RN) is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which of the following tasks is *most appropriate* for the RN to delegate to the UAP?

Q87.A 45-year-old male is diagnosed with active pulmonary tuberculosis. As a community health nurse, which of the following is the most critical public health intervention to prevent further spread of the disease?

Q88.A 58-year-old patient with newly diagnosed Type 2 Diabetes Mellitus is receiving discharge education. The nurse emphasizes the importance of regular foot care. Which instruction is most critical for preventing diabetic foot complications?

Q89.A factory worker accidentally spills a strong acidic chemical on his forearm, resulting in a chemical burn. What is the immediate and most appropriate first aid action a nurse should advise or perform?

Q90.A nurse working in a general ward overhears a colleague discussing sensitive medical information about a patient in the cafeteria, where other non-medical staff are present. Which ethical principle is primarily being violated by the colleague?

Q91.A 7-year-old child is admitted to the pediatric ward with a fever, rash, and Koplik spots, highly suggestive of measles. Which type of transmission-based precaution should the nurse immediately initiate?

Q92.A nurse is providing discharge education to a 60-year-old patient newly diagnosed with essential hypertension. Which lifestyle modification advice is most crucial for the patient to prioritize for effective blood pressure management?

Q93.A staff nurse is posted at a Primary Health Centre (PHC) in a rural area of Kerala. The PHC has recently implemented initiatives such as extended outpatient consultation hours, appointment systems, and the introduction of a family physician model to ensure comprehensive primary care. These improvements align directly with the objectives of which major state health mission?

Q94.A 68-year-old patient, who is a resident of Kerala and belongs to an economically weaker section, requires urgent hospitalization for a cataract surgery. The patient expresses concern about the financial burden of the procedure. As a staff nurse in a government hospital, which state health scheme would you primarily guide the patient towards to avail cashless treatment benefits for this surgical intervention?

Q95.A community health nurse is designing an educational program for pregnant women and new mothers in a rural area, focusing on essential newborn care practices. Which of the following core recommendations, strongly advocated by both WHO and UNICEF, would be a primary focus of this program?

Q96.A Public Health Nurse is organizing an awareness campaign in a rural community for National Dengue Day (May 16th). Which of the following activities would be the most impactful primary prevention strategy to focus on for the community?

Q97.A primary care nurse in Kerala is attending a workshop on the Ayushman Bharat Digital Mission (ABDM). Which of the following best describes a key benefit of ABDM for patient care from a nursing perspective?

Q98.The Kerala government has consistently emphasized strengthening primary healthcare services and community engagement as part of its health policies. In the context of a new initiative aimed at early detection and management of non-communicable diseases (NCDs) at the community level, what would be the primary role of a Staff Nurse Gr II posted at a Family Health Centre?

Q99.A Staff Nurse working in a primary health center observes an unusual increase in patients reporting acute febrile illness with gastrointestinal symptoms in a specific locality over the past 24 hours. What is the most immediate and critical nursing action to take in response to this potential epidemic outbreak?

Q100.A staff nurse working in a Primary Health Centre (PHC) in Kerala observes significant improvements in infrastructure and service delivery, including extended outpatient timings, increased availability of essential medicines, and a more patient-friendly environment. This transformation is primarily a result of which flagship health initiative of the Government of Kerala?