Kerala PSC Staff Nurse Gr II Mock 008

Q1.A patient presents with edema in the lower extremities and jugular venous distension. Which anatomical structure's dysfunction is most likely contributing to these symptoms?

Q2.A nurse is educating a patient about the body's defense mechanisms. Which of the following best describes the primary function of lymph nodes?

Q3.Which of the following factors primarily determines the rate of gas exchange (oxygen and carbon dioxide) across the alveolar-capillary membrane?

Q4.The majority of nutrient absorption, including carbohydrates, proteins, and fats, takes place in which specific part of the digestive tract?

Q5.A nurse is reviewing a patient's lab results, which show elevated levels of Antidiuretic Hormone (ADH). Based on the physiological action of ADH, what would the nurse expect to observe in the patient's urine output and concentration?

Q6.A patient with uncontrolled Type 1 Diabetes Mellitus presents with Kussmaul respirations and a fruity breath odor. This clinical picture is primarily a result of the body's inability to utilize which primary energy source due to insulin deficiency?

Q7.A nurse is assessing a patient who sustained a head injury and observes pinpoint pupils and bradycardia. Which part of the autonomic nervous system is likely overstimulated or dominant in this scenario?

Q8.A nurse is reviewing a lab report indicating a Gram stain was performed on a bacterial sample. Which component of the Gram stain procedure is responsible for decolorizing Gram-negative bacteria, allowing them to be counterstained later?

Q9.A patient receives the measles, mumps, and rubella (MMR) vaccine. This type of immunity, where the body actively produces its own antibodies in response to a vaccine, is best described as:

Q10.To effectively prevent the transmission of microorganisms and reduce the incidence of healthcare-associated infections (HAIs) in a hospital setting, the most critical intervention for healthcare workers is:

Q11.A nurse is instructing a female patient on how to collect a midstream urine specimen for a culture and sensitivity test. Which instruction is most crucial to ensure the specimen is not contaminated by normal skin flora?

Q12.Dengue fever is a viral infection transmitted to humans through the bite of infected Aedes mosquitoes. This specific mode of disease transmission is categorized as:

Q13.A laboratory report describes a bacterial pathogen as "Gram-positive cocci in clusters." Based on this description, what is the fundamental shape of these bacteria?

Q14.A patient undergoing chemotherapy for cancer develops Pneumocystis jirovecii pneumonia, an infection that rarely affects individuals with healthy immune systems. This type of infection is classified as an:

Q15.A community health nurse is conducting a health education session for a group of mothers in a rural village. The mothers regularly meet for daily chores, share personal problems, and provide mutual emotional support. This group can be primarily classified as a:

Q16.The rapid urbanization observed in many parts of Kerala has significant implications for community health. Which of the following is a direct social consequence of urbanization that a community health nurse would frequently encounter?

Q17.A community health nurse identifies a high prevalence of domestic violence cases in a particular urban slum area. Which of the following nursing interventions would be most effective in addressing this social problem from a community health perspective?

Q18.A primary responsibility of a community health nurse, particularly in the context of community health, is to empower individuals and families to take charge of their own health. This is best exemplified by:

Q19.A public health survey in a district reveals a strong correlation between lower educational attainment and higher rates of chronic diseases. This observation highlights the significance of which of the following in influencing community health outcomes?

Q20.In many parts of Kerala, there is a noticeable shift from traditional joint family systems to nuclear family structures. What is a potential implication of this social change that a staff nurse should be aware of when planning patient care?

Q21.A nurse is caring for a patient who recently received a terminal diagnosis. The patient repeatedly states, "This can't be happening to me; the doctors must have made a mistake." Which defense mechanism is this patient primarily exhibiting?

Q22.A pediatric nurse is teaching a child with asthma how to correctly use an inhaler. The nurse demonstrates the steps, then asks the child to practice, providing positive feedback and praise each time the child performs a step correctly. This teaching approach is primarily based on principles of:

Q23.A staff nurse is assessing a patient admitted with severe malnutrition and dehydration who is also expressing feelings of loneliness and isolation. According to Maslow's Hierarchy of Needs, which need should the nurse prioritize addressing first?

Q24.A nurse is attempting to educate a long-term smoker about the health risks associated with their habit. Despite presenting clear evidence, the patient expresses strong resistance and dismisses the information, stating, "My grandfather smoked his whole life and lived to be 90." This patient's response is an example of:

Q25.A patient in the psychiatric ward is experiencing significant anxiety due to conflicting desires: wanting to engage in impulsive, inappropriate behaviors (e.g., shouting obscenities) and knowing that such actions would lead to negative consequences. According to Freud's structural model of the mind, which component is primarily responsible for mediating these conflicting impulses and interacting with reality?

Q26.A nurse is preparing a care plan for a patient with severe chronic pain who frequently uses maladaptive coping strategies, such as isolating themselves and refusing to participate in physical therapy. To encourage more adaptive behaviors, the nurse decides to implement a system where the patient earns privileges (e.g., extra TV time) for completing therapy exercises and engaging in social activities. This strategy is an application of which psychological principle?

Q27.A patient with chronic kidney disease (CKD) is prescribed a renal diet. Which of the following dietary modifications is most crucial for a nurse to emphasize to the patient?

Q28.A nurse is educating a client about essential macronutrients. Which statement correctly describes the primary role of proteins in the body?

Q29.A patient presents with bleeding gums, petechiae, and poor wound healing. The nurse suspects a deficiency in which of the following vitamins?

Q30.When teaching a community group about creating a balanced diet using the MyPlate guidelines, which food group should the nurse recommend making up the largest combined portion of a typical meal?

Q31.A nurse is providing dietary teaching to a patient newly diagnosed with hypertension. Which food choice indicates the patient understands the principles of a low-sodium diet?

Q32.An elderly patient living alone is admitted to the hospital with unexplained weight loss, fatigue, and poor appetite. The nurse's initial nutritional assessment should prioritize which of the following?

Q33.A patient with uncontrolled Type 1 diabetes presents to the emergency department with Kussmaul breathing and a 'fruity' odor on their breath. From a biochemical perspective, which metabolic process is predominantly active, leading to these clinical manifestations?

Q34.A nurse is preparing to administer a drug that acts as a competitive inhibitor of a key enzyme in a metabolic pathway. Biochemically, what is the most likely immediate effect of this drug on the enzyme's substrate?

Q35.A patient's routine blood work reveals elevated levels of Low-Density Lipoprotein (LDL) cholesterol. As a nurse, you understand this is a risk factor for cardiovascular disease. Biochemically, what is the primary function of LDL in the body?

Q36.A patient suffering from chronic alcoholism is admitted with symptoms including confusion, ataxia, and ophthalmoplegia (Wernicke-Korsakoff syndrome). This condition is primarily linked to a deficiency of Thiamine (Vitamin B1). Biochemically, why is Thiamine crucial for neurological function?

Q37.During a period of prolonged fasting, the body shifts its metabolic fuel sources. Which of the following statements accurately describes the primary biochemical adaptation to maintain blood glucose levels during prolonged fasting?

Q38.A patient is prescribed Warfarin, an anticoagulant, which works by inhibiting Vitamin K-dependent clotting factors. Biochemically, what is the fundamental role of Vitamin K in the coagulation cascade?

Q39.A patient is prescribed 1000 mL of 0.9% Normal Saline to be infused over 8 hours. The IV administration set delivers 15 drops/mL. How many drops per minute should the nurse set the infusion rate?

Q40.A patient prescribed Lisinopril for hypertension reports a persistent, dry cough that started a few weeks after initiating the medication. What is the most likely cause of this symptom?

Q41.A 60-year-old patient with a history of asthma and hypertension is prescribed a new antihypertensive medication. Which of the following drug classes should the nurse question if prescribed, due to the patient's medical history?

Q42.A nurse is preparing to administer sublingual nitroglycerin to a patient experiencing chest pain. Which of the following instructions is most important for the nurse to give the patient?

Q43.A physician orders Phenytoin 150 mg PO daily. The pharmacy supplies Phenytoin capsules 100 mg per capsule. How many capsules should the nurse administer?

Q44.A patient receiving morphine for severe pain is experiencing respiratory depression (respiratory rate of 8 breaths/min). Which of the following nursing interventions is most appropriate?

Q45.A nurse is collecting data during the assessment phase of the nursing process for a patient admitted with dyspnea. Which of the following actions best demonstrates subjective data collection?

Q46.A nurse is preparing to administer medications to a patient diagnosed with C. difficile infection. Which personal protective equipment (PPE) is most appropriate for the nurse to wear when entering the patient's room?

Q47.A nurse is assisting an elderly patient with limited mobility to reposition from a supine to a sitting position on the edge of the bed. To ensure proper body mechanics and patient safety, the nurse should primarily:

Q48.A surgical instrument needs to be free of all microorganisms, including bacterial spores, before being used in an invasive procedure. Which process is essential to achieve this level of cleanliness?

Q49.A nurse is caring for a patient experiencing acute chest pain, shortness of breath, and diaphoresis. Based on Maslow's Hierarchy of Needs, which nursing diagnosis would the nurse prioritize?

Q50.The nurse is preparing to change a sterile dressing for a patient with a surgical incision. Which action by the nurse would be considered a breach of aseptic technique?

Q51.A nurse is caring for a client with chronic heart failure. Which assessment finding would indicate a worsening of the client's condition and require immediate intervention?

Q52.A nurse is instructing a client with Chronic Obstructive Pulmonary Disease (COPD) on effective breathing techniques. Which technique should the nurse emphasize to help the client prolong exhalation and prevent air trapping?

Q53.A client with End-Stage Renal Disease (ESRD) is on hemodialysis. The nurse is reviewing the client's laboratory results. Which electrolyte imbalance is the client most at risk for developing between dialysis sessions?

Q54.A client is admitted to the emergency department with sudden onset of right-sided weakness and slurred speech, indicative of a possible stroke. What is the priority nursing intervention upon the client's arrival?

Q55.A client is admitted with a suspected upper gastrointestinal bleed. Which nursing intervention is most appropriate to monitor for ongoing bleeding and hypovolemia?

Q56.A nurse is caring for a client with full-thickness burns covering 30% Total Body Surface Area (TBSA). Which assessment finding would best indicate that fluid resuscitation is adequate?

Q57.A 32-week pregnant woman presents to the antenatal clinic complaining of sudden onset of severe headache, blurred vision, and epigastric pain. Her blood pressure is 150/98 mmHg. Which of the following conditions should the nurse suspect and prioritize for immediate intervention?

Q58.During active labor, a fetal heart rate (FHR) tracing shows recurrent late decelerations with decreased variability. The nurse's most appropriate initial action would be:

Q59.A primipara delivered a 3.5 kg baby vaginally one hour ago. The nurse notes heavy vaginal bleeding with a boggy fundus that is difficult to palpate. The most immediate nursing intervention is to:

Q60.A 48-hour-old newborn develops jaundice. The nurse assesses the baby and notes yellow discoloration of the skin and sclera extending to the abdomen. The most appropriate initial nursing action would be:

Q61.A 28-year-old woman is considering an Intrauterine Device (IUD) for contraception. During counseling, the nurse should inform her about which of the following common potential side effects, especially with a copper IUD?

Q62.A pregnant woman in her first trimester is receiving antenatal counseling on nutrition. The nurse emphasizes the importance of a specific micronutrient to prevent neural tube defects in the fetus. Which micronutrient is the nurse referring to?

Q63.A 12-month-old child is brought for a routine check-up. The mother reports that the child can pull himself up to stand and move around by holding onto furniture, but is not yet walking independently. Which of the following gross motor milestones is expected for a child of this age?

Q64.A 9-month-old infant is admitted with watery diarrhea for 2 days. On assessment, the nurse notes the child is lethargic, has sunken eyes, and when a skin pinch is performed, it goes back very slowly (>2 seconds). According to IMNCI guidelines, how should the nurse classify this child's dehydration status?

Q65.A 10-month-old child is brought to the health center with a complaint of cough and difficulty breathing for one day. On assessment, the nurse observes the child's respiratory rate is 60 breaths/minute. There is no chest indrawing or stridor. Based on IMNCI guidelines, what is the most appropriate classification for this child's illness?

Q66.An 18-month-old child is brought to the clinic for a routine developmental assessment. The nurse is assessing the child's language and social development. Which of the following milestones would be expected for a child of this age?

Q67.A 1-year-old child is assessed using IMNCI guidelines and is classified with 'Severe Malnutrition' due to visible severe wasting and bilateral pitting edema. What is the most critical immediate action for the nurse to take based on this classification?

Q68.A 2-year-old child diagnosed with measles develops a persistent cough, fast breathing, and chest indrawing a few days after the rash appeared. The nurse suspects a complication. What is the most likely complication the nurse should suspect in this child?

Q69.Which of the following is a key component of the National Health Mission (NHM), specifically aimed at improving health outcomes in urban areas?

Q70.Under the National Health Mission (NHM), an Accredited Social Health Activist (ASHA) plays a crucial role at the village level. Which of the following is a primary function of an ASHA?

Q71.A patient presents to a Primary Health Centre (PHC) with persistent cough, fever, and weight loss for over three weeks. As a Staff Nurse, what is the immediate and most appropriate action to suspect pulmonary tuberculosis under the National TB Elimination Programme (NTEP)?

Q72.What is the ideal temperature range that must be maintained for vaccines stored in an Ice-Lined Refrigerator (ILR) under the Universal Immunization Programme (UIP)?

Q73.A community health nurse is conducting a health screening camp in a village as part of the National Programme for Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS). Which of the following activities is most appropriate for primary screening of non-communicable diseases (NCDs) at the community level?

Q74.A pregnant woman in her second trimester visits a Sub-centre for her antenatal check-up. As per the RCH (Reproductive and Child Health) programme guidelines, what key advice should the Staff Nurse provide regarding iron and folic acid (IFA) supplementation?

Q75.A patient diagnosed with schizophrenia exhibits flat affect, alogia, and avolition. These symptoms are primarily categorized as:

Q76.A nurse is communicating with a client who is expressing feelings of hopelessness. Which of the following non-verbal behaviors by the nurse best demonstrates active listening and empathy?

Q77.A client in the manic phase of bipolar disorder is admitted to the psychiatric unit. Which nursing intervention should be prioritized to ensure the client's safety?

Q78.A client tells the nurse, "I feel like no one understands what I'm going through." The nurse responds, "Many people feel that way sometimes, it's normal." This response is an example of which communication barrier?

Q79.During the assessment of a client with major depressive disorder, which of the following findings would be the most concerning and require immediate intervention?

Q80.A client experiencing an acute panic attack enters the emergency department. The most appropriate initial nursing action would be to:

Q81.A newly appointed Staff Nurse is overwhelmed with her patient load and is hesitant to delegate tasks to junior staff. As a Nurse Manager, which leadership approach would be most effective in fostering her confidence and improving team efficiency?

Q82.A Staff Nurse wants to implement an evidence-based practice (EBP) change to reduce catheter-associated urinary tract infections (CAUTIs) in her unit. After formulating a PICO question, what is the NEXT crucial step in the EBP process?

Q83.During an in-service training session for experienced nurses on a new wound care technique, the educator notices some resistance and disengagement. Applying principles of adult learning (andragogy), what would be the most effective strategy for the educator?

Q84.A hospital unit consistently reports a high incidence of medication errors. As a Nurse Manager, which quality improvement tool would be most appropriate to identify the root causes of these errors?

Q85.A Staff Nurse discovers that a colleague has been consistently documenting care that was not provided. After confronting the colleague without resolution, what is the most appropriate next step for the Staff Nurse to take, considering professional ethics and patient safety?

Q86.A nurse researcher is conducting a study on the effectiveness of a new pain management intervention. To ensure ethical conduct, what is the primary consideration when recruiting participants for the study?

Q87.A 35-year-old male presents to the clinic with fever, severe headache, retro-orbital pain, and a maculopapular rash. He recently returned from a trip to a tropical region. On examination, a positive tourniquet test is noted. Which of the following is the most likely diagnosis?

Q88.A nurse is educating a community group about preventing hypertension. Which of the following recommendations is most crucial for primary prevention of hypertension?

Q89.During a school sports event, a 10-year-old child sustains a deep laceration to his leg from a sharp object, and the wound is bleeding profusely. What is the immediate and most appropriate first aid measure to control the bleeding?

Q90.A staff nurse overhears a colleague discussing detailed medical information about a patient, including their diagnosis and treatment plan, with another non-medical staff member in the hospital cafeteria. Which ethical principle is primarily being violated by the colleague's action?

Q91.A patient diagnosed with active pulmonary tuberculosis is being discharged from the hospital. As a staff nurse, what is the most important health education point to emphasize to the patient and family regarding preventing transmission to others at home?

Q92.A family member calls for emergency medical help, stating their elderly relative suddenly developed weakness on one side of their body, slurred speech, and difficulty understanding what is being said. As a first responder, what immediate action should be prioritized while waiting for advanced medical help?

Q93.A staff nurse working in a Primary Health Centre (PHC) in Kerala notices significant improvements in patient care, infrastructure, and the expansion of services, leading to its transformation into a more comprehensive healthcare facility. Which of the following Kerala government initiatives is primarily responsible for transforming PHCs into patient-friendly Family Health Centres (FHCs) with expanded services, as observed by the nurse?

Q94.During a routine ward round, a staff nurse encounters a patient from a low-income family who is concerned about the high cost of an upcoming cardiac surgery, which is estimated to be several lakhs of rupees. Which Kerala government scheme should the nurse primarily explain to the patient as a means to cover significant treatment expenses in empanelled hospitals?

Q95.A Staff Nurse is actively involved in a community health outreach program focused on enhancing child health through immunization campaigns. Which international organization is primarily known for its role in the large-scale procurement and logistical distribution of vaccines to children in low-income countries, often working in collaboration with WHO's technical guidance?

Q96.A community health nurse is preparing an educational session for National Dengue Day (May 16th) in a high-risk urban area. Which key preventive message is most crucial for the nurse to emphasize to the residents?

Q97.A patient asks a staff nurse about the benefits of the Ayushman Bharat Digital Mission (ABDM). Which of the following is the most accurate information a nurse should provide regarding its primary objective?

Q98.A community health nurse is conducting a health education session for a group of elderly individuals in a rural village. In the context of recent national health policies emphasizing comprehensive primary healthcare, which of the following services would the nurse highlight as a key offering at a Health and Wellness Centre (HWC)?

Q99.During the initial phase of a suspected community outbreak of a highly contagious respiratory illness, a staff nurse working in a primary health center identifies several patients presenting with similar symptoms. What is the most critical immediate action the nurse should take to prevent further spread?

Q100.A patient from a low-income household in Kerala approaches a Staff Nurse in a government hospital, inquiring about comprehensive health insurance coverage for their family's medical expenses. Which of the following integrated health insurance schemes, currently operational and providing extensive coverage in Kerala, would the nurse primarily advise the patient about?