Kerala PSC Staff Nurse Gr II Mock 011

Q1.A nurse is caring for a patient experiencing hypovolemic shock. Which compensatory mechanism would the body primarily initiate to maintain blood pressure and vital organ perfusion?

Q2.A patient with chronic obstructive pulmonary disease (COPD) is being assessed. Which physiological change in the respiratory system is primarily responsible for the characteristic "air trapping" and increased residual volume seen in COPD?

Q3.A nurse is assessing a patient who sustained a head injury. The patient exhibits ataxia (lack of voluntary coordination of muscle movements), dysarthria (slurred speech), and nystagmus (involuntary eye movements). Which brain structure is most likely affected?

Q4.During a routine check-up, a patient presents with unexplained weight loss, increased heart rate, heat intolerance, and exophthalmos. The nurse recognizes these symptoms are indicative of hyperthyroidism. Which hormone is excessively secreted in this condition?

Q5.A patient with celiac disease has impaired absorption in the small intestine. Which anatomical modification of the small intestine is primarily affected, leading to reduced nutrient uptake?

Q6.A nurse is explaining range of motion exercises to a patient recovering from shoulder surgery. Which type of synovial joint allows for the greatest degree of movement, including flexion, extension, abduction, adduction, rotation, and circumduction, like that found in the shoulder?

Q7.A nurse is reviewing a patient's urinalysis results, noting abnormally high levels of glucose despite normal blood glucose. This finding suggests a dysfunction in which part of the nephron?

Q8.A nurse is collecting a mid-stream urine specimen from a female patient for culture and sensitivity testing. Which of the following instructions is most crucial to ensure an accurate result?

Q9.A patient admitted with suspected diphtheria is given an antitoxin injection. This type of immunity, where pre-formed antibodies are administered, is best described as:

Q10.A nurse is preparing to administer oral medication to a patient with no known communicable disease. According to standard precautions, which of the following actions is necessary?

Q11.A Gram stain report from a patient's wound culture shows 'Gram-negative rods.' As a staff nurse, what is the primary clinical significance of this finding in guiding initial patient care?

Q12.A 68-year-old patient, three days post-abdominal surgery, develops a temperature of 101.5°F (38.6°C), a heart rate of 110 bpm, and reports feeling generally unwell and confused. The nurse's priority assessment should focus on identifying further signs of:

Q13.Which of the following interventions is most effective in breaking the chain of infection at the 'mode of transmission' link in a hospital setting?

Q14.A nurse is educating a patient about the importance of completing their prescribed course of antibiotics and the risks associated with misuse. Which statement best explains why overuse or improper use of broad-spectrum antibiotics is a concern?

Q15.A community health nurse is conducting a health education session in a remote tribal village in Attappadi. To ensure the health messages are effectively received and adopted by the community, which type of social group should the nurse primarily engage and influence due to its strong and intimate bonds?

Q16.The rapid urbanization and globalization in Kerala have led to significant changes in lifestyle patterns. From a community health perspective, which of the following is the MOST prominent social change contributing to the increased burden of non-communicable diseases (NCDs) like diabetes and hypertension?

Q17.A community health nurse identifies that a significant number of adolescents in a particular urban slum community are engaging in substance abuse. Which social problem is MOST likely to be a major underlying factor contributing to this issue, requiring a multi-faceted approach?

Q18.A Staff Nurse working in a primary health center observes a noticeable increase in mental health issues among young adults in the community, particularly related to academic pressure and unemployment. From a sociological perspective, what is the MOST appropriate community health intervention strategy?

Q19.In a rural community of Kerala, a public health nurse notes that women generally have lower health-seeking behaviors and higher rates of preventable diseases compared to men, despite similar access to healthcare facilities. This disparity often stems from deeply entrenched societal norms and gender roles. This situation best exemplifies a challenge related to:

Q20.The transition from traditional joint family systems to nuclear families in Kerala has altered the social support structure available for the elderly. As a Staff Nurse, what is the MOST significant community health implication of this social change regarding elder care?

Q21.A nurse is caring for a patient newly diagnosed with a severe, chronic progressive neurological condition. Despite repeated explanations from the medical team and clear diagnostic results, the patient repeatedly states, 'This can't be happening to me; there must be a mistake.' Which defense mechanism is this patient primarily demonstrating?

Q22.A pediatric nurse is working with a 7-year-old child who is reluctant to take their prescribed oral antibiotics. The nurse implements a system where the child receives a small star sticker for each dose taken without fuss, and after accumulating 10 stickers, they can choose a toy from a prize box. This intervention is a practical application of which psychological learning theory?

Q23.A community health nurse is conducting a home visit for an elderly patient recently discharged from the hospital after a fall. The patient expresses significant concern about living alone, feeling isolated, and missing their weekly social club meetings. According to Maslow's Hierarchy of Needs, which level of needs is most prominently unmet for this patient?

Q24.A patient with newly diagnosed hypertension expresses a strong belief that medication is unnecessary and that 'natural remedies' are always superior, despite their doctor's advice. The nurse understands that this patient's existing attitude is a significant barrier to adherence. To address this, the nurse should initially focus on:

Q25.A nurse observes that a patient who frequently experiences acute pain during dressing changes often makes jokes and light-hearted comments about their discomfort, redirecting the focus and easing tension for both themselves and the staff. This psychological mechanism, when used constructively to manage a difficult situation, is best described as:

Q26.A nurse is educating a patient who is trying to reduce their intake of sugary drinks. The patient identifies that they habitually reach for a soda every time they feel stressed at work. To help break this habit, the nurse suggests replacing the soda with a walk during breaks or engaging in deep breathing exercises. This strategy is most consistent with which behavioral modification technique?

Q27.A patient with chronic kidney disease (CKD) is advised a therapeutic diet. Which of the following dietary modifications is most crucial for a patient with CKD, particularly in the later stages?

Q28.A nurse is assessing a child presenting with night blindness and xerophthalmia. Which vitamin deficiency is most likely causing these symptoms?

Q29.Which macronutrient is the primary and most efficient source of energy for the body's cells, especially the brain?

Q30.A nurse is providing dietary education to a patient newly diagnosed with Type 2 Diabetes Mellitus. Which advice is most appropriate regarding carbohydrate intake?

Q31.A patient is unable to swallow due to a stroke but has a functional gastrointestinal tract. What is the most appropriate method of nutritional support for this patient?

Q32.A nurse is counseling an obese patient on healthy weight loss strategies. Which recommendation is most aligned with sustainable and healthy weight management?

Q33.A nurse is caring for a patient experiencing acute hypoglycemia. Which of the following carbohydrates is the most readily available source of glucose for immediate energy in the human body?

Q34.A patient with severe burns is at high risk for developing edema. Which primary function of plasma proteins, particularly albumin, is most relevant to preventing this complication?

Q35.A nurse is educating a patient about dietary choices to promote cardiovascular health. Which of the following types of dietary fats should the nurse advise the patient to limit due to its strong association with increased LDL cholesterol levels?

Q36.A patient is prescribed an ACE inhibitor for hypertension. The nurse understands that this medication works by interfering with the activity of the Angiotensin-Converting Enzyme (ACE). This mechanism is an example of which biochemical principle?

Q37.A nurse observes a patient with diabetic ketoacidosis exhibiting Kussmaul respirations (deep, rapid breathing). This compensatory mechanism is primarily an attempt by the body to regulate which of the following biochemical parameters?

Q38.A nurse notes that a patient presents with bleeding gums, petechiae, and poor wound healing. These clinical manifestations are most suggestive of a deficiency in which essential vitamin?

Q39.A patient is prescribed a dose of 250mg of a medication, but the available tablet strength is 500mg. How would you prepare the correct dose for the patient?

Q40.A patient is experiencing an adverse reaction to a medication, which is most likely due to an idiosyncratic reaction. What is the most appropriate action to take?

Q41.A medication order is written in milligrams, but the available dosage form is in milliliters. What is the first step to take in this situation?

Q42.A patient is taking a medication that requires monitoring of liver function tests (LFTs). What is the primary reason for this monitoring?

Q43.A patient is prescribed a medication that is known to interact with grapefruit juice. What is the best advice to give to the patient?

Q44.A medication is ordered to be administered via intramuscular (IM) injection. What is the primary consideration when selecting the injection site?

Q45.A patient admitted with acute gastroenteritis develops dehydration. The nurse identifies 'fluid volume deficit' as a nursing diagnosis. Which step of the nursing process does this represent?

Q46.While performing a bed bath for an elderly patient with limited mobility, the nurse observes redness and a small 2 cm open area on the patient's sacrum. What is the nurse's priority action?

Q47.A nurse is preparing to administer an intramuscular injection to a 40-year-old patient. Which site is most appropriate for a safe and effective injection with minimal risk of nerve injury?

Q48.During a routine home visit, the nurse observes a patient's wound covered with a soiled dressing that appears to be 2 days old. The wound edges are red and slightly swollen. What is the most appropriate nursing intervention?

Q49.A postoperative patient complains of pain and shows signs of infection at the surgical site. Which step in the chain of infection is the patient demonstrating?

Q50.While caring for a patient with a central venous catheter, the nurse accidentally dislodges the catheter. What is the first action the nurse should take?

Q51.A 58-year-old male patient with a history of hypertension presents with sudden onset of severe chest pain radiating to the left arm, diaphoresis, and nausea. The ECG shows ST elevation in leads II, III, and aVF. Which of the following is the MOST appropriate immediate nursing intervention?

Q52.A 65-year-old female with chronic obstructive pulmonary disease (COPD) is admitted with worsening dyspnea, increased sputum production, and confusion. Arterial blood gas (ABG) analysis reveals pH 7.32, PaCO2 70 mmHg, PaO2 55 mmHg, and HCO3 32 mEq/L. Which of the following nursing actions should be prioritized FIRST?

Q53.A 42-year-old male with cirrhosis is admitted for ascites and peripheral edema. He is prescribed spironolactone 100 mg orally daily and furosemide 40 mg orally daily. Which of the following laboratory values should the nurse monitor MOST closely to assess for complications of diuretic therapy?

Q54.A 30-year-old female presents with sudden onset of severe headache, vomiting, and altered mental status. On examination, she is drowsy, with a Glasgow Coma Scale (GCS) score of 12, and has neck stiffness. Which of the following is the MOST appropriate immediate nursing intervention?

Q55.A 70-year-old male with type 2 diabetes mellitus is admitted with a foot ulcer that has progressed to osteomyelitis. The physician orders a wound culture and sensitivity test. Which of the following nursing actions is MOST appropriate while awaiting culture results?

Q56.A 25-year-old female is admitted with third-degree burns covering 30% of her total body surface area (TBSA). She has received intravenous fluids as per the Parkland formula. Which of the following parameters should the nurse monitor MOST closely to assess the adequacy of fluid resuscitation?

Q57.A 28-year-old primigravida at 32 weeks gestation presents with sudden onset of severe headache, blurred vision, and epigastric pain. On examination, her blood pressure is 160/110 mmHg and urine dipstick shows 3+ proteinuria. Which of the following is the MOST appropriate immediate nursing intervention?

Q58.During the third stage of labor, a nurse notices that the placenta has not delivered after 30 minutes despite active management. The woman has a blood loss of 500 mL and is feeling dizzy. Which of the following actions should the nurse take FIRST?

Q59.A postpartum mother on day 3 reports fever, chills, and foul-smelling lochia. On assessment, her temperature is 101.2°F, pulse rate 108 bpm, and uterus is tender on palpation. The nurse suspects puerperal sepsis. Which of the following diagnostic findings would BEST support this diagnosis?

Q60.A newborn delivered at 36 weeks gestation weighs 2.1 kg and has a weak cry, poor sucking reflex, and respiratory rate of 70 breaths/minute. The nurse recognizes signs of respiratory distress. Which of the following interventions is MOST appropriate at this stage?

Q61.A woman visits the family planning clinic requesting a long-acting reversible contraceptive (LARC). She is 35 years old, has two children, and has a history of heavy menstrual bleeding with anemia. Which of the following contraceptive methods would be MOST suitable for her?

Q62.During antenatal counseling, a 24-year-old woman at 20 weeks gestation asks about the benefits of folic acid supplementation. The nurse explains that folic acid primarily prevents which of the following fetal complications?

Q63.A 2-year-old child presents with sudden onset of high fever (39.5°C), irritability, and a maculopapular rash that blanches on pressure. The mother reports the child had no prior immunizations. Which of the following is the MOST likely diagnosis?

Q64.Under the Integrated Management of Neonatal and Childhood Illness (IMNCI) framework, which of the following signs would classify a 3-month-old infant as having SEVERE PNEUMONIA?

Q65.A 6-month-old infant is brought to the PHC with complaints of poor feeding, lethargy, and sunken fontanelle. On examination, the child has dry mucous membranes, reduced skin turgor, and a weak cry. Which of the following is the FIRST step in management according to IMNCI guidelines?

Q66.A 5-year-old child is diagnosed with acute bacterial meningitis. Which of the following is the MOST appropriate empirical antibiotic regimen for a child of this age?

Q67.During a growth monitoring session at an Anganwadi center, a 12-month-old child is found to have a weight-for-height Z-score of -3 and a history of diarrhea in the past month. According to IMNCI, which of the following is the MOST appropriate immediate action?

Q68.A 4-year-old child with a history of fever for 3 days and refusal to eat is brought to the clinic. On examination, the child has a red, swollen throat with pus on the tonsils and tender cervical lymphadenopathy. Which of the following is the MOST likely causative organism?

Q69.Under the National Health Mission (NHM), which of the following is the primary objective of the 'Ayushman Bharat - Health and Wellness Centres' (AB-HWCs)?

Q70.A sub-centre in a rural area has been reporting a high incidence of acute diarrhoeal diseases. Which national health programme should the Staff Nurse prioritize for community intervention in this scenario?

Q71.During a home visit, a Staff Nurse observes that a family is using an unimproved water source for drinking. Which Sustainable Development Goal (SDG) target does this situation most directly relate to?

Q72.A Primary Health Centre (PHC) is planning to conduct a mass drug administration (MDA) campaign for lymphatic filariasis. Which of the following is the MOST critical step before starting the campaign?

Q73.Which of the following is a key function of a Primary Health Centre (PHC) under the Kerala Health Services?

Q74.A Staff Nurse is assessing a community for the implementation of the 'Kuposhan Mukt Bharat' (KMB) campaign. Which of the following indicators would be MOST relevant for this campaign?

Q75.A 35-year-old male patient with schizophrenia is admitted with auditory hallucinations and paranoid delusions. The nurse observes that he appears distracted and mumbles to himself. Which therapeutic communication technique would be MOST appropriate to use first?

Q76.During a mental status examination, a patient with bipolar disorder in a manic episode states, 'I have the power to control the weather!' The nurse documents this as:

Q77.A patient with major depressive disorder refuses to eat, stating, 'Food tastes like poison.' The nurse should prioritize which intervention?

Q78.A nurse is conducting a group therapy session for patients with anxiety disorders. One patient becomes visibly agitated and starts pacing. The most appropriate immediate response is to:

Q79.Which of the following is a key characteristic of borderline personality disorder (BPD) that differentiates it from other personality disorders?

Q80.A patient with obsessive-compulsive disorder (OCD) spends 2 hours daily washing hands due to fear of contamination. The nurse should teach the patient to:

Q81.Which of the following is the PRIMARY purpose of a nursing audit in healthcare management?

Q82.In a clinical setting, what is the MOST appropriate step when a patient reports an adverse drug reaction (ADR) after administration of a medication?

Q83.Which of the following teaching methods is MOST effective for educating a group of elderly patients about chronic disease management?

Q84.What is the KEY responsibility of a Staff Nurse Grade II during the implementation phase of the nursing process?

Q85.Which research design is MOST suitable for studying the effectiveness of a newly introduced nursing protocol in a hospital setting?

Q86.In a healthcare team, what is the PRIMARY role of a Staff Nurse Grade II in multidisciplinary collaboration?

Q87.A 45-year-old male presents with acute chest pain radiating to the left arm for 2 hours. His BP is 160/90 mmHg and ECG shows ST-segment elevation in leads V1-V4. Which of the following is the most appropriate FIRST action by the Staff Nurse?

Q88.A 6-year-old child is brought to the OPD with high fever, neck stiffness, and a petechial rash. The doctor suspects meningococcal meningitis. Which of the following isolation precautions should the Staff Nurse implement immediately?

Q89.A patient with type 2 diabetes mellitus develops hypoglycemia (BSL 45 mg/dL). The patient is conscious and can swallow. Which of the following should the Staff Nurse administer FIRST?

Q90.A Staff Nurse observes a colleague routinely documenting vitals without actually measuring them. What is the most appropriate ethical action according to the Kerala Nursing Council Code of Ethics?

Q91.A 30-year-old female with a history of bronchial asthma presents with acute wheezing and dyspnea. Her peak expiratory flow rate (PEFR) is 150 L/min (predicted 400 L/min). Which of the following drugs should the Staff Nurse administer FIRST?

Q92.A patient with a leg ulcer develops cellulitis and is prescribed oral amoxicillin-clavulanate. The patient reports a penicillin allergy (rash 5 years ago). What is the most appropriate action by the Staff Nurse?

Q93.Which of the following is NOT a component of the 'Aardram' Mission under the Kerala Health Department?

Q94.Under the 'Snehasparsham' scheme, which of the following services is provided to children with disabilities?

Q95.Which of the following national health observances in India is dedicated to creating awareness about the prevention and control of leprosy among the public?

Q96.The 'Ayushman Bharat Health Account (ABHA)' introduced under the Ayushman Bharat Digital Mission (ABDM) primarily aims to:

Q97.Under the 'National Digital Health Mission (NDHM)', the 'Health Facility Registry (HFR)' serves as a:

Q98.Which of the following is the MOST appropriate INITIAL nursing intervention when a patient presents with high fever, headache, and neck stiffness during a suspected meningococcal meningitis outbreak in a community setting?

Q99.Which of the following is a key component of the 'Aardram' Mission launched by the Government of Kerala in 2017 to improve healthcare delivery?