Kerala PSC Staff Nurse Gr II Mock 012

Q1.A 45-year-old male patient presents with jugular venous distension (JVD) and peripheral edema. Which of the following conditions is MOST likely associated with these clinical findings?

Q2.During a routine health check-up, a nurse notices that a 30-year-old female has a blood pressure reading of 140/90 mmHg on three separate occasions. Which endocrine gland dysfunction is MOST likely contributing to this condition?

Q3.A patient with type 1 diabetes mellitus reports frequent urination and excessive thirst. Which hormone deficiency is the PRIMARY cause of these symptoms?

Q4.A 60-year-old male with chronic kidney disease presents with muscle cramps and cardiac arrhythmias. Which electrolyte imbalance is MOST likely responsible for these symptoms?

Q5.A nurse observes a patient's deep tendon reflexes (DTR) and finds them to be hypoactive. Which of the following conditions is MOST likely associated with this finding?

Q6.A 25-year-old female complains of heat intolerance, weight loss, and palpitations. On examination, her thyroid gland is diffusely enlarged. Which of the following lab findings is MOST expected?

Q7.A patient with a femur fracture develops sudden dyspnea and chest pain 48 hours post-injury. Which of the following is the MOST likely cause?

Q8.Which of the following is the MOST appropriate method to collect a sputum sample for microbiological examination in a patient suspected of pulmonary tuberculosis?

Q9.A patient presents with a painful boil on the neck. The nurse collects a pus sample for culture and sensitivity. Which of the following is the MOST likely causative organism?

Q10.Which of the following body defenses is considered a NON-SPECIFIC immune response?

Q11.A 3-year-old child is brought to the pediatric OPD with symptoms of high fever, rash, and Koplik spots in the mouth. The nurse suspects measles. Which of the following is the MOST appropriate specimen to collect for laboratory confirmation?

Q12.While collecting a blood sample for culture from a patient with suspected typhoid fever, the nurse should prioritize which of the following steps?

Q13.Which of the following is a CORRECT statement about the transmission of healthcare-associated infections (HAIs)?

Q14.A nurse is educating a patient about preventing urinary tract infections (UTIs). Which of the following instructions is MOST appropriate to include?

Q15.Which among the following is NOT a characteristic of a primary social group?

Q16.A community health nurse observes that in a particular village, most women are dropping out of antenatal care after the first trimester. What is the MOST likely social factor contributing to this?

Q17.Which social change strategy is BEST suited for addressing the problem of alcoholism in a rural community?

Q18.In a tribal community, the traditional healer (Vaidyan) is highly respected and consulted for minor ailments. What should a community health nurse do FIRST when collaborating with this community?

Q19.Which of the following is a social determinant of health that directly impacts the prevalence of malnutrition in children?

Q20.A community health nurse notices that adolescent girls in a slum area are dropping out of school due to early marriages. What is the MOST appropriate community-level intervention?

Q21.A 35-year-old patient with chronic pain reports feeling 'hopeless' and 'worthless' despite medical interventions. Which defense mechanism is the patient likely using?

Q22.During a home visit, a Staff Nurse notices a child displaying repetitive hand-washing despite no visible dirt. The nurse recognizes this as a sign of which psychological mechanism?

Q23.A patient refuses to acknowledge a recent cancer diagnosis, claiming the doctor made a mistake. Which defense mechanism is being demonstrated?

Q24.A Staff Nurse observes that a diabetic patient consistently skips insulin doses when stressed about work. Which type of learning is most likely influencing this behavior?

Q25.A patient with schizophrenia exhibits flat affect and social withdrawal. Which part of the mind, according to Freud's structure, is most impaired in this scenario?

Q26.A 12-year-old child starts imitating the aggressive behavior of an older sibling. Which psychological concept explains this behavior?

Q27.A 65-year-old patient with type 2 diabetes mellitus is prescribed a diabetic diet. Which of the following food items should be included in the diet to provide adequate fiber while controlling blood sugar levels?

Q28.A patient with chronic kidney disease (CKD) stage 3 is advised to follow a low-protein diet. Which protein source should the nurse recommend to minimize renal workload while providing essential amino acids?

Q29.During a community nutrition education session, a pregnant woman asks the nurse about the importance of folate in her diet. Which of the following explains the primary role of folate in pregnancy?

Q30.A patient recovering from gastric surgery is prescribed a post-operative diet. Which type of diet should the nurse plan to prevent dumping syndrome while ensuring adequate nutrition?

Q31.A 4-year-old child is diagnosed with protein-energy malnutrition (PEM). Which of the following clinical signs should the nurse prioritize during assessment?

Q32.A patient with hypertension is advised to follow the DASH (Dietary Approaches to Stop Hypertension) diet. Which of the following food groups should be emphasized to help control blood pressure?

Q33.Which of the following is the primary function of albumin in the blood plasma?

Q34.A patient with chronic liver disease presents with edema and ascites. Which biochemical parameter is most likely deranged in this scenario?

Q35.Which of the following biomolecules is classified as a simple carbohydrate?

Q36.A nurse is administering a dose of insulin to a diabetic patient. Which biochemical process is primarily targeted by insulin in the body?

Q37.Which of the following vitamins is essential for the synthesis of coenzyme A (CoA), a critical molecule in energy metabolism?

Q38.A patient with a suspected metabolic disorder has elevated levels of lactate in the blood. Which organ is most likely dysfunctional in this condition?

Q39.A patient with hypertension is prescribed an ACE inhibitor. Which of the following adverse effects should the nurse PRIMARILY monitor for in this patient?

Q40.A 65-year-old patient with type 2 diabetes mellitus is prescribed metformin. Which of the following statements about metformin administration is CORRECT?

Q41.A nurse is preparing to administer 1.5 grams of a medication. The available stock is 500 mg per tablet. How many tablets should the nurse administer?

Q42.Which of the following drug classes is MOST likely to cause photosensitivity reactions?

Q43.A patient is prescribed 0.5 mg of digoxin orally. The available formulation is 250 micrograms per tablet. How many tablets should the nurse administer?

Q44.Which of the following is a common adverse effect of opioid analgesics that requires immediate nursing intervention?

Q45.A 65-year-old diabetic patient is admitted with a non-healing foot ulcer. The nurse observes erythema, warmth, and purulent discharge around the wound. Which step of the nursing process should the nurse prioritize first?

Q46.During routine morning care, a nurse notices a patient with COPD has thick, tenacious sputum that is difficult to expectorate. Which nursing intervention is most appropriate to facilitate airway clearance?

Q47.A nurse is preparing to administer a subcutaneous injection of insulin to a patient with type 1 diabetes. Which action demonstrates correct adherence to infection control principles?

Q48.A postoperative patient develops a fever of 38.5°C on the second day after surgery. The nurse suspects a surgical site infection. Which action should the nurse take first?

Q49.A nurse is performing hand hygiene before assisting a patient with oral care. Which technique ensures the most effective reduction of microbial load?

Q50.A patient with a urinary catheter develops cloudy urine and reports suprapubic pain. The nurse suspects a catheter-associated urinary tract infection (CAUTI). Which nursing action is most appropriate to confirm the diagnosis?

Q51.A 65-year-old male with a history of hypertension and type 2 diabetes presents with sudden onset of severe chest pain radiating to the left arm, diaphoresis, and nausea. ECG reveals ST-segment elevation in leads II, III, and aVF. What is the most immediate priority nursing intervention?

Q52.A patient with chronic obstructive pulmonary disease (COPD) is admitted with acute exacerbation. ABG results show pH 7.30, PaCO2 65 mmHg, PaO2 55 mmHg, and HCO3- 30 mEq/L. The nurse interprets these findings as indicating:

Q53.A 45-year-old female patient post-cholecystectomy develops sudden severe abdominal pain, distension, and vomiting. The nurse suspects bowel obstruction. Which of the following clinical signs is most indicative of a complete bowel obstruction?

Q54.A patient with end-stage renal disease (ESRD) on hemodialysis complains of muscle cramps and weakness during the dialysis session. The nurse should first:

Q55.A 30-year-old male presents with sudden onset of severe headache, vomiting, and altered sensorium. On examination, he has right-sided hemiparesis, unequal pupils, and a Glasgow Coma Scale score of 10. The nurse suspects:

Q56.A patient with extensive burns covering 50% of the body surface area develops oliguria and elevated serum creatinine. The nurse recognizes this as a sign of:

Q57.A 28-year-old primi gravida at 32 weeks gestation presents with BP 150/100 mmHg, 2+ proteinuria on dipstick, and facial edema. Which of the following is the MOST appropriate immediate nursing intervention?

Q58.During a routine antenatal visit at 20 weeks, a woman reports decreased fetal movements for the past 2 days. The nurse auscultates a fetal heart rate of 80 bpm. What is the NEXT most appropriate step?

Q59.A postpartum mother complains of severe perineal pain and swelling 3 days after a normal vaginal delivery. On examination, the nurse notes a tender, fluctuant mass over the perineum. What is the MOST likely diagnosis and appropriate management?

Q60.A 35-year-old mother delivers a term baby weighing 2.8 kg via vaginal delivery. The baby is noted to have a single transverse crease across the palm, hypotonia, and a protruding tongue. Which of the following congenital conditions is MOST likely?

Q61.A postpartum mother at 6 weeks requests contraception. She is breastfeeding exclusively and her menses have not returned. Which of the following is the MOST appropriate contraceptive method for her?

Q62.During a home visit to a postpartum mother 2 weeks after delivery, the nurse observes the baby has developed jaundice extending to the abdomen. The baby is breastfeeding well and passing urine normally. What is the MOST appropriate next step?

Q63.A 1-year-old child presents with high fever, irritability, and bulging anterior fontanelle. The mother reports the child has not received any vaccinations due to parental hesitation. Which of the following is the MOST immediate priority in Integrated Management of Neonatal and Childhood Illness (IMNCI)?

Q64.During an IMNCI assessment, a 6-month-old infant is found to have fast breathing (respiratory rate 65/min) with chest indrawing but no fever. According to IMNCI guidelines, what is the FIRST action the nurse should take?

Q65.A mother brings her 2-year-old child with complaints of reduced urine output, sunken eyes, and excessive thirst for 2 days. The child has moderate dehydration per IMNCI assessment. Which of the following fluid resuscitation regimens is CORRECT according to IMNCI guidelines?

Q66.A 5-year-old child with a history of recurrent wheezing presents to the OPD with acute breathlessness and audible wheeze. The nurse auscultates decreased air entry bilaterally. The child's SpO2 is 92% on room air. What is the MOST appropriate immediate nursing action?

Q67.During an IMNCI assessment, a 3-year-old child is found to have severe pallor but no signs of shock. Hemoglobin is later confirmed at 6 g/dl. According to IMNCI, what is the FIRST-line treatment for this child?

Q68.A 9-month-old infant is brought with complaints of poor weight gain despite adequate feeding. On examination, the child has generalized edema, skin changes, and hepatomegaly. According to IMNCI, which nutritional deficiency is MOST likely responsible?

Q69.Under the National Health Mission (NHM), which of the following is a key component of the Ayushman Bharat - Health and Wellness Centres (AB-HWCs) initiative?

Q70.A 45-year-old male presents to a Primary Health Centre (PHC) with complaints of fever, cough, and weight loss for 3 weeks. As a Staff Nurse, your FIRST priority action should be:

Q71.Which of the following national health programmes is primarily aimed at reducing maternal and neonatal mortality by promoting institutional deliveries?

Q72.As a Staff Nurse at a Sub-Centre in a tribal area, you notice that many children under 5 years are suffering from severe acute malnutrition (SAM). The most appropriate immediate intervention is:

Q73.The Village Health Sanitation and Nutrition Committee (VHSNC) under NRHM is responsible for:

Q74.A 30-year-old female attends the sub-centre for antenatal care. Her blood pressure is 140/90 mmHg, and she has 2+ proteinuria on urine dipstick. As a Staff Nurse, your NEXT step should be:

Q75.A 35-year-old patient with schizophrenia is prescribed risperidone. The nurse observes that the patient has gained 5 kg in the past month and reports excessive daytime sleepiness. Which of the following is the MOST appropriate nursing action?

Q76.During a therapeutic communication session, a patient with depression states, 'No one cares about me. I am worthless.' Which nursing response demonstrates the BEST use of silence as a therapeutic technique?

Q77.A patient diagnosed with bipolar disorder in the manic phase is admitted to the psychiatric unit. The nurse observes that the patient is hyperverbal, intrusive, and unable to sit still during a group therapy session. Which nursing intervention is PRIORITY at this time?

Q78.A patient with generalized anxiety disorder (GAD) asks the nurse, 'What can I do when I feel overwhelmed by my thoughts?' Which response by the nurse BEST demonstrates the use of grounding techniques?

Q79.A patient with obsessive-compulsive disorder (OCD) spends 2 hours daily washing their hands due to fear of contamination. The nurse notes that the patient's hands are red and chapped. Which nursing diagnosis is MOST appropriate for this patient?

Q80.A patient with schizophrenia is prescribed clozapine. The nurse reviews the patient's lab reports and notes a white blood cell (WBC) count of 2,500/mm³. What is the MOST appropriate nursing action in this scenario?

Q81.A Staff Nurse notices that a patient with hypertension has been consistently skipping the prescribed antihypertensive medication due to forgetfulness. Which nursing management strategy would be most appropriate to improve medication adherence?

Q82.During a patient education session on diabetes management, a Staff Nurse observes that a patient with low literacy skills struggles to understand the instructions. Which teaching method would be most effective to ensure the patient comprehends the information?

Q83.A Staff Nurse is conducting a research study on the effectiveness of a new wound care protocol in a hospital setting. Which ethical principle must be prioritized to ensure the study is conducted responsibly?

Q84.A Staff Nurse identifies that a patient’s wound healing is delayed despite standard care. Which nursing intervention should be prioritized to address potential underlying issues?

Q85.During a quality improvement project in a ward, a Staff Nurse notices that medication errors have increased over the past month. Which step should be prioritized to identify the root cause of this issue?

Q86.A Staff Nurse is educating a group of nursing students about the principles of evidence-based practice (EBP). Which statement best describes the role of EBP in nursing?

Q87.A 45-year-old male presents with fever, cough with rusty sputum, and chest pain for 3 days. On examination, his respiratory rate is 28/min and BP is 100/60 mmHg. What is the MOST likely diagnosis?

Q88.A nurse is administering 500 mg of Amoxicillin to a pediatric patient. The drug is available as 125 mg/5 mL suspension. How many mL should the nurse administer?

Q89.A patient with Type 2 Diabetes Mellitus is admitted with chronic hyperglycemia (RBS 450 mg/dL). The physician orders insulin therapy. Which of the following is the MOST appropriate initial action by the nurse?

Q90.A 6-year-old child is brought to the emergency department after a bee sting on the arm. The child has swelling of the face, difficulty breathing, and a BP of 80/50 mmHg. What is the FIRST priority action?

Q91.A staff nurse notices that a colleague is frequently absent from duty without notice and appears intoxicated during work hours. As per the Kerala Nursing Council's Code of Ethics, what is the MOST appropriate action?

Q92.A 28-year-old female presents with a 3-day history of fever, malaise, and a painless genital ulcer. VDRL test is positive. Which is the MOST appropriate next step in management?

Q93.Under the 'Aardram' Mission of Kerala, which of the following is a key focus area aimed at improving primary healthcare services in rural areas?

Q94.As part of the 'Kudumbashree' initiative in Kerala, how does the 'Snehapoorvam' scheme contribute to maternal and child health?

Q95.According to the WHO/UNICEF Joint Monitoring Programme (JMP) for Water Supply, Sanitation and Hygiene (WASH), which of the following is classified as a 'basic' sanitation service in households?

Q96.Which recent health policy initiative by the Government of Kerala aims to provide comprehensive primary health care services through Family Health Centres (FHCs) in every panchayat across the state?

Q97.Under the 'Ayushman Bharat Digital Mission' launched in Kerala, what is the primary purpose of the Ayushman Bharat Health Account (ABHA) number assigned to every citizen?