Kerala PSC Staff Nurse Gr II Mock 016

Q1.A patient is diagnosed with severe iron-deficiency anemia. Which component of the blood is primarily affected, leading to reduced oxygen-carrying capacity?

Q2.A nurse is caring for a patient with pneumonia, experiencing difficulty breathing. Which physiological process is most directly impaired due to inflammation and fluid accumulation in the alveoli?

Q3.A patient presents with impaired balance, coordination, and difficulty performing fine motor movements after a head injury. Which part of the brain is most likely affected?

Q4.A nurse is reviewing the lab results of a patient diagnosed with Diabetes Insipidus. This condition is characterized by the body's inability to conserve water, leading to excessive urination and thirst. Which hormone is primarily deficient or ineffective in this condition?

Q5.In a patient with chronic kidney disease, the nephrons lose their ability to filter waste products and regulate fluid balance effectively. Which of the following is a primary function of the glomerulus in a healthy kidney?

Q6.A patient with pancreatic insufficiency experiences difficulty digesting fats. Which enzyme, primarily produced by the pancreas, is essential for the breakdown of dietary fats in the small intestine?

Q7.During muscle contraction, which of the following events occurs according to the sliding filament theory?

Q8.A nurse is preparing to collect a sputum specimen for Acid-Fast Bacilli (AFB) culture from a patient suspected of having pulmonary tuberculosis. Which of the following instructions should the nurse provide to ensure an accurate specimen?

Q9.A patient develops a urinary tract infection (UTI) three days after insertion of an indwelling urinary catheter while hospitalized. This type of infection is best categorized as:

Q10.A newborn baby receives antibodies from their mother through breast milk, providing temporary protection against certain infections. This type of immunity is known as:

Q11.During Gram staining, a nurse observes that bacteria retain the crystal violet stain and appear purple under the microscope. This indicates the bacteria are:

Q12.A patient is admitted with symptoms of fever, cough, and fatigue. The nurse reviews the patient's history and finds that the patient was exposed to a viral infection approximately 5 days ago, but experienced no symptoms until today. The period between exposure to the pathogen and the onset of clinical symptoms is known as the:

Q13.Which of the following is considered a component of the body's innate (non-specific) immune defense system?

Q14.A nurse is caring for a patient diagnosed with Methicillin-resistant Staphylococcus aureus (MRSA) in a wound. According to standard precautions and transmission-based precautions, which personal protective equipment (PPE) is most appropriate when providing direct wound care?

Q15.A community health nurse is conducting a health education session for a local self-help group (SHG) focused on maternal and child health. Members of this SHG regularly meet, share personal experiences, and provide mutual support. Which type of social group does this SHG primarily represent?

Q16.Kerala has experienced rapid urbanization and increased migration. A community health nurse observes a rise in non-communicable diseases (NCDs) like diabetes and hypertension, alongside changes in dietary habits and physical activity levels in an urbanizing panchayat. This scenario primarily reflects the impact of social change on health due to:

Q17.A Staff Nurse working in a community mental health setting encounters several cases of domestic violence and child neglect in families where one or both parents have a severe alcohol use disorder. Which of the following is the most appropriate initial action for the nurse in addressing the social problem of substance abuse within these families?

Q18.A community health nurse is planning an intervention to reduce infant mortality rates in a rural tribal community. After conducting a needs assessment, the nurse identifies that poor sanitation, lack of access to clean drinking water, and low literacy levels among mothers are significant contributing factors. These factors are best categorized as:

Q19.According to the principles of Primary Health Care (PHC), which of the following actions by a Staff Nurse best exemplifies 'intersectoral coordination' in improving community health?

Q20.The widespread adoption of mobile phones and internet in Kerala has led to increased access to health information and teleconsultation services, especially in remote areas. However, it has also introduced concerns about digital health literacy and misinformation. This scenario primarily illustrates the impact of which factor on social change concerning health?

Q21.A patient consistently acts impulsively, seeking immediate gratification without considering long-term consequences. According to Freud's structural model of the mind, which component is primarily dominating this behavior?

Q22.A nurse observes a patient consistently expressing reluctance and refusing to participate in prescribed rehabilitation exercises, despite understanding their medical necessity. This persistent negative predisposition towards the exercises is best described as which psychological concept?

Q23.A patient recently diagnosed with a severe, chronic illness frequently discusses their plans for an upcoming strenuous hiking trip, despite the medical team advising against such activity due to their condition. This behavior is most indicative of which defense mechanism?

Q24.A nurse is working with a patient who expresses a negative attitude towards taking their prescribed oral medication, often stating, 'It doesn't help anyway.' To effectively change this attitude and improve adherence, the nurse should primarily focus on:

Q25.A patient recovering from a stroke reports that they feel a strong urge to smoke every time they see their old lighter, even though they have quit smoking for weeks. This phenomenon, where an external cue triggers a learned response, is best explained by which type of learning?

Q26.A nurse is educating a patient about a new dietary regimen for managing hypertension. The patient appears unmotivated and states, 'I've tried diets before, and they never work.' To enhance the patient's motivation and learning, the nurse should first:

Q27.A nurse is educating a pregnant woman about essential nutrients during her first trimester. Which micronutrient is critically important for preventing neural tube defects in the fetus?

Q28.A patient diagnosed with chronic kidney disease (CKD) is advised a therapeutic diet. Which of the following dietary modifications is most crucial for managing CKD to slow disease progression and manage symptoms?

Q29.A dietitian is explaining the concept of a balanced diet to a group of community health workers. What is considered the primary and most efficient source of energy for the human body in a balanced diet?

Q30.A 5-year-old child presents with night blindness (nyctalopia) and dry eyes (xerophthalmia). The nurse suspects a deficiency of which fat-soluble vitamin?

Q31.A nurse is providing dietary counseling to a patient newly diagnosed with Type 2 Diabetes Mellitus. Which of the following is the most important dietary recommendation to emphasize?

Q32.A community health nurse is advising a mother on improving iron absorption from plant-based foods for her anemic child. Which food combination would best enhance non-heme iron absorption?

Q33.A 45-year-old male patient with newly diagnosed Type 2 Diabetes Mellitus is being educated by the nurse about glucose utilization. Which fundamental biochemical process is primarily responsible for breaking down glucose to generate ATP for cellular energy?

Q34.A nurse reviews laboratory results for a patient suspected of having a myocardial infarction. Elevated levels of cardiac troponins and creatine kinase (CK-MB) are noted. From a biochemical perspective, what class of molecules are these diagnostic markers, and what does their elevation primarily signify?

Q35.During a health education session, a nurse explains the importance of dietary fats. Which type of lipid is the primary structural component of all cell membranes, forming a bilayer that regulates the passage of substances?

Q36.A nurse is caring for a patient with chronic malnutrition, particularly a deficiency in B vitamins. The nurse understands that many B vitamins are crucial for metabolic reactions because they function primarily as:

Q37.A nurse is reviewing the process of protein synthesis. Which specific type of nucleic acid is responsible for carrying the genetic information from the DNA in the nucleus to the ribosomes in the cytoplasm, where it serves as a template for protein assembly?

Q38.A patient is admitted with metabolic acidosis. The nurse recalls that the body has several buffer systems to maintain pH homeostasis. Which of the following is the most important extracellular buffer system in the human body, playing a crucial role in regulating blood pH?

Q39.A physician orders Furosemide 20 mg IV push for a patient. The available vial contains Furosemide 10 mg/mL. How many milliliters should the nurse administer?

Q40.A patient is receiving morphine sulfate for severe pain. Which of the following adverse effects is a priority for the nurse to monitor and intervene for?

Q41.A patient is prescribed a beta-blocker like Metoprolol for hypertension. The nurse understands that beta-blockers primarily achieve their therapeutic effect by:

Q42.A nurse is instructing a patient on how to take sublingual nitroglycerin for angina. Which instruction is most important for the nurse to provide?

Q43.A doctor orders 125 mcg of a medication. The available stock is 0.25 mg tablets. How many tablets should the nurse administer?

Q44.A patient is being discharged on Warfarin therapy. Which of the following instructions is crucial for the nurse to include in the patient's discharge teaching regarding potential adverse effects?

Q45.A nurse is preparing to assist with a sterile dressing change for a patient with a central venous catheter. Which of the following is the MOST appropriate hand hygiene and PPE sequence for this procedure?

Q46.A 65-year-old patient admitted with pneumonia reports shortness of breath, cough with thick yellow sputum, and fatigue. On assessment, the nurse notes crackles in the lower lung fields and a respiratory rate of 28 breaths/min. Which of the following is the most appropriate nursing diagnosis for this patient?

Q47.A patient is unconscious and at high risk for aspiration due to copious oral secretions. Which position would the nurse MOST appropriately place the patient in to prevent aspiration?

Q48.Which of the following processes is specifically designed to eliminate *all* microorganisms, including bacterial spores, from an object?

Q49.A nurse is developing a care plan for an elderly patient diagnosed with 'Risk for Falls related to impaired balance and gait instability.' Which of the following would be an appropriate short-term measurable outcome for this patient?

Q50.Before administering a bolus feeding through a nasogastric tube, what is the MOST crucial initial nursing action to ensure patient safety?

Q51.A patient post-myocardial infarction (MI) is prescribed Aspirin, Metoprolol, Lisinopril, and Atorvastatin. The nurse understands that which of these medications primarily works by reducing myocardial oxygen demand and slowing the heart rate?

Q52.A nurse is caring for a patient with COPD experiencing an acute exacerbation. The patient is restless, dyspneic, and has an SpO2 of 88% on room air. Which intervention should the nurse prioritize?

Q53.A patient with liver cirrhosis develops ascites. The nurse is preparing to administer Spironolactone. What is the primary mechanism of action of this medication in managing ascites?

Q54.A patient with Chronic Kidney Disease (CKD) on hemodialysis complains of muscle cramps during the dialysis session. What is the most likely cause of this complication?

Q55.A nurse is assessing a patient admitted with a suspected stroke. Which finding is a priority to report immediately to the physician?

Q56.A patient with full-thickness burns covering 30% TBSA is in the emergent phase. The nurse observes a significant decrease in urine output despite adequate fluid resuscitation according to the Parkland formula. What is the most appropriate initial nursing action?

Q57.A 30-year-old primigravida at 32 weeks gestation reports sudden onset of blurred vision, severe headache, and epigastric pain. Her blood pressure is 150/98 mmHg. What is the most appropriate initial nursing action?

Q58.During active labor, the fetal monitor strip shows recurrent late decelerations with minimal variability. The mother's contractions are every 2-3 minutes, lasting 60 seconds. What is the immediate nursing intervention?

Q59.A woman who delivered vaginally two hours ago is experiencing continuous heavy vaginal bleeding, and her fundus is boggy and above the umbilicus despite massage. Her blood pressure is 90/50 mmHg, and pulse is 110 bpm. What is the priority nursing action?

Q60.A full-term newborn, 30 hours old, develops jaundice. The nurse performs a blanching test and notes yellowish discoloration up to the upper abdomen. The newborn is exclusively breastfed and has been feeding well. What is the most appropriate initial nursing action?

Q61.A 32-year-old multiparous woman, who is exclusively breastfeeding her 4-month-old infant, expresses interest in a highly effective, long-acting reversible contraceptive (LARC) method. She has a personal history of deep vein thrombosis (DVT) 3 years ago. Which method would be most appropriate for her?

Q62.The Janani Shishu Suraksha Karyakram (JSSK) program in India aims to eliminate out-of-pocket expenses for pregnant women and sick neonates utilizing public health facilities. Which of the following services is not typically covered under the JSSK scheme?

Q63.A 9-month-old infant is brought to the clinic for a routine check-up. Which of the following gross motor milestones would the nurse most likely expect this infant to have achieved?

Q64.A 2-year-old child presents to the clinic with severe diarrhea and vomiting for 24 hours. During assessment, the nurse notes sunken eyes, very dry mucous membranes, and a capillary refill time of 4 seconds. What is the most appropriate initial nursing action based on these findings?

Q65.A 6-month-old infant is brought to the health facility with a cough and fast breathing. According to IMNCI guidelines, the nurse observes chest indrawing and stridor in a calm child. How should the nurse classify this child's condition?

Q66.A nurse is observing a 4-year-old child playing with blocks, creating elaborate structures and engaging in imaginative play, sometimes attributing human qualities to inanimate objects. According to Piaget's theory of cognitive development, which stage best describes this child's cognitive abilities?

Q67.A 1-year-old child is admitted to the emergency department with a febrile seizure. While the seizure is ongoing, which of the following is the priority nursing intervention?

Q68.A 10-month-old child presents with watery diarrhea for 3 days. The nurse assesses the child using IMNCI guidelines. The child is irritable, has sunken eyes, drinks eagerly (thirsty), and skin pinch goes back slowly. How should the nurse classify the dehydration in this child?

Q69.The National Rural Health Mission (NRHM), launched in 2005 as a flagship program, aimed to improve health indicators in rural areas. Which of the following was a distinctive feature of NRHM in strengthening healthcare delivery?

Q70.The National Health Mission (NHM) emphasizes a continuum of care, ensuring seamless healthcare delivery from the community to higher levels. Which of the following aspects is most critical for achieving this continuum from the community level upwards?

Q71.A Staff Nurse is conducting a post-natal home visit. She observes that the mother is hesitant about family planning methods due to misconceptions and lack of information. Which of the following actions aligns best with the comprehensive approach of the Reproductive and Child Health (RCH) Programme for family welfare?

Q72.A Staff Nurse at a Primary Health Centre (PHC) is conducting a community meeting to address prevailing health issues, including poor sanitation and malnutrition. Based on the principles of Primary Health Care (PHC) as outlined in the Alma-Ata Declaration, which approach should the nurse prioritize to ensure sustainable health improvements?

Q73.During a routine community visit, a Staff Nurse observes an ASHA worker interacting with a local family. Which of the following activities performed by an ASHA worker best exemplifies her role in bridging the gap between the community and the formal health system under NHM?

Q74.A Staff Nurse is preparing for an immunization camp in a remote village, ensuring all eligible children receive their scheduled vaccinations. Which vaccine, part of India's Universal Immunization Programme (UIP), primarily protects against a severe form of childhood tuberculosis?

Q75.A patient diagnosed with schizophrenia reports hearing voices telling them to harm themselves. Which of the following is the most appropriate initial nursing intervention?

Q76.A 35-year-old patient admitted for severe anxiety states, "I feel like I'm losing control, my heart is pounding, and I can't breathe." Which therapeutic communication technique would be most effective for the nurse to use initially?

Q77.A patient experiencing a manic episode due to bipolar disorder is exhibiting pressured speech, flight of ideas, and has not slept for 48 hours. The priority nursing diagnosis for this patient would be:

Q78.A patient with major depressive disorder states, "What's the point? Nothing ever gets better." The most therapeutic response by the nurse would be:

Q79.A patient with Obsessive-Compulsive Disorder (OCD) spends several hours daily performing ritualistic handwashing. The nurse understands that the primary purpose of these rituals for the patient is to:

Q80.A patient admitted with alcohol withdrawal syndrome is exhibiting tremors, diaphoresis, and increased heart rate. Which medication is commonly prescribed to manage these acute symptoms and prevent seizures?

Q81.A nurse manager observes a consistent pattern of medication administration errors on a particular unit. Which of the following is the most appropriate initial management action?

Q82.A nursing unit has identified a high rate of patient falls. In the "Plan" phase of the PDCA (Plan-Do-Check-Act) cycle for a quality improvement project, which action would be most appropriate?

Q83.When planning an educational session for experienced staff nurses on a new wound care technique, which principle of adult learning (andragogy) should the nurse educator prioritize?

Q84.A hospital is planning an in-service education program for its nurses on the updated infection control guidelines. What is the primary purpose of such an in-service program?

Q85.A nursing researcher is conducting a study on the experiences of patients undergoing chemotherapy. Before starting data collection, the researcher must obtain informed consent from all participants. Which ethical principle is primarily upheld by obtaining informed consent?

Q86.A nursing researcher is designing a study to investigate the lived experiences of family caregivers of patients with advanced dementia. Which research approach would be most appropriate for this study?

Q87.A patient diagnosed with active pulmonary tuberculosis is admitted to a general ward. What is the most crucial nursing intervention for preventing the immediate spread of tuberculosis to other patients and healthcare workers in this hospital setting?

Q88.A patient with newly diagnosed Type 2 Diabetes Mellitus is receiving education from the nurse. Which of the following is the most important initial lifestyle modification for this patient to help manage their blood glucose levels effectively?

Q89.A 10-year-old child sustains a superficial partial-thickness burn on their arm from hot water. What is the immediate and most appropriate first aid action for this burn injury?

Q90.A nurse overhears a colleague discussing a patient's sensitive medical information (HIV status) with another non-involved staff member in the hospital cafeteria. Which ethical principle is primarily being violated in this situation, and what is the nurse's most appropriate immediate action?

Q91.A nurse is preparing to administer vaccines in a rural health camp. What is the most critical factor to ensure the efficacy and safety of vaccines during storage and transport to this remote location?

Q92.A 55-year-old male patient with newly diagnosed hypertension asks the nurse about dietary modifications. Which of the following dietary changes would the nurse prioritize as having the most significant impact on managing his blood pressure?

Q93.A 55-year-old daily wage worker is admitted to a government hospital in Kerala with a severe cardiac condition requiring immediate surgery. He has no private health insurance and falls under the economically weaker section. Which of the following Kerala government health schemes is primarily designed to provide comprehensive health insurance coverage for such a a patient?

Q94.A Staff Nurse working in a Primary Health Centre (PHC) in Kerala observes significant enhancements in patient experience, including extended outpatient timings, improved availability of diagnostic services, and a more patient-friendly environment. These improvements align directly with the core objectives of which of the following Kerala government initiatives?

Q95.A public health nurse is reviewing the core strategies for achieving universal health coverage, a key focus of the World Health Organization (WHO). Which of the following foundational declarations, co-sponsored by WHO and UNICEF, laid the groundwork for the global primary healthcare movement, emphasizing health as a human right and the importance of community participation?

Q96.A community health nurse is tasked with planning health education activities for National Dengue Day, observed on May 16th each year. Which of the following approaches best aligns with the primary objective of this national observance?

Q97.A Staff Nurse in a government hospital is tasked with implementing the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). What is the primary additional responsibility for the nurse concerning patient care and administrative duties under this scheme?

Q98.A recent update in national health policy emphasizes strengthening primary healthcare services and integrating Non-Communicable Disease (NCD) management at the grassroots level. As a Staff Nurse working in a Primary Health Centre (PHC), which of the following best describes the primary impact of this policy on your daily responsibilities?

Q99.A staff nurse working in a medical ward observes an unusual increase in patients presenting with acute respiratory distress and fever within a 24-hour period, none of whom have a known epidemiological link. What is the most appropriate initial action the nurse should take?

Q100.A Staff Nurse is counselling a patient in a Kerala government hospital about the Ayushman Bharat - Karunya Arogya Suraksha Paddhati (KASP). Which of the following statements best describes the primary objective and target beneficiaries of the KASP scheme in Kerala?