Kerala PSC Staff Nurse Gr II Mock 017

Q1.During strenuous exercise, the body's cardiovascular system adapts to meet increased oxygen demands. Which of the following is a primary physiological change observed?

Q2.A nurse is assessing a patient with acute asthma exacerbation. The wheezing sound heard on auscultation is primarily caused by which physiological change?

Q3.In the context of kidney function, which of the following substances is normally completely reabsorbed from the glomerular filtrate and should not be found in healthy urine?

Q4.Damage to the cerebellum would most likely result in which of the following clinical manifestations?

Q5.A patient with an overactive thyroid gland (hyperthyroidism) would typically exhibit which of the following physiological changes?

Q6.A nurse is educating a patient about preventing osteoporosis. Which of the following statements correctly identifies a key function of osteoblasts in bone remodeling?

Q7.Which of the following digestive enzymes is primarily responsible for the initial chemical digestion of carbohydrates in the oral cavity?

Q8.A nurse is collecting a midstream urine sample for culture from a female patient suspected of having a Urinary Tract Infection (UTI). Which of the following steps is crucial to ensure the specimen's accuracy and prevent contamination?

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

Q10.A 6-month-old infant receives a routine vaccination for diphtheria, tetanus, and pertussis (DTaP). This type of immunity acquired by the infant is best described as:

Q11.A nurse is reviewing a microbiology report that indicates a Gram-positive bacterial infection. Which characteristic primarily distinguishes Gram-positive bacteria from Gram-negative bacteria in the staining process?

Q12.A patient develops a surgical site infection (SSI) 72 hours after an appendectomy, which was not present or incubating at the time of admission. This type of infection is classified as a:

Q13.To effectively prevent the transmission of infectious agents in a hospital setting, a nurse understands that the most critical step in breaking the chain of infection is:

Q14.Which of the following components represents a primary line of defense as part of the body's innate (non-specific) immunity against pathogens?

Q15.A Community Health Nurse (CHN) is assessing a rural village where families live in close proximity, share resources, and frequently engage in face-to-face interactions, providing strong emotional support to one another. This type of social structure primarily exemplifies which of the following social groups?

Q16.In a rapidly urbanizing area of Kerala, a Staff Nurse observes a decline in traditional extended family support systems and an increase in nuclear families. This demographic shift is most likely to contribute to which of the following social challenges impacting community health?

Q17.A Staff Nurse working in a community clinic identifies a rising trend of substance abuse among young adults. To address this social problem effectively at the community level, which intervention would be most comprehensive and sustainable?

Q18.A Community Health Nurse is planning a health education program for a tribal community regarding maternal and child health. Before introducing modern health practices, the nurse spends time understanding the community's existing health beliefs, traditional practices, and social hierarchy. This approach demonstrates the application of which core principle in community health nursing?

Q19.In a specific fishing village, a Staff Nurse observes that children from lower socio-economic strata have significantly higher rates of malnutrition and preventable infectious diseases compared to children from wealthier families within the same village. This observation highlights which significant aspect of community health?

Q20.A Staff Nurse is organizing a health camp in a densely populated urban slum. She notices that many residents are reluctant to participate in screening for non-communicable diseases, citing lack of time due to daily wage work and distrust towards external health workers. To improve participation, the nurse should primarily focus on:

Q21.A patient acts impulsively without considering consequences, driven purely by immediate gratification. Which psychic structure, according to Freud, is primarily dominant in this behavior?

Q22.A nurse observes a patient who recently received a terminal diagnosis stating, 'The doctors must have mixed up my reports; I feel perfectly fine.' Which defense mechanism is the patient most likely exhibiting?

Q23.A new nursing graduate consistently arrives early, meticulously prepares for shifts, and actively seeks learning opportunities. This consistent pattern of behavior is best described as an example of developing a strong:

Q24.A child begins to cry and show anxiety every time they see a nurse in a white uniform, after having a painful injection administered by a nurse while wearing the same uniform. This learned response is best explained by:

Q25.A staff nurse consistently volunteers for extra shifts and takes on challenging assignments primarily because she finds deep satisfaction in helping patients recover and improving her skills. This motivation is primarily:

Q26.When educating a patient with newly diagnosed diabetes about lifestyle changes, the nurse highlights potential complications if changes are not made, such as neuropathy and kidney damage. This approach, aiming to decrease undesirable behavior, primarily utilizes which psychological principle?

Q27.A nurse is assessing a 3-year-old child presenting with generalized edema, lethargy, and a distended abdomen. The mother reports the child has been primarily fed a diet of starchy foods with very little protein. This clinical presentation is most indicative of a deficiency in which macronutrient?

Q28.A 45-year-old patient reports increasing difficulty seeing clearly in dim light and complains of dry, gritty eyes. Upon examination, the nurse notes Bitot's spots on the conjunctiva. These findings are most suggestive of a deficiency in which vitamin?

Q29.When counseling a community group about achieving a balanced diet, which of the following principles should the nurse emphasize as crucial for optimal nutrition?

Q30.A nurse is providing dietary education to a newly diagnosed patient with Type 2 Diabetes Mellitus. Which of the following recommendations is most appropriate for managing their blood glucose levels?

Q31.A patient with chronic kidney disease (CKD) is being discharged and requires dietary counseling. Which of the following dietary modifications is typically recommended for this patient to help manage their condition?

Q32.A nurse is performing a Subjective Global Assessment (SGA) on a hospitalized patient to evaluate their nutritional status. Which of the following parameters is a key component of the SGA?

Q33.A patient with uncontrolled Type 1 Diabetes Mellitus presents to the emergency department with symptoms of diabetic ketoacidosis (DKA). From a biochemical perspective, which metabolic process is significantly upregulated, leading to the excessive production of ketone bodies?

Q34.A nurse is reviewing the laboratory results of a patient admitted with acute pancreatitis. Elevated levels of which two enzymes are most specific and indicative of pancreatic inflammation?

Q35.A nurse is educating a patient about dietary modifications to lower their risk of cardiovascular disease. The nurse explains that reducing the intake of trans fatty acids is crucial. Biochemically, why are trans fatty acids considered particularly harmful?

Q36.A patient on long-term antibiotic therapy develops petechiae, ecchymoses, and prolonged bleeding time. The nurse suspects a deficiency in a fat-soluble vitamin crucial for blood coagulation. Which vitamin deficiency is most likely?

Q37.A patient is admitted with severe respiratory depression leading to respiratory acidosis. The nurse understands that the body's primary immediate compensatory mechanism to buffer the excess acid involves which of the following?

Q38.Insulin plays a crucial role in glucose homeostasis. Biochemically, what is the primary effect of insulin on glucose metabolism in most body cells?

Q39.A 68-year-old patient is prescribed Enalapril, an ACE inhibitor, for hypertension. The nurse should educate the patient to monitor for and report which common adverse effect associated with this medication?

Q40.A nurse needs to administer 1000 mL of 0.9% Normal Saline intravenously over 8 hours. The IV tubing has a drop factor of 15 drops/mL. What is the correct drip rate in drops per minute?

Q41.A patient with severe peripheral edema and hypertension is prescribed Furosemide. The nurse understands that Furosemide, a loop diuretic, primarily exerts its therapeutic effect by inhibiting sodium and chloride reabsorption in which specific part of the nephron?

Q42.A patient is being discharged on Warfarin therapy following a deep vein thrombosis. Which instruction is most crucial for the nurse to provide to the patient regarding safety and medication management?

Q43.A physician orders a medication dose of 0.5 grams. The available medication is in milligrams. How many milligrams should the nurse administer to fulfill this order?

Q44.A 55-year-old patient with a history of severe uncontrolled asthma is prescribed Propranolol, a non-selective beta-blocker, for hypertension. The nurse should question this order primarily due to the increased risk of which adverse effect?

Q45.A nurse is conducting an initial assessment on a patient admitted with abdominal pain. The patient states, "My pain is a dull ache, about a 7 out of 10 on a pain scale, and it started two hours ago." This information is an example of which type of data?

Q46.According to the WHO's "5 Moments for Hand Hygiene," when is it essential for a nurse to perform hand hygiene *before* a clean/aseptic procedure, such as inserting an IV catheter or administering an injection?

Q47.A nurse is preparing to administer oral medication to a patient. Which action represents the most critical initial step to ensure patient safety during medication administration?

Q48.A 45-year-old patient is admitted to the hospital with a confirmed diagnosis of active pulmonary tuberculosis. Which type of transmission-based precautions should the nurse implement for this patient?

Q49.A nurse is caring for a patient experiencing acute pain. The nursing care plan includes an intervention: "Administer prescribed opioid analgesic every 4 hours as needed for pain greater than 6/10." Which phase of the nursing process does the *actual administration* of this medication fall under?

Q50.A nurse is caring for a bedridden elderly patient who is at high risk for developing pressure injuries. Which nursing intervention is most effective in preventing pressure injuries over bony prominences like the sacrum?

Q51.A 55-year-old male presents to the emergency department with severe, crushing chest pain radiating to his left arm, accompanied by shortness of breath and profuse sweating. His vital signs are BP 100/60 mmHg, HR 110 bpm, RR 24 bpm, SpO2 90% on room air. Which of the following is the most immediate nursing intervention?

Q52.A patient with Chronic Obstructive Pulmonary Disease (COPD) is admitted to the hospital with an acute exacerbation, presenting with increased dyspnea, wheezing, and a productive cough. Which nursing intervention is most effective in immediately improving the patient's gas exchange?

Q53.A nurse is providing dietary education 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?

Q54.A patient is admitted to the emergency department with a suspected acute ischemic stroke. The nurse's initial priority assessment related to potential complications should focus on:

Q55.A nurse is educating a patient newly diagnosed with Peptic Ulcer Disease (PUD) about lifestyle modifications. Which of the following statements by the patient indicates a need for further teaching?

Q56.A patient with full thickness burns over 30% of their Total Body Surface Area (TBSA) is admitted. The nurse is calculating the initial fluid resuscitation using the Parkland formula (4 mL/kg/%TBSA). If the patient weighs 70 kg, how much intravenous fluid should be administered in the first 8 hours?

Q57.A 28-year-old primigravida reports her last menstrual period (LMP) started on April 15, 2023. Using Naegele's rule, what would be her estimated date of delivery (EDD)?

Q58.During active labor, a nurse notes late decelerations on the fetal heart rate (FHR) monitor. What is the MOST appropriate initial nursing intervention in this situation?

Q59.A postpartum mother, 2 days after vaginal delivery, reports increased vaginal bleeding, passing clots larger than a golf ball, and feeling lightheaded. Her fundus is boggy and displaced to the right. Which of the following is the MOST immediate nursing action?

Q60.A full-term newborn, 30 minutes old, has an Apgar score of 9 at 1 minute and 10 at 5 minutes. The nurse observes mild acrocyanosis. What is the appropriate nursing intervention for this newborn?

Q61.A 30-year-old woman, G2P2, expresses interest in a long-acting reversible contraceptive (LARC) method that does not contain hormones. Which of the following methods would be most suitable for her, considering her preference?

Q62.A nurse is providing discharge education to a new mother about newborn care and signs of illness. Which of the following signs, if observed in a 5-day-old newborn, requires immediate medical attention?

Q63.A 9-month-old infant is brought for a well-baby check-up. Which of the following gross motor milestones is expected at this age?

Q64.A 2-year-old child presents to the clinic with cough, fever, and fast breathing. During assessment, the nurse observes distinct chest indrawing. According to IMNCI guidelines, how should this child's condition be classified under 'Cough or Difficult Breathing'?

Q65.A 6-month-old infant is brought to the clinic with persistent vomiting and diarrhea for 2 days. The nurse assesses the infant and notes irritability, sunken eyes, and that a skin pinch goes back slowly. Which of the following is the most appropriate initial management step according to IMNCI guidelines for dehydration?

Q66.A parent expresses concern that their 18-month-old child is not speaking any words, does not respond to their name consistently, and often avoids eye contact. What developmental concern should the nurse primarily consider based on these observations?

Q67.A 1-year-old child is admitted to the pediatric ward after experiencing a brief generalized tonic-clonic seizure during a febrile illness. The child is now conscious and alert. What is the most important nursing intervention for preventing recurrence of febrile seizures in this child?

Q68.According to IMNCI guidelines for a child aged 2 months up to 5 years, which of the following is classified as a 'general danger sign'?

Q69.A newly posted Auxiliary Nurse Midwife (ANM) in a rural sub-centre is organizing her weekly activities. Which of the following activities is considered her most crucial primary responsibility in terms of maternal and child health services at the sub-centre level?

Q70.A Staff Nurse working in a community health setting is participating in the Rashtriya Bal Swasthya Karyakram (RBSK) under the National Health Mission. Which of the following age groups is the primary target for screening and early intervention under this program?

Q71.During a village health and nutrition day, an ASHA (Accredited Social Health Activist) worker is educating pregnant women about the benefits of institutional delivery. What is the primary mechanism by which ASHA workers are incentivized to promote institutional deliveries under the National Health Mission (NHM)?

Q72.A community health nurse is conducting a health education session at a Primary Health Centre (PHC). Which of the following services is considered a core function of a PHC in India?

Q73.The National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) is a major initiative under NHM. As a Staff Nurse involved in this programme, what would be your primary focus at the community level?

Q74.A Staff Nurse is reviewing the health data of a sub-centre area. The Infant Mortality Rate (IMR) for the past year was reported as 25 per 1000 live births. Which of the following statements best interprets this indicator in the context of community health?

Q75.A patient on the psychiatric ward tells the nurse, 'I feel like no one understands me, and I'm completely alone in this struggle.' Which of the following is the most therapeutic response by the nurse?

Q76.A 35-year-old male diagnosed with schizophrenia exhibits symptoms such as blunted affect, alogia (poverty of speech), and avolition (lack of motivation). These symptoms are primarily categorized as which of the following?

Q77.A nurse is caring for a patient experiencing an acute manic episode. The patient is pacing rapidly, speaking loudly and incessantly, and becoming increasingly agitated. Which nursing intervention is the highest priority?

Q78.A patient suddenly experiences an intense feeling of fear, palpitations, shortness of breath, and chest pain, believing they are having a heart attack and are about to die. The nurse recognizes this as a panic attack. What is the immediate nursing intervention?

Q79.A patient with a history of chronic alcohol abuse is admitted to the hospital. Three days after admission, the patient develops tremors, severe disorientation, visual hallucinations, and generalized tonic-clonic seizures. The nurse suspects which of the following conditions?

Q80.A patient diagnosed with Borderline Personality Disorder frequently idealizes the nursing staff one day and then devalues them the next, often creating conflict among the team members by praising one nurse while criticizing another. This behavior is best described as:

Q81.A charge nurse observes a consistent increase in patient falls on the evening shift. To address this issue effectively using a quality improvement approach, what would be the MOST appropriate initial step?

Q82.A nurse educator is preparing a training session for newly graduated nurses on effective communication with challenging patients. Which principle of adult learning should the educator prioritize to maximize engagement and knowledge retention?

Q83.A nurse researcher is conducting a study on the effectiveness of a new wound care dressing. To ensure ethical conduct, which action is paramount before enrolling any participants?

Q84.A nurse manager is implementing a new electronic health record (EHR) system. Some experienced nurses are resistant to the change. What is the most effective management strategy to overcome this resistance and facilitate a smooth transition?

Q85.Which step is considered the foundational first step in the process of evidence-based practice (EBP) for nurses?

Q86.A nurse educator is evaluating the effectiveness of a newly implemented curriculum for a nursing program. To assess the overall learning outcomes and achievement of program objectives at the end of the semester, which type of evaluation would be most appropriate?

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

Q88.A 60-year-old patient with a history of hypertension and diabetes is admitted with sudden onset of weakness on one side of the body, slurred speech, and facial droop. As a staff nurse, what is your immediate priority action after ensuring airway patency?

Q89.A child has accidentally ingested a corrosive cleaning agent. What is the most appropriate first aid measure to take while awaiting professional medical help?

Q90.A patient with a terminal illness expresses a wish to refuse further life-sustaining treatment, stating, "I want to die with dignity." The family, however, insists that all possible measures be taken to prolong life. As the staff nurse, which ethical principle should guide your primary action?

Q91.During a community health survey, a nurse identifies several households in a rural area that lack proper sanitation facilities and safe drinking water sources. The prevalence of diarrheal diseases is notably high in this community. Which primary intervention would be most effective in breaking the chain of infection for these diseases?

Q92.A 55-year-old male presents to the emergency department with crushing chest pain radiating to his left arm, shortness of breath, and diaphoresis. His ECG shows ST-segment elevation. As a staff nurse, after initiating oxygen therapy, what is the next most critical medication to administer as per standard protocol, assuming no contraindications?

Q93.A 45-year-old daily wage worker in Kerala is diagnosed with a severe cardiac condition requiring urgent surgery. He has limited financial resources and belongs to a family covered under a priority household ration card. Which of the following Kerala government health schemes would primarily benefit him in accessing cashless treatment for his condition?

Q94.A Staff Nurse observes that the Primary Health Centre (PHC) in a rural block of Kerala is undergoing a significant transformation, including extended outpatient timings, improved infrastructure, and the introduction of non-communicable disease (NCD) clinics and palliative care services. This initiative is a core component of which major Kerala government health mission?

Q95.A Staff Nurse in a primary health center is reviewing the core principles of the Integrated Management of Childhood Illness (IMCI) strategy, jointly developed by WHO and UNICEF. In the context of resource-limited settings, which of the following best represents a primary objective of implementing IMCI?

Q96.During National Immunization Day, observed annually in India, a Staff Nurse is deployed to a community health centre. What is the primary focus of activities on this specific day, and how does it relate to the nurse's immediate role?

Q97.A Staff Nurse in a public hospital in Kerala is frequently encountering patients who are beneficiaries of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY). What is a primary responsibility of the nurse concerning these patients in the context of this national health policy?

Q98.The establishment and expansion of Ayushman Bharat Health and Wellness Centers (AB-HWCs) in Kerala represent a policy shift towards comprehensive primary healthcare. For a Staff Nurse posted at an AB-HWC, what is a significant *expanded* area of responsibility compared to traditional primary health centers?

Q99.A Staff Nurse working in a medical ward observes an unusual cluster of three patients admitted within 24 hours presenting with sudden onset of high fever, severe headache, and rash, with no clear explanation. What is the most appropriate immediate action for the nurse?

Q100.Under the Kerala government's 'Aardram Mission,' many Primary Health Centres (PHCs) are being transformed into Family Health Centres (FHCs) to provide comprehensive primary care. A 35-year-old patient presents at an FHC with symptoms suggestive of a respiratory infection. As a Staff Nurse at this FHC, which of the following actions best reflects your *expanded role* in patient management under the Aardram Mission?