Kerala PSC Staff Nurse Gr II Mock 018

Q1.A patient presenting with severe liver cirrhosis often develops significant peripheral edema and ascites. This is primarily due to a decrease in the liver's ability to synthesize which crucial component of blood plasma?

Q2.A nurse is performing a physical assessment on a patient with a suspected aspiration. Which anatomical structure is primarily responsible for preventing food and liquids from entering the trachea during swallowing?

Q3.A patient is admitted with symptoms indicating excessive secretion of Antidiuretic Hormone (ADH), a condition known as SIADH. Based on the physiological action of ADH, what would the nurse expect to find in this patient's laboratory results?

Q4.A nurse is caring for a patient who has experienced a cerebrovascular accident (stroke) affecting the left frontal lobe, specifically Broca's area. Which clinical manifestation is the nurse most likely to assess in this patient?

Q5.A nurse is providing discharge education to a patient newly diagnosed with Type 1 Diabetes Mellitus. When explaining the primary role of insulin in the body, which statement is most accurate?

Q6.A patient with a dislocated shoulder is being assessed. The shoulder joint, allowing for a wide range of movements including flexion, extension, abduction, adduction, rotation, and circumduction, is an example of which type of synovial joint?

Q7.A nurse is reviewing the process of digestion and absorption with a nursing student. Which section of the gastrointestinal tract is primarily responsible for the absorption of the vast majority of digested nutrients (carbohydrates, fats, proteins)?

Q8.A nurse is collecting a sputum specimen from a patient suspected of having pulmonary tuberculosis for Acid-Fast Bacilli (AFB) smear and culture. Which of the following is the most appropriate instruction for the patient to ensure an optimal specimen?

Q9.In a hospital setting, which mode of transmission is most frequently responsible for the spread of healthcare-associated infections (HAIs) among patients?

Q10.A 6-month-old infant receives their routine dose of the DPT (Diphtheria, Pertussis, Tetanus) vaccine. This vaccination aims to provide what type of immunity to the infant?

Q11.A Gram stain is a crucial diagnostic tool in bacteriology. What primary characteristic of bacteria does the Gram stain differentiate, leading to their classification as Gram-positive or Gram-negative?

Q12.Many pathogenic bacteria possess a capsule. What is the primary function of this capsule in contributing to bacterial virulence and infection?

Q13.A nurse is educating a community about preventing typhoid fever. Which of the following is recognized as the primary reservoir for Salmonella Typhi, the bacterium causing typhoid fever?

Q14.A patient presents with a localized infection on their arm, showing classic signs of inflammation. Which set of cardinal signs correctly describes the typical inflammatory response?

Q15.A community health nurse is establishing a support group for new mothers in a rural village. Which characteristic best describes a primary social group, and why is it important for the nurse to foster such a group?

Q16.A new government initiative introduces modern sanitation practices in a tribal community that traditionally relies on open defecation. Which factor is most likely to be the biggest challenge in bringing about this social change related to health behavior?

Q17.A staff nurse working in an urban slum observes a high prevalence of malnutrition, communicable diseases, and poor sanitation among children. This situation primarily reflects which major social problem impacting community health?

Q18.When planning a community health intervention for elderly individuals in a remote village, a nurse adopts a holistic approach. Which of the following best exemplifies this approach in the context of community health?

Q19.A public health nurse reviews health data for a district and notes a significant disparity in maternal mortality rates, with higher rates observed in lower socio-economic strata. This observation highlights the impact of:

Q20.A staff nurse is caring for a patient discharged after a major surgery. To ensure successful recovery and prevent readmission, the nurse emphasizes involving the patient's family in post-discharge care planning. This action primarily recognizes the family's role as a:

Q21.A patient diagnosed with a terminal illness refuses to believe the diagnosis, insisting that the lab results must be wrong and demands another test. Which defense mechanism is primarily demonstrated by this patient?

Q22.A nurse is caring for a patient experiencing homelessness who has been admitted for severe malnutrition. According to Maslow's Hierarchy of Needs, which need should the nurse prioritize first for this patient?

Q23.A pediatric nurse uses a sticker chart to reward a child for taking their medication without fuss. This approach is an application of which learning theory?

Q24.A nurse consistently displays a negative and judgmental attitude towards patients with substance use disorder. How might this attitude negatively impact patient care?

Q25.A new nurse, overwhelmed by the demands of the intensive care unit, frequently makes jokes about the unit's high-stress environment and dismisses serious concerns with humor. Which defense mechanism is this nurse primarily utilizing?

Q26.A patient with chronic obstructive pulmonary disease (COPD) struggles to quit smoking despite understanding the health risks. Which nursing intervention would be most effective in helping the patient break this habit?

Q27.A nurse is educating a patient with chronic kidney disease (CKD) not yet on dialysis about dietary modifications. Which of the following recommendations is most appropriate?

Q28.A community health nurse is conducting a nutritional assessment in a rural area. Which clinical finding in a child would most strongly suggest a Vitamin A deficiency?

Q29.A nurse is providing dietary education to a patient suffering from chronic constipation. Which food group should the nurse emphasize for increasing dietary fiber intake?

Q30.A patient newly diagnosed with Type 2 Diabetes Mellitus asks the nurse about the most important dietary principle to manage their blood sugar levels. What is the most accurate advice the nurse should provide?

Q31.When explaining the importance of macronutrients to a group of nursing students, the nurse educator highlights the primary role of protein in the body. Which of the following best describes the main function of protein?

Q32.A patient with newly diagnosed hypertension is being educated on lifestyle modifications. Which dietary approach would the nurse recommend as a primary strategy to help lower blood pressure?

Q33.A nurse is caring for a patient newly diagnosed with Type 2 Diabetes Mellitus. When explaining the role of insulin in the body, which of the following statements best describes its primary function related to glucose metabolism?

Q34.A patient recovering from a major surgery exhibits delayed wound healing and general weakness. The nurse understands that adequate protein intake is crucial for recovery. Which of the following is a primary biochemical reason for protein's importance in wound healing?

Q35.A patient receiving warfarin, an anticoagulant, is advised by the nurse to maintain a consistent intake of Vitamin K-rich foods. This advice is based on the biochemical understanding that Vitamin K plays a vital role in which of the following processes?

Q36.A nurse reviews a patient's lab results showing elevated levels of cardiac enzymes (e.g., Creatine Kinase-MB, Troponin). This elevation biochemically indicates which of the following?

Q37.A patient in the ICU develops metabolic acidosis. The nurse understands that the body's primary immediate biochemical defense against pH changes involves buffer systems. Which of the following is the most significant extracellular buffer system in the human body?

Q38.A nurse is educating a patient with hypercholesterolemia about managing their lipid levels. When discussing 'bad cholesterol,' biochemically, which lipoprotein is primarily referred to and why is it considered detrimental?

Q39.A physician prescribes Furosemide 40 mg IV stat. The available medication is Furosemide 10 mg/mL. How many milliliters should the nurse administer?

Q40.A patient receiving an Angiotensin-Converting Enzyme (ACE) inhibitor for hypertension reports a persistent, dry, irritating cough. Which of the following is the most likely cause?

Q41.A nurse is preparing to administer Warfarin to a patient. The nurse understands that Warfarin exerts its anticoagulant effect by interfering with which of the following?

Q42.A nurse needs to prepare a medication that requires 0.5 grams of a powder. The available measuring scale is in milligrams. How many milligrams should the nurse measure?

Q43.When administering an intramuscular (IM) injection to an adult patient, which site is generally considered the safest and preferred for most medications due to its distance from major nerves and blood vessels?

Q44.A nurse is explaining why a particular oral medication is prescribed in a much higher dose than the intravenous form of the same drug. Which pharmacokinetic principle best explains this difference?

Q45.A 65-year-old male post-abdominal surgery reports severe pain (8/10 on a visual analog scale). He is restless and grimacing. The nurse has verified the patient's pain. According to the nursing process, what is the nurse's immediate priority action?

Q46.A nurse is preparing to perform a bed bath for an immobile patient. Which of the following is the most appropriate initial step to ensure patient safety and comfort?

Q47.A patient is diagnosed with Clostridium difficile infection (CDI). Which of the following isolation precautions should the nurse implement in addition to standard precautions?

Q48.A nurse has established a nursing diagnosis of "Impaired Skin Integrity related to immobility" for a patient. Which of the following would be the most appropriate short-term goal for this patient?

Q49.When assisting a patient with ambulation who has unilateral weakness, which side should the nurse stand on for optimal support?

Q50.A nurse is preparing to insert a Foley catheter. Which level of asepsis is most appropriate for this procedure?

Q51.A 65-year-old male presents to the emergency department with sudden onset of severe chest pain radiating to his left arm, shortness of breath, and diaphoresis. An ECG confirms ST-segment elevation myocardial infarction (STEMI). Which of the following nursing actions is the *highest priority* immediately after establishing IV access and administering oxygen?

Q52.A nurse is caring for a patient with severe Chronic Obstructive Pulmonary Disease (COPD) who has chronically elevated PaCO2 levels. The physician orders oxygen therapy. What is the *most appropriate* initial oxygen flow rate for this patient?

Q53.A nurse is providing dietary teaching to a patient newly diagnosed with Chronic Kidney Disease (CKD) who is not yet on dialysis. Which of the following food choices should the nurse instruct the patient to *limit* to prevent complications?

Q54.A 70-year-old patient is admitted to the neurological intensive care unit following a right-sided cerebrovascular accident (stroke) resulting in left-sided hemiplegia. When positioning the patient in bed, which nursing intervention is *most appropriate* to prevent complications?

Q55.A nurse is assessing a patient with a history of heart failure who is receiving a thiazide diuretic. The nurse suspects the patient is developing hyponatremia. Which of the following assessment findings would *most strongly* support this suspicion?

Q56.A 45-year-old male weighs 70 kg and has full thickness burns over 30% of his total body surface area (TBSA). Using the Parkland formula (4 mL/kg/%TBSA), how much intravenous fluid should the nurse administer during the *first 8 hours* of resuscitation?

Q57.A 28-year-old primigravida at 28 weeks gestation presents for her antenatal check-up. Her blood pressure is 140/90 mmHg, urine dipstick shows +2 protein, and she reports mild swelling in her ankles. She denies headache or visual disturbances. What is the most appropriate initial nursing action?

Q58.During active labor, a nurse notes late decelerations on the fetal heart rate monitor for a client receiving oxytocin infusion. The FHR baseline is 130 bpm, and variability is moderate. What is the nurse's priority action?

Q59.A multiparous client delivered a 3.8 kg baby vaginally 30 minutes ago. The placenta was delivered intact. On assessment, the nurse finds the uterus boggy and deviated to the right, with a continuous trickle of bright red blood. The client's vital signs are stable, but she appears pale. What is the most appropriate initial nursing intervention?

Q60.A newborn is delivered and at 1 minute, the nurse assesses the following: Heart rate 90 bpm, weak cry, some flexion of extremities, grimace to stimulation, and pale body with blue extremities. What is the APGAR score for this newborn?

Q61.A 32-year-old client with a history of deep vein thrombosis (DVT) is seeking a highly effective contraceptive method. Which of the following methods would be contraindicated or require careful consideration due to her medical history?

Q62.A primiparous client is struggling with breastfeeding on the second postpartum day. She complains of nipple pain and her baby seems to be feeding frequently but still appears hungry. On observation, the nurse notes the baby is mostly sucking on the nipple, with minimal areola in its mouth. What is the most appropriate nursing advice?

Q63.A 9-month-old infant is brought to the well-baby clinic for a routine check-up. The nurse is assessing the infant's gross motor development. Which of the following milestones would the nurse most commonly expect to observe in a typically developing 9-month-old?

Q64.A 1-year-old child presents with diarrhea for 3 days. During the IMNCI assessment, the nurse observes that the child is irritable, has sunken eyes, and drinks eagerly when offered fluid. The skin pinch goes back slowly. How would the nurse classify the child's dehydration status based on these findings?

Q65.A 6-month-old infant is brought to the clinic with a cough and difficulty breathing. On assessment, the nurse notes a respiratory rate of 55 breaths/minute, no chest indrawing, and no stridor. The child is alert and active. According to IMNCI guidelines, how should this child's illness be classified?

Q66.A nurse is observing a group of 3-year-old children in a daycare setting. Which type of play would the nurse most commonly expect to see among children of this age, indicating typical social development?

Q67.A mother brings her 18-month-old child for a follow-up visit. The child's weight-for-age is consistently plotted below the 3rd percentile on the growth chart. The nurse's priority action should be to:

Q68.A 4-month-old infant presents with fever (temperature 38.5°C) for one day. The nurse assesses the infant and finds no general danger signs, no stiff neck, no signs of measles, and no other localizing signs of infection. The infant is exclusively breastfed. According to IMNCI, what is the most appropriate initial management step?

Q69.A Staff Nurse posted at a rural Sub-Centre is often the first point of contact for basic healthcare. Beyond preventive services, which of the following is a common curative service she would routinely provide or assist with?

Q70.The National Health Mission (NHM) is a flagship program aimed at achieving universal access to equitable, affordable, and quality healthcare services. Which of the following is NOT a direct programmatic component or a major mission operating under the umbrella of NHM?

Q71.A Community Health Nurse is educating a group of new mothers about the services available at their local Primary Health Centre (PHC). Which of the following comprehensive service packages would she highlight as a primary function of the PHC?

Q72.An Accredited Social Health Activist (ASHA) is a key community-level worker in the Indian healthcare system, especially vital for reaching remote populations. Which of the following is a primary role of an ASHA worker concerning community health initiatives?

Q73.A Staff Nurse at a PHC is preparing for the routine immunization clinic. A mother brings her healthy 6-week-old child for vaccination. According to the National Immunization Schedule of India, which vaccine is typically administered to a child at 6 weeks of age?

Q74.In a village experiencing a surge in malaria cases, a Community Health Nurse is tasked with implementing preventive and control measures. This initiative primarily falls under which of the following national health programmes?

Q75.A patient diagnosed with schizophrenia frequently reports hearing voices telling them to harm themselves. This experience is best described as a:

Q76.A nurse is communicating with a patient who states, "I just feel so lost and confused about everything." Which of the following therapeutic communication techniques would be most appropriate for the nurse to use next?

Q77.A patient in the psychiatric unit begins to experience a severe panic attack in a busy common area, exhibiting agitation and disorientation. What is the *immediate priority* nursing intervention?

Q78.A patient with Bipolar Affective Disorder is prescribed Lithium carbonate. The nurse should emphasize the importance of regular monitoring of which of the following laboratory values?

Q79.A nurse observes a patient with a severe mental illness being restrained without a valid physician's order or immediate danger to self/others. This action violates which of the following ethical principles?

Q80.A nurse is caring for a patient admitted with severe depression and expressed suicidal ideation. Which of the following is the *most crucial* nursing intervention in the initial phase of care?

Q81.A nurse manager consistently involves her team in decision-making, encourages open communication, and delegates responsibilities based on individual strengths. This approach best exemplifies which leadership style?

Q82.During a clinical rotation, a nursing instructor provides regular feedback to students on their patient assessment skills and offers suggestions for improvement before the final evaluation. This type of assessment is known as:

Q83.A group of staff nurses wants to investigate the effectiveness of a new pain management strategy for post-operative patients. According to the steps of Evidence-Based Practice (EBP), what is their initial action?

Q84.A nursing unit experiences a persistent issue with delayed medication administration. To systematically identify and categorize the potential causes, which quality improvement tool would be most effective?

Q85.A nursing researcher aims to understand the unique experiences and perspectives of family caregivers providing long-term care for individuals with advanced dementia. Which qualitative research design is most appropriate for this study?

Q86.When determining the optimal nursing staff allocation for an inpatient unit, which of the following factors is primarily focused on the financial implications rather than direct patient care needs or workload?

Q87.A 55-year-old male patient with a history of hypertension and hyperlipidemia is admitted with sudden onset of chest pain radiating to his left arm, shortness of breath, and diaphoresis. The nurse suspects an acute myocardial infarction (AMI). Which of the following nursing interventions is the highest priority upon his arrival in the emergency department?

Q88.A nurse is providing first aid to a conscious adult who is choking and unable to speak or cough effectively. After confirming the victim is choking, what is the most appropriate initial action?

Q89.A patient diagnosed with active pulmonary tuberculosis (TB) is being discharged home. Which instruction is most crucial for the nurse to emphasize to prevent the spread of the disease?

Q90.A nurse is caring for a patient who has been diagnosed with a highly stigmatized communicable disease. The patient expresses fear of discrimination and asks the nurse to keep their diagnosis a secret from family members, despite the family being involved in their care. What is the most ethically sound action for the nurse?

Q91.A 70-year-old patient with chronic obstructive pulmonary disease (COPD) is admitted with acute exacerbation. During assessment, the nurse notes increased dyspnea, wheezing, and use of accessory muscles. Which of the following is an expected and appropriate nursing intervention to improve the patient's breathing?

Q92.A nurse is performing cardiopulmonary resuscitation (CPR) on an adult in a hospital setting. After delivering 30 chest compressions, what is the next immediate step according to current guidelines?

Q93.A 65-year-old daily wage worker, diagnosed with a cataract, approaches a government district hospital in Kerala for surgery. He expresses concern about the cost. Which of the following Kerala government health schemes would a staff nurse most appropriately recommend for financial assistance for his surgery?

Q94.A Staff Nurse working in a Primary Health Centre (PHC) in Kerala is actively involved in implementing new guidelines aimed at enhancing the quality and accessibility of primary healthcare services, including the establishment of Family Health Centres (FHCs). This initiative is primarily guided by which of the following Kerala government health missions?

Q95.A community health nurse in a remote area is planning health education sessions for new mothers. To align with the global child health priorities jointly advocated by WHO and UNICEF, which of the following topics should be given the highest emphasis to significantly reduce infant mortality and improve child development?

Q96.A Staff Nurse is involved in planning a community health education session aimed at enhancing public awareness regarding the critical role of immunization in preventing communicable diseases. Which national health observance, specifically dedicated to promoting the significance of vaccines, would be most appropriate to align this session with?

Q97.A staff nurse working in a Community Health Centre in Kerala is encountering increasing numbers of patients presenting with their Ayushman Bharat Health Account (ABHA) ID. What is the primary operational benefit of the ABHA ID for the nurse in facilitating patient care?

Q98.Kerala's "Ardram Mission" aims to transform public health institutions into people-friendly centers and strengthen primary healthcare. As a staff nurse working in a Family Health Centre (FHC) under this mission, which of the following activities best exemplifies your contribution to achieving its objectives?

Q99.A Staff Nurse working in a medical ward observes a sudden increase in patients admitted with acute febrile illness, severe myalgia, and a distinctive rash, which is unusual for the season and geographical area. What is the most appropriate initial action for the nurse to take to address this potential epidemic outbreak?

Q100.A Staff Nurse is counseling a patient about accessing healthcare services under the Ayushman Bharat - Karunya Arogya Suraksha Paddhati (AB-KASP) in Kerala. Which of the following is the primary benefit that the nurse should emphasize regarding this scheme?