Kerala PSC Staff Nurse Gr II Mock 019

Q1.What is the primary function of specialized lymphatic capillaries called lacteals, found in the villi of the small intestine?

Q2.A patient with severe pneumonia experiences impaired gas exchange. Which anatomical structure is primarily affected, leading to reduced oxygen diffusion into the blood?

Q3.Which enzyme, primarily secreted by the pancreas, is essential for the chemical digestion of triglycerides into fatty acids and monoglycerides in the small intestine?

Q4.During the process of urine formation, which segment of the nephron is responsible for the reabsorption of the largest percentage of filtered water, glucose, and amino acids back into the bloodstream?

Q5.A nurse is caring for a patient experiencing symptoms of hypoglycemia. Which pancreatic hormone would the nurse expect to be released to counteract this condition by raising blood glucose levels?

Q6.A patient sustains a head injury that specifically damages the cerebellum. Which of the following neurological functions would the nurse most likely observe to be impaired?

Q7.During skeletal muscle contraction, according to the sliding filament model, which of the following events directly occurs as the thin filaments slide inward past the thick filaments?

Q8.A Staff Nurse is preparing to collect a mid-stream urine specimen for culture and sensitivity from an alert and oriented adult female patient. Which of the following instructions is most appropriate to ensure an accurate specimen?

Q9.A patient admitted to the medical ward develops a Clostridium difficile infection (CDI) after a prolonged course of antibiotics. The nurse identifies that the patient's compromised normal gut flora served as a contributing factor. Which link in the chain of infection does this represent?

Q10.Which of the following components represents a primary, non-specific defense mechanism of the human body against invading pathogens?

Q11.A sputum culture from a patient with pneumonia reveals numerous Gram-negative rods. Based on this preliminary finding, which class of antibiotics is generally considered effective for initial empiric treatment against Gram-negative bacterial infections?

Q12.A patient develops a urinary tract infection (UTI) three days after insertion of an indwelling urinary catheter during hospitalization. This type of infection is best classified as a:

Q13.A Staff Nurse is preparing a room for a new admission diagnosed with suspected pulmonary tuberculosis. Which type of transmission-based precaution should be implemented for this patient?

Q14.Which of the following best describes the primary mechanism by which vaccination provides immunity against infectious diseases?

Q15.How does a strong primary social group typically influence an individual's health-seeking behavior and recovery process compared to a secondary social group?

Q16.In the context of social change, how does rapid urbanization primarily impact the health profile of a community, particularly regarding non-communicable diseases (NCDs)?

Q17.A community health nurse observes a higher incidence of malnutrition and preventable diseases among children in a low-income urban slum. This situation primarily reflects the impact of which social problem on community health?

Q18.A community health nurse is planning a health education program for a village with high rates of waterborne diseases. Which principle of primary healthcare is most directly addressed by implementing such a program?

Q19.An adolescent is highly influenced by a group of successful young entrepreneurs in their community, aspiring to emulate their work ethic and achievements. This group serves as a:

Q20.A staff nurse suspects domestic violence in a female patient presenting with recurrent unexplained injuries and increased anxiety. What is the most appropriate initial action for the nurse in addressing this social problem?

Q21.A nurse observes a patient who often acts impulsively, seeking immediate gratification without considering long-term consequences. According to Freud's psychoanalytic theory, this behavior is most strongly influenced by the part of the personality that operates on the pleasure principle. Which part is it?

Q22.A patient who recently lost a loved one angrily lashes out at the nursing staff, accusing them of incompetence, despite receiving excellent care. This behavior is an example of which defense mechanism?

Q23.A patient is praised by the nursing staff for consistently taking their medications on time and participating actively in physical therapy sessions. As a result, the patient continues these positive behaviors. This reinforcement of desired actions is best explained by which learning theory?

Q24.A patient who is recovering from a severe burn injury expresses a strong desire to participate in peer support groups and connect with others who have similar experiences. According to Maslow's Hierarchy of Needs, which level of need is this patient primarily seeking to fulfill?

Q25.A patient expresses a strong belief that "medication is always harmful" and refuses to take prescribed drugs, despite clear medical necessity. This belief primarily represents a barrier in which component of the patient's attitude towards medication?

Q26.A nurse observes a patient who recently received a difficult diagnosis. The patient focuses intensely on researching every medical detail of their condition, discussing complex physiological processes, and avoiding any expression of emotional distress. This coping mechanism is known as:

Q27.A patient is admitted with symptoms including bleeding gums, petechiae, and delayed wound healing. The nurse suspects a nutritional deficiency. Which of the following nutrients is most likely deficient?

Q28.A staff nurse is educating a newly diagnosed patient with Type 2 Diabetes Mellitus about dietary management. Which of the following is the most crucial advice regarding carbohydrate intake?

Q29.A community health nurse is conducting a session on a balanced diet for adults. What is the generally recommended percentage range for carbohydrate intake in a balanced diet for an average healthy adult?

Q30.A patient with chronic kidney disease (CKD) is advised a therapeutic diet. Which dietary modification is most critical for this patient to prevent further kidney damage and manage symptoms?

Q31.A nurse is monitoring a patient receiving continuous enteral tube feeding. The patient develops abdominal distension and diarrhea. Which nursing intervention is most appropriate initially?

Q32.A pregnant woman is diagnosed with iron deficiency anemia. The nurse provides dietary counseling. Which food combination would best enhance iron absorption from plant-based sources?

Q33.A nurse is caring for a patient with uncontrolled Type 1 Diabetes Mellitus. Which of the following biochemical processes is primarily impaired in this patient due to insulin deficiency, leading to high blood glucose levels?

Q34.A patient presents with severe liver cirrhosis. The nurse anticipates a decrease in which of the following plasma proteins, primarily responsible for maintaining oncotic pressure and transporting substances?

Q35.A nurse is educating a patient about the importance of fat-soluble vitamins. Which of the following vitamins is primarily involved in blood clotting and is synthesized by gut bacteria?

Q36.A patient is admitted with suspected myocardial infarction. The nurse understands that which of the following enzymes or proteins, when elevated, is a highly specific marker for cardiac muscle damage?

Q37.A nurse is reviewing a patient's arterial blood gas (ABG) results. A pH of 7.25, PaCO2 of 40 mmHg, and HCO3- of 18 mEq/L indicates which primary acid-base imbalance?

Q38.A nurse is explaining to a newly diagnosed diabetic patient how insulin works. The primary role of insulin in glucose metabolism is to:

Q39.A nurse is caring for a patient receiving Digoxin for heart failure. Which of the following findings would be most indicative of Digoxin toxicity?

Q40.When administering an intramuscular injection to an adult, the ventrogluteal site is preferred over the dorsogluteal site primarily due to which of the following reasons?

Q41.A doctor orders 0.25 mg of a medication. The drug is available as tablets containing 500 micrograms (mcg) each. How many tablets should the nurse administer?

Q42.A patient prescribed enalapril for hypertension reports a persistent, irritating dry cough. The nurse recognizes this symptom as a common adverse effect associated with which class of antihypertensive medications?

Q43.An IV infusion is ordered at 100 ml/hour. The drop factor of the IV tubing is 15 gtts/ml. How many drops per minute (gtts/min) should the nurse set the infusion rate?

Q44.A nurse is providing discharge education to a patient newly prescribed warfarin. Which of the following dietary instructions is most important for the nurse to emphasize?

Q45.A 65-year-old male patient reports 'sharp pain in my chest' after coughing. His vital signs are stable, and he is observed grimacing occasionally. Which of these pieces of information is considered subjective data?

Q46.A nurse has just finished assisting a patient with personal hygiene and is about to administer oral medication to another patient in the adjacent room. What is the most appropriate action regarding hand hygiene?

Q47.A nurse is preparing to administer a prescribed medication to a patient. Before administering the drug, which of the following is the *most* crucial step to ensure patient safety and adhere to the 'Rights of Medication Administration'?

Q48.During the evaluation phase of the nursing process, what is the primary focus of the nurse's activities?

Q49.A nurse is caring for a patient in airborne isolation and needs to remove personal protective equipment (PPE) after providing care. What is the correct sequence for removing PPE to minimize self-contamination?

Q50.A nurse is preparing to perform a sterile dressing change for a surgical wound. Which action by the nurse would indicate a breach in aseptic technique?

Q51.A patient with chronic heart failure is prescribed furosemide (Lasix) 40 mg PO daily. Which assessment finding would be most concerning for the nurse and require immediate follow-up?

Q52.A 68-year-old patient with a history of COPD is admitted with increasing dyspnea. The nurse notes the patient is restless, using accessory muscles, and has an oxygen saturation of 88% on room air. Which oxygen delivery method would be most appropriate initially for this patient?

Q53.A patient with advanced liver cirrhosis develops hepatic encephalopathy. The nurse understands that which dietary modification is crucial in managing this condition?

Q54.A nurse is caring for a patient with chronic kidney disease (CKD) who is receiving hemodialysis three times a week. Which medication should the nurse question administering before the dialysis session?

Q55.A patient admitted with a head injury develops signs of increased intracranial pressure (ICP), including a decreasing level of consciousness, bradycardia, and widening pulse pressure. Which nursing intervention is most appropriate to help reduce ICP?

Q56.A nurse is assessing a patient with severe hyponatremia (serum sodium 120 mEq/L). Which clinical manifestation would the nurse most likely expect to observe?

Q57.A primigravida at 36 weeks gestation reports a sudden decrease in fetal movements over the last 12 hours. What should be the nurse's immediate priority action?

Q58.During active labor, a nurse observes persistent late decelerations on the fetal monitor. The client is receiving oxytocin infusion. What is the most appropriate initial nursing intervention?

Q59.A woman who delivered vaginally 2 hours ago is experiencing continuous trickling of bright red blood, despite her fundus being firm and at the umbilicus. What complication should the nurse suspect?

Q60.A newborn infant is delivered with an APGAR score of 6 at 1 minute. The infant has a weak cry, some flexion of extremities, and a heart rate of 90 bpm. What is the nurse's most appropriate initial action?

Q61.A 28-year-old woman, G2P2, who is exclusively breastfeeding her 3-month-old infant, expresses interest in a highly effective, long-term reversible contraceptive method. Which method would be most appropriate to discuss first?

Q62.A pregnant woman at 34 weeks gestation is admitted with severe pre-eclampsia. Her blood pressure is 160/110 mmHg, and she has 3+ proteinuria. Which medication is most likely to be prescribed to prevent seizures?

Q63.A 7-month-old infant is brought for a routine check-up. The mother expresses concern as the baby is not yet sitting independently. Based on typical developmental milestones, what is the most appropriate nursing response?

Q64.A 2-year-old child presents with frequent watery stools and vomiting for the past 24 hours. During assessment, the nurse notes the child is irritable, has sunken eyes, and skin turgor is slow (skin pinch goes back slowly). Which classification of dehydration, according to IMNCI guidelines, best fits this child's condition?

Q65.A 9-month-old infant is brought to the health center with a cough and fast breathing. The nurse counts 55 breaths per minute. There is no stridor or chest indrawing. According to IMNCI guidelines, how should this infant's condition be classified for cough or cold?

Q66.A 4-year-old child weighing 18 kg is prescribed Amoxicillin 250 mg orally every 8 hours for a bacterial infection. The available suspension is 125 mg/5 mL. How many milliliters should the nurse administer per dose?

Q67.A nurse is assessing a 6-month-old infant during a well-baby check. Which of the following primitive reflexes would the nurse *expect* to have disappeared by this age?

Q68.A mother brings her 10-month-old infant to the clinic for a routine immunization. The infant has received all previous recommended vaccines as per the national immunization schedule. Which vaccine is typically administered at 9 months of age in India and due for this infant?

Q69.A Staff Nurse is working at a Sub-centre in a rural area. A pregnant woman in her second trimester visits the sub-centre for her routine antenatal check-up. Which of the following is the most appropriate set of actions for the Staff Nurse to take during this visit, according to the standard protocols for antenatal care at a sub-centre level?

Q70.The National Health Mission (NHM) encompasses several key components. Which of the following is a primary goal associated with the implementation of the Rashtriya Bal Swasthya Karyakram (RBSK) under NHM?

Q71.A Staff Nurse at a PHC is screening a patient with symptoms suggestive of pulmonary tuberculosis. According to the National Tuberculosis Elimination Programme (NTEP) guidelines, which diagnostic method is currently recommended as the primary initial test for confirmation of pulmonary TB, especially considering its ability to detect drug resistance?

Q72.During a routine immunization session at a village outreach camp, a mother brings her 9-month-old child who has missed all previous vaccination doses. The child appears healthy with no signs of illness. What is the most appropriate immediate action for the Staff Nurse to take in this situation?

Q73.To effectively monitor the progress of the National Health Mission's interventions aimed at improving child survival in a specific district, which of the following indicators would provide the most comprehensive assessment of child health status from birth up to early childhood?

Q74.A Staff Nurse at a Primary Health Centre (PHC) is conducting a screening camp as part of the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS). A 55-year-old male is screened and found to have consistently high blood pressure readings (e.g., 160/100 mmHg) on two separate occasions, with no prior diagnosis. What is the most appropriate next step for the nurse to take?

Q75.A 35-year-old client diagnosed with schizophrenia has been exhibiting social withdrawal, lack of motivation, and flattened affect. The nurse recognizes these as primary manifestations of which type of schizophrenic symptoms?

Q76.A client tells the nurse, "I feel like no one understands me, and everything is just too much." The most appropriate therapeutic communication technique for the nurse to use in this situation is:

Q77.A client admitted with a manic episode of Bipolar I Disorder is pacing restlessly, talking loudly and rapidly, and making grandiose statements. Which nursing intervention should be the immediate priority?

Q78.When assessing a client suspected of having Major Depressive Disorder, which of the following symptoms, if present for at least two weeks, would be most indicative of the disorder?

Q79.A client on long-term antipsychotic medication for schizophrenia develops involuntary movements of the tongue, lips, and facial muscles. The nurse recognizes these symptoms as indicative of which adverse effect?

Q80.A nurse is caring for a client who has expressed suicidal ideation. Which of the following questions is most crucial for the nurse to ask initially to assess the client's immediate risk?

Q81.During a performance appraisal discussion, a nurse manager identifies that a staff nurse consistently struggles with accurate documentation. To effectively address this, which initial step should the nurse manager take *first*?

Q82.A nurse educator has just completed teaching a module on cardiac emergencies. To determine the overall effectiveness of the module and the students' final achievement of learning objectives, which type of evaluation would be most appropriate?

Q83.A nurse researcher is conducting a study on the experiences of patients undergoing chemotherapy. To ensure ethical conduct, which action is paramount before data collection begins?

Q84.A nursing unit is experiencing an increase in medication errors related to incorrect dosage calculations. The nurse manager decides to implement a quality improvement project using the PDSA cycle. Which of the following actions would be the *most appropriate initial step* within the 'Plan' phase?

Q85.A nurse researcher wants to explore the lived experiences of mothers caring for children with chronic illnesses in a rural setting. Which research approach would be most appropriate to gain a deep understanding of their perspectives and daily challenges?

Q86.The Nursing Council mandates that all graduating nurses must demonstrate proficiency in basic life support (BLS). This requirement reflects which aspect of nursing education?

Q87.A 35-year-old patient is admitted with confirmed Dengue fever. Which of the following nursing interventions is most crucial in preventing complications and managing the disease in the acute phase?

Q88.A nurse is educating a newly diagnosed patient with Type 2 Diabetes Mellitus about long-term management. Which statement by the patient indicates a need for further teaching?

Q89.A patient presents to the emergency department with a full-thickness burn covering approximately 15% of their body surface area. What is the immediate priority for the nurse in managing this patient?

Q90.A conscious adult suddenly clutches their throat and appears unable to speak or breathe, indicating severe airway obstruction. What is the most appropriate first aid action to take immediately?

Q91.A nurse is caring for a patient admitted with HIV. The patient explicitly requests that their diagnosis not be disclosed to their visiting family members. The family asks the nurse about the patient's condition. What is the most ethical response by the nurse?

Q92.An elderly, alert, and oriented patient with a treatable infection refuses to take prescribed antibiotics, stating they are tired of medications. The nurse believes the antibiotics are essential for the patient's recovery. Which ethical principle should guide the nurse's primary action?

Q93.A 45-year-old daily wage worker, diagnosed with a severe kidney ailment, requires an urgent transplant but lacks the financial means. As a staff nurse, which Kerala government health scheme would you primarily recommend for financial assistance to cover the extensive medical expenses?

Q94.A staff nurse at a Primary Health Centre (PHC) observes the implementation of new initiatives focused on making public health institutions patient-friendly, enhancing diagnostic services, and promoting a comprehensive approach to primary healthcare, including early detection of lifestyle diseases. These developments are integral to which major Kerala government health scheme?

Q95.A staff nurse is working in a postnatal ward of a hospital that is implementing the Baby-Friendly Hospital Initiative (BFHI). Which of the following practices aligns most closely with the "Ten Steps to Successful Breastfeeding" promoted by WHO and UNICEF?

Q96.A Public Health Nurse (PHN) is coordinating activities for the upcoming National Deworming Day (NDD) in a primary health centre's jurisdiction. Which of the following best describes the *primary target population and intervention* for NDD in India?

Q97.The Ayushman Bharat Digital Mission (ABDM) aims to develop the backbone necessary to support the integrated digital health infrastructure of the country. As a staff nurse, which of the following is a primary benefit you would observe in patient care due to the successful implementation of ABDM?

Q98.The Ayushman Bharat - Health and Wellness Centers (AB-HWCs) initiative aims to transform primary healthcare delivery in India. For a staff nurse deployed at an AB-HWC, which of the following represents a significant expanded responsibility under this policy?

Q99.A Staff Nurse working in a primary health center observes an unusual increase in patients presenting with acute fever, cough, and body aches over a two-day period, affecting several families within the same locality. What is the most crucial initial action the nurse should take in response to this observation?

Q100.A community health nurse is educating a family about accessing healthcare services under the Karunya Arogya Suraksha Paddhati (KASP) in Kerala. Which of the following statements accurately describes a key benefit or feature of KASP that the nurse should emphasize to the family?