Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A false belief held with strong conviction despite contrary evidence is:
A)
Obsession
B)
Delusion
C)
Compulsion
D)
Illusion
Option B is correct: Delusion.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which of the following is the correct order of the cardinal movements of labour?
A)
Flexion, internal rotation, descent, extension, external rotation, expulsion
B)
Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion
C)
Descent, engagement, flexion, external rotation, internal rotation, extension, expulsion
D)
Engagement, flexion, internal rotation, descent, extension, external rotation, expulsion
Option B is correct: Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which of the following neurotransmitter is mainly implicated in the development of Depression?
A)
Acetylcholine
B)
Progesterone
C)
Dopamine
D)
Serotonin
Option D is correct: Serotonin.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which hormone is essential to maintain early pregnancy after conception?
A)
Follicle-Stimulating Hormone (FSH)
B)
Luteinizing Hormone (LH)
C)
Human Chorionic Gonadotropin (hCG)
D)
Oxytocin
Option C is correct: Human Chorionic Gonadotropin (hCG).
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Jacquemier ‘s sign is:
A)
Softening of cervix
B)
Bluish discolouration of vaginal mucosa
C)
Regular painless contraction of gravid uterus
D)
Increased pulstion felt on the vagina
Option B is correct: Bluish discolouration of vaginal mucosa.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A sudden unexpected travel away from home/work place with assumption of new identity and inability to recall the past is called:
A)
Dissociative identity disorder
B)
Dissociative amnesia
C)
Dissociative fugue
D)
Trance and possession disorder
Option C is correct: Dissociative fugue.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
What is a distinguishing feature of schizoid personality disorder in terms of social relationships?
A)
Strong desire for excessive social relation
B)
Lacks close friends
C)
Close knit group of friends
D)
Extensive social network
Option B is correct: Lacks close friends.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
In schizophrenia when an individual has disorganized speech the term ‘clanging’ refers to:
A)
Individuals only communicate with words that rhymes
B)
Answers to questions may not be relevant
C)
Individuals communicate without completing their sentences.
D)
Speech may be neither structured nor comprehensible
Option A is correct: Individuals only communicate with words that rhymes.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which one of the following is not a complication of Meningitis?
A)
Seizure
B)
Stroke
C)
Hydrocephalus
D)
Encephalocele
Option D is correct: Encephalocele.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Children have higher heart rates than adults primarily because:
A)
Their stroke volume is smaller
B)
They have stronger ventricles
C)
Their blood pressure is higher
D)
Sympathetic tone is lower
Option A is correct: Their stroke volume is smaller.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The common skin change caused by elevated melanocyte-stimulating hormone is:
A)
Spider naevi
B)
Melasma
C)
Striae rubrae
D)
Varicosities
Option B is correct: Melasma.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which of the following are the consequences of vitamin and mineral deficiencies which can lead to dementia and memory disorders in alcohol abuse?
A)
Smirnoff’s syndrome
B)
Korsakoff’s syndrome
C)
Helmert syndrome
D)
Huynh-Feldt syndrome
Option B is correct: Korsakoff’s syndrome.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Normal weight of the placenta at term is:
A)
200 gm
B)
400 gm
C)
500 gm
D)
600 gm
Option C is correct: 500 gm.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The client is newly diagnosed with juvenile onset diabetes. Which of the following nursing diagnoses is a priority?
A)
Anxiety
B)
Pain
C)
Altered thought process
D)
Knowledge deficit
Option D is correct: Knowledge deficit.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A pregnant client presents for her first prenatal visit at 10 weeks. She reports two previous pregnancies: the first delivered a viable baby girl at 39 weeks, and the second delivered a viable baby boy at 36 weeks. Both children are living. Using the GTPAL system, how should her obstetrical history be recorded?
A)
3-2-0-0-2
B)
2-2-0-2-2
C)
3-1-1-0-2
D)
2-1-1-0-2
Option A is correct: 3-2-0-0-2.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Hypochondriasis is characterized by:
A)
A sudden loss of sensory or motor function without a physical cause.
B)
An excessive and persistent belief that one has a serious illness, despite medical reassurance.
C)
Repeated complaints of pain that have no identifiable medical cause.
D)
A preoccupation with an imagined or slight defect in appearance
Option B is correct: An excessive and persistent belief that one has a serious illness, despite medical reassurance..
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Mutism, negativism, waxy flexibility, bizarre posture and stupor are characteristics of:
A)
Paranoid schizophrenia
B)
Hebephrenic schizophrenia
C)
Catatonic schizophrenia
D)
Residual schizophrenia
Option C is correct: Catatonic schizophrenia.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which of the following is a negative symptom of schizophrenia?
A)
Delusions
B)
Apathy
C)
Hallucinations
D)
Thought disturbances
Option B is correct: Apathy.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The most definitive treatment for eclampsia is:
A)
IV hydralazine
B)
High-dose magnesium sulfate
C)
Immediate delivery of the baby
D)
Bed rest
Option C is correct: Immediate delivery of the baby.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which vitamin is naturally low in breast milk, requiring supplementation in infants?
A)
Vitamin A
B)
Vitamin D
C)
Vitamin E
D)
Vitamin K
Option B is correct: Vitamin D.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which client has the highest risk for placental abruption?
A)
Woman with a history of cesarean birth
B)
Woman with chronic hypertension
C)
Primigravida at age 20
D)
Woman with BMI 24
Option B is correct: Woman with chronic hypertension.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
In which fetal presentation is the normal mechanism of labor often not possible?
A)
Right occipitoposterior
B)
Breech presentation
C)
Brow presentation
D)
Face presentation
Option B is correct: Breech presentation.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A nurse is caring for a neonate with suspected Meconium Aspiration Syndrome (MAS). What is the priority nursing action for this patient?
A)
Administer supplemental oxygen to correct hypoxemia
B)
Initiate continuous positive airway pressure (CPAP) to improve ventilation
C)
Suction the pharynx and trachea immediately after birth
D)
Administer broad-spectrum antibiotics to treat potential infection
Option C is correct: Suction the pharynx and trachea immediately after birth.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which type of play material helps develop cognitive and problem-solving skills in preschool children?
A)
Musical instruments
B)
Building blocks and puzzles
C)
Board games
D)
Swings and slides
Option B is correct: Building blocks and puzzles.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The most frequent incomplete fracture in children, in which the bone is twisted is called:
A)
Spiral fracture
B)
Oblique fracture
C)
Green stick fracture
D)
Transverse fracture
Option C is correct: Green stick fracture.
