Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
In MSE, Delusions indicate the abnormality in the area of :
A)
Thought Content
B)
Thought Process
C)
Cognition
D)
Perception
Option A is correct: Thought Content.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The most reliable early indicator of an approaching manic episode is:
A)
Increased need for sleep
B)
Decreased need for sleep
C)
Loss of appetite
D)
Social withdrawal
Option B is correct: Decreased need for sleep.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Services provided in an under five clinic includes:
1. Family planning
2. Prevention of STD
3. Immunization
4. Care in illness
5. Adequate nutrition
Select the correct answer using the codes given below:
A)
2,1,5,3
B)
4,3,2,1
C)
1,4,5,3
D)
1,2,4,5
Option C is correct: 1,4,5,3.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which of the following is NOT a component of tetralogy of fallot?
A)
Left ventricular hypertrophy
B)
VSD
C)
Pulmonary valve stenosis
D)
Overriding of aorta
Tetralogy of Fallot has four classic components: ventricular septal defect (VSD), pulmonary stenosis, overriding aorta, and right ventricular hypertrophy. Therefore, VSD, pulmonary valve stenosis, and overriding of aorta are all components of TOF. Left ventricular hypertrophy is not a component; the hypertrophy is of the right ventricle.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The International Programme on the Elimination of Child Labour (IPEC) was initiated by which organization in 1992?
A)
United Nations.
B)
International Labour Organization (ILO).
C)
World Health Organization (WHO).
D)
UNESCO.
IPEC stands for the International Programme on the Elimination of Child Labour. It was launched in 1992 by the International Labour Organization (ILO) to work towards the progressive elimination of child labour worldwide. Therefore, option (b) is correct. The United Nations is the parent international body, but IPEC specifically belongs to the ILO; WHO deals with health, and UNESCO deals with education, science, and culture.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The pituitary hormone that stimulates the secretion of milk from the mammary gland is:
A)
Oxytocin
B)
Prolactin
C)
Estrogen
D)
Progesterone
Option B is correct: Prolactin.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A mother has been taking opioids (morphine) throughout pregnancy. The newborn shows shrill cry, irritability, tremors, and poor feeding. What condition does the nurse suspect?
A)
Neonatal abstinence syndrome
B)
Transient tachypnea
C)
Hypocalcemia
D)
Birth asphyxia
Option A is correct: Neonatal abstinence syndrome.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
During a home visit on day 10 postpartum, lochia is still dark red with clots. The fundus is slightly above the umbilicus and soft. What does this pattern indicate?
A)
Normal involution
B)
Infection
C)
Subinvolution with retained placental fragments
D)
Return of menses
Option C is correct: Subinvolution with retained placental fragments.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A 5-year-old child shows persistent repetitive behaviors, difficulty in social interaction, and delayed speech. The most likely disorder is:
A)
ADHD
B)
Autism Spectrum Disorder
C)
Anxiety Disorder
D)
ODD
Option B is correct: Autism Spectrum Disorder.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Identify findings that are considered normal variation in newborn assessment:
1. Epstein Pearls
2. Acrocyanosis
3. Absence of red reflex in the eye
4. Boggy mass under the scalp that does not cross suture line
Select the correct answer using the codes given below:
A)
1 &2
B)
2 & 3
C)
3 & 4
D)
1 & 3
Option A is correct: 1 &2.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The fine downy hair covering the skin of a newborn is:
A)
Lanugo
B)
Vellus
C)
Milia
D)
Erythema toxicum
Option A is correct: Lanugo.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A newborn on Kangaroo Mother Care (KMC) shows stable temperature, good feeding, and minimal apnea. The MOST appropriate action is:
A)
Shift the baby to incubator
B)
Continue KMC as it is
C)
Stop KMC immediately
D)
Reduce the duration of KMC
Option B is correct: Continue KMC as it is.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The mother reports nipple pain during feeds. According to the Baby Friendly Hospital Initiatives, the nurse should first:
A)
Advise bottle feeds temporarily
B)
Assess positioning and latch
C)
Apply topical anesthetic
D)
Encourage timed feeding
Option B is correct: Assess positioning and latch.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
The site of injection to administer Inj. Vitamin K in neonate is:
A)
Deltoid
B)
Vastus lateralis
C)
Ventro gluteal
D)
Dorso gluteal
In neonates, Vitamin K is given by intramuscular injection in the anterolateral thigh, specifically the vastus lateralis muscle. This site is preferred because it is well developed in newborns and is safer than gluteal sites, which carry a risk of nerve injury. Deltoid is not adequately developed in neonates, and ventrogluteal/dorsogluteal sites are not preferred in newborns. Therefore, the correct answer is Vastus lateralis.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Failure to pass meconium within the first 24 hours after birth may indicate:
A)
Celiac disease
B)
Abdominal wall defect
C)
Hirschsprung’s disease
D)
Intussusception
Option C is correct: Hirschsprung’s disease.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A 3-year-old, 15 kg child with 20% TBSA burns is given Ringer’s lactate. How much should be infused in the first 8 hours (using Parkland formula)?
A)
600 mL
B)
1200 mL
C)
1500 mL
D)
300 mL
Option C is correct: 1500 mL.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Iron deficiency anemia is most common among children in which age group?
A)
Neonates
B)
6 months-2 years
C)
5- 10 years
D)
11- 12 years
Option B is correct: 6 months-2 years.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A common contraindication to induction of labor is:
A)
Gestational diabetes
B)
Non-reassuring fetal heart rate
C)
Cephalopelvic disproportion
D)
Maternal anemia
Option C is correct: Cephalopelvic disproportion.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which IQ range is indicative of Intellectual Disability?
A)
Below 80
B)
Below 60
C)
Below 70
D)
Below 90
Option C is correct: Below 70.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
In Johari Window, the information that a person knows about him/herself that others do not know:
A)
Open self
B)
Unknown self
C)
Hidden self
D)
Blind self
Option C is correct: Hidden self.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A 70 year old woman undergoes Mini Mental Status Examination and scores 20 out of 30. How should the nurse interpret the score?
A)
Normal cognitive function
B)
Mild cognitive impairment
C)
Moderate cognitive impairment
D)
Severe cognitive impairment
Option C is correct: Moderate cognitive impairment.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which of the following is a mature defense mechanism?
A)
Projection
B)
Reaction formation
C)
Altruism
D)
Denial
Option C is correct: Altruism.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which finding during antenatal assessment requires urgent referral?
A)
Mild ankle edema
B)
Fundal height lagging by 1 cm
C)
Severe headache and blurred vision
D)
Occasional Braxton Hicks contractions
Option C is correct: Severe headache and blurred vision.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
Which of the following is a key component of the Integrated Child Development Services (ICDS) scheme?
A)
Universal free health insurance for all children
B)
Supplementary nutrition and growth monitoring
C)
Mandatory school enrollment at age three
D)
Exclusive vaccination program for adolescents
ICDS is a flagship child development scheme that provides a package of services for children under 6 years, pregnant women, and lactating mothers. Its key components include supplementary nutrition, immunization, health check-up, referral services, pre-school non-formal education, and nutrition/health education. Therefore, 'Supplementary nutrition and growth monitoring' is correct. (a) is incorrect because ICDS does not provide universal free health insurance. (c) is incorrect because ICDS supports pre-school education but does not make school enrollment mandatory at age three. (d) is incorrect because ICDS is not an exclusive vaccination program for adolescents.
Combined Technical (NG) • 2026 • Paper-IV (Technical Subject)
A mother on day 4 postpartum reports frequent crying, irritability, and mood swings but denies suicidal thoughts. The most likely condition is:
A)
Postpartum depression
B)
Postpartum psychosis
C)
Postpartum blues
D)
Acute stress disorder
Option C is correct: Postpartum blues.
