Combined Technical (NG) • 2024 • Paper-IV (Technical Subject)

There is a rectangular garden of 220m x 70m. A path of width 4m is build around the garden. What is the area of the path?

A) 2472 m²
B) 2162 m²
C) 1836 m²
D) 2384 m²
Step-by-step calculation: 1. Area of the inner garden = Length × Width = 220m × 70m = 15,400 m². 2. The path is built 'around' the garden, meaning it adds to the dimensions on all sides. New Length = 220 + 4 + 4 = 228m New Width = 70 + 4 + 4 = 78m 3. Area of the outer rectangle (garden + path) = 228m × 78m = 17,784 m². 4. Area of the path = Outer Area - Inner Area = 17,784 m² - 15,400 m² = 2,384 m². Therefore, option (d) is correct. Options (a), (b), and (c) are incorrect as they result from calculation errors or failing to add the path width to both sides of the dimensions.
Combined Technical (NG) • 2024 • Paper-IV (Technical Subject)

Which of the following is a coordinate point on the x-axis?

A) (-2, 0)
B) (0, 2)
C) (3,3)
D) (0, -5)
In a 2D Cartesian coordinate system, any point is represented as (x, y), where 'x' is the abscissa (horizontal distance from the y-axis) and 'y' is the ordinate (vertical distance from the x-axis). 1. A point lies on the x-axis if and only if its vertical distance from the x-axis is zero. Therefore, for any point on the x-axis, the y-coordinate must be 0. The general form is (x, 0). 2. Evaluating the options: - Option (a) (-2, 0): The y-coordinate is 0. This point lies on the x-axis. - Option (b) (0, 2): The x-coordinate is 0. This point lies on the y-axis. - Option (c) (3, 3): Neither coordinate is 0. This point lies in the first quadrant. - Option (d) (0, -5): The x-coordinate is 0. This point lies on the y-axis. Thus, (-2, 0) is the only point located on the x-axis.
Combined Technical (NG) • 2024 • Paper-IV (Technical Subject)

In a right-angled triangle ABC, if angle B=90° and AB = 6 cm, BC = 8 cm, then what is the value of sin C?

A) 3/5
B) 4/5
C) 5/8
D) 8/5
Step-by-step solution: 1. **Identify the given values**: In right-angled triangle ABC, angle B = 90°. The sides forming the right angle are AB = 6 cm and BC = 8 cm. 2. **Find the Hypotenuse (AC)**: According to the Pythagorean theorem, AC² = AB² + BC². AC² = 6² + 8² AC² = 36 + 64 AC² = 100 AC = √100 = 10 cm. 3. **Define sin C**: In a right-angled triangle, the sine of an angle is the ratio of the length of the side opposite to the angle to the length of the hypotenuse. sin C = (Opposite side to angle C) / (Hypotenuse) 4. **Calculate the value**: The side opposite to angle C is AB, and the hypotenuse is AC. sin C = AB / AC sin C = 6 / 10 sin C = 3 / 5. Comparing this result to the options: - Option (a) 3/5 is correct. - Option (b) 4/5 represents cos C or sin A. - Option (c) 5/8 is incorrect. - Option (d) 8/5 is impossible as the sine of an angle cannot exceed 1.
Combined Technical (NG) • 2024 • Paper-IV (Technical Subject)

Find the correct trigonometric identity.

A) tan²θ = sec²θ - 1
B) tan²θ + sec²θ = 1
C) tan²θ - sec²θ = 1
D) tan²θ = sec²θ + 1
The fundamental Pythagorean identity in trigonometry is derived from the unit circle or a right-angled triangle. The primary identity is: sin²θ + cos²θ = 1. To find the identity involving tan and sec, we divide every term of this equation by cos²θ: (sin²θ / cos²θ) + (cos²θ / cos²θ) = (1 / cos²θ) Since tanθ = sinθ/cosθ and secθ = 1/cosθ, the equation becomes: tan²θ + 1 = sec²θ To isolate tan²θ, we subtract 1 from both sides: tan²θ = sec²θ - 1 Evaluating the options: - Option (a) tan²θ = sec²θ - 1: Correct, matches the derived identity. - Option (b) tan²θ + sec²θ = 1: Incorrect. The correct form is sec²θ - tan²θ = 1. - Option (c) tan²θ - sec²θ = 1: Incorrect. Based on the identity, tan²θ - sec²θ = -1. - Option (d) tan²θ = sec²θ + 1: Incorrect. This contradicts the derived identity.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A child diagnosed with severe mental retardation becomes aggressive with staff members when faced with the inability to complete simple tasks. Which nursing diagnosis would reflect this client’s problem?

A) Ineffective coping R/T inability to deal with frustration
B) Anxiety R/T feelings of powerlessness and threat to self-esteem
C) Social isolation R/T unconventional social behavior
D) Risk for injury R/T altered physical mobility
Aggression arising from inability to cope with frustration is best captured by ineffective coping.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which of the following would be appropriate anticipatory guidance for a well-care visit of a 17-year-old?

A) Discuss alcohol use and potential for alcohol poisoning
B) Discuss secondary sex characteristics that will develop
C) Teach about anger management and safe sex
D) Teach about peer pressure and desire for independence
At 17, guidance appropriately addresses independence and peer pressure.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A neonate has an elevated bilirubin and is slightly jaundiced on day 3 of life. What is the probable reason for these changes?

A) Hemolysis of neonatal red blood cells by the maternal antibodies
B) Physiological destruction of fetal red blood cells during the extrauterine period
C) Pathological liver function resulting from hypoxemia during the birthing process
D) Delayed meconium excretion resulting in the production of direct bilirubin
Physiologic jaundice around day 3 results largely from normal breakdown of fetal red cells.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The nurse notes that a newborn, who is 5 minutes old, exhibits the following characteristics: heart rate 108 bpm, respiratory rate 29 rpm with lusty cry, pink body with bluish hands and feet, some flexion. What does the nurse determine the baby’s Apgar score is?

A) 6
B) 7
C) 8
D) 9
Apgar: HR 2, respiration 2, color 1, tone 1, reflex response likely 2 from the lusty cry context = 8.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which of the following is the most important concept associated with all high-risk newborn?

A) Support the high-risk newborn cardiopulmonary adaptation by maintaining adequate airway
B) Identify complications with early intervention in the high-risk newborn to reduce morbidity and mortality
C) Assess the high-risk newborn for any physical complications that will assist the parent with bonding
D) Support mother and significant others in their request toward adaptation to the high-risk newborn
Early recognition and treatment of complications is the central goal in high-risk newborn care.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

During adolescence, psychosocial development focuses on:

A) Becoming industrious
B) Establishing an identity
C) Achieving intimacy
D) Developing initiative
Erikson’s adolescent task is establishing identity.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Universal children’s day is observed on:

A) November 14th
B) November 20th
C) July 14th
D) July 20th
Universal Children’s Day is observed on 20 November.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which of the behaviours listed below would assist the nurse in establishing the diagnosis of borderline personality disorder?

A) Impulsivity
B) Hallucinations
C) Self-mutilation
D) Narcissism
Self-mutilation/impulsive self-harm is characteristic of borderline personality disorder; among the listed choices self-mutilation is the strongest indicator.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A newly admitted client is diagnosed with posttraumatic stress disorder. Which behavioral symptom would the nurse expect to assess?

A) Recurrent, distressing flashbacks
B) Intense fear, helplessness, and horror
C) Diminished participation in significant activities
D) Detachment or estrangement from others
PTSD commonly includes recurrent distressing intrusive memories/flashbacks.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

With which of the following placental anomalies is the placenta deeply attached to the uterus?

A) Battledore placenta
B) Placenta succenturiata
C) Placenta accreta
D) Placenta circumvallata
Placenta accreta is abnormally and deeply adherent to the uterine wall.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

On reviewing information about glomerulonephritis, the nurse knows that which of the following children is at risk for developing the disease?

A) A 10-year-old recovering from viral pneumonia
B) A 6-year-old with new-onset type 1 diabetes
C) A 3-year-old who had impetigo 1 week ago
D) A 5-year-old with a history of five UTIs in the previous year
Post-streptococcal glomerulonephritis can follow impetigo after about 1–3 weeks.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A client with severe Alzheimer’s disease has violent outbursts, wanders and is incontinent. He can no longer identify familiar people or objects. In developing the nursing care plan, the nurse would give highest priority to which nursing diagnosis?

A) High risk for injury
B) Impaired verbal communication
C) Self care deficits
D) Altered pattern of urinary elimination:incontinence
With wandering, violence and severe cognitive impairment, preventing injury is the priority.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A child has third-degree burns on the hands, face and chest. Which nursing diagnosis takes priority?

A) Ineffective airway clearance related to edema
B) Disturbed body image related to physical appearance
C) Impaired urinary elimination related to fluid loss
D) Risk for infection related to epidermal disruption
Face/chest burns risk airway edema, so airway clearance has highest priority.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The nurse’s best method for explaining the procedure to the child is to:

A) Show the child a pamphlet with pictures showing the IV placement procedure
B) Have the 5-year-old patient next door tell the 4-year-old about her experience with her IV placement
C) Show the child the IV placement equipment, and demonstrate the procedure on a doll
D) Tell the child that if she remains still, the procedure will be over quickly
For a 4-year-old, concrete demonstration with equipment and a doll is age-appropriate.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which of the following procedures involves injecting radioactive molecules into the bloodstream?

A) Positron emission tomography(PET)
B) Functional magnetic resonance imaging(FMRI)
C) Magnetic resonance imaging
D) Computerized axial tomography
PET uses radiolabeled tracers injected into the bloodstream.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which is an example of the therapeutic communication technique of “focusing”?

A) “Can we talk more about how you feel about your father?”
B) “I’m not sure what you mean when you use the word ‘fragile.’”
C) “I notice that you seem angry today.”
D) “How does your mood today compare with yesterday?”
Focusing directs attention to a particular issue for deeper discussion.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The uterine tubes are paired structures, measuring about:

A) 8 cm
B) 10 cm
C) 12 cm
D) 14 cm
The uterine tube is about 10–12 cm long; 12 cm is the standard approximate figure.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which of the following signs and symptoms require immediate attention and may indicate most serious complications during pregnancy?

A) Severe abdominal pain or fluid discharge from the vagina.
B) Excessive saliva, “bumps around the areola, and increased vaginal mucus.
C) Fatigue, nausea, and urinary frequency at any time during pregnancy.
D) Ankle oedema, enlarging varicosities, and heartburn
Severe abdominal pain or vaginal fluid loss can signal serious obstetric complications and needs urgent assessment.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The milk secreted towards the end of regular breastfeed which contains more fat and energy is called:

A) Transitional milk
B) Mature milk
C) Preterm milk
D) Hind milk
Hind milk is richer in fat and energy and comes later in a feed.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The United nations adopted the ‘Declaration of the Rights of the child’ on

A) 20th November 1959
B) 14th November 1959
C) 20th November 1947
D) 14th November 1947
The UN adopted the Declaration of the Rights of the Child on 20 November 1959.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Hypospadius is :

A) Ventral curvature of penis
B) Urethral opening along the dorsal surface of the penis
C) Urethral opening along the ventral surface of the penis
D) Stenosis of the urethral opening
Hypospadias is a ventral displacement of the urethral meatus.
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