Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which of these nursing actions belong to the secondary level of preventive intervention?
A)
Providing mental health consultation to health care providers
B)
Providing emergency psychiatric services
C)
Being politically active in relation to mental health issues
D)
Providing mental health education to members of the community
Secondary prevention focuses on early intervention/treatment, including emergency psychiatric services.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Pink color in classification system of IMNCI suggest:
A)
Treatment in health facility
B)
Management at home
C)
Referral
D)
Hospitalization
Pink in IMNCI indicates referral/hospital-level care.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A woman is treated with lithium during pregnancy. The fetus should be tested for:
A)
Neural tube defects
B)
Cardiac malformations
C)
Urogenital abnormalities
D)
Scalp defects
Lithium exposure in pregnancy is associated with congenital cardiac malformations, classically Ebstein anomaly.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The nurse is caring for a 12-month-old girl. The child’s mother asks if the unit has any toys that her daughter can play with. The nurse goes to the toy area in search of a toy for the child. Which toy is the best choice for this child?
A)
A doll
B)
A musical rattle
C)
A board book
D)
Colorful beads
At 12 months, a musical rattle is developmentally appropriate and safe.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A nurse is doing discharge education with a parent who has a child with beta-thalassemia (Cooley anemia). The nurse informs the parent that the child is at risk for which of the following conditions?
A)
Hypertrophy of the thyroid
B)
Polycythemia vera
C)
Thrombocytopenia
D)
Chronic hypoxia and iron overload
Thalassemia major causes chronic anemia/hypoxia and repeated transfusions lead to iron overload.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Mrs. Sangi has contractions growing stronger which lasts for 30-60 seconds and occur approximately every 3-5 minutes. On performing vaginal examination, the nurse expects that the client’s cervical dilatation will be:
A)
0 – 3 cm
B)
4 – 7 cm
C)
8 – 10 cm
D)
11 – 13 cm
Contractions every 3–5 minutes lasting 30–60 seconds suggest active first stage, about 4–7 cm dilation.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The nurse monitors his or her postpartum clients carefully because which of the following physiological changes occurs during the early postpartum period?
A)
Decreased urinary output
B)
Increased blood pressure
C)
Increased estrogen level
D)
Decreased blood volume
After delivery, blood volume falls because of blood loss and fluid shifts.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A client is in the third stage of labor. Which of the following assessments should the nurse make/ observe for?
A)
Fetal heart assessment after each contraction
B)
Uterus rising in the abdomen and feeling globular
C)
Rapid cervical dilation to ten centimeters
D)
Maternal complaints of intense rectal pressure
During the third stage, placental separation causes the uterus to rise and become firm/globular.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
In the phases of physiological basis of lactation, synthesis and secretion from the breast alveoli is called:
A)
mamogenesis
B)
lactogenesis
C)
galactokinesis
D)
galactopoiesis
Milk synthesis and secretion by alveolar cells is lactogenesis.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Elevated mood with increasing psychomotor activity is a characteristic feature of:
A)
Mania
B)
Euphoria
C)
Bipolar disorder
D)
Dysthymia
Marked elevated mood and increased psychomotor activity characterize mania.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
During slow wave sleep (STAGES 3 AND 4 NREM sleep):
A)
Dreams occur
B)
The secretion of adrenal steroids is at its highest
C)
Somnambulism and nightmare occur
D)
The secretion of somatotropin is at its lowest.
Deep NREM sleep is associated with parasomnias such as somnambulism (sleepwalking).
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The nurse is teaching the family about caring for their 7-year-old, who has been diagnosed with type I DM. What information should the nurse provide about type I DM?
A)
Best managed through diet, exercise, and oral medication
B)
Can be prevented by proper nutrition and activity
C)
Characterized mainly by insulin resistance
D)
Characterized mainly by insulin deficiency
Type 1 diabetes is primarily due to insulin deficiency.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A client diagnosed with an eating disorder has a nursing diagnosis of low self-esteem. Which nursing intervention would address this client’s problem?
A)
Offer independent decision-making opportunities
B)
Review previously successful coping strategies
C)
Provide a quiet environment with decreased stimulation
D)
Allow the client to remain in a dependent role throughout treatment
Offering independent decision-making opportunities promotes autonomy and self-esteem.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which of the following exercises should be taught to a pregnant woman who complains of backaches?
A)
Kegeling
B)
Pelvic tilting
C)
Leg lifting
D)
Crunching
Pelvic-tilt exercises strengthen/support the back and relieve pregnancy-related backache.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which sign and symptoms would you expect to find in an infant with pyloric stenosis:
A)
Vomitting of bile
B)
Diarrhea
C)
Lethargy
D)
Projectile vomiting
Pyloric stenosis classically causes projectile, non-bilious vomiting.
Combined Technical (NG) • 2018 • Technical Paper-II
The unused alphabet in ICD-10 (tenth revision) is
A)
S
B)
V
C)
Z
D)
U
U is reserved/unused in the basic chapter structure.
Combined Technical (NG) • 2018 • Technical Paper-II
The method for entering data for discharge analysis is
A)
Daily discharge analysis method
B)
Monthly discharge analysis method
C)
Annual Report
D)
Cumulative Method
Discharge analysis is commonly entered/compiled daily.
Combined Technical (NG) • 2018 • Technical Paper-II
What is malignancy?
A)
A neoplasm or tumour that is cancerous
B)
A benign or tumour that is not cancerous
C)
Leukemia that is blood cancer
D)
None of these
Malignancy denotes a cancerous neoplasm.
Combined Technical (NG) • 2018 • Technical Paper-II
Conduct as a witness means to study the method of attending the
A)
Hospital
B)
Public
C)
Court
D)
All of these
A witness attends/gives evidence in court.
Combined Technical (NG) • 2018 • Technical Paper-II
How many sections are there in volume 3 in ICD-10 (tenth revision)?
A)
2 Section
B)
3 Section
C)
4 Section
D)
5 Section
Volume III is divided into three sections.
Combined Technical (NG) • 2018 • Technical Paper-II
In ICD-10 (tenth revision) chapter 5 “Mental and Behavioural disorder use alphabet
A)
D
B)
E
C)
F
D)
G
ICD-10 Chapter V is Mental and behavioural disorders, category F.
Combined Technical (NG) • 2018 • Technical Paper-II
The proportion of inpatient hospitalisations which end in death expressed as a percentage is
A)
Gross Death Rate
B)
Crude Death Rate
C)
Net Death Rate
D)
Specific Death Rate
Gross death rate uses all inpatient discharges including deaths as denominator.
Combined Technical (NG) • 2018 • Technical Paper-II
Identify the next letters of the series- KPA, LQB, MRC, NSD, _________
A)
OTE
B)
OET
C)
TOE
D)
EOT
Each character advances one letter in its respective position.
Combined Technical (NG) • 2018 • Technical Paper-II
St. John Hospital had a total of 20 death in June 2017. A total number of 400 patients were discharged (including deaths) in June 2017. What is the Gross Death Rate?
A)
5%
B)
6%
C)
7%
D)
8%
20/400×100 = 5%.
Combined Technical (NG) • 2018 • Technical Paper-II
Index used for record control and qualitative data is
A)
Alphabetical Index
B)
Physician Index
C)
Diagnosis Index
D)
None of these
The physician index supports provider-level record control/analysis.
