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GMR CAREER POINT

SECTION - B
Q.101. Which of following is used in the management of hyperkalemia?
(A) Insulin with glucose (B) Sodium bicarbonate
(C) Potassium chloride (D) Magnesium sulphate

Q.102. Which of the following is used to assess the level of consciousness?


(a) APGAR score (b) Braden scale (c) Glasgow coma scale (d) Snelien’s chart

Q. 103. Antidote or heparin is:


a) Vitamin K (b) protamine sulphate (c) Aminocarpoic acid (d) Amiodarone

Q. 104. A patient in the second stage of labour is given which of the following injections to
improve uterine contractions?
(a) Oxytocin (b) Methargin (c) Phenargan (d) diazepam

Q. 105. Acute pancreatitis is manifested by an elevated:


(a) Serum bilirubin (b) Serum amylase
(c) Serum alkaline phosphatase (d) Serum creatinine

Q. 106. Which of the following immunoglobulin will be high in a person with an allergy?
(a) Ig E (b) Ig G (c) Ig M (d) Ig A

Q. 107. Which part of the mind is associated with practical reality principle?
(a) Hyper-Ego (b) super-Ego (c) Ego (d) Id

Q. 108. Painful spasms of the hamstring muscle and resistance to further extension of the leg
art the knee while flexing the hip of a recumbent patient is called:
(a) Kerning’s sing (b) Brudzinski’s sing (c) Opisthotounus (d) Ankle clonus

Q. 109. Validity of a data-collection instrument means:


(a) The degree to which two different forms of an instrument obtain the same results
(b) The consistency of data over time
(c) The stability of data over time
(d) The ability of the instrument of gather the data that it a intended to measure

Q.110. Sharing responsibility and authority with others and holding them accountable for
performance is termed as_:
(a) Leading (b) Organising (c) Controlling (d) Delegation

Q.111. In ECG, the P wave represents:


(a) Atrial depolarisation (b) Ventricular depolarization
(c) Ventricular repolarisation (d) Atrial repolarisation

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Q. 112. Bleeding precautions like needle stick injury prevention should be followed in all of
the following cases Except when the patient is:
(a) On cephalosporins (b) Suffering from haemophilia
(c) Suffering from liver disease (d) On anticoagulants

Q.113. The leadership style developed by Kenneth Blanchard and Paul hersey based on task
and relationship behavior is known as:
(a) Effective leadership (b) Transformational leadership
(c) Charismatic leadership (d) Situational leadership

Q.114. Andragogy refers to:


(a) Experiential learning (b) child learning (c) adult learning (d) action learning

Q.115. Epidemiological triad includes which of the following factors?


(a) Standardised rates (b) Agent, host and environment
(c) Rates, ratio and proportion (d) Incidence, prevalence and trends of disease

Q.116. Which one of the following is NOT the psychological principle of teaching?
(a) Proceed from known to unknown (b) Proceed from concrete to abstract
(c) Proceed from complex to simple (d) Proceed from simple to difficult

Q.117. Normal respiration is also called:


(a) Apnea (b) Orthopnea (c) Eupnea (d) Dyspnea

Q.118. Colles’ fractures is a fracture of the:


(a) Distal end of ulna (b) Proximal end of radius
(c) Distal end of radius (d) Shaft of humerus

Q.119. Which of the following is the method for managing foreign body airway obstruction?
(a) Jaw thrust maneuver (b) Heimlich maneuver
(c) Epley maneuver (d) Valsalva maneuver

Q. 120. Which of the following is an antidote for acetaminophen poisoning?


(a) N-acetyl cysteine (b) Deferoxamine (c) Physostigmine (d) Digiband

Q.121. A patient says to a nurse, ‘’Every one would be better off if I wasn’t alive.” Which
nursing diagnosis would be made based on this statement?
(a) Risk for self-directed violence (b) Ineffective coping
(c) Impaired social interaction (d) Disturbed thought processes

Q.122. The name of the nursing diagnosis is linked to the etiology with the phrase:
(a) As manifested by (b) related to (c) evidenced by (d) due to

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Q.123. The process in which a nasogastric tube is inserted, the stomach is flushed and
ingested substances are removed through the tube is called:
(a) Colonic irrigation (b) Gastric lavage (c) Decompensation (d) Gastric gavage

Q.124. A client is suffering from diabetes mellitus. Which of the following symptoms indicate
hyperglycemia?
(a) Diaphoresis, dizziness hunger (b) Headache, blurred vision, nausea
(c) Headache, blurred vision, vomiting (d) Polyuria, polydipsia, polyphagia

Q.125. A patient who recently underwent amputation of a leg complains of pain in the
amputated part. The nurse should explain to the patient which of the following?
(a) The patient is experiencing central pain syndrome
(b) The pain cannot exist because the leg has been amputated
(c) The pain is a phenomenon known as ghost pain
(d) The pain is a real experience for the patient

Q.126. Regarding the request of organ and tissue donation at the time of death, the nurse
needs to be aware that
(a) Requests are usually made by the nurse who case for the patient at time of death
(b) Professionals need to be very selective in whom they ask for organ and tissue
donation
(c) Specially educated personnel make requests
(d) Only patients who have give prior instruction regarding donation become donor

Q.127. Which among the following is a complication of spinal anesthesia?


(a) Tachycardia (b) hypotension (c) hypertension (d) dyspnea

Q.128. Drug not given In pregnancy is:


(A) ACE inhibitors (b) Penicillin (b) Methyldopa (d) Labetalol

Q.129. Most common cause f acute otitis media is:


(a) H influenzae (b) S pneumonia (c) S aureus (d) Pseudomonas

Q.130. Vertical transmission is seen with which type of Hepatitis?


(a) A (b) B (c) E (d) C

Q.131. Doses of vitamin-A solution:


(a) 2,00,000 IU (b) 2,30,000 IU (c) 5,00,000 IU (d) 1,50,000 IU

Q.132. True about dying declaration is:


(a) More important than dying deposition
(b) Can be taken in presence of magistrate only
(c) Taken in presence of two witnesses (d) Has to be taken under oath

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Q.133. Kangaroo mother care which of the following is true?
(a) Can be done by father also (b) Indicated for LBW babies
(c) Effective thermal control (d) All of the above

Q.134. Janani suraksha Yojana has been started as under;


(a) CSSM (B) NRHM (C) MCH (D) ICDS

Q.135. Which immunity is affected by HIV infection?


(a) Natural immunity (b) active immunity (c) cellular immunity (d) humoral immunity

Q.136. Multi drug resistant (MDR) tuberculosis treatment involves all drugs except:
(a) Kanamycin (b) Pyrazinamide (c) Rifampicin (d) Ethambutol

Q.137. For MTP, consent is taken from:


(a) Wife only (b) husband only (C) Both (d) None

Q.138. The landmark for measuring the length of nasogastric tu8be is:
(a) NOSE-Epigastrium (b) Tragus-Epigastrium
(c) Nose-Tragus-Epigastrium (d) Mammary line-Epigastrium

Q.139. Following surgery for repair of an inguinal hernia, the nurse establishes a
postoperative fluid intake goal for the client. The most appropriate amount would be:
(a) 500-700 mL/day (b) 1000-1500 mL/day
(c) 2000-3000 mL/day (d) 3000-3500 mL/day

Q.140. The term “Cultural diffusion’’- which is the correct one?


(a) Spreading of cultural attributes through different cultural groups
(b) Immigrants comes to accept the culture (c) Socialization
(d) William F Ogburn

Q.141. How much extra kcal of energy is required in a lactating mother form 0-6 months of
nursing the child?
(a) +350kcal (b) +450kcal (c) +550kcal (d) +650kcal

Q.142. Level of consciousness of a client is assess using-


(a) Lund browder method (b) Braden scale +GCS scale
(c) GCS scale (d) Lund browder method +GCS scale

Q.143. The most common AIDS related neoplasm is


(a) Non-Hodgkin lymphoma (b) Cervical cancer
(c) Kaposi’s sarcoma (d) Hodgkin lymphoma

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Q.144. Contraindications for OCP Use-
(a) Thrombo embolism (b) Liver disease (c) Breast cancer (d) All the above

Q.145. Which among the following activity need to be restricted in a client with Parkinson’s
disease?
(a) Walking on the yard on a cold winter day (b) Taking cold water bath
(c) Taking food item which is high in water content
(d) Sitting on the beach in sun on a summer day

Q.146. Creating imaginary events to fill up the memory gap is known as-
(a) Circumstantiality (b) Neologism (c) Confabulation (d) Compulsion

Q.147. The part of mind that distinguish right from wrong & acts as censor of behavior is
known as-
(a) Id (b) Ego (c) Superego (d) all the above

Q.148. The dangerous previa is:


(a) Low lying (b) type-I anterior (c) Type II posterior (d) Marginal

Q.149. In the communication process a receiver is-


(a) A message pathway (b) The person who encodes an idea
(c) Message interference (d) The person who decodes a message

Q.150. Which laboratory result should alert the nurse to perform further assessment on a
patient admitted with respiratory distress?
(a) PaCO2 < 50 mm Hg (b) HCO3 < 27 mEq/L
(c) PaO2 < 90 mm Hg (d) SPO2 less than 90%

Q.151. The nurse is collecting data for a patient who develops jaundice and dark amber-
colored urine. The nurse recognizes that which of the following is most likely the cause of
these manifestations?
(a) Encephalopathy (b) Pancreatitis (c) Bile duct obstruction (d) Cholecystitis

Q.152. A patient is scheduled for a right total hip replacement. The nurse should teach which
of the following postoperative leg positions?
(a) Maintain legs in adduction (b) Maintain legs in abduction
(c) Maintain internal leg rotation (d) Maintain more than 90 degree hip flexion

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Q.153. The nurse administers oxygen at L/min via nasal cannula to a client with emphysema.
For which clinical indicators should the nurse closely observe the client?
(a) Cyanosis and lethary (b) Anxiety and tachycardia
(c) Drowsiness and decreased respirations (d) Hyperemia and increased respirations

Q.154. The nurse administers levodopa to a client with Parkinson’s disease. Which
therapeutic effect does the nurse expect the medication to produce?
(a) Increase in acetylcholine production
(b) Replacement of the neurotransmitter in brain
(c) Regeneration of injured thalamic cells
(d) Improvement in myelination of neurons

Q.155. A literature review is:


(a) Everything that is known about subject
(b) An analytical summary of research findings
(c) All approved data on a research topic
(d) A compilation of all positive results of research

Q.156. Which of the following doses of Rh immune globulin RhoGAM is appropriate for a
pregnant client at 28 weeks gestation?
(a) 0.6 mcg in a sensitized client (b) 50mcg in an unsensitized client
(c) 30 mcg in a sensitized client (d) 300 mcg in a unsensitized client

Q.157. The danger of convulsion in a woman with pre-eclamptic toxaemia ends:


(a) Soon after delivery (b) 12 hrs after delivery
(c) 24 hrs after delivery (d) 48 hrs after delivery

Q.158. The most common complication in low birth weight infant is


(a) Respiratory distress (b) Mucus damage
(c) Brain damage (d) Haemorrhage

Q.159. The skill required for managing an institution is


(a) Controlling (b) Dictating (c) Directing (d) Supervising

Q.160. Signs and symptoms of which of the following would be priority when caring for a
newly delivered tern neonate diagnosed as small for gestational age?
(a) Iron- deficiency anaemia (b) Birth asphyxia
(c) Persistent pulmonary hypertension (d) Hyperglycemia

Q.161. Which of the following would first alert the nurse that a child is haemorrhaging after
tonsillectomy?
(a) Mouth breathing (b) Frequent swallowing
(c) Requests for drinks (d) Increased pulse rate

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Q.162. It is noticed that the dressing of a patient with leg ulcers has become damp due to
water spilling. Which among the following is the immediate action that must be taken by the
nurse?
(a) Reinforce the dressing with a dry dressing
(b) Remove wet dressing and apply a new dressing
(c) Dry the dressing with a hair dryer
(d) Allow the dressing to be dried by atmospheric air

Q.163. Which among the following best explains passive immunity?


(a) Child receiving vaccination for measles
(b) An infant receiving breast milk from mother
(c) Production of antibodies in a person with infection
(d) A person receiving antibiotics for infection

Q.164. A client has just undergone insertion of a central venous catheter at the bedside. A
nurse would be sure to check the results of which of the following before increasing the flow
rate of the IV solution attached to the line.
(a) Serum electrolytes (b) Serum osmolarity
(c) Portable chest X-ray (d) Intake-output chart

Q.165. The nurse find the client unresponsive on the floor of the bathroom. Which action
should the nurse implement first?
(a) Check the client for breathing (b) Assess the carotid artery for a pulse
(c) Shake the client and shout (d) Call a code via the bathroom call light

Q.166. Postoperatively to help relieve the anxiety of a young school age child the nurse
should:
(a) Allow the child time to talk about feelings
(b) Tell a story about a child with similar surgery
(c) Ask the mother to room with the child for a few days
(d) Provide the child with bandages tape scissors and a doll

Q.167. Which of the following fundal heights indicates less than 12 week’s gestation when
the date of LMP is unknown?
(a) Uterus in the pelvis (b) Uterus at the xiphoid
(c) Uterus in the abdomen (d) Uterus at the umbilicus

Q.168. Hepatitis A infection is


(a) Fecal oral route borne disease (b) Blood borne disease
(c) Air borne disease (d) Droplet borne disease

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Q.169. Which of the following is the appropriate nursing intervention for a patient with a
terminal illness who is passing through the acceptance stage?
(a) Allowing the patient to cry (b) Encouraging unrestricted visiting
(c) Explaining the patient what is being done
(d) Being around though not speaking

Q.170. A female patient has a laparoscopic cholecystectomy this morning. She is now
complaining of right shoulder pain. The nurse would explain to the patient this symptoms is
(a) Common following this operation (b) Expected after general anesthesia
(c) Unusual and will be reported to the surgeon
(d) Indicative of a need to use the incentive spirometer

Q.171. Lumbar puncture (spinal tap) is done in between___ vertebrae.


(a) L3 and L4 (b) L4 and L5 (c) L1 and L2 (d) L2 and L3

Q.172. Kerning’s sign is associated with the symptoms of __ disease


(a) Meningitis (b) Appendicitis (c) Encephalitis (d) Vertebral prolapse

Q.173. Which is the important point in taking care of a patient with communicable disease?
(a) Immunization (b) Care of used utensils and articles
(c) Isolation (d) Hospitalization

Q.174. The following statement is true regarding transfusion of blood to a hemodynamically


stable adult patient:
(a) 150 mL should be transfused in the first 15 minutes
(b) Blood should be administered slowly and completed not before 6 hours
(c) The transfusion should be completed within 4 hours
(d) The unit of blood should be warmed at the bedside for one hour before starting
transfusion

Q.175. In a 78-year-old smoker with streptococcal pneumonia and difficulty’ in coughing out
secretions, the nursing diagnosis:
(a) Community acquired pneumonia with cough
(b) Pneumonia in an elderly smoker who needs chest physiotherapy
(c) Acute chest infection with weakness of chest muscles
(d) Ineffective airway clearance related to effects of pneumonia
Q.176. Which monitoring a patient of myocardial infarction in your coronary care Unit you
observe an isolated ventricular ectopic on the monitor. You will inform the physician and:
(a) Continue to monitor the patient (b) Prepare to defibrillate the patient
(c) Prepare to administer intravenous Lignocaine
(d) Prepare to administer intravenous Nitroglycerin

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Q.177. Which of the following early measures would be most appropriate in managing acute
epistaxis?
(a) Tilt the patient’s head backward (b) Keep the patient’s head elevated
(c) Pinch the nose and lean forward (d) Place warm compresses on the patient’s nose
Q.178. HIV contaminated waste products should decontaminated withal except:
(a) Formaldehyde (b) Methanol
(c) Sodium hypochlorite (d) Glutaraldehyde

Q.179. In TURP solution used for irrigation is


(a) Glycerol (b) NS (c) Sterile water (d) RL

Q.180. Which of the statements given below is/are true about Antigen_ specific
immunoglobulin E (lgE) in allergic Rhinitis?
(a) Releases histamine and prostaglandins (b) Maintains the inflammatory response
(c) Produces as a result of initial exposure to an allergen
(d) Causes infiltration of inflammatory cell onto the nasal tissue

Q.181. Find out the correct pair regarding nerve injuries that occur during birth
(a) Facial Palsy - 7th cervical nerve root
(b) Brachial Palsy - 6th and 7th cervical nerve root
(c) Erb’s Palsy - 5th and 6th cervical nerve root
(d) Klumpke’s Palsy -5th cervical nerve root

Q.182. The hormone produces mother’s milk is:


A) Progesterone B) Estrogen. C) Prolactin. D) Colostrum

Q.183. The concept used for father _ dominated family


(a) Patrilocal family (b) Patriarchal family (c) Patrilineal family (d) Conjugal family

Q.184. Baroreceptors are located in the


1. Right atrium 2. Carotid artery 3. Left atrium 4. Aortic arch
(a) 1, 2, 3 (b) 2,3,4 (c) 1,3,4 (d) 1,2,3,4

Q.185. Atmospheric pressure is important in the process of__.


(a) Blood Flow (b) Micturition (c) Reproduction (d) Breathing

Q.186. Of the following which is the most common site for metastasis in lung cancer?
(a) Kidney (b) Stomach (c) Liver (d) Spleen

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Q.187. Hallucination is caused by:
(a) Gastrointestinal disorder (b) Mental illness
(c) Disorder of reproductive organs (d) Infectious disease

Q.188. A fifty five-year-old male patient who is diagnosed with an evolving myocardial
infarction (MI) insists on going home. The nurse encourages the patient to be admitted,
because the greatest risk within the first 24 hours of sustaining an MI is
(A) Heart failure (B) Sudden death
(C) Pulmonary embolism (D) Ventricular aneurysm

Q.189. How much oxygen a nurse should give to a patient with chronic respiratory failure?
(a) 1 liter/min with nasal prongs (b) 2 liters/min with nasal mask
(c) 10 liters/min with nasal mask (d) 12 liters/min with nasal mask

Q.190. Which patient is having very high risk for developing ovarian cancer?
(a) 30 yrs old on oral contraceptives (b) 36 yrs old who had first child at 22 yrs
(c) 45 yrs old who was never been pregnant
(d) 40 yrs old who had 5 alive children, 1 abortion

Q.191. A nurse was called to see a patient with noisy breathing. She suspects laryngospasm
with strider and it occurs commonly with
(a) Hyperkalemia (b) Hypercalcemia (c) Hypokalemia (d) Hypocalcemia

Q.192. Nurse working in an operation theatre mist know, the risk of HIV infection with needle
stick injury is about
(a) 1 : 100 (b) 1 :200 (c) 1 : 300 (d) 1 : 400

Q.193. Nurse giving oxygen therapy should know that it has to be humidified because
(a) Oxygen is a hot air and it may burn trachea
(b) Oxygen is a dry gas and thickens the mucus
(c) Oxygen gets cleaned of pathogens by humidification
(d) Oxygen is easily absorbed because humidification add H-ion to it

Q.194. The technique is used for most routine protein and nucleic acid separation is:
(a) Evaporation (b) Chromatography (c) electrophoresis (d) Filtration

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Q.195. Viruses are
(a) One-cell microorganisms with a simple cellular organization whose nucleus lacks a
membrane
(b) Pieces of nucleic acid (DNA or RNA) wrapped in a thin coat of protein that replicate only
within the cells of living hosts
(c) Multicelluar organisms that live in or a host to obtain nourishment without providing any
benefit to the host
(d) None of the above

Q.196. VDRL test is performed to diagnose


(a) Syphilis (b) Pregnancy (c) All the above (d) Myasthenia gravis

Q.197. The science dealing with earth quake is called


(a) Spectroscopy (b) Ornithology (c) Radiology (d) Seismology

Q.198. The process by which proteins are broken down to their amino acids is also called:
(a) Proteolysis (b) Glycogenolysis (c) Glycolysis (d) All of the above

Q.199. A postoperative patient develops evisceration what a nurse should do?


(a) Provide moral support (b) Ask patient to drink more water
(c) Push the protruding organs inside (d) Cover the protruding organs

Q.200. All are high risk factors for endometrial carcinoma except
(A) Obesity (b) Multiparity (c) Diabetes (d) Exogenous estrogen

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DSSSB - PRE
TEST PAPER :01
DATE: 13-AUG-2019

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