Q-1 What is the full form of ACTH?

A. Adreno cortico Tropic hormone

B. Angiotensin converting enzymeC3. Acetylcholine

D. Angiotensin converting hormone

Ans-A. Adreno cortico Tropic hormone
Rational-ACTH is also known as: adrenocorticotropic hormone serum adrenocorticotropic hormone highly-sensitive ACTH corticotropin cosyntropin, which is a drug form of ACTH.

Q.2 Inhibin is secreted by:

A. Stroma

B. Leydig cells

C. Corpus luteum

D. Surface epithelium

Ans-C Corpus luteum

Rational- Androgens stimulate inhibin production; this protein may also help to locally regulate spermatogenesis. Hence, In females, hormone inhibin is secreted by Granulosa cells and corpus luteum.

Q.3 Calorie intake of 1 year old child:

A. 1000 Kcal/day

B. 800 Kcal/day

C. 1200 Kcal/day

D. 1500 Kcal/day

Ans-A 1000 Kcal/day

Rational-One year olds need about 1,000 calories divided among three meals and two snacks per day to meet their needs for growth, energy, and good nutrition.

Q.4 The famous 14 principles of Management was first defined by:

A. Elton Mayo

B. Adam Smith

C. Henri Fayol

D. James Watt

Ans-C  Henri Fayol
Rational-Henry Fayol ’s 14 Principles of Management Definition: The Administrative Theory was proposed by Henry Fayol, who studied the organizational problems from the manager’s viewpoint and found organization’s activities can be classified as Technical, Financial, Commercial, Security, Accounting and managerial.

Q.5 A nurse demonstrates caring, sincerity, empathy and trustworthiness:

A. Ethical nurse-patient interaction

B. Emotional nurse-patient interaction

C. Legal nurse-patient interaction

D. Therapeutic nurse-patient interaction

Ans-D Therapeutic nurse-patient interaction
Rational-A therapeutic nurse-patient relationship is defined as a helping relationship that's based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patient's physical, emotional, and spiritual needs through your knowledge and skill.

Q.6 Vaccines and toxoids produce:

A. Passive immunity

B. Acquired immunity

C. Active immunity

D. Natural immunity

Ans-C Active immunity

Q.7 A 45 days old infant development icterus and two days' later symptoms and signs of acute liver failure appeared. Child was found to be B+ve for HbsAg. The mother was also HbsAg carrier. The mother's hepatitis B serological profile is likely to be:

A. Hbs Ag and anti Hbe Ab +ve

B. Mother infected with mutant HBV

C. Hbs Ag +ve only

D. Hbs Ag and Ag +ve

 Ans-D Hbs Ag and Ag +ve

Q.8 Lactated Ringer's solution is contraindicated in:

A. Fluid lost as bile or diarrhea

B. Hypovolemia

C. Lactic acidosis

D. Burns

Ans-C  Lactic acidosis

Q.9 These agents decrease intestinal muscle tone to slow passage of feces:

A. Hypertonic

B. Cathartics

C. Laxatives

D. Antidiarrheal opiate agents.

Ans-D Antidiarrheal opiate agents.

Q.10 An infant is to receive thyroxin sodium, 0.35 mg once a day orally. The medications is available in elixir from 0.25 mg/mL. How much elixir should the nurse administer?

A. 1.4 mL

B. 1.0 mL

C. 2.4 mL

D. 1.3 mL

Ans-A 1.4 mL

Q.11 A 34-year-old woman complaints about pain due to lower abdominal cramping, urine hCG is positive and pelvic ultrasound reveals a 10-week intrauterine pregnancy. The patient states that she is not sure whether to keep the pregnancy. Which of the following is the most appropriate next step in management?

A. Inform the patient's parents

B. Inform the patient's partner

C. Counsel the patient or refer to an appropriate counselor

D. Termination of pregnancy

Ans-C Counsel the patient or refer to an appropriate counselor

Q.12 Based on the knowledge of electroconvulsive treatment, the nurse explains to the student nurses that atropine is given before the treatment primarily to:

A. Minimize intestinal contractions

B. Decrease anxiety

C. Prevent aspiration

D. Increase  body secretions

Ans-C  Prevent aspiration

Q.13 Modifies ECT is not given frequently on routine practice because of:

A. Myocardial infarction

B. Non availability of anesthetist

C. Osteoporosis

D. Respiratory difficulties

Ans-B Non availability of anesthetist

Q.14 In depression there is deficiency of:

A. Acetylcholine

B. Dopamine

C. 5-HT


Ans-C 5-HT
Rational-A decreased level of brain 5-hydroxytryptamine (5-HT) has been theorized to be a core pathogenic factor in depression for half a century. The theory arose from clinical observations that drugs enhancing extracellular levels of 5-HT (5-HT(Ext)) have antidepressant effects in many patients.

Q.15 An acid-fast bacillus which is pathogenic:

A. Bascillus pertusis

B. Coryne bacterium diphtheria

C. Mycobacterium leprae

D. Salmonella typhi

Ans-C Mycobacterium leprae
Rational-Mycobacterium leprae is a bacterium that causes leprosy, also known as " Hansen’s disease", which is a chronic infectious disease that damages the peripheral nerves and targets the skin, eyes, nose, and muscles.The aetiological agent of leprosy is Mycobacterium leprae. It is a strongly acid-fast rod-shaped organism with parallel sides and rounded ends.

Q.16 The spinal cord is made up of 7 cervical vertebrae, 5 lumber vertebrae, 4 or 5 fused sacral vertebrae, 4 or 5 coccygeal vertebrae and how many thoracic vertebrae?

A.  8

B. 5

C. 12

D. 10

Ans-C 12

Q.17 Which of the following means translating the message into verbal and nonverbal symbol to communicate the receiver?

A. Feedback

B. Encoding

C. Decoding

D. Channel

Ans-B Encoding


Q.18 Eugenics means:

A. Genetic counseling

B. Improvement of genetic endowment

C. Genetic preventive measures

D. Improvement of environment

Ans-B Improvement of genetic endowmen
Rational-Eugenics is the practice or advocacy of improving the human species by selectively mating people with specific desirable hereditary traits . It aims to reduce human suffering by "breeding out" disease, disabilities and so-called undesirable characteristics from the human population. 

Q.19 When using nonverbal communication in a nurse-client relationship, the nurse must be most aware of:

A. Ethnic background

B. The client’s development level

C. Contradictions to the clients

D. Nervous hand movements

Ans-D Nervous hand movements

Q.20 How does audit differ from research?

A. It is more likely to be applicable to nursing

C. It does not need as many people to collect the information

D. It does not increase our understanding of the topic itself or allow us to transfer the results to other situations

Ans-C  It does not need as many people to collect the information

Q.21 Which of the following intervention demonstrate the nurse understand about the newborn's thermoregulatory ability?

A. Placing the newborn under a radiant warmer

B. Suctioning with a bulb syringe

C. Obtaining an APGAR score

D. Inspecting the newborn's umbilical cord

Ans-A Placing the newborn under a radiant warmer

Q.22 What is the most serious complication of meningitis in young children?

A. Epilepsy

B. Peripheral circulatory collapse

C. Blindness

D. Communicating hydrocephalus

Ans-D Communicating hydrocephalus
Rational-In recent years several studies have addressed neurological complications in community-acquired bacterial meningitis (CABM) including hydrocephalus [1-3]. Communicating hydrocephalus is the most common form and is due to impaired resorption of CSF through the arachnoid villi

Q.23 Additional defects associated with exstrophy of bladder is:

A. Imperforate rash

B. Congenital heart disease

C. Pubic bone malformation

D. Absence of one kidney

Ans-C Pubic bone malformation

Q.24 7.0 is the normal pH of the:

A. Blood in the testicular vein

B. Fluid within a typical cell

C. Blood in the renal artery

D. Urine

Ans-B  Fluid within a typical cell

Q.25 Causative organism of infectious mononucleosis is:

A. Toxoplasma

B. Cytomegalovirus

C. Epstein-Barr Virus

D. Varicella zoster virus
Ans-C Epstein-Barr Virus
Rational-Infectious mononucleosis, also called “mono,” is a contagious disease. Epstein-Barr virus (EBV) is the most common cause of infectious mononucleosis, but other viruses can also cause this disease.

Q.26 All the following are a good source of Omega 3 PUFA except:

A. Ground oil

B. Mustard oil

C. Fish oil

D. Corn oil

Ans-B Mustard oil

Q.27 Inadequate intake by the pregnant woman of which vitamin can cause neural tube detect?

A. Niacin

B. Thiamine

C. Folic acid

D. Riboflavin

Ans-C Folic acid
Rational-It is likely there are multiple causes of neural tube defects. One of the causes is lack of a vitamin called folic acid (folate) when the neural tube is forming. There may be a lack of folic acid even if a woman eats well and does everything she can to have a healthy baby.

Q.28 Acid medium of vaginal maintained by:

A. Trichomonas vaginalis

B. Staphylococci

C. Doderleins bacilli

D. E-coli

Ans-C Doderleins bacilli
Rational-The acidic medium is because of the presence of Doderlein’s bacilli creating lactic acid from glycogen in the vaginal epithelial cells that is dependent upon the action of estrogen on the cells causing development and maturation. 

Q.29 Nurse's main priority assessment while caring for the client having spontaneous abortion:

A. Hemorrhage

B. Hypertension

C. Dehydration

D. Subinvolution

Ans-A Hemorrhage

Q.30 Passive immunity against tetanus is obtained by the administration of:




D. Tetanus immunoglobulin

Ans-D Tetanus immunoglobulin
Rational-Tetanus immune globulin works by giving your body the antibodies it needs to protect it against tetanus infection. This is called passive protection. This passive protection lasts long enough to protect your body until your body can produce its own antibodies against tetanus.

Q.31 The system of evaluation where an employee is measured against his/her co-worker is called:

A. Ranking

B. Critical incidents

C. Reports

D. Graphic records

Ans-A Ranking

Q.32 Nursing care that is based on identifying and meeting the needs of a patient is called:

A. Hegar sign

B. Goal-oriented

C.  Client-oriented

D. Prioritization

Ans-C Client-oriented
Rational-It means that a nurse accepts the commitment to provide excellent client care and the responsibility for the outcomes of the actions in providing that care.

Q.33 When palpating a abdomen of hypertrophic pyloric stenosis infant, the nurse finds:

A. Rhythmic peristaltic waves in the lower abdomen

B. Distended colon

C. An olive sized mass in right upper abdomen

D. Marked tenderness around the abdomen

Ans-C An olive sized mass in right upper abdomen

Q.34 OSCE Means:

A. Observation subject Clinical Examination

b. Objective structured Clinical Examination

C. Objective subjective Clinical Examination

D. Observation structured Clinical Examination

Ans-B Objective structured Clinical Examination
Rational-An objective structured clinical examination ( OSCE) is a modern type of examination often used in health sciences (e.g., audiology, midwifery, occupational therapy, optometry, orthoptics, medicine, physician assistants/associates,osteopathy, physical therapy, massage therapy, radiography, athletic training, rehabilitation medicine, dietetics, nursing, pharmacy, dentistry, chiropractic, paramedicine, podiatry, veterinary medicine, athletic training).

Q.35 Maize is deficit in:

A. Threonine

B. Tryptophan

C. Methionine

D. Leucine

Ans-B Tryptophan

Q.36 The following delusions are common in depression except:

A. Delusion of Nihilism

B. Delusion of persecution

C. Delusion of grandeur

D. Delusion of poverty

Ans-C Delusion of grandeur

Q.37 Nursing has a code of ethics that professional registered nurses follow and:

A. Protects the client from harm

B. Improves self-health care

C. Defines the principles by which nurses provide care to their clients

D. Ensures identical care to all clients

Ans-C Defines the principles by which nurses provide care to their clients

Q.38 Motilin is secreted by cells in:

A. Liver

B. Pancreas

C. Oesophagus

D. Ileum

Ans-D  Ileum
Rational- Motilin is a 22-amino acid polypeptide hormone in the motilin family that, in humans, is encoded by the MLN gene. Motilin is secreted by endocrine Mo cells (or M cells, these are not the same as the Microfold cells ( M cells ) that are in Peyer's patches) that are numerous in crypts of the small intestine, especially in the duodenum and jejunum.

Q.39 The patient has to undergo a loop electrosurgical excision procedure (LEEP), which of the following represents the potential long-term complications from this procedure?

A. Cervical incompetence and cervical stenosis

B. Constipation

C. Hernia and intraperitoneal adhesions

D. Abscess

Ans-A Cervical incompetence and cervical stenosis

Q.40 Socialization into one's primary culture as a child is known as:

A. Enculturation

B. Biculturation

C. Acculturation

D. Assimilation

Ans-A Enculturation

Q.41 Rorschach Inkblot test, Thematic apperception test are based on the phenomenon of:

A. Observation

B. Projection

C. Identification

D. Transference

Ans-B  Projection

Q.42 Hygiene factors and motivational factors are key concepts in:

A. Expectancy theory

B. Goal setting theory

C. Herzberg's two factor theory

D. Maslow's hierarchy of needs

Ans-C Herzberg's two factor theory

Q.43 The characteristic of an ideal normal distribution curve is / are:

A. Bell shaped

B. Its symmetrical around the mean

C. Prescription

D. Mean, median ad mode do not coincide

Ans-A Bell shaped

Q.44 Modern concept of chemotherapy was proposed by:

 A. Jospeh lister

B. Metchnikoff

C. Paul ehrlich

D. Frankel

 Ans-A Jospeh lister

Q.45 Epidemic dropsy is due to:


B. Sanguinarine

C. Ergot

D. Aflatoxin

Ans-B Sanguinarine
Rational-Epidemic dropsy is a clinical state resulting from use of edible oils adulterated with Argemone mexicana seed oil. Sanguinarine and dihydrosanguinarine are two major toxic alkaloids of argemone oil, which cause widespread capillary dilatation, proliferation and increased capillary permeability.

Q.46 The continuing process of measuring services, products and practices of an organization against the strongest competitors in quality control and quality assurance is known as:

A. Quality Improvement

B. Bench Marking

C. Auditing

D. Quality Assurance

Ans-B Bench Marking

Q.47 The genetic material, deoxyribonucleic acid (DNA) is contained in:

A. Chromatin

B. Nucleoli

C. Chromosome

D. Nucleus

Ans-D Nucleus

Q.48 Ketone bodies are found in urine of patients with uncontrolled diabetes due to:

A. Increased metabolism of fat

B. Decomposition of excess sugar in blood

C. Impaired kidney function

D. Increased metabolism of protein

Ans-A Increased metabolism of fat

 Q.49 The best and safest method of sterilization is:

A. Immersion in chemical germicide

B. Flaming

C. Autoclaving

D. Boiling for 30 minutes

Ans-C  Autoclaving

Q.50 What is the major nursing responsibility when administering sulfomide preparation?

A. Monitor child's temperature

B. Weigh the child daily

C. Give milk with medication

D. Administer the drug at prescribed times

Ans-D Administer the drug at prescribed times

51 The visceral pleura is:

A. The membrane lining surface of the lungs

B. The membrane lining the wall of the thoracic cavity

C. The thinnest portion of the peritoneum

D. The fluid around the lungs

Ans-A  The membrane lining surface of the lungs
Rational-Visceral pleura. The pleura that covers the lungs and enters into and lines the interlobar fissures. It is loose at the base and at the sternal and vertebral borders to allow for lung expansion. The thin, double-layered membrane that separated the lungs from the inside of the chest wall.

Q.52 Which of the following techniques are examples of nontherapeutic communication?

A.Giving advice 

B. Focusing

C. Restating

D. Paraphrasing

Ans-A Giving advice

Q.53 Major approaches in problem solving are:

A. Inductive, deductive, active, analytic

B. Inductive, deductive, purposive, synthetic

C. Inductive, deductive, initiative, synthetic

D. Inductive, deductive, analytic, synthetic

Ans-D Inductive, deductive, analytic, synthetic

Q.54 Acute illness refers to an illness that:

A. Is longer than 6 months, and can also effect functioning in any dimension

B. Is synonymous with disease

C. Has a short duration and is severe

D. Causes and irreversible condition

Ans-C Has a short duration and is severe

Q.55 Intrinsic factor of castle is secreted by:

A. Parietal cells

B. Mucus cells

C. B Cells

D. . Chief cells

Ans-A Parietal cells

Q.56 Which mode of clinical application for qualitative research is considered to be the sharing of qualitative findings with the patient?

A. Coaching

B. Empathy

C. Anticipatory guidance

D. Assessment of progress

Ans-C Anticipatory guidance

Q.57 An order for prednisolone reads 10 mg four times a day. The dose for the child is 2 mg/day. How many pounds does the child weigh?

A. 36 pounds

B. 44 pounds

C. 40 pounds

D. 46 pounds

Ans-B 44 pounds

Q.58 Thiamine has been prescribed for an alcoholic patient. the rationale for administration of this, medication is the prevention of:

A. Huntington's disease

B. Alcoholic dementia

C. Alcohol withdrawal syndrome

D. Wernicke-Korsakoff syndrome

Ans-D Wernicke-Korsakoff syndrome

Q.59 Which is the most relevant knowledge about oxygen administration to a client with COPD?

A. Oxygen is administered best using a nonrebreather mask

B. Blood gases are monitored using a pulse oximeter.

C. Hypoxia stimulates the central chemoreceptors I the medulla that makes the client

D. Oxygen at 1-2 L/mi is given to maintain the hypoxic stimulus for breathing.

Ans-D  Oxygen at 1-2 L/mi is given to maintain the hypoxic stimulus for breathing.


Q.60 Which of the following statement is not applicable to using a evidence-base in nursing practice?

A. To ensure the best quality of care given to patients

B. To ensure that nursing decisions are based on the best quality of evidence.

C. The use of research evidence in nursing practice does not need to be evaluated after it is used or implemented.

D. Evidence used in nursing practice must be appraised for its validity and applicability


Ans-C The use of research evidence in nursing practice does not need to be evaluated after it is used or implemented.

Q.61 The junction at which an impulse travels from one neuron to another is called as:

A. Stimulus

B. Nerve message


D. Axon

Ans-C Synapse

Q.62 A 22-year-old Megha comes to the doctor because of a missed menstrual period. she has hypothyroidism for which she takes thyroxine; she has an artificial heart valve, for which she takes Coumadin, and she recently started tetracycline for acne. Urine human chorionic gonadotropin (hCG) is positive. Which of the following medication should the patient continue to take during pregnancy?

A. Tetracycline

B. Coumadin

C. Thyroxine

D. Oral contraceptive pill (OCP)

Ans-C Thyroxine

Q.63 Using precise methods to investigate problems and arrive at solutions is called:

A. Scientific problem solving

B. Critical thinking

C. Trial and error

D. Planning and execution

Ans-A   Scientific problem solving

Q.64 One function of parasympathetic nervous system is:

A. Stimulating of sweat gland

B. Constriction of pupil.

C. Contraction of hair muscles

D. Acceleration of heart beat

Ans-B Constriction of pupil.

Q.65 Lochia alba follows lochia serosa and usually lasts from the 1st to 3rd week PP. What is lochia?

A. Brown to red contains decidual cells and leukocytes

B. Creamy white-brown, contains decidual cells, may have stale odor

C. Brown to red, tissue fragments, odor

D. Creamy white-brown, stale order

Ans-B  Creamy white-brown, contains decidual cells, may have stale odor

Q.66 Oligohydramnios is related which of the following condition?

A. Renal Agenesis

B. Esophageal atresia

C. Anencephaly

D. Down syndrome

Ans-A Renal Agenesis

Q.67 Which type of leadership theories consider people inherit certain qualities that make them better suited to leadership?

A. Contingency theories

B. Trait theories

C. Situational theories

D. Behavioral theories

Ans-C  Situational theories

Q.68 Which of the following is most appropriate intervention to reduce stress in a preterm infant at 32 week gestation?

A. An attitude of extension when prone or side lying

B. Sensory stimulation including several senses at a time

C. Kangaroo care

D. Tactile stimulation until signs of over stimulation develop

Ans-C  Kangaroo care

Q.69 The following develops as a result of a nurse's experience in a specific clinical area, the time the nurse has been in practice, and the quality of relationships the nurse has formed with clients:

A. Knowing clients

B. Leadership

C. Personal ethics

D. Ability to delegate care

Ans-A Knowing clients

Q.70 Before the placenta functions the corpus luteum is the primary source of synthesis of which of the following hormones:

A. T4 and TSH

B. Estrogen and progesterone

C. Cortisol and thyroxine

D. LH and FSH

Ans-B Estrogen and progesterone

Q.71 The nurse is informed that a client with a large surgical incision is being transferred from the intensive care unit to the surgical unit. What medication does the nurse anticipate the physician will order for this client?

A. Ascorbic acid

B. Vitamin A

C. Vitamin B12 complex

D. Mephyton

Ans-A Ascorbic acid

Q.72 Which of the following is a differentiating test between mucus and cerebrospinal fluid (CSF) from a nasal discharge:

A. Specific gravity

B. Protein

C. Microorganism

D. Glucose

Ans-D  Glucose

Q.73 A method in which several rounds of questions are given to a panel of experts is called:

B. Content analysis

C. Delphi technique

D. Meta-analysis

Ans-C Delphi technique

Q.74 The ability of a person to readily recover from stressful situations is called:

A. Mental freedom

B. Androgyny

C. Resilience

D. Hardiness

Ans-C Resilience

Q.75 Disposal of expired and cytotoxic drugs is by:

B. Municipal waste

C. Chemical treatment

D. Separate landfill disposal

Ans-D Separate landfill disposal

Q.76 Elements of primary healthcare are the following except:

A. Health education

B. Intersectoral coordination

C. Provision of essential drugs

D. Cost effectiveness

Ans-D  Cost effectiveness

Q.77 Sunken fontanelle is a sign of:

A Turners syndrome

B Hydrocephalus

C Down's syndrome

D Dehydration

Ans- D  Dehydration

Rational-A sunken fontanel occurs when the soft spot on a baby’s skull becomes more deep set than usual. One of the major causes is dehydration.

Q.78 The situation in which individuals have excessive worry or belief that they are suffering from a physical illness despite lack of medical evidence is known as:

A. Dissociative disorder

B. Pain disorder

C. Somatoform disorder

D. Phobic disorder

Ans-C  Somatoform disorder

Q.79 Which of the following help prevent water loss through skin?

A. Melanin

B. Carotene

C. Keratin

D. Collagen

Ans-C Keratin
Rational- The skin of humans protects from water loss in part due to fibrous structural proteins (keratins) and cross-linking.

Q.80 Assessing the laboratory findings which results would the nurse most likely expect to find in a client with chronic renal failure?

A. Decreased serum calcium, blood pH 7.2, Potassium 6.5 m Eq/L

B. BUN 35 to 40 mg/dl, Potassium 3.5 mEq/L, Ph 7.35, decreased serum calcium

C. BUN 15 mg/dl, increased serum calcium, creatinine 1.0 mg/dl

D. BUN 10 to 30 mg/dl, creatinine 0.5 to 1.5 mg/dl

Ans-A  Decreased serum calcium, blood pH 7.2, Potassium 6.5 m Eq/L