NURSE GRADE II KERALA PSC EXAM 04-03-2016

NURSE GRADE II(HOMEO),HOMEOPATHY

EXAM DATE:04-03-2016
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1.The greatest danger of hyperkalemia is:

A.Tetany

B.Fluid overload

C.Cardiac arrest*

D.Polyuria

Ans:C

2.Which statement is false regarding Japanese encephalitis?

A.It is bacterial encephalitis

B.It is transmitted by Culicine mosquito

C.It is a mosquito-borne encephalitis*

D.It is caused by flavi virus

Ans:C

3.While caring a patient  after pneumonectomy,which is the most applicable one?

A.Accumulation of fluid in the empty thorax is a desired outcome*

B.Two chest drainage tubes should be attached to water seal drainage and low suction

C.Patient should be kept in his back only

D.Patient should be discouraged from coughing

Ans:A

4.Actions which halts the progress of a disease at its initial stage,management and prevention of complication is termed as:

A.Primary prevention

B.Secondary prevention*

C.Teritiary prevention

D.Rehabilitation

Ans:B

5.Constant presence of an infectious agent or disease within a given geographic area is called:

A.Epidemic

B.Pandemic

C.Sporadic

D.Endemic*

Ans:D

6.While caring a new born baby with high bilirubin,with signs of impending kernicterus,nurses primary observation should be for:

A.Lethargy and loss of moro reflex*

B.Cyanosis and respiratory distress

C.Rapid pulse and Diaphoresis

D.Vomiting and diarrhea

Ans:A

7.Which of the following symptoms are expected in complete heart block?

A.Hypertension,HR-60/mt,increased pulse pressure

B.Hypotension,HR-100/mt,chest pain

C.Syncope,hypotension and ventricular rate of 40/mt*

D.Hypertension,convulsion,HR-100/mt

Ans:C

8.Which of the following condition in pregnancy most likely can cause abruption placenta?

A.Heart disease

B.Chronic hypertension*

C.Drug addiction

D.Hyper thyroidism

Ans:B

9.Inactivated polio vaccine is otherwise known as:

A.Cell culture vaccine

B.Sabin vaccine

C.17.D vaccine

D.Salk vaccine*

Ans:D

10.Primary ECG change that indicates myocardial ischemia is:

A.Absence of P-wave

B.Prolonged PR-interval

C.ST segment elevation and T-wave invertion*

D.Narrow QRS complex

Ans:C

11.Which of the following observation is suggestive of acute gall bladder disease?

A.Dark coloured urine*

B.Tarry stools

C.Constipation

D.Polyuria

Ans:A

12.The most prominent features in Catatonic-Schizophrenia are:

A.Delusion

B.Motor and volitional disturbance*

C.Hallucination

D.Silly giggling

Ans:B

13.Highly malignant,rapidly growing tomour of cerebellum seen in children is:

A.Astrocytoma

B.Meningioma

C.Medullo blastoma*

D.Ependymoma

Ans:C

14.National Mental Health policy was formulated in the year:

A.1982*

B.1987

C.1985

D.1912

Ans:A

15.Primary goal in the nursing management of cervical spine injury will be:

A.Prevention of spinal shock

B.Reorientation to reality

C.Pain relief

D.Maintenance of respiration*

Ans:D

16.Which one of the following can precipitate an acute gouty arthritis?

A.Emotional stress

B.Lack of exercise

C.Excess alcohol intake*

D.Excess smoking

Ans:C

17.The route of administration of Schick test is:

A.Intramuscular

B.Oral

C.Intradermal*

D.Subcutaneous

Ans:C

18.Which of the following symptom after Abdominal-aortic aneurysm indicate retroperitoneal-haemorrhage?

A.Complaint of severe back pain*

B.Absence of peristaltic sounds

C.Air bubbles in the Nasogiastric drainage

D.Chest discomfort

Ans:A

19.Colostrum contains all the following except:

A.Antibodies

B.Vitamin B₁₂*

C.All fat soluble vitamins

D.Proteins

Ans:B

20.Abnormal opening at the top of atrial septum having increased association with partial anomalous pulmonary venous connection is:

A.Sinus venosus ASD*

B.Ostium Primum ASD

C.Tricuspid atresia

D.Ostium secundum ASD

Ans:A

21.Which are the vaccines  that must be stored in freezer compartment?

A.Polio and BCG vaccines

B.DPT and DT

C.DPT and TT

D.Polio and measles vaccines*

Ans:D

22.Physiological jaundice in new born usually appear during:

A.First 24 hrs.

B.Only after 72 hrs

C.30-72 hrs*

D.After 5 days

Ans:C

23.Symptomatic hyponatremia is managed by IV administration of:

A.Dextrose saline

B.3% solution of NaCl*

C.Ringer lactate

D.Normal saline

Ans:B

24.Which vitamin deficiency is common in association with INH therapy in tuberculosis?

A.Riboflavin

B.Thiamin

C.Niacin

D.Pyridoxin*

Ans:D

25.Which of the following is not a vaccine preventable disease?

A.Meningo coccal meningitis

B.Rheumatic fever*

C.Rotavirus diarrhea

D.Japanese encephalitis

Ans:B

26.Among the following  congenitat heart disease,which one is Cyanotic?

A.Truncus arteriosus*

B.Atrial septal defect

C.Ventricular septal defect

D.Atrio ventricular canal

Ans:A

27.’Flag sign’ is a non specific,but usual feature in:

A.Scurvy

B.Kwashiorkor*

C.Marasmus

D.Pellagra

Ans:B

28.Vagolytic agents are given before general anaesthesia in major surgery .Most commonly used vagolytic agent is:
A.Atropen sulphate*

B.Morphine sulphate

C.Calcium gluconate

D.Sodium bicarbonate

Ans:A

29.Normal CSF pressure is:

A.20-40 mm of H₂0

B.20-40 mm of Hg

C.200-240 mm of H₂0

D.80-180 mm of H₂0*

Ans:D

30.Which of the following is not the classic Cushing’s triad changes in increased ICP?

A.Pulse deficite*

B.Decreased pulse rate

C.Increased blood pressure

D.Widening of pulse pressure

Ans:A

31.Another name for atonic cerebral paisy is:

A.Extra pyramidal cerebral palsy

B.Cerebellar cerebral palsy*

C.Mixed type cerebral palsy

D.Pyramidal cerebral palsy

Ans:B

32.Narcotics are not administered in patient with high cervical injury as they add risk of:

A.Sedation

B.Increased ICP

C.Respiratory depression*

D.Drug dependence

Ans:C

33.Macewin’s sign is associated with:

A.Hydrocephalus*

B.Meningocele

C.Anencephaly

D.Encephalopathy

Ans:A

34.Central venous pressure is a measurement of pressure within the:

A.Aorta

B.Superior vena cava*

C.Pulmonary artery

D.Pulmonary veins

Ans:B

35.Excess growth hormone in adults result in:

A.Cushing’s syndrome

B.Gigantism

C.Dwarfism

D.Acromegaly*

Ans:D

36.A patient is admitted with respiratory distress and diagnosed as having Pneumothorax.Here immediate priority should be:

A.Tracheostomy

B.Bronchoscopy

C.Throat suction

D.Insertion of chest tube*

Ans:D

37.Which of the following observation indicates Cardiac tamponade?

A.Marked decrease in chest tube drainage*

B.Sudden increase in arterial blood pressure

C.Widening of pulse pressure

D.Sudden decrease in CVP

Ans:A

38.Most common cause of aphasia is vascular disease of brain.Major blood vessel that is associated with aphasia is:

A.Middle meningeal artery

B.Middle cerebral artery*

C.Facial artery

D.Temporal artery

Ans:B

39.Unpleasant and conflict producing emotions and desires are unconsciously forgotten by an ego defence called:

A.Suppression

B.Regression

C.Repression*

D.Denial

Ans:C

40.The most common initial symptoms of SLE are:

A.Tremors and loss of weight

B.Painful,inflamed joints with stiffness*

C.Petechiae in skin and pallor

D.Increased BP,Haematuria and Oedema

Ans:B

41.Muscledisease characterized by fluctuating weakness of voluntary muscles innervated by cranial nerves is:

A.Polio myelitis

B.Multiple Sclerosis

C.Guillain-Barre syndrome

D.Myasthenia gravis*

Ans:D

42.While giving aminophyllin IV infusion,the common side effect a nurse can observe is:

A.Urinary frequency*

B.Increased lethargy

C.Respiratory acidosis

D.Increase in bronchial secretions

Ans:A

43.The inner force which directs a person to a certain action or behavior is:

A.Attitude

B.Aptitude

C.Character

D.Motive*

Ans:D

44.How many hours an ovum remains viable after ovulation?

A.10-12 hrs

B.48-72 hrs

C.24-36 hrs*

D.18 hrs

Ans:C

45.The volume of air that can  be made to pass into and out of the lungs by the most forcible inspiration and expiration is:

A.Vital capacity*

B.Tidal volume

C.Inspiratory reserve volume

D.Expiration

Ans:A

46.In which position the client will be placed for rectal examination?

A.Supine

B.Lithotomy

C.Prone position

D.Sim’s position*

Ans:D

47.The most accurate indication of true labour is:
A.Rupture of membrane

B.Progressive cervical dilation*

C.Vaginal bleeding

D.Diaphoresis

Ans:B

48.An infant with bronchiolitis is receiving oxygen through oxygen tent.Which is the most accurate method of taking body temperature for him?

A.Rectal thermometer*

B.Axillary thermometer

C.Skin heat sensor

D.Oral thermometer

Ans:A

49.Nausea and vomiting during first trimester of pregnancy is an adaptation to the increased levels of:

A.Leutinising hormone
B.Progesterone

C.Oestrogen

D.Chorionic gonadotropin*

Ans:D

50.The term cataplexy denotes:

A.Immobile position that is constantly maintained

B.Rigidity associated  with catatonic states

C.Temporary loss of muscle tone*

D.Catatonic symptom with rigid odd posture

Ans:C

51.In which position,the nurse will keep herself while palpating a patient’s neck with lymphadenopathy?

A.Patient’s right side

B.Patient’s left side

C.In front of the patient

D.At patient’s back*

Ans:D

52.The outermost membrane that helps in formation of placenta is

A.Amnion

B.Chorion*

C.Funis

D.Yolk sac

Ans:B

53.Nurse’s primary observation in a diabetic child admitted with ketoacidosis would be:

A.Hyperpnoea*

B.Brady cardia

C.Hypertension

D.Bradypnoea

Ans:A

54.Predisposing factors of aphthous ulcer include all the following except:

A.Stress

B.Vitamin deficiency

C.Smoking*

D.Viral infection

Ans:C

55.Which of the following symptoms are characteristic of endometriosis?

A.Pelvic inflammation

B.Osteoporosis

C.Amenorrhoea

D.Painful  menstruation and backache*

Ans:D

56.The basic emotional task for preschooler is:

A.Trust

B.Initiative*

C.Industry

D.Independence

Ans:B

57.Cloudy CSF obtained in lumber puncture is an indication of:

A.Increased WBC count*

B.Increased glucose level

C.Increased RBCs

D.Normal CSF

Ans:A

58.The opening between Vocal Cords in the larynx is:

A.Epiglottis

B.Cricoid cartilage

C.Glottis*

D.Thyroid cartilage

Ans:C

59.While collecting nursing history,a patient complaints of ‘floaters’in visual field.Which condition the nurse should suspect?

A.Cataract

B.Glaucoma

C.Retinal detachment*

D.Meibomian cyst

Ans:C

60.Among the foetal blood vessels,highest oxygen content is seen in:

A.Umbilical artery

B.Ductus arteriosus

C.Pulmonary artery

D.Ductus venosus*

Ans:D

61.The part of brain concerned with hungers thirst is:

A.Thalamus

B.Hypothalamus*

C.Broca’s area

D.Internal capsule

Ans:B

62.Most commonly  observed affect in a schizophrenia patient is:

A.Elation

B.Sadness

C.Anger and hostility

D.Apathy and flatness*

Ans:D

63.The most  common area for bleeding is a child with haemophilis will be:

A.Brain

B.Joints*

C.Peritoneum

D.Pericardium

Ans:B

64.Primary responsibility of nurse while caring a client with epidural analgesia is to observe for:

A.Tachy Cardia

B.Renal function

C.Level of Consciousness

D.Hypotension*

Ans:D

65.The protein that is found only in mycocardium and increase of which is highly specific to myocardial damage:

A.Myoglobin

B.Troponin T

C.Troponin I*

D.CK-MB

Ans:C

66.Hypophysis cerebri is located in sella turcia,which is a depression in the body of:

A.Sphenoid bone*

B.Ethmoid bone

C.Temporal bone

D.Frontal bone

Ans:A

67.A congential malformation in which the urethra opens in the upper surface of penis is:

A.Extropia vesica

B.Hypospadias

C.Epispadias*

D.Phimosis

Ans:C

68.Which of the following blood component therapeutically  provide all the coagulation factors?

A.Whole blood

B.Fresh frozen plasma*

C.Cryo precipitate

D.Platelet rich plasma

Ans:B

69.Maximum score in glasgowcoma scale is:

A.10

B.15*

C.16

D.12

Ans:B

70.C-Reactive protein is a substance produced during inflammations in the body.It is produced in:

A.Kidney

B.Bone marrow

C.Liver*

D.Stomach

Ans:C

71.A nurse in medical ward had a needle stick injury,after injecting a patient with long term fever.Which diagnostic test would be done for her?

A.ELISA test*

B.ANA

C.Antibody titers

D.Skin biopsy

Ans:A

72.Homan’s sign was elicited in a post natal mother on the second day.What does it indicate?

A.Mastitis

B.Haemorrhage

C.Puerperal Sepsis

D.Venous thrombosis*

Ans:D

73.The joint between trapezium and the first metacarpal bone of the thumb is an example of:

A.Saddle joint*

B.Pivot joint

C.Hinge joint

D.Condyloid joint

Ans:A

74.The largest cranial nerve is:

A.Vagus nerve

B.Abduscent

C.Trigeminal*

D.Spinal accessory

Ans:C

75.Foetal circulation consists of:

A.Arteries carrying oxygenated blood to foetus

B.Two umbilical veins and one umbilical artery

C.Two umbilical arteries and one umbilical vein*

D.Veins carry deoxygenated blood to foetus

Ans:C

76.Which is the most abundant tissue within human body?

A.Epithelial tissue

B.Connective tissue*

C.Neuron

D.Muscle

Ans:B

77.A condition in which bone matrix is lost,which makes the bone more susceptible to fracture is:

A.Osteomalacia

B.Rickets

C.Osteosarcoma

D.Osteoporosis*

Ans:D

78.Which of the following drug is an example for Benzodiazepine?

A.Chlordiazepoxide*

B.Doxepine

C.Clozapine

D.Clomipramine

Ans:A

79.Scar tissue formation is otherwise known as

A.Granulation

B.Necrosis

C.Proliferation

D.Fibrosis*

Ans:D

80.During CPR,Cardiac compression is applied to:

A.Halfway between sternum and left nipple

B.Lower half of Sternum*

C.Area under the left nipple

D.Upper half of Stemum

Ans:B

81.The publisher of the newspaper ‘Al Ameen’

A.Kandathil Varghese Mappila

B.Vakkam Abdul Khader Moulavi

C.Muhammad Abdul Rahman*

D.Moulana Muhammad Ali

Ans:C

82.The Christian missionaries worked in Malabar area:

A.BEM*

B.LMS

C.CMS

D.KMS

Ans:A

83.The book written by Vivekananda Swamikal

A.Jathi Kummi

B.Arul Nool*

C.Bala Kalasham

D.Udyanavirunnu

Ans:B

84.Sadhu Jana Paripalana Yogam was formed by

A.Shodarana Ayyappan

B.Vagbhadananda

C.Ayyankali*

D.Kumara Guru Devan

Ans:C

85.One of the journal published under Kerala Sangeetha Nadaka Akkadami

A.Chitravarta

B.Keli

C.Vijnana Mitram

D.Vijnana Kairali*

Ans:D

86.The year of Vaikam Sathyagraha

A.1926

B.1930

C.1923

D.1924*

Ans:D

87.Who wrote the first biography of Sree Narayana Guru?

A.Moorioth Ramunni

B.Dr.Palpu

C.Moorkoth Kumaran*

D.Kumaranasan

Ans:C

88.The right to information Act passed in the year

A.2004

B.2007

C.2006

D.2005*

Ans:D

89.To whom the Jnanpith Award of 2014 given?

A.Balachandra Nomade*

B.Amritha Peretham

C.Thara Sankar Bandopadyaya

D.Sumitra Nandan Panth

Ans:A

90.Which city from Kerala has been listed in the 98 cities selected by the Union governments under the Smart City projects?

A.Thiruvanathapuram

B.Kozhikode

C.Kochi*

D.Ernakulam

Ans:C

91.Which state in India firstly issued soil health cards to farmers?

A.Haryana

B.Punjab*

C.Tamil Nadu

D.Andhra Pradesh

Ans:B

92.Who is known as Jhansi Rani of Travancore?

A.A.V.Kuttimalu Amma

B.Arya Pallam

C.Captain Lakshmi

D.Akkama Cherian*

Ans:D

93.Who is regarded as Kerala Kalidasan?

A.A.R.Raj Raja Varma

B.Vallathole

C.Kerala Varma Valiyakoyi Thampuran*

D.N.Krishna Pillai

Ans:C

94.The real name of Poykayil Sree Kumara Guru Devan

A.Yohannan*

B.Joseph

C.Govindan

D.Kunchi Kannan

Ans:A

95.The GST Bill was passed by Lok Sabha on

A.May 10-2015

B.June 6-2015

C.May 6-2015*

D.June 10-2015

Ans:C

96.Which constitutional Amendment of India reduce the voting age from 21 to 18?

A.42^nd Amendment

B.71^st Amendment

C.70^th Amendment

D.61^st Amendment*

Ans:D

97.The 11^th President of India

A.K.R.Narayanan

B.A.P.J.Abdul Kalam*

C.Prathibha Patil

D.Dr.Sankardayal Sharma

Ans:B

98.Who appointed Controller and Auditor General of India?

A.Prime Minister

B.UPSC

C.President*

D.Advocate General

Ans:C

99.The unemployment eradication programme of Kudumba Sree known as

A.Kerala Sree*

B.Jana Sree

C.Kerala Vilasam

D.Ashwasa Kiran

Ans:A

100.The first chair person of Kerala Vanitha Commission

A.K.C.Rosakkutty

B.M.Kamalam

C.Justice K.K.Usha

D.Sugatha Kumari*

Ans:D