STAFF NURSE GRADE II,HEALTH KERALA PSC EXAM ANSWER KEY 21-05-2011

STAFF NURSE GRADE II,HEALTH

EXAM DATE:21-05-2011

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1.Growth retardation can be identified by:

A.Blood examination

B.Weight recording*

C.Feeding pattern

D.Apgar score

Ans:B

2.The primary physical effect of alcohol in the body is to:

A.Depress the central nervous system*

B.Stimulates the cerebral cortex

C.Decrease the irritability of muscle cells

D.Increase activity on Gastro-interestinal system

Ans:A

3.Which of the following is the hereditary material of cells?

A.Protein in the ribsomes

B.R.N.A.in the nucleus

C.D.N.A.in the chromosomes*

D.Ribosomes in the cytoplasm

Ans:C

4.BFHI (Baby Friendly Hospital Initiative)launched in the year:

A.1991*

B.1977

C.1998

D.1981

Ans:A

5.The commonest type of Jaundice in the new born:

A.Haemolyte

B.Hepatogenic

C.Obstructive

D.Physiological*

Ans:D

6.The Ultimate objective of M.C.H.care is:

A.Immunization

B.Life long health*

C.Promotion of breast feeding

D.Health Communication and Education

Ans:B

7.The mental disorder known as”Split personality”:

A.Psychoneurosis

B.Psychosis

C.Schizophrenia*

D.Paranoia

Ans:C

8.The best time for IUD insertion is between:

A.3-7 days of the menstrual cycle*

B.7-15 days of the menstrual cycle

C.3-15 days of ovulation period

D.15-20 days of menstrual cycle

Ans:A

9.An operative procedure used to asses the interior anatomy of the uterus and tube include tubal patency:

A.Hysterectomy

B.Hysteroscopy

C.Dialation and insufflations

D.Hystero salphingo graphy*

Ans:D

10.Anisometropia is a condition where there is:

A.Variation in the refractive power of two eyes*

B.Differences in the image sizes

C.The ideal refractive condition

D.Refractive error is present

Ans:A

11.Which one of the following is a function of liver?

A.Synthesis of plasma proteins*

B.Elimination of Carbohydrates

C.Concentration of bile

D.Secretion of Cholecysokinin

Ans:A

12.A patient  request  that an I,V not be initiated in his hand,which site is the next be choice:

A.Forearm*

B.Antecubital fossa

C.Upper arm

D.Lower extremity

Ans:A

13.The cells involved in the specific immune response are derived from:

A.Lymphatic tissues

B.Bone marrow*

C.Immunoglobulins

D.Spleen

Ans:B

14.Soap is valuable in cleaning the skin,because it is:

A.Acidic

B.Lathers freely

C.Alkaline

D.Lowers surface tension*

Ans:D

15.How much sodium chloride must be added to one litre of water to make normal saline?

A.0.9 gms

B.9 gms*

C.0.09 gms

D.90 gms

Ans:B

16.Which patient is at riok for respiratory acidosis?

A.The patient with uncontrolled diabetes mellitus

B.The patient with chronic pulmonary disease*

C.The patient who is very anxious

D.The patient who overuses antacids

Ans:B

17.After a laryngectomy,which of the following assessment takes priority:

A.Airway  patency and respiratory function*

B.Nutritional status

C.Lung sounds

D.Fluid balance

Ans:A

18.Which results from too much cortisol secretion in the body?

A.Addison’s disease

B.Hypo thyroidism

C.Cushing’s syndrome*

D.Pheochromocytoma

Ans:C

19.A butterfly rash is a classic symptom of----------Which of the following disorder:

A.Paget’s disease

B.Rheumatoid arthritis

C.Osteo sarcoma

D.Lupus erythematous*

Ans:D

20.Who is the President of Trained Nurses association of India?

A.Mrs.Shiela Seda

B.Mrs.Anitha Malik

C.Sr.(Prof)Gilbert*

D.Mrs.Gracy Mathai

Ans:C

21.Basic unit of health care delivery service is:

A.District Hospitals

B.Primary Health Centres

C.Community Health Centres

D.Sub centres situated in the village*

Ans:D

22.The normal number cardiac cycles per minute range from:

A.60-80*

B.90-100

C.60-100

D.50-60

Ans:A

23.A primary central organ of the lymphatic system,plays vital role in immunity:

A.Spleen

B.Thymus*

C.Liver

D.Tonsills

Ans:B

24.In a blood pressure recording,it is 110/80 m.m.of Hg.the pulse pressure in this value is:

A.110

B.80

C.30*

D.190

Ans:C

25.In MASLOW’s hierarchy of needs,which considered as the most basic:

A.Love and belonging needs

B.Physiological needs*

C.Esteem needs

D.Self actualization needs

Ans:B

26.One of the toxic symptoms to be watched for in a patient getting Digoxin is:

A.Peripheral oedema

B.Rashes

C.Oligurea

D.Bradycardia*

Ans:D

27.The best treatment for an allergy is:

A.Live in a room free of dust

B.Use an electrostatic filter

C.Prevent the person from coming in contact with the sensitizing allergens*

D.Use antihistamines

Ans:C

28.Which one of the following is not necessary in the management of pulmonary oedema?

A.0 at high flow rate

B.Mechanical ventilation

C.Diuretics

D.Thoracentesis*

Ans:D

29.The largest gland in the human body:

A.LIVER*

B.PANCREAS

C.THYROID

D.PITUITARY

Ans:A

30.Cigarette smoking can affect the circulation by:

A.Narrowing of the blood vessels*

B.Over expanding of the blood vessels

C.Blocking of the blood vessels

D.Extravasation of blood

Ans:A

31.Which one of the following is not a sign of fluid overload:

A.Elevated C.V.P.reading

B.Abdominal distension*

C.Dyspnea

D.Bounding pulse

Ans:B

32.The largest cavity in the human body:

A.Thoracic cavity

B.Cranial cavity

C.Abdominal cavity*

D.Pelvic cavity

Ans:C

33.The largest part of the brain is:

A.Cerebrum*

B.Cerebellum

C.Hypothalamus

D.Medulla

Ans:A

34.The most common clinical finding associated with cancer of the urinary bladder:

A.Suprapubic pain

B.Pain less haematuria*

C.Dysuria

D.Urinary retention

Ans:B

35.When the body temperature raised to 105⁰F or above it is called:

A.Hyperthermia

B.Rigor

C.Hyperpyrexia*

D.High pyrexia

Ans:C

36.Appropriate position for a client with severe ascites:

A.Sidelying

B.Sim’s

C.Dorsal

D.Fowler’s*

Ans:D

37.Injection Atrophine Sulphate is given preoperatively,helps to:

A.Promote muscular relaxation

B.Decrease anxiety and worry

C.Decrease bleeding

D.Inhibit oral and respiratory secretions*

Ans:D

38.The primary function of the prostate glands:

A.To store underdeveloped sperm before ejaculation

B.To Regulate proper sperm development

C.To produce a secretion that aids the nourishment and passage of sperm*

D.To stimulate the production and maturation of sperms

Ans:C

39.A client at risk for increased intracranial pressure,which of the following would be the priority for the nurse to monitor:

A.Unequal pupil size*

B.Decreasing systolic blood pressure

C.Tachycardia

D.Increasing body temperature

Ans:A

40.Which of the following is an initial sign of Parkinson’s disease?

A.Rigidity

B.Tremor*

C.Akinesia

D.Brady kinesia

Ans:B

41.Which symptom is an early indicator of hypoxia in an unconscious client?

A.Cyanosis

B.Decreased respiration

C.Restlessness*

D.Hypotension

Ans:C

42.Frequent Vaginal examination should be avoided in a pregnant client with premative rupture of membrane because they can:

A.Increase risk for infection*

B.Stimulate preterm labour

C.Cause prolonged labour

D.Induce bleeding

Ans:A

43.Which of the following would be an important assessment finding for an eight month old infant admitted with severe diarrhoea?

A.Absent  bowel sounds

B.Pale yellow urine

C.Normal skin elasticity

D.Depressed anterior fontanelle*

Ans:D

44.Peripheral blood flow is dependent on:

A.Blood viscosity and diameter of vessels

B.Diameter and resistance of vessels

C.Force of contraction of heart and resistance of vessels

D.Pressure differences in the arterial and venous system and resistance*

Ans:D

45.Maniere’s disease affects:

A.EAR*

B.EYE

C.NOSE
D.SKIN

Ans:A
46.In presbyopia the individual needs to hold the reading material:

A.Very close to the eyes

B.At arms length*

C.Not too close to the eyes

D.So distant to the eyes

Ans:B

47.Which of the following clients is at risk for varicose veins?

A.A client who had C.V.A

B.A client who has had anaemia

C.A client who has had thrombo phlebitis*

D.A client who has had transient ischemic attacks

Ans:C

48.The pain associated with migraine head ache is caused by:

A.Dialation of the cranial arteries*

B.A temporary  decrease in intracranial pressure

C.Irritation and inflammation of the opening of sinuses

D.Sustained contraction of muscles around the scalp of face

Ans:A

49.The goal of Nursing care for a client with acute myeloid-leukaemia is to prevent:

A.Cardiae  arrhythmia

B.Liver failure

C.Renal failure

D.Haemorrhage*

Ans:D

50.A client with pneumonia is experiencing pleurite chest pain,he describes:

A.Severe media sterna pain

B.Moderate pain the worsens on inspiration*

C.A mild but constant aching in the chest

D.Muscle spasm pain that accompanies coughing

Ans:B

51.Which of the following systems  is not blocked by spinal anaesthesia?

A.The sympathetic nervous system

B.The sensory nervous system

C.The parasympathetic system*

D.The motor system

Ans:C

52.Reproductive and child health programme(R.C.H)launched in 1997,is a continuation and modification of-------programme

A.C.S.S.M*

B.M.C.H

C.I.C.D.S

D.B.F.H.I

Ans:A

53.A wound with uneven edges is known as:

A.Incised

B.Bruised

C.Punctured

D.Lacerated*

Ans:D

54.It is the reward of labour for its contribution to the production activity

A.Interest

B.Profit

C.Rent

D.Wage*

Ans:D

55.Smallest unit of culture is:
A.Complex

B.Trait*

C.Moral

D.Subculture

Ans:B

56.One of the best form of controlled thinking:

A.Imagination

B.Reasoning*

C.Day dreaming

D.Memorizing

Ans:B

57.Nosocomial infection means:

A.Infection from animal source

B.Infection from mosquitoe bite

C.Infection acquired from hospital*

D.Infection acquired from home care

Ans:C

60.Government of India re-designated National Family Planning Programme as National Family Welfare programme in the year:

A.1977*

B.1953

C.1975

D.1969

Ans:A

61.Code of Ethics for nurses is:

A.Set of rules

B.Guide for professional behavior*

C.Set of right behavior

D.Set of wrong behavior

Ans:B

62.The nucleus of health service in rural area is:

A.Primary health centere*

B.Sub centers

C.Community health centere

D.Rural hospitals

Ans:A

63.The pressure exerted by fluid with in a closed system is:
A.Osmotic pressure

B.Oncotic pressure

C.Hydrostatic pressure*

D.Hydrolic pressure

Ans:C

64.Mercury is a liquid metal used in thermometer,because:

A.It reflects the temperature reading

B.It fluctuates and falls easily after reading

C.Expansion is quick and easy to read

D.Expansion is uniform and is easily visible*

Ans:D

65.The greatest advantage of CAT scan is:

A.The accuracy of diagnosis is nearly 100%*

B.Non invasive procedure with no risks to client

C.Shows the actual anatomical relationship of all structures

D.Image all tissues in three dimensions

Ans:A

66.The caloric test provides information about:

A.Functions of external auditory canal

B.Functions of vesticular portion of 8^th cranial nerve*

C.Functions of the middle ear

D.None of the above

Ans:B

67.The main cause of Neonatal Convulsion during the first 24 hours is:

A.Due to intracranial injury

B.Due to hypocaicaemia

C.Due to hypo glycaemia*

D.Due to hyperglycaemia

Ans:C

68.The strongest joint in the body is:

A.Shoulder joint

B.Knee joint

C.Hip joint

D.Sacroiliac joint*

Ans:D

69.Prolapse of the cord during second stage of labour is treated by:

A.Forceps delivery

B.Caesarean section*

C.Episcotomy

D.Cord resection

Ans:B

70.The I.Q of  a person with normal intelligence is:

A.50-69

B.70-80

C.90-109*

D.110-119

Ans:C

71.The key for effective communication is:
A.Listening*

B.Hearing

C.Talking

D.Sharing

Ans:A

72.”Sour grape mechanism”is a form of:

A.Projection

B.Rationalization*

C.Substitution

D.Sublimation

Ans:B

73.Which committee is known as the health survey and planning committee?

A.Mudaliyar  Committee*

B.Bhore Committee

C.Kartar Committee

D.Shrivastav Committee

Ans:A

74.Central Births and Death Registration Act came into force on:

A.1^st April 1970*

B.7^th April 1980

C.12^th May 1990

D.10^th November 1990

Ans:A

75.Which of the following methods can be used to assess the visual field?

A.Inspections with ophthalmoscope

B.Fluorescein angiography

C.Test with a snellen chart

D.Confrontation test*

Ans:D

76.A closed sac or pouch which consist of semi solid,solid or liquid material is a:

A.VESICLE

B.NODULE
C.CYST*

D.PUSTULE

Ans:C

77.The objective of W.H.O.is:

A.The attainment by all people of the highest level of health*

B.To promote the well being of mankind through out the world

C.To help the poorer nations

D.Assist for the development of countries

Ans:A

78.Placenta is directly anchored to the myoomerium is:

A.Bipartite placenta

B.Placenta acreta*

C.Retained placenta

D.Placenta circum vallata

Ans:B

79.The back bone of public health nursing is:

A.Immunization

B.School health programme

C.Home visiting*

D.Nutritional programme

Ans:C

80.Government of India launched National Rural Health Mission(NRHM)on:

A.7^th April 1977

B.14^th November 1953

C.1^st December 1975

D.5^th April 2005*

Ans:D

82.Filling the gap of memory with fabrication:

A.Amnesia

B.Paramnesia*

C.Dejvu

D.Hyperamenesia

Ans:B

83.The universal immunization programme was launched on:

A.4^th July 1987

B.14^th November 1985

C.2^nd October 1987

D.19^th November 1985*

Ans:D

84.Treadmill test done for a cardiac patient is to plan:

A.Dietary regime for the patient

B.Drug adjustment

C.Progressive physical activity*

D.His discharge from the hospital

Ans:C

85.Religion is an important institution of:

A.Social control*

B.Social process

C.Community

D.Modernization

Ans:A

86.Epigastric pain occurs in severe case of pre-eclamptic toxaemia,the reason is:

A.Vasoconstriction

B.Congestion of lungs

C.Oedema of liver*

D.Enlargement of abdomen

Ans:C

87.The angle of inclination of pelvic outlet is:

A.30

B.15*

C.45

D.90

Ans:B

88.Principles underlying radio therapy is:

A.Malignant cells are more sensitive to radiation than normal cells*

B.Resistance to normal cells is increased

C.Radiation may cause metastasis

D.Radiation kills the organisms

Ans:A

89.Most important objective during the post burn phase is to:

A.Prevent infection

B.Replace fluid volume*

C.Replace blood loss

D.Relieve pain

Ans:B

90.Endemic diseases refer to those occur:

A.Generally throughout the entire population

B.Sporadically throughout the entire population

C.In a limited population,in a localized geographical area*

D.In a large population in a localized-geographical area

Ans:C

91.Normal pacemaker of the heart is:

A.Bundle of His

B.S.A.node*

C.A.V.node

D.Lymph node

Ans:B

92.The type of membrane that lines the knee joint:

A.Serous

B.Mucous

C.Epithlial

D.Synovial*

Ans:D

93.The most important diagnostic test in Malaria:

A.Smear of peripheral blood*

B.Erythrocyte sedimentation rate

C.Blood leucocyte count

D.Splenic puncture

Ans:A

94.Weils disease otherwise called:

A.Leukoderma

B.Leprosy

C.Leptospirosis*

D.Lyphoma

Ans:C

95.Loss of speech known as:

A.Aphoria

B.Aphasia*

C.Aphagia

D.Ataxia

Ans:B

96.Oedema is most effectively controlled in patients with heart failure by:

A.Proper positioning

B.Medication

C.Fluid restriction

D.Restriction of sodium*

Ans:D

97.The positive sign in deep vein thrombosis is:
A.Jaquerner’s sign

B.Hegar’s sign

C.Homan’s sign*

D.Kernig’s sign

Ans:C

98.Downwards displacement of the kidney is:
A.Nephrosclerosis

B.Nephrotic syndrome

C.Hydronephrosis

D.Nephrotosis*

Ans:D

100.Bile salts are particularly important for digestion of:

A.Fats*

B.Proteins

C.Carbohydrates

D.Fibrous food

Ans:A