24-01-2018 VOCATIONAL INSTRUCTOR IN DOMESTIC NURSING,VHSE

VOCATIONAL INSTRUCTOR IN DOMESTIC NURSING,VHSE

EXAM DATE:24-01-2018

1.The first municipality to become fully WiFi Zone municipality in India

A.Palakkad

B.Malappuram

C.Chavakkad

D.Wayanad

Ans:B

2.Pranahita and Taliperu are the tributaries of which river?

A.Godavari

B.Krishna

C. Mahanadi

D.Kaveri

Ans:A

3.The massive rescue and relief operation initiated by Govt.of India in earthquake devastated Nepa in 2015?

A.Operation Soda Mountain

B.Operation Air born Dragon

C.Operation Vijay

D.Operation Maithri

Ans:D

4.”Great Dark Spot”,the huge spinning storm in the southern atmosphere of which Planet?

A.Pluto

B.Neptune

C.Uranus

D.None of these

Ans:B

5.Who presided over the Lahore session of Indian National Congress meeting in 1909?

A.Rash Behari Bose

B.William Wedder Burn

C.Pandit Madan Mohan Malaviya

D.Jawaharlal Nehru

Ans:C

6.In Census 2011 the female population in India is

A.1,73,78649

B.1,60,27412

C.1,59,34926

D.3,03,9573

Ans:A

7.In which district in Kerala the Chimmini Wild-life sanctuary situated?

A.Kottayam

B.Idukki

C.Thrissur

D.Palakkad

Ans:C

8.The first e-port in India is

A.Chennai

B.Mumbai

C.Visakhapattanam
D.Cochin

Ans:D

9.Who issued Royal proclamation of 1817 introduced free education in Travancore?

A.Ayilyam Thirunal Gowri Lakshmi Bai

B.Rani Gowri Parvathi Bai

C.Swathi Thirunnal Ramavarma

D.Rani Sethu Lakshmi Bai

Ans:B

10.Who wrote the famous book ‘Vedadikara Nirupanam’?

A.Ayyankali

B.Sree Narayana Guru

C.Chattambi Swamikal

D.Vaikunda Swamikal

Ans:C

11.Which programme launched by Narendra Modi on 28^th August,2014?

A.Goods and Service Tax

B.Digital India

C.Skill India

D.Jan Dhan Yojana

Ans:D

12.Which social reformer founded the Chirayankeezhu Taluk Muslim Samajam?

A.Vakkam Abdul Khader Moulavi

B.Muhammed Abdul Rahman Sahib

C.Shoukkath Ali

D.Muhammed Ali

Ans:A

13.”Unnimol” is a character of which Malayalam Novel?

A.Oru Theruvinte Katha

B.Odayilninnu

C.Nalukettu

D.Thottangal

Ans:D

14.Which country will host the FINA World Aquatics Championship,2017?

A.Japan

B.Brazil

C.Hungary

D.None of these

Ans:C

15.ISRO has successfully launched 104 Satellites in a single flight recently from

A.Thumpa

B.Bangalore

C.Sriharikotta

D.Chandipur

Ans:C

16.The first state in India to open Blood Bank for cattle

A.Tamil Nadu

B.Orissa

C.Bihar

D.Haryana

Ans:B

17.Which is the “Black September Day” in Olympics history?

A.30^th Sep.,1972

B.5^th Sep.,1972

C.20^th Sep.,1968

D.5^th Sep.,1968

Ans:B

18.Which Five Year Plan is known as “Gadgil Yojan”?

A.Fourth Five Year Plan

B.Fifth Five Year Plan

C.Sixth Five Year Plan

D.Seventh Five Year Plan

Ans:A

19.Who got Ezhuthachan Award,2016?

A.Puthussery Ramachandran

B.Vishnu Narayanan Nambuthiri

C.M.K.Sanu

D.C.Radhakrishnan

Ans:D

20.Poikayil Yohannan founded the Dalit Religious Protest Movement “Prathyaksha Raksha Dhaiva Sabha” at---------------

A.Pathanamthitta

B.Kollam

C.Thiruvanathapuram

D.Kottayam

Ans:A

21.Common abnormality associated with development peripheral vascular disease is

A.Low serum potassium

B.Low serum lipids

C.High serum lipids

D.High serum calcium

Ans:C

22.Infection by a non-pathogenic organism,that occur due to defect in host defence is

A.Epornithic infection

B.Opportunistic infection

C.Enzootic infection

D.Exotic infection

Ans:B

23.”The secret of National health lies in the homes of the people.”Whose words are this?

A.Mahatma Gandhi

B.Florence Nightingale

C.Aristotle

D.Vikram Patel

Ans:B

24.Normal urine output in all age groups is

A.2 ml/kg/hr

B.0.5 ml/kg/hr

C.1 ml/kg/hr

D.500 ml/day

Ans:C

25.Radio carpal joint is an example of

A.Condyloid joint

B.Hinge joint

C.Saddle joint

D.Pivot joint

Ans:A

26.Which of the following symptoms would be indicative of dumping syndrome?

A.Diaphoresis

B.Heart burn

C.Vomiting

D.Increased hunger

Ans:A

27.C-Reactive protein,a substance related to inflammatory process,is produced in

A.Bone marrow

B.Kidney

C.Liver

D.Spleen

Ans:C

28.During the first trimester of pregnancy,nausea and vomiting occur as an adaptation to the increased level of

A.Oestrogen

B.Leutinising hormone

C.Progesterone

D.Chorionic gonado tropin

Ans:D

29.Epidemiology is concerned with

A.Defined population

B.Cases/Diseases

C.Diagnosis of disease

D.Treatment and prognosis

Ans:A

30.The most abundant tissue within human body is

A.Epithelial tissue

B.Connective tissue

C.Neurons

D.Muscle

Ans:B

31.Which of the following is an example of Benzodiazepine?

A.Doxepine

B.Chlordiazepoxide

C.Clomipramine

D.Clozapine

Ans:B

32.Most important dietary modification for a patient with Miniere’s disease is

A.High protein diet

B.Low fat diet

C.Low carbohydrate diet

D.Low sodium diet

Ans:D

33.Nurse shows unconditional acceptance to a patient and views him as a worthwhile person with unique nature.Which of the following characteristic is being conveyed by the nurse?

A.Empathy

B.Trust

C.Respect

D.Genuineness

Ans:C

34.The term used for reduced visual acuity in one eye,that results from strabismus is

A.Amblyopia

B.Emmetropia

C.Myopia

D.Hyperopia

Ans:A

35.If blood-pressure assessment is done repeatedly in a quick manner,which will be the error that can occur?

A.Low systolic and diastolic readings

B.Errnoneously high systolic or low diastolic readings

C.Low systolic and high diastolic readings

D.Erroneously high systolic and diastolic readings

Ans:B

36.Which of the following is not a predisposing factor of aphthous ulcer?

A.Stress

B.Viral infections

C.Smoking

D.Vitamin deficiency

Ans:C

37.One of the following drug that is used as an adjuvant analgesic is:

A.Morphine sulfate

B.Piroxicam

C.Diclofenac soium

D.Amitriptyline

Ans:D

38.The most common ECG finding in rheumatic fever with carditis is

A.T-wave elevation

B.First degree A-V block

C.T-wave inversion
D.Second degree heart block

Ans:B

39.Patients with chronic lung disorder require oxygen supplement.How much oxygen will be safe to these patients?

A.2 litre/min per nasal cannula

B.3 litre/min per nasal cannula

C.6 litre/min per facemask

D.8 litre/min through non-rebreathing mask

Ans:A

40.Positive reinforcer is advised in behaviour therapy,because

A.It increases the chance of repetititon of specific behaviour

B.It always result in positive behaviour

C.It always prevent negative behaviour

D.It decreases the probability of repetition of specific behaviour

Ans:A

41.Which of the following patient need observation of apical pulse?.

A.Post operative patient

B.Patient with arrhythmia

C.Patient in shock

D.Patient with wide pulse pressure

Ans:B

42.For a toddler,which of the nursing diagnosis is most applicable?

A.Risk for infection

B.Risk for injury

C.Risk for suffocation

D.Risk for poisoning

Ans:D

43.While using RYB colour code of wound care,the goal in the care of black wound is

A.Covering with wet dressing

B.Cleaning and hydrogel dressing

C.Debridement

D.No need of further treatment and care

Ans:C

44.A nursing student who has been overloaded with hospital duty,study and family matters may experience

A.Role ambiguity

B.Role strain

C.Role conflict

D.Role enhancement

Ans:C

45.Harsh crowing sound made on inhalation due to constriction of upper airway is

A.Stridor

B.Resonance

C.Granting

D.Crepitation

Ans:A

46.Which of the following is the side-effect of psychotropic drug that block the reuptake of 5-Hydroxy tryptamine?

A.Dry mouth

B.Sexual dysfunction

C.Blurred vision

D.Constipation

Ans:B

47.Oxytocin challenge test is ordered for a primi mother,2 weeks after her expected care of confinement.This test is ordered to assess

A.Fetal age

B.Maternal uterine irritability

C.Maternal wellbeing

D.Fetal wellbeing

Ans:D

48.Which of the following is not a tuberculin test?

A.Mantoux test

B.Heaf test

C.Time multiple puncture test

D.Coccidiodin test

Ans:D

49.During conversion ,a person falls asleep.Which disorder will you suspect in him?

A.Somniloquy

B.Hypersomnia

C.Bruxism

D.Narcolepsy

Ans:D

50.Wound drainage that consists of many RBCs and looks like blood is

A.Sanguineous drainage

B.Sero-sanguineous drainage

C.Serous drainage

D.Purulent drainage

Ans:A

51.In a patient,after bone marrow biopsy,which will be the specific obsevation a nurse must do?

A.Observe for pain

B.Assist the patient to be in the right side lying position

C.Assess for bleeding nd hematoma formation

D.Observe for dyspnoea and cough

Ans:C

52.Which of the following drug is prefered to treat Tourette’s disorder?

A.Methyl phenidate

B.Haloperidol

C.Phenytoin sodium

D.Imipramine

Ans:B

53.Which of the following point must be emphasized while giving health education to a patient with Systemic Lupus Erythematosus(SLE)?

A.Cortico steroids can be stopped if the symptoms are controlled

B.Alopacia that occur in SLE is irreversible

C.Over exposure to sunlight can exacerbate the symptoms

D.A low protein and low potassium diet

Ans:C

54.A newly registered client in the mental health clinic has been diagnosed with body dysmorphic disorder.Which medication will be mostly prefered?

A.Olanzapine

B.Diazepam

C.Alaprazolam

D.Fluoxetine

Ans:D

55.Based on the concept of physiology,the most common cause of obesity is

A.Consumption of more calories than expended

B.Low basal metabolic rate

C.Endocrine dysfunction

D.Lack of knowledge on nutrition

Ans:A

56.Which of the following accurately indicates true labour?

A.Vaginal bleeding

B.Labour pain

C.Bupture of membrane

D.Progressive dilation of cervix

Ans:D

57.A poly substance abuser says,”Blue birds make me good after speed”.What will be the nurse’s interpretation?

A.Client abuses anxiolytics and amphetamine

B.Client abuses alcohol and cocaine

C.Client abuses narcotics and marijuana

D.Client is psychotic

Ans:A

58.Skin and sclera of a baby born at night became yellow by the next day morning and serum bilirubin is 15 mg/100 ml.What should the nurse plan for dealing this?

A.Prepare for phototherapy

B.Inform the physician and plan for exchange transfusion

C.Observe for clay coloured stool

D.Observe for vomiting and diarrhoea

Ans:B

59.While caring a patient with infectious mononucleosis,which of the following precaution should be practiced to prevent spread of disease?

A.Complete isolation precautions

B.Enteric isolation precaution

C.Respiration isolation only

D.Good hand washing technique only

Ans:D

60.Which of the following statement is correct about Cholera?

A.Cholera is only an epidemic

B.Vibrio cholera can not be killed by boiling for seconds

C.Vibrio cholera is destroyed in stomach if the pH is more than 5

D.Vibrio cholera can remain in ice for 4-6 weeks and more

Ans:D

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

A.Rehabilitation

B.Primordial prevention

C.Tertiary prevention

D.Secondary prevention

Ans:D

62.Primary observation of signs of impending kernicterus in a newborn baby with high bilirubin include

A.Cyanosis and respiratory distress

B.Rapid pulse and diaphoresis

C.Lethargy and loss of moro reflex

D.Abdominal distention

Ans:C

63.Most prominent feature in catatonic schizophrenia is

A.Delusions

B.Motor and voltional disturbance

C.Hallucination

D.Silly giggling

Ans:B

64.Which of the following can precipitate acute gouty arthritis?.

A.Excess cigarette smoking

B.Excess alcohol intake

C.Stress

D.Exercise

Ans:B

65.Management of symptomatic hyponatremia is by the intravenous administration of

A.3% solution of NaCl

B.Normal saline

C.Dextrose saline

D.Ringer lactate

Ans:A

66.Unequal size pupils in increasing intracranial pressure is due to the pressure effect on

A.Second cranial nerve

B.Fifth cranial nerve

C.Third cranial nerve

D.Seventh cranial nerve

Ans:C

67.Another name for Atonic cerebralpalsy(atonic CP)is

A.Cerebellar cerebralpalsy

B.Extrapyramidal CP

C.Pyramidal CP

D.Mixed type CP

Ans:A

68.The most common co morbid condition in children with bipolar disorder is

A.Autism

B.Attention deficit hyperactivity disorder

C.Substance use disorder

D.Oppositional defiant disorder

Ans:B

69.Earliest sign of phlebitis is

A.Pain at the access site,erythema and /or oedema

B.Pain at the access site with palpable venous cord

C.Pain at the access site,erythema,palpable venous cord and purulent discharge

D.Erythema at the access site with or without pain.

Ans:D

70.Which of the following drug is not an epidural anaesthetic?

A.Lignocaine hydrochloride

B.Bupivaine hydrochloride

C.Reprovacaine hydrochloride

D.Fentanyl

Ans:D

71.Increased pH,increased HCO3,increased or normal PaCO2 in an arterial blood gas analysis indicates

A.Metabolic alkalosis

B.Respiratory acidosis

C.Respiratory alkalosis

D.Metabolic acidosis

Ans:A

72.The most accurate method of observation of body temperature for the baby who receives oxygen through oxygen tent is

A.Axillary temperature

B.Skin heat sensor

C.Rectal temperature

D.Oral thermometer

Ans:C

73.Among the fetal blood vessels,highest oxygen content is seen in

A.Ductus arteriosus

B.Ductus venosus

C.Pulmonary artery

D.Umbilical artery

Ans:B

74.Cloudy CSF obtained in lumbar puncture is an indicator of

A.Increase glucose level

B.Normal CSF

C.Increased protein

D.Increased white blood cell count

Ans:D

75.The basic emotional task of a school child is

A.Industry

B.Initiative

C.Independence

D.Trust

Ans:A

76.Normal pH value of mixed venous blood is

A.7.35-7.45

B.7.45-7.5

C.7.32-7.42

D.7.25-7.35

Ans:C

77.In which position the nurse must stand  for palpating a patient with lymph adenopathy in neck?

A.At patient’s back side

B.At patient’s right side

C.In front of the patient

D.At patient’s left side

Ans:A

78.In a man with complete transection of spinal cord at the L3 level.Primary responsibility of the nurse is to observe for symptoms of

A.Hypertensive crisis

B.Respiratory insufficiency

C.Spinal shock

D.Automatic hyper reflexia

Ans:C

79.A primi mother is admitted five days prior to the expected date of confinement,with ruptured membranes.Nurse notices a loop of cord prolapses through vagina during active labour.What the nurse is expected to do?

A.Try to replace it

B.Cover it with dry sterile towel

C.Do not touch it

D.Cover it with clean moist cloth

Ans:D

80.Which of the following is the priority of care for a patient with ulcerative colitis?

A.Maintain adequate nutrition

B.Reliev diarrhoea

C.Promote effective coping

D.Restore body weight

Ans:B

81.For a patient in sickle cell crisis,effective method of relieving join pain is administration of analgesics along with

A.Provision of heat

B.Corticosteroids

C.Cold compress application

D.Immobilisation

Ans:A

82.Atrial septal defect which have increased association with partial anomalous pulmonary venous connection is

A.Ostium Primum ASD

B.Tricuspid atresia

C.Sinus venosus ASD

D.Ostium secundum ASD

Ans:C

83.Highly malignant,rapidly growing tumour of cerebellum,seen in children is

A.Astrocytoma

B.Ependymoma

C.Meningioma

D.Medulloblastoma

Ans:D

84.Inactivated polio vaccine is otherwise known as

A.17 D vaccine

B.Salk vaccine

C.Cell culture vaccine

D.Sabin vaccine

Ans:B

85.Which of the vaccines must be stored in freezer compartment?

A.DPT and DT

B.Polio and Measles vaccines

C.DPT and TT

D.Polio and BCG vaccines

Ans:B

86.The Bhore committee was set up in the year

A.1951

B.1948

C.1943

D.1982

Ans:C

87.Dextrose insulin IV infusion is indicated in the management of

A.Hyperkalemia

B.Hypoglycemia

C.Cerebral oedema

D.Diabetic keto acidosis

Ans:A

88.After subtotal thyroidectomy important observation for prevention of thyroid storm is

A.Hoarseness

B.Bradycardia

C.Elevated body temperature

D.Tetany

Ans:C

89.Which of the following anticonvulsant is the first line analgesic agent for neuropathic pain?

A.Sodium valporate

B.Carbamazepine

C.Pregabalin

D.Diazepam
Ans:C

90.The hydrostatic pressure needed to stop the flow of water by osmosis is

A.Oncotic pressure

B.Osmotic pressure

C.Osmotic dieresis

D.Filtration

Ans:B

91.Nurse should monitor patient’s heart rate or pulse rate during removal of fecal impaction,because he/she may develop

A.Sweating and hypotension

B.Tachycardia and hypotension

C.Internal haemorrhage

D.Bradycardia due to vagal stimulation

Ans:D

92.In the care of a child with Kawasaki disease,which of the following must be the priority?

A.Observe vital signs every 8 hr

B.Monitor intake and output every hour

C.Encourage range of motion exercise

D.Minimize skin discomfort

Ans:B

93.Which of the following assessment indicate the effectiveness of external chest compressions,during cardiopulmonary resuscitation?

A.Palpable pulse

B.Pupillary dilation

C.Cold dry skin

D.Mottling of the skin

Ans:A

94.Which problem a nurse would expect in a patient with acute pancreatitis?

A.Ascites

B.Hypertension

C.Jaundice

D.Diarrhoea

Ans:C

95.What would be the most appropriate concern about diet for an older infant with cystic fibrosis?.

A.High calorie diet

B.Low protein diet

C.High fat diet

D.Low carbohydrate diet

Ans:A

96.In which of the following condition,a nurse can anticipate the risk for ARDS in the patient?

A.Asthma

B.Heart failure

C.Chronic obstructive pulmonary disease

D.Septic shock

Ans:D

97.Captopril,an ACE inhibitor has been administered to a patient with heart failure,because it acts as

A.Potassium sparing diuretic

B.Volume expander

C.Vasodilator

D.Vasopressor

Ans:C

98.The goal of nursing care for a patient with acute myeloid leukemia is the prevention of

A.Liver failure

B.Haemorrhage

C.Renal failure

D.Arrhythmias

Ans:B

99.In the immediate post operative period of bilateral adrenalectomy,nurse should realize the probable cause of temperatue elevation as

A.Dehydration

B.Urinary tract infection

C.Wound infection

D.Poor lung expansion

Ans:D

100.Which of the following problem indicate suctioning in an infant with Tracheosphageal fistula?

A.Sub sternal retractions

B.Increased respiratory rate

C.Brassy cough

D.Decreased activity level

Ans:A

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