nursing-gandaki

प्रदेश लोक सेवा आयोग, गण्डकी प्रदेश

Nursing Officer (Level 7) Open Competitive Written Exam

Paper: First Paper (General Health & Nursing)

Key: C

Time: 1 Hour 15 Minutes

Total Marks: 100 (100 MCQ x 1 Mark)

1. Which of the following is a major strategy of the National Health Policy, 2076 to restructure the health system?

• A. Centralized health service delivery
• B. Federal structure implementation
• C. Privatization of public hospitals
• D. Focusing only on curative care

2. In concern to the responsibility of leader, obligation and answerable to one's action either right or wrong belongs to:

• A. Responsibility
• B. Autonomy
• C. Accountability
• D. Delegation

3. The leadership theory, holding that great leaders are born and that qualities of effective leadership are inherited, is concerned with which one of the following?

• A. Great man theory
• B. Trait theory
• C. Situational theory
• D. Scientific theory

4. The figure in which line of authority and responsibility are arranged which shows the positions of official people, what we can say to this figure?

• A. Organization
• B. Organizational chart
• C. Organizational figure
• D. Organizational structure

5. According to government policy, Nurse patient ratio per shift per ward is:

• A. 1:5 in general ward, 1:3 in pediatric ward, 1:2 in high dependency/intermediate ward/post-operative
• B. 1:8 in general ward, 1:6 in pediatric ward, 1:4 in high dependency/intermediate ward/post-operative
• C. 1:6 in general ward, 1:4 in pediatric ward, 1:2 in high dependency/intermediate ward/post-operative
• D. 1:10 in general ward, 1:2 in pediatric ward, 1:1 in high dependency/intermediate ward/post-operative

6. Importance of research in nursing is to:

• A. Identify weakness in research
• B. Identify only strength of research
• C. Promote nursing service
• D. Enhance nursing skill

7. Lottery method is used as:

• A. Quota sampling
• B. Simple random sampling
• C. Convenience sampling
• D. Snow ball sampling

8. The critical summary of research is known as:

• A. Hypothesis
• B. Abstract
• C. Literature review
• D. Conclusion

9. The first step in data processing to ensure that the data is clean and free from inconsistencies is:

• A. Coding
• B. Editing
• C. Tabulation
• D. Classification

10. Variables that are not the main focus of the study but may influence the dependent variable if not controlled are called:

• A. Independent variables
• B. Dependent variables
• C. Extraneous variables
• D. Operational variables

11. What role does nursing research play in professional advancement?

• A. It validates new nursing modalities
• B. It helps to increase hospital insurance
• C. It reduces the number of nurses needed
• D. It keeps nurses in the same role

12. The independent variable in the following hypothesis is: "Cancer patient who receive music therapy complain less frequently of pain & require less medication than cancer patients not receiving music therapy":

• A. Relaxation therapy
• B. Complaints of pain
• C. Pain medication use
• D. Music therapy

13. Which of the following is a non-probability sampling method?

• A. Simple-random sampling
• B. Stratified sampling
• C. Quota sampling
• D. Cluster sampling

14. A nursing officer conducted study on "Effect of hand hygiene training on hand hygiene compliance among nurses," what is the independent variable in this study?

• A. Nurses
• B. Hand hygiene compliance
• C. Hospital setting
• D. Hand hygiene training

15. The most rigorous, top-level study design used to test the effectiveness of an intervention is a:

• A. Qualitative study
• B. Cohort/longitudinal study
• C. Randomized controlled trail (RCT)
• D. Case control study

16. When a researcher uses every 3rd patient admitted to the emergency department, this is called:

• A. Simple random sampling
• B. Stratified sampling
• C. Systematic sampling
• D. Purposive sampling

17. Which of the following measures of central tendency is most influenced by extreme outliers?

• A. Mean
• B. Median
• C. Mode
• D. Range

18. Which of the following ethical aspects is least possible to maintain while collecting data through interview?

• A. Informed consent
• B. Privacy
• C. Confidentiality
• D. Anonymity

19. The quality of test instrument which gives consistent result when used repeatedly is known as:

• A. Relevance
• B. Validity
• C. Reliability
• D. Specificity

20. Planning phase of research process starts with:

• A. Identification of the population and setting for the study
• B. Development of the sampling plan
• C. Selection of the research design
• D. Specification of data collection method and instrument

21. Which of the following drug is considered the first-line, life-saving treatment for anaphylactic shock?

• A. Intravenous Hydrocortisone
• B. Epinephrine (Adrenaline)
• C. Promethazine
• D. Nebulized Salbutamol

22. Which of the following is the most common opportunistic infection in patients with AIDS?

• A. Tuberculosis
• B. Cholecystitis
• C. Cryptococcal meningitis
• D. Cytomegalovirus (CMV)

23. Which diet is most appropriate for a patient suffering from chronic glomerulonephritis to minimize nitrogenous waste?

• A. Low-protein, high-calorie
• B. High-protein, low-fat
• C. High-fiber, low-sodium
• D. Moderate-protein, low-potassium

24. Levamisole is used as an anticancer drug in the treatment of:

• A. Breast cancer
• B. Colorectal cancer
• C. Hodgkin's disease
• D. Leukemia

25. Among the following drugs which one is the most essential drug?

• A. Epinephrine
• B. Cetamole
• C. Amoxicillin
• D. Digene

26. Which of the following post partum disorders is correctly matched with its time of onset?

• A. Post partum blues within a few months of delivery
• B. Post partum depression-first week of delivery
• C. Post partum psychosis-within 2 weeks of delivery
• D. Post partum agitation- 12 months after delivery

27. What is the primary diversional therapy for a patient with severe depression?

• A. To provide entertainment
• B. To distract the patient from self-destructive thoughts
• C. To force patient to interact with others
• D. To replace medication

28. In the context of Nepal, what is a common mental health challenge following a disaster or crisis?

• A. Post-traumatic-stress disorder (PTSD)
• B. Narcissistic personality disorder
• C. Specific phobia
• D. Anorexia-nervosa

29. The medicine named Omeprazole is belongs to which group?

• A. Proton pump inhibitor (PPI)
• B. Antacid
• C. Antihistamine
• D. Antipsychiatric

30. The study of antigen and antibody interaction is called as:

• A. Haematology
• B. Cryobiology
• C. Serology
• D. Biometrics

31. All the following equipments of hospital can be sterilized by autoclaving except one is:

• A. Gloves
• B. Culture media
• C. Plastics
• D. Dressings

32. In a community setting, the nurse teaches a group of mothers about stress management for teenagers. This is:

• A. Primordial Prevention
• B. Primary Prevention
• C. Secondary Prevention
• D. Tertiary Prevention

33. Psychiatric nurses are legally responsible for:

• A. Providing emotional support
• B. Upholding patient rights, maintaining confidentiality (HIPAA) and obtaining informed consent
• C. Providing supportive therapy
• D. Providing treatment

34. The main symptom of depressive disorder is:

• A. Persistent anger
• B. Crying
• C. Persistent sadness
• D. Harming others

35. A 16 years old male is found to have mental age of 9. He has:

• A. Mild mental retardation
• B. Moderate mental retardation
• C. Severe mental retardation
• D. Profound mental retardation

36. The recommended daily allowance of Vitamin D is higher for older adults compared to younger mainly to support:

• A. Vision
• B. Blood clotting
• C. Bone health
• D. Muscle growth

37. A patient with severe anxiety is struggling to understand information. Which intervention is most appropriate for the nurse?

• A. Give long and detailed instructions
• B. Use short, clear, and simple sentences
• C. Leave the patient alone to calm down
• D. Focus on the patients' past failures

38. A patient in a psychiatric unit is acting out and appears to have lost touch with reality. The nurse should use which approach?

• A. Argue about reality of the patient's beliefs
• B. Validate the feelings but not the delusion
• C. Pretend to believe the delusion to gain trust
• D. Avoid talking to the patient

39. For the patient admission process in psychiatric ward, obtaining written informed consent is the ethical principle of:

• A. Veracity
• B. Justice
• C. Autonomy
• D. Beneficence

40. Which of the following is not responsibilities of the nurse as a counselor?

• A. To encourages patient/people to adopt new behavior
• B. To refer client to an appropriate facility for further management
• C. To persuade, force or tell a person to use a particular method/treatment
• D. To give complete and accurate informations as needs/demands

41. One of the component of holistic health care is:

• A. Physical
• B. Nutrition
• C. Fruits
• D. Exercise

42. The Pt says that he has pain that has a gradual onset, is diffuse, radiates & is associated with somatic pain from internal organs during various body activities. What term best describes this type of pain?

• A. Superficial pain
• B. Chronic pain
• C. Acute pain
• D. Deep pain

43. Which of the following is a key principle of holistic health care?

• A. Specializing in one system of the human body
• B. Prioritizing acute care over preventive care
• C. Treating the patient as a whole rather than focusing on a specific condition
• D. Limiting patient involvement in decision-making

44. What is a major issue contributing to nurses' shortages in Nepal?

• A. Over-supply of qualified nurses
• B. High job satisfaction and low pay
• C. Nurses migrating abroad for better opportunities
• D. Increased number of nursing education program

45. Which scenario best reflects evidence-based practice in the nursing process?

• A. Following routine care
• B. Asking senior nurse
• C. Ignoring guidelines
• D. Using research to update protocols

46. The self-care deficit theory was proposed by:

• A. Imogene king
• B. Virginia Henderson
• C. Betty Neuman
• D. Dorothea Orem

47. In Nepal, a child is legally defined as any person under the age of:

• A. 16 years
• B. 17 years
• C. 18 years
• D. 20 years

48. Being a nursing officer, you are applying Roy's Adaptation Model in caring a chronic ill patient, all of the following stimuli you need to be assessed except:

• A. Residual Stimulus
• B. Focal Stimulus
• C. Perceptual Stimulus
• D. Contextual Stimulus

49. Analysis, synthesis and critical thinking are included in which steps of nursing process?

• A. Assessment
• B. Nursing diagnosis
• C. Planning
• D. Implementation

50. All of the following practices support creativity in a classroom teaching except:

• A. Acceptance of imaginative answers
• B. Emphasis on brainstorming
• C. Emphasis on convergent thinking
• D. Tolerance to dissent

51. Which of the following statement made by a client in a spiritual distress that indicate a positive outcome to the nurse?

• A. I wish I were dead
• B. Why is god going this to me on?
• C. I don't care anymore
• D. I am going to start attending ritual activities with my family again after go back my home

52. The primary purpose for the regulation of nursing practice is to protect:

• A. The public
• B. Practicing nurse
• C. The employing agency
• D. Professional standard

53. The nurse incharge identifies a pt's responses to actual or potential health problems during which step of the nursing process?

• A. Assessment
• B. Nursing diagnosis
• C. Planning
• D. Evaluation

54. According to Nepal's organ transplant law, who is legally permitted to donate organs to a recipient?

• A. Any person for monetary compensation
• B. Only blood relatives
• C. Close relatives (spouse, son, daughter, father, mother, brother, sister) or authorized person
• D. Any voluntary donor, regardless of relation

55. What is considered an internal barrier to creative thinking in nursing?

• A. High workload & lack of time
• B. Rigid agency policies & regulations
• C. Fear of failure or emotional fatigue
• D. Lack of resources

56. What is a primary advantage often cited using alternative medicine approaches?

• A. They are always covered by insurance
• B. They generally have no side effects
• C. They offer personalized, holistic attention to the patient
• D. They are guaranteed to be faster than conventional medicine

57. When preparing a body for transport to the mortuary, what is the correct action regarding jewelry?

• A. Leave all jewelry on the body
• B. Remove all jewelry and keep it in the nursing station
• C. Remove jewelry, document it, and hand it to the family
• D. Give the jewelry to the security guard

58. All of the following are elements of ICN code of ethics for nurses, revised 2021 except:

• A. Nurse and patient or other people requiring care
• B. Nurses and the profession
• C. Nurses and global health
• D. Nurses and doctor

59. A nurse is caring for a client diagnosed with cystic fibrosis who is refusing to take a recommended nebulizer treatment. The client's refusal of treatment is classified as which of the following?

• A. A moral obligation
• B. A legal obligation
• C. An ethical right
• D. A basic human right

60. In which condition, a conceived lady be permitted to have abortion with her self consent?

• A. Up to 12 weeks of gestation in normal condition
• B. Up to 16 weeks of gestation in normal condition
• C. Up to 20 weeks of gestation in abnormal condition
• D. Up to 28 weeks of gestation in risk condition

61. The "Health Belief Model" is a framework used to understand:

• A. Health disparities
• B. Health behaviour
• C. Community development
• D. Health policy

62. Among the given statements, the suitable sentence for Drug Abuse is:

• A. A physiologic need for a drug
• B. A physiologic dependence on drug
• C. A compulsion to take drug continuous or periodic basis
• D. An excessive use of drug without acceptance of medical practice

63. When a client tells the nurse that their sickness is caused by "evil eye" of Dhami, Jhakri and other evil goddess, the nurse should:

• A. Dismiss it as superstition
• B. Explain that germs cause sickness
• C. Respect the belief and ask how they usually treat it
• D. Inform the doctor that the patient is delusional

64. Which of the following is a classic example of an ego defense mechanism where an individual suppresses bad memories to reduce anxiety?

• A. Projection
• B. Reaction Formation
• C. Repression
• D. Rationalization

65. The "4Ps" strategy used by international agencies & the Government of Nepal to combat trafficking includes, Prevention, Protection, Prosecution &:

• A. Penalty
• B. Publication
• C. Partnership
• D. Promotion

66. What is the definition of emotion regulation?

• A. Suppressing all emotions permanently
• B. Ignoring emotions completely
• C. Managing emotional reactions to achieve goals
• D. Expressing anger in a harmful way

67. The primary emergence of personality is demonstrated around the age of:

• A. 6 months
• B. 9 months
• C. 24 months
• D. 48 months

68. The Social Determinants of Health (SDH) include all of the following except:

• A. Income and social status
• B. Education and literacy
• C. Working conditions
• D. Genetic makeup

69. In biological treatments of substance abuse, an example of a user being weaned onto a weaker substance would be which of the following?

• A. Methadone maintenance programs
• B. Controlled drinking
• C. Barbiturate ban
• D. Amphetamine amnest

70. The best teaching method is:

• A. Lecture Method
• B. Group Discussion Method
• C. Teacher Centered Method
• D. Student Centered Learning

71. Being a nursing officer, you are going to conduct a clinical teaching your subordinate in a hospital which is commonly based on:

• A. Role play
• B. Discussion
• C. Group discussion
• D. Demonstration

72. Which type of evaluation is conducted during the instruction process to monitor learning progress and provide ongoing feedback?

• A. Placement evaluation
• B. Summative evaluation
• C. Diagnostic evaluation
• D. Formative evaluation

73. These are all concerned factors affecting teaching learning regarding teachers point of view one is not concerned, that is:

• A. Personal Attitude
• B. Teaching skills
• C. Subject competence
• D. Environmental setting

74. You are teaching the BSc Nursing students about the abdominal examination. Which of the following is the correct steps?

• A. Auscultation, Inspection, Palpation, Percussion
• B. Inspection, Auscultation, Percussion, Palpation
• C. Palpation, Percussion, Inspection, Auscultation
• D. Percussion, Palpation, Inspection, Auscultation

75. When teaching a client with illiterate and low literacy skills, which media is the MOST appropriate?

• A. A detailed printed pamphlet
• B. A verbal presentation with technical terms
• C. A short video demonstration with pictures
• D. A research article

76. One of the component of curriculum development is:

• A. Need assessment
• B. Periodical revision
• C. Teacher's interest
• D. Teacher's qualification

77. What is the implication of using a method that focuses on the why rather than how?

• A. There is the best method
• B. A typical one will be good for any subject
• C. These methods should be standardized for different subject
• D. Teaching methods should favour inquiry & problem solving

78. What is the primary purpose of symposium?

• A. To train beginners to a newskill
• B. To discuss a single topic with multiple experts
• C. To provide a festive social gathering
• D. To make on the spot decisions on a crisis

79. Which of the following is considered the most crucial criterion for a good evaluation tool?

• A. Practicability
• B. Objectivity
• C. Validity
• D. Reliability

80. Which teaching method is most effective for demonstrating the technique of self-administering insulin to a diabetic patient?

• A. Lecture
• B. Demonstration
• C. Group discussion
• D. Exhibition

81. A nurse educator is preparing a teaching session. Which factor is most essential to ensure the learner is ready to learn?

• A. High intelligence
• B. Strict teacher control
• C. Physical and mental readiness
• D. Use of high-tech equipment

82. According to revised Bloom's taxonomy, which of the following is the highest level of cognitive learning/domain?

• A. Application
• B. Analysis
• C. Evaluation
• D. Creation

83. These are all concerned to desirable physical learning environment meeting/fulfilling learning objectives as curriculum, one is not belongs to that is:

• A. Classroom setting
• B. Well cross ventilation
• C. Thermal balance of room
• D. Adequate facilitation by teachers

84. Using or keeping the Anecdotal record is useful for evaluation of students in:

• A. Classroom sesson
• B. Clinical/field field sesson
• C. Demonstration
• D. Skill lab

85. The type of teaching method where a group of 6-8 qualified experts discuss a topic in front of an audience is called:

• A. Group discussion
• B. Panel discussion
• C. Workshop
• D. Symposium

86. Process of helping subordinates to carry out their assign task in a desirable way is:

• A. Monitoring
• B. Supervision
• C. Communication
• D. Management

87. The style of supervision that relies heavily on strict rules, clear chains of command, and formal regulations is:

• A. Democratic
• B. Autocratic
• C. Bureaucratic
• D. Laissez-faire

88. An index containing brief records of active cases or crucial medical parameters on a ward desk for swift tracking is known as:

• A. Kardex System
• B. Ledger Log
• C. Inventory Roster
• D. Master Registry

89. Management functions are structured in sequence as:

• A. Planning, Organizing, Staffing, Directing, Controlling
• B. Organizing, Planning, Staffing, Directing, Controlling
• C. Planning, Staffing, Organizing, Directing, Controlling
• D. Staffing, Planning, Organizing, Directing, Controlling

90. How many types of form and register are being used for recording purposes in the health management information system (HMIS)?

• A. 26
• B. 30
• C. 34
• D. 38

91. The first step of controlling process in management is:

• A. Measuring the performance
• B. Establishing of performance
• C. Taking corrective action
• D. Determining deviation

92. Leadership is an act of:

• A. Manipulating
• B. Influencing
• C. Demanding
• D. Pressuring

93. Unity of command & span of management are factors most relevant to which supervisory function?

• A. Organizing
• B. Influencing
• C. Staffing
• D. Planning

94. What is the designated period for the second long term Health Plan (SLTHP) of Nepal?

• A. 1990-2010
• B. 1997-2017
• C. 2000-2020
• D. 1995-2015

95. Which of the following is a major emerging focus in Health Management?

• A. Control of communicable disease only
• B. Non-communicable disease management & screening
• C. Reducing the number of hospitals
• D. Stopping international collaboration

96. According to Tuckman's theory of group development, which stage is characterized by conflict, competition, and disagreement among team members?

• A. Forming
• B. Norming
• C. Storming
• D. Performing

97. A nurse supervisor identifies that medication errors have increased in the night shift. What is the BEST monitoring strategy?

• A. Increase surprise night inspections
• B. Replace all night shift staff
• C. Reduce night shift patient admissions
• D. Conduct root cause analysis and implement targeted interventions.

98. Which document formally defines the authority, responsibility, and accountability of a specific nursing position?

• A. Job specification
• B. Job description
• C. Job evaluation
• D. Job analysis

99. A Nursing Officer observes an ANM neglecting a patient. What should the Nursing Officer do?

• A. Intervene directly to correct the care
• B. Ignore it
• C. Report to the administrator immediately
• D. Wait for the end-of-month review

100. A nurse is conducting "triage" during a disaster. What is the main goal of this process?

• A. To provide comprehensive care to all
• B. To do the greatest good for the greatest number of people
• C. To identify the cause of the disaster
• D. To fill out documentation for insurance