Railway Staff Nurse Exam Questions with Answer- June 2019

Q# 1. When cleaning the inner eye, it is important to remember to move the mittcloth in the direction:
a. From bottom to top of eye.
b. From top to bottom of eye.
c. From inner to outer canthus.
d. From outer to inner canthus.
Answer:-c. From inner to outer canthus.

Q# 2. A partial bath to the genitalia area is given by turning the patient:
a. On his back to the near side of the bed, and placing the towel under his hips.
b. On his side and far side of the bed, and placing the towel under his hips.
c. On his back to the far side of the bed, and placing the towel under his hips.
d. On his stomach to the far side of the bed, and placing the towel under his  stomach.



Answer:-a. On his back to the near side of the bed, and placing the towel under his hips.

Q# 3. Caring for the hands and feet require filling the basin full of water at:
a. 110 to 120ºF.
b. 100 to 110ºF.
c. 90 to 100ºF.
d. 120 to 130ºF.
Answer:-b. 100 to 110ºF.

Q# 4. 1-Lamina terminalis
 A:-Forms the anterior wall of third ventricle
 B:-Is in the roof of third ventricle
 C:-Forms the floor of third ventricle
 D:-Is in the roof of fourth ventricle
Answer:-   A:-Forms the anterior wall of third ventricle

Q# 5. To insert the catheter into the female, with sterile gloves insert through urinary
 meatus:
a. 1 to 2 inches (2.5 to 5 cm).
b. 5 to 7 inches (12 to 17.5 cm).



c. 3 to 5 inches (7.5 to 12 cm).
d. 2 to 3 inches (5 to 7.5 cm)
Answer:-d. 2 to 3 inches (5 to 7.5 cm)

Q# 6. Which does not cause hydrops fetalis?
 A:-Syphillis
 B:-ABO incompatibility
 C:-Rh isoimmunisation
 D:-None of the above
Answer:-  B:-ABO incompatibility

Q# 7. The backrub is usually administered:
a. During the patient's bath.
b. After the patient's bath.
c. Before the patient's bath.
d. When the patient is going to sleep.
Answer:-b. After the patient's bath.

Q# 8. To move a patient away from you, let the arm holding the patient slide on the
surface away from you while:
a. You shift your weight forward from rear to front foot.
b. You shift your weight backward from front to rear foot.
c. You shift your weight equally on each foot.
d. None of the above.



Answer:-a. You shift your weight forward from rear to front foot.

Q# 9. When making the bed, you should:
a. Go around the bed and miter all corners.
b. Go around the bed again and tuck the surplus sheet under the mattress.
c. Fold the blanket edge under the top sheet edge of the spread.
d. Complete one side before going to the other.
Answer:-d. Complete one side before going to the other.

Q# 10. The bed rest position where the patient is flat on the abdomen, legs extended, feet
over the edge of the mattress, and toes pointed to the floor is the:
 a. Lateral position.
 b. Fowler position.
 c. Supine position.
 d. Prone position.
Answer:- d. Prone position.
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Handwashing Technique Related Nursing Questions with Answer

1. Before you begin working with patients, you should perform a:
a. one-minute handwash.
b. two-minute handwash.
c. three-minute handwash.
d. five-minute handwash.

2. Which is not one of the purposes of the two-minute handwashing procedures?
a. Maintain safe, clean environment for patients.
b. Prevent nosocomial infection.
c. Prevent cross-contamination or spread of microorganisms.
d. Destroy all microorganisms to prevent their transmission.




 3.  You should turn off the faucet with:
a. The towel used for drying your hands.
b. A clean, damp paper towel.
c. A dry paper towel.
d. Either of the above.

4. Before caring for another patient, a _________________ handwash should be  sufficient.
a. 30-second.
b. one-minute.
c. two-minute.
d. five-minute.

5. The ________________ handwash should be appropriate if you have handled organic materials or a contaminated object.
a. 30-second.
b. one-minute.
c. two-minute.
d. five-minute.

6. The first step in performing the two-minute handwash is:
a. Inspect hands, observing for visible dirt.
b. Assess areas around the sink.
c. Determine contaminate of hands.
d. Explain to the patient the importance of handwashing.




7. Remove all jewelry for the handwash except:
a. Diamonds.
b. Necklaces.
c. Plain wedding bands.
d. Your watch.

ADMINISTERING A TEPID SPONGE BATH FOR TEMPERATURE REDUCTION

ADMINISTERING A TEPID SPONGE BATH FOR TEMPERATURE REDUCTION

I. General. A patient whose temperature reaches 102.2ºF will usually develop flush color, very warm and moist skin, and an accompanying headache. A tepid sponge bath may be recommended to reduce body temperature. Desired temperature reached is 99.6ºF.
II. Important Points.
(1) Remind the patient to call for assistance when getting up. The combination of the elevated temperatures and sponge bath could weaken the patient.
(2) Check the patient's temperature, blood pressure, and heart rate every 15 minutes.
(3) Maintain a level of privacy.



III. Procedure.:
(1) Observe patient for elevated temperature. Review physician's orders.
(2) Explain the procedure to patient.
(3) Prepare the equipment:
(a) Bath basin.
(b) Tepid water (37ºC; 98.6ºF)
(c) Washcloth (4).
(d) Bath thermometer.
(e) Bath blanket.
(f) Patient thermometer.
(4) Provide privacy; wash hands.
(5) Cover patient with blanket, remove gown, and close windows and doors.
(6) Test the water temperature. Place washcloths in water and then apply wet cloths to each axilla and groin.
(7) Gently sponge an extremity for about 5 minutes. If the patient is in tub, gently sponge water over his upper torso, chest, and back.
(8) Continue sponge bath to other extremities, back, and buttocks for 3 to 5 minutes each. Determine temperature every 15 minutes.
(9) Change water; reapply freshly moistened washcloths to axilla and groin as necessary.
(10) Continue with sponge bath until body temperature falls slightly above normal. Discontinue procedure according to SOP.



(11) Dry patient thoroughly, and cover with light blanket or sheet.
(12) Return equipment to storage, clean area, and change bed linens as necessary. Wash hands.
(13) Record time procedure was started, when ended, vital signs, and patient's response.


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Nursing Questions based on patient- Find the Answer

Here is a list of Questions based on a Patients data... There are 8 Questions, find the answer and comment in the comment box.

Questions 1 to 8 are about Vrinda shetty, aged 45 years, who is an arranged admission to the ward for a surgical investigation, where you are working as an enrolled nurse.

1. Vrinda shetty’s blood pressure, pulse, respiration rate and temperature are recorded
on admission. The reason for this is
a) to give an indication of Vrinda shetty’s usual baseline recordings.
b) to indicate whether Vrinda shetty is a suitable for surgery.
c) to observe how anxious Vrinda shetty is.
d) because it is routine for all admissions.
Before surgery Vrinda shetty must sign an informed consent form for the operation.

2. Which of the following conditions must be met, to ensure the validity of Vrinda shetty’s consent for the operation?



a) Her relatives must have knowledge of the procedure to be performed.
b) The agreement must be witnessed by a registered medical practitioner.
c) The consent must be obtained at least an hour before surgery is begun.
d) She must have sufficient information to make an informed decision.

3. You are working as part of a multidisciplinary/interdisciplinary team. Your role in this team is
a) to rely on the registered nurse to give the team information about the clients you are providing care to.
b) as an active participant in decision making around the delivery of care. c) to ensure client documentation is complete.
d) to carry out orders given by team members.

4. Vrinda shetty is to have nothing to eat or drink prior to surgery. This is necessary to
a) assist in the proper absorption of the anesthetic.
b) prevent nausea and vomiting immediately after surgery.
c) avoid the danger of her inhaling stomach contents.
d) avoid incontinence during surgery.




5. Vrinda shetty says to you “I’m afraid of the surgery”. You should
a) call the hospital chaplain to come talk with her.
b) listen and use reflective communication skills.
c) change the subject to something positive.
d) call the family and report her concerns to them.

Vrinda shetty complains of severe pain. She is prescribed morphine 8 mg 2-3 hourly PRN.
Ward stock of morphine is 10 mg in 1 ml.

6. Which of the following quantities of morphine should be drawn up for Vrinda shetty?
a) 0.08 ml.
b) 0.25 ml.
c) 0.75 ml.
d) 0.80 ml.

7. Following surgery, Vrinda shetty is turned frequently until she is able to turn herself.
The main reason for turning her frequently is to
a) change the wound dressing
b) relieve pressure on her bony prominences
c) prevent deep vein thrombosis
d) prevent oedema of the lungs.




8. You find Vrinda shetty lying on the floor of her room. What is the first action you
should take when you discover Vrinda shetty?
a) Gently lift up Vrinda shetty and put her to bed.
b) Stay with Vrinda shetty and call for help.
c) Find out if Vrinda shetty has pain when weight bearing.
d) Assess Vrinda shetty injuries before sitting her in a chair.


Railway Staff Nurse Exam Questions 11-25

Railway Staff Nurse Exam Questions with answers (11-25)- April/May 2019 published by www.nursingwork.in 11- Which of the following is the meaning of PRN?
a) When advice
b)When necessary
b) Immediately
d)Now
12- The following is the most important purpose of documentation?except
a) To Communication
b)To Reimbursement
b) To Quality assurance
d)To provide comfort



13- The nurse is preparing to take vital sign in an alert client admitted to the
hospital with dehydration secondary to vomiting and diarrhea. What is the best
method used to assess the client’s temperature?
a) Oral
b) Axillary
c) Radial
d) Heat sensitive tape

14- A patient asks you what vitamin is best for eye sight. Your response is:
a) Vitamin C
b) Vitamin A
c) Vitamin B6
d) Vitamin B12

15- At the end of the shift, the nurse realizes that she forgot to document a dressing
change that she performed for a patient. Which action should the nurse
take?
a) Complete an occurrence report before leaving.
b) Do nothing; the next nurse will document it was done.
c) Write the note of the dressing change into an earlier note.
d) Make a late entry as an addition to the narrative notes.



16- The nurse is to administer an iron injection to an adult. How should this be
administered?
a) Subcutaneous in the arm
b) Intradermal in the forearm
c) Intramuscular in the deltoid
d) Z track intramuscular in the gluteal

17. A client has been admitted to a nursing home, and the nurse completes an
assessment. Which finding might lead the nurse to suspect a nutritional alteration?
a) Eye clear
b) Shiny hair
b) Ridged nails 
d) Moist conjunctiva
18.  According to Maslow’s hierarchy of human needs, the highest level is
a) Physiologic needs
b) Safety and security
c) Belongingness and affection and esteem and self-respect
d) Self-actualization




19- The nurse prepares IM injection that is irritating to the subcutaneous tissue.
Which of the following is the best action in order to prevent tracking of the
medication
a) Use a small gauge needle
b) Apply ice on the injection site
c) Administer at a 45° angle
d) Use the Z-track technique

20- Mr. Ahmed has just been admitted to your floor with onset of disruptive
behavior due to unknown cause. He is prescribed haloperidol 2.5 mg
intramuscularly now. The pharmacy dispenses haloperidol for injection in the form
of 5 mg/mL. How much medication do you draw up to give to Mr. Ahmed?
a) 2 mL.
b) 5 mL.
c) 0.5 mL.
d)12.5mL.




21-To assessment of immobilized patient focus on the following except
a) range of motion
b)activity tolerance
c ) body alignment
d )Psychological condition

22-The nursing process is utilized to:
a) Provide a systemic, organized and comprehensive approach to meeting the needs of clients.
b) Encourage the family to make decisions regarding patient's care.
c) Increase involvement of allied healthcare professionals in decision-making
d) None of the above

23-Non verbal massage is a mode of communication that include the following except
a) Tone& pitch of voice 
b) Facial expression
c) Gesture d) Touch

24. Independent nursing intervention commonly used for immobilized patients include all of the following except:
a. Active or passive ROM exercises, body repositioning, and activities of daily living (ADLs) as tolerated
b. Deep-breathing and coughing exercises with change of position every 2 hours
c. Diaphragmatic and abdominal breathing exercises and increased hydration
d. Weight bearing on a tilt table, total parenteral nutrition, and vitamin therapy

25. An instrument placed against a patient's chest to hear both lung and heart sounds.
a) stethoscope 
b)otoscope
c) sphygmomanometer
d)telescope


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Railway Staff Nurse Exam Model Questions with Answer

The Railway Recruitment Board is Planned to conduct Staff Nurses Recruitment Examination in the month of June, following Questions are useful for preparing to attend the Online Exam

1- All the following are Patient’s responsibilities, except
a) Providing information
b) Complying with instructions
c) Give different kind of care
d) Following hospital rules and regulations

2- Objective data might include:
a) Chest pain. b) Complaint of dizziness.
C) An evaluation of blood pressure. d) None of the above


3-Changes that occur in musculoskeletal system due to immobility
a) decrease muscle endurance ,strength and mass
b) Change in calcium metabolism with hyper calcium result in renal calculi
c) Alteration in calcium,fluid and electrolyte
d) Non of the above

4- All the following are indicative physical signs of poor nutrition are all, except
a) Dental caries, mottled appearance (fluorosis), malpositioned
b) Brittle, depigmented, easily plucked; thin and sparse hair
 c) Tongue - deep red in appearance; surface papillae present
d) Spongy, bleed easily, marginal redness, recession gums

5- Development of an infection occurs in a cycle that depends on the presence of all
the following elements except:
a) Causative agent, a portal of entry
 b) Source for pathogen growth
 c) Health care worker
 d) A portal of exit, a mode of transmission, a susceptible host




6- All the flowing are essential standard precautions used in the care of all
patients irrespective of whether they are diagnosed infectious or not ,except one
a) Hand hygiene
b) Improper sharps and waste disposal
c) Personal protective equipment
d) Aseptic techniques

7- Which of the following is the appropriate route of administration for insulin?
a) Intramuscular b) Intradermal
c) Subcutaneous d) Intravenous

8. The nurse is working on a unit that uses nursing assessment flow sheets. Which statement best describes this form of charting?
a) Are comprehensive ch arting forms that integrate assessments and nursing actions
b) Contain only graphic information, such as I&O, vital signs, and medication administration
c) Are used to record routine aspects of care; they do not contain assessment data
d) Contain vital data collected upon admission, which can be compared with newly collected data

9- There are many different nursing education programs throughout the world
that prepares nurses which of these program is type of basic Nursing Programs
 a) Diploma/Certificate Programs
 b) Baccalaureate Degree Programs in Nursing
 c) Master's Degree Programs in Nursing
 d) Doctoral Programs in Nursing

10- The nurse is orienting a new nurse to the unit and reviews source-oriented
charting. Which statement by the nurse best describes source-oriented charting?
 a) Separates the health record according to discipline
b) Organizes documentation around the patient's problems
c) Highlights the patient's concerns, problems, and strengths
d) Is designed to streamline documentation

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