Friday, May 31, 2019

Staff Nurses Recruitment Exam Model Questions -Railway

Q. No. 1. The patient who can help himself during routine mouth care should:
a. Place the toothbrush in the cabinet and allow it to thoroughly dry before the  next use.
b. Disinfect the toothbrush and place it in the cabinet.
c. Rinse the toothbrush thoroughly under running water and allow it to air dry.
d. Place the toothbrush in a glass of clean water when it is not in use.
Answer: c. Rinse the toothbrush thoroughly under running water and allow it to air dry.

Q. No. 2. Posture is:
 a. Standing.
 b. Sitting erect.
 c. Walking.
 d. Body alignment.
Answer:  d. Body alignment.



Q. No. 3:-Paranasal sinus not present at birth is
A:-Frontal
B:-Ethmoid
C:-Maxillary
D:-Sphenod
Answer:- C:-Frontal

Q. No. 4. The specialist will massage the patient's back for:
a. 1 minute.
b. 3 to 5 minutes.
c. 2 to 4 minutes.
d. 2 to 3 minutes.
Answer: b. 3 to 5 minutes.

Q. No. 5. Place the pillow neatly at the head of the bed:
a. Having the excess pillowcase tucked under and facing the nearest wall.
b. Having the open end of the case toward the door.
c. With approximately half of the pillow over the head of the blanket.
d. With the open end of the case away from the door.
Answer: d. With the open end of the case away from the door.




Q. No. 6. The purpose of administering the tepid sponge bath is to:
a. Maintain the patient's body temperature.
b. Raise the patient's body temperature.
c. Lower the patient's body temperature.
d. Lower the patient's blood pressure.
Answer: c. Lower the patient's body temperature.

Q. No. 7. To turn a patient on his side, when you are working alone, always:
a. Turn the patient toward the outer edge of the bed.
b.  Turn the patient toward you.
c. Turn the patient toward the center of the bed.
d. Turn the patient away from you.
Answer: b.  Turn the patient toward you.

Q. No. 8 :-Which of the following pineal region tumours show elevated levels of β HCG in CSF?
 A:-Embryonal carcinoma
 B:-Yolk sac carcinoma
 C:-Immature teratoma
 D:-Germinoma
Answer:  D:-Germinoma




Q. No. 9. Stool specimens are collected to identify:
 a. Ova.
 b. Parasites.
 c. Bacteria.
d. All of the above.
Answer: d. All of the above.

Q. No. 10. You should change bath water when it becomes:
a. Extremely soapy, dirty, or too clear.
b. Warm, excessively soapy, or dirty.
c. Cold, dirty, or excessively soapy.
d. Dirty, old, or too cold.
Answer: c. Cold, dirty, or excessively soapy.

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Monday, May 20, 2019

Railway Staff Nurse Exam Model Questions with Answer

Question No. 1:-Which vitamin deficiency in antenatal period is associated with congenital neural tube defects?
 A:-Vitamin K
 B:-Vitamin D
 C:-Thiamine
 D:-Folic acid
 Correct Answer:- Option-D

Question No. 2:-Tullio phenomenon seen in
 A:-Glomus tumor
 B:-Menieres disease
 C:-Acoustic tumor
 D:-Glue ear

 Correct Answer:- Option-B

Question No. 3:-The polio vaccine should be preserved at
 A:-2 to 8 degree Celsius
 B:--2 to -8 degree Celsius
 C:-0 to 4 degree Celsius
 D:-Below 0 degree Celsius
 Correct Answer:- Option-B

QQuestion No. 4:-For a 42 year old Male driver with Right hemiplegic stroke, in ability to put on a dress is
 A:-Impairment
 B:-Participation
 C:-Rehabilitation
 D:-Activity limitation
 Correct Answer:- Option-D

Question No. 5:-Not a sign of early pregnancy
 A:-Lemon sign
 B:-Ossianders sign
 C:-Piskacek's sign
 D:-Palmers sign
 Correct Answer:- Option-A

Question No. 6:-NACO is the programme for
 A:-TB
 B:-STD
 C:-AIDS
 D:-All of the above
 Correct Answer:- Option-C

Question No. 7. Vaccines may cause allergic reactions in those who have sensitivity.
A. antibiotics
B. seafood
C. egg
D. meat
E. pork

Question No. 8:-Auspitz sign is seen in
 A:-Lichen planus
 B:-Psoriasis
 C:-Pityriasis rosea
 D:-Pityriasis rubra pilaris
 Correct Answer:- Option-B

Question No. 9:-Television and sound films are the example of
 A:-Auditory aids
 B:-Visual aids
 C:-Combined audio visual aids
 D:-None of the above
 Correct Answer:- Option-C

Question No. 10:-IQ range of mild Intellectual Disability is
 A:-50 - 70
 B:-90 - 110
 C:-70 - 90
 D:-30 - 50
 Correct Answer:- Option-A

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Tuesday, May 7, 2019

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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Sunday, May 5, 2019

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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Thursday, May 2, 2019

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.