Wednesday, April 24, 2019

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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Monday, April 22, 2019

Railway Staff Nurse Exam Model Questions with Answer

41.                 After gastrectomy, the patient has to continue a drug life long is
Ans:Vit B12

42.               Commonest causative organism of gas gangrene
Ans: clostridium

43.               Hallmark finding in the ECG of acute MI include
Ans: Elevating of ST segment in the leads overlying the area of infant

44.               The cardiac anomaly that produces a left to right shunt
Ans: ASD




45.                The principal factor that causes vaginal PH to be acidic is
Ans: the action of the doderlein bacillus

46.               Baby friendly hospital initiative is aimed at promoting
Ans: breast feeding

47.                Which of the following is not a psychiatric emergency
Ans: narcolepsy

48.               An exaggerated pathological fear of specific type of stimuli or situation
Ans: phobia

49.               One of the major drug therapies for bipolar disorder is
Ans: lithium carbonate

50.               Typical sign of trachea esophageal fistula is
Ans: continuous drooling of saliva

51.                  Poliomyelitis is transmitted by
Ans: Water

52.                Coexistence of two opposing towards the same person at the same time
Ans: ambivalence

53.                High doses of antibiotics can destroy the bacterial flora of the large intestine. This can result in impaired
Ans: blood coagulation

54.                The following is the primary nursing objective in caring a child with sickle cell anemia in vaso occlusive crisis
Ans: managing pain

55.                Which of the following is  a first rank symptom in schizophrenia
Ans: somatic passivity

56.                Drugs used to decrease gastric motility are
Ans: anticholinergics





57.                 Inferno is a drug of choice for
Ans: pernicious anaemia

58.               The most characteristic sign of a child with croup
Ans: barking cough

59.                The cells of the pancreas which secrete insulin is
Ans: beta

60.               Failure of the newborn to pass urine within the first 48 hours suggest
Ans: congenital defect

61.                 Low apgar score at 1 and 5 minutes are reliable markers for
Ans: need for resuscitation fo newborn

62.               Which is not a indication of amniocentesis
Ans: at 8 wks gestation for chromosomal study

63.               The following is the best method for performing a physical examination on a toddler
Ans: from least to most intrusive

64.               A primary power of lower
Ans: uterine contractions

65.                The following would be inappropriate when administering chemotherapy to a child
Ans: observing the child for 10 minutes to note for signs of anaphylaxis

66.               Blood flow in the upper extremity is assessed by;



Ans: Allen’s Test
67.                The diuretic phase of burns begins
Ans: 48-72 hours

68.               The health survey and development committee is
Ans: bhore committee

69.               Important health teaching for a patient with mitral valve replacement is
Ans: life long anticoagulant therapy

70.                Typical symptom of cushing’s syndrome include
Ans: truncal obesity, thin extremity and moon face

71.                  The normal sound elicited by percussing over the liver would be
Ans: dullness

72.                The best exercise the nurse should educate a patient with cystocoele
Ans: kegel’s exercise

73.                The life span of an adult mosquito is
Ans: 2 weeks




74.                The best TB control strategy under RNTCP is
Ans: DOTS

75.                 An effective drug for filariasis
Ans: DEC

76.                Birth weight of a baby double at
Ans: 6 months

77.                 For instilling ear drops to an infant, you will pull the pinna of the ear
Ans: back and downward

78.                The absence of one or more testes from the scrotum is
Ans: cryptorchidism

79.                Rabies is caused by
Ans: Lyssa virus




80.              Ascites due to cirrhosis liver is managed with the diuretic drug
Ans: aldactone

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