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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