GMCH chandigarh staff nurse was conducted on 20-01-2019 for the various post of staff nurse. Here is the fully solved paper with rational wherever possible.The question was asked from all subjects related to nursing and also practical based question also asked in the exam
Gmch Previous Year Staff Nurse paper
Results
#1. An emergency room nurse is assessing a 22 year old male who has been using opioids. What symptoms indicate that the client has overdosed?
Pinpoint pupil (constricted pupil),hypotension ,bradycardia most commonly seen in opioids overdose
#2. Which of the following pairs is not the negative symptom of Schizophrenia?
option a,b,c comes in negative symptoms
#3. The nurse is providing a teaching session to a client who has ulcerative colitis. The nurse will instruct the client for which diet?
Patients has ulcerative colitis which indicates bloody diarrhoea ,low ,residue,lowfibre should be prescribed
#4. Which of the following categories would a 70 year old adult be placed in?
OPTION (A)-21-39YRS,
(B)-45-66YRS
(D)-3-5YRS
#5. Furosemide acts on which part of the nephron?
Ascending limp as it inhibits reabsorbtion of Na,cl so that it will excreated in urine
#6. A person with schizophrenia was found to repeat whatever words the psychiatric nurse was speaking. This behaviour can be labelled as:
imitation of language is echolalia
#7. After falling from a 10 feet ladder, a patient is brought to the emergency department. The patient is alert, reports back pain, and difficulty moving the lower extremities. Which additional observation is an indication the patient may be experiencing neurogenic shock?
Warm dry ,flushed skin ,bradycardia one of the important sign in neurogenic shock
#8. The nurse should instruct a patient who is to receive digoxin (Lanoxin) to report development of which of the following side effects?
Sensitivity of light most common as it causes flashes ,yellow hallo vision
#9. Which of the following does describe an obsession?
#10. While receiving blood transfusion the patient develops chills and headache. What should be the nurses initial action?
#11. Choose the most therapeutic response to Mr. Shyam’s question: “Am I going to die?”
Therapeutic response is to provide comfort to patient specific suggestions
#12. Which of the following would be a common indication of infiltration of a peripheral intravenous infusion?
COOL OEDEMA SWELLING is important sign of infiltration
#13. Ms. Babita is in the emergency room after being involved in a traffic accident. What would be an early sign of haemorrhagic shock?
Always early sign of shock is rapid heart rate
#14. Ms. Anita asks the nurse when she can start eating after surgery. What is the most appropriate response by the nurse?
Most important priority bowel sounds after surgery to start oral
#15. When caring for an infant during cardiac arrest, which pulse must be palpated to determine cardiac function?
#16. The evidence to assert, whether or not, experimental treatment/condition has made the difference refers to:
#17. Which nursing theorist believes that most patients are capable of performing self care?
OREM –self care deficit theory , LENINGER –Caring nursing knowledge and practice, ROY-Balance between biologically, ROGERS –client centred therapy –person to grow in genuine environemnt
#18. You are working in a paediatric unit of the hospital and caring for a six year old boy who is hospitalized with cystic fibrosis and respiratory compromise. Which developmental task is the challenge for this boy at his age?
AT 6 AGE the boy has industry versus inferiority (self confidence)
#19. During which week does the fetal heart begin pumping its own blood?
Baby heart start beating about 22days (3weeks)after women conceived ,but earliest to be seen by 5weeks by vaginal ultrasound
#20. Which type of cancer has the poorest prognosis?
AS PANCREATIC cancer diagnosed at late stage usually not show any symptoms in early stage and survival rate is only 8%
#21. The stages of infection in correct sequential order are:
#22. Which of the following is the best method to relieve constipation during pregnancy?
#23. Of the following, which disease causes most death worldwide?
#24. Which of the following is a vector of infection?
#25. An infant born with non-communicating hydrocephalus has just had a ventro peritoneal shunt inserted. In addition to neuromuscular assessments what measures should the nurse use in child’s care plan?
Since there is chance of shunt malfunction watch for early sign of icp and abdominal distension.
#26. Select the anatomic malformations associated with the Tetralogy of Fallot.
#27. Which of the following conditions is related to the development of renal calculi?
#28. Select the cranial nerve paired with its name correctly ?
#29. What could be the expected delivery date for the woman who got her last menstrual cycle on 20th April, 2018?
#30. A 4-year-old female child suffered severe bums in a house fire. How will you examine the extent of her bums?
#31. A female client who has just been diagnosed with hepatitis A asks, “How could I have got this disease?” What is the nurse’s best response?
FAECORAL
#32. Select the criterion that is coupled with its indication of gestational age or birth weight.
#33. Which of the following is paired correctly with its description about skeletal fracture?
#34. Which of the following signs and symptoms indicates salicylate toxicity?
Tinitis –ringing in ear
#35. Urinary bladders is lined with ___________?
Transititional epithelium- pseudostratified columnar epithelium –lungs,stratified –salivary glands,sweat glands
#36. Given below are the three types psychological investigations: (1) Field experiments, (2) Laboratory experiments, and (3) Ex post facto field studies. If the above investigations are arranged in descending order in terms of researcher’s ability to control secondary variance, the typical order would be:
#37. World Health Day is observed on
#38. A patient presents to the emergency department with a blood pressure of 180/130 mmHg headache, and confusion. Which additional finding is consistent with a diagnosis of hypertensive emergency?
HYPERTENSIVE EMERGENCY CAUSES TARGET ORGAN DAMAGE (TOD)
#39. Which of these assessment findings should the nurse expect to identify as an early clinical characteristic of multiple sclerosis (MS)?
Vision loss,diplopia earlest sign of multiple sclerosis
#40. A patient who has a history of chronic bronchitis is admitted to the medical unit. The nurse notes the red blood cell count is elevated. Which of these is likely contributing factor to this lab result in this patient?
CHRONIC hypoxia will stimulate erythropoietin to produce more red blood cells in bone marrow
#41. A patient has recently been diagnosed with leukaemia. Which of the following symptoms would a nurse expect to see given this diagnosis?
Most common symptoms of leukemia
#42. A paediatric patient has been diagnosed with right lower lobe pneumonia. Upon auscultation of this lung field, the nurse would expect to hear which breath sound?
RHONCHI or RALES most commonly seen in pneumonia on auscultation,stridor-laryngeal spasm,crackles-pulmonary oedema,wheezes -asthma
#43. The nurse anticipates the following laboratory study to assess the therapeutic effect in the client taking heparin intravenously:
Normal should be <90s if it >90s initiate bleeding precaution,PT-warfarin therapy.
#44. A nurse performs pre operative teaching for a client who is to have a cataract surgery. Which is most important instruction for the client she should render?
Avoid pain related activities which causes iris prolapse after cataract surgery
#45. Which of the following is not a potential source of acquired immunity?
#46. When teaching the care givers of a patient who has dementia of the Alzheimer type, a nurse should stress the importance of
Pedicable ans safe environment should be given patient has cognitive impairment become agitated,anxious quickly ,unable to do their own activity
#47. Which of the following describes the cognitive triad of depression?
#48. A 65-year-old patient with pneumonia is receiving Garamycin (Gentamicin). It would be most important for a nurse to monitor which of the following laboratory values in this patient?
Gentamycin causes renal toxicity and decrease creatine clearance
#49. A man is admitted to the Telemetry Unit for evaluation of complaints of chest pain. Eight hours after admission, the patient goes into ventricular fibrillation. The physici defibrillates the patient. The nurse understands that the purpose of defibrillation is to
VF can go to asystole if not defribrilllation ,further it purpose to activate SA NODE pacemaker to beat at normal rhythm ,option a- to decrese contractility,option c,d -provide oxygen not realted to defibrillation.
#50. A perception that occurs when a sensory stimulus is present but is incorrectly percei and misinterpreted is known as:
Imaginary perception with stimulus
#51. What is the age limit approved in COTPA bill for the sale of tobacco products and cigarettes in approved packaging?
#52. A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the client to do which of the following to prevent lithium toxicity:
HYPONATEREMIA precipates lithium toxicity, as exercise causes salt loses
#53. DOTS stands for
#54. Which of the following is responsible for the spread of dengue?
#55. Which of the following is true about the aim of sustainable development goals : goal 1:
#56. What is the term used for normal respiratory rhythm and depth in a client?
#57. Alarm, resistance, and exhaustion are concepts related to
#58. A client is in the late active phase of labour. Suddenly she tells the nurse she feels weak and dizzy. The nurse notes the drop in maternal B.P. and late decelerations of fetal heart rate. The initial action the nurse should be to:
#59. During which war did the United States ask for Florence Nightingale’s assistance in setting up military hospitals?
#60. Birth rate is:
#61. As per latest census sex ratio (the number of females per 1000 of males) of Chandigarh is reported to be…..
#62. This step of the nursing process includes the systematiabc collection of all subjective and objective data about the client in which the nurse focuses holistically on the client physical, psychological, emotional, sociocultural, and spiritual aspect.
#63. There are a number of risk factors associated with coronary artery disease. Which of the following is a modifiable risk factor?
#64. When administering single rescuer adult CPR, what is breaths-to-compressions ratio?
#65. Rashtriya Bal Swasthya Karyakram (RBSK) is a new initiative aiming at early identification and early intervention for children from birth to 18 years to cover 4 ‘D’s viz
#66. Which of the following actions should the nurse take to use a wide base support when assisting a client to get up in a chair?
ERGONOMICS PRINCIPAL
#67. During an arteriogram (angiogram), the patient suddenly says, “I m feeling really hot.” Which is the best response?
#68. A nurse receives report on four clients admitted to the emergency room. Who should she assess first?
#69. The healthcare provide is caring for a patient on a ventilator with an endotracheal tube in place. What assessment data indicate the tube has migrated too far down the trachea?
IF ET is migrated it always goes to right bronchus as it is little straight compare to left
#70. The doctor orders Zofran (ondesteron HCI) 8 mg PO t.i.d. The pharmacy sends a 100 ml bottle, labelled 4 mg/teaspoon. How many ml should be given for each dose?
As 1teaspoon containing 5ml =4mg,we need 8mg -5×2 10ml
#71. A patient who has experienced a stroke is being monitored during the acute management phase. The clinician notes that the patient’s intracranial pressure (ICP) is 30 mm Hg. Which of the following interventions should be taken first?
#72. A patient with a history of atrial fibrillation is scheduled for a left hip hemiarthroplasty at 09:00 AM. The health professional is administering 08:00 AM medications. Which of these medication orders should the nurse be concerned about?
Lmwh should be withheld 24hrs before
#73. The nurse is assisting a doctor with the removal of a central venous catheter. To prevent complications, the patient should be instructed to
Adsons maneuver is comes in thoracic outlet syndrome
#74. During an assessment of a patient’s abdomen, a pulsating abdominal mass is noted by the nurse. Which of the following should be the nurse’s next action?
As it causes abdominal aorta aneurysm
#75. When examining a patient with abdominal pain the nurse in charge should assess:
#76. The nurse is caring for a patient with cervical cancer. The nurse notes that the cervical implant has become dislodged. Which of the following actions should the nurse take first?
#77. A 68 year old women diagnosed with thrombocytopenia due to acute lymphocytic leukaemia is admitted to the hospital. The nurse should assign the patient to:
Reverse isolation
#78. Which nursing action is essential when providing continuous enteral feeding?
#79. Which one of the following is the correct formula for calculating a person’s body mass index (BMI)?
#80. Which action by the nurse in charge is essential when cleaning the area around a Jackson-Pratt wound drain?
option b-cleaning from periphery towards centre is in bedsore
#81. A patient is to receive 3,000 ml of 0.9% NaCl IV in 24 hours. The intravenous set delivers 15 drops per milli liter. The nurse should regulate the flow rate so that the patient receives how many drops of fluid per minute?
31 – 3000×15/24×60=31
#82. Nurse can minimize agitation in a disturbed client by:
#83. Physical assessment is being performed by a nurse. During the abdominal examination, nurse should perform the four physical examination techniques in which sequence:
#84. A client has just returned to a nursing unit after a cardiac catheterization performed using the femoral artery. The nurse places the client in which position?
#85. A nurse auscultates the heart of Anu, a 21-year-old female. Anne seeks a consultation for dizziness and easy fatigability. During assessment, the nurse identifies a mid-to-late systolic click followed with mid-to-late systolic murmur at the cardiac apex. The murmur gets louder when Anne stands up. Based on these findings, Anu is most likely considered for which of the following cardiac problems?
#86. While doing the tracheal suctioning of a patient, the suction should be applied….
#87. A nurse gives a double dose of acetaminophen (Tylenol) to a client who only requires single dose. What, if anything, must the nurse do?
#88. Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?
#89. After assessing the client, the nurse formulates the following diagnoses Place them in order of priority, with the most important (classified as high) listed first. 1. Constipation 2. Anticipated grieving 3. Ineffective airway clearance 4. Ineffective tissue perfusion
#90. You come upon an unconscious victim with a palpable pulse. He does not appear to be breathing. You are unable to deliver the first breath. What is the next step?
As there is respiratory arrest
#91. A nurse is caring for a client who expresses active suicidal ideations. Which of thefollowing should be the nurses’s action?
#92. Where should you place the AED pads on an adult victim?
#93. A nurse is assessing a pregnant client for the presence of ballottement. To make this determination, the nurse does which of the following?
#94. The nurse is caring for a 10-year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is
Normal -0.5ml/kg/hr