Here we are providing NIMHANS Nursing Officer Previous Year solved Paper Of year 2019. You can practice the Paper, and check the correct solutions in the PDF provided at end.
National Institute of Mental Health and Neuro-Sciences (NIMHANS) is the apex centre for mental health and neuroscience education in the country, located in Bangalore, India.
NIMHANS (N0) 2019 (Memory Based)
1. Antidepressant used in children for depression:
a. Amitriptyline
b. Imipramine
c. Fluoxetine
d. Methylphenidate
2. Contraindications for Lumbar Puncture include:
a. Increase ICP
b. Suspected meningitis
c. Guillain-Barre syndrome
d. All of the above
3. Volume of Enema solution for infants:
a. 100-200 ml
b. 200-300 ml
c. 300-400 ml
d. 400-500 ml
4. Global loss of memory cognition and personality is known as:
a. Delirium
b. Conversion disorder
c. Dissociative disorder
d. Alzheimer type dementia
5. Most reliable index of cerebral status:
a. Pupil response
b. Level of consciousness
c. Deep tendon reflexes
d. Muscle strength
6. A client is admitted with a head injury. He has a GCS score of 3-5-4, The Nurse’s understanding of this test is that the client…….
a. Can follow simple commands
b. Will make no attempt to vocalize
c. Is able to open his eyes when spoken to
d. ls unconscious
7. Clear fluid draining from the Nose and ear is indicative of:
a. Basilar skull fracture
b. Otitis media
c. Cerebral edema
d. Rhinorrhea
8. Spinal cord injury patients will develop:
a. Preservation of bowel control
b. Cullen’s sign
c. Battle’s eye
d. Loss of bladder control
9. Symptoms of increased ICP in infant:
a. Vomiting and nausea
b. Irritability
c. Depressed fontanelle
d. Vomiting and Diarrhea
10. Patient with Increased ICP is receiving Inj. Mannitol. The Nurse’s understanding about the reason for administration
a. It reduces the secretion of CSF
b. It increases the urine output
c. It shifts the fluid by osmosis thus decrease the ICP 20,
d. All of the above
11. Third stage complications of labor is all except:
a. Retained Placental Fragments
b. Pulmonary embolism.
c. Obstructed labor
d. PPH
12. Absence to develop valve between the right atrium and right Ventricle is known as:
a. Mitral stenosis
b. PDA
c. Tricuspid atresia
d. Pulmonary stenosis
13. Antidepressant used in children for depression:
a. Amitriptyline
b. Methylphenidate
c. Imipramine
d. Fluoxetine
14. Signs of imminent eclampsia:
a. BP > 160 mm hg
b. Nausea
c. Headache
d. AII of the above
15. Earliest sign of myasthenia gravis is:
a. Ptosis
b. Diplopia
c. Ascending weakness
d. Presbycusis
16. Sausage shape mass in abdominal palpation indicates:
a. Pyloric stenosis
b. Appendicitis
c. Intussusception
d. Hernia
17. Home visit planning will be based on:
a. Need of the nurse
b. Need of the client
c. Financial status of the patient
d. Whenever nurse feels
18. What is public health nursing?
a. Providing care to the client who is not in hospital
b. Providing free treatment in the hospital
c. Primary focus is on advanced surgical interventions
d. All of the above
19. Which of the following is not an antipsychotic medication?
a. Haloperidol
b. Imipramine
c. Risperidone
d. Olanzapine
20. Immediate management of Wernicke’s encephalopathy:
a. Administer Inj Thiamine
b. Ordering EEG
c. Administer Steroids
d. Tab Disulfiram
21. Delusion of grandiosity is present in:
a. Depression
b. Mania
c. Dissociative disorder
d. Schizophrenia
22. Therapeutic dosage of lithium:
a. 300 – 600 mg/day
b. 500 800 mg/day
c. 900 – 2100 mg/day
d. 2000 – 3000 mg/day
23. Which of the following drug is an antidote of opioids?
a. Fluphenazine
b. Flumazenil
c. Benzodiazepines
d. Naloxone
24. Asthma is a/an:
a. Anaphylactic reaction
b. Fluid accumulation in pleura
c. Inflammatory disease
d. Infection
25. Vomiting will cause:
a. Metabolic acidosis
b. Metabolic Alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis
26. Fluid replacement preferred in hypovolemic shock is:
a. Hypotonic crystalloid
b. Isotonic crystalloid
c. Hypertonic crystalloid
d. All of the above
27. Dose of RhoGAM is ……..
a. 300 mcg IM within 24 hours after delivery
b. 200 mcg IM within 24hours after delivery
c. 100 mcg IM within 24 hours of delivery
d. 75 mcg IM within 24 hours of delivery
28. Purpose of antiretroviral therapy is to:
a. Cure HIV disease
b. Reduce viral RNA load
c. Prevent HlV disease
d. All of the above
29. Postoperatively, urine sample to be sent for:
a. Pus cells
b. Sugar
c. Protein
d. Albumin
30. Drug of choice for trigeminal neuralgia:
a. Lorazepam
b. Naproxen
c. Carbamazepine
d. Morphine
31. What is often the first symptom of Parkinson disease?
a. Headache
b. Nausea
c. Shaking of hand or foot
d. Turning of head
32. Parkinsonism is a/an:
a. Inflammation of nerve pathway
b. Autoimmune disorder
c. Degenerative disorder
d. Nutritional deficiency disorder
33. Sign of Guillain-Barre syndrome include:
a. Weakness
b. Diplopia
c. Muscle rigidity
d. Tremors
34. False fixed belief/ideas is known as:
a. Hallucinations
b. Delusions
c. Illusions
d. Confabulation
35. Physiological jaundice occurs between:
a. 0-24hrs
b. 0-72hrs
c. 24-72hrs
d. After 72 hours
36. Normal head circumference at birth:
a. 30 cm
b. 35 cm
c. 40 cm
d. 45 cm
37. Management of hypernatremia includes:
a. Restrict water
b. Administer furosemide
c. Free water through RT or by mouth
d. Administer Normal saline
38. Teaching parents of autistic child should include:
a. Be consistent
b. Change the routine frequently
c. Set limits
d. All of the above
39. How long does an ovum viable after ovulation?
a. Less than 12 hours
b. 12-24hours
c. 24- 48 hours
d. 48 – 72 hours
40. Reflex which present at 9 months of age is all except:
a. Tonic neck reflex
b. Parachute reflex
c. Swallowing
d. Sucking
41. Disulfiram ethanol reaction is characterized by:
a. Bradycardia, sweating and hypertension
b. Headache, hypotension, chest pain
c. Hypertension, bradycardia and blurred vision
d. Tachypnea, hypertension and vomiting
42. Ligament which is present in pectoral fascia of breast.
a. Cooper’s ligament
b. Round ligament
c. Broad ligament
d. Linear ligament
43. Characteristics of malignancy includes:
a. Controlled growth
b. Defined margin
c. Invasiveness
d. All of the above
44. Nurse educator teaching about Pain management is:
a. Patient can adjust with meter dose based on pain
b. Modification of pain killer post operatively
c. Doctor orders pain killer based on the patient need
d. All of the above
45. Specific test for varicose veins:
a. Allen’s test
b. Homan’s test
c. Kerning’s test
d. Trendelenburg test
46. Which is characterized by recurrent recollection flash backs/image/thoughts in dream:
a. Acute stress disorder
b. Post – traumatic stress disorder
c. Psychosomatic disorder
d. Sleep disorder
47. Preoccupation with details/rules, lists, order is seen in which type of personality:
a. Narcissistic
b. Histrionic
c. Obsessive – compulsive
d. Borderline
48. Cluster A of the personality disorder includes which disorders?
a. Antisocial, narcissistic, and borderline
b. Paranoid, schizotypal and schizoid
c. Avoidant, obsessive and dependent
d. Avoidant, schizoid and antisocial
49. Discharge teaching of paraplegic patient for homecare:
a. Intermittent catheterization
b. Percutaneous nephrostomy
c. Suprapubic catheterization
d. Heal conduit
50. Sacralization is a frequent cause of:
a. Paraplegia
b. Hemiplegia
c. Paresthesia
d. Inclination dystocia
51. Type-I hypersensitivity is a/an:
a. Antibody dependent process
b. Anaphylactic reaction
c. Cell mediated process
d. Delayed hypersensitivity
52. Major cause of mortality associated with anorexia nervosa is:
a. Obesity
b. Malnutrition
c. Electrolyte imbalance
d. Nausea and vomiting
53. Drug of choice for catatonia?
a. Benzodiazepines
b. Haloperidol
c. Carbamazepine
d. Sodium Valproate
54. Presbyopia is:
a. Short sightedness
b. Far sightedness
c. Changes in curvature of the lens
d. Retinal detachment
55. Signs of ectopic pregnancy include:
a. Painless vaginal bleeding
b. Sharp abdominal pain
c. Rebound tenderness
d. Boggy abdomen
56. Fertilization takes Place in:
a. Ovary
b. Uterus
c. Cervix
d. Fallopian tube
57. Nursing intervention appropriate for patient with increased ICP:
a. Provide supine position to the client
b. Use bright lights in the room
c. Elevate the head end 15-30 degree
d. 2 hourly suctioning
58. Directive counselling is also known as:
a. Client oriented counseling
b. Personal counseling
c. Group counselling
d. Counselor centered or prescriptive counselling
59. Which of the following advice is appropriate for a mother who refuses to immunize her baby?
a. Vaccines are expensive and here you get it free
b. Immunization is okay for your child
c. It is up to you if your baby get illness
d. Vaccines will prevent diseases
60. Most appropriate nursing action to a depressed client who do not want to join a group is to:
a. Tell her the rules of the unit
b. Better get out of bed or she will be hungry
c. Tell her that the nurse will assist her out of bed and help her to dress
d. Allow her to remain in bed until she feels ready to join the other patients
61. Optimum bed occupancy of hospital is:
a. 80%
b. 85%
c. 90%
d. 95%
62. Hand washing day observed on:
a. September 15
b. October 15
c. November 15
d. December 15
63. Bloom’s taxonomy is used as:
a. Learning domains
b. Skill domain
c. Affective domain
d. Conative domain
64. What is the initial nursing action for a client who is in the clonic phase of a tonic-clonic seizure?
a. Gently restrain the extremities
b. Insert a padded mouth gag
c. Place some padding under the head
d. Get ready the equipment for orotracheal suction
65. A A7-year-old female client with a diagnosis of depression has been in the hospital for 3 days. During this time, she has not maintained her personal hygiene and show no interest in ward activities. On this day, the nurse observes that she is wearing a clean dress and has combed her hair. In working with a depressed client, the nurse should understand that depression is most directly related to a person:
a. Experiencing poor IPR with others
b. Remembering his traumatic childhood.
c. Having experienced a sense of loss.
d. Stage in life.
66. The client has been on long-term phenothiazines (Thorazine), 400 mg/day. Patient had jerky choreiform movements, lip smacking, neck and back tonic contractions. This indicates that the patient has developed …….
a. Tardive dyskinesia
b. Parkinsonism
c. Dystonia
d. Akathisia
67. While caring for a patient who is in myasthenic and cholinergic crisis, which of the following is essential nursing knowledge when caring for a client in crisis?
a. Loss of body function creates high levels of anxiety and fear
b. Cholinergic drugs should be administered
c. The clinical condition of the client usually improves after several days of treatment
d. Weakness and paralysis of the muscles for swallowing and breathing occur in either crisis
68. A patient with diagnosis of BPAD is being discharged from the hospital with a regular lithium medication. The most important information to impart to the client and his family in the discharge teaching is that the patient should:
a. Restrict his fluid intake
b. Restrict intake of sodium
c. Have an adequate intake of sodium
d. Avoid tyramine rich foods
69. The nurse has to administer phenytoin 100 mg IV as an anticonvulsant. The priority action while administering this drug is to:
a. Assess for infiltration of the drug
b. Assess for effects of the drug
c. Assess pupil dilation of the client to detect for overdose
d. Administer the drug as quickly as possible to prevent a seizure
70. Sex ratio is defined as number of:
a. Females for 1000 males
b. Males for 100 females
c. Females for 100 males
d. Males for 100 females
71. Disinfectant of choice for soiled instruments:
a. Glutaraldehyde
b. Formaldehyde
c. Hypochlorite solution
d. 70% alcohol
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