पब्लिक हेल्थ नर्स ( प्रथम पत्र ) सुदुर पश्चिम

​Public Health Nurse Open Competitive Exam Questions
Date : 2082-11-02 
सुदुर पश्चिम प्रदेश पदेश 
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​1. The priority nursing care of an infant after surgical repair of cleft lip is: 
​(A) Prevent the infant from crying
​(B) Keep NPO for 1 day after surgery ✅ 
​(C) Place the infant in semi-fowler position
​(D) Feed with a spoon for 2 days after surgery 

​2.The commonest poisoning in children of Nepal is: 
​(A) Kerosene ✅ 
​(B) Iron
​(C) Organo-phosphorus
​(D) Lead 

​3.Every child grow differently according to their rearing, feeding, living condition of family and education of parents. Which one is correct answer among these all influencing factors for growth and development of children for above sentence? 
​(A) Genetic factor
​(B) Socio-cultural factor ✅
​(C) Health and nutrition factor
​(D) Economic factor 

​4.One of the common health hazards among the children, which can seriously impact their later life is: 
​(A) Drop out from school
​(B) Emotional behavior
​(C) Detachment from family
​(D) Substance abuse and smoking ✅ 

​5.Worm infestation among the children mostly complained of abdominal pain, weight loss and diarrhea, which is transmitted via: 
​(A) Contaminated food and water ✅
​(B) Raw meats
​(C) Uncooked vegetables
​(D) Boiled water 

​6.How a Public Health Nurse (PHN) can prevent acute respiratory infection (ARI) among children? 
​(A) Educating people to eat healthy food
​(B) Educating people to eat lots of animal protein in water
​(C) Educating people to cover nose and mouth in sneezing ✅
​(D) Educating people about safe drinking water 

​7.Which of the mineral deficiency is associated with mental health? 
​(A) Iron
​(B) Zinc
​(C) Calcium
​(D) Iodine ✅ 

​8.The act of creating an environment or stimulus that leads to change in behavior or learning is: 
​(A) Re-enforcement
​(B) Conditioning ✅
​(C) Stimulation
​(D) Response
​9.Mentally ill patient with Neurosis is caused by: 
​(A) Anxiety-related conditions ✅
​(B) Brain surgery
​(C) Organic condition
​(D) Chronic morbidities 

​10.If a person has long lasting disruptive patterns of thinking, behavior and relating to others, the condition is known as: 
​(A) Personality disorder ✅
​(B) Psychosis
​(C) Mental retardation
​(D) Euphoria 

​11.Which division is responsible to control outbreak of diseases such as Malaria, Kalazar, Lymphatic Filariasis in Nepal: 
​(A) Family Welfare Division
​(B) Epidemiology and Disease Control Division (EDCD) ✅
​(C) Management Division
​(D) Nursing and Social Security Division 

​12.Bi-annual 'Vitamin A' distribution programme of Nepal Government is scheduled on Kartik and Baishakh each year. Which is the suitable dose of Vitamin A for 6 month to 5 years children? 
​(A) 100,000 IU
​(B) 200,000 IU ✅
​(C) 150,000 IU
​(D) 50,000 IU 

​13.The two main job of PHN that directly benefit to community health is: 
​(A) Immunization and disease surveillance
​(B) Health education and communication ✅
​(C) Sanitation program and family visit
​(D) Resource mobilization and distribution 

​14.One leadership theory states that "leaders are born and not made" which refers to the following theory? 
​(A) Trait
​(B) Charismatic
​(C) Great Man ✅
​(D) Situational 

​15.Which one of the following plans prescribes chronological steps for performing activities? 
​(A) Procedure ✅
​(B) Rule
​(C) Policy
​(D) Method 

​16.The written communication which flows through the official channels take place between a superior and a subordinate is the type of: 
​(A) Formal communication ✅
​(B) Horizontal communication
​(C) Informal communication
​(D) Lateral communication 

​17.In management system, leader allows subordinates the chance to set goals without direction, giving subordinate maximum decision making freedom, who serves mainly as a resource which is more closely concerned with: 
​(A) An autocratic leadership style
​(B) A democratic leadership style
​(C) A bureaucratic leadership style
​(D) A laissez faire leadership style ✅ 

​18.According to recent law of Nepal, child marriage is defined as a marriage performed before the age of: 
​(A) 18 years for both girls and boys
​(B) 20 years for both girls and boys ✅
​(C) 18 years for girls and 20 years for boys
​(D) 20 years for girls and 18 years for boys 

​19.NLEN (National Licensure Examination For Nurses) is conducted by: 
​(A) NNC ✅
​(B) ICN
​(C) NAN
​(D) INC 

​'20.Bipanna Nagaric Aushadhli Upachar Kosh' was established for any kinds of Cardio Vascular Disease (CVDs) that support children up to less than 15 years and senior citizen more than 75 years in the year of: 
​(A) 2060/061 BS
​(B) 2063/64 BS
​(C) 2066/67 BS
​(D) 2070/071 BS ✅ 

​21.Insulin is secreted by: 
​(A) Gamma cell of pancreas
​(B) Alpha cell of pancreas
​(C) Beta cell of pancreas ✅
​(D) Delta cell of pancreas


​22.The human spleen located in the abdominal cavity has two types of pulp tissues, which are: 
​(A) White and Grey
​(B) Red and White ✅
​(C) Green and White
​(D) Red and Green 

​23.A muscular enlarge pouch or sac that lies slightly to the left, which is used for temporary storage of food is known as: 
​(A) Gallbladder
​(B) Urinary bladder
​(C) Stomach ✅
​(D) Lungs 

​24.A nurse should provide a quiet environment and proper ventilation with sedative- pain killer at night for good sleep for the xyz patient. This care belongs to provision of which need to patient as Maslow's hierarchy of need? 
​(A) Physiological need ✅
​(B) Safety and security need
​(C) Love and belonging need
​(D) Self esteem need 

​25.Airway Foreign Bodies (AFBs) is a potentially life threatening emergency in under 5 Children. Which is the most common site for AFBs? 
​(A) The right lower bronchus ✅
​(B) Trachea
​(C) Left bronchus
​(D) Oesophagus


​26.According to Maslow's hierarchy of human needs, the highest level of need is: 
​(A) Physiological need
​(B) Safety need
​(C) Self-esteem need
​(D) Self-actualization need ✅ 

​27.Application of drugs via transdermal patch, creams lotions or ointments are fall under the route of: 
​(A) Oral
​(B) parental
​(C) Topical application ✅
​(D) Inhalation 

​28.The choice of treatment for peptic ulcer disease is: 
​(A) Antimicrobial therapy
​(B) Anti-parasitic therapy
​(C) Antibiotic therapy
​(D) Triple therapy ✅ 

​29.When caring for a patient with decreased hemoglobin level, it is important to remember that: 
​(A) Patient is at risk for bleeding
​(B) Patient has altered oxygen transport ✅
​(C) Patient is at risk for elevated carbon dioxide levels
​(D) Patient has alterations in the chemical regulators of respiration 

​30.Intra-ocular pressure is increased in which of the following disease: 
​(A) Cataract
​(B) Glaucoma ✅
​(C) Conjunctivitis
​(D) Retinal detachment 

​31.if a person had swelling, tenderness and pain in the mastoid area, it is called as: 
​(A) Mastoiditis ✅
​(B) Mastitis
​(C) Encephalitis
​(D) Sepsis 

​32.Which vaccination should be given immediately to cut injury patients? 
​(A) Tetanus ✅
​(B) BCG
​(C) Hepatitis B
​(D) Encephalitis 

​33.Gene-expert test is done for diagnosis of: 
​(A) Acquired Immuno-Deficiency Syndrome
​(B) Tuberculosis ✅
​(C) Diphtheria
​(D) Leprosy 

​34.Risk factors of congenital malformation in baby can be: 
​(A) Taking lots of sugar during pregnancy and genetic
​(B) Genetic and exposure to toxic substances during pregnancy ✅
​(C) Lack of exercise during pregnancy and alcohol intake
​(D) Weight gain and lack of fluid intake 

​35.Which one is the primary sex hormone of ovary? 
​(A) FSH
​(B) Oestrogen ✅
​(C) Progesterone
​(D) Lutenizing hormone 

​36.If a baby does not cries at birth and has excessive secretion, which of the following should a nurse do first: 
​(A) Remove secretions from mouth, then nose ✅
​(B) Remove secretions from nose, then mouth
​(C) Stimulate breathing by rubbing back once or twice
​(D) Stimulate breathing by vigorous rubbing back 

​37.WHO define neonate as a child under: 
​(A) 7 days of age
​(B) 20 days of age
​(C) 28 days of age ✅
​(D) 30 days of age 

​38.Most commonly used antihypertensive drug during pregnancy is: 
​(A) Nifedipine
​(B) Methyldopa ✅
​(C) Furosemide
​(D) Hydralazine 

​39.Which one of the following forms the major part of the placenta? 
​(A) Chorion ✅
​(B) Decidua
​(C) Germ layers
​(D) Amnion 

​40.The lochia on the first few days after delivery is characterized as: 
​(A) Pinkish with some blood clots
​(B) Whitish with some mucus
​(C) Reddish with some mucus ✅
​(D) Serous with some brown-tinged mucus 

​41.When a nurse is assessing a laboring obese client, she is unable to determine the fetal position. Which is the most accurate method of determining fetal position in this client? 
​(A) Inspection of the fetal abdomen
​(B) Palpation of the abdomen
​(C) Vaginal examination
​(D) Ultrasoundb✅ 

​42.If a midwifery student is counseling about the nutritional supplements such as iron and folic acid, dietary intake, exercise, immunizations etc to a primi woman, it is the category of care fall under: 
​(A) Follow up instructions
​(B) Health teaching
​(C) Antenatal care education and counselling ✅
​(D) Preparation for birth 

​43.In active phase of labor, the nurse midwife needs to check that the cord has not prolapsed and listen to the fetal heart when there is: 
​(A) Cervix is fully dilated
​(B) Separation of placenta
​(C) Ruptured membrane ✅
​(D) Blood stained vaginal discharge 

​44.Which vitamin deficiency cause night blindness? 
​(A) Vitamin E
​(B) Vitamin C
​(C) Vitamin D
​(D) Vitamin A ✅
​45.Health disparities are closely related to: 
​(A) Microbial exposure
​(B) Socioeconomic status ✅
​(C) Digestive enzymes
​(D) Body temperature
​46.The primary purpose of a home visit is to: 
​(A) Supervise family members
​(B) Replace hospital care
​(C) Provide nursing care in a natural environment✅
​(D) Inspect the household
​47.The most common type of worm infestation in Nepal is: 
​(A) Round worm ✅
​(B) Hook worm
​(C) Tape worm
​(D) Whip worm
​48.Which of the following is a common side effect of hormonal contraceptives? 
​(A) Anorexia
​(B) Hair loss
​(C) Weight loss
​(D) Weight gain✅
​49.In immunization schedule of Nepal government, FIPV injection is given to infant on 10th & 14th weeks for protection of Poliomyelitis. Which one is its correct full form? 
​(A) Free Injectable Polio Vaccine
​(B) Fractional Injectable Polio Virus
​(C) Fractioned Injectable Polio Vaccine ✅
​(D) Fractional Injectable Polio Vaccine
​50.Which of the following food is the priority food for elderly people? 
​(A) Calcium and vitamin D rich food
​(B) Multi minerals containing food
​(C) Palatable and chewable food✅
​(D) Iron containing food
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