स्टाफ नर्स (पाँचौं तह) लिखित परीक्षा, २०८३/०३/०९

 विषय: सामान्य ज्ञान र सार्वजनिक व्यवस्थापन, सेवा सम्बन्धित कार्य-ज्ञान

1. वार्षिक बजेट तर्जुमा किन गरिन्छ? (A) कर संकलन गर्न (B) खर्च बढाउन (C) आय र व्ययको प्रभावकारी व्यवस्थापन (D) ऋण व्यवस्थापन गर्न

2. Transparency International केसँग सम्बन्धित छ? (A) अन्तर्राष्ट्रिय सम्बन्ध (B) सामाजिक न्याय (C) मानव अधिकार (D) भ्रष्टाचार नियन्त्रण 

3. नेपालमा कहिलेदेखि क्षतिपूर्ति सहितको नागरिक वडापत्र लागू गरिएको हो? (A) २०७० वैशाख १ (B) २०७२ वैशाख १ (C) २०७४ वैशाख १ (D) २०७५ वैशाख १

4. उत्प्रेरणाको सम्बन्धमा बहुचर्चित Theory X and Theory Y का प्रतिपादक को हुन्? (A) David McClelland (B) Abraham Maslow (C) Frederick Herzberg (D) Douglas MacGregor

5. नागरिकका कर्तव्यहरू सम्बन्धमा नेपालको संविधानको कुन भागमा व्यवस्था गरिएको छ? (A) 2 (B) 3 (C) 4 (D) 5

6. Which action helps prevent catheter-associated urinary tract infection (CAUTI)? (A) Frequent disconnection of system (B) Maintaining closed drainage system (C) Raising drainage bag above bladder (D) Using non-sterile technique

7. In assessing the abdomen, which of the following is the correct sequence of physical assessment? (A) Inspection, auscultation, percussion, palpation (B) Palpation, auscultation, percussion, inspection (C) Inspection, palpation, auscultation, percussion (D) Inspection, auscultation, palpation, percussion

8. A patient who is worried about not having a place to sleep is primarily concerned with which need: (A) Physiological needs (B) Safety needs (C) Esteem needs (D) Self-actualization

9. A reason behind administering the Fresh Frozen Plasma (FFFP) for a adult client having ongoing bloods loss due to crash injury is (A) increase hemoglobin, hematocrit and neutrophil (B) providing clotting factor and volume expansion (C) manage profiled dysfunction (D) prevent thrombocytopenia

10. Which structure carries incoming impulses towards the nerve cell body? (A) Axon (B) Dendrite (C) Neurotransmitter (D) Synaptic knobs

11. Which type of joint allows maximum movement? (A) Fixed joint (B) Hinge joint (C) Ball and socket joint (D) Cartilaginous joint

12. A patient with nasogastric suctioning is at risk for which electrolyte imbalance (A) hyperkalemia (B) hypokalemia (C) hypernatremia (D) hypercalcemia

13. Movement of solute from higher concentration to lower concentration through semi-permeable membrane (A) Osmosis (B) Diffusion (C) Active transport (D) Filtration

14. Which of the following is prioritized management of pt with chemical burn attending emergency department? (A) Applying ointment to rupture blisters (B) Wash the area with cool water at least for 20 minutes if not done already (C) Do dressing and apply antibiotic immediately (D) Wash with normal saline and cover with sterile bandage

15. Which imaging is most helpful in diagnosing intestinal obstruction? (A) X-ray abdomen (B) ECG (C) MRI brain (D) Ultrasound of kidney

16. For the patient with suspected abdominal trauma, what is the priority action during initial assessment (primary surgery)? (A) Checking the distal pulse (B) Obtaining detailed history of injury (C) Ensuring patent airway and adequate breathing (D) Administering pair medication

17. Which of the following are the features of hypoglycemia attack? (A) Cold, fatigued, dizzy and thirsty (B) Cold, clammy, irritable and confused (C) Irritable, hot, thirsty and confused (D) Pale, confused, hot and clammy

18. Which of the following assessment findings would help to confirm the diagnosis of asthma in a patient suspected of having the disorder? (A) Circumoral cyanosis (B) Increased forced expiratory volume (C) Inspiratory and expiratory wheezing (D) Stridor

19. A patient with an Increased Intracranial Pressure (ICP) should be placed in which position? (A) Supine with the neck hyper flexed (B) Head of the bed elevated with the head in a neutral position (C) Trendelenburg position (D) Prone position

20. Which nutrient deficiency is the most common cause of anemia worldwide? (A) Vitamin B12 (B) Folic acid (C) Iron (D) Vitamin C

21. What is the correct timing of PCV vaccine according to MIP in Nepal? (A) 6 weeks, 10 weeks and 9 months (B) 6 weeks, 10 weeks and 12 weeks (C) 6 weeks, 10 weeks and 15 months (D) 10 weeks, 9 months and 15 months

22. Endemic disease means (A) occurs occasionally (B) constantly present in a population (C) worldwide occurrence (D) causes immediate death

23. Maternal antibodies transferred to the infant are examples of (A) natural passive immunity (B) artificial passive immunity (C) artificial active immunity (D) innate immunity

24. A client forgets to take her oral contraceptive pill for two consecutive days What should she do? (A) Discard the pill pack and start a new one from another packet (B) Take two pills daily for the next two days and then continue single pill daily (C) Wait for her next cycle to start again (D) Forget the previous one and continue with one pill a day

25. Which structure carries oxygenated blood across the placenta to the fetus? (A) Umbilical artery (B) Umbilical vein (C) Portal vein (D) Ductus arteriosus

26. The nurse identified that a woman in the immediate postpartum period has soft boggy uterus Which of the following interventions is most appropriate? (A) Encourage the woman to void (B) Encourage woman to elevate her leg (C) Massage the fundus until it is firm (D) Administer oxytocin

27. Which of the following is the primary concern for a woman with placenta precure to which nurse be observant for? (A) Excessive bleeding (B) Preterm labour (C) Risk of infection (D) Maternal distress

28. Which of the following is the primary feature of cervical cancer? (A) Polyuria (B) Weight loss (C) Irregular menstruation (D) Dysuria

29. A pt is instructed on how to perform kegel exercise after surgery What is the goal of this exercise? (A) To strengthen the pelvic floor muscles (B) To reduce abdominal pressure (C) To tighten the rectums (D) To decrease the obesity

30. At 3 years, a child typically has how many primary teeth? (A) 10 (B) 16 (C) 20 (D) 24

31. A 4 years old child presents with high fever, cough, coryza and conjunctivitis Two days later, mucopapular rash appears, starting at hairline and spreading downward What is the most probably diagnosis of this child? (A) Rubella (B) Scarlet Fever (C) Roseola (D) Measles

32. “Phantom limb” is an example of (A) relusion (B) illesion (C) hallucination (D) phantasy

33. The nurse is planning activities for a patient diagnosed with bipolar disorder with aggressive social behavior Which activity would be most appropriate for this patient? (A) Writing (B) Chess (C) Board games (D) Group exercise

34. Which of the following is the main purpose of triage in an emergency during disaster? (A) Provide care for all pt simultaneously (B) Prioritize treatment based on the severity of injuries (C) Treat injuries on first come first serve basis (D) Focus on CPR and psychological support

35. Transformational leaders are primarily distinguished by their ability to (A) bring about innovation and change (B) focus strictly on task rewards (C) use a laissez-faire approach (D) maintain the status quo

36. नेपालको प्रसिद्ध झरना “पचाल झरना” को उचाइ कति मिटर रहेको छ? (A) 381 (B) 365 (C) 351 (D) 336

37. पाटनको कृष्ण मन्दिर कुन राजाले बनाउन लगाएका थिए? (A) लक्ष्मीनरसिंह मल्ल (B) सिद्धिनरसिंह मल्ल (C) योगनरेन्द्र मल्ल (D) तेजनरसिंह मल्ल

38. नेपालको पहिलो बजेट प्रस्तुत कहिले भएको थियो? (A) 2008 असार 21 (B) 2008 श्रावण 21 (C) 2008 पौष 21 (D) 2008 माघ 21

39. राष्ट्रिय जनगणना, 2078 अनुसार नेपालमा सबैभन्दा कम जनसंख्या भएका पाँच जिल्लाहरूको बढीदेखि कमको तलका मध्ये कुन क्रम ठीक छ? (A) हुमला, रसुवा, डोल्पा, मुस्ताङ, मनाङ (B) हुम्ला, मनाङ, रसुवा, डोल्पा, मुस्ताङ (C) डोल्पा, हुम्ला, मुस्ताङ, मनाङ, रसुवा (D) डोल्पा, हुम्ला, रसुवा, मुस्ताङ, मनाङ

40. मानिसको दिमागमा कम्प्युटर चिप राख्न व्यावसायिक स्वीकृति दिने विश्वको पहिलो मुलुक कुन हो? (A) चीन (B) अमेरिका (C) जापान (D) रसिया

41. सम्पत्ति तथा पारिवारिक मामिलामा दम्पतीको समान हक हुने व्यवस्था नेपालको संविधानको मौलिक हकहरू मध्ये कुन हक अन्तर्गत पर्दछ? (A) महिलाको हक (B) समानताको हक (C) सम्पत्तिको हक (D) आवासको हक

42. नेपालको संविधानमा “कसैलाई पनि मृत्युदण्डको सजाय दिने गरी कानून बनाइने छैन” भन्ने कुरा संविधानको कुन धारामा उल्लेख गरिएको छ । (A) 14 (B) 15 (C) 16 (D) 17

43. सन् १९८१ को सेप्टेम्बरमा पेरिसमा आयोजित अल्पविकसित देशहरूको संयुक्त संघीय मुलुकहरूको तर्फबाट कसले सम्बोधन गरेका थिए? (A) वीरेन्द्र वीर विक्रम शाह (B) सूर्यबहादुर थापा (C) डा तुलसी गिरी (D) कीर्तिनिधि विष्ट

44. दक्षिण एशियाली क्षेत्रीय सहयोग संगठन (SAARC) को महासचिवको पदावधि कति वर्षको हुन्छ? (A) 2 (B) 3 (C) 4 (D) 5

45. नेपालमा हालै प्रधानमन्त्री हुनुभएका बालेन्द्र शाहले कहिले शपथ लिनुभएको हो? (A) 2082 चैत्र 12 (B) 2082 चैत्र 13 (C) 2082 चैत्र 14 (D) 2082 चैत्र 15

46. कार्यालयमा टिप्पणी लेखन गर्दा ध्यान दिनुपर्ने कुराहरूमा तलका मध्ये कुन पर्दैन? (A) निर्णयको कानूनी आधार खुलाउनु (B) स्पष्ट राय पेश गर्नु (C) विषयको संक्षिप्त जानकारी आउने गरी शीर्षक चयन गर्नु (D) टिप्पणी लेख्दा सुपरिवेक्षकको मनसाय बुझेर मात्र राय पेश गर्नु

47. निजामती कर्मचारीको कार्य क्षमताको आधारमा हुने बढुवाका आधारहरू कतिवटा रहेका छन्? (A) 3 (B) 4 (C) 5 (D) 6

48. नेपालको कर्मचारी प्रशासनसम्बन्धी केन्द्रीय निकाय कुन हो? (A) प्रधानमन्त्री तथा मन्त्रिपरिषद्को कार्यालय (B) अर्थ मन्त्रालय (C) सङ्घीय मामिला तथा सामान्य प्रशासन मन्त्रालय (D) राष्ट्रिय किताबखाना

49. तलका मध्ये कुन पदमा नियुक्ति हुनका लागि स्नातकोत्तर उपाधि प्राप्त गरेको हुनुपर्दछ? (A) अख्तियार दुरुपयोग अनुसन्धान आयोगको प्रमुख आयुक्त (B) निर्वाचन आयोगको निर्वाचन आयुक्त (C) राष्ट्रिय प्राकृतिक स्रोत तथा वित्त आयोगको अध्यक्ष (D) लोक सेवा आयोगको सदस्य

50. सामान्यतया: टिप्पणी कति तहबाट स्वीकृत गर्नुपर्छ? (A) 2 (B) 3 (C) 4 (D) 5