1. The most common pathogenic mechanism of acute pancreatitis is Auto digestion of the pancreas.

2. What does the nurse monitors for, in a patient with Acute Renal Failure?Pulmonary edema and ECG changes.

3. A disease caused by Treponema pallidum is Syphilis.

4. Which of the following is an important nursing intervention for a patient with Cushing Syndrome?(a) Left Middle Cerebral Artery (b) Observe for hypotension(c) Protect from infection (d) Restrict carbohydrate intake.

Ans: Protect from infection.

5. Involvement of which of the following structures will lead to right-sided hemiplegia and aphasia?(a) Left Middle Cerebral Artery (b) Vertebral Artery (c) Brain stem(d)Right Middle Cerebral Artery.

Ans: Left Middle Cerebral Artery

6. Which one of the following is a common response expected in a patient with stroke, to the change in body image?(a)Denial (b) Dis association (c) Delusion (d) Depression.Ans: Depression.

7. A patient with early osteoporosis must be advised to-Stop smoking

8. For doing nasotracheal suctioning, during which of the following patient activities, the catheter should be inserted?(a)Swallowing (b) Inhaling (c) Exhaling (d) RetchingAns: Inhaling

9. The simple most effective method for reducing the risks of stasis of pulmonary secretions is-Two hourly position change.

10. What is cyanosis?Blue discoloration of skin.

11. The period from conception to birth is denoted as Prenatal

12. Role of nursing is having charge of somebodys health Whose vision is this?Florence Nightingale

13. Which of the following developmental stage corresponds to infancy?(A) Trust Vs Mistrust (b) Autonomy Vs Shame (c) Initiative Vs Guilt (d) Industry Vs Inferiority.

Ans: Trust Vs Mistrust

14. Who proposed the nursing theory of self-care deficit?Dorothea orem

15. The head circumference of a normal infant is 33-35 cm

16. The leading cause of death in adolescence is Accidents17. The legal definition of death that facilitates organ donation is, cessation of Function of brain

18. The body temperature at which tissues and cells can best function is 36-38o C

19. Men have a higher Basal Metabolic Rate because, their body contains more-Testosterone

20. The mechanism by which body loses heat to the environment, without having direct contact is --?Radiation

21. Which of the following structures controls heat loss?(a) Anterior pituitary (b) Posterior pituitary (c) Posterior hypothalamus (d) Anterior hypothalamus22. Exposure of the body to subnormal temperature can lead to Frost-bite

23. What is the effect of an antipyretic?Reduce fever

24. The volume of blood pumped by the heart during one minute is called.Cardiac output

25. What is the normal pulse rate of an infant?120-16026. The phase of respiration in which gases move in and out of the lungs is .Ventilation

27. What is the normal partial pressure of carbon dioxide in arterial blood? (mm Hg)35-45

28. What is the equipment that indirectly measures arterial oxygen saturation?Pulse Oximeter

29. What is the term used to denote regular, abnormally slow respirations?Bradypnea

30. What technique of assessment helps to determine ketoacidosis?Olfaction

31. Inflammation of skin at base of nail is?Paronychia

32. The condition in which both eyes do not focus on an object simultaneously is known as?Strabismus33. The most effective way to break the chain of infection is by?Hand hygiene

34. How many drops in a standard drip set makes one ml.?15

35. The prescription orders 0.125 mg digoxin orally. Tablets containing 0.25 mg is available. How many tablets will you administer?1/2

36. A patient who is receiving intravenous fluids develops tenderness, warmth, erythema and pain at the infusion site. Which of the following conditions will you suspect?(a) Sepsis (b) Infiltration (c) Fluid overload (d) PhlebitisPhlebitis

37. When providing oral hygiene to an unconscious patient, care must be taken to prevent?Aspiration

38. What is the intrinsic rate of the normal A-V node?40-60 per minute

39. Which of the following structures is the pacemaker of the heart?(a) S-A node (b) Septum (c) A-V node (d) Bundle of HisAns: S-A node

40. The prescription is for two tablespoons of milk of magnesia. How many ml. will you give?30 ml

41. Which of the following is intravascular fluid?(a) Lymph (b) Pleural fluid (c) Plasma (d) Synovial fluidAns: Plasma

42. If the serum potassium level is less than normal, the condition is known as Hypokalemia

43. What electrolyte abnormality is likely to develop in a patient with vomiting?Hypokalemia

44. How much sodium is normally present in the extra cellular fluid? (in MEq/L).135-145

45. What is the primary cause of hyperkalemia?Renal failure

46. Which of the following is an isotonic solution?(a)Lactated Ringers (b) Half Normal Saline (c) One-third Normal Saline(d) MannitolAns: Lactated Ringers

47. Thousand ml. of Normal Saline is to be infused in 8 hours. What should be the rate of flow per minute?30 drops

48. A patient admitted with vomiting, has the following arterial blood gas levels-pH 7.30; PaCO2 36 mm Hg; Pa O2 92mm Hg; and HCO3 18; what is the acid-base imbalance that is present?Metabolic acidosis

49. Which of the following is a first-line drug used for pain management?(a)Acetaminophen (b) Clonidine (c) Morphine (d) KetamineAns: Acetaminophen

50. Which of the following is the organism that causes peptic ulcer disease?(a) Staphylococcus (b) Coryne bacterium (c) Helicobacter pylori(d) Streptococcus.Ans: Helicobacter pylori

51. Which of the following nutrients helps for tissue repair?(a)Vitamin (b) Fat (c) Carbohydrate (d) ProteinAns: Protein

52. Microscopic examination of urine reveals elevated levels of red blood cells. What does it indicate?Damage to Glomeruli.

53. Which of the following patient activities helps to relax the external anal sphincter, while administering enema?(a)Separating the buttocks (b) Lubricating the catheter tip(c)Inserting the catheter slowly (d) Breathing out through the mouth.

Ans: Breathing out through the mouth.

54. What length of the catheter tip should be inserted into the rectum, for giving enema to an adult patient?7.5-10 cm

55. The stool discharged from an ostomy is called?Effluent

56. Which of the following is the best method to confirm placement of the nasogastric tube:(a) Checking patients ability to talk (b) Aspiration of intestinal content(c) Introducing air and auscultating (d) X-ray of chest and abdomen

Ans: X-ray of chest and abdomen

57. Which of the following is a common cause of orthostatic hypotension in a bedridden Patient?(a)Increased autonomic response (b) Decreased circulating blood volume(c) Increased cardiac output (d) Decreased blood poolingAns: Decreased circulating blood volume.

58. Which of the following body parts has a condyloid joint?

(a) Shoulder (b) Elbow (c) Wrist (d) Forearm

Ans: Wrist59. Who was the first president of the International Council of Nurses?Fenwick

60. Which of the following minerals should be taken by a child suffering from rickets?(a)Potassium (b) Calcium (c) Sodium (d) IronAns: Calcium

61. Who introduced antiseptic spray during surgery?Joseph Lister

62. A large infection made up of several boils is known as :Carbuncle

63. Which of the following drugs will be administered to treat anaphylaxis?(a) Atropine (b) Sodium bicarbonate (c) Digoxin (d) EpinephrineAns: Epinephrine

64. Which of the following is a vesicant drug?(a)Dactinomycin (b) Morphine (c) Azithrocin (d) VoveranAns: Dactinomycin

65. Pain caused by damage to somatic tissue is known as Nociceptive

66. Which of the following immunoglobulin are responsible for anaphylactic reactions?(a) IgA (b) IgE (c) IgM (d) IgGAns: IgE

67. The separation and disruption of previously joined wound edges is termed as?Dehiscence

68. What types of dressing is Duoderm?Hydrocolloid.

69. The role of the complement system in opsonization affects which response of the inflammatory process?Cellular.

70. Contractures frequently occur after burn healing because of .?Excess fibrous tissue formation.

71. Association between HLA antigens and diseases is most commonly found in what disease conditions?Autoimmune diseases.

72. What is the most common cause of secondary immunodeficiencies?Drugs

73. If a person is having an acute rejection of a transplanted organ, which of the following drugs would most likely to be used?(a)Tacrolimus (b) Cyclosporine (c) Cellcept (d) Daclizumab.

Ans: Daclizumab.

74. The primary difference between benign and malignant neoplasm is the .Characteristic of tissue invasiveness.

75. If the blood plasma has a higher osmolality than the fluid within a red blood cell, the mechanism involved in equalizing the fluid concentration is?Osmosis.

76. Which of the following symptoms should be watched for in a patient receiving a loop diuretic?(a)Restlessness and agitation (b) Paresthesias. (c)Increased blood pressure(d)Weak irregular pulse.

Ans: Weak irregular pulse.

77. Which of the following should be watched for in a patient who has just undergone a total thyroidectomy?(a)Weight gain (b) Depressed reflexes (c) Positive chvostek sign (d) Personality changes.

Ans: Positive chvostek sign

78. Which of the following surgical procedures involves removal of a body organ?(a) Tracheostomy (b) Laparotomy (c) Mammoplasty (d) Mastectomy.Ans: Mastectomy.79. The cause of arcus senilis is?Cholesterol deposits.

80. What is the cause of presbyopia?Inflexible lens.

81. The most appropriate technique to assess skin for temperature and moisture is .Palpation

82. Complete absence of melanin pigment in patchy areas on a patients hand is described as ..Vitiligo

83. What instruction will you give to a patient after a chemical peel?Avoid sun exposure84. Childhood atopic dermatitis is commonly seen in which body area?Antecubital space.

85. Which of the following parameters is commonly used to assess adequacy of fluid replacement in a patient with burns?Urine output.

86. Which of the following is an earliest manifestation of inadequate oxygenation?(a) Diaphoresis (b) Cyanosis (c) Restlessness (d) Hypotension

Ans: Restlessness

87. A diagnostic procedure which involves removal of pleural fluid for analysis is :

Thoracentesis.

88. Which of the following helps to identify flail chest in a patient with chest trauma:(a)Multiple rib fractures seen in X-ray. (b)Decreased movement of chest wall(c)Tracheal deviation (d) Paradoxic chest movement during respiration.Ans: Paradoxic chest movement during respiration.

89. Which of the following is an intervention for a patient with chronic obstructive pulmonary disease?(a) Pursed-lip breathing (b) Chronic steroid therapy (c) High flow oxygen(d)High Carbohydrate dietAns: Pursed-lip breathing

90. Which of the following is a normal finding obtained during a lymph node palpation?(a) Hard, fixed node (b) Firm, mobile node (c) Enlarged tender nodes(d)Hard, nontender nodes

Ans: Firm, mobile node

91. Which is the most common type of leukemia seen in older adults?Chronic lymphocytic.

92. The blood vessel that brings blood to the right atrium is .Inferior Venae Cavae

93. Which of the following conditions is caused by elevated intra ocular pressure?(a)Glaucoma (b) Cataract (c) Strabismus (d) Myopia.Ans: Glaucoma.

94. Which of the following is the most common pathologic finding in individuals at risk for sudden cardiac death?(a)Aortic valve disease (b) Mitral valve disease(c) Left ventricular dysfunction (d) Atherosclerotic heart diseaseAns: Atherosclerotic heart disease

95. Which of the following is an absolute contraindication for the use of fibrinolytic therapy?(a) Current use of anticoagulants (b) Severe liver disease(c) Suspected aortic dissection (d) Active peptic ulcer diseaseAns: Suspected aortic dissection

96. Which of the following drugs provide relief of anxiety and decreases both preload and after load?(a) Amrinone (b) Morphine sulphate (c) Furosemide(d)Dobutamine

Ans: Morphine sulphate

97. In a normal sinus rhythm, the measurement of an S.T.segment is ..?0.12 seconds

98. The ECG monitor of a patient admitted with myocardial infarction shows ventricular bigeminy. What is the nurses responsibility in this situation?Assess the patients response

99. What is the usual treatment of Rayanauds Phenomenon?Calcium Channel blockers.

100. A patient is admitted with a diagnosis of diarrhea with dehydration. What could be the cause of increased peristalsis resulting in diarrhea?Parasympathetic stimulation.2. SOLVED PAPER OF STAFF NURSE IN HEALTH SERVICES DEPT (CATEGORY NO: 224/2009)

1. The most common pathogenic mechanism of acute pancreatitis is Auto digestion of the pancreas.

2. What does the nurse monitors for, in a patient with Acute Renal Failure?Pulmonary edema and ECG changes.

3. A disease caused by Treponema pallidum is Syphilis.

4. Which of the following is an important nursing intervention for a patient with Cushing Syndrome?(a) Left Middle Cerebral Artery (b) Observe for hypotension(c) Protect from infection (d) Restrict carbohydrate intake.

Ans: Protect from infection.

5. Involvement of which of the following structures will lead to right-sided hemiplegia and aphasia?(a) Left Middle Cerebral Artery (b) Vertebral Artery (c) Brain stem(d)Right Middle Cerebral Artery.

Ans: Left Middle Cerebral Artery

6. Which one of the following is a common response expected in a patient with stroke, to the change in body image?(a)Denial (b) Dis association (c) Delusion (d) Depression.Ans: Depression.

7. A patient with early osteoporosis must be advised to-Stop smoking

8. For doing nasotracheal suctioning, during which of the following patient activities, the catheter should be inserted?(a)Swallowing (b) Inhaling (c) Exhaling (d) RetchingAns: Inhaling

9. The simple most effective method for reducing the risks of stasis of pulmonary secretions is-Two hourly position change.

10. What is cyanosis?Blue discoloration of skin.

11. The period from conception to birth is denoted as Prenatal

12. Role of nursing is having charge of somebodys health Whose vision is this?Florence Nightingale

13. Which of the following developmental stage corresponds to infancy?(A) Trust Vs Mistrust (b) Autonomy Vs Shame (c) Initiative Vs Guilt (d) Industry Vs Inferiority.

Ans: Trust Vs Mistrust

14. Who proposed the nursing theory of self-care deficit?Dorothea orem

15. The head circumference of a normal infant is 33-35 cm

16. The leading cause of death in adolescence is Accidents17. The legal definition of death that facilitates organ donation is, cessation of Function of brain

18. The body temperature at which tissues and cells can best function is 36-38o C19. Men have a higher Basal Metabolic Rate because, their body contains more-Testosterone

20. The mechanism by which body loses heat to the environment, without having direct contact is --?Radiation21. Which of the following structures controls heat loss?(a) Anterior pituitary (b) Posterior pituitary (c) Posterior hypothalamus (d) Anterior hypothalamus22. Exposure of the body to subnormal temperature can lead to Frost-bite

23. What is the effect of an antipyretic?Reduce fever24. The volume of blood pumped by the heart during one minute is called.Cardiac output

25. What is the normal pulse rate of an infant?120-16026. The phase of respiration in which gases move in and out of the lungs is .Ventilation

27. What is the normal partial pressure of carbon dioxide in arterial blood? (mm Hg)35-4528. What is the equipment that indirectly measures arterial oxygen saturation?Pulse Oximeter

29. What is the term used to denote regular, abnormally slow respirations?Bradypnea

30. What technique of assessment helps to determine ketoacidosis?Olfaction

31. Inflammation of skin at base of nail is?Paronychia

32. The condition in which both eyes do not focus on an object simultaneously is known as?Strabismus33. The most effective way to break the chain of infection is by?Hand hygiene

34. How many drops in a standard drip set makes one ml.?15

35. The prescription orders 0.125 mg digoxin orally. Tablets containing 0.25 mg is available. How many tablets will you administer?1/2

36. A patient who is receiving intravenous fluids develops tenderness, warmth, erythema and pain at the infusion site. Which of the following conditions will you suspect?(a) Sepsis (b) Infiltration (c) Fluid overload (d) PhlebitisPhlebitis37. When providing oral hygiene to an unconscious patient, care must be taken to prevent?Aspiration38. What is the intrinsic rate of the normal A-V node?40-60 per minute39. Which of the following structures is the pacemaker of the heart?(a) S-A node (b) Septum (c) A-V node (d) Bundle of HisAns: S-A node

40. The prescription is for two tablespoons of milk of magnesia. How many ml. will you give?30 ml41. Which of the following is intravascular fluid?(a) Lymph (b) Pleural fluid (c) Plasma (d) Synovial fluidAns: Plasma

42. If the serum potassium level is less than normal, the condition is known as Hypokalemia

43. What electrolyte abnormality is likely to develop in a patient with vomiting?Hypokalemia

44. How much sodium is normally present in the extra cellular fluid? (in MEq/L).135-145

45. What is the primary cause of hyperkalemia?Renal failure46. Which of the following is an isotonic solution?(a)Lactated Ringers (b) Half Normal Saline (c) One-third Normal Saline(d) MannitolAns: Lactated Ringers

47. Thousand ml. of Normal Saline is to be infused in 8 hours. What should be the rate of flow per minute?30 drops48. A patient admitted with vomiting, has the following arterial blood gas levels-pH 7.30; PaCO2 36 mm Hg; Pa O2 92mm Hg; and HCO3 18; what is the acid-base imbalance that is present?Metabolic acidosis49. Which of the following is a first-line drug used for pain management?(a)Acetaminophen (b) Clonidine (c) Morphine (d) KetamineAns: Acetaminophen50. Which of the following is the organism that causes peptic ulcer disease?(a) Staphylococcus (b) Coryne bacterium (c) Helicobacter pylori(d) Streptococcus.Ans: Helicobacter pylori

51. Which of the following nutrients helps for tissue repair?(a)Vitamin (b) Fat (c) Carbohydrate (d) ProteinAns: Protein

52. Microscopic examination of urine reveals elevated levels of red blood cells. What does it indicate?Damage to Glomeruli.53. Which of the following patient activities helps to relax the external anal sphincter, while administering enema?(a)Separating the buttocks (b) Lubricating the catheter tip(c)Inserting the catheter slowly (d) Breathing out through the mouth.

Ans: Breathing out through the mouth.

54. What length of the catheter tip should be inserted into the rectum, for giving enema to an adult patient?7.5-10 cm

55. The stool discharged from an ostomy is called?Effluent

56. Which of the following is the best method to confirm placement of the nasogastric tube:(a) Checking patients ability to talk (b) Aspiration of intestinal content(c) Introducing air and auscultating (d) X-ray of chest and abdomen

Ans: X-ray of chest and abdomen

57. Which of the following is a common cause of orthostatic hypotension in a bedridden Patient?(a)Increased autonomic response (b) Decreased circulating blood volume(c) Increased cardiac output (d) Decreased blood poolingAns: Decreased circulating blood volume.

58. Which of the following body parts has a condyloid joint?

(a) Shoulder (b) Elbow (c) Wrist (d) Forearm

Ans: Wrist59. Who was the first president of the International Council of Nurses?Fenwick

60. Which of the following minerals should be taken by a child suffering from rickets?(a)Potassium (b) Calcium (c) Sodium (d) IronAns: Calcium61. Who introduced antiseptic spray during surgery?Joseph Lister62. A large infection made up of several boils is known as :Carbuncle

63. Which of the following drugs will be administered to treat anaphylaxis?(a) Atropine (b) Sodium bicarbonate (c) Digoxin (d) EpinephrineAns: Epinephrine

64. Which of the following is a vesicant drug?(a)Dactinomycin (b) Morphine (c) Azithrocin (d) VoveranAns: Dactinomycin

65. Pain caused by damage to somatic tissue is known as Nociceptive

66. Which of the following immunoglobulin are responsible for anaphylactic reactions?(a) IgA (b) IgE (c) IgM (d) IgGAns: IgE

67. The separation and disruption of previously joined wound edges is termed as?Dehiscence

68. What types of dressing is Duoderm?Hydrocolloid.69. The role of the complement system in opsonization affects which response of the inflammatory process?Cellular.

70. Contractures frequently occur after burn healing because of .?Excess fibrous tissue formation.

71. Association between HLA antigens and diseases is most commonly found in what disease conditions?Autoimmune diseases.72. What is the most common cause of secondary immunodeficiencies?Drugs

73. If a person is having an acute rejection of a transplanted organ, which of the following drugs would most likely to be used?(a)Tacrolimus (b) Cyclosporine (c) Cellcept (d) Daclizumab.

Ans: Daclizumab.

74. The primary difference between benign and malignant neoplasm is the .Characteristic of tissue invasiveness.

75. If the blood plasma has a higher osmolality than the fluid within a red blood cell, the mechanism involved in equalizing the fluid concentration is?Osmosis.

76. Which of the following symptoms should be watched for in a patient receiving a loop diuretic?(a)Restlessness and agitation (b) Paresthesias. (c)Increased blood pressure(d)Weak irregular pulse.

Ans: Weak irregular pulse.

77. Which of the following should be watched for in a patient who has just undergone a total thyroidectomy?(a)Weight gain (b) Depressed reflexes (c) Positive chvostek sign (d) Personality changes.

Ans: Positive chvostek sign

78. Which of the following surgical procedures involves removal of a body organ?(a) Tracheostomy (b) Laparotomy (c) Mammoplasty (d) Mastectomy.Ans: Mastectomy.79. The cause of arcus senilis is?Cholesterol deposits.

80. What is the cause of presbyopia?Inflexible lens.

81. The most appropriate technique to assess skin for temperature and moisture is .Palpation82. Complete absence of melanin pigment in patchy areas on a patients hand is described as ..Vitiligo

83. What instruction will you give to a patient after a chemical peel?Avoid sun exposure84. Childhood atopic dermatitis is commonly seen in which body area?Antecubital space.

85. Which of the following parameters is commonly used to assess adequacy of fluid replacement in a patient with burns?Urine output.

86. Which of the following is an earliest manifestation of inadequate oxygenation?(a) Diaphoresis (b) Cyanosis (c) Restlessness (d) Hypotension

Ans: Restlessness

87. A diagnostic procedure which involves removal of pleural fluid for analysis is :

Thoracentesis.

88. Which of the following helps to identify flail chest in a patient with chest trauma:(a)Multiple rib fractures seen in X-ray. (b)Decreased movement of chest wall(c)Tracheal deviation (d) Paradoxic chest movement during respiration.Ans: Paradoxic chest movement during respiration.

89. Which of the following is an intervention for a patient with chronic obstructive pulmonary disease?(a) Pursed-lip breathing (b) Chronic steroid therapy (c) High flow oxygen(d)High Carbohydrate dietAns: Pursed-lip breathing90. Which of the following is a normal finding obtained during a lymph node palpation?(a) Hard, fixed node (b) Firm, mobile node (c) Enlarged tender nodes(d)Hard, nontender nodes

Ans: Firm, mobile node

91. Which is the most common type of leukemia seen in older adults?Chronic lymphocytic.

92. The blood vessel that brings blood to the right atrium is .Inferior Venae Cavae93. Which of the following conditions is caused by elevated intra ocular pressure?(a)Glaucoma (b) Cataract (c) Strabismus (d) Myopia.Ans: Glaucoma.

94. Which of the following is the most common pathologic finding in individuals at risk for sudden cardiac death?(a)Aortic valve disease (b) Mitral valve disease(c) Left ventricular dysfunction (d) Atherosclerotic heart diseaseAns: Atherosclerotic heart disease

95. Which of the following is an absolute contraindication for the use of fibrinolytic therapy?(a) Current use of anticoagulants (b) Severe liver disease(c) Suspected aortic dissection (d) Active peptic ulcer diseaseAns: Suspected aortic dissection

96. Which of the following drugs provide relief of anxiety and decreases both preload and after load?(a) Amrinone (b) Morphine sulphate (c) Furosemide(d)Dobutamine

Ans: Morphine sulphate

97. In a normal sinus rhythm, the measurement of an S.T.segment is ..?0.12 seconds

98. The ECG monitor of a patient admitted with myocardial infarction shows ventricular bigeminy. What is the nurses responsibility in this situation?Assess the patients response

99. What is the usual treatment of Rayanauds Phenomenon?Calcium Channel blockers.

100. A patient is admitted with a diagnosis of diarrhea with dehydration. What could be the cause of increased peristalsis resulting in diarrhea?Parasympathetic stimulation.

3. __________________Answered ByStudyChaCha1. The most common pathogenic mechanism of acute pancreatitis is

Auto digestion of the pancreas.

2. What does the nurse monitors for, in a patient with Acute Renal Failure?

Pulmonary edema and ECG changes.

3. A disease caused by Treponema pallidum is

Syphilis.

4. Which of the following is an important nursing intervention for a patient with Cushing Syndrome?

(a) Left Middle Cerebral Artery (b) Observe for hypotension

(c) Protect from infection (d) Restrict carbohydrate intake.

Ans: Protect from infection.

5. Involvement of which of the following structures will lead to right-sided hemiplegia and aphasia?

(a) Left Middle Cerebral Artery (b) Vertebral Artery (c) Brain stem

(d)Right Middle Cerebral Artery.

Ans: Left Middle Cerebral Artery

6. Which one of the following is a common response expected in a patient with stroke, to the change in body image?

(a)Denial (b) Dis association (c) Delusion (d) Depression.

Ans: Depression.

7. A patient with early osteoporosis must be advised to-

Stop smoking

8. For doing nasotracheal suctioning, during which of the following patient activities, the catheter should be inserted?

(a)Swallowing (b) Inhaling (c) Exhaling (d) Retching

Ans: Inhaling

9. The simple most effective method for reducing the risks of stasis of pulmonary secretions is-

Two hourly position change.

10. What is cyanosis?

Blue discoloration of skin.

11. The period from conception to birth is denoted as

Prenatal

12. Role of nursing is having charge of somebodys health Whose vision is this?

Florence Nightingale

13. Which of the following developmental stage corresponds to infancy?

(A) Trust Vs Mistrust (b) Autonomy Vs Shame (c) Initiative Vs Guilt (d) Industry Vs Inferiority.

Ans: Trust Vs Mistrust

14. Who proposed the nursing theory of self-care deficit?

Dorothea orem

15. The head circumference of a normal infant is

33-35 cm

16. The leading cause of death in adolescence is

Accidents

17. The legal definition of death that facilitates organ donation is, cessation of

Function of brain

18. The body temperature at which tissues and cells can best function is

36-38o C

19. Men have a higher Basal Metabolic Rate because, their body contains more-Testosterone

20. The mechanism by which body loses heat to the environment, without having direct contact is --?

Radiation

21. Which of the following structures controls heat loss?

(a) Anterior pituitary (b) Posterior pituitary (c) Posterior hypothalamus (d) Anterior hypothalamus

22. Exposure of the body to subnormal temperature can lead to

Frost-bite

23. What is the effect of an antipyretic?

Reduce fever

24. The volume of blood pumped by the heart during one minute is called.

Cardiac output

25. What is the normal pulse rate of an infant?

120-160

26. The phase of respiration in which gases move in and out of the lungs is .

Ventilation

27. What is the normal partial pressure of carbon dioxide in arterial blood? (mm Hg)

35-45

28. What is the equipment that indirectly measures arterial oxygen saturation?

Pulse Oximeter

29. What is the term used to denote regular, abnormally slow respirations?

Bradypnea

30. What technique of assessment helps to determine ketoacidosis?

Olfaction

31. Inflammation of skin at base of nail is?

Paronychia

32. The condition in which both eyes do not focus on an object simultaneously is known as?

Strabismus

33. The most effective way to break the chain of infection is by?

Hand hygiene

34. How many drops in a standard drip set makes one ml.?

15

35. The prescription orders 0.125 mg digoxin orally. Tablets containing 0.25 mg is available. How many tablets will you administer?

1/2

36. A patient who is receiving intravenous fluids develops tenderness, warmth, erythema and pain at the infusion site. Which of the following conditions will you suspect?

(a) Sepsis (b) Infiltration (c) Fluid overload (d) Phlebitis

Phlebitis

37. When providing oral hygiene to an unconscious patient, care must be taken to prevent?

Aspiration

38. What is the intrinsic rate of the normal A-V node?

40-60 per minute

39. Which of the following structures is the pacemaker of the heart?

(a) S-A node (b) Septum (c) A-V node (d) Bundle of His

Ans: S-A node

40. The prescription is for two tablespoons of milk of magnesia. How many ml. will you give?

30 ml

41. Which of the following is intravascular fluid?

(a) Lymph (b) Pleural fluid (c) Plasma (d) Synovial fluid_Ans: Plasma

42. If the serum potassium level is less than normal, the condition is known as

Hypokalemia

43. What electrolyte abnormality is likely to develop in a patient with vomiting?

Hypokalemia

44. How much sodium is normally present in the extra cellular fluid? (in MEq/L).

135-145

45. What is the primary cause of hyperkalemia?

Renal failure

46. Which of the following is an isotonic solution?

(a)Lactated Ringers (b) Half Normal Saline (c) One-third Normal Saline

(d) Mannitol

Ans: Lactated Ringers

47. Thousand ml. of Normal Saline is to be infused in 8 hours. What should be the rate of flow per minute?

30 drops

48. A patient admitted with vomiting, has the following arterial blood gas levels-pH 7.30; PaCO2 36 mm Hg; Pa O2 92mm Hg; and HCO3 18; what is the acid-base imbalance that is present?

Metabolic acidosis

49. Which of the following is a first-line drug used for pain management?

(a)Acetaminophen (b) Clonidine (c) Morphine (d) Ketamine

Ans: Acetaminophen

50. Which of the following is the organism that causes peptic ulcer disease?

(a) Staphylococcus (b) Coryne bacterium (c) Helicobacter pylori

(d) Streptococcus.

Ans: Helicobacter pylori

51. Which of the following nutrients helps for tissue repair?

(a)Vitamin (b) Fat (c) Carbohydrate (d) Protein

Ans: Protein

52. Microscopic examination of urine reveals elevated levels of red blood cells. What does it indicate?

Damage to Glomeruli.

53. Which of the following patient activities helps to relax the external anal sphincter, while administering enema?

(a)Separating the buttocks (b) Lubricating the catheter tip

(c)Inserting the catheter slowly (d) Breathing out through the mouth.

Ans: Breathing out through the mouth.

54. What length of the catheter tip should be inserted into the rectum, for giving enema to an adult patient?

7.5-10 cm

55. The stool discharged from an ostomy is called?

Effluent

56. Which of the following is the best method to confirm placement of the nasogastric tube:

(a) Checking patients ability to talk (b) Aspiration of intestinal content

(c) Introducing air and auscultating (d) X-ray of chest and abdomen

Ans: X-ray of chest and abdomen

57. Which of the following is a common cause of orthostatic hypotension in a bedridden Patient?

(a)Increased autonomic response (b) Decreased circulating blood volume

(c) Increased cardiac output (d) Decreased blood pooling_Ans: Decreased circulating blood volume.

58. Which of the following body parts has a condyloid joint?

(a) Shoulder (b) Elbow (c) Wrist (d) Forearm

Ans: Wrist

59. Who was the first president of the International Council of Nurses?

Fenwick

60. Which of the following minerals should be taken by a child suffering from rickets?

(a)Potassium (b) Calcium (c) Sodium (d) Iron

Ans: Calcium

61. Who introduced antiseptic spray during surgery?

Joseph Lister

62. A large infection made up of several boils is known as :

Carbuncle

63. Which of the following drugs will be administered to treat anaphylaxis?

(a) Atropine (b) Sodium bicarbonate (c) Digoxin (d) Epinephrine

Ans: Epinephrine

64. Which of the following is a vesicant drug?

(a)Dactinomycin (b) Morphine (c) Azithrocin (d) Voveran

Ans: Dactinomycin

65. Pain caused by damage to somatic tissue is known as

Nociceptive

66. Which of the following immunoglobulin are responsible for anaphylactic reactions?

(a) IgA (b) IgE (c) IgM (d) IgG

Ans: IgE

67. The separation and disruption of previously joined wound edges is termed as?

Dehiscence

68. What types of dressing is Duoderm?

Hydrocolloid.

69. The role of the complement system in opsonization affects which response of the inflammatory process?

Cellular.

70. Contractures frequently occur after burn healing because of .?

Excess fibrous tissue formation.

71. Association between HLA antigens and diseases is most commonly found in what disease conditions?

Autoimmune diseases.

72. What is the most common cause of secondary immunodeficiencies?

Drugs

73. If a person is having an acute rejection of a transplanted organ, which of the following drugs would most likely to be used?

(a)Tacrolimus (b) Cyclosporine (c) Cellcept (d) Daclizumab.

Ans: Daclizumab.

74. The primary difference between benign and malignant neoplasm is the .

Characteristic of tissue invasiveness.

75. If the blood plasma has a higher osmolality than the fluid within a red blood cell, the mechanism involved in equalizing the fluid concentration is?

Osmosis.

76. Which of the following symptoms should be watched for in a patient receiving a loop diuretic?

(a)Restlessness and agitation (b) Paresthesias. (c)Increased blood pressure

(d)Weak irregular pulse.

Ans: Weak irregular pulse.

77. Which of the following should be watched for in a patient who has just undergone a total thyroidectomy?

(a)Weight gain (b) Depressed reflexes (c) Positive chvostek sign (d) Personality changes.

Ans: Positive chvostek sign

78. Which of the following surgical procedures involves removal of a body organ?

(a) Tracheostomy (b) Laparotomy (c) Mammoplasty (d) Mastectomy.

Ans: Mastectomy.

79. The cause of arcus senilis is?

Cholesterol deposits.

80. What is the cause of presbyopia?

Inflexible lens.

81. The most appropriate technique to assess skin for temperature and moisture is .

Palpation

82. Complete absence of melanin pigment in patchy areas on a patients hand is described as ..

Vitiligo

83. What instruction will you give to a patient after a chemical peel?

Avoid sun exposure

84. Childhood atopic dermatitis is commonly seen in which body area?

Antecubital space.

85. Which of the following parameters is commonly used to assess adequacy of fluid replacement in a patient with burns?

Urine output.

86. Which of the following is an earliest manifestation of inadequate oxygenation?

(a) Diaphoresis (b) Cyanosis (c) Restlessness (d) Hypotension

Ans: Restlessness

87. A diagnostic procedure which involves removal of pleural fluid for analysis is :

Thoracentesis.

88. Which of the following helps to identify flail chest in a patient with chest trauma:

(a)Multiple rib fractures seen in X-ray. (b)Decreased movement of chest wall

(c)Tracheal deviation (d) Paradoxic chest movement during respiration.

Ans: Paradoxic chest movement during respiration.

89. Which of the following is an intervention for a patient with chronic obstructive pulmonary disease?

(a) Pursed-lip breathing (b) Chronic steroid therapy (c) High flow oxygen

(d)High Carbohydrate diet

Ans: Pursed-lip breathing

90. Which of the following is a normal finding obtained during a lymph node palpation?

(a) Hard, fixed node (b) Firm, mobile node (c) Enlarged tender nodes

(d)Hard, nontender nodes

Ans: Firm, mobile node

91. Which is the most common type of leukemia seen in older adults?

Chronic lymphocytic.

92. The blood vessel that brings blood to the right atrium is .

Inferior Venae Cavae

93. Which of the following conditions is caused by elevated intra ocular pressure?

(a)Glaucoma (b) Cataract (c) Strabismus (d) Myopia.

Ans: Glaucoma.

94. Which of the following is the most common pathologic finding in individuals at risk for sudden cardiac death?

(a)Aortic valve disease (b) Mitral valve disease

(c) Left ventricular dysfunction (d) Atherosclerotic heart disease

Ans: Atherosclerotic heart disease

95. Which of the following is an absolute contraindication for the use of fibrinolytic therapy?

(a) Current use of anticoagulants (b) Severe liver disease

(c) Suspected aortic dissection (d) Active peptic ulcer disease

Ans: Suspected aortic dissection

96. Which of the following drugs provide relief of anxiety and decreases both preload and after load?

(a) Amrinone (b) Morphine sulphate (c) Furosemide

(d)Dobutamine

Ans: Morphine sulphate

97. In a normal sinus rhythm, the measurement of an S.T.segment is ..?

0.12 seconds

98. The ECG monitor of a patient admitted with myocardial infarction shows ventricular bigeminy. What is the nurses responsibility in this situation?

Assess the patients response

99. What is the usual treatment of Rayanauds Phenomenon?

Calcium Channel blockers.

100. A patient is admitted with a diagnosis of diarrhea with dehydration. What could be the cause of increased peristalsis resulting in diarrhea?

Parasympathetic stimulation.

Staff Nurse Exam RRB Biology Objective Solved QuestionsStaff Nurse Exam RRB Biology Objective Solved QuestionsRRB exam for staff nurses Free Online model question paper1. Earth originated in the past(a) 4.6 billion years(b) 1.6 billion years(c) 7.6 billion years(d) 86 billion yearsAns. (a)2. The scientist related with the theory of spontaneous generation and experiments with swan-necked flasks is(a) Van Helmont(b) Louis Pasteur(c) Miller(d) HaeckelAns. (b)3. External protective tissues of plants are(a) Cortex and epidermis(b) Pericycle and cortex(c) Epidermis and cork(d) Pericycle and corkAns. (c)4. Bulliform cells are4esent(a) In upper epidermis of dicot leaves(b) In lower epidermis of monocot leaves(c) In upper epidermis of monocot leaves(d) In dicot stemAns. (c)5. Who said that organism develop from pre-existing organism?(a) Aristotle(b) Louis Pasteur(c) Morgan(d) OparinAns. (b)6. Which of the following gases was not present in free form at the time life originated on the earth?(a) Methane(b) Hydrogen(c) Ammonia(d) OxygenAns. (d)7. The simple organic compounds that may have first evolved in the direction of origin of life on Earth may have been(a) Protein and amino acid(b) Protein and nucleic acid(c) Urea and nucleic acid(d) Urea and amino acidAns. (b)8. STANLEY MILLER conducted an experiment to demonstrate that simple organic molecules like acids could be produced if an electric discharge is passed through a mixture of such gases as might have been present in the atmosphere of early earth. The gaseous mixture he used in the experiment comprised(a) Methane, ammonia, hydrogen, water vapours(b) Methane, nitrogen, hydrogen, water vapours(c) Ammonia, carbon dioxide, nitrogen, water vapours(d) Methane, ammonia, nitrogen, water vapoursAns. (a)9. The first genetic material was most likely(a) a DNA polymer(b) a DNA oligonucleotide(c) a protein(d) an RNA polymerAns. (d)10. Study of fossils is known as(a) Palaeobotany(b) Palaeontology(c) Anatomy(d) OrnithologyAns. (b)11. The youngest layer of secondaryh1oem in woody dicot stem is located(a) Just outside the vascular cambium(b) Just on the inner side of cambium(c) Between periderm and primary cortex(d) Just outside pithAns. (a)12. The wall of cork cells is mostly impregnated with(a) Cutin(b) Suberin(c) Lignin(d) HemicelluloseAns. (b)13. Cork cells are(a) Photosynthetic(b) Elongated and participate in movement(c) Meristematic(d) DeadAns. (d)14. Dendrochronology is the study of(a) Height of a tree(b) Age of a tree by counting the number of annual rings in the main stem(c) Diameter of a tree(d) Age of tree by counting the number of leaves in the main stemAns. (b)15. The best method to determine the age of tree is(a) To measure its diameter(b) To count the number of leaves(c) To count the number of annual rings in the main stem at the base(d) To measure its heightAns. (c)16. If the sign was nailed to the side of a tree 5 above the ground in 1997 how high would the sign be in 2007 if the tree grew 4 taller each year?(a) 5 high(b) 8 high(c) 4 8(d) 94Ans. (a)17. Famous palaeobotanist of India was(a) P. Maheshwari(b) S.R. Kashyap(c) B.P. Pal(d) B. SahniAns. (d)18. Which types of tissue form the thin surface for the gas exchange in the lungs?(a) Epithelial(b) Connective(c) Nervous(d) MuscleAns. (a)19. Safranin stains which element of the tissues?(a) Starch elements(b) Lignified elements(c) Bast(d) Protein elementsAns. (b)20. Which were dominant in Mesozoic?(a) Dinosaurs(b) Gymnosperms(c) Fishes(d) MammalsAns. (a)21. Endothelium of the inner surface of blood vessels in vertebrates is(a) Simple squamous epithelium(b) Columnar epithelium(c) Cuboidal epithelium(d) Ciliated cellsAns. (a)22. The epithelium best adapted for a body surface subject to abrasion is(a) Simple squamous(b) stratified squamous(c) stratified columnar(d) Simple cuboidalAns. (b)23. The Golden age of Reptiles was(a) Late Paleozoic(b) Cenozoic(c) Mesozoic(d) ProterozoicAns. (c)24. In man thickest skin is found in(a) Palm(b) Thigh(c) Sole(d) ThumbAns. (c)25. The fossil remains of Archaeopteryx is a connecting link between(a) Amphibians(b) Reptiles and birds(c) Fish and amphibians(d) Reptiles and mammalsAns. (a)ESIC staff nurse entrance exam model question paper : BiologyESIC staff nurse entrance exam model question paper :BiologyNursing Aptitude Test Free Sample Questions1. Which of the following set is the evidence of evolution?(a) Homologous and vestigial organs(b) Analogous and vestigial organs(c) Homologous and analogous organs(d) All of the aboveAns. (a)2. Of the following anatomical structures, which is homologous to the wing of a bat?(a) The arm of a human(b) The wing of a butterfly(c) The tail of a fish(d) The dorsal fin of a sharkAns. (a)3. Which one of the following sets of structures includes only analogous organs?(a) Wings of butterfly, housefly and bat(b) Hind legs of horse(c) Hands of man, monkey and kangaroo(d) Mandibles of cockroach, mosquito and honeybeeAns. (a)4. Which of the following set represents all vestigial structures in the human body?(a) Vermiform appendix, body hair and cochlea(b) Wisdom teeth, coccyx and patella(c) Coccyx, vermiform appendix and muscles of ear pinna(d) Body hair, muscles of ear pinna and atlas vertebraAns. (c)5. The earliest animal to have been domesticated by man most likely the(a) Horse(b) Pig(c) Dog(d) CowAns. (c)6. Presence of gill slits in the embryo of all vertebrates supports the theory of(a) Organic evolution(b) Recapitulation(c) Metamorphosis(d) BiogenesisAns. (b)7. Appearance of ancestral characters in the new borne, such as tail, multiple mammae, etc., are known as(a) Homologous(b) Analogous(c) Atavistic(d) VestigialAns. (c)8. Evolution is defined as(a) History of race(b) Development of race(c) History and development of race with variations(d) Progressive history of raceAns. (c)9. The book named Philosophic zoologique was published in 1809 and was written by:(a) Mendel(b) Darwin(c) De Vries(d) LamarckAns. (d)10. Penguin is a bird that lost the use of its wings by not flying. Such a statement would express the views of(a) Darwin(b) Wallace(c) Lamarck(d) HuxleyAns. (c)11. A scientist kept 80 generations of Drosophila in darkness, even after that the flies had normal eyes. This disapproves law of(a) Natural selection(b) Acquired characters(c) Use and disuse(d) Synthetic theoryAns. (b)12. Weismann cut off tails of mice generation after generation but tails neither disappeared nor shortened showing that(a) Darwin was correct(b) Tail is an essential organ(c) Mutation theory is wrong(d) Lamarckism was wrong in inheritance of acquired charactersAns. (d)13. What did CHARLES DARWIN publish in 1859?(a) Origin of Species by Natural selection(b) Species plantarum(c) Philosophie Zoologique(d) De Naturien FamilienAns. (a)14. The book Descent of Man and Selection in Relation to Sex was written by:(a) Charles Darwin(b) J.B. Lamarck and C. Darwin(c) F.B. Sumner and E. Darwin(d) Robert BrownAns. (a)15. Darwin worked on Galapagos finches. The number of species of these finches is(a) 10(b) 12(c) 14(d) 11Ans. (c)16. Which one of the following evolutionists proposed the theory of evolution similar toCharles Darwins?(a) Alfred Russell Wallace(b) Erasmus Darwin(c) Thomas Godfrey(d) Thomas Robert MalthusAns. (a)17. The ultimate source of organic variation is(a) natural selection(b) sexual reproduction(c) hormonal action(d) mutationsAns. (d)18. World environment day is(a) 5th June(b) 28th February(c) 5th August(d) 28th AprilAns. (a)19. Tendon connects(a) Cartilage with muscles(b) Bone with muscles(c) Ligament with muscles(d) Bone with boneAns. (b)20. Sewage infection of water will be demonstrated by cysts of(a) Entamoeba(b) Escherichia coli(c) Pseudomonas(d) LeishmaniaAns. (a)21. Which type of tissue forms glands?(a) Epithelial(b) Connective(c) Nervous(d) MuscleAns. (a)22. Eutrophication leads to death of fish due to(a) Increased O2 content(b) increased algae content(c) decreased algae content(d) Decreased O2 contentAns. (d)23. Sebaceous glands are found in(a) Dermis of skin of mammals(b) Epithelium of stomach of frog(c) Epithelium of intestine of frog(d) Epidermis of skin of mammalsAns. (a)24. Minamata disease is a pollution-related disease, which results from(a) Release of human organic waste into drinking water(b) Accumulation of arsenic into atmosphere(c) Release of industrial waste mercury into fishing water(d) Oil spills into seaAns. (c)25. Which type of tissue forms the framework of the external ear?(a) Epithelial(b) Connective(c) Muscle(d) NervousAns. (b)26. The respiration is carried on by(A) Kidneys(B) Brain(C) Intestine(D) LungsAns (D)27. Which is the outer protective cover of the body?(A) Skeleton(B) Hair(C) Skin(D) None of theseAns (C)28. Which collects the blood from the organs?(A) Arteries(B) Veins(C) Lungs(D) NervesAns (B)29. Which removes waste materials from the body?(A) Kidneys(B) Lungs(C) Heart(D) BrainAns (A)30. Which of the following is well developed and functional in grazing animals?(A) Appendix(B) Liver(C) Duodenum(D) RectumAns (A)31. How many teeth will the children have?(A) 10(B) 15(C) 28(D) 20Ans (D)32. What is inner lining of the alimentary canal called ?(A) oesophagus(B) Mucous membrance(C) Muscle(D) MuscularAns (B)33. Which of the following is not a part of the alimentary canal?(A) Mouth(B) Stomach(C) Small intestine(D) lungsAns (D)34. Liver and pancreas are the ________ glands.(A) blood clear(B) digestive(C) breathing(D) none of these _Ans (B)35. _________ is a sticky substance in saliva and provides easy movement for food.(A) Insulin(B) Amylase(C) Mucin(D) none of theseAns (C)36. Nose opens at the uuper end of _____ through a pair of internal nostrils.(A) Larnyx(B) Trachea(C) Pharnyx(D) none of theseAns (C)37. Which of the following is a long tube and wind pipe?(A) Bronchi(B) Nasal canal(C) Pharnyx(D) TracheaAns (D)38. How many lungs are present in the human body?(A) 1(B) 2(C) 3(D) none of theseAns (B)39. The lungs are covered by two membrances called as _______(A) Veins(B) Air sacs(C) pleura(D) none of theseAns (C)40. The normal temperature of a human body is _____(A) 98.4C(B) 98.4F(C) 99.0C(D) 99.0FAns (B)41. What is the temperature of boiling water?(A) 100C(B) 32C(C) 180F(D) 32FAns (A)42. Units which can be expressed in terms of two or more fundamental units of mass or called____ units(A) Derived(B) defined(C) undefined(D) underived _Ans (A)43. The mean distance of sun from the earth is called(A) Astronomical units(B) Lightyear(C) Astrological units(D) AngstromsAns (A)44. One nano metre =(A) 10A(B) 11A(C) 12A(D) 10.5AAns (A)45. Which of the following is known as acqua gold(A) Sulphuric acid(B) Nitric Acid(C) Hydrochloric Acid(D) Ammonia WRONG 3 246. The force is the product of _____(A) velocity and acceleration(B) the speed and acceleration(C) mass and speed(D) mass and accelerationAns (D)47. Root part is represented in a mature emryo by(A) plumule(B) radicle(C) chalaza(D) cotyledonsAns (B)48. Bone deformities occur due to the excessive intake of(A) phosphorus(B) potassium(C) fatti acid(D) fluorineAns (D)49. Excess of fat in the body is stored in(A) Adipose tissue(B) Acrosome(C) Connective tissue(D) Bone marrowAns (A)50. Disease caused by HIV virus is(A) mumps(B) plague(C) AIDS(D) tuberculosisAns (C)51. When caring for a client with continuous bladder irrigation, the nurse should,a) Record output every hourb) Monitor urinary speific gravityc) Subtract irrigant from output to determine urine volumed) Include irrigating solution in any 24 hour urine tests order52.The nurse can prevent the contamination from Mrs. Jacinta's retention catheter by:a) Irrigating the catheterb) Perineal cleansingc) Encouraging fluidsd) Cleansing around the meatus periodically53. The major reasons for treating severe emotional disorders with tranquilizers is to;a) Reduce the neurotic syndromeb) Prevent secondary complicationc) Make the client amenable to physiotherapyd) Prevent destructiveness by the client54. The most important factor in rehabilitation of a client addicted to alcohol is;a) The Clients emotional or motivational readinessb) The availability of community resourcesc) The qualitative level of the clients physical stated) The accepting attitude of client's family55. Which of the following activities would cause her a risk in the increase of intracranial pressure?a) Exerciseb) Coughingc) Turningd) Sleeping56. Which of the following drug may be given to reduce increase intracranial pressure?a) Mannitolb) Scopalaminec) Lanoxind) Calmpose57. Which of the following is a form of active, focused, emotional environmental first aid for patients in crisis?a) Attitude therapyb) Psychotherapyc) Re motivation techniqued) Crisis intervention58. The major treatment for ascities calls for;a) Increased potassiumb) High proteinc) Restricted fluidsd) Restricted sodium59. The major influence of eating habits of the early school-aged child is;a)Spoon feedingb) Availability of food selectionsc) Smell and appearance of foodd) Example of parents at meal time

Source:Previous 5 years ESI Nursing job exam question papers? | Government Jobshttp://governmentjobsalerts.com/previous-5-years-esi-nursing-job-exam-question-papers-141215.html#ixzz3aaAO9RoB