Vocational Instructor in Domestic Nursing VHSE 89/2017 Answer Key 13/2018

elder nursing

Post : Vocational Instructor in Domestic Nursing
Department : Vocational Higher Secondary Education
Category Code : 89/17
Qualification : B.Sc Degree in Nursing; Higher Secondary Certificate + Diploma in General Nursing
Question Paper : 13/2018
Date of Test : 24-01-2018



  1. Common abnormality associated with development peripheral vascular disease is
    • Low serum potassium
    • Low serum lipids
    • High serum lipids
    • High serum calcium

  2. Infection by a non-pathogenic organism that occurs due to defect in host defense is
    • Epornitic infection
    • Opportunistic infection
    • Enzootic infection
    • Exotic infection.

  3. “The secret of National health lies in the homes of the people.”Whose words are this?
    • Mahatma Gandhi
    • Florence Nightingale
    • Aristotle
    • Vikram Patel

  4. Normal urine output in all age groups is
    • 2 ml/kg/hr
    • 0.5 ml/kg/hr
    • 1 ml/kg/hr
    • 500 ml/day

  5. Radiocarpal joint is an example of
    • Condyloid joint
    • Hinge joint
    • Saddle joint
    • Pivot joint

  6. Which of the following symptoms would be indicative of dumping syndrome?
    • Diaphoresis
    • Heart burn
    • Vomiting
    • Increased hunger

  7. C-Reactive protein, a substance related to inflammatory process, is produced in
    • Bone marrow
    • Kidney
    • Liver
    • Spleen

  8. During the first trimester of pregnancy, nausea and vomiting occur as an adaptation to the increased level of
    • Oestrogen
    • Leutinising hormone
    • Progesterone
    • Chorionic gonadotropin

  9. Epidemiology is concerned with
    • Defined population
    • Cases/Diseases
    • Diagnosis of disease
    • Treatment and prognosis.

  10. The most abundant tissue within human body is
    • Epithelial tissue
    • Connective tissue
    • Neurons
    • Muscle

  11. Which of the following is an example of Benzodiazepine?
    • Doxepin
    • Chlordiazepoxide
    • Clomipramine.
    • Clozapine

  12. Most important dietary modification for a patient with Miniere’sdisease is
    • High protein diet
    • Low fat diet
    • Low carbohydrate diet
    • Low sodium diet

  13. Nurse shows unconditional acceptance to a patient and views him as a worthwhile person with unique nature. Which of the following characteristic is being conveyed by the nurse?
    • Empathy
    • Trust
    • Respect
    • Genuineness

  14. The term used for reduced visual acuity in one eye, that results from strabismus is
    • Amblyopia
    • Emmetropia
    • Myopia
    • Hyperopia

  15. If blood-pressure assessment is repeatedly done in a quick manner, which will be the error that can occur?
    • Low systolic and diastolic readings
    • Erroneously high systolic or low diastolic readings
    • Low systolic and high diastolic readings
    • Erroneously high systolic and diastolic readings

  16. Which of the following is not a predisposing factor of aphthous ulcer?
    • Stress
    • Viral infections
    • Smoking
    • Vitamin deficiency

  17. One of the following drugs that is used as an adjuvant analgesic is :
    • Morphine sulfate
    • Piroxicam
    • Diclofenac sodium
    • Amitriptyline

  18. The most common ECG finding in rheumatic fever with carditis is
    • T- wave elevation
    • First degree A-V block
    • T-wave inversion
    • Second degree heart block

  19. Patients with chronic lung disorder require oxygen supplement. How much oxygen will be safe to these patients?
    • 2 litre/min per nasal cannula
    • 3 litre/min per nasal cannula
    • 6 litre/min per facemask
    • 8 litre /min through non-rebreathing mask

  20. Positive reinforcer is advised in behaviour therapy, because
    • It increases the chance of repetition of specific behaviour.
    • It always result in positive behaviour.
    • It always prevent negative behaviour.
    • It decreases the probability of repetition of specific behaviour.

  21. Which of the following patient need observation of apical pulse?
    • Post operative patient
    • Patient with arrhythmia
    • Patient in shock
    • Patient with wide pulse pressure

  22. For a toddler, which of the nursing diagnosis is most applicable?
    • Risk for infection
    • Risk for injury
    • Risk for suffocation
    • Risk for poisoning

  23. While using RYB colour code of wound care, the goal in the care of black wound is
    • Covering with wet dressing
    • Cleaning and hydrogel dressing
    • Debridement
    • No need of further treatment and care

  24. A nursing student who has been overloaded with hospital duty, study and family matters may experience
    • Role ambiguity
    • Role strain
    • Role conflict
    • Role enhancement

  25. Harsh crowing sound made on inhalation due to constriction of upper airway is
    • Stridor
    • Resonance
    • Granting
    • Crepitation

  26. Which of the following is the side-effect of psychotropic drug that block the reuptake of 5-Hydroxy tryptamine?
    • Dry mouth
    • Sexual dysfunction
    • Blurred vision
    • Constipation

  27. Oxytocin challenge test is ordered for a primi mother, 2 weeks after her expected care of confinement. This test is ordered to assess
    • Fetal age
    • Maternal uterine irritability
    • Maternal wellbeing
    • Fetal wellbeing

  28. Which of the following is not a tuberculin test?
    • Mantoux test
    • Heaf test
    • Tine multiple puncture test
    • Coccidioidin test

  29. During conversation, a person falls asleep. Which disorder will you suspect in him?
    • Somniloquy
    • Hypersomnia
    • Bruxism
    • Narcolepsy

  30. Wound drainage that consists of many RBCs and looks like blood is
    • Sanguineous drainage
    • Sero-sanguineous drainage
    • Serous drainage
    • Purulent drainage

  31. In a patient, after bone marrow biopsy, which will be the specific observation a nurse must do?
    • Observe for pain.
    • Assist the patient to be in the right side lying position.
    • Assess for bleeding and hematoma formation.
    • Observe for dyspnoea and cough.

  32. Which of the following drug is prefered to treat Tourette’sdisorder?
    • Methyl phenidate
    • Haloperidol
    • Phenytoin sodium
    • Imipramine

  33. Which of the following point must be emphasized while giving health education to a patient with Systemic Lupus Erythematosus ( SLE)?
    • Cortico steroids can be stopped if the symptoms are controlled.
    • Alopacia that occur in SLE is irreversible.
    • Over exposure to sunlight can exacerbate the symptoms.
    • A low protein and low potassium diet.

  34. A newly registered client in the mental health clinic has been diagnosed with body dysmorphic disorder. Which medication will be mostly preferred?
    • Olanzapine
    • Diazepam
    • Alprazolam
    • Fluoxetine

  35. Based on the concept of physiology, the most common cause of obesity is
    • Consumption of more calories than expended
    • Low basal metabolic rate
    • Endocrine dysfunction
    • Lack of knowledge on nutrition

  36. Which of the following accurately indicates true labour?
    • Vaginal bleeding
    • Labour pain
    • Rupture of membrane
    • Progressive dilation of cervix

  37. A poly substance abuser says, “Blue birds make me good after speed”. What will be the nurse interpretation?
    • Client abuses anxiolytics and amphetamine
    • Client abuses alcohol and cocaine
    • Client abuses narcotics and marijuana
    • Client is psychotic

  38. Skin and sclera of a baby born at night became yellow by the next day morning and serum bilirubin is 15 mg/ l00 ml. What should the nurse plan for dealing this?
    • Prepare for phototherapy.
    • Inform the physician and plan for exchange transfusion.
    • Observe for clay coloured stool.
    • Observe for vomiting and diarrhoea.

  39. While caring a patient with infectious mononucleosis, which of the following precaution should be practiced to prevent spread of disease?
    • Complete isolation precautions
    • Enteric isolation precaution
    • Respiration isolation only
    • Good hand washing technique only.

  40. Which of the following statement is correct about Cholera?
    • Cholera is only an epidemic.
    • Vibrio cholera can not be killed by boiling for seconds.
    • Vibrio cholera is destroyed in stomach if the pH is more than 5.
    • Vibrio cholera can remain in ice for 4 –6 weeks and more.

  41. Actions that halts the progress of a disease at its initial stage, management and prevention of complication is termed as
    • Rehabilitation
    • Primordial prevention
    • Tertiary prevention
    • Secondary prevention

  42. Primary observation of signs of impending kernicterus in a newborn baby with high bilirubin include
    • Cyanosis and respiratory distress
    • Rapid pulse and diaphoresis
    • Lethargy and loss of moro reflex
    • Abdominal distention

  43. Most prominent feature in catatonic schizophrenia is
    • Delusions
    • Motor and volitional disturbance
    • Hallucination
    • Silly giggling

  44. Which of the following can precipitate acute gouty arthritis?
    • Excess cigarette smoking
    • Excess alcohol intake
    • Stress
    • Exercise

  45. Management of symptomatic hyponatremia is by the intravenous administration of
    • 3% solution of NaCl
    • Normal saline
    • Dextrose saline
    • Ringer lactate

  46. Unequal size pupils in increasing intracranial pressure is due to the pressure effect on
    • Second cranial nerve
    • Fifth cranial nerve
    • Third cranial nerve
    • Seventh cranial nerve

  47. Another name for Atonic cerebral palsy (atonic CP) is
    • Cerebellar cerebral palsy
    • Extrapyramidal CP
    • Pyramidal CP
    • Mixed type CP

  48. The most common co morbid condition in children with bipolar disorder is
    • Autism
    • Attention deficit hyperactivity disorder
    • Substance use disorder
    • Oppositional defiant disorder

  49. Earliest sign of phlebitis is
    • Pain at the access site, erythema and / or oedema
    • Pain at the access site with palpable venous cord
    • Pain at the access site, erythema, palpable venous cord and purulent discharge
    • Erythema at the access site with or without pain.

  50. Which of the following drug is not an epidural anaesthetic?
    • Lignocaine hydrochloride
    • Bupivacaine hydrochloride
    • Reprovacaine hydrochloride
    • Fentanyl

  51. Increased pH, increased HCO3-, increased or normal PaCO2 in an arterial blood gas analysis indicates
    • Metabolic alkalosis
    • Respiratory acidosis
    • Respiratory alkalosis
    • Metabolic acidosis

  52. The most accurate method of observation of body temperature for the baby who receives oxygen through oxygen tent is
    • Axillary temperature
    • Skin heat sensor
    • Rectal temperature
    • Oral thermometer

  53. Among the fetal blood vessels, highest oxygen content is seen in
    • Ductus arteriosus
    • Ductus venosus
    • Pulmonary artery
    • Umbilical artery

  54. Cloudy CSF obtained in lumbar puncture is an indicator of
    • Increase glucose level
    • Normal CSF
    • Increased protein
    • Increased white blood cell count

  55. The basic emotional task of a school child is
    • Industry
    • Initiative
    • Independence
    • Trust

  56. Normal pH value of mixed venous blood is
    • 7.35 –7.45
    • 7.45 –7.5
    • 7.32 –7.42
    • 7.25 –7.35

  57. In which position the nurse must stand for palpating a patient with lymphadenopathy in neck?
    • At patient’sback side
    • At patient’sright side
    • In front of the patient
    • At patient’sleft side

  58. In a man with complete transection of spinal cord at the L3 level. Primary responsibility of the nurse is to observe for symptoms of
    • Hypertensive crisis
    • Respiratory insufficiency
    • Spinal shock
    • Autonomic hyperreflexia

  59. A primi mother is admitted five days prior to the expected date of confinement, with ruptured membranes. Nurse notices a loop of cord prolapses through vagina during active labour. What the nurse is expected to do?
    • Try to replace it
    • Cover it with dry sterile towel
    • Do not touch it
    • Cover it with clean moist cloth

  60. Which of the following is the priority of care for a patient with ulcerative colitis?
    • Maintain adequate nutrition
    • Relieve diarrhea
    • Promote effective coping
    • Restore body weight

  61. For a patient in sickle cell crisis, effective method of relieving joint pain is administration of analgesics along with
    • Provision of heat
    • Corticosteroids
    • Cold compress application
    • Immobilisation

  62. Atrial septal defect which have increased association with partial anomalous pulmonary venous connection is
    • Ostium primum ASD
    • Tricuspid atresia
    • Sinus venosus ASD
    • Ostium secundum ASD

  63. Highly malignant, rapidly growing tumour of cerebellum , seen in children is
    • Astrocytoma
    • Ependymoma
    • Meningioma
    • Medulloblastoma

  64. Inactivated polio vaccine is otherwise known as
    • 17.D vaccine
    • Salk vaccine
    • Cell culture vaccine
    • Sabin vaccine

  65. Which of the vaccines must be stored in freezer compartment?
    • DPT and DT
    • Polio and Measles vaccines
    • DPT and TT
    • Polio and BCG vaccines

  66. The Bhore committee was set up in the year
    • 1951
    • 1948
    • 1943
    • 1982

  67. Dextrose insulin IV infusion is indicated in the management of
    • Hyperkalemia
    • Hypoglycemia
    • Cerebral oedema
    • Diabetic keto acidosis

  68. After subtotal thyroidectomy important observation for prevention of thyroid storm is
    • Hoarseness
    • Bradycardia
    • Elevated body temperature
    • Tetany

  69. Which of the following anticonvulsant is the first line analgesic agent for neuropathic pain?
    • Sodium valproate
    • Carbamazepine
    • Pregabalin
    • Diazepam

  70. The hydrostatic pressure needed to stop the flow of water by osmosis is
    • Oncotic pressure
    • Osmotic pressure
    • Osmotic dieresis
    • Filtration

  71. Nurse should monitor patient heart rate or pulse rate during removal of fecal impaction, because he/she may develop
    • Sweating and hypotension
    • Tachycardia and hypotension
    • Internal hemorrhage
    • Bradycardia due to vagal stimulation

  72. In the care of a child with Kawasaki disease, which of the following must be the priority?
    • Observe vital signs every 8 hr
    • Monitor intake and output every hour
    • Encourage range of motion exercise
    • Minimize skin discomfort

  73. Which of the following assessment indicate the effectiveness of external chest compressions, during cardiopulmonary resuscitation?
    • Palpable pulse
    • Pupillary dilation
    • Cold dry skin
    • Mottling of the skin

  74. Which problem a nurse would expect in a patient with acute pancreatitis?
    • Ascites
    • Hypertension
    • Jaundice
    • Diarrhoea

  75. What would be the most appropriate concern about diet for an older infant with cystic fibrosis?
    • High calorie diet
    • Low protein diet
    • High fat diet
    • Low carbohydrate diet

  76. In which of the following condition, a nurse can anticipate the risk for ARDS in the patient?
    • Asthma
    • Heart failure
    • Chronic obstructive pulmonary disease
    • Septic shock

  77. Captopril, an ACE inhibitor has been administered to a patient with heart failure, because it acts as
    • Potassium sparing diuretic
    • Volume expander
    • Vasodilator
    • Vasopressor

  78. The goal of nursing care for a patient with acute myeloid leukemia is the prevention of
    • Liver failure
    • Haemorrhage
    • Renal failure
    • Arrhythmias

  79. In the immediate post operative period of bilateral adrenalectomy, nurse should realize the probable cause of temperature elevation as
    • Dehydration
    • Urinary tract infection
    • Wound infection
    • Poor lung expansion

  80. Which of the following problem indicate suctioning in an infant with Tracheoesophageal fistula?
    • Substernal retractions
    • Increased respiratory rate
    • Brassy cough
    • Decreased activity level

  81. The first municipality to become fully WiFi Zone municipality in India
    • Palakkad
    • Malappuram
    • Chavakkad
    • Wayanad

  82. Pranahita and Taliperu are the tributaries of which river?
    • Godavari
    • Krishna
    • Mahanadi
    • Kaveri

  83. The massive rescue and relief operation initiated by Govt. of India in earthquake devastated Nepal in 2015
    • Operation Soda Mountain
    • Operation Air born Dragon
    • Operation Vijay
    • Operation Maithri

  84. “Great Dark Spot”,the huge spinning storm in the southern atmosphere of which Planet?
    • Pluto
    • Neptune
    • Uranus
    • None of these

  85. Who presided over the Lahore session of Indian National Congress meeting in 1909?
    • Rash Behari Bose
    • William Wedderburn
    • Pandit Madan Mohan Malaviya
    • Jawaharlal Nehru

  86. In Census 2011 the female population in India is
    • 1,73,78649
    • 1,60,27412
    • 1,59,34926
    • 3,03,9573
    Question error

  87. In which district in Kerala the Chimmini Wild-life sanctuary situated?
    • Kottayam
    • Idukki
    • Thrissur
    • Palakkad

  88. The first e-port in India is
    • Chennai
    • Mumbai
    • Visakhapatnam
    • Cochin

  89. Who issued Royal proclamation of 1817 introduced free education in Travancore?
    • Ayilyam Thirunnal Gowri Lakshmi Bai
    • Rani Gowri Parvathi Bai
    • Swathi Thirunnal Ramavarma
    • Rani Sethu Lakshmi Bai

  90. Who wrote the famous book “Vedadikara Nirupanam”?
    • Ayyankali
    • Sree Narayana Guru
    • Chattambi Swamikal
    • Vaikunda Swamikal

  91. Which programme launched by Narendra Modi on 28th August, 2014?
    • Goods and Service Tax
    • Digital India
    • Skill India
    • Jan Dhan Yojana

  92. Which social reformer founded the Chirayankeezhu Taluk Muslim Samajam?
    • Vakkam Abdul Khader Moulavi
    • Muhammed Abdul Rahman Sahib
    • Shoukkath Ali
    • Muhammed Ali

  93. “Unnimol” is a character of which Malayalam Novel?
    • Oru Theruvinte Katha
    • Odayilninnu
    • Nalukettu
    • Thottangal

  94. Which country will host the FINA World Aquatics Championship, 2017?
    • Japan
    • Brazil
    • Hungary
    • None of these

  95. ISRO has successfully launched 104 Satellites in a single flight recently from
    • Thumpa
    • Bangalore
    • Sriharikota
    • Chandipur

  96. The first state in India to open Blood Bank for cattle
    • Tamil Nadu
    • Orissa
    • Bihar
    • Haryana

  97. Which is the “Black September Day “in Olympics history?
    • 30th Sep. 1972
    • 5th Sep. 1972
    • 20th Sep. 1968
    • 5th Sep. 1968

  98. Which Five Year Plan is known as “Gadgil Yojana”?
    • Thired Five Year Plan
    • Fifth Five Year Plan
    • Sixth Five Year Plan
    • Seventh Five Year Plan

  99. Who got Ezhuthachan Award, 2016?
    • Puthussery Ramachandran
    • Vishnu Narayanan Nambuthiri
    • M. K. Sanu
    • C. Radhakrishnan

  100. Poikayil Yohannan founded the Dalit Religious Protest Movement “Prathyaksha Raksha Dhaiva Sabha” at ___________
    • Pathanamthitta
    • Kollam
    • Thiruvananthapuram
    • Kottayam

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