NURSING OFFICER QUESTION
BOOKLET AND ANSWER KEY SERIES (A,
B, C, D)
Page 1 of 10
, QUESTION BOOKLET (Series A)
PART- I
1. Under Ayushman Bharat, Health and Wellness Centres (HWCs) aim to deliver which level of
care?
A) Specialized secondary care B) Community-based rehabilitation
C) Comprehensive primary health care D) Emergency trauma care
2. A 4-year-old child with a history of cyanotic heart disease is scheduled for a minor surgical
procedure. Pre-operative vitals are stable, but the child suddenly becomes unresponsive and
cyanotic while waiting. What is the most likely cause of this sudden deterioration?
A) Febrile seizure B) Tet spell (hypercyanotic spell)
C) Hypoglycemia D) Pulmonary embolism
3. Which is the correct sequence of steps in the Community Health Nursing Process?
A) Assessment → Implementation → Planning → Evaluation
B) Planning → Diagnosis → Implementation → Assessment
C) Assessment → Diagnosis → Planning → Implementation → Evaluation
D) Diagnosis → Planning → Implementation → Evaluation → Assessment
4. Which of the following is a correct pairing of indicator and purpose?
A) Crude Birth Rate – Measures total deaths
B) Infant Mortality Rate – Indicator of socio-economic development
C) Maternal Mortality Rate – Measures immunization coverage
D) Total Fertility Rate – Measures disease prevalence
5. When recording blood pressure using Sphygmomanometer, the sounds which can be heard
with a stethoscope placed over the artery is termed as:
A) Wheeze B) Murmurs C) Crackle sounds D) Korotkoff sounds
6. Which epidemiological measure best reflects the burden of chronic illness in a community?
A) Crude death rate B) Incidence rate C) Prevalence rate D) Case fatality rate
7. A nurse manager is evaluating cost-effectiveness of a tuberculosis (TB) control program.
Which economic evaluation method is most appropriate?
A) Cost-Benefit Analysis (CBA) B) Cost-Minimization Analysis (CMA)
C) Cost-Utility Analysis (CUA) D) Cost-Effectiveness Analysis (CEA)
8. Which of the following ECG findings is most characteristic of hyperkalemia?
A) U waves and flattened T waves B) Tall, peaked T waves and widened QRS complex
C) ST elevation and Q waves D) Sinus tachycardia with premature atrial complexes
9. During the first 24 hours after a major burn injury, which of the following should the nurse
anticipate?
A) Hyperkalemia and metabolic alkalosis B) Hypokalemia and metabolic acidosis
C) Hyperkalemia and metabolic acidosis D) Hypocalcemia and respiratory alkalosis
10. Which finding indicates cardiac tamponade in a patient post open-heart surgery?
A) Narrow pulse pressure and muffled heart sounds B) Hypertension and bounding pulses
C) Bradycardia with high CVP D) Loud S1 and increased cardiac output
11. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. Patient becomes
increasingly drowsy. What is the likely cause?
A) Oxygen-induced hypercapnia B) CO2 narcosis from acidosis
C) Respiratory alkalosis from hyperventilation D) Cerebral hypoxia
12. The theme for International Nurses Day 2025 was;
A) Our Nurses. Our Future. Caring Nurses Strengthens economies
B) Nursing Power to Change the World!
C) Our Nurses. Our Future
D) Nurses; A voice to lead - Invest in Nursing and Respect Rights to secure global health
13. In a patient with Diabetic Ketoacidosis, which laboratory value requires the most immediate
intervention?
A) Blood glucose of 490 mg/dL B) Serum potassium of 2.8 mEq/L
C) Serum bicarbonate of 12 mEq/L D) Arterial pH of 7.25
Page 2 of 10
,14. A patient presents with third-degree heart block on ECG. Which drug is contraindicated?
A) Epinephrine B) Isoproterenol C) Atropine D) Digoxin
15. In Maslow's hierarchy of needs, which intervention demonstrates prioritization of
physiological needs?
A) Teaching relaxation techniques to reduce anxiety.
B) Providing a heated blanket to a hypothermic patient.
C) Encouraging socialization in a long-term care setting.
D) Assisting with spiritual support at end-of-life care.
16. Which statement best reflects evidence-based practice (EBP) in nursing?
A) “We’ve always done it this way, so we continue.”
B) “I read a textbook that recommends this method.”
C) “I found a recent clinical trial supporting this technique.”
D) “My supervisor prefers this procedure over others.”
17. A nurse notes that a diabetic patient has not received insulin as prescribed due to a missed
dose. Which ethical principle has been most violated?
A) Autonomy B) Fidelity C) Nonmaleficence D) Veracity
18. While using the nursing process, a nurse formulates nursing diagnoses based on which of the
following?
A) Physician’s diagnosis B) Patient’s identified medical problem
C) Subjective and objective assessment data D) Treatment plan from interdisciplinary team
19. The Heimlich manoeuvre (abdominal thrust) is used for a client who has:
A) A bloody nose B) A blocked airway C) Fall from bed D) Impaired eyesight
20. Which of the following health programs in India focuses on population stabilization, gender
equity, and reproductive rights?
A) National Population Policy B) National Tuberculosis Elimination Programme
C) National Rural Health Mission D) Integrated Child Development Scheme
21. A patient is receiving an antibiotic. She suddenly complains of trouble breathing, weakness
and nausea. The nurse should recognize that these signs are usually indicative of impending:
A) Pulmonary embolism B) Heart attack C) Anaphylaxis D) Bronchospasm
22. Which neurotransmitter imbalance is most strongly associated with the positive symptoms of
schizophrenia?
A) Decreased serotonin B) Increased dopamine activity in the mesolimbic pathway
C) Decreased GABA D) Increased norepinephrine in the frontal cortex
23. The nurse administering medication to a patient realizes that she has administered a wrong
dose of medication to the patient. But she informed the physician regarding the error
immediately. The nurse demonstrates:
A) Responsibility B) Authority C) Decision making D) Accountability
24. Which of the following is the most appropriate statistical test to compare the mean pain scores
between three groups receiving different analgesic protocols?
A) Paired t-test B) ANOVA C) Chi-square test D) Pearson correlation
25. A nursing researcher wants to estimate the prevalence of gestational diabetes among pregnant
women in rural India. Which of the following sampling techniques is best suited for this
purpose?
A) Purposive sampling B) Quota sampling
C) Simple random sampling D) Snowball sampling
26. Which of the following you identify as a risk factor for otitis media in an infant?
A) Preterm birth B) Low birth weight C) Bottle feeding D) Formula feeding
Page 3 of 10
, 27. Which of the following threats to internal validity is best controlled by using random
assignment in experimental studies?
A) History B) Maturation C) Selection bias D) Testing effect
28. Which of the following patient brought to emergency require the involvement of a forensic
nurse?
A) An old woman with signs of abuse B) A college student with signs of rape
C) A victim of violence D) A victim of assault while doing robbery
29. A nurse researcher is studying the effect of a new wound care protocol on healing time. She
randomly assigns patients to intervention and control groups and measures wound healing
over 3 weeks. Which research design is most appropriate for this study?
A) Descriptive design B) Quasi-experimental design
C) True experimental design D) Correlational design
30. Which electrolyte imbalance is most life-threatening in a patient with acute kidney injury
(AKI)?
A) Hyperphosphatemia B) Hypocalcemia C) Hyperkalemia D) Hypernatremia
31. Which of the following rightly describes the changes happening in a cadaver?
A) Rigor, cooling, marbling, mummification B) Marbling, Cooling, rigor, mummification
C) Cooling, marbling, rigor, mummification D) Cooling, rigor, marbling, mummification
32. Calculate the drop per minute if a nurse wants to administer intravenous (IV) fluid at a rate of
60ml/hour using a micro drip set
A) 15 drops/ minute B) 20 drops/ minute C) 30drops/ minute D) 60 drops/ minute
33. While preparing a disinfection protocol for reusable surgical instruments, a nurse chooses
glutaraldehyde. Which of the following instruments is most appropriately disinfected using
high-level disinfection with glutaraldehyde?
A) Vaginal speculum B) Laryngoscope blade C) Surgical scalpel D) IV infusion set
34. A patient develops a catheter-associated urinary tract infection (CAUTI) despite adherence to
aseptic insertion technique. Which of the following best explains this infection from an
epidemiological standpoint?
A) Endogenous transmission via ascending colonization
B) Cross-transmission by health workers
C) Contaminated catheter tip during insertion
D) Improper urinary bag positioning
35. During the sterilization audit of an autoclave, it is found that biological indicators test positive
but chemical indicators are normal. What is the most appropriate conclusion?
A) The autoclave cycle was successful
B) The sterilization process was incomplete
C) Chemical indicators are more reliable than biological ones
D) It indicates only packaging failure
36. Which of the following hand hygiene moments is most frequently missed in clinical settings,
according to WHO compliance studies?
A) Before touching a patient B) After body fluid exposure risk
C) After touching patient surroundings D) After touching a patient
37. A nurse caring for an immunocompromised patient with neutropenia must:
A) Use only droplet precautions
B) Avoid fresh fruits and flowers in the patient’s room
C) Restrict all visitors regardless of symptoms
D) Apply airborne precautions for all procedures
38. Which of the following combinations best meets the WHO criteria for a safe sharps container
in a high-risk infectious disease ward?
A) Transparent, puncture-resistant, foot-operated
B) Rigid, colorless, autoclavable
C) Leak-proof, puncture-resistant, labeled with biohazard symbol
D) Plastic, sealed with lid, located near pharmacy
Page 4 of 10
BOOKLET AND ANSWER KEY SERIES (A,
B, C, D)
Page 1 of 10
, QUESTION BOOKLET (Series A)
PART- I
1. Under Ayushman Bharat, Health and Wellness Centres (HWCs) aim to deliver which level of
care?
A) Specialized secondary care B) Community-based rehabilitation
C) Comprehensive primary health care D) Emergency trauma care
2. A 4-year-old child with a history of cyanotic heart disease is scheduled for a minor surgical
procedure. Pre-operative vitals are stable, but the child suddenly becomes unresponsive and
cyanotic while waiting. What is the most likely cause of this sudden deterioration?
A) Febrile seizure B) Tet spell (hypercyanotic spell)
C) Hypoglycemia D) Pulmonary embolism
3. Which is the correct sequence of steps in the Community Health Nursing Process?
A) Assessment → Implementation → Planning → Evaluation
B) Planning → Diagnosis → Implementation → Assessment
C) Assessment → Diagnosis → Planning → Implementation → Evaluation
D) Diagnosis → Planning → Implementation → Evaluation → Assessment
4. Which of the following is a correct pairing of indicator and purpose?
A) Crude Birth Rate – Measures total deaths
B) Infant Mortality Rate – Indicator of socio-economic development
C) Maternal Mortality Rate – Measures immunization coverage
D) Total Fertility Rate – Measures disease prevalence
5. When recording blood pressure using Sphygmomanometer, the sounds which can be heard
with a stethoscope placed over the artery is termed as:
A) Wheeze B) Murmurs C) Crackle sounds D) Korotkoff sounds
6. Which epidemiological measure best reflects the burden of chronic illness in a community?
A) Crude death rate B) Incidence rate C) Prevalence rate D) Case fatality rate
7. A nurse manager is evaluating cost-effectiveness of a tuberculosis (TB) control program.
Which economic evaluation method is most appropriate?
A) Cost-Benefit Analysis (CBA) B) Cost-Minimization Analysis (CMA)
C) Cost-Utility Analysis (CUA) D) Cost-Effectiveness Analysis (CEA)
8. Which of the following ECG findings is most characteristic of hyperkalemia?
A) U waves and flattened T waves B) Tall, peaked T waves and widened QRS complex
C) ST elevation and Q waves D) Sinus tachycardia with premature atrial complexes
9. During the first 24 hours after a major burn injury, which of the following should the nurse
anticipate?
A) Hyperkalemia and metabolic alkalosis B) Hypokalemia and metabolic acidosis
C) Hyperkalemia and metabolic acidosis D) Hypocalcemia and respiratory alkalosis
10. Which finding indicates cardiac tamponade in a patient post open-heart surgery?
A) Narrow pulse pressure and muffled heart sounds B) Hypertension and bounding pulses
C) Bradycardia with high CVP D) Loud S1 and increased cardiac output
11. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. Patient becomes
increasingly drowsy. What is the likely cause?
A) Oxygen-induced hypercapnia B) CO2 narcosis from acidosis
C) Respiratory alkalosis from hyperventilation D) Cerebral hypoxia
12. The theme for International Nurses Day 2025 was;
A) Our Nurses. Our Future. Caring Nurses Strengthens economies
B) Nursing Power to Change the World!
C) Our Nurses. Our Future
D) Nurses; A voice to lead - Invest in Nursing and Respect Rights to secure global health
13. In a patient with Diabetic Ketoacidosis, which laboratory value requires the most immediate
intervention?
A) Blood glucose of 490 mg/dL B) Serum potassium of 2.8 mEq/L
C) Serum bicarbonate of 12 mEq/L D) Arterial pH of 7.25
Page 2 of 10
,14. A patient presents with third-degree heart block on ECG. Which drug is contraindicated?
A) Epinephrine B) Isoproterenol C) Atropine D) Digoxin
15. In Maslow's hierarchy of needs, which intervention demonstrates prioritization of
physiological needs?
A) Teaching relaxation techniques to reduce anxiety.
B) Providing a heated blanket to a hypothermic patient.
C) Encouraging socialization in a long-term care setting.
D) Assisting with spiritual support at end-of-life care.
16. Which statement best reflects evidence-based practice (EBP) in nursing?
A) “We’ve always done it this way, so we continue.”
B) “I read a textbook that recommends this method.”
C) “I found a recent clinical trial supporting this technique.”
D) “My supervisor prefers this procedure over others.”
17. A nurse notes that a diabetic patient has not received insulin as prescribed due to a missed
dose. Which ethical principle has been most violated?
A) Autonomy B) Fidelity C) Nonmaleficence D) Veracity
18. While using the nursing process, a nurse formulates nursing diagnoses based on which of the
following?
A) Physician’s diagnosis B) Patient’s identified medical problem
C) Subjective and objective assessment data D) Treatment plan from interdisciplinary team
19. The Heimlich manoeuvre (abdominal thrust) is used for a client who has:
A) A bloody nose B) A blocked airway C) Fall from bed D) Impaired eyesight
20. Which of the following health programs in India focuses on population stabilization, gender
equity, and reproductive rights?
A) National Population Policy B) National Tuberculosis Elimination Programme
C) National Rural Health Mission D) Integrated Child Development Scheme
21. A patient is receiving an antibiotic. She suddenly complains of trouble breathing, weakness
and nausea. The nurse should recognize that these signs are usually indicative of impending:
A) Pulmonary embolism B) Heart attack C) Anaphylaxis D) Bronchospasm
22. Which neurotransmitter imbalance is most strongly associated with the positive symptoms of
schizophrenia?
A) Decreased serotonin B) Increased dopamine activity in the mesolimbic pathway
C) Decreased GABA D) Increased norepinephrine in the frontal cortex
23. The nurse administering medication to a patient realizes that she has administered a wrong
dose of medication to the patient. But she informed the physician regarding the error
immediately. The nurse demonstrates:
A) Responsibility B) Authority C) Decision making D) Accountability
24. Which of the following is the most appropriate statistical test to compare the mean pain scores
between three groups receiving different analgesic protocols?
A) Paired t-test B) ANOVA C) Chi-square test D) Pearson correlation
25. A nursing researcher wants to estimate the prevalence of gestational diabetes among pregnant
women in rural India. Which of the following sampling techniques is best suited for this
purpose?
A) Purposive sampling B) Quota sampling
C) Simple random sampling D) Snowball sampling
26. Which of the following you identify as a risk factor for otitis media in an infant?
A) Preterm birth B) Low birth weight C) Bottle feeding D) Formula feeding
Page 3 of 10
, 27. Which of the following threats to internal validity is best controlled by using random
assignment in experimental studies?
A) History B) Maturation C) Selection bias D) Testing effect
28. Which of the following patient brought to emergency require the involvement of a forensic
nurse?
A) An old woman with signs of abuse B) A college student with signs of rape
C) A victim of violence D) A victim of assault while doing robbery
29. A nurse researcher is studying the effect of a new wound care protocol on healing time. She
randomly assigns patients to intervention and control groups and measures wound healing
over 3 weeks. Which research design is most appropriate for this study?
A) Descriptive design B) Quasi-experimental design
C) True experimental design D) Correlational design
30. Which electrolyte imbalance is most life-threatening in a patient with acute kidney injury
(AKI)?
A) Hyperphosphatemia B) Hypocalcemia C) Hyperkalemia D) Hypernatremia
31. Which of the following rightly describes the changes happening in a cadaver?
A) Rigor, cooling, marbling, mummification B) Marbling, Cooling, rigor, mummification
C) Cooling, marbling, rigor, mummification D) Cooling, rigor, marbling, mummification
32. Calculate the drop per minute if a nurse wants to administer intravenous (IV) fluid at a rate of
60ml/hour using a micro drip set
A) 15 drops/ minute B) 20 drops/ minute C) 30drops/ minute D) 60 drops/ minute
33. While preparing a disinfection protocol for reusable surgical instruments, a nurse chooses
glutaraldehyde. Which of the following instruments is most appropriately disinfected using
high-level disinfection with glutaraldehyde?
A) Vaginal speculum B) Laryngoscope blade C) Surgical scalpel D) IV infusion set
34. A patient develops a catheter-associated urinary tract infection (CAUTI) despite adherence to
aseptic insertion technique. Which of the following best explains this infection from an
epidemiological standpoint?
A) Endogenous transmission via ascending colonization
B) Cross-transmission by health workers
C) Contaminated catheter tip during insertion
D) Improper urinary bag positioning
35. During the sterilization audit of an autoclave, it is found that biological indicators test positive
but chemical indicators are normal. What is the most appropriate conclusion?
A) The autoclave cycle was successful
B) The sterilization process was incomplete
C) Chemical indicators are more reliable than biological ones
D) It indicates only packaging failure
36. Which of the following hand hygiene moments is most frequently missed in clinical settings,
according to WHO compliance studies?
A) Before touching a patient B) After body fluid exposure risk
C) After touching patient surroundings D) After touching a patient
37. A nurse caring for an immunocompromised patient with neutropenia must:
A) Use only droplet precautions
B) Avoid fresh fruits and flowers in the patient’s room
C) Restrict all visitors regardless of symptoms
D) Apply airborne precautions for all procedures
38. Which of the following combinations best meets the WHO criteria for a safe sharps container
in a high-risk infectious disease ward?
A) Transparent, puncture-resistant, foot-operated
B) Rigid, colorless, autoclavable
C) Leak-proof, puncture-resistant, labeled with biohazard symbol
D) Plastic, sealed with lid, located near pharmacy
Page 4 of 10
