AIIMS NURSING OFFICER EXAM MODEL PAPER
BY- THE NURSELIFE ACADEMY
1.A patient with acute pancreatitis is being treated in the hospital. Which laboratory
value is most indicative of a worsening condition?
A) Hemoglobin 13 g/dL
B) Lipase 1,200 U/L
C) Serum sodium 140 mEq/L
D) Potassium 3.8 mEq/L
Answer: B) Lipase 1,200 U/L
Rationale: Elevated lipase levels are a hallmark of acute pancreatitis. A level significantly
higher than the normal range (usually 10–140 U/L) indicates worsening pancreatic
inflammation.
2.A nurse is caring for a patient with chronic kidney disease (CKD) who is scheduled
for hemodialysis. The patient asks why they need dialysis. Which is the best response?
A) "It removes the waste products from your blood when your kidneys can no longer do so
effectively."
B) "It helps your kidneys heal and regain normal function."
C) "It prevents you from needing a kidney transplant."
D) "It is used to control your blood sugar levels."
Answer: A) "It removes the waste products from your blood when your kidneys can no longer
do so effectively."
Rationale: Hemodialysis removes waste products and excess fluids from the blood when the
kidneys are no longer functioning properly, which is why it is necessary for patients with CKD
who experience renal failure.
3.A patient is admitted with a diagnosis of myocardial infarction (MI). Which of the
following interventions is the priority in the first 24 hours?
A) Administer aspirin and nitroglycerin.
B) Administer thrombolytics.
C) Perform a coronary angioplasty.
D) Start intravenous fluids at a rate of 200 mL/hr.
,Answer: A) Administer aspirin and nitroglycerin.
Rationale: In the acute phase of an MI, aspirin is given to prevent further clot formation, and
nitroglycerin is administered to decrease myocardial oxygen demand. Thrombolytics,
angioplasty, and IV fluids are secondary interventions depending on the specific case.
4.A nurse is caring for a patient post-hip replacement surgery. The patient is confused,
restless, and exhibits a low blood pressure and tachycardia. What is the most likely
cause of these symptoms?
A) Acute blood loss
B) Anemia
C) Hypovolemic shock
D) Acute infection
Answer: C) Hypovolemic shock
Rationale: The patient’s symptoms (confusion, restlessness, low blood pressure, tachycardia)
are indicative of hypovolemic shock, likely due to postoperative bleeding, which can occur
after surgery like hip replacement.
5.A patient who has had a stroke is experiencing left-sided weakness. Which nursing
intervention would be most appropriate to help prevent complications of immobility?
A) Encourage passive range-of-motion exercises.
B) Place the patient in the Trendelenburg position.
C) Apply compression stockings to both legs.
D) Restrict fluid intake to reduce urinary retention.
Answer: A) Encourage passive range-of-motion exercises.
Rationale: Passive range-of-motion exercises help maintain joint mobility and prevent
complications such as contractures in patients with weakness or paralysis, which is common
after a stroke.
6.A patient with congestive heart failure (CHF) is being discharged with a prescription
for digoxin. Which of the following would require immediate follow-up by the nurse?
,A) Serum potassium level of 3.3 mEq/L
B) A potassium-rich diet
C) An increased appetite
D) A normal heart rate of 76 bpm
Answer: A) Serum potassium level of 3.3 mEq/L
Rationale: Low potassium levels (hypokalemia) increase the risk of digoxin toxicity. A serum
potassium level of 3.3 mEq/L is low and should be corrected before administering digoxin.
7.A patient with cirrhosis presents with jaundice, ascites, and confusion. Which
laboratory value would be most concerning?
A) Elevated serum albumin
B) Decreased prothrombin time (PT)
C) Elevated ammonia level
D) Elevated potassium level
Answer: C) Elevated ammonia level
Rationale: Elevated ammonia levels indicate hepatic encephalopathy, a serious complication
of cirrhosis that can lead to confusion and altered mental status due to the liver’s inability to
detoxify the blood.
8.A patient with an ileostomy is being taught about post-operative care. Which
statement by the patient indicates a need for further teaching?
A) "I should empty the ostomy pouch when it’s one-third full."
B) "I will avoid eating high-fiber foods like popcorn and nuts."
C) "I should use an adhesive remover to take off the ostomy bag."
D) "I can shower with the pouch on, but should avoid direct water pressure."
Answer: C) "I should use an adhesive remover to take off the ostomy bag."
Rationale: While adhesive remover may seem like a convenient option, it can cause irritation
to the skin. The pouch should be removed gently by peeling it off, and the adhesive should be
loosened using water and care.
, 9.A patient who is receiving chemotherapy for leukemia develops severe mucositis.
Which of the following interventions is most appropriate?
A) Avoid any oral intake until the lesions heal.
B) Apply a viscous lidocaine solution to the lesions.
C) Encourage the use of hot spicy foods to promote healing.
D) Administer prescribed antiemetics before eating.
Answer: B) Apply a viscous lidocaine solution to the lesions.
Rationale: Viscous lidocaine provides local anesthetic effects to relieve the pain of mucositis.
Avoiding oral intake completely can lead to malnutrition, and hot or spicy foods can further
irritate the lesion.
10.A patient with severe asthma is prescribed a corticosteroid inhaler. The nurse
instructs the patient to rinse their mouth after use. Why is this important?
A) To prevent the inhaler from becoming contaminated.
B) To reduce the risk of systemic absorption of the medication.
C) To prevent oral fungal infections such as thrush.
D) To reduce the risk of developing an asthma attack.
Answer: C) To prevent oral fungal infections such as thrush.
Rationale: Inhaled corticosteroids can increase the risk of oral fungal infections (such as
thrush) due to local immunosuppression. Rinsing the mouth after use helps prevent this
complications.
11.A 3-year-old child is admitted with suspected acute glomerulonephritis following a
recent streptococcal throat infection. The nurse assesses the child’s urine output and
notes that the urine is tea-colored. What is the most likely explanation for this finding?
A) Hematuria due to glomerular damage
B) Presence of ketones from starvation
C) Increased bilirubin due to liver dysfunction
D) Urinary retention from obstruction
Answer: A) Hematuria due to glomerular damage
Rationale: Tea-colored urine is typically indicative of hematuria, which can occur in acute
glomerulonephritis due to damage to the glomerular filtration barrier following a streptococcal
infection. This results in blood cells leaking into the urine.
BY- THE NURSELIFE ACADEMY
1.A patient with acute pancreatitis is being treated in the hospital. Which laboratory
value is most indicative of a worsening condition?
A) Hemoglobin 13 g/dL
B) Lipase 1,200 U/L
C) Serum sodium 140 mEq/L
D) Potassium 3.8 mEq/L
Answer: B) Lipase 1,200 U/L
Rationale: Elevated lipase levels are a hallmark of acute pancreatitis. A level significantly
higher than the normal range (usually 10–140 U/L) indicates worsening pancreatic
inflammation.
2.A nurse is caring for a patient with chronic kidney disease (CKD) who is scheduled
for hemodialysis. The patient asks why they need dialysis. Which is the best response?
A) "It removes the waste products from your blood when your kidneys can no longer do so
effectively."
B) "It helps your kidneys heal and regain normal function."
C) "It prevents you from needing a kidney transplant."
D) "It is used to control your blood sugar levels."
Answer: A) "It removes the waste products from your blood when your kidneys can no longer
do so effectively."
Rationale: Hemodialysis removes waste products and excess fluids from the blood when the
kidneys are no longer functioning properly, which is why it is necessary for patients with CKD
who experience renal failure.
3.A patient is admitted with a diagnosis of myocardial infarction (MI). Which of the
following interventions is the priority in the first 24 hours?
A) Administer aspirin and nitroglycerin.
B) Administer thrombolytics.
C) Perform a coronary angioplasty.
D) Start intravenous fluids at a rate of 200 mL/hr.
,Answer: A) Administer aspirin and nitroglycerin.
Rationale: In the acute phase of an MI, aspirin is given to prevent further clot formation, and
nitroglycerin is administered to decrease myocardial oxygen demand. Thrombolytics,
angioplasty, and IV fluids are secondary interventions depending on the specific case.
4.A nurse is caring for a patient post-hip replacement surgery. The patient is confused,
restless, and exhibits a low blood pressure and tachycardia. What is the most likely
cause of these symptoms?
A) Acute blood loss
B) Anemia
C) Hypovolemic shock
D) Acute infection
Answer: C) Hypovolemic shock
Rationale: The patient’s symptoms (confusion, restlessness, low blood pressure, tachycardia)
are indicative of hypovolemic shock, likely due to postoperative bleeding, which can occur
after surgery like hip replacement.
5.A patient who has had a stroke is experiencing left-sided weakness. Which nursing
intervention would be most appropriate to help prevent complications of immobility?
A) Encourage passive range-of-motion exercises.
B) Place the patient in the Trendelenburg position.
C) Apply compression stockings to both legs.
D) Restrict fluid intake to reduce urinary retention.
Answer: A) Encourage passive range-of-motion exercises.
Rationale: Passive range-of-motion exercises help maintain joint mobility and prevent
complications such as contractures in patients with weakness or paralysis, which is common
after a stroke.
6.A patient with congestive heart failure (CHF) is being discharged with a prescription
for digoxin. Which of the following would require immediate follow-up by the nurse?
,A) Serum potassium level of 3.3 mEq/L
B) A potassium-rich diet
C) An increased appetite
D) A normal heart rate of 76 bpm
Answer: A) Serum potassium level of 3.3 mEq/L
Rationale: Low potassium levels (hypokalemia) increase the risk of digoxin toxicity. A serum
potassium level of 3.3 mEq/L is low and should be corrected before administering digoxin.
7.A patient with cirrhosis presents with jaundice, ascites, and confusion. Which
laboratory value would be most concerning?
A) Elevated serum albumin
B) Decreased prothrombin time (PT)
C) Elevated ammonia level
D) Elevated potassium level
Answer: C) Elevated ammonia level
Rationale: Elevated ammonia levels indicate hepatic encephalopathy, a serious complication
of cirrhosis that can lead to confusion and altered mental status due to the liver’s inability to
detoxify the blood.
8.A patient with an ileostomy is being taught about post-operative care. Which
statement by the patient indicates a need for further teaching?
A) "I should empty the ostomy pouch when it’s one-third full."
B) "I will avoid eating high-fiber foods like popcorn and nuts."
C) "I should use an adhesive remover to take off the ostomy bag."
D) "I can shower with the pouch on, but should avoid direct water pressure."
Answer: C) "I should use an adhesive remover to take off the ostomy bag."
Rationale: While adhesive remover may seem like a convenient option, it can cause irritation
to the skin. The pouch should be removed gently by peeling it off, and the adhesive should be
loosened using water and care.
, 9.A patient who is receiving chemotherapy for leukemia develops severe mucositis.
Which of the following interventions is most appropriate?
A) Avoid any oral intake until the lesions heal.
B) Apply a viscous lidocaine solution to the lesions.
C) Encourage the use of hot spicy foods to promote healing.
D) Administer prescribed antiemetics before eating.
Answer: B) Apply a viscous lidocaine solution to the lesions.
Rationale: Viscous lidocaine provides local anesthetic effects to relieve the pain of mucositis.
Avoiding oral intake completely can lead to malnutrition, and hot or spicy foods can further
irritate the lesion.
10.A patient with severe asthma is prescribed a corticosteroid inhaler. The nurse
instructs the patient to rinse their mouth after use. Why is this important?
A) To prevent the inhaler from becoming contaminated.
B) To reduce the risk of systemic absorption of the medication.
C) To prevent oral fungal infections such as thrush.
D) To reduce the risk of developing an asthma attack.
Answer: C) To prevent oral fungal infections such as thrush.
Rationale: Inhaled corticosteroids can increase the risk of oral fungal infections (such as
thrush) due to local immunosuppression. Rinsing the mouth after use helps prevent this
complications.
11.A 3-year-old child is admitted with suspected acute glomerulonephritis following a
recent streptococcal throat infection. The nurse assesses the child’s urine output and
notes that the urine is tea-colored. What is the most likely explanation for this finding?
A) Hematuria due to glomerular damage
B) Presence of ketones from starvation
C) Increased bilirubin due to liver dysfunction
D) Urinary retention from obstruction
Answer: A) Hematuria due to glomerular damage
Rationale: Tea-colored urine is typically indicative of hematuria, which can occur in acute
glomerulonephritis due to damage to the glomerular filtration barrier following a streptococcal
infection. This results in blood cells leaking into the urine.
