Class-III Nursing Assistant Midterm Exam Paper PDF Jun 2024

## INSTITUTE OF PARAMEDICAL SCIENCES 2 TECHNICAL TRAINING WING, AMC CENTRE AND COLLEGE, LUCKNOW- 02 CLASS-III NURSING ASSISTANT MIDTERM EXAMINATION, JUN 2024 Date: 08 Jun 2024 Time: 90mins Max Marks: 100 Marks Pass Marks: 40 Marks ### Multiple choice questions | Question | Options | Answer | |---...

## INSTITUTE OF PARAMEDICAL SCIENCES 2 TECHNICAL TRAINING WING, AMC CENTRE AND COLLEGE, LUCKNOW- 02 CLASS-III NURSING ASSISTANT MIDTERM EXAMINATION, JUN 2024 Date: 08 Jun 2024 Time: 90mins Max Marks: 100 Marks Pass Marks: 40 Marks ### Multiple choice questions | Question | Options | Answer | |---|---|---| | 1. Mechanical digestion in the stomach is accomplished by which of the following structure | A) Mucosa B) Smooth muscle layer C) Gastric glands D) Striated muscle layer | B | | 2. A very deep inspiration followed by prolonged expiration is | A) Bradypnea B) Sigh C) Wheezing D) Cheyne stokes respiration | D | | 3. During physical examination, you ask the patient to stand with feet together & eyes closed to check the equilibrium. What is this test called? | A) Triceps reflex Test B) Patellar reflex Test C) Romberg's Test D) Plantar Test | C | | 4. Cardiac arrest is managed by administering inj Adrenaline IV route. Choose the correct dose among the options. | A) 0.1 mg (1:10000) every 3-5 min B) 0.3 mg (1:1000) every 3-5 min C) 1.0mg (1:100) every 3-5 min D) 1.0 mg (1:1000) every 3-5 min | A | | 5. Loss of body balance & coordination results from damage to | A) Hypothalamus B) Cerebrum C) Cerebellum D) Midbrain | C | | 6. According to WHO hand washing time with soap & water is recommended for | A) 2 to 3min B) 40 to 60 sec C) 3 to 5min D) 20 to 30 sec | B | | 7. An overstretching or tearing of muscle or tendon is called: | A) Strain B) Dislocation C) Sprain D) Fracture | C | | 8. The repair and reconstruction of the joint is | A) Arthrectomy B) Arthrotomy C) Arthroplasty D) Amputation | C | | 9. Highest oxygen concentration will be delivered by | A) Nasal catheter B) Partial non rebreather mask with reservoir bag C) Nasal prong D) Simple oxygen mask | B | | 10. BT stores in Eastern command is controlled by | A) DGMS B) COAS C) DGAFMS D) CDS | A | | 11. What is the first step in First aid management of hot water spill on hands? | A) Apply antibiotic ointment B) Clean the area thoroughly with hot soapy water C) Hold the hand under cool running water for 20mts D) Immerse the hand in ice cold water for 20mts | C | | 12. While assessing a patient's GCS at bed side. He opens his eyes when you speak, makes incomprehensive sound to your questions & while applying stimulus he tries to locate and withdraw. What is the GCS score? | A) GCS 11(E3V4M4) B) GCS 8 (E3V3M2) C) GCS 10(E3V2M5) D) GCS 12(E3V3M6) | B | | 13. Hydroxyl Ethyl Starch is an example of | A) Blood Products B) Crystalloid C) Colloid D) Antibiotic | C | | 14. Sick Report book no. is | A) AFMSF No. 43 B) AFMSF No. 42 C) AFMSF No. 44 D) AFMSF No. 41 | A | | 15. Circle of Willis supply blood to | A) Liver B) Brain C) Kidney D) Lungs | B | | 16. AFMSF-14 is | A) Injury report B) Special investigation form C) Medical case sheet D) Clinical chart | D | | 17. Recovery period from the disease or infection is called | A) Incubation period B) Clinical Stage C) Prodromal period D) Convalescent period | D | | 18. While taking care of a patient with high risk of aspiration pneumonia. Which of the following nursing intervention will help to prevent aspiration? | A) Provide chest physiotherapy immediately after feed B) Administer nebulisation immediately after feed. C) Do oral suctioning after feed D) Keep the patient in fowler's position for 20 to 30mts after feed | D | | 19. The cranial nerve which carries impulses from the semi circular canals of inner ear and conveys to the brain is | A) Abducens nerve B) Trigeminal nerve C) Vestibulocochlear nerve D) Vagus nerve | C | | 20. A patient developed Tension pneumothorax after chest wall injury due to RTA. What is the emergency treatment to save the life? | A) Suctioning B) Start salbutamol nebulization C) Needle decompression D) Mouth to mouth respiration | C | | 21. Visual acuity is assessed with | A) Otoscope B) Snellen Chart C) Goinometer D) Refractometer | B | | 22. Severe attack of asthma that last for more than 24 hrs and not responding to repeated dose of bronchodilators is | A) Status Epilepticus B) Status Asthmaticus C) Status Labrinthitis D) Status Pneumonia | B | | 23. Which of the following is the most abundant type of blood cells? | A) Thrombocyte B) Myocytes C) Lymphocyte D) Erythrocyte | D | | 24. For a patient with stroke, which of the following must be checked before feeding? | A) The gag reflex returns B) Deep tendon reflex returns C) Patellar reflex returns D) Return of bowel sounds | A | | 25. The purpose of elastic stockings after a surgical procedure is to | A) Prevent muscular atrophy B) Ensure joint immobility C) Facilitate venous return and prevent thrombo embolism D) Prevent cellulitis | C | | 26. Biological reagents to all commands is supplied by | A) AFMSD Mumbai B) AFMSD Lucknow C) AFMC Pune D) AFMSD Delhi | A | | 27. A patient is admitted with hypertension; during evaluation it is found that the cause of hypertension is renal failure. Classify the Hypertension, | A) Primary Hypertension B) Secondary Hypertension C) White coat Hypertension D) Pre Hypertension | B | | 28. Which injection should never be given direct IV bolus? | A) Potassium chloride B) 25% Dextrose C) Lasix D) Sodium Bicarbonate | A | | 29. Accumulation of pus in the pleurai space is called | A) Pneumothorax B) Empyema C) Hemothorax D) Emphysema | B | | 30. Which instruction should the nurse give a patient who is going to have a chest tube removal? | A) Take beep breaths while removing the tube B) Exhale as the tube is being pulled out C) Take deep breath and hold it D) Perform Valsalva manoeuvre | A | | 31. You monitored 42- year old patient's urine output for 24hrs and found the total volume is 70ml. How will you record this finding? | A) Oliguria B) Anuria C) Polyuria D) Chyluria | A | | 32. A 32yr old male is admitted with both lower limb paralysis due to fracture spine. Identify the condition | A) Hemiplegia B) Quadriplegia C) Paraplegia D) Hemi paresis | C | | 33. Non expendable stores include | A) Disposables B) Equipments C) Lab reagent D) Drugs | B | | 34. A 24yr old burn patient weighing 70kg presents with 30% TBSA of burn. Calculate the fluid to be given in first 8hrs using parkland formula. | A) 8.4L B) 9.7L C) 4.2L D) 5.8L | B | | 35. A patient is admitted to medical ward with abdominal pain, anorexia & heart burn due to duodenal ulcer. Choose the suitable diet for this patient. | A) Ordinery Diet B) Bland Diet C) Fluid Diet D) High protein Diet | B | | 36. Which anatomical plane divides the body into anterior and posterior portion? | A) Sagital plane B) Coronal plane C) Transverse plane D) Proximal plane | B| | 37. A patient in your ward develops a generalized tonic- clonic seizure. The appropriate immediate action you take is | A) Try to hold the patient still B) Pinch the patient's nose to stop seizure C) Turn the patient to one side D) Restrain the patient's legs | C | | 38. A patient is admitted to emergency department with burns on both thighs (anterior & posterior) including perineum & anterior abdomen. Calculate the percentage of total body surface area burned with the help of Rule of nine. | A) 28% B) 30% C) 34% D) 40% | B | | 39. All are correct method of using incentive spirometer except | A) Use incentive spirometer while sitting B) Keep the device straight at eye level C) Advice to perform spirometry immediately after meal D) Ask the patient to support suture site | C | | 40. If a patient's blood pressure is 160/100mm of Hg is what is the pulse pressure? | A) 260 B) 100 C) 60 D) 96 | C | | 41. Which of the following pathological condition is usually present during a heart attack? | A) The blood supply to an area of heart is suddenly cut off B) The heart is not working hard enough to pump blood to the body C) The haemoglobin count is low D) Low erythropoietin level | A | | 42. A Known case of Diabetes Mellitus patient presenting with giddiness, severe sweating, palpitation and blurred vision indicates | A) Hypoglycemia B) Hyperglycemia C) Pleural effusion D) Appendicitis | A | | 43. Subcutaneous injections with insulin syringe is given at | A) 15° angle B) 90° angle C) 10° angle D) 30° angle | D | | 44. The extra amount of air that can be forcibly exhaled is called | A) Tidal volume B) Expiratory reserve volume C) Residual volume D) Vital capacity | C | | 45. Glenoid cavity is a part of which bone | A) Scapula B) Sternum C) Humerus bone D) Clavicle | A | | 46. What is the purpose of administering Erythropoietin to a patient suffering with CRF? | A) Elevate W.B.C count B) Enhance maturation of thrombocyte C) Increase production of platelets D) Stimulate the Synthesis of RBC | D | | 47. The lower most 2 pairs of ribs which are not attached to the sternum is called | A) True Ribs B) False Ribs C) Floating Ribs D) Typical Ribs | C | | 48. A patient is admitted with pain abdomen, during physical examination when palpating left lower quadrant patient feels pain on right lower quadrant. What is this sign called? | A) Mc Burney's sign B) Blumberg's sign C) Rovsing's sign D) Plantar sign | C | | 49. What is Thoracentesis? | A) Aspiration of fluid and gas from pleural space B) Aspiration of fluid and gas from pericardial space C) Aspiration of fluid and gas from peritoneal space D) Aspiration of fluid from subarachnoid space | A | | 50. While assessing a 60yr old bedridden patient for pressure ulcer, noted a skin loss involving epidermis & dermis. What is the stage of pressure ulcer? | A) Stage I B) Stage II C) Stage III D) Stage IV | B | | 51. BCG is | A) Live attenuated vaccine B) Inactivated vaccine C) Toxoid D) Immunoglobulin | A | | 52. Dropping of systolic blood pressure when making the patient to stand after bed rest is referred to as | A) Post prandial hypotension B) Portal hypotension C) Orthostatic hypotension D) Neurally mediated hypotension | C | | 53. Which of the following is an accessory organ of digestive system? | A) Small Intestine B) Liver C) Stomach D) Oesophagus | B | | 54. The junction between two neurons is called | A) Dendrites B) Axon C) Nodes of Ranvier D) Synapse | D | | 55. 66 yrs old, father of Nk J Bishnoi is admitted as a case of Head Injury with tracheotomy. Which of the following actions is most appropriate while performing tracheal suctioning? | A) Use sterile technique and suction for 40 seconds B) Use sterile technique and do not suction for more than 10 to 15 seconds C) Use clean technique and suction for 60 seconds D) Use sterile technique and do not suction for more than 40 to 60 seconds | B | | 56. It is a secondary or subsidiary circulatory system, which drains interstitial fluid | A) Coronary Circulation B) Pulmonary Circulation C) Portal Circulation D) Lymphatic Circulation | D | | 57. How long do you check for a carotid pulse in CPR? | A) Maximum 2 seconds B) maximum 5 seconds C) Maximum 10 seconds D) maximum 30 seconds | B | | 58. Which of the following is not a part of knee joint? | A) The condyle of femur B) The patella C) The condyle of tibia D) Head of fibula | D | | 59. If a narrow cuff is used for measuring blood pressure | A) Actual reading will be obtained B) Falsely high reading will be obtained C) BP can't be measured | B | | 60. While recording ECG V1 lead is placed on | A) Left 4th intercostal space B) Right 4th intercostal space C) Left 2nd intercostal space D) Right 2nd intercostal space | D | | 61. Pacemaker is used in patients to serve the function that is normally performed by the | A) AV node B) Mitral valve C) Bundle of HIS D) SA node | D | | 62. While assessing a patient with bacterial Meningitis, the passive flexion of neck causes reflex flexion of the hip & knee, the sign is | A) Kerning's sign B) Turner's Sign C) Brudzinski's sign D) Rovsing's sign | C | | 63. Extravasations of large amount of blood in to tissue with resultant swelling is known as | A) Purpura B) Ecchymosis C) Hematoma D) Patechie | B | | 64. A patient is receiving 250ml normal saline over 4hrs, using IV set with a drop factor 15drops/ml. How many drops/min should be delivered? | A) 15 B) 25 C) 8 D) 20 | B | | 65. Choose the wrong statement in management HIV contaminated needle stick injury. | A) Wash the area with soap & water. B) Initiate the needle stick injury form. C) Start post exposure prophylaxis as soon as possible. D) Start post exposure prophylaxis only if HIV ELISA is positive. | D | | 66. The laboratory tests that confirm the myocardial infarction is? | A) Serum calcium, ALP B) CBC, Electrolytes C) Blood urea nitrogen D) LDH, CK-MB, Troponins | D | | 67. All are complications of 100% oxygen administration except | A) Infection B) Pleural effusion C) Apnoea D) Collapse of alveoli | C | | 68. Urinary bladder is lined by | A) Cuboidal epithelium B) Squamous epithelium C) Transitional epithelium D) Columnar epithelium | C | | 69. These are the first line Anti- Tubercular drug except | A) Ethambutol B) Isoniazid C) Rifampin D) Linezolid | D | | 70. What is the time duration of each cardiac cycle? | A) 0.8sec B) 0.5sec C) 60 sec D) 30sec | A | | 71. A patient is admitted to Acute Medical Ward with ARF, advised to administer glucose, insulin infusion & sodium bicarbonate to treat | A) Hypernatremia B) Hyperkalemia C) Oliguria D) Edema | B | | 72. RAP stands for | A) Regimental Aid Post B) Rapid Aid Post C) Regional aid Post D) Remote Aid post | A | | 73. Which enzyme increases in blood during acute pancreatitis? | A) Amylase B) Globulin C) Renin D) Albumin | A | | 74. The nurse should anticipate which immediate treatment for a patient experiencing pulse less ventricular tachycardia? | A) Transcutaneous pacing B) Coronary angioplasty C) Defibrillation D) IV Sodium Dialantin infusion | A | | 75. In medical attendance, Attend A recommends | A) Treatment with normal duty & review on next day morning B) Treatment with light duty & review on next day morning C) Treatment with complete rest for 24hrs no review on next day morning D) Treatment with normal duty & no review on next day morning | A | | 76. Troops administration and discipline in an unit is controlled by | A) Senior Registrar B) Commandant C) Medical Officer Incharge D) Quarter Master | B | | 77. After the removal of the NG tube it has to be discarded in which biomedical waste bin | A) Yellow B) Red C) White D) Blue | B | | 78. The second heart sound is due to the closure of | A) Semi lunar valves B) Mitral valve C) Tricuspid valve D) cardiac sinus | A | | 79. In which position a patient lies on abdomen with the arms at the sides & head is turned to the side. | A) Knee chest position B) Trendelenburg position C) Dorsal recumbent position D) Prone position | C | | 80. You are advised to collect blood sample for HbA1c. In which vacutainer will you send the sample to laboratory? | A) EDTA B) Sodium citrate C) Sodium Fluoride D) Sterile serum gel separator | A | | 81. A 30 yr old serving soldier received in MI room with the severe bleeding from Lt Leg, on assessment BP is 80/60mmHg, pulse is feeble120/min & patient is semiconscious. What is your primary action? | A) Control bleeding by applying Tourniquet B) Get an IV access with large bore canula & wait for the electrolyte report to start IV fluids C) Give plenty of water to drink and keep the patient warm D) Initiate code blue & start chest compressions | A | | 82. Lipid profile includes all except | A) Cholesterol B) Triglyceride C) Level of lipoprotein D) Albumin | D | | 83. What is the color of peripheral venous cannula of 16G? | A) Green B) Pink C) Yellow D) Blue | B | | 84. Rotation of injection site while administering insulin is to prevent | A) Insulin resistance B) Anaphylactic reaction C) Hematoma D) Lipodystrophy | D | | 85. Which is the major relay station for most sensory impulses from brain stem & spinal cord to sensory area of cerebral cortex? | A) Thalamus B) Diencephalon C) Hypothalamus D) Epithalamus | A | | 86. The pulse strength or the force of blood felt in an artery with each beat is | A) Pulse Rate B) Pulse Rhythm C) Pulse Volume D) Elasticity of the artery | C | | 87. Malena is black tarry stool typically indicates | A) Upper GI Bleeding B) Lower GI bleeding C) Bleeding from hemorrhoids D) Bleeding from anal fissures | A | | 88. The life threatening complications which develops gradually after fracture of long bones resulting in chest pain, dyspnoea, neurological abnormalities and petechiae is | A) Fat embolism B) Compartment syndrome C) Osteo necrosis D) Nerve damage | B | | 89. A technique of physical examination by tapping body parts with fingers, hands or small instruments is called | A) Auscultation B) Percussion C) Olfaction D) Palpation | B | | 90. The bone remodeling hormone is | A) Parathormone B) Renin C) Gastrin D) Prolactin | A | | 91. A patient with IV line in situ is complaining of redness, pain & itching at local site, while assessing the skin temperature around the IV site is warm. This indicates | A) Phlebitis B) Hematoma C) Infiltration D) Hypoxia | C | | 92. Which of the following vacutainer is used to collect blood sample for serum albumin test? | A) Sodium citrate B) EDTA C) Sterile D) Sodium fluoride | B | | 93. The natural changes in body temperature between early morning and late evening is called | A) Chemical thermogenisis B) Cricadian rhythm C) Basal metabolic rate D) Rigor | B | | 94. While recoding Vital Signs the appropriate time duration to assess pulse of a patient is | A) 10 seconds B) 15 seconds C) 30 seconds D) 1 minute | B | | 95. Which hormone stimulates the kidney tubules to reabsorb and conserve water? | A) Oxytocin B) Anti Diuretic hormone C) Adreno- cortico Trophic Hormone D) Growth Hormone | B | | 96. During clotting, the prothrombin is changed to thrombin in the presence of | A) Sodium & Fibrinogen B) Magnesium & Vitamin K C) Potassium & Vit K D) Calcium ions & Thromboplastin | D | | 97. In human body pituitary gland is situated in | A) Kidney B) Brain C) Neck D) Abdomen | D| | 98. You are preparing a patient for a major abdominal surgery after 3 days. Which of the following medication should be withheld from the treatment order? | A) Amlodipine B) Lasix C) Ecosprin D) Atorvastatin | C | | 99. The apex of the heart is mostly formed by | A) Right ventricle B) Left ventricle C) Right atrium D) Left atrium | B | | 100. Intraosseous injection is given in | A) Vein B) Spinal cavity C) Bone marrow D) Muscles | C | ### Fill in the blanks 1. Unit of energy is **Joule**. 2. Unit of power is **watt**. 3. Main physiological effect of IR rays is **metabolism**. 4. Faradic current stimulates **denervated** nerve. 5. Absence of urinary output is **oliguria**. 6. Average blood pressure of adult is **120/80 mm/hg**. 7. Sharp and solid waste put in the **black** plastic bag. 8. **Femur** is the longest bone in the body. 9. **Sartorius** is the longest muscle in the body. 10. Flexion of elbow isdone by **biceps** muscle. ### True or False 1. Total number of bones in the human body is 206. **True.** 2. Total number of vertebra is 33. **False.** 3. SWD stands for small wave diathermy. **True.** 4. Wrist consists of seven carpal bones. **True.** 5. Lack of vitamin A causes Beri-Beri. **False.** 6. One pound is equal to 1kg. **False.** 7. CM stands for every morning. **False.** 8. TKR stands for total knee replacement. **True.** 9. Vitamin K is necessary for blood coagulation. **True.** 10. Citrusfruits are good sources of Vit B. **False.** ### Multiple choice questions | Question | Options | Answer | |---|---|---| | 1. Ratio composed of liquid and solid in human body is | a) 50:50, b) 70:30, c) 60: 40, d) 80: 20, | b | | 2. Farther from the attachment of an extremity is called | a) Medial b) Proximal c) Lateral d) Distal | D | | 3. Average cardiac cycle of healthy adult | a) 60 b) 72 c) 80 d) 90 | b | | 4. Plane which devides the body into superior and inferior portions is called | a) Saggital plane b) Transverse plane c) Coronal plane d) Midline | C | | 5. Brain of the cell is | a) Nucleus b) mitochondria c) centrosome d) nucleolus | A | | 6. Example of an irregular bone is | a) Scapula b) humerus c) vertebra d) clavicle | A | | 7. Total no of cranium bone is | a) 12 b) 08 c) 10 d) 20. | C | | 8. Total no of Thoracic vertebra is | a) 16 b) 12 c) 14 d) 13 | D | | 9. No of tarsal bone in each foot is | a) 8 b) 7 c) 16 d) 14 | A | | 10. Insulin is produced by | a) Liver b) stomach c) Pancreas d) Kidney | C | | 11. Membrane of the bone is called | a) Myocardium b) Epithelium c) Cytoplasm d) Periosteum | D | | 12. How many vertebras' are there in the human body? | a) 33 b) 22 c) 20 d) 15 | A | | 13. How many carpel bones are there in the hand? | a) 10 b) 8 c) 2 d) 15 | C | | 14. Sprain occurs in | a) Muscles b) bone c) joints d) ligaments | C | | 15. All are motor nerves except? | a) Accessory b) Abducent c) Trochlear d) Trigeminal | D | | 16. What is the use of splint? | a) Infection b) immobilization c) internal fixation d) none of these. | B | ### Fill in the blanks 1. Ratio composed of liquid and solid in human body is **70:30**. 2. Farther from the attachment of an extremity is called **distal**. 3. Average cardiac cycle of healthy adult is **72**. 4. Plane which devides the body into superior and inferior portions is called **coronal plane**. 5. Brain of the cell is **nucleus**. 6. Example of an irregular bone is **scapula**. 7. Total no of cranium bone is **10**. 8. Total no of Thoracic vertebra is **12**. 9. No of tarsal bone in each foot is **8**. 10. Insulin is produced by **pancreas**. ### True or False 1. Total number of bones in the human body is 206. **True** 2. Total number of vertebra is 33. **False** 3. SWD stands for small wave diathermy. **True.** 4. Wrist consists of seven carpal bones. **True.** 5. Lack of vitamin A causes Beri-Beri. **False.** 6. One pound is equal to 1kg. **False.** 7. **CM** stands for every morning. **False.** 8. TKR stands for total knee replacement. **True.** 9. Vitamin K is necessary for blood coagulation. **True.** 10. Citrusfruits are good sources of Vit B. **False.**