DR NTRUHS MSc Nursing Entrance Exam 2014

     Select the most appropriate response.

1. The union of ovum and sperm is known as
  1. Folification
  2. Fertilization
  3. Placentation
  4. Ovulation

2.   The nurse makes that the diet consumed by PEM child is rich in
  1. Protein, carbohydrates and vitamins
  2. Micro nutrient
  3. Water soluble vitamins
  4. Fats and vitamins

3.  The position  of patient  during immediate postoperative  period of tonsillectomy surgery is 
  1. Sim's position
  2. Prone position
  3. Lateral position
  4. Rose position

4. The study of distribution and determinants of the disease is called
  1. Epidemiology
  2. Entomology
  3. Pathology
  4. Community

5.  The scientific method of study of human population is 
  1. Anthropology
  2. Demography
  3. Ecology
  4. Sociology

6.    Which NSAID undergoes enterohepatic circulation ?
  1. Phenylbutazone
  2. Aspirin
  3. Ibuprofen
  4. Piroxicam

7.   Ortolani is a test performed to find out
  1. Fractures
  2. Bone inuries
  3. Club foot
  4. Congenital  hip dislocation


8.   The nurse interprets a positive Homans sign as
  1. Deep venous thrombosis
  2. Pulmonary embolism
  3. Pneumothorax
  4. Stroke

9.    Glycosuria occurs when plasma glucose level exceeds
  1. 120 - 140 mg/dl
  2. 100 - 120 mg/dl
  3. 130 -150 mg/dl
  4. 160 -- 180 mg/dl

10.  Virulence of a disease is indicated by
  1. Proportional mortality rate
  2. Specific mortality rate
  3. Case fatality ratio
  4. Morbidity rate

11.   All the following are the  responsibilities of nurse for a patient with heart failure, except
  1. Maintain  intake output chart
  2. Auscultate lung sounds
  3. Weigh the patient daily
  4. Maintain intracrenial pressure

12.Which test is used to find out the early stage of  leprosy
  1. Lepromine test
  2. Histamine test
  3. Morphological index
  4. Bacterial index

13.    The polyvalent type of vaccines are prepared from
  1. More strains of same species
  2. Single species
  3. More strains  of different species
  4. Single organism

14.  Researchers must be content to say that  hypotesis is
  1. Probably true
  2. type I error
  3. Type II error
  4. Level of significance

15.  The co-ordination between the fundal contraction  and cervical dilatation is called
  1. Softening of the uterus
  2. Hypertrophy
  3. Increased vascularity
  4. Polarity of  uterus

16.    The system of storage and transport of vaccine at low temperature is called
  1. Cold chain system
  2. Vaccine chain system
  3. Vaccine crrier
  4. Ice linked refrigerate

17.    The saturation level of oxygen in the blood can be assessed by using
  1. Spirometer
  2. Pulse oximetry
  3. Tonometer
  4. Cardiac monitor

18.  Function of ciliated epithelium is
  1. Protection
  2. Secretion
  3. Moves mucus and other substances
  4. Immune resposnse

19.    Increase in the size of the muscle of the arm in a weight lifter is an example of
  1. Hyperplasia
  2. Hypertrpphy
  3. Metaplasia
  4. Dysplasia

20.   Pulse oximeter is a non invasive method to assess the level of
  1. Arterial oxygenation
  2. Fraction of inspired O2
  3. O2 intake
  4. Stroke volume

21.    Kernicterus occurs once the bilirubin crosses
  1. 15 mg/dl
  2. 20 mg/dl
  3. 25 mg/dl
  4. 30 mg/dl

22.    The volume of air that moves in and out of lungs with each respiration is
  1. Tidal volume
  2. minute volume
  3. Lung capacity
  4. Lung reserve

23.    Core body temperature is
  1. Skin temperature
  2. Axilla temperture
  3. Rectal temperature
  4. Oral temperature

24.    Anatomical description of the imaginary vertical plane passing longitudinally through the body from fron to back, dividing it right and left halves is called as
  1. Coronal plane
  2. Sagittal plane
  3. Median plane
  4. Horizontal plane

25.   In which position, the nurse has to keep a patient with breathing difficulty
  1. Sim's position
  2. Prone position
  3. Supine position
  4. Fowler's position

26.    Osteoporosis may occur after
  1. Oophorectomy
  2. Colectomy
  3. Nephrectomy
  4. Amputation

27.    The stages of death and dying include
  1. Powerlessness
  2. Bargaining
  3. Role strain
  4. Ethical dilemma

28.    Sterilization by steam under pressure is carried at the temperature between
  1. 105°C and 106°C
  2. 90°C and 100°C
  3. 108°C and 147°C
  4. 95°C and 105°C

29.    All the following are vector borne diseases except
  1. Malaria
  2. Filaria
  3. Plague
  4. Hepatitis

30.   The act of getting things done through and with nursing staff is
  1. Management
  2. Nursing management
  3. Leadership ability
  4. Professional norm

31.    A teacher shows how things happen  and how things can be done to the students through
  1. Field trips
  2. Demonstration
  3. Visual symbols
  4. Exhibits

32.   . . . . . . . . is the back bone of the community health care
  1. Home visit
  2. Family
  3. Economy
  4. Individual

33.   To measure intraocular pressure this procedure is done
  1. Caloric test
  2. Keratometry
  3. Tonometry
  4. Visual acuity test

34.   Demographic variable relate to
  1. Population
  2. Study samples
  3. Climate
  4. Sample size

35.   The hydrochloric acid secreted in stomach wall 
  1. Kills microbes in food
  2. Breakdowns protein
  3. Maintain protective barrier of stomach   
  4. Digests food

36.  Which hormone stimulates lipolysis
  1. Glucagon
  2. Epinephrine
  3. Ptyalin
  4. Oxytocin

37.   Urea cycle occurs in
  1. Kidney
  2. Brain
  3. Liver
  4. Lungs

38.   Infant mortality rate (IMR) can be calculated by estimating the number of deaths per
  1. 1000  births
  2. 1000 population
  3. 1000 women
  4. 1000 live births

39.   The three tire structure rural local staff government in India is known as
  1. Panchayat Raj
  2. Zilla parishad
  3. Gram sabha
  4. Nyaya sabha

40.   Foleys catheter size is marked with F which is equal to
  1. 0.22 mm of diameter
  2. 0.33 mm of diameter
  3. 0.44 mm of diameter
  4. 0.55 mm of diameter

41. Uterus turned inside out is called
  1. Acute inversion of the uterus
  2. Cervical dystocia
  3. Rupture uterus
  4. Prolapse uterus

42. White patches during physical examination should screen for
  1. 1) Cancer
  2. 2) Leprosy
  3. 3) Vitaminosis
  4. 4) Tuberculosis

43. Android pelvis
  1. Male pelvis
  2. Female pelvis
  3. Richetic pelvis
  4. Narrow pelvis

44 Dental flurosis is otherwise called as
  1. Mottled enamel
  2. Flurosis crisis
  3. Skeletal flurosis
  4. Fluorine toxicity

45 When learning helps the individual to adjust himself / herself adequately to the new situation is termed as
  1. Learning is growth
  2. Learning is adjustment
  3. Learning is experience
  4. Learning is intelligent

46 The foramen of magnum is found in _________ bone
  1. Frontal
  2. Parietal
  3. Temporal
  4. Occipital

47 Embryotomy means
  1. Removal of head
  2. Cutting and destruction of fetus
  3. Removal of Placenta
  4. Forceps delivery

48 Boot shaped heart is seen in
  1. Aortic stenosis
  2. Coarctation of aorta
  3. Patent ductus arteriosus
  4. Tetralogy of Fallot

49 T cells of the body attack and destroy pancreatic Beta cells in
  1. Type I diabetes
  2. Type II diabetes
  3. Type III diabetes
  4. Addison's disease

50 Extinction is based on the principal of
  1. Motivation
  2. Conditioning
  3. Information - processing
  4. Imitation

51. Directing and controlling the general nursing service provided by the nurse is assessed by
  1. Manager
  2. Administrator
  3. Supervisor
  4. Advisor

52. The nurse can identify typical cases of ……… by the sudden onset of profuse, efforrtless watery diarrhea followed by vomiting
  1. Cholera
  2. Typhoid
  3. AIDS
  4. Hepatitis B

53. An epidural hematoma results from bleeding between the
  1. Piamater and arachnoid mater
  2. Duramater and arachnoid mater
  3. Reticular system
  4. Dura and inner surface of the skull

54. Morbidity means
  1. Illness
  2. Death
  3. Health
  4. Fatality

55. Tuberculosis is
  1. Water borne disease
  2. Vector borne disease
  3. Air borne disease
  4. Zoonotic disease

56. According to Erikson "a sense of industry develops during"
  1. Infancy
  2. Toddler period
  3. Preschool age
  4. School age

57. Status epilepticus is a continuous seizure that lasts more than
  1. 30 minutes
  2. 15 minutes
  3. 45 minutes
  4. 1 hour

58. The complication of hospital acquired pneumonia is
  1. Heart failure
  2. Renal failure
  3. Acute respiratory distress syndrome
  4. Head injury

59. Biparietal diameter is of
  1. 85cms
  2. 11cms
  3. 12cms
  4. 95cms

60. The activities that are designed and performed to produce change in student behavior is by
  1. Teaching
  2. Learning
  3. Communication
  4. Information

61. Dexamethosone suppression test used to detect the
  1. Schizophrenia
  2. Depression
  3. Dementia
  4. Stress

62. The type of necrosis seen in tuberculosis is
  1. Coagulative necrosis
  2. Liquefactive necrosis
  3. Caseous necrosis
  4. gangrenous necrosis

63. Atrial natriuretic peptide (ANP) is hormone secreted from the cells namely
  1. Right atrium
  2. Left atrium
  3. Right ventricle
  4. Left ventricle

64. The nurse notes a reddish - pink tissue in the wound during dressing and interprets as
  1. Sign of infection
  2. Keloid
  3. Granulation tissue
  4. Exudates

65. Social change refers to any modification of
  1. Human relationship
  2. Human change
  3. Human rotation
  4. Human modification

66. The psychiatric nurse should assess the patient's cognitive status with help of
  1. Mini mental status examination
  2. Rating tool
  3. Process recording
  4. Advanced technology

67. The nurse notes a loud, drum like sound during percussion of the stomach and documents as
  1. Tympany
  2. dullness
  3. Resonance
  4. Flatness

68. Umbilical cord contains of
  1. 1 artery 2 veins
  2. 2 arteries 1 vein
  3. 2 arteries 2 veins
  4. 1 artery 1 vein

69. The coverage of population by PHC is
  1. 50000
  2. 10000
  3. 30000
  4. 40000

70. The two umbilical arteries carry the …… from the fetus
  1. Oxygenated blood
  2. Deoxygenated blood
  3. Mixed blood
  4. No blood

71. The longest bone in human body is
  1. Femur
  2. Humerus
  3. Tibia
  4. Fibula

72 …………is the permanent method of family planning in males
  1. Tubectomy
  2. Vasectomy            
  3. Copper-T
  4. Condom

73. Swan-Ganz catheter is introduced to measure the
  1. Intra ocular pressure
  2. Intra cranial pressure
  3. Blood pressure
  4. Central venous pressure

74. The resistance of an individual possesses by virtue of his genetic and constitutional make up is
  1. Active immunity
  2. Passive immunity
  3. Adaptive immunity
  4. Innate immunity

75. Weight of the placenta at term is
  1. 250gms
  2. 125gms
  3. 500gms
  4. 350gms                                                                 

76. An infection resulting from a treatment or diagnostic procedure is
a. Nosocomial
b. Iatrogenic
c. Endogenous
d. Contagious

77. The Koplik's spots commonly appear in
a. Measles
b. Mumps
c. Varicella
d. Smallpox

78. The main task of management is
a. Decision making
b. Goal setting
c. Guidance
d. Authority

79. In pediatric resuscitation, the ratio between chest compression and ventilation is
a.  2:1
b. 3:1
c. 4:1
d. 5:1

80. The nursing priority of child with acute renal failure is focused on
a. Monitoring the intake and output chart
b. Health education regarding salt and fluid restriction
c. Giving family support
d. Check blood routine

81 An activity which involves the development of hidden talent of a staff and for the benefit of the rganization is known as
Staff development
Continuing education program

82 The emulsification of dietary fat is enhanced by
Gastric juice
Bile salts
Pancreatic juice

83 The killing power of the disease is measured by using
Case fatality rate
Specific death rate
Morbidity rate
Survival rate                   

84 The vaccine used against tuberculosis is

85 Which of the following is a social motive?
Pain avoidance


86 Which of the following domain of competent caring are used in the psychiatric nursing practice?
Teaching, delegating and colloboratry
Management, teaching and colloboratry
Direct care, communication and management
Delegating, coordinatry and communication

87 Administration of medications into the body tissues other than alimentary canal is

88 The quantitative researchers gather
Empirical evidence
Evidence based
Scientific method
Systematic approach

89 World health day is celebrated on
May 12th
April 7th
April 1st
January 26th

90 To acquire correct knowledge by the student, the teacher uses teaching strategy called
Illustration stratgey
Narration strategy
Problem solving strategy
Group discussion strategy

91 Withdrawal of fluid from uterus through abdominal wall

92 The storage temperature for polio vaccine is
-20° c
+20° c
-10° c
+10° c

93 Increased pulsation is felt through the lateral fornix at 8th week is called
Osiander's sign
Chadwick's sign
Goodell's sign
Piskacek's sign

94 Indian MTP act allows abortion only to a period of
15 weeks
20 weeks
28 weeks
12 weeks

95 Osteoporosis is caused by the deficiency of
Phosphorous                                                 Answer:2

96 An area of poor houses and poor people is termed as

97 Hepatitis A infection spreads by
Oral route
Sexual route
Contaminated needles

98 This scale helps to assess the impaired consciousness
Glasgow coma scale
Visual analogue scale
Beck Depression scale
Muscle power grade scale

99 Bone marrow depression is seen with chronic administration of

100 A person with a tendency to be outgoing, friendly and talkative is said to be an

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Virulence is the ability to (1) invade the host, (2) cause disease, and (3) evade host defenses.
Virulence Factors
Virulence factors help bacteria to (1) invade the host, (2) cause disease, and (3) evade host defenses. The following are types of virulence factors:
Adherence Factors: Many pathogenic bacteria colonize mucosal sites by using pili (fimbriae) to adhere to cells.
Invasion Factors: Surface components that allow the bacterium to invade host cells can be encoded on plasmids, but more often are on the chromosome.
Capsules: Many bacteria are surrounded by capsules that protect them from opsonization and phagocytosis.
Endotoxins: The lipopolysaccharide endotoxins on Gram-negative bacteria cause fever, changes in blood pressure, inflammation, lethal shock, and many other toxic events.
Exotoxins: Exotoxins include several types of protein toxins and enzymes produced and/or secreted from pathogenic bacteria. Major categories include cytotoxins, neurotoxins, and enterotoxins.
Siderophores: Siderophores are iron-binding factors that allow some bacteria to compete with the host for iron, which is bound to hemoglobin, transferrin, and lactoferrin.

Lung reserve - the additional volume of air that the lungs can inhale and exhale when breathing to the limit of capacity in times of stress
The gastric mucosal barrier is the property of the stomach that allows it to safely contain the gastric acid

The barrier is broken by acetylsalicylic acid (ASA, aspirin) which diffuses back into the mucosa and causes damage to the stomach itself.

The barrier has three components. These provide the additional resistance for the mucosal surface of the stomach. They are :

A compact epithelial cell lining. Cells in the epithelium of the stomach are bound by tight junctions that repel harsh fluids that may injure the stomach lining.
A special mucus covering, derived from mucus secreted by surface epithelial cells and Foveolar cells. This insoluble mucus forms a protective gel-like coating over the entire surface of the gastric mucosa. The mucus protects the gastric mucosa from autodigestion by e.g. pepsin and from erosion by acids and other caustic materials that are ingested.
Bicarbonate ions, secreted by the surface epithelial cells. The bicarbonate ions act to neutralize harsh acids.
Factors that can damage the barrier:
-Bacterial Infection by Helicobacter pylori

Lipolysis /l?'p?l?s?s/ is the breakdown of lipids and involves hydrolysis of triglycerides into glycerol and free fatty acids. The following hormones induce lipolysis: glucagon, epinephrine, norepinephrine, ghrelin, growth hormone, testosterone, and cortisol.
Ammonia is a toxic product of nitrogen metabolism which should be removed from our body. The urea cycle or ornithine cycle converts excess ammonia into urea in the mitochondria of liver cells. The urea forms, then enters the blood stream, is filtered by the kidneys and is ultimately excreted in the urine.
Since 1992, local governance in India takes place in two very distinct forms. Urban localities, covered in the 74th amendment to the Constitution, have Nagar Palika but derive their powers from the individual state governments, while the powers of rural localities have been formalized under the panchayati raj system, under the 73rd amendment to the Constitution. The panchayati raj system is a three-tier system with elected bodies at the village, taluk and district levels

Tuberculosis of the skin
1. Lupus vulgaris   
Persistent and progressive form of cutaneous TB
Small sharply defined reddish-brown lesions with a gelatinous consistency (called apple-jelly nodules)
Lesions persist for years, leading to disfigurement and sometimes skin cancer

2. Scrofuloderma   
Skin lesions result from direct extension of underlying TB infection of lymph nodes, bone or joints
Often associated with TB of the lungs
Firm, painless lesions that eventually ulcerate with a granular base
May heal even without treatment but this takes years and leaves unsightly scars
Foramen Magnum
Coarctation of the aorta : a congenital condition where the aorta is narrow, usually where the ductus arteriosus (ligamentum arteriosum ) inserts.  Coarctations are most common in the aortic arch. Other heart defects may also occur when coarctation is present, typically occurring on the left side of the heart. When a patient has a coarctation, the left ventricle has to work harder since the aorta is narrowed in order to force enough blood through the aorta.  If the narrowing is severe enough, there is lack of blood to the lower half of the body.
Patent ductus arteriosus (PDA) is a condition where the ductus arteriosus fails to close after birth.
Early symptoms are uncommon, but in the first year of life include increased 'work of breathing' and poor weight gain. An uncorrected PDA may lead to congestive heart failure with increasing age.
Coarctation of aorta
Mycobacterium tuberculosis (or Koch's bacillus) is the causative agent for tuberculosis. Tuberculosis is making a come back due to the appearance of multi-resistant strains of the baterium. Pulmonary tuberculosis is the most widespread, but there are bone forms (Pott's disease (in the vertebra),  knee, renal, intestinal, genital, meninginal and cutaneous forms (Lupus vulgaris and Scrofuloderma).

The genus Mycobacterium comprises a variety of species : Mycobacterium tuberculosis, M. bovis, M. bovis "bacillus Calmette Guerin", M. africanum, M. microti, M. pinnipedii. The cell wall structure corresponds to the gram-positive bacteria, but with an additional high lipid content with characteristic mycolic acids. The term "acid-proof/acid-fast" is based on the fact that the stained bacteria do not lose the color on washing with a mixture of acid and alcohol; that is they hold to the color fast (fast means strongly)

Usually it is an airborne infection pathogens reach beyond the upper airways in the lungs; the incubation period of six to eight weeks (positive tuberculin skin test = Mx = Mantoux test), but also longer. Approximately five to ten percent of those infected develop an infectious disease. The disease manifests itself in the majority of patients : pulmonary tuberculosis (primary complex), but it can also affect other organs (usually secondary), including the central nervous system. Due to the intake of dairy products contaminated with M.bovis, the intestine is affected. The onset of pulmonary tuberculosis is uncharacteristic, usually characterized by a chronic cough, rarely the sputum is tinged with blood, weight loss, fatigue, low-grade fever, evening rise of temperature, night sweats and other symptoms. Occasionally enlarged lymph nodes in the neck. In the context of immunosuppression (alcohol abuse, HIV, immunosuppressive therapy) may lead to a generalized resettlement of pathogens occurs in other organs including the central nervous system; In a progressive disease, lung nodules decompose and become cheesy: casseous necrosis. It causes caverns (cavities) with destruction of lung tissue particularly in immunocompromised patients, eg Alcoholics or patients of advanced age.

High-dose dexamethasone suppression test
Suppression is absent in patients with Cushing syndrome due to ectopic ACTH secretion or adrenal abnormalities. Suppression is present in patients with Cushing disease.
Cushing syndrome encompasses all causes of glucocorticoid excess, whereas Cushing disease is reserved only for pituitary-dependent Cushing syndrome.
Swan-Ganz catheterization is the passing of a thin tube (catheter) into the right side of the heart and the arteries leading to the lungs. It is done to monitor the heart's function and blood flow and pressures in and around the heart. This test is most often done in people who are very ill.

The pulmonary artery catheter is frequently referred to as a Swan-Ganz catheter, in honor of its inventors Jeremy Swan
Swan Ganz catheter (swahn ganz),
A balloon-tipped flexible catheter commonly used in the treatment of critically ill patients; introduced via a major peripheral vein, usually jugular or subclavian, and floated under pressure waveform guidance, with or without fluoroscopy, sequentially through the right atrium, right ventricle, and pulmonary artery, ultimately to wedge, when the balloon is inflated, in a small arterial branch where the tip measures pressure-transmitted retrograde from the left side of the heart, which is assumed to represent left ventricular end-diastolic pressure; side holes allow measurement of central venous pressure; with the balloon deflated, catheter measures pulmonary artery systolic, diastolic, and mean pressures; also allows infusion via catheter; some catheters are fitted with pacing electrodes.
Synonym : pulmonary artery catheter