RRB Staff Nurse Mock Test - 3 - RRB NTPC/ASM/CA/TA MCQ

Emotion can be expressed thought language, gesture and facial expression. Emotional expression is simply the acknowledgement of these emotions we are built to feel. Healthy expression allows us to understand the emotions, truly feel them and move on. There are six basic emotions humans are born with that we should all be able to recognize anger.

Temporarily worsening of the condition indicates that the patient is experiencing an overdose of the medication.

Tensilon test/ injection of edrophonium is performed to diagnose cholinergic crisis (overdose with anticholinesterase) or myasthenic crisis (under medication). A tensilon injection makes the patient in a cholinergic crisis temporarily worse (negative tensilon test).

When two genes are located close together on the same chromosome and are usually inherited together describes the phenomenon of linkage.

From the Choroid Plexus of the Brain secretes cerebrospinal fluid.

• Cerebrospinal fluid (CSF), clear, colorless liquid that fills and surrounds the brain and the spinal cord and provides a mechanical barrier against shock.
• Formed primarily in the ventricles of the brain, the cerebrospinal fluid supports the brain and provides lubrication between surrounding bones and the brain and spinal cord.
• The Choroid Plexus of the Brain secretes Cerebrospinal Fluid.

Neutrophil count of 1,200/mm³ laboratory results indicates that the patient is experiencing a side effect of this medication.

Carbamazepine is used to treat seizures and nerve pain such as trigeminal neuralgia and diabetic neuropathy. It causes a decreased level of platelet count, white blood cells, and neutrophil count. The normal range for neutrophils is 1,500 to 8,000/mm³).

Assisting the patient with Fowler's position is the nurse’s priority.

The priority action the nurse should take when using the airway, breathing, circulation approach to care delivery is to relieve the patient’s dyspnea. Fowler’s position facilitates maximal long expansion and thus optimizes breathing. With the client in this position, the nurse can better assess and determine the cause of the patient's dyspnea.

Plasma expander is an agent with high molecular weight when administered parenterally remain in the bloodstream & increase circulatory fluid volume by exerting an osmotic pressure.

Plasma expanders are used to restore the circulating volume of a hypovolaemic(A condition in which the liquid portion of the blood (plasma) is too low.) patient. Typically, colloids are used to expand the plasma volume, although combinations of hypertonic crystalloid and colloid have recently been used.

Biotin as the coenzyme biocytin functions in carboxylation reactions that convert odd-carbon-numbered amino acids and fatty acids to even-carbon-numbered compounds, which can then be metabolized. Biocytin is also necessary for the synthesis of pyrimidines and the formation of urea.

For emergency care of sick children at PHC the strategy to be followed is IMNCI guidelines.

The Integrated Management of Neonatal and Childhood Illness (IMNCI) is a key child health strategy within the National Reproductive Child Health Programme II and the National Rural Health Mission.

IMNCI aims to reduce death, illness, and disability and to improve growth and development among children under 5 years of age. IMNCI caters to two groups of children 0-2 months Young infants & 2 months to 5 years Children.

pH of human blood is 7.4.

• With a normal pH range of about 7.35 to 7.45, blood is slightly basic in nature.
• pH scale is used to know if the substance is acidic or basic.
• The scale ranges from 0 to 14.
• 0 is strongly acidic and 14 is strongly basic or alkaline.
• The pH of 7 is considered neutral.

Skin rashes are the adverse effect of Quinine sulphate. Some susceptible people develop a dangerous blood disorder after even small doses of quinine. Symptoms of quinine toxicity include digestive upset, headache, ringing in the ears, visual disturbances, skin rash, and arrhythmias.

Pineal gland of human brain secretes melatonin concerned with coloration of the skin.

Melatonin is a hormone secreted by Pineal gland. It is also known as N-acetyl-5-methoxy tryptamine. The pineal gland was described as the “Seat of the Soul” by Renee Descartes and it is located in the center of the brain. The main function of the pineal gland is to receive information about the state of the light-dark cycle from the environment and convey this information to produce and secrete the hormone melatonin.

A trait that is controlled by multiple genes is a polygenic trait.

Clean the site of injection with soap and water and avoid alcohol of the following should the nurse include in the insulin administration instruction for the parents of a child being discharged on insulin.

Infection risk from insulin injections is negligible (at least in normal environments – some experts feel hospital environments are riskier), and an alcohol swab is a poor way to sanitize skin in the first place. Soap and hot water are actually more effective.

A nurse caring for a patient with an infectious disease who requires isolation should refer to guidelines published by the Centers for Disease Control (CDC).

The Center of Disease Control (CDC) publishes and frequently updates guidelines on caring for patients who require isolation. CDC is responsible for controlling the introduction and spread of infectious diseases, and provides consultation and assistance to other nations and international agencies to assist in improving their disease prevention and control, environmental health, and health promotion activities.

Riboflavin is a part of vitamin B complex, its coenzyme form is a FAD (Flavin adenine dinucleotide) which involves a redox reaction. NAD is a coenzyme form of nicotinic acid, and thiamine pyrophosphate is a coenzyme of thiamine.

The diagram is as follows:

So, 135° is the correct answer.

When an amide is treated with bromine in an aqueous or ethanolic solution of sodium hydroxide, degradation of amide takes place leading to the formation of primary amine. This reaction involving degradation of amide and is popularly known as Hoffmann bromamide degradation reaction.

Distance he cycle from the school to point 'A' = 10 + 10 + 20 = 40 km

So, '40 km' is the correct answer.

Galvanization or galvanizing is the process of applying a protective zinc coating to steel or iron, to prevent rusting. The most common method is hot-dip galvanizing, in which the parts are submerged in a bath of molten hot zinc.

Irregular overlapping of cranial bones due to liquefaction of cerebrospinal fluid is called Spalding's sign.

• This occurs after one week of intrauterine fetal death (IUFD).
• It also involves softening of the ligamentous structures that support the safe chamber.
• Other symptoms are hyperflexion of the spine, crowding of the ribs, presence of gas shadow in the heart chamber.
• Both symptoms are diagnosed by X-ray scanning of the abdomen.
• IUFD can also be estimated by blood fibrinogen levels and partial thromboplastin time.

Silver iodide (AgI) is used for artificial rain. To extend the rain, the chemical silver iodide (AgI) is sprayed into the clouds.

The weight of an object is determined by its mass and the strength of the gravitational field it is in. As the mass of an object remains constant, the weight of the object will change as the strength of the gravitational field changes. For a body of weight 90 kg, the weight at height  of earth's surface is 40 kg.

Loratidine is the only drug of its class available over the counter. It has long lasting effects and does not cause drowsiness because it does not cross the blood-brain barrier (BBB). Terfenadine was formerly used to treat allergic conditions. In the 1990’s it was removed from the market due to the increased risk of cardiac arrhythmias.

Nandi river flows through Tiruttani a famous pilgrimage place of South India.

• Tiruttani is a town located in Tamil Nadu.
• Tiruttani city is famous for the Temple of Tiruttani Murugan, one of the Arupadaiveedu, dedicated to Kartikeya.
• When Andhra state was established on 1 November 1953, Tiruttani was part of Andhra Pradesh state's Chittoor district until 1960.

The client has severe rectal bleeding with 16 diarrheal stools a day, severe abdominal pain, dehydration, tenesmus. Due to these symptoms the nurse should be alert for the other problems associated with Ulcerative colitis.

The symptoms may be associated with ulcerative colitis. It is a chronic inflammatory condition producing edema and ulceration that may affect the entire colon. Ulcerations lead to sloughing that causes stools as many as 20 times a day which is filled with blood, mucous and pus. The other symptoms are mentioned accompany the problem.

In wedge resection, an aspect of lung tissue is removed. A wedge resection is the surgical removal of a wedge-shaped portion of tissue from one, or both, lungs. A wedge resection is typically performed for the diagnosis or treatment of small lung nodules. A lung biopsy is a procedure in which a small sample of lung tissue is removed through a small incision between the ribs.

Given:

Dividend = 3⁹⁸

Divisor = 5

The given term can also be written as,

= 3⁹⁸

= ( 3²)⁴⁹

= 9⁴⁹

Unit digit of 9⁴⁹ is 9.

On dividing 9 by 5, we get

Remainder = 9-5

= 4

∴ The remainder is 4.

Rust-colored sputum is usually seen in lobar pneumonia. It is a serious infection in which the air sacs fill with pus and other liquid. Lobar pneumonia affects one or more sections (lobes) of the lungs. Symptoms include a cough, fever, and production of sputum. The sputum appears purulent and may contain flecks of blood, so-called 'rusty' sputum. Fever can be very high (over 40°C), with rigors.

Serous, foamy sputum is typical for Pulmonary edema.

Pulmonary edema is a condition caused by too much fluid in the lungs. This fluid collects in the many air sacs in the lungs, making it difficult to breathe. A cough that produces frothy sputum that may have blood in it is a symptom of Pulmonary edema.