WBPSC 2019: All papers, Clinical Instructor, Nursing Training Institute
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C-ltnica.l !ss 4r *c la'' -roll
CLI/19
SO
2019
TEST BOOKLET TEST BOOKLET SERIFS
Time allowed: 1l h.,r."
2
Full marks : 100
Answer a// the questions.
Questions are of equal value.
04 05
Serial No. . Roll No.
Signature of the Candidate:
INSTRUCTIONS
Candidates should read the following instructions carefully before answering the questions
1. This booklet consists of 12 pages including this front page, containing 100 questions. Verify the
Page Nos. and Test Booklet series on each page and bring at once to the Invigilator's notice
any discrepancy.
2. Answers will have to be given in the Special Answer-Sheet supplied for the purpose.
SE
3. Before you proceed to mark in the Answer-Sheet in response to various items in the Test Booklet,
you have to fill in some particulars in the Answer-Sheet as per instructions sent to you in the Admit
Card- Do not fold the Answer-Sheet as this will resuh in error in your marks.
4. All questions are of multiple-choice answer-type. You will find/our probable answers (A), (B),
(C) and (D) against each question. Find out which of the four answers appears to you to be correct
or the best. Now darken the circle corresponding to the letter of the selected answer in the Answer-
Sheet with Black Ball Point Pen as per instructions printed on the reverse of the Admit Card
and in the Answer-Sheet.
5. One and only one circle is to be fully blackened for answer. Any spot in any other c cle (multiple
circle) or in wrong circle will be considered as wrong answer. If more than one circle is encoded
for a particular answer, it will be treated as a wrong answer.
6. There will be negative marking of I mark lor each wrong answer'
7. There is a blank page at the end of this Booklet lor Rough Work'
g . The Special Answer-Sheet should be handeil over to the Invigitator before leaving the Examinatian
Hall. You are permitteil to take away the useil Test Booklet after completion of the examinatian.
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CLA19 L-2
1. The ongoing or systematic assessment of 6. The movement of water through a selective
student's achievement during the curricular permiable membrane is called
programme is klown as (A) Facilated diffusion
(A) Summativeevaluation (B) Active transport
(B) Formative evaluation (C) Simple diffusion -.
(C) Intermittentevaluation (D) Osmosis
(D) Concurrentevaluation
7. The nurse would increase the comfort of
the patient with appendicities by
2. A 2-month old infant was brought to the (A) having the patient lie prone.
health centre for immunization, the infant's
temperature registered at 38 1"C. Which is the (B) flexing patient's right knee.
best course of action that you will take? (C) sitting the patient -
upright in a chair.
(A) Go on with the infant's immunization. (D) tuming the patient onto his/her left
(B) Give paracetamol and wait for his side.
fever to subside.
(C) Refer the infant to the physician for 8. Which of the following acts can a one year
further assessment. old child perform?
(D) Advice the infant's mother to bring (A) Sits down from a standing position
him back for immunization when he (B) Drinks from cup
is well.
(C) Speaks one ortwowords with meaning
(D) Rings bells purposefully
3. The muscle layer of the heart is called the
9, For prevention ofHepatitis A, you decided
(A) Myocardium to conduct health education activities. Which of
(B) Endocardium the following is irrelevant?
(C) Pericardium (A) Use of sterile syringe and needle.
(D) Parietalpericardium (B) Safe food preparation and food
handling by the vendors.
(C) Properdisposal ofhuman excreta and
4. Absent of speech and activities termed as personal hygeine.
(D) Immediate reporting of water pipe
(A) Autism leaks and illegal water connection.
(B) Mutism
(C) Aphasia 10. Nursing care of the patient receiving
(D) Cretinism intravenous infusion includes which of the
following?
(A) Changing the I/V catheter daily.
5. A common data collecting instrument in (B) Changing the catheter every 8 hourly.
nursing research is _--.
(C) Increasing the rate to make up the
(A) Interview
correct amount which has not been
(B) Questionnaire
infused at the end of the shift.
(C) Rating Scate (D) Monitoringtheflow rate atleastevery
(D) ObservationChecklist hour.
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A-3 CLI/19
11. Which of the following settings an extremely 16. Which sterilization method is best for
depressed client can do best? destroying endospores?
(A) Opportunities for decision making (A) Autoclave
(B) Simple daily routine (B) Oven
(C) Varied activities (C) Refrizaration
(D) Multiple stimuli (D) Pasteurization
17. Kangaroo mother care may be continued
for a low birth weight baby upto
12. What would be the primary concem in the
case of rubella infection during pregnancy?
(A) Baby has no sign of hypothermia
(B) Baby has regular breathing
(A) Maternal ocular damage --.
(C) Baby gains weight around 2.5 kg
(B) Gestational diabetes
(D) Baby has no signs of infection and
(C) Maternal death
taking feeding
(D) Birth defects
18. Which ofthe followings describes the proper
order of the cardinal movements of the labor
(mechanism of labor)?
13. The first symptom for open angle Glaucoma
may be (A) Engagement, internal rotation,
descent, flexion.
(A) a sudden, complete loss of vision.
(B) Engagement, external rotation,
(B) impairment of peripheral vision.
descent, extension.
(C) sudden attacks of acute pain.
(C) Engagement, extension, internal
(D) constant bluned vision. rotation, flexion.
(D) Engagement, flexion, internal
rotation, extension, external rotation.
14. What do you mean by incidence?
19. 3 C Signs (coughing, choking and cynosis)
(A) Total cases of any disease
are the clinical features of
(B) Old cases of any disease (A) Lactoseintoleralce
(C) New cases of any disease
(B) Cleft lip
(D) All of the above (C) Pyloric stenosis-.
(D) Tracheo-esophagial fistula
15. Swine flu influenza is caused by the virus 20. The advantage of demonstration method is
that
(A) HlNl (A) it gives more emphasis on knowledge
(B) H5Nr (B) it activates several senses.
(c) H3N1 (C) it is a substitute of lecture method.
(D) H3N2 (D) it is easier than other method.
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CLI/19 A-4
21. A trade union can be regarded as 26. Coronary artery is the branch of the
(A) Primary group (A) Ascending aorta
(B) Secondary group (B) Subclavian artery
(C) Tertiary group (C) Pulmonary artery
(D) Reference group (D) Femoral artery
22, A nurse accidently gives a patient the 27. A process of enabling the individual to
medications that were ordered for the patient's know himself/herself is the
roommate. What is the nurse's hrst priority? (A) Guidance
(A) Complete an occurance report. (B) Counselling
(B) Notify the health care provider. (C) Testing -
(C) Inform the head nurse for the error. (D) Advice
(D) Assess the patient for adverse effects.
28. What shouldbe the ffst action for anewbom
23. The priority when providing oral hygiene baby?
to an unconscious patient is to (A) suction
(A) prevent aspiration. (B) initiation of respiration
(B) prevent mouth odour. (C) Apgar Scoring
(C) prevent dental caries. (D) Physicalexamination
(D) prevent mouth ulceration.
29. The pathophysiologic problem in cirrhosis
2.4. Neonatal period extends upto _. of the liver causing esophageal varices is
(A) 21 days of life
(B) 28 days of life (A) dilated esophageal varices.
(C) 30 days of life (B) portal hypertension.
(D) 35 days of life (C) ascitis and edema.
(D) loss of regeneration.
25. A vital aspect ofnursing practice in relation
to legal aspect is _. 30. Sample in a research is referred as
(A) documentation (A) representative of population
(B) evaluation (B) high risk study subjects
(C) implementation (C) high risk population
(D) diagnosis (D) population using in a defined area
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A-5 CLI/19
31. The census is taken at intervals of 36. Kernicterus, rvhich may occur as a
(A) Once every 10 years complication of jaundice, is a pathological
(B) Once every 20 years condition of --.
(C) Once every 5 years (A) Liver
(D) Every year (B) Brain
(C) Kidney
(D) Heart
32. While establishing a therapeutic 37. How should the patient be positioned to
communication with a child with autism the nurse best palpate for lumps or tumors during an
may encounter which of these problems _. examination of the right breast?
(A) Hallucination (A) Supine with both arms overhead with
(B) Hearing impairment palms upward.
(C) Clinging to others (B) Sitting with hands claspedjust above
(D) Bizarre behaviour the umbilicus.
(C) Supine with right arm abducted and
hand under the head and neck.
(D) Lying on the right side adducting the
right arm on the side of the body.
33. The nurse completes a cervical examination
on her labouring mother. She determines that her
patient's (mother) cervix is I cm in length. How 38. An 82 kg patient has a 457o TBSA burn.
would the nurse describe this length? Using 4 mlkglVo TBSA burn during the first 24
(A) 50?o effaced hours after a burn injury, the nurse would anticipate
(B) 25Vo effaced a fluid replacement of _.
(C) 1007o effaced (A) 3,690 mt
(D) 30% effaced (B) 7,380 ml
(C) 9,225 ml
(D) 14,760 ml
34. Hallucination is a disorder of 39. Normal average length of a term healthy
(A) Perception newborn is
(B) Consciousness (A) 40 cm
(C) Memory (B) 50 cm
(D) Thought (C) 60 cm
(D) 65 cm
40. The variables those to be studied during
35. ORS does not contain research are known as
(A) Glucose (A) Dependentvariables
(B) Calcium Lactate (B) Independentvariables
(C) Sodium Bicarbonate (C) Intermediate variables
(D) Sodium Chloride (D) Final variable
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CLI/19 A-6
4I. ASHA \ orked at 46. Which patient is at highest risk for
(A) PHC level tachycardia?
(B) District level (A) A healthy basketball player during
warm uP exercise.
(C) State level
(B) A patient admitted with hypothermia.
(D) Village level
(C) A patient with a fever of 103"F.
(D) A 90 Year old male taking
42. Route of administration of vitamin K beta-blockers.
injection in a newborn-
(A) subcutaneous
(B) intramuscular 47, Among the following diseases, which is
(C) intradermal airbome?
(D) intravenous (A) Viral conjunctivitis
(B) Acute poliomyelitis
(C) Diphtheria
43. The term placenta previa describes which
(D) Measles
of the following conditions?
(A) The placenta separates from the
uterine wall.
(B) All or part ofthe placenta is positioned 48. National Rural Health Mission was launched
between the foetus and the cervix. in the year
(C) The foetus is inferior to the placental (A) April 1982
position. (B) April 2005
(D) The placenta develops before the (C) September 2011
uterine lining is mature. (D) April 2007
,14. Teaching the patient with rheumatic fever
about the disease, the nurse explains that rheumatic 49. After delivery of the placenta, the nurse
fever is notices that it is not 1007o intact. What is the
(A) a Streptococcus Viridans infection. nurse's first concem?
(B) a viral infection of the endocardium (A) Pulmonary congestion
- and valves. (B) Haemorrhage
(C) a sequela of group A streptococci (C) Infection
infection. (D) Tissue perfusion
(D) frequently triggered by immuno-
suppressive therapy.
50. In a severely anemic patient, the nurse
45, Positive Brudzinski and Kernig's sign are would expect to find _
the symptom of _. (A) dyspnea and tachycardia.
(A) Meningitis (B) cynosis and pulmonary edema.
(B) Encephalitis (C) cardiomegaly and pulmonary fibrosis.
(C) Pneumonia (D) ventricular dysrythmias and
(D) Glomerulonephritis wheezing.
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A-7
51. CLI/19
islhe most effective way ro control
_ lvl.rat
transmission 56. The edema that occurs
of infection?
syndrome is due to
in nephrotic
(A) Isolationprecautions.
(B) Identifying the infecdous (A) increased hydrostatic pressure
caused
agent. by sodium reGndon-
(C) Hand hygiene practices.
(B) decreased aldosterone secretion
(D) Vaccination. from
adrenal insufficiency.
(C) increased fluid retention
caused by
decreased glomerular filtration.
52. The first effecive andpsychotic (D) decreased colloidal osmotic
drug was pressure
caused by loss of serus albumin.
(A) Chlorpromazine
(B) Thioridazine
(C) Haloperidot 57,. A patient with right_sided hemi_plegid
and
(D) Trifluperazine aphasia resulting from a stroke
most likely has
involvement of the _.--
(A) brain stem
(B) vertebral artery
53. The nurse is asse:sing a woman in labour.
^ knows that foetal
5ne (C) left-middle cerebral artery
bradycardia occurs when lhe
heart rate drops below (D) right-middle cerebral anery
--
(A) 120 beats/min
(B) i30 bears/min
58. Which of the following term denotes a
(C) 110 beats/min menstural cycle thatis ilregular, of shorter duration
(D) 100 beats/min than normal?
(A) Oligomenonhea
(B) Menometronhagia
54. One subcentre is meant to cover how much (C) Metronhagia
population in hilly areas? (D) Amenorrhea
(A) s,000
(B) 3,000
(c) 2,ooo 59. One packet of oral contraceptive pills
(D) 9,000 contain
(A) 15 pills
(B) 28 pills
(C) 30 pills
55. The nurse identifies a flail chest in a trauma
patient when (D) 25 pills
(A) multiple rib fractures are determined
by X-ray.
(B) a tracheal deviation to the unaffected 60. Head control is possible in an infant by
side is present.
(C) paradoxic chest movement occurs (A) 1 month
during respiration. (B) 2 months
(D) there is a decreased chest movement (C) 3 months
of the involved chest wall. (D) 6 months
Please Tirrn Over
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A-8
CLII19
66. Poor man's iron is known
as
61. PercePtion is sensation Plus (A) Wheat
(A) Memory (B) Pulses
(B) Images (C) Cereal
(C) Language (D) JaggerY
(D) Interpretadon
which
62. One of the major assessment factors are the
a"i"-*in" tft" n""a ti hospitalize a suicidal
client 67. The functional units of the kidneys
is his (A) Collecting ducts
(A) inability to use effective coping (B) LooP of Henle
strategies' (C) Glomerulus
' (B) understanding ofthe meaning ofcrisis' (D) NePhrons
(C) ability to express his feelings ofcrisis'
(D) expression of loud and opinionated
behaviour'
or
6E. The habitual presence of a disease
area is
infecious agentwithini given geographical
63. Which struchrres are involved in the control
of respiration?
(A) EPidemic
(A) Pons and Medulla (B) Pandemic
(B) Thalamus and EPithalamus (C) SPoradic
(C) Somatic and Sensory nervous system (D) Endemic
(D) Cerebellum and Cerebrum
64. Which of the following is a risk for 69. Conflict takes place when one is forced to
preeclampsia? choose between two negative goals
(A) Twin pregnancy (A) Approach - aPProach
(B) Primigravida (B) Avoidance - avoidance
(C) Grand Multipara
(C) Approach - avoidance
(D) All of the above (D) Multiple approach - avoidance
65, Attribute of good leader involves which of
the following?
(A) Aware of member's strength and 70. Which of thefollowing tools use to measure
wealness student's procedure performance ?
(B) Suppresses the voice dissent (A) Rating Scaie
(C) Don't hold accountability for wrong (B) Anecdotal record
doings (C) Anirude Scale
(D) Not sure about his skills (D) Checklist
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A-9
71. ASHA stands for cu/19
..........-- 76, Clients with apnea experience_
(A) Active Social Health
Assistant (A) Difficult respiration requiring
(B) Assistant State Health more
Activisr effort.
(C) Accredited Social Health
Activist (B) Slowness of breathing.
(D) Accredited Subcentre
Health (C) of breathing that may be
Assistance -Cessarion
temporary.
(D) Lack of oxygen to body tissue.
72. A plan of care for the parienr wirh
COPD
could include
(A) exercise such as walking. 77. The process ofassessing staff members_
(B) chronic oral cortico-steroid therapy. (A) Review
(C) high flow rate of 02 administration. (B) Peer review
(C) Re-evaluation
(D) breathing exercises that involve
inhaling longer than exhaling.
(D) Performanceevaluation
73. Acquinting staff with the exisring work 78. The type of delusion most commonly seen
environment is known as in manic patient is
(A) Orientation (A) Delusion of persecusion
(B) Continuing Education (B) Delusion of grandeur
(C) Skill training (C) Delusion of guilt
(D) Leadershiptraining (D) Nihilisticdelusion
74. Professional negligence also known as 79. The nurse explains to the patient with acute
pancreatitis that the most common pathogenic
mechanism of the disorder is
(A) Malpractice
(A) cellular disorganization.
(B) Euthanasia
(B) overproduction of- enzYmes.
(C) Maloccurrence
(C) lack of secretion of enzYmes.
(D) Torticollis
(D) autodigestion of the pancreas.
75. A patient with anaemia would benefit from
which diet? 80. Reason for obtaining an informed consent
(A) Vegetables, fish and Pasta from preoperative patient is to prevent
(A) Infection
(B) Nuts & seeds, fruits & soya products'
(B) Unconsciousness
(C) Grains, cereals & organic vegetables'
(C) Legal issues -'
(D) Legumes, meat, dark & green leafY
vegetables
(D) None of the above
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A-10
CLI/19 effective method for
E6. Which is the most
patient discharged on
81. The nurse instructs encouraging selfJearning?
anti-coagulant therapy to (A) Demonstration method
(A) limit intake of vitamin C' (B) Lecture method
to the
iu) ,"oon symPtoms of nausea (C) Observation method
PhYsician'
(D) Task method
(C) have blood drawn routinely to check
electTolytes'
1D,1 be aware of
and report \igns or
sYmPtoms of bleeding' injection
87, The nurse find the ventrogluteal
site bY locating the
(A) middle third of the lateral thigh'
82. validitY of a tool refers to .....--' (B) greater trochanter, anterior iliac sPine
(A) FeasibilitY and iliac crest.
(B) Consistency (C) anterior aspect of the upper thigh
(C) AccuracY (D) acromian Process and axilla'
(D) AccePtabilitY
88. Which can minimize agitation in a disturbed
83. Reba is a 39 years old woman who is client?
experiencing secondary dysmenorrhea. The nurse (A) Limiting unnecessary interactions
knows that Reba could be suffering from which of with the client.
the following?
(B) Increasing environmental sensory
(A) Amenonhea
stimulation
(B) High levels of Progesterone
(C) Discussing the reasons for suspicious
(C) Endomeriosis
beliefs
(D) Tumer syndrome
(D) Ensuring constant staff support
84. BCG is a
(A) Live attenuated vaccine 89. Symptoms of social disorganization are
(B) Killed vaccine (A) Failure of traditional control
(C) Toxoid (B) Role confusions
(D) immunoglobulin (C) Uncertainties
(D) All of the above
85. An intussusception is
(A) kinring of the bowel onto itself. 90. Which ofthe body cells are mainly affected
(B) telescoping of a proximal loop of by HIV and causing immunosuppression?
bowel into a distal loop. (A) CD-4 cells
(C) a band of connective tissue (B) Platelets
compressing the bowel. (C) RBC
(D) a protrusion of an organ. (D) Mast cells
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A-11 CLAI9
91. Which of the following is the process by 96. Which type of abortion is associated with,
which the manager assign specific duties? sepsis, cramping, abdominal tendemess and fowl
(A) Coordination smelling discharge?
(B) Communication (A) Threatenedabortion
(C) Delegation (B) Complete abortion
(D) Supervision (C) Sponteneous abortion
(D) Septic abortion
97. Collaboration in providing care to a group
92. A modifiable risk factor for the development
of patients under the direction of a professional
of hvoertension is
nurse is
(A) a low-calcium diet. (A) Case method
(B) excessive alcohol consumption. (B) Primary method
(C) a family history of hypertension. (C) Team method
(D) consumption of a high protein diet. (D) Modular method
9E. Which of the following signs indicates the
93. Medical termination of pregnancy can be need for sputum test for AFB?
done upto (A) Hematemesis.
(A) 28 weeks (B) Fever for I week
(B) 20 weeks (C) Cough for 3 weeks
(C) 30 weeks (D) Chest pain for 1 week
(D) 18 weeks
99. Teaching in relation to home management
following a laparoscopic cholecystectomy should
include
94. A nurse uses long firm strokes distal to (A) keeping the bandages on the puncture
proximal while bathing patient's legs because
sites for 48 hours.
(B)
- reporting any bile coloured drainage
(A) it promotes venous circulation.
or pus from any incision.
(B) it covers a large area of the leg.
(C) using over the counter antiemetics if
(C) it completes care in a timely fashion nausea and vomiting occur.
(D) it prevents blood clots in legs. (D) emptying and measuring the contents
of the bile bag from the T tube every
day.
95. A nurse researcher interested in finding out
the results of some procedure/method already in 1(X). A patient perceives that his face is distorted
and his hand are becoming long. The term used to
operation, is most likely to use which of these
survey approaches? explain this condition is
(A) ComParative surveY (A) Dejavu
(B) DePersonalization
@) Evaluation surveY
(C) Cross sectional surveY (C) Derealization
(D) Correlational surveY (D) Jamais vu
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CLI/19 A-12
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Source: West Bengal Public Service Commission. Question paper published by West Bengal Public Service Commission.