Bihar Nursing Tutor Syllabus, Exam Pattern, Eligibility
146 topics across 4 subjects. Every question carries a written explanation.
Bihar Nursing Tutor is the recruitment to Tutor (Nursing) in the Health Department of the Government of Bihar, run by the Bihar Technical Service Commission (BTSC), 19 Harding Road, Patna. The latest is Advertisement No. 24/2025, which took online applications from 4 July to 1 August 2025 for 498 posts.
It's a teaching post in the state's nursing training institutions, at Pay Level 8 with a grade pay of ₹4,800. That's well above the Commission's paramedical posts: Laboratory Technician, X-Ray Technician, Operation Theatre Assistant and Pharmacist are Level 5, and Dresser is Level 2.
Two conditions are before the High Court
Under the Bihar Nursing Teaching Cadre Rules, 2024, anyone who trained outside Bihar needs Indian Nursing Council suitability and Bihar Nurses Registration Council registration. After an interim order of 16 May 2025 in Writ Petition No. 7821/2025 and Health Department advice of 13 June 2025, BTSC accepted applications from candidates who don't yet meet them, subject to the final judgment.
Marks
| Component | Marks |
|---|---|
| Written test (computer based) | 75 |
| Satisfactory contract service as a Tutor, 5 marks a year, capped | 25 |
| Total | 100 |
As at 12 September 2026 this is the only advertisement of BTSC's 2025 health batch still running. Its objection window opened on 8 September 2026; Dresser, Pharmacist, Operation Theatre Assistant, X-Ray Technician, ECG Technician and Staff Nurse already have results.
Last checked against the official notification on .
Bihar Nursing Tutor Details
Exam Pattern
| Mode | Computer based test |
| Questions | 100 multiple choice, objective |
| Marks | 100 |
| Duration | 2 hours, no sectional timing |
| Language | Hindi and English |
| Level | B.Sc (Nursing), whatever qualification you hold |
| Marking | +1 for a correct answer, −0.25 for a wrong one |
| Shifts | More than one, with normalisation |
Your normalised percentage is multiplied by 0.75 to give the written score out of 75.
Syllabus
BTSC publishes the Tutor (Nursing) syllabus separately from the advertisement: five heads at B.Sc Nursing level.
| Head | What it covers |
|---|---|
| Nursing Foundations | Hospital admission and discharge, including the medico-legal issues in each; communication and the nurse-patient relationship; documentation and reporting; vital signs, each of temperature, pulse, respiration and blood pressure with its alterations; care of equipment and linen; care in special conditions; infection control and hospital acquired infection; barrier nursing and universal precautions; biomedical waste management; administration of drugs; first aid; the dying patient; and the needs of the hospitalised patient, from safety and hygiene to comfort, pain, elimination and exercise |
| Medical Surgical Nursing, including pathophysiology and pharmacology | The nurse's role in outpatient, inpatient, intensive care, home and community settings; care of the surgical patient before, during and after operation, and the nurse's functions in the operation theatre; and through to emergency and disaster management at international, national, state and institutional level |
| Midwifery and Gynaecological Nursing | Normal pregnancy and its physiological changes; pre-natal care, history taking and calculation of the expected date of delivery; diseases associated with pregnancy; and gynaecological conditions from abnormalities of menstruation and menopause to mastitis, breast abscess, tumours and malignancy |
| Child Health Nursing | The healthy child, growth and development and the immunisation schedule; care of the newborn, including neonatal resuscitation, kangaroo mother care and the management of low birth weight, hyperbilirubinemia, thermal and metabolic disorders, infections, seizures and respiratory distress syndrome; congenital anomalies and parental counselling; breast feeding; and the diseases of children |
| Mental Health Nursing | The nurse's role with the overactive, destructive, suicidal, depressed, withdrawn and manic patient; prevention of accidents among the mentally ill; observation, reporting and recording; and the procedure for admission to and discharge from mental hospitals |
Although it's a teaching post, there's no nursing education, curriculum design, teaching methodology, administration or research in the syllabus, and no Community Health Nursing either.
Eligibility Criteria
Open to Indian citizens. Reservation is only for permanent residents of Bihar, judged on the permanent address in the online form.
Qualification
From an Indian Nursing Council recognised institution, of the duration the Council sets, one of:
- M.Sc Nursing,
- B.Sc Nursing, basic or post basic, or
- Diploma in Nursing Education and Administration (D.N.E.A),
plus two years of professional experience with a certificate, and:
- Bihar Nurses Registration Council, Patna registration; and
- Indian Nursing Council, New Delhi suitability if you studied outside Bihar.
Both conditions are subject to the pending writ petition described in the overview. Follow BTSC's Important Notices for the outcome.
Age
| Category | Upper age limit |
|---|---|
| Unreserved | 37 years |
| Unreserved, women | 40 years |
| Backward Class and Extremely Backward Class, men and women | 40 years |
| Scheduled Caste and Scheduled Tribe, men and women | 42 years |
Minimum 21 years as on 1 August 2025. Date of birth is taken from the matriculation certificate only.
Relaxations (claim only one)
- Persons with disabilities: ten years.
- Bihar government servants regularly appointed with three years' continuous service: five years.
- Contract service as a Tutor: equal to the length of that service, part-years included, to 1 August 2025, in a government or non-private nursing educational institution in Bihar (including central government, municipal and panchayati raj bodies). The appointment must have been by the competent authority against a sanctioned post, under the reservation policy then in force.
- Carry-forward: the previous Tutor advertisement counted age from 1 August 2021, so anyone within the upper limit at any point between 1 August 2021 and 1 August 2025 is still eligible.
Reservation
SC, ST, EBC, BC, EWS and Women of Backward Classes, plus 35 per cent horizontal reservation for women (subject to vacancies) and 2 per cent for grandchildren of freedom fighters. BC and EBC candidates need a Bihar non-creamy-layer certificate, in the father's name and address for women. Category can't be changed after registration.
Selection Process
No interview.
- Computer based test, scaled to 75 marks.
- Minimum qualifying marks by category (below). Fall short and you have no claim.
- Experience marks, only for those who qualify.
- Category-wise merit list out of 100.
- Document verification.
| Category | Minimum qualifying marks |
|---|---|
| General | 40% |
| Backward Class | 36.5% |
| Extremely Backward Class | 34% |
| Scheduled Caste, Scheduled Tribe, women of any category, persons with disabilities | 32% |
Experience marks
Five marks per year of satisfactory contract service as a Tutor, up to 25, in a government or non-private nursing educational institution in Bihar. Part-years count as working days × 5 ÷ 365, up to 4 July 2025.
- The contract appointment must be by the competent authority against a sanctioned post, under the reservation policy then in force.
- Under Health Department letter 402(6) of 17 April 2025, only contract Tutors qualify. Contract service on another post, or regular or deputation service, earns nothing.
The certificate must come from the district Civil Surgeon, a medical college Superintendent, or a super-speciality hospital's Director, in the Appendix-1 format attached to the advertisement. Any other format earns neither the marks nor the age relaxation, and the claim must also be entered in its column in the online form.
Salary
| Post | Tutor (Nursing), Health Department, Government of Bihar |
| Unrevised pay scale | ₹9,300 to ₹34,800 |
| Grade Pay | ₹4,800 |
| Revised structure | Pay Level 8 of the seventh revised pay structure |
For comparison, BTSC's paramedical diploma posts are Level 5 (grade pay ₹2,800) and Dresser is Level 2 (₹1,900). Allowances follow state rules for Level 8 and aren't stated in the advertisement.
How to Apply
Apply online only on btsc.bihar.gov.in. Fee is online only (debit card, credit card, net banking or UPI), plus the bank's charge.
| Candidate | Fee |
|---|---|
| General, Backward Class, Extremely Backward Class, Economically Weaker Section | ₹600 |
| Scheduled Caste and Scheduled Tribe, permanent residents of Bihar | ₹150 |
| Women of any category, permanent residents of Bihar | ₹150 |
| Candidates resident outside Bihar, any category, any sex | ₹600 |
| Persons with disabilities, any category | ₹150 |
Pay a concessional fee and fail to produce the certificate behind it, and your candidature is cancelled. If unsure, pay the general fee.
Have ready
- matriculation certificate (date of birth);
- marksheets and certificate of your M.Sc, B.Sc or D.N.E.A;
- the certificate for the two years' professional experience (separate from the Appendix-1 certificate for experience marks);
- Bihar Nurses Registration Council registration, and INC suitability if you trained outside Bihar;
- caste, non-creamy-layer or EWS certificate, and the permanent residence certificate;
- the Appendix-1 certificate, if claiming experience marks.
Every claim goes in its own column in the form. Nothing can be added later.
Participating Institutes
The posts belong to the Health Department, Government of Bihar, Patna, in its nursing training institutions.
| Category | Posts | Of which for women |
|---|---|---|
| Unreserved | 203 | 71 |
| Economically Weaker Section | 46 | 16 |
| Scheduled Caste | 79 | 28 |
| Scheduled Tribe | 5 | 2 |
| Extremely Backward Class | 92 | 32 |
| Backward Class | 60 | 21 |
| Women of Backward Classes | 13 | Not applicable |
| Total | 498 | 170 |
Within the total, 20 posts are for persons with disabilities (five each for blindness and low vision; deafness and hard of hearing; locomotor disability including cerebral palsy, leprosy cured, dwarfism, acid attack and muscular dystrophy; and autism, intellectual disability, specific learning disability, mental illness or multiple disability), and 10 for grandchildren of freedom fighters. The count may change if the requisition is revised.
Exam Centres
The test runs in more than one shift. Centres and shifts are given with the admit card on btsc.bihar.gov.in; the advertisement fixes no centres in advance. Your posting later is decided by the Health Department and has nothing to do with where you sat the test.
Important Dates
BTSC has no annual calendar; it advertises when a requisition arrives. Advertisement No. 24/2025:
| Stage | Date |
|---|---|
| Online registration opens | 4 July 2025 |
| Online registration closes | 1 August 2025 |
| Work experience counted up to | 4 July 2025 |
| Age reckoned on | 1 August 2025 |
| Objection window opened | 8 September 2026, Notice No. 2918 |
| Result | Not declared as at 12 September 2026 |
The other posts in the 2025 health batch opened on 4 and 11 March 2025 (Staff Nurse in April) and all had results by August 2026.
Admit Card
Download it under Admit Card / Call Letter on btsc.bihar.gov.in. No date is fixed in the advertisement. It also tells you your shift.
Scores appear later under Score Card, and objections to the answer key or result go through the Objection Portal within the announced window. For Advertisement No. 24/2025 that window opened on 8 September 2026.
Result
Results are posted advertisement by advertisement under Result on the BTSC site, with scores under Score Card. For Advertisement No. 24/2025 the result was not out as at 12 September 2026.
BTSC results list, category by category, the vacancies, the 35 per cent women's share, the number selected and the cut-off out of 100, plus anything carried forward. Ties have gone to the older candidate. In the paramedical posts of the same batch most posts went unfilled and the disability and women's quotas were almost all carried forward.
Cut Off
The advertisement prints minimum qualifying percentages for the written test (see Selection Process): 40% General, 36.5% BC, 34% EBC, and 32% for SC, ST, all women and persons with disabilities. These are Bihar-wide rules, not specific to this post.
No closing cut-off has been published yet, since the result was not out as at 12 September 2026. When it is, it will appear with the result on the BTSC Result page, as a mark out of 100 after normalisation, the 0.75 multiplier and experience marks.
Preparation Tips
- Prepare clinical nursing, not pedagogy. The five heads are Nursing Foundations, Medical Surgical Nursing, Midwifery and Gynaecology, Child Health and Mental Health. Teaching methodology isn't on the paper.
- Revise at B.Sc level. M.Sc holders are examined on undergraduate ground, so breadth across the five heads beats postgraduate depth.
- Work out whether you can earn experience marks. Only contract Tutors in Bihar nursing institutions get them. If you're a hospital nurse, you're competing on 75 marks, not 100.
- Attempt every question you can narrow down. There's no sectional timing and the penalty is a quarter mark.
- If you trained outside Bihar, watch the Important Notices for the outcome of the writ petition.
- No past papers exist, so use the Tutor (Nursing) syllabus topic by topic as your checklist.
Sample Papers
BTSC publishes no previous papers or model paper for Tutor (Nursing). Anything sold as a "BTSC Nursing Tutor previous year paper" didn't come from the Commission.
The official documents are the Tutor (Nursing) syllabus (not the Staff Nurse one) and Advertisement No. 24/2025, both on btsc.bihar.gov.in.
Official Links
Frequently Asked Questions
What qualification do I need?
M.Sc Nursing, B.Sc Nursing (basic or post basic) or a D.N.E.A from an INC-recognised institution, plus two years' professional experience and Bihar Nurses Registration Council registration. INC suitability too if you trained outside Bihar.
I trained outside Bihar. Can I apply?
Yes, for now. BTSC accepted such applications after the High Court's interim order of 16 May 2025, subject to the final judgment.
Is there an interview?
No. Written test (75) plus contract Tutor service (up to 25), then document verification.
Can I claim experience marks for hospital work?
No. Only contract service as a Tutor in a Bihar nursing educational institution counts.
Why is my merit score lower than my test percentage?
It's multiplied by 0.75. Fifty per cent in the paper becomes 37.5 marks.
What is the age limit?
21 to 37 for unreserved men; 40 for unreserved women, BC and EBC; 42 for SC and ST. Relaxations are in Eligibility.
What is the pay?
Pay Level 8, grade pay ₹4,800.
Has the result been declared?
Not as at 12 September 2026. The objection window opened on 8 September 2026.
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