“One day in perfect health is much.” AIIMS Jodhpur (SNO) 2023 1, Following a road accident, a patient was admitted to the neurosurgery ICU due to a head injury. During the assessment, the patient opens his eyes to painful stimuli but not to verbal stimuli. He ansieers questions by making incomprehensible sounds and localzses the site of the painful stimulus. His GCS score will be: a9 © 6 bs a7 2. A short-term goal for a patient with Alzheimer's disease is: ‘a, Regained sensory perception and cognitive function Increased self-esteem and improved self-concept ‘c. Improved problem solving in activities of daily living <4. Improved functioning in the least restrictive envitonment 3. The primary fever in malaria corresponding to the development of the parasites in the red blood cells comprise all ofthe following; except a. Hot stage bi, Relapse stage &. Cold stage 4, What isthe function of mRNAt a Escorts amino acid to ribosome bb. Carries message for protein synthesis Sweating stage Helps form the ribosomes 4. Bonds with new sand 5. Second component (other than NST) in Modified Biophysical Profile i: a. Fetal breathing movements bb. Ampiotic uid index Fetal movements a. Fetaltone 6, What is the best position fr a patent in anaphylactic shock? fa. Supine with legs elevated b. High fowiers <._ Semi fowler’ Lateral recumbent 7. The year 2023 has been decared as The International Year of a, Fruits 'b. Cereals c. Nats . Milts 8, Regarding the placement of leads when recording ECG all of the following are corrects except: a VseTth intercostal space atthe midelaicular line bb V3-linear midpoint between V2 and V4 © V2 ath intercostal space lft margin of sternum @._ Vi-th intercostal space- right margin of sternum 9, Low molecular weight heparin should be administered: 3. Intradermally b. Intravenously c. Subcutaneously 4. Intramuscularly Arabic 10, Betathalassemia is an autosomal recessive disorder. 1 is characte by reduced hemolbinleel in he body and isalso known as: 8. Aplasticanaemia b, Sickle cll anemi © Coley’s anemia 4. Hemolytic anemia 11, Epigenic factors play an important role in schizophrenia. In genetically vulnerable people, environmental factors may Increase the risk and trigger schizophrenia. Which of the following statements is true? 4. Socal companionship increases the risk of schizophre '._Livingin poverty does notincrease the riskof schizophrenia. €. Childhood trauma such as poverty or abuse can trigger schizophrenia 4. Peopleliving in rural areas are more vulnerable 12, Identify the contraceptive device shown in the given picture. weer Female condom b. Diaphragm 2 cc Vaginal sponge a. Male condom i 13, A nurse poned in a paediatric cardiology unit noted that Ty the assesment findings of an infant reveal a continuous 1 trachinery murmur on the auscultation of the heart andy Signs other failure. She denies thatthe infant has which" ofthe following congenital cardiac defectst ‘a. Atrial septal defect. Aortic stenosis Cc. Ventricular septal defect Patent ductus arteriosus 14, Atthe central level, the Union Ministry of Health and Welfare is headed by a cabinet minister, a minister of state and a» deputy health minister. These are political appointments and hhave a dual role to serve political as well as administrative responsibilities fr health. One of the functions inthe union list 4. Toorganize family welfare program through family welfare centers by. International health relations and quarantine © prevention of extension of communicable diseases from ‘one unit to another 4. Regulation and development of medical, nursing and other allied healt professions15, You have collected puss Torget High - Seventh Premium Edition * | 5 5 5 & 55 56 st a 3. a. 6, a a oo 6 « 9. a Section B sample from a purulent leston on the [einota patient. You have sent the sample for gram tals, aneceepologist reports Staphylococel seen, Which ofthe telow shapes of bacteria must the mlcrobfloglt have sent 4 b2 1 a3 SF isan example of secondary prevention, Zr Treatment af the disease and rehabilitation 1b. Proper disposal of garbage €._ Sereening and ease finding a. Encouraging physical exercise 1 17, On physical examination ofa patient's chest, a.m fa tburrel chest. A barrel chest is usually associated with: ‘a. Emphysema ', Kyphoscoliosis ‘¢. Marfan syndrome . Nickets 18, The ‘Food Guide Pyramid’ isa nutritional educational gutde thatemphasizes the importance of foods from different food groups, Which ofthe given statements isfare correct? The ocd gute pyramid Each of the food groups (shown in the picture) provides ‘some of the mtsents required Each ofthe food groups provides al the nutrients required Foods in one group cannot replace those in another Food groups toward the top ofthe pyramid are increasingly ‘more important Only rand b. Only2 © Only 2and4 & Only tand3 ents with diabetes mellitus ts 19. The optimal target for rmalnatning a glyested hemoglobin (HbA) st ‘Above ee Below 659 Aor om, 4. Below on 20, Which of th 21, Kdentify the fontane! indicated by the arrow. 22, Children with Dov 23, Thennurse manager needs to buy six new hospit 25, A probability distribution that is symmetric about the mean, 1¢ following types of research Involves at veive control by the researcher to Implement the treatment? b, Experimental , Loveets manoeuvre . MeRoberts manoeuvre Rubin manoeuvre 38. A nurse working in a ward notices that blood has spilled on the floor during blood collection. The spill covers an area of ‘more than 20 cm, The nurse asked the housekeeping staff to ‘lean the spill on the floor. What would the recommended disinfectant used for handling this spill be? ‘2. 1:100 dilution of 3% sodium hypochlorite b. 12 dilution of 2 bleach solution €. 1:5 dilution of 5% bleach solution 4. 1:10 dilution of 5% of sodium hypochlorite 39, Which type of coping strategy is most effective during a stressful circumstance that cannot be changed? ‘Emotion focused coping ‘Avoidance Problem focused coping Coping flexibility epee AIMS Jodhpur (SNO) 2023,a, 2. 8. 6. a. 8. 1454 Target High - Seventh Premium Edition Section B 40. Identify the instrument shown in the picture below. Otoscope Arthroscope Sigmoidoscope |. Ophthalmoscope 41, During discharge teaching a patient with depression, the psychiatric nurse informed him to avoid foods containing tyramine—such as cheese, milk, wine, preserved meats and, avocados—to prevent a hypertensive crisis. Which class of antidepressant drugs are prescribed to the patien 'a. Selective serotonin reuptake inhibitors b. Tricyclic antidepressants €._ Selective norepinephrine reuptake inhibitors 4d. Monoamine oxidase inhibitors 42, A nurse is going to administer ear drops to a 30-year-old patient suffering from otitis media. The most appropriate method to administer the ear drops to this patient is by: Separating the palpebral fissures with a clean gauze pad b. Pulling the pinna up and back Pulling the tragus up and back Pulling the pinna down and back 43, Given below is an ECG of a patient with chest pain duc to ‘chemic heart disease. The ECG shows: a. Tewave inversion 1B. Increased PR Interval ST depression 4 Increased QRS interval 44, Add fast staining ased in the below slide mycobacterium taberculi is named: eee Ra a. Gram staining by. Albert staining © Giemsa staining 4. Ziehl-Neelsen staining ‘Annormal man marries a woman With color blindness. The ‘children would be: a 4. Colorblind sons and carrier daughters (5° 1 Normal daughters and normal sons ©. Normal sons and carter daughters 4. Colorblind daughters and carrier sons 46. During home visit by community health nurse, a middle teed woman reported tothe mrsethat she has had weakness fatigue dyspnea and headache for the past three months (On physical examination, the nurse noted spoon-shaped fingernails and a heart rate of 120/minute. Based on thes findings, the nurse documented thatthe woman may have. a. Folic aid deficiency anaemia i Aplastic anaemia ¢. Iron deficiency anaemia 4. Hemolytic anaemia 47, ldentify the Iarva ofthe mosquito shown inthe given picture Water surface 45. Mansoia hes Anopheles cue 4s, Puen X came tothe emergency department witha hs oiroad aii scdents The tagenurse assed the pte thd shifted bin othe red rea Daring he asset he {und that he patient hd frciured spent sinking it the chest with lnspiation and expanding of the chest wall sith eration, opps the nora che wall mechan. Wott toring ort oa ie een te usc adh would is bno ca Pectus carinatum; chest trauma — Beer ces ib atre Pec erat chest xu Fal ches acre Boge pose| | i 49, The first drug of choice to treat an anaphylactic reaction bs a. Corticosteroids Gpinephrine fe Antbistamines 4. Bronchodllator 450, Tousea t-test the dependent variable must have: ‘Nominal or interval data bh Interval or rato data Ordinal or interval data Ordinal or ratio dat According to the biomedical waste management of India, ‘category 1 of vaste, including human anatomical waste, should be disposed by: 2. Disposal in municipal landfill 'b. Disinfection by chemical treatment ‘Incineration 4. Localautoclaving When ventilat following? a. Dead space bi. Silent unit €. Preumothorax Shunt Glomerulonephritis is a kidney disorder that affects the glomeruli. Itis usually characterized by edema, hypertension and: a. WBCin urine b. Dysuria Polydipsia 4. Hematuria ‘Aproblem-based learningisstudentcentredlearningstrategy in which students collaboratively solve the problems and this reflects on their experience. One important component is: |, Presentation of real-world situation or problem from ordinary life b, Focus the educational program €. Careful inspection of methods 4. Flewble approaches to learning ‘The blood groups in individuals are different due to the specific: a. Antigens on the surface of WBC be. Antibodies on the surface of WBCs Antigens on the surface of RBCs 4. Antibodies on the surface of RBCS Benzimidazole used in treatment of parasitic infections i a. Anantifungal drug b._ None ofthe given option ¢ Abroad-spectrum antibiotic 4. A broad-spectrum anthelmintics Which of the following is an important principle of delegation? Delegation isthe same as workallocation b. No transfer of authority exists when delegating When delegating, you must transfer authority 4. Responsibility isnot transferred with delegation ‘Which of the following statements is incorrect with respect topportal vein? 1, Portal blood is ich in nutrients Portal blood is rich in oxygen. {Portal blood comes from the gastrointestinal system. 4. Portal circulation constitutes 80% of the circulation to the st. 32. 33. 34, 5s. 56. 57. 58, liver, 59. A patient with COAD has to be put on oxygen using «face ‘mask, Identify the type of mask shown In the pcture below. (CPAP mask Simple face mask ace mask with reservoir bag Venturi mask (60, Water hammer pulse is seen in: a Mitral stenosis ', Left ventricular failure © Aortic stenosis 4. Aortic regurgitation 61, Doctors and nurses, who are indirect contact with patients and their relative, have opportunities for much individual health education, What isthe biggest advantage of individual health education? Ik depends upon the personality and reputation of the speaker. b, Ieeam be costly and time consuming, We can discuss, argue and persuade the individual to change is behavior 4. Ieisvery useful in reaching large numberof people (62, Thelab report ofa patient is detailed bel pH 72 HCO. Immol/L PCO, 1mm Hg Which of the following isthe primary acid base disorder? 8, Metaboli alkalosis, B, Metabolic acidosis e_ Respiratory alkalosis 4. Respiratory acidosis 163, Which of the following is stage in the stages of change model? a. Deliberation », Meditation «Study 4. Contemplation 64, A 54-year-old man presented in the emergency department ‘with polyphagia and polydipsia. He also complained of hheadaches, malaise and some visual changes. The assessment showed signs of dehydration and some additional symptoms. "The nurse reported to the physician that the patient may have diabetic ketoacidosis. Which of the following additional symptoms might the nurse have noted? ar" Decreased respirations and increased urine output 1. Kessmaul respirations and fruity odor onthe breath ‘c_ Cheyne-stokes respirations and foul-smelling urine Biot respirations and severe abdominal pain AIMS Jodhpur (SNO) 2023,1456 Section B 65. According to WHO, the most cost-effective way to stop the spread of TB in communities with a high incidence is by curing it The best curative method for TB is known as DOTS. One ofits components is: a. Standardzsed treatment regimen ditectly of eighteen ‘months observed by a healthcare worker b. Patients will buy the drugs €. Case detection by sputum smear microscopy 4. Health for all by 2000 AD. 666. A physician has prescribed Tab Atenolol 25 mg fora patient. {On assesment the nurs finds that the patients esl lood pressure is 99 mmHg. The appropriate nursing action Loess ig, The approp: wgact Advise the patient to increase sodium intake b. Monitor serum potassium levels . Administer the drug and continue monitoring the blood pressure 4. Withhold the drug and notify the preseriber (67. The T-wave in ECG represents: a. Ventricular repolarization b. Time needed for sinus node stimulation Total time for ventricular depolarization 4. Repolarzation of Purkinje fibers (68. A client is admitted with acid attack burns on his face and tyes. The nurse understands thatthe client has great risk for ‘which of the following complications? 2. Development of glaucoma Bacterial infections ¢. Long-term morbidity 4, Contracture 469, While doing bedside rounds, a nurse posted inthe pediatric trology ward saw a 5-yearold child. On being asked about the child’ medical history, the child's mother said thatthe child had recently had a streptococeal throat infection. She Slso reported periorbital and facial edema, decreased urine Sutpatand hematuria, The child's blood pressure was 156/98 how of Hg and lab investigations showed increased blood trea nitrogen level and creatinine level and increased anti- Seplolysin O titer. Based on these inputs, what may be the probable diagnosis ofthe child? Polycystic kidney disease b._ Nephrotic syndrome €. Glomerulonephrits Hemolytic uremic syndrome 70. The main objective of National Iodine Deficiency Disorders Control Program in India is: Development of guidelines on control Supply of iodized salt in place of common salt @ Early detection of iodine deficieney 4._-Behavior change communication 71. A so-yearold patient was brought to the emergency department, Oncxamination, thetriagenurse noticed thathis serrratory rate was 36/ minute, and he had a nonproductive Tough, History also revealed that he recently had aco. After ‘en suscultation and analysis of examination findings, she seas ted the probability of asthma. Which of the following sere ecultation findings suggested that he may have bronchial asthma? a Perieardial fiction rub 1. Low pitched marmars Inspiratory and expiatory wheezes Pleural fition rub 72. Apatient wasbrought tothe emergency ward with numba and ‘weakness on one aide of his body, surred dificulty in walking and dzines. After taking a CT sca the doctor diagnosed it as an embolic stroke. Which g the following conditions places the elleat atthe ss of thromboembolic stroke? a Aral fibration b, Guillain-Barré syndrome 4 Multiple sclerosis 4 4. Bradycardia : 73. Which of the following tarsal bones is most common} fractured? 3 ‘a, Cuboid bone b, Navicular bone : Talus 4. Calcaneus 74, In India, unsafe drinking water and lack of basic sanitato are the leading causes for: a Asthma . Respiratory problems 4 Heart disease and diabetes 4. Diarheal diseases and cholera ! 75. While recording the weight of a 2-year-old boy on the WHC growth chart, a nurse notes that the weight curve is below - ‘SD. The nurse interprets this as: a. Overweight for his age b. Under nutrition cc Severely underweight 4. Normal weight for his age 76. A2-year-old child is brought to the pediatric OPD with the complain of failure to thrive. On assessment, the nurs observes that the child weighs less than 35D, as per WHO growth chart, and MUAC (Mid-Upper Arm Circumference f less than 11 em. What would the nurse expect for this childs? ‘2. Moderate acute malnutrition b. Acute malnutrition © Chronic malnutrition 4. Severe acute malnutrition 77. CDC recommends children get two doses of MMR vaccine starting with the first dose at 12 through 15 months of age and the second dose at: ; ‘a 4-6 years of age b, 10-12 years of age d 2-3 years of age 6-8 years of age 3 78. A patient has been received in the emergency department 0 ‘a hospital with history of head injury. The nurse in the El makes a quick neurological assessment of the patient using Glasgow Coma Scale, Her assessment findings are shoven in the gren tbl, Wat wl you Interpret seo the siven table? Name: ABCD Age:28 years CR no. 123456 Behavior Response Eye opening response Opens eyes to pain Verbal response ‘Speaks inappropriate words ‘Motor response Abnormal flexion is observed ‘Total GCS score ‘Moderate brain injury No neurological deficit Severe brain injury Mild brain injury j79. A patient was presented to the pediatric OPD with fever, malaise, coryza, cough and conjunctivitis, There were small red spots with ablush-white center and are base located on the buccal mucosa and nurse documented this finding. What tare these spots called and what are the spots indicative off 1 Koplik spots: diphtheria bh Brush field spors: measles {© Ball neck pots: diphtheria Kops spots: measles 180. A shortened PR interval, slurring (called « delta wave) of ‘the initial QRS deflection, and protonged QRS duration are characteristics of: ‘Atrial tachycardia 1b. Wolf Parkinson: White (WPW) syndrome c Myocardil ischemia Left bundle branch block {1, The ideal time when the nurse ash the patient to bear down daring second stage of labor is: ‘When the fetal head starts a dstend the perineum 1b Inbeween the contractions When the patient fects strong When the cerv is fully dlstod 2, The leadership style adopted to make cracisl decisions that need tobe made on the spot. ben dealing with inexperienced \ land new team members and theres te to wait for team ‘members to gin familiarity with their role known a ‘Democratic Pansat © Authorstative & Coucing £83, The part of the colon that absorb the remaining water and ‘other Ley nutrients from the indipestibe material slidifving ito form stool i a Ascending colon b Dew Rectum 4 14 Identify the stndy design given in the picare. mang eon a. Nested case control study 1b. Retrospective cohort study & Case-control study wee not touch the nose and immediately goto the hospital ‘b.Pinch the nose with sterile gauze Pinch the nose and move forward 4. Pinch the nose and move backward rrevousvear topes SISTER %6.A woman vit the pedis OPD with ber {oder wih compl mde soppge fren he ‘hil flated by» pronocte eve Al the lowing ae true bout reat bln pela cep They occur daring epenton 1 Gyan mayimay ne car © They we ley 4 Bradyera may occur 19. Aoure plana a teach pontprtam mother the prevention oF treat engorgement. Whi of Ue folowing mesrer ‘ould the mas Inde ler teaching pan?” "trevor the neonate at ear neal Ik Deven the take of ld rng thet 2048 hous © Mauope the reat probe edi 41 Usp sis weeding te coe 18. A nae pene nthe pede lmeaniation ink She totes ld who very activ. le imbing ae bn the pleroom, walling forvard and tarnag pop in boc. Based on these observations, what may be the spproximate o a 2 3 3 2 z lageol the child? 18-24 months 1b. $10 months 10-12 months 4. 6-9 months 19, The leakage of blood backward through the mitral valve each time the left ventricle of the heart contracts, is known as: a Mara regurgitation bk. Mitral prolapse & Maral senonis &. Mitral syvole 90. A client has an infection spreading through droplets. The tnarse Is ready to check the cliat’s temperature. Which of the following should the merse use to control the spread of Infection? 2 Ma 1b. Goggies Gime and prevent foods from spoiling. Which ofthe following is the most common and best method? a Frecee drying. 1k. Fermentation Freezing Heating ‘94, Infant Mortality Rate (IMR) isthe ratio of deaths under 1 ‘year of ape tox Te Rate per 0Dlvebinhs b- Arate pe 1000 le births S Atateperolivebirths d Arate pet 1000 ive births 95, A tamour of the adrenal medalla(Pheochromocytoma) is ‘ascined with anincrensed prodacion of which hormone? T Glucocorticoids ib Minerslocortioids Androgen 4. Epinephrine 196. The mare manager compares the actual eras ofthe budget with the projected results of the budget. What budgeting proce this? 2 Controling © Revenae sharing ‘Incremental budgeting . Variable budgeting1458 td s a 5 E £ 8 3 5 2 3 & 8 7b 8b Bc 100, b 5 5 5 5 st 5 o 61 a a 64 6. «6. 9. a Section B 97. 8 A group of subcortical nuclel within the brain called basal ganglia helps a person perform which of the following Important functions? ‘Unconditional learning b. Emotional behaviors © Involuntary motor activity d. Learning impairment . A terminally ill 70-year-old lady has fears of being alone and constantly wants someone neat her: Which of the flong Aetions by the nurse would be moe appropiate to dal wth her loneliness? ities 2. Place her near the window otha she can se ature. b. Planto spend more ine with her halang her hands and listening to het © Paton the television in her room and asker to watch some programs. 44. Explain her that she has to keep her mind active and focused. 3D Animated Videos jeos with their description 5 @ Animated + Position & Presentations of fetus during labor + Parts and Diameter of fetal skull + Body planes & movernent + Respiration: Exchange of gases + Anatomy of Heart & Cardiac Cycle ‘Access suing ee 100. Conceptual Videos 200+ Important Topics Conceptual Videos TARGET HIGH vigitai ute> concoptuat & Animated videos 99. A leader can be effective In one clrcumstance and can Ineffective in another circumstance. This is leaders a to adapt, which can be their most Important tool In ‘workplace. This theory of leadership Is known as: a. Strategic 4 b. Democratic 4 © Contingency 4. Autocratic Allofthe following arelocal manifestations of inflammatiog except: 8, Redness Increased WBC count Warmth 4 Pain Bridging Theory & Practice through Conceptual Infographic Videos + Animated in Infographic Form with voice-over for easy learning 5 3