50 MCQs for TU IOM Staff Nurse Vacancy (with Answers)
1. What is the normal serum sodium level in adults?
A. 130–135 mEq/L
B. 136–145 mEq/L
C. 120–130 mEq/L
D. 146–160 mEq/L
✅ Answer: B. 136–145 mEq/L
2. Which of the following routes provides the most rapid drug absorption?
A. Oral
B. Intramuscular
C. Intravenous
D. Subcutaneous
✅ Answer: C. Intravenous
3. Fontanelle in infants usually closes by:
A. 1 month
B. 3 months
C. 12–18 months
D. 24 months
✅ Answer: C. 12–18 months
4. Which disease is caused by Mycobacterium leprae?
A. Tuberculosis
B. Syphilis
C. Leprosy
D. Tetanus
✅ Answer: C. Leprosy
5. What is the normal value of fasting blood glucose?
A. 60–100 mg/dL
B. 100–140 mg/dL
C. 140–200 mg/dL
D. 80–160 mg/dL
✅ Answer: A. 60–100 mg/dL
6. Digoxin is used in the treatment of:
A. Hypertension
B. Congestive heart failure
C. Asthma
D. Diabetes mellitus
✅ Answer: B. Congestive heart failure
7. In CPR, the ratio of chest compressions to breaths in adults is:
A. 15:2
B. 30:2
C. 20:2
D. 25:2
✅ Answer: B. 30:2
8. Which vitamin is essential for blood clotting?
A. Vitamin A
B. Vitamin B12
C. Vitamin K
D. Vitamin D
✅ Answer: C. Vitamin K
9. Low-birth-weight baby is defined as having a birth weight less than:
A. 2.5 kg
B. 3.0 kg
C. 2.8 kg
D. 1.8 kg
✅ Answer: A. 2.5 kg
10. Which instrument is used to monitor fetal heart rate?
A. Laryngoscope
B. Stethoscope
C. Fetoscope
D. Otoscope
✅ Answer: C. Fetoscope
11. What is the antidote for paracetamol overdose?
A. Naloxone
B. N-acetylcysteine
C. Atropine
D. Flumazenil
✅ Answer: B. N-acetylcysteine
12. Oral rehydration solution (ORS) is mainly used to treat:
A. Hypertension
B. Dehydration from diarrhea
C. Hypoglycemia
D. Constipation
✅ Answer: B. Dehydration from diarrhea
13. Glasgow Coma Scale assesses:
A. Motor strength
B. Blood pressure
C. Level of consciousness
D. Visual acuity
✅ Answer: C. Level of consciousness
14. The safest site for intramuscular injection in adults is:
A. Deltoid
B. Vastus lateralis
C. Dorsogluteal
D. Ventrogluteal
✅ Answer: D. Ventrogluteal
15. Exclusive breastfeeding is recommended for:
A. 4 months
B. 6 months
C. 8 months
D. 1 year
✅ Answer: B. 6 months
16. Tachycardia is defined as heart rate more than:
A. 60 bpm
B. 90 bpm
C. 100 bpm
D. 120 bpm
✅ Answer: C. 100 bpm
17. Eye donation is possible after death within:
A. 6 hours
B. 12 hours
C. 24 hours
D. 48 hours
✅ Answer: B. 12 hours
18. Nosocomial infection means:
A. Community-acquired infection
B. Hospital-acquired infection
C. Vector-borne infection
D. Zoonotic infection
✅ Answer: B. Hospital-acquired infection
19. Maximum volume for a single IM injection in deltoid muscle is:
A. 1 mL
B. 2 mL
C. 3 mL
D. 5 mL
✅ Answer: B. 2 mL
20. Widal test is used to diagnose:
A. Malaria
B. Dengue
C. Typhoid
D. Leptospirosis
✅ Answer: C. Typhoid
21. Bleeding gums may be due to deficiency of:
A. Vitamin D
B. Vitamin A
C. Vitamin C
D. Vitamin B1
✅ Answer: C. Vitamin C
22. Mantoux test is used for:
A. Syphilis
B. Malaria
C. Tuberculosis
D. Leprosy
✅ Answer: C. Tuberculosis
23. The average normal pulse rate of a healthy adult is:
A. 50–60 bpm
B. 60–100 bpm
C. 100–120 bpm
D. 80–120 bpm
✅ Answer: B. 60–100 bpm
24. Iron is best absorbed in the presence of:
A. Calcium
B. Vitamin C
C. Fat
D. Vitamin D
✅ Answer: B. Vitamin C
25. Cyanosis is best seen in:
A. Lips and nail beds
B. Abdomen
C. Arms
D. Feet
✅ Answer: A. Lips and nail beds
26. Normal urine output in an adult per day is:
A. 500–800 mL
B. 800–1500 mL
C. 1500–2000 mL
D. 3000–4000 mL
✅ Answer: C. 1500–2000 mL
27. Otitis media is the infection of:
A. Inner ear
B. Middle ear
C. Outer ear
D. Eardrum
✅ Answer: B. Middle ear
28. Most effective method of hand hygiene is:
A. Rinsing hands with water only
B. Washing hands with soap and water
C. Using hand cream
D. Wearing gloves
✅ Answer: B. Washing hands with soap and water
29. What is the Apgar score used for?
A. Measuring baby’s birth weight
B. Assessing fetal movement
C. Assessing newborn’s condition
D. Evaluating pregnancy risk
✅ Answer: C. Assessing newborn’s condition
30. Normal body temperature in Fahrenheit is:
A. 96.8°F
B. 98.6°F
C. 99.5°F
D. 100.4°F
✅ Answer: B. 98.6°F
31. Rickets is caused by deficiency of:
A. Vitamin A
B. Vitamin B12
C. Vitamin D
D. Vitamin K
✅ Answer: C. Vitamin D
🦟 32. The vector for malaria is:
A. Housefly
B. Culex mosquito
C. Aedes mosquito
D. Female Anopheles mosquito
✅ Answer: D. Female Anopheles mosquito
33. The causative agent of syphilis is:
A. Treponema pallidum
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. Haemophilus ducreyi
✅ Answer: A. Treponema pallidum
34. Bio-medical waste color coding: Red bag is used for:
A. Sharp waste
B. Human anatomical waste
C. Infectious plastic waste
D. Cytotoxic drugs
✅ Answer: C. Infectious plastic waste
35. Increased intracranial pressure shows:
A. Hypotension
B. Miosis
C. Bradycardia
D. Tachypnea
✅ Answer: C. Bradycardia
36. HIV affects primarily which cells?
A. CD4 T-helper cells
B. B lymphocytes
C. Platelets
D. Neutrophils
✅ Answer: A. CD4 T-helper cells
37. The concentration of glucose in standard ORS packet is:
A. 10 gm
B. 13.5 gm
C. 20 gm
D. 15 gm
✅ Answer: B. 13.5 gm
38. Tetanus toxoid provides:
A. Active immunity
B. Passive immunity
C. Natural immunity
D. Herd immunity
✅ Answer: A. Active immunity
39. First referral unit (FRU) level in Nepal is:
A. Health post
B. Primary Health Center
C. Sub-health post
D. Tertiary hospital
✅ Answer: B. Primary Health Center
40. Incubation period of Hepatitis A is:
A. 5–10 days
B. 15–50 days
C. 2–4 months
D. 60–180 days
✅ Answer: B. 15–50 days
41. Neonatal period is defined as:
A. First 14 days
B. First 21 days
C. First 28 days
D. First 2 months
✅ Answer: C. First 28 days
42. Rinne’s test compares:
A. Smell and taste
B. Air and bone conduction
C. Right and left ear
D. Balance and reflexes
✅ Answer: B. Air and bone conduction
43. Which of the following is a loop diuretic?
A. Spironolactone
B. Furosemide
C. Hydrochlorothiazide
D. Acetazolamide
✅ Answer: B. Furosemide
44. Commonest cause of neonatal jaundice is:
A. Hemophilia
B. Breast milk jaundice
C. Physiological jaundice
D. Liver cirrhosis
✅ Answer: C. Physiological jaundice
🩸 45. Blood group O negative is called:
A. Universal recipient
B. Universal donor
C. Rare donor
D. Rh-positive donor
✅ Answer: B. Universal donor
46. Chlorhexidine is used for:
A. Hair growth
B. Skin whitening
C. Cord care
D. Antifungal treatment
✅ Answer: C. Cord care
47. First-degree burn affects:
A. Only epidermis
B. Epidermis and dermis
C. Deep tissue
D. Muscle and bone
✅ Answer: A. Only epidermis
48. Main sign of pneumonia in children:
A. Vomiting
B. Fast breathing
C. Skin rash
D. Headache
✅ Answer: B. Fast breathing
49. Mid-upper arm circumference (MUAC) below _______ indicates severe malnutrition in children:
A. 14.5 cm
B. 13.5 cm
C. 12.5 cm
D. 11.5 cm
✅ Answer: D. 11.5 cm
50. The drug of choice for absence seizures is:
A. Phenytoin
B. Carbamazepine
C. Ethosuximide
D. Phenobarbital
✅ Answer: C. Ethosuximide
