Table of Contents
लोक सेवा आयोग
नेपाल स्वास्थ्य सेवा, जनरल नर्सिङ समूह,
सातौं तहको प्रतियोगितात्मक लिखित परीक्षा
मिति: २०८३/१/९
समय: ३ घण्टा | पत्र: द्वितीय | पूर्णाङ्क: १००
विषय: जनरल नर्सिङ सम्बन्धी
तलका प्रश्नहरूको उत्तर Section अनुसार छुट्टाछुट्टै उत्तरपुस्तिकामा लेख्नुपर्नेछ।
Section – A (20 Marks)
- Write the developmental tasks of middle adult. Explain the management of patient before, during and after colonoscopy. (4+2+2+2=10)
- What are the common health problems of elderly people in Nepal? Describe the nursing management of elderly patient having respiratory problems. (5+5=10)
Section – B (30 Marks)
- A 50 year old male client has been brought to emergency unit with the chief complain of slurred speech and unable to move left lower limb. (2+2+6=10)a) What assessment you need to do?b) What is his provisional diagnosis?c) Write emergency management of patient.
- List the important predisposing factors of Chronic Obstructive Pulmonary Disease (COPD). Describe the key nursing intervention for a hospitalized COPD patient. (2+8=10)
- List the indications for haemodialysis and describe the nursing care of patient with dialysis. (3+7=10)
Section – C (20 Marks)
- A 40 year old lady having body weight 60 kg brought to emergency ward with 50% burn. (2+3+5=10)a) Define burn.b) How to manage the fluid and electrolyte balance for this patient? [Note: ’60’ is written next to this]c) Write nursing management (emergency and detailed).
- Write short notes on: (5+5=10)a) Mass casualty. [Handwritten addition: Triage, emergency preparedness, one command, training & simulation]b) Infection prevention measure in operation theatre.
Section – D (30 Marks)
- What do you mean by preterm labour? State the causes, clinical features and management of low birth weight of new born baby. (2+2+2+4=10)
- Write short notes: (5+5=10)a) Preconceptionall preparation.b) Management of third stage labor.
- Define neonate. Explain the eight steps of immediate care of neonate at birth. (2+8=10)


