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No.	Topics.	No.	Topics.
1.	Adult health nursing -II	2.	Adult Health Nursing 1
3.	Anatomy & Physialogy 1	4.	Anatomy & Physiology -II
5.	Antomy	6.	Applied Nutrition
7.	Behavioral Psychology	8.	Bio chemistry for nurses
9.	Clinical Practicum	10.	Community Health Nursing -I
11.	Community Health nursing -III	12.	Community Health Nursing-I
13.	Community Health-II	14.	computer skills
15.	Critical Care Nursing	16.	Cultural Health & Society
17.	Developmental Pcychology	18.	English -VI ( Academic Writing )
19.	English 1 Fundamental English	20.	English VII Professional Writing
21.	English-II Communication Skills	22.	english-iii-technical-presentation-skills
23.	English-IV	24.	English-V
25.	Epidemoilogy	26.	Fundamenatals Of Nursing -II
27.	Fundamental of nursing	28.	Health Assessement 1
29.	Health Assessment -II	30.	Introduction To Biostatistics
31.	Introduction to Nursing Theories	32.	Islamiat
33.	Leadership and management in Nursing	34.	Mathematics
35.	Microbiology	36.	Mrental Health Nursinig
37.	Nursing Ethics	38.	Nursing Research
39.	Pak Study	40.	Pathophysiology
41.	Pathophysiology-II	42.	Pediartic Health Nursing-II
43.	Pharmacology -II	44.	Pharmacology-I
45.	Teaching Learning Principles & Practice

55. A patient on a psychiatric unit is exhibiting signs of acute psychosis, including paranoid delusions and command hallucinations to harm others. What is the immediate priority for the clinical team?

Engage in a philosophical debate about the delusions
Ensure the safety of the patient and others, and consider de-escalation or rapid tranquilization
Encourage the patient to act on the hallucinations
Ignore the delusions, as they are not real

53. A patient suddenly becomes unresponsive, and you observe tonic-clonic movements, frothing at the mouth, and loss of bladder control. What is the most appropriate initial action during this suspected seizure?

Restrain the patient to prevent injury
Insert an oral airway
Protect the patient from injury, loosen clothing, and time the seizure
Force objects into their mouth to prevent tongue biting

54. A client expresses frustration during a therapy session, stating, “You don’t understand me at all!” What is the most appropriate therapeutic response?

"You're right, I don't."
"Tell me more about what you mean by that, so I can better understand."
"That's not true, I understand perfectly."
"Perhaps you're not expressing yourself clearly."

51. A patient in a long-term care facility frequently wanders off the unit. What is the most appropriate initial behavioral intervention?

Apply physical restraints
Lock all doors on the unit
Identify triggers for wandering and provide alternative, safe activities or structured engagement
Administer a sedative to keep them in bed

52. You are preparing to administer medication to an infant. What is the most appropriate site for an intramuscular (IM) injection?

Deltoid muscle
Ventrogluteal muscle
Vastus lateralis muscle
Dorsogluteal muscle

50. A patient prescribed an antidepressant reports feeling agitated, restless, and having rapid heart rate, along with tremors and excessive sweating, after recently increasing their dose. What serious adverse drug reaction should you suspect?

Neuroleptic Malignant Syndrome (NMS)
Tardive Dyskinesia
Serotonin Syndrome
Hypertensive Crisis

48. A patient is scheduled for surgery. They express extreme anxiety about the procedure. What is the most appropriate therapeutic response?

Dismiss their fears and tell them it's a routine surgery
Acknowledge their anxiety, provide factual information, and offer relaxation techniques
Tell them to pray and trust the doctors
Advise them to cancel the surgery

49. You are performing wound care on a patient and accidentally prick yourself with a used needle. What is your immediate priority?

Inform the patient that you are fine
Wash the exposed area thoroughly with soap and water, report the incident, and follow institutional post-exposure protocol
Document the incident later in the day
Cover the wound with a bandage and continue working

46. A patient complains of sudden, sharp, tearing chest pain radiating to the back. What life-threatening emergency should you consider?

Myocardial Infarction
Aortic Dissection
Pneumonia
Gastroesophageal Reflux Disease (GERD)

47. When documenting patient care, the principle of “SOAP” notes stands for:

Subjective, Objective, Assessment, Plan
Signs, Outcomes, Actions, Progress
Symptoms, Observations, Aims, Procedures
Standard, Objective, Analysis, Presentation

44. A patient with asthma is experiencing an acute exacerbation. What medicinal intervention is most commonly used as a fast-acting rescue medication?

Long-acting beta-agonist (LABA)
Inhaled corticosteroid
Short-acting beta-agonist (SABA)
Oral antibiotic

45. You are attempting to obtain a patient’s informed consent for a procedure. The patient appears confused and disoriented. What is your ethical responsibility?

Obtain consent from the patient anyway
Obtain consent from the patient's family members only
Ensure the patient has the capacity to understand and make a decision, or seek alternative consent from a legal guardian/proxy
Proceed with the procedure without consent

43. A practicum student is asked to conduct a “mini-mental status exam.” This is primarily a screening tool for:

Personality disorders
Cognitive impairment
Mood disorders
Substance use disorders

41. You are taking a patient’s temperature using an oral thermometer. The patient just drank hot coffee. What is your most appropriate action?

Take the temperature immediately
Wait 15-30 minutes before taking the temperature
Take a rectal temperature instead
Add 2 degrees to the reading

42. A patient with a history of heart failure reports sudden weight gain, increased swelling in their ankles, and worsening shortness of breath. What is your critical concern?

Medication non-adherence
Fluid volume overload
Acute kidney injury
Hypoglycemia

40. A patient on Lithium therapy for bipolar disorder develops nausea, vomiting, diarrhea, and coarse tremors. What is the most immediate concern?

Normal side effects of Lithium
Lithium toxicity
Onset of a new viral infection
Hypoglycemia

38. A client reveals during a session that they have been physically abusing their child. What is your ethical and legal obligation?

Maintain confidentiality as per general client-therapist privilege
Report to the appropriate child protective services agency
Advise the client to seek legal counsel
Encourage the client to stop the behavior on their own

39. You are preparing to give an intramuscular (IM) injection. What angle of insertion is correct for an IM injection?

15 degrees
30 degrees
45 degrees
90 degrees

36. You are performing CPR on an adult. What is the correct compression depth?

At least 1 inch (2.5 cm)
At least 2 inches (5 cm)
No more than 1 inch (2.5 cm)
At least 4 inches (10 cm)

Category: BS Nursing

55. A patient on a psychiatric unit is exhibiting signs of acute psychosis, including paranoid delusions and command hallucinations to harm others. What is the immediate priority for the clinical team?

53. A patient suddenly becomes unresponsive, and you observe tonic-clonic movements, frothing at the mouth, and loss of bladder control. What is the most appropriate initial action during this suspected seizure?

54. A client expresses frustration during a therapy session, stating, “You don’t understand me at all!” What is the most appropriate therapeutic response?

51. A patient in a long-term care facility frequently wanders off the unit. What is the most appropriate initial behavioral intervention?

52. You are preparing to administer medication to an infant. What is the most appropriate site for an intramuscular (IM) injection?

50. A patient prescribed an antidepressant reports feeling agitated, restless, and having rapid heart rate, along with tremors and excessive sweating, after recently increasing their dose. What serious adverse drug reaction should you suspect?

48. A patient is scheduled for surgery. They express extreme anxiety about the procedure. What is the most appropriate therapeutic response?

49. You are performing wound care on a patient and accidentally prick yourself with a used needle. What is your immediate priority?

46. A patient complains of sudden, sharp, tearing chest pain radiating to the back. What life-threatening emergency should you consider?

47. When documenting patient care, the principle of “SOAP” notes stands for:

44. A patient with asthma is experiencing an acute exacerbation. What medicinal intervention is most commonly used as a fast-acting rescue medication?

45. You are attempting to obtain a patient’s informed consent for a procedure. The patient appears confused and disoriented. What is your ethical responsibility?

43. A practicum student is asked to conduct a “mini-mental status exam.” This is primarily a screening tool for:

41. You are taking a patient’s temperature using an oral thermometer. The patient just drank hot coffee. What is your most appropriate action?

42. A patient with a history of heart failure reports sudden weight gain, increased swelling in their ankles, and worsening shortness of breath. What is your critical concern?

40. A patient on Lithium therapy for bipolar disorder develops nausea, vomiting, diarrhea, and coarse tremors. What is the most immediate concern?

38. A client reveals during a session that they have been physically abusing their child. What is your ethical and legal obligation?

39. You are preparing to give an intramuscular (IM) injection. What angle of insertion is correct for an IM injection?

36. You are performing CPR on an adult. What is the correct compression depth?

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