SPSC - Staff Nurse 2025 Past Paper with Answers

Practice the SPSC - Staff Nurse 2025 past paper with 68 solved MCQs, answers and topic coverage.

68 solved MCQs across 1 approved paper

A 3-year-old girl is diagnosed with nephrotic syndrome. Which clinical feature would best confirm this diagnosis?Answer: Proteinuria 3+ or 4+ on dipstick A potential improvement which can be observed in children with cerebral palsy through physiotherapy is?Answer: Improved walking ability What is a crucial step in nursing assessment when evaluating a suspected fracture among children?Answer: Determining the mechanism of injury Which intervention helps in clearing respiratory secretions and improving lung function in pneumonia?Answer: Encouraging deep breathing exercises Which of the following is a potential intracranial infection that can result from severe otitis media?Answer: Meningitis You are providing care for a child with tonsillectomy. After two hours of surgery you observe that the child is swallowing. As a nurse what complication would you expect? Swallowing is normal, Gag reflex, Bleeding, Reverting from sedationAnswer: Bleeding The following are the most common clinical manifestations a nurse observes in a child with Hypernatremia except? Dry skin, Seizures, Altered sensorium, Tingling sensationAnswer: Tingling sensation A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following?Answer: Hirschsprung disease Tetralogy of Fallot is a type of cyanotic congenital heart defect. The following are the four major defects of the heart and its major blood vessels in Tetralogy of Fallot except? Overriding aorta, Ventricular septal defect, Pulmonary stenosis, Left ventricular hypertrophyAnswer: Left ventricular hypertrophy During fetal circulation, the pressure of the blood will be increased in which of the heart chamber?Answer: Right atrium A client who has just been raped is very quiet and calm. The nurse would analyze this behavior as indicative of which defense mechanism?Answer: Denial During the admission interview of a client with a diagnosis of bipolar disorder, manic episode, the nurse would expect the client to demonstrate ______?Answer: Flight of ideas When performing an assessment on a suicidal client, the nurse most appropriately asks the client which of the following?Answer: Do you have any thoughts of killing yourself? Which category of drugs includes substances such as heroin and morphine?Answer: Opioids Mrs. Clark, a 76-year-old woman, has recently been diagnosed with Parkinson’s disease. She has started experiencing depression, a common comorbidity with her condition. Which class of medications is most appropriate for treating her depression?Answer: Selective serotonin reuptake inhibitors (SSRIs) Mr. Saleem displays symptoms that do not fit into a single category of schizophrenia. He shows signs of paranoia, disorganized thinking, and occasional catatonia. What type of schizophrenia is Saleem most likely experiencing?Answer: Undifferentiated Schizophrenia A patient with bipolar disorder is admitted to the psychiatric unit. He exhibit excessive energy, talks rapidly, and have grandiose ideas. The patient has not slept for several days and is engaging in risky behaviors. What phase of bipolar disorder is the patient likely experiencing?Answer: Manic Episode Hamza, a 35-year-old businessman, constantly talks about his achievements and expects special treatment. He lacks empathy and often exploits others to achieve his own goals. Hamza becomes enraged when he feels criticized or not given the attention he believes he deserves. Which of the following personality disorder best fits Hamza behavior?Answer: Narcissistic Personality Disorder What should be inspected and palpated in the throat and neck examination?Answer: Trachea, thyroid, and lymph nodes Which part of the stethoscope is best for picking up low-pitched sounds such as Bruits?Answer: Bell What is the normal finding for the head during inspection?Answer: Symmetrical, round, erect, and in the midline A patient complains of facial pain and pressure. The nurse palpates the maxillary and frontal sinuses for tenderness. What condition is the nurse assessing for?Answer: Sinusitis A nurse is assessing a patient for appendicitis using the Rovsing’s sign. How is this test performed?Answer: Deep palpation of the left lower quadrant causes pain in the right lower quadrant A patient presents with bluish discoloration around the umbilicus. What does this indicate?Answer: Internal bleeding (peritoneal hemorrhage) When auscultating for vascular sounds in the abdomen, which areas should the nurse listen to using the bell of the stethoscope?Answer: Abdominal aorta, renal, iliac, and femoral arteries During a respiratory assessment, the nurse percusses a patient’s lungs and hears a normal resonant sound. What is the typical sound quality of resonance?Answer: Resonant sound A patient in the emergency department presents with bluish discoloration around the umbilicus. The nurse suspects Cullen’s Sign. This finding is typically associated with ______?Answer: Discoloration over the umbilicus During a routine abdominal assessment of a 45-year-old patient complaining of mild stomach pain, the nurse knows that the first step in the sequence should be _____?Answer: Inspection Heart, spleen and kidney are more favorable site of which type of narcosis?Answer: Coagulative necrosis Which of the following is a late sign of airway obstruction? Cyanosis, Cough, Stridor, TachypneaAnswer: Cyanosis