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 patient with ARDS is intubated. What ventilator setting is most critical in preventing ventilator-induced lung injury?Answer: Low tidal volume (6 mL/kg IBW) A patient with a history of myocardial infarction presents with hypotension, cool extremities, and pulmonary congestion. His JVP is elevated. What type of shock you will expect on the above observation?Answer: Cardiogenic shock Which of the following is a late sign of shock? Hypotension, Tachycardia, Cold extremities, Delayed capillary refillAnswer: Hypotension A trauma patient has lost more than 15% of total blood volume. He is in hypovolemic shock. Which of the following is the primary physiological mechanism responsible?Answer: Volume failure A patient exhibits dilated pupils, dry skin, and tachycardia after ingesting an unknown poison. Which type of toxin is most likely involved?Answer: Anticholinergic toxin A patient is found unresponsive and pulseless. ECG shows asystole. What is the next step?Answer: Start high-quality CPR A patient who has tested positive for Human immunodeficiency virus (HIV) arrives at the clinic with fever, nonproductive cough, fatigue and CD4 count is 185cells/mcl. As nurse how you will interpret these findings?Answer: Patient is diagnosed with AIDS A person with superficial abrasion over both arms and legs is found in a disaster. What triage tag should they be given?Answer: Green After assessing a patient’s pressure ulcer, you note that subcutaneous fat is visible but that bone, tendon, and muscle are not exposed. You observe slough, but it does not obscure the depth of tissue loss. You also note some undermining and tunneling. What stage pressure ulcer is this?Answer: Stage III A patient has chronic bronchitis. The nurse is teaching him breathing exercises. Which point should the nurse include in her teaching?Answer: Use diaphragmatic breathing. Which of the following is a major risk factor for developing hydronephrosis?Answer: Urateral obstruction Which surgical procedure is the treatment of choice for symptomatic gallstones?Answer: Laparoscopic cholecystectomy Which of the following is a life-threatening complication of portal hypertension?Answer: Esophageal varices rupture Which diagnostic test is most commonly used to confirm pancreatitis?Answer: Serum lipase and amylase A patient with a history of multiple abdominal surgeries presents with symptoms of bowel obstruction. Imaging confirms adhesions as the cause. Which of the following is the BEST initial management approach?Answer: Nasogastric (NG) tube decompression and IV fluids What is a major dietary recommendation for patients with dumping syndrome post-gastrectomy?Answer: Separate liquid intake from meals A patient with a history of difficulty swallowing and frequent regurgitation is diagnosed with esophageal diverticula. What is the major complication of this condition?Answer: Esophageal perforation A 55-year-old male patient presents to the outpatient clinic with complaints of persistent burning sensation in his chest and a sour taste in his mouth, especially after meals. He also experiences frequent belching and occasional difficulty in swallowing. The patient reports that his symptoms worsen when he lies down after eating. On examination, he is overweight, and his diet consists of spicy and fatty foods. He smokes one pack of cigarettes per day and drinks coffee frequently. Based on this scenario, answer the following MCQs: What is the most likely diagnosis for this patient?Answer: Gastroesophageal Reflux Disease (GERD) A pregnant woman has opted for a planned home birth. You, as her community health nurse, are assisting with the preparations and will be present during the delivery. Considering the potential risks associated with home births, which of the following actions is your highest priority during the delivery to ensure a safe outcome for both Sarah and her new born?Answer: Ensuring a clean and sterile environment for the delivery, including proper hand hygiene and clean supplies. What is the main goal of the Expanded Programme on Immunization (EPI)?Answer: To ensure equitable access to vaccines for preventable diseases A mother and father constantly make all decisions in a household without considering their children’s opinions. What type of family boundary is this?Answer: Rigid boundaries A 14-year-old boy notices his voice cracking and deepening over time. He feels embarrassed while talking in class. Based on your knowledge of puberty, what would be the best explanation for this change?Answer: It is a normal part of puberty caused by hormonal changes. A 40-year-old male from rural Sindh presents with jaundice, abdominal pain, fatigue, and dark-colored urine. He reports a history of multiple blood transfusions due to a prior medical condition. Based on his history and symptoms, which type of viral hepatitis is most likely responsible for his condition?Answer: Hepatitis C A construction worker is hospitalized with severe muscle stiffness and spasms after stepping on a nail at a worksite. The wound was not properly cleaned, and the worker was not vaccinated against tetanus. Which statement best describes how tetanus was transmitted in this case?Answer: Entry of Clostridium tetani spores through a deep wound A 4-year-old child in Pakistan presents with fever, muscle weakness, and difficulty breathing. The parents report that the child had a minor fever and vomiting a few days ago, but now struggles to move their legs. Based on the disease progression, what is the most critical next step in diagnosis?Answer: Conduct a spinal tap (lumbar puncture) to examine cerebrospinal fluid (CSF) A 3-year-old child diagnosed with severe Haemophilus influenzae infection is started on ampicillin. However, symptoms worsen after 48 hours, and laboratory tests reveal that the bacterial strain is beta-lactamase-producing, making it resistant to ampicillin. Which of the following is the most appropriate alternative treatment?Answer: Ceftriaxone or cefotaxime A local health authority reports an outbreak of diphtheria in a village with low vaccination coverage. As a public health official, what would be the most effective strategy to control the outbreak?Answer: Vaccinate all unvaccinated individuals and close contacts A mother refuses to vaccinate her child against diphtheria, citing concerns about vaccine safety. As a healthcare provider, how would you best address her concerns?Answer: Explain that vaccines have mild side effects but prevent deadly infections What is the "cardinal movement" where the baby's head rotates to pass through the pelvis?Answer: Internal rotation During antenatal classes, a midwife explains that lochia consists of _____?Answer: Blood, mucus, and uterine tissue