ICS HSSC STAFF NURSE RECRUITMENT
EXAMAND PRACTICE QUESTIONS ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Section A: Multiple Choice Questions
1. A 58-year-old male presents with chest pain radiating to the left arm and jaw.
ECG shows ST elevation. What is the priority nursing intervention?
A. Administer subcutaneous insulin
B. Start IV fluids rapidly
C. Administer oxygen and prepare for thrombolysis
D. Provide oral antihypertensives
Correct Answer: C
Rationale: ST-elevation myocardial infarction (STEMI) requires immediate
oxygen support and preparation for reperfusion therapy (e.g., thrombolysis or PCI)
to restore coronary blood flow.
2. A patient with chronic kidney disease (CKD) has a potassium level of 6.2
mmol/L. What is the most appropriate initial nursing action?
A. Encourage potassium-rich diet
B. Administer IV calcium gluconate as prescribed
C. Restrict fluid intake
D. Monitor urine output only
Correct Answer: B
Rationale: Hyperkalemia is life-threatening; IV calcium gluconate stabilizes
cardiac membranes and is prioritized.
,3. A nurse is caring for a patient with increased intracranial pressure (ICP). Which
position is most appropriate?
A. Flat supine
B. Trendelenburg
C. Head elevated 30 degrees
D. Side-lying with legs elevated
Correct Answer: C
Rationale: Elevating the head to 30 degrees promotes venous drainage and
reduces ICP.
4. A postpartum woman presents with heavy vaginal bleeding and a boggy uterus.
What is the priority intervention?
A. Administer antibiotics
B. Massage the uterus
C. Encourage breastfeeding
D. Check blood pressure
Correct Answer: B
Rationale: Uterine atony is the most common cause of postpartum hemorrhage;
uterine massage helps contract the uterus.
5. A diabetic patient is found unconscious with a blood glucose level of 2.5
mmol/L. What should the nurse do first?
A. Administer insulin
B. Give oral glucose
C. Administer IV dextrose
D. Monitor vital signs
Correct Answer: C
Rationale: Severe hypoglycemia with unconsciousness requires immediate IV
glucose to restore brain function.
,6. A patient on heparin therapy develops bleeding gums. Which lab value should
the nurse check?
A. INR
B. PT
C. aPTT
D. Platelet count
Correct Answer: C
Rationale: Activated partial thromboplastin time (aPTT) monitors heparin therapy
effectiveness.
7. A child presents with severe dehydration. Which sign confirms this condition?
A. Moist mucous membranes
B. Sunken eyes and poor skin turgor
C. Increased urine output
D. Normal capillary refill
Correct Answer: B
Rationale: Sunken eyes and poor skin turgor are classic signs of severe
dehydration.
8. A nurse is administering a blood transfusion. What is the first step before
initiating the transfusion?
A. Warm the blood
B. Check patient identity with another nurse
C. Administer antihistamines
D. Record intake and output
Correct Answer: B
Rationale: Verification of patient identity and blood compatibility prevents fatal
transfusion reactions.
, 9. A patient with asthma develops wheezing and shortness of breath. What is the
first-line medication?
A. Corticosteroids
B. Beta-agonist bronchodilator
C. Antibiotics
D. Antihistamines
Correct Answer: B
Rationale: Short-acting beta-agonists (e.g., salbutamol) provide rapid
bronchodilation.
10. A nurse observes a patient having a seizure. What is the priority action?
A. Insert an oral airway
B. Restrain the patient
C. Protect the patient from injury
D. Give oral medication
Correct Answer: C
Rationale: Preventing injury is the priority; do not insert objects into the mouth or
restrain forcefully.
Section B: Scenario-Based Questions
11. A 45-year-old patient is admitted with pneumonia. He has a fever of 39°C,
productive cough, and oxygen saturation of 88%. What is the priority nursing
action?
A. Administer antipyretics
B. Encourage fluids
C. Start oxygen therapy
D. Provide chest physiotherapy
Correct Answer: C
Rationale: Hypoxia (SpO₂ 88%) requires immediate oxygen supplementation.
EXAMAND PRACTICE QUESTIONS ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Section A: Multiple Choice Questions
1. A 58-year-old male presents with chest pain radiating to the left arm and jaw.
ECG shows ST elevation. What is the priority nursing intervention?
A. Administer subcutaneous insulin
B. Start IV fluids rapidly
C. Administer oxygen and prepare for thrombolysis
D. Provide oral antihypertensives
Correct Answer: C
Rationale: ST-elevation myocardial infarction (STEMI) requires immediate
oxygen support and preparation for reperfusion therapy (e.g., thrombolysis or PCI)
to restore coronary blood flow.
2. A patient with chronic kidney disease (CKD) has a potassium level of 6.2
mmol/L. What is the most appropriate initial nursing action?
A. Encourage potassium-rich diet
B. Administer IV calcium gluconate as prescribed
C. Restrict fluid intake
D. Monitor urine output only
Correct Answer: B
Rationale: Hyperkalemia is life-threatening; IV calcium gluconate stabilizes
cardiac membranes and is prioritized.
,3. A nurse is caring for a patient with increased intracranial pressure (ICP). Which
position is most appropriate?
A. Flat supine
B. Trendelenburg
C. Head elevated 30 degrees
D. Side-lying with legs elevated
Correct Answer: C
Rationale: Elevating the head to 30 degrees promotes venous drainage and
reduces ICP.
4. A postpartum woman presents with heavy vaginal bleeding and a boggy uterus.
What is the priority intervention?
A. Administer antibiotics
B. Massage the uterus
C. Encourage breastfeeding
D. Check blood pressure
Correct Answer: B
Rationale: Uterine atony is the most common cause of postpartum hemorrhage;
uterine massage helps contract the uterus.
5. A diabetic patient is found unconscious with a blood glucose level of 2.5
mmol/L. What should the nurse do first?
A. Administer insulin
B. Give oral glucose
C. Administer IV dextrose
D. Monitor vital signs
Correct Answer: C
Rationale: Severe hypoglycemia with unconsciousness requires immediate IV
glucose to restore brain function.
,6. A patient on heparin therapy develops bleeding gums. Which lab value should
the nurse check?
A. INR
B. PT
C. aPTT
D. Platelet count
Correct Answer: C
Rationale: Activated partial thromboplastin time (aPTT) monitors heparin therapy
effectiveness.
7. A child presents with severe dehydration. Which sign confirms this condition?
A. Moist mucous membranes
B. Sunken eyes and poor skin turgor
C. Increased urine output
D. Normal capillary refill
Correct Answer: B
Rationale: Sunken eyes and poor skin turgor are classic signs of severe
dehydration.
8. A nurse is administering a blood transfusion. What is the first step before
initiating the transfusion?
A. Warm the blood
B. Check patient identity with another nurse
C. Administer antihistamines
D. Record intake and output
Correct Answer: B
Rationale: Verification of patient identity and blood compatibility prevents fatal
transfusion reactions.
, 9. A patient with asthma develops wheezing and shortness of breath. What is the
first-line medication?
A. Corticosteroids
B. Beta-agonist bronchodilator
C. Antibiotics
D. Antihistamines
Correct Answer: B
Rationale: Short-acting beta-agonists (e.g., salbutamol) provide rapid
bronchodilation.
10. A nurse observes a patient having a seizure. What is the priority action?
A. Insert an oral airway
B. Restrain the patient
C. Protect the patient from injury
D. Give oral medication
Correct Answer: C
Rationale: Preventing injury is the priority; do not insert objects into the mouth or
restrain forcefully.
Section B: Scenario-Based Questions
11. A 45-year-old patient is admitted with pneumonia. He has a fever of 39°C,
productive cough, and oxygen saturation of 88%. What is the priority nursing
action?
A. Administer antipyretics
B. Encourage fluids
C. Start oxygen therapy
D. Provide chest physiotherapy
Correct Answer: C
Rationale: Hypoxia (SpO₂ 88%) requires immediate oxygen supplementation.
