1. The normal resting heart rate for a healthy adult is:
(A) 40-60 bpm
(B) 60-100 bpm
(C) 100-140 bpm
(D) 140-180 bpm
2. The human heart has how many chambers?
(A) 2
(B) 3
(C) 4
(D) 5
3. The largest organ of the human body is the:
(A) Liver
(B) Skin
(C) Lungs
(D) Brain
4. Normal adult respiratory rate is:
(A) 4-10 breaths/min
(B) 12-20 breaths/min
(C) 25-35 breaths/min
(D) 40-50 breaths/min
5. The normal pH range of human blood is:
(A) 6.8-7.0
(B) 7.0-7.2
(C) 7.35-7.45
(D) 7.6-7.9
6. The primary function of red blood cells (RBCs) is to:
(A) Fight infection
(B) Carry oxygen
(C) Clot blood
(D) Produce antibodies
7. Normal oral body temperature is approximately:
(A) 95.0°F
(B) 96.8°F
(C) 98.6°F
(D) 101.0°F
8. In adults, RBCs are primarily produced in the:
(A) Liver
(B) Spleen
(C) Bone marrow
(D) Kidney
9. Insulin is secreted by which cells of the pancreas?
(A) Alpha cells
(B) Beta cells
(C) Delta cells
(D) Acinar cells
10. The functional unit of the kidney is the:
(A) Nephron
(B) Neuron
(C) Alveolus
(D) Glomerulus only
11. Bile is produced by the:
(A) Gall bladder
(B) Liver
(C) Pancreas
(D) Spleen
12. The adult human skeleton normally has how many bones?
(A) 186
(B) 196
(C) 206
(D) 216
13. Carbohydrates are broken down in the body into:
(A) Amino acids
(B) Fatty acids
(C) Glucose
(D) Glycerol
14. Proteins are made up of building blocks called:
(A) Nucleotides
(B) Amino acids
(C) Fatty acids
(D) Monosaccharides
15. Which vitamin is synthesized in the skin on exposure to sunlight?
(A) Vitamin A
(B) Vitamin C
(C) Vitamin D
(D) Vitamin K
16. Normal fasting blood glucose level is approximately:
(A) 40-60 mg/dL
(B) 70-100 mg/dL
(C) 150-180 mg/dL
(D) 200-250 mg/dL
17. The enzyme in saliva that begins starch digestion is:
(A) Pepsin
(B) Amylase
(C) Lipase
(D) Trypsin
18. Which blood group is known as the universal donor?
(A) AB positive
(B) O negative
(C) A positive
(D) B negative
19. The primary role of white blood cells (WBCs) is to:
(A) Carry oxygen
(B) Fight infection
(C) Clot blood
(D) Regulate temperature
20. Exchange of gases (O2/CO2) in the lungs occurs at the level of the:
(A) Bronchi
(B) Trachea
(C) Alveoli
(D) Larynx
21. Yellow biomedical waste bags are used for:
(A) Sharps only
(B) Human anatomical & infectious waste
(C) Recyclable plastic
(D) General non-hazardous waste
22. HAI stands for:
(A) Health Awareness Index
(B) Hospital Acquired Infection
(C) Home Acquired Illness
(D) Hygiene Assessment Indicator
23. The single most effective step to prevent healthcare-associated infection is:
(A) Wearing gloves at all times
(B) Hand hygiene
(C) Isolation of all patients
(D) Prophylactic antibiotics
24. Autoclaving is a method of:
(A) Cleaning
(B) Disinfection
(C) Sterilization
(D) Deodorizing
25. The normal platelet count range in adults is approximately:
(A) 15,000-45,000/µL
(B) 150,000-450,000/µL
(C) 1.5-4.5 million/µL
(D) 1,500-4,500/µL
26. The four classic vital signs are temperature, pulse, respiration and:
(A) Weight
(B) Blood pressure
(C) Height
(D) SpO2
27. Normal adult pulse rate range is:
(A) 40-60 bpm
(B) 60-100 bpm
(C) 110-130 bpm
(D) 140-160 bpm
28. Blood pressure is measured using a:
(A) Stethoscope only
(B) Sphygmomanometer
(C) Thermometer
(D) Pulse oximeter
29. The deltoid muscle is a common site for which type of injection?
(A) Intradermal
(B) Subcutaneous
(C) Intramuscular
(D) Intravenous
30. The first step of the nursing process is:
(A) Planning
(B) Assessment
(C) Implementation
(D) Evaluation
31. Informed consent is primarily obtained to protect the patient's:
(A) Financial status
(B) Autonomy and right to decide
(C) Insurance coverage
(D) Employment status
32. A 20-gauge IV cannula is commonly colour-coded as:
(A) Blue
(B) Green
(C) Pink
(D) Orange
33. First aid for a minor thermal burn includes:
(A) Applying ice directly
(B) Cooling with running water
(C) Applying butter/oil
(D) Bursting any blisters
34. A patient in hypovolemic shock is typically positioned:
(A) Sitting upright
(B) Prone
(C) Supine with legs elevated (modified Trendelenburg)
(D) Left lateral only
35. The most effective routine method of hand hygiene in clinical areas is:
(A) Washing with plain water only
(B) Soap and water or alcohol-based hand rub
(C) Wiping with a dry cloth
(D) Wearing gloves without washing
36. A simple face mask typically delivers an FiO2 of about:
(A) 21-24%
(B) 40-60%
(C) 80-100%
(D) 10-15%
37. A nasogastric (NG) tube is primarily used for:
(A) Urinary drainage
(B) Feeding and gastric decompression
(C) Chest drainage
(D) IV medication
38. Strict sterile (aseptic) technique is essential during:
(A) Oral temperature check
(B) Urinary catheterization
(C) Weighing a patient
(D) Applying a simple bandage
39. For a lumbar puncture, the patient is typically positioned in the:
(A) Supine position
(B) Lateral recumbent (fetal) position
(C) Prone position
(D) Trendelenburg position
40. Before any procedure, correct patient identification should use at least:
(A) One identifier
(B) Two identifiers (e.g., name and DOB)
(C) Bed number only
(D) Verbal confirmation only
41. Chest pain radiating to the left arm/jaw with sweating is classically suggestive of:
(A) Gastritis
(B) Myocardial infarction
(C) Muscle strain
(D) Common cold
42. The first-line drug of choice for anaphylaxis is:
(A) Paracetamol
(B) Adrenaline (epinephrine)
(C) Amoxicillin
(D) Furosemide
43. The antidote for opioid overdose is:
(A) Flumazenil
(B) Naloxone
(C) Atropine
(D) Protamine sulfate
44. The most common preventable cause of COPD is:
(A) Air travel
(B) Smoking
(C) Cold weather
(D) High-protein diet
45. A urine output below approximately 30 mL/hour in an adult indicates:
(A) Polyuria
(B) Oliguria
(C) Anuria
(D) Normal output
46. Type 1 diabetes mellitus is primarily characterized by:
(A) Insulin resistance
(B) Absolute insulin deficiency
(C) Excess insulin production
(D) Normal insulin function
47. A commonly used antipyretic (fever-reducing) drug is:
(A) Paracetamol
(B) Atropine
(C) Heparin
(D) Insulin
48. Povidone-iodine is commonly used as a/an:
(A) Antipyretic
(B) Skin antiseptic
(C) Anticoagulant
(D) Bronchodilator
49. A full-thickness (third-degree) burn involves:
(A) Only the epidermis
(B) Epidermis and part of dermis
(C) All layers of the skin
(D) No skin damage
50. Encouraging deep breathing and coughing after surgery mainly helps prevent:
(A) Constipation
(B) Atelectasis (lung collapse)
(C) Wound infection
(D) Deep vein thrombosis
51. Enalapril belongs to which class of antihypertensive drugs?
(A) Beta blocker
(B) ACE inhibitor
(C) Diuretic
(D) Calcium channel blocker
52. A Venturi mask is preferred in COPD patients because it delivers:
(A) Unpredictable high oxygen
(B) Precise, controlled low-flow oxygen
(C) Only room air
(D) Nebulized saline only
53. Common side effects of chemotherapy include:
(A) Improved appetite
(B) Nausea, vomiting and myelosuppression
(C) Increased hair growth
(D) Hypertension only
54. Before any blood transfusion, it is essential to perform:
(A) Only a haemoglobin test
(B) Cross-matching
(C) Urine culture
(D) ECG
55. Wound dehiscence refers to:
(A) Infection of a wound
(B) Separation of wound edges
(C) Excess scar formation
(D) Normal wound healing
56. Patients are typically kept NPO (nil by mouth) before elective surgery for about:
(A) 1-2 hours
(B) 6-8 hours
(C) 24 hours
(D) No restriction needed
57. A colostomy stoma is most commonly formed from the:
(A) Stomach
(B) Small intestine
(C) Large intestine (colon)
(D) Gall bladder
58. Heparin is a commonly used:
(A) Antibiotic
(B) Anticoagulant
(C) Antipyretic
(D) Antihistamine
59. The antidote for warfarin overdose/toxicity is:
(A) Vitamin K
(B) Vitamin C
(C) Protamine sulfate
(D) Naloxone
60. Lidocaine is commonly used as a:
(A) General anaesthetic
(B) Local anaesthetic
(C) Muscle relaxant
(D) Antipyretic
61. Tetanus prophylaxis for wound care is given in the form of:
(A) Tetanus toxoid
(B) Rabies vaccine
(C) BCG vaccine
(D) Oral polio vaccine
62. Rapid IV infusion of which drug can cause "red man syndrome"?
(A) Paracetamol
(B) Vancomycin
(C) Insulin
(D) Heparin
63. The most commonly used IV fluid for initial fluid resuscitation is:
(A) 5% Dextrose
(B) 0.9% Normal saline
(C) 3% Hypertonic saline
(D) Ringer lactate only
64. Nebulization therapy in respiratory patients commonly delivers a:
(A) Antibiotic
(B) Bronchodilator
(C) Sedative
(D) Diuretic
65. Psoriasis is a skin condition characterized by:
(A) Fungal infection only
(B) Scaly, erythematous plaques
(C) Loss of skin pigment
(D) Fluid-filled blisters only
66. The normal duration of a full-term pregnancy is approximately:
(A) 32 weeks
(B) 36 weeks
(C) 40 weeks
(D) 44 weeks
67. The APGAR score is used to assess:
(A) Maternal blood pressure
(B) Newborn condition at birth
(C) Fetal position
(D) Maternal blood sugar
68. The first stage of labour ends when the cervix is:
(A) 2 cm dilated
(B) 5 cm dilated
(C) Fully dilated (10 cm)
(D) Effaced only
69. The normal fetal heart rate range is:
(A) 60-80 bpm
(B) 90-100 bpm
(C) 110-160 bpm
(D) 170-200 bpm
70. Colostrum, the first breast milk, is especially rich in:
(A) Fat only
(B) Antibodies (immunoglobulins)
(C) Sugar only
(D) Water
71. The BCG vaccine primarily protects against:
(A) Measles
(B) Tuberculosis
(C) Polio
(D) Hepatitis B
72. Exclusive breastfeeding is recommended for the first:
(A) 1 month
(B) 3 months
(C) 6 months
(D) 12 months
73. Postpartum hemorrhage after a vaginal delivery is generally defined as blood loss exceeding:
(A) 100 mL
(B) 250 mL
(C) 500 mL
(D) 2000 mL
74. The normal weight range of a full-term newborn is approximately:
(A) 1.0-1.5 kg
(B) 1.8-2.2 kg
(C) 2.5-3.5 kg
(D) 4.5-5.0 kg
75. Under India's immunization schedule, which vaccine is given at birth?
(A) MMR
(B) BCG
(C) DPT booster
(D) Typhoid
76. Yellow discoloration of skin/eyes in a newborn is commonly called:
(A) Neonatal jaundice
(B) Neonatal cyanosis
(C) Erythema toxicum
(D) Milia
77. Eclampsia in pregnancy is characterized by:
(A) Painless vaginal bleeding
(B) Convulsions with hypertension
(C) Excess amniotic fluid
(D) Low blood pressure
78. Folic acid supplementation in pregnancy is mainly given to prevent:
(A) Neural tube defects
(B) Gestational diabetes
(C) Preterm labour
(D) Placenta previa
79. An IUD (intrauterine device) is a method of:
(A) Permanent sterilization
(B) Reversible contraception
(C) Hormone replacement
(D) Fertility treatment
80. The soft spot on a newborn's skull is called the:
(A) Suture
(B) Fontanelle
(C) Caput
(D) Fossa
81. The hormone primarily responsible for uterine contractions during labour is:
(A) Estrogen
(B) Progesterone
(C) Oxytocin
(D) Prolactin
82. Routine newborn eye care after birth is given mainly to prevent:
(A) Cataract
(B) Ophthalmia neonatorum (eye infection)
(C) Colour blindness
(D) Strabismus
83. The third stage of labour refers to:
(A) Onset of contractions to full dilation
(B) Full dilation to delivery of baby
(C) Delivery of baby to expulsion of placenta
(D) The first hour after placenta delivery
84. Prolactin hormone is primarily responsible for:
(A) Uterine contraction
(B) Milk production
(C) Ovulation
(D) Cervical dilation
85. ORS is primarily used in children to manage:
(A) Fever
(B) Dehydration from diarrhoea
(C) Cough
(D) Skin rash
86. The WHO defines health as a state of complete physical, mental and:
(A) Financial well-being
(B) Social well-being
(C) Spiritual well-being
(D) Occupational well-being
87. Epidemiology is the study of the distribution and determinants of:
(A) Hospital finances
(B) Disease in populations
(C) Drug pharmacology
(D) Nursing staffing
88. India's national programme for tuberculosis control is currently known as:
(A) NTEP (National TB Elimination Programme)
(B) NACO
(C) NVBDCP
(D) NPCDCS
89. Schizophrenia is best classified as a:
(A) Mood disorder
(B) Psychotic disorder
(C) Personality disorder
(D) Anxiety disorder
90. A persistent feeling of sadness and loss of interest are hallmark symptoms of:
(A) Mania
(B) Depression
(C) Delirium
(D) Dementia
91. Malaria is caused by a parasite transmitted through the bite of the:
(A) Anopheles mosquito
(B) Aedes mosquito
(C) Tsetse fly
(D) Sandfly
92. India's national programme covering routine child immunization is called the:
(A) Universal Immunization Programme
(B) National Nutrition Mission
(C) Janani Suraksha Yojana
(D) RBSK
93. A Primary Health Centre (PHC) primarily serves:
(A) A single ward in a city
(B) A cluster of villages/rural population
(C) Only urban slums
(D) Only industrial workers
94. A disorder marked by alternating episodes of mania and depression is called:
(A) Bipolar disorder
(B) Generalized anxiety disorder
(C) Obsessive-compulsive disorder
(D) Delirium
95. The typical phases of disaster management include mitigation, preparedness, response and:
(A) Evacuation
(B) Recovery
(C) Isolation
(D) Quarantine
96. Dengue fever is primarily transmitted by the bite of the:
(A) Anopheles mosquito
(B) Aedes mosquito
(C) Culex mosquito
(D) Housefly
97. An ASHA worker mainly functions as a:
(A) Hospital pharmacist
(B) Community health link worker
(C) Lab technician
(D) Ambulance driver
98. Community health nursing places the greatest emphasis on:
(A) Curative hospital care only
(B) Preventive and population-level care
(C) Surgical interventions
(D) Cosmetic procedures
99. India's National Health Mission covers both a rural and an urban component, known respectively as:
(A) NRHM and NUHM
(B) ICDS and RBSK
(C) NACO and NVBDCP
(D) PMJAY and ABHA
100. Antisocial personality disorder falls under which broad category of mental health conditions?
(A) Mood disorder
(B) Personality disorder
(C) Psychotic disorder
(D) Substance use disorder
101. Which city is the winter capital of Himachal Pradesh?
(A) Shimla
(B) Dharamshala
(C) Manali
(D) Solan
102. Who is the current Chief Minister of Himachal Pradesh?
(A) Jai Ram Thakur
(B) Sukhvinder Singh Sukhu
(C) Virbhadra Singh
(D) Prem Kumar Dhumal
103. The national bird of India is the:
(A) Sparrow
(B) Peacock
(C) Parrot
(D) Crow
104. The official currency of India is the:
(A) Dollar
(B) Rupee
(C) Rupiah
(D) Taka
105. As per India's current administrative structure, the country has how many states?
(A) 26
(B) 28
(C) 29
(D) 30
106. Complete the number series: 2, 4, 8, 16, ?
(A) 20
(B) 24
(C) 32
(D) 30
107. Find the odd one out:
(A) Apple
(B) Mango
(C) Potato
(D) Banana
108. The chemical formula of water is:
(A) CO2
(B) H2O
(C) O2
(D) NaCl
109. The SI unit of force is the:
(A) Joule
(B) Watt
(C) Newton
(D) Pascal
110. Fundamental Rights in the Indian Constitution are described in:
(A) Part I
(B) Part II
(C) Part III
(D) Part IV
111. Choose the correct synonym of "Happy":
(A) Sad
(B) Joyful
(C) Angry
(D) Tired
112. Choose the correct antonym of "Brave":
(A) Bold
(B) Fearless
(C) Cowardly
(D) Strong
113. "सूर्य" का पर्यायवाची शब्द है:
(A) चाँद
(B) रवि
(C) तारा
(D) बादल
114. "दिन" का विलोम शब्द है:
(A) सुबह
(B) शाम
(C) रात
(D) दोपहर
115. If in a code language CAT is written as DBU, how is DOG written?
(A) EPH
(B) EOG
(C) DPH
(D) EPI
116. The highest mountain peak in Himachal Pradesh is:
(A) Reo Purgyil
(B) Shivalik Peak
(C) Hanuman Tibba
(D) Kinner Kailash
117. The longest river flowing through Himachal Pradesh is the:
(A) Beas
(B) Sutlej
(C) Ravi
(D) Yamuna
118. In India, the population Census is conducted every:
(A) 5 years
(B) 10 years
(C) 15 years
(D) 20 years
119. HPRCA stands for:
(A) Himachal Pradesh Rajya Chayan Aayog
(B) Himachal Pradesh Recruitment Council for Administration
(C) Himachal Pradesh Regional Civic Authority
(D) Himachal Pradesh Rural Cooperative Association
120. The SI unit of work/energy is the:
(A) Newton
(B) Joule
(C) Watt
(D) Pascal