Railway Staff Nurse Exam Paper Questions 2

The Nurse

🚉 Railway Staff Nurse Exam Paper Questions 2 | RRB Nursing MCQs 2025 | The Nurse Welcome to The Nurse, your trusted companion for nursing exam preparation! In this video, we bring you Part 2 of the Railway Staff Nurse Exam Paper Questions, focused on helping you crack the RRB Staff Nurse Exam 2025 with confidence.  📌 What’s Covered in This Video? ✔️ Previous year & model RRB Staff Nurse MCQs ✔️ Correct answers with clear explanations ✔️ Updated content based on the 2025 syllabus ✔️ Ideal for Railway Recruitment Board (RRB) and other government nursing exams  🎯 Perfect For: This video is a must-watch for aspirants preparing for Railway Staff Nurse, ESIC, AIIMS, DSSSB, NVS, State PSCs, and other government nursing recruitment exams.  🔍 Keywords: railway staff nurse exam questions 2025, rrb staff nurse mcq, staff nurse exam paper 2025, railway nursing exam preparation, nursing previous year questions, staff nurse paper 2, the nurse channel, nursing mcqs with answers, rrb nursing questions part 2  📚 More From The Nurse Channel:  Nursing MCQs with Rationales 📄 Model Question Papers 🎥 Subject-wise Quiz Videos ✅ Daily Nursing Exam Practice  💬 Like | 💭 Comment | 🔁 Share | 🔔 Subscribe to The Nurse and stay updated with the best nursing exam prep content for 2025!

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00:00Hi friends, welcome to the channel The Nurse. Here we are discussing about second part of

00:04railway staff nurse exam practice questions. So here discussing about mainly fundamentals

00:10of nursing questions and recent trends in nursing. So we will move to the topic. Before

00:15that, if you are not subscribed to our channel, please subscribe. So we will move to the topic

00:22railway nursing exam question paper part 2. First question, which of the following

00:29is the primary purpose of a nursing assessment. To prescribe medication, to diagnose medical

00:35condition, to collect patient data for care planning, to perform surgical procedures.

00:42Correct answer to collect patient data for care planning. So assessment is the first process of

00:50the nursing care plan. There will be subjective data and objective data. Nursing assessment is

00:58the first step in the nursing process aimed at gathering comprehensive patient data to develop

01:03an individual care plan. Second question, what is the correct position for a patient with severe

01:09dyspnea? Supine, Trellenberg, high followers, prone position.

01:17Correct answer is high followers position. In high followers position, the gravity force will pull the

01:23diaphragm downwards. So it will make a more space in thoracic cavity. So length expansion will be more.

01:30So that is why high followers or semi followers position is recommended in severe dyspnea case.

01:38High followers position or sitting upright at 90 degree

01:42position maximizes length expansion and eases breathing in dyspnea patients.

01:48Next question, which sterilization method is used for heat sensitive instruments like endoscope?

01:58Heat sensitive instruments means those instrument that will be destroyed during high temperature.

02:07So options are autoclaving, boiling, chemical sterilization, that is example sidex dry heat.

02:13So correct answer is chemical sterilization. Endoscopes or heat sensitive instruments used

02:22usually sterilized by chemical sterilization, that is used by glutaraldehyde, the company name that is sidex.

02:32Glutaraldehyde or sidex is used for heat sensitive instruments whereas autoclaving,

02:39that is steam that is steam is for heat stable items. Heat stable items means those who are

02:47withstand that at high temperature.

02:52Fourth question, the first action when a patient falls is

02:57notify doctor immediately, document the incident, assess the patient for injuries, move the patient to bed.

03:04Correct answer is assess the patient for injuries, then only we need to move the bed patients to safe

03:16safe place or after that document incident or we can inform the doctor immediately.

03:23Because if after a fall there is a chance for spinal cord injuries. So before moving we need to confirm

03:30what are the injuries, then only we need to take an intervention. The nurse's priority is to assess for

03:39injuries first, example fractures, head trauma etc. before moving or documenting.

03:47Fifth question, which syringe size is most appropriate for insulin administration?

03:52So 2 milliliter, 5 milliliter, 10 ml, 1 ml, U 40 syringe.

04:01Correct answer is 1 ml or unit 40 syringe or insulin syringe.

04:08Insulin syringe 40 units that is equal to 1 ml. So it will be divided in each part that is 40 part will be there.

04:17So that is insulin syringe that is used to administer insulin.

04:26Sixth question, normal saline 0.9% sodium chloride is classified as which type of IV solution?

04:34Hypertonic, hypertonic, isotonic, colloid.

04:37Correct answer is isotonic solution.

04:43Normal saline is a isotonic that is same osmolality as blood.

04:49Making it ideal for fluid replacement without causing cell shrinkage or swelling.

04:55So if you are using hypertonic, hypotonic or hypertonic, it may cause cell shrinkage or swelling.

05:04So if you are administering normal saline, it will not cause any changes in blood because the same osmolality.

05:17Seventh question, the most effective way to prevent hospital-acquired infection or

05:22Hi, wearing gloves at all times, proper hand hygiene, using antibiotic prophylactically, isolating all patients.

05:30Correct answer is proper hand hygiene, proper hand hygiene is the best method to prevent hospital-acquired infections.

05:41WHO and CDC emphasize hand washing as the single most effective measure to prevent hospital-acquired infections.

05:48Eighth question, a patient with an asogastric tube should be positioned in

05:58supine, semifolus, terlenburg position, prone position.

06:07Correct answer is semifolus position.

06:09Semi-foldus position that is 30 to 45 degree head elevation prevents aspiration and facilitate

06:20NG tube insertion or drainage.

06:22In question, there is a small mistake because a patient for an asogastric tube insertion

06:32in a asogastric tube, we can use semifolus position.

06:47The best method to assess fluid balance in a patient is daily weight measurement,

06:52blood pressure monitoring, skin target check, intake and output chart.

06:57So, correct answer is daily weight measurement.

07:06So, in daily weight measurement, one kilogram weight gain that approximately equal to one liter

07:13fluid retention.

07:15That making daily weights the most accurate indicator of fluid balance.

07:19So, we can approximately calculate if there is a weight gain of one kilogram,

07:26there is a fluid retention of one liter.

07:32Tenth question, what is the major trend in nursing education as of 2024?

07:39Phasing out of simulation labs, increased use of virtual reality for clinical training,

07:46reducing emphasis on evidence-based practice, eliminating English-style testing.

07:54So, correct answer is increased use of virtual reality for clinical training.

08:00And option A that is phasing out of simulation lab, actually increasing the simulation labs.

08:07So, option B is correct answer here, virtual reality in clinical settings.

08:18Nursing programs are increasingly adapting virtual reality simulations to enhance clinical training,

08:25allowing students to practice complex procedures in a risk-free immersive environment.

08:30So, before exposure with real patients, the student nurses can practice at VR simulation rooms.

08:44Eleventh question, which recent advancement in nursing informatics is gaining prominence?

08:52Paper-based charting making a comeback.

08:54Artificial intelligence for predictive analytics in patient care, discontinuing electronic health records,

09:01reducing cybersecurity measures.

09:06Correct answer is option B, artificial intelligence for predictive analytics in patient care.

09:14So, AI-driven predictive analytics helps nurses identify at-risk patient,

09:19optimize workflows, optimize workflows, and improve clinical decision-making,

09:23making it a major trend in nursing informatics.

09:26So, artificial intelligence or AI, it is used everywhere nowadays.

09:32So, same thing we are used to apply in nursing field also.

09:37So, it will help the nurses identifying at-risk patients, optimize workflows, and improve clinical decision-making.

09:44Second question, which of the following is a recent innovation in wound care management?

09:54Use of honey as the sole treatment for all wounds, smart dressing with sensors to monitor healing,

10:01discontinuing sterile techniques, avoiding antibiotic use in all wound cases.

10:09Correct answer is smart dressing with sensors to monitor healing.

10:15So, the sensors attached with the dressing will monitor the healing process.

10:20Smart dressing with embedded sensors can track wound pH, temperature, and infection markers,

10:26improving chronic wound management through real-time data.

10:31The sensors will monitor continuously and it will give data if any changes in temperature or if any changes in pH

10:40or it has some particular specified infection markers.

10:44So, this will change.

10:46So, based on data, the physician can take treatment early.

10:50Thirteenth question, which technology is transforming geriatric nursing in 2024?

11:01PAX machines for communication, fault detection sensors and AI-powered mobility aids, eliminating electronic

11:07health records for older adults, reducing geriatric specialty training.

11:13Correct answer is fault detection sensors and artificial intelligence-powered mobility aids.

11:24Wearable sensors and AI-driven assistive devices help prevent falls and improve independence in elderly patients,

11:32align with aging with aging in place initiatives.

11:37So, that will prevent the fault fault.

11:41So, we will make a fault risk assessment.

11:44Based on that, we will give that wearable sensors.

11:49So, that will detect any movements or any faults and we can easily prevent the fault.

12:02Which of the following is the most important initial action when a patient reports chest pain?

12:08Administer an antacid, ask the patient to take deep breaths,

12:12assess the pain characteristics and vital signs, encourage the patient to lie down and rest.

12:17Correct answer, assess the pain characteristics and vital signs.

12:25The priority in nursing is to assess the patient's condition thoroughly before intervention.

12:31Chest pain can be indicative of a cardiac event such as myocardial infection.

12:36So, a detailed assessment is essential to determine the severity and initiate appropriate care.

12:42Sometimes, there is a chance of gastrite is also misinterpreted as a chest pain.

12:49So, assessment is important there also.

12:52We need to specify which type of pain or we need to give early treatment.

12:59Which of the following signs and symptoms is most concerning in a patient with hyperkalemia?

13:09Muscle cramps, constipation, irregular heart rhythm, increased urinary output?

13:17Correct answer is irregular heart rhythm.

13:19Hyperkalemia or high potassium levels can lead to life-threatening cardiac disarrhythmias.

13:27So, can you comment what is the level of potassium in hyperkalemia?

13:34Irregular heart rhythms may indicate severe potassium imbalance

13:38and require immediate intervention to prevent fatal outcomes.

13:43So, if you know the risk that is related to hyperkalemia, you can answer the question easily.

13:51So, peaked T waves that is a typical findings in ECG for hyperkalemia patient.

14:00So, we need to find out the irregular heart rhythms early then need to take adequate measures.

14:09Sixteenth question.

14:10An nurse is educating a patient about insulin administration.

14:14Which of the following statement indicates the patient understand the instructions?

14:20I will shake the insulin vial to mix it before using.

14:23I will inject insulin directly into my muscles for faster absorption.

14:28I will rotate injection sites to prevent tissue damage.

14:31I will use the same site repeatedly to ensure proper absorption.

14:34So, here option C is the correct answer.

14:39I will rotate injection sites to prevent tissue damage.

14:42That statement means the patient understand the insulin administration.

14:48Rotating insulin injection sites to prevent lipodystrophy and scarring.

14:57Which can affect insulin absorption.

14:59Insulin should be injected subcutaneously, not into a muscle.

15:03That was given in one option.

15:05And it should not be shaken if it is a suspension.

15:09Instead, it should be generally rolled.

15:11So, the insulin should not be shaken.

15:15That can be generally rolled.

15:18So, that is about today's video.

15:21Sixteenth question we have discussed here.

15:22All are from fundamentals of nursing.

15:25So, that is why it is looks like easier for you.

15:28And the railway questions they may ask more questions from fundamentals of nursing.

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