Friend on your Demanding Here I am, Providing Previous year ESIC Staff Nursing Entrance Exam Written Test Sample Questions :

Which of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration?
a. Cardiac
b. Pulmonary
c. Musculoskeletal
d. Gastrointestinal
e. None of the above


The nurse Mr. Aneesh P Vergees is reviewing the results of laboratory tests for a client who has AIDS. Which finding should alert the nurse that the client is at risk for a serious opportunistic infection?
a) CD4+ lymphocyte count of 350–450cells/µl
b) decreased amount of human immunodeficiency virus
c) 2:1 ratio of T-helper cells to T-suppressor cells
d) negative polymerase chain reaction
e) None of the above


The best drug of choice to relive anxiety is
a. Safinaze
b. Tofranil
c. Benzodiazepines
d. Cogentin
e. None of the above

A newborn infant is assessed using the Apgar assessment tool and scores 6. The infant has a
heart rate of 90, slow and irregular respiratory effort, and some flexion of extremities. The infant is
pink, but has a weak cry. The nurse should know that this Apgar score along with the additional
symptoms indicates the neonate is:

A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine
(Apresoline) 20mg IV stat for blood pressure greater than 180/100 mmHg. The best response of the
nurse to this order is to:
A. Administer the dose and repeat as necessary
B. Give medication if patient's blood pressure is > 190/100 mmHg
C. Call the physician because the order is not clear
D. Give the dose immediately and once

Answer: D. Give the dose immediately and once

When ideas arise in unusual variety and pass through the mind rapidly is
A. Pressure of speech
B. Stereotypy of speech
C. Preservation of ideas
D. Pressure of thought

Which data should the nurse expect when taking a health history from a client diagnosed as having acute pyelonephritis?
1) recent urethral catheterization
2) chronic urinary tract infections
3) long-standing hypertension
4) recent influenza exercises.

Which abnormal heart sound in a client recovering from a myocardial infarction should lead the nurse to suspect the onset of heart failure?
1) split S1
2)pericardial friction rub
3) ejection click
4) gallop rhythm

A common problem your history may uncover is the use of medications.
1) multiple
2) illegal
3) analgesic
4) Outdated E. OTC

A nurse asks a nursing assistant to help admit an elderly client diagnosed with pneumonia. Which activity is appropriate for the nurse to ask the assistant to perform?
1) Assess lung sounds.
2) Insert a small-bore feeding tube.
3) Obtain an arterial blood gas sample.
4) Obtain the client’s height and weight.

Where should the "heel" of the hands be placed during proper sternal CPR compression?

a. 1.5 inches superior to xiphoid tip
b. 3.0 inches superior to xiphoid tip
c. 1.5 inches inferior to xiphoid tip
d. 3.0 inches inferior to xiphoid tip

A nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?

a. Metabolic acidosis
b. Respiratory alkalosis
c. Respiratory acidosis
d. Metabolic alkalosis

3. What is the most common cause of diarrhea in a child under the age of 7?

a. Bacillus cereus
b. Rotavirus
c. Salmonella
d. Clostridium difficile

Which part of the brain concerned with integration of effective, emotional, aspects of behavior, memories, and basic drives.
A. Parasympathetic system.
B. Limbic system.
C. Sympathetic system
D. Brain stem.

The nurse should suspect hypocalcemia when the client exhibits which signs?
a) tingling of the fingers, muscle spasms, and tetany
b) night blindness, tachycardia, and weakness
c) pale mucous membranes, shortness of breath, and lethargy
d) bleeding tendencies, thirst, and hypotension

Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease?
a. l200 mg/dl
b. 150 mg/dl
c. 175 mg/dl
d. 100 mg/d


The nurse interprets a patient's fear of being in situations or places that may be difficult or embarrassing to leave as evidence of
1. Social phobia
2. Generalized anxiety disorder
3. Agoraphobia
4. Panic disorder

In evaluating the cause of the diarrhea, which of the following studies is most appropriate?
A. Colonic biopsy to identify Giardia lamblia
B. Culture of the oral mucosa for Candida albicans
C. Duodenal biopsy to identify Entamoeba histolytica
D. Gastric aspirate to identify Mycobacterium avium-intracellulare
E. Stool specimen to identify Cryptosporidium

. Which of the following laboratory abnormalities is most likely?
A. Decreased serum K+ concentration
B. Decreased serum Ca2+ concentration
C. Increased serum HCO3- concentration
D. Increased serum Na+ concentration
E. Increased serum pH

Which of the following actions of HIV best explains this ratio?
A. Induction of helper T lymphocyte proliferation
B. Induction of suppressor T lymphocyte proliferation
C. Infection of cells with CD4 receptor
D. Infection of macrophages
E. Stimulation of leukotriene synthesis

A patient who wishes to leave the hospital prior to the completion of treatment:
A. May not do so under any circumstances.
B. Must be allowed to do so.
C. May do so only if the doctor agrees.
D. Must sign a release form before he/she leaves.


Medical treatment of coronary artery disease includes which of the following procedures?
A. Oral medication administration
B. Coronary artery bypass surgery
C. Cardiac catheterization
D. Percutaneous transluminal coronary angioplasty


Pulse oximetry is used during endoscopic procedures to:
A. Monitor the depth of sedation.
B. Measure carbon dioxide retention levels.
C. Reduce the required number of nursing staff.