Question 1

A nursing student asks the nurse manager to explain the forces that drive health care reform. The best response by the nurse manager should emphasize?

Accepted Answer

Answer reason: Rising health care costs combined with declining reimbursement under fee-for-service models are major system-wide drivers of health care reform. Other factors contribute locally, but cost escalation with reduced reimbursement is the primary impetus.

Question 2

Minimum number of beds in a community health centre?

Accepted Answer

Answer reason: In the standard public health system, a Community Health Centre is a 30‑bedded facility; thus the minimum number of beds is 30.

Question 3

Posting of midwives in the areas under PHCs is influenced by?

Accepted Answer

Answer reason: Staffing of midwives at PHCs is planned according to expected deliveries; higher birth rates require more midwives. IMR, MMR, or crude death rate do not directly determine posting levels.

Question 4

The Bajaj Committee in 1986 proposed?

Accepted Answer

Answer reason: The Bajaj Committee (1986), the National Health Manpower Planning, Production and Management committee, focused on health manpower planning. MPHW was from the Kartar Singh Committee, and integrated/rural health services were proposed by earlier committees (e.g., Bhore).

Question 5

Planning cycle includes?

Accepted Answer

Answer reason: The planning cycle typically involves situation analysis, resource assessment, and evaluation; therefore all listed components are part of the cycle.

Question 6

Which of the following is not a content of drug kit A provided at sub- centre?

Accepted Answer

Answer reason: Drug Kit A for sub-centres contains items for treating common conditions such as ORS for diarrhea, cotrimoxazole for ARI, and paracetamol for fever. Vitamin A solution is supplied under the immunization/child health program, not in Drug Kit A.

Question 7

Which of the following is NOT a principle of budgeting?

Accepted Answer

Answer reason: Effective budgeting in healthcare should be flexible to adapt to changing needs and resources. Being rigid contradicts budgeting principles, whereas the other options support effective resource allocation and oversight.

Question 8

Which committee is known as the 'committee on integration of health services'?

Accepted Answer

Answer reason: The Jungalwalla (Janglwala) Committee (1967) is specifically known as the Committee on Integration of Health Services, recommending unification of vertical programs into a single health service.

Question 9

What is the main purpose of ABC analysis in material management?

Accepted Answer

Answer reason: ABC analysis classifies items by usage value (A, B, C) to focus control on high-value items, making it primarily an inventory control method.

Question 10

A new nurse manager is responsible for interviewing applicants for a staff nurse position. Which of the following interviewer strategies is the BEST?

Accepted Answer

Answer reason: A structured interview guide standardizes questions, allowing objective comparison and fair evaluation of candidates. Yes/no questions limit information, varying styles reduces reliability, and asking personal information is inappropriate and may violate employment laws.

Question 11

A client who has just joined an HMO asks for information about the payment obligations with this plan. The MOST accurate description of health care costs is that the client will be charged?

Accepted Answer

Answer reason: HMOs typically use capitation: members pay a set, predetermined fee covering all covered services during the enrollment period, not a per-service charge or usual and customary fees.

Question 12

At a nursing staff meeting, there is discussion of perceived inequities in weekend staff assignments. As a follow-up, the nurse manager should INITIALLY?

Accepted Answer

Answer reason: Initial management is to engage staff in problem solving by facilitating brainstorming and new approaches to address perceived inequities. Immediate changes or explanations are premature; fostering creative thinking promotes ownership and effective solutions.

Question 13

Which of the following is a function of nursing management?

Accepted Answer

Answer reason: Core management functions include planning, organizing, staffing, directing, and controlling; among the options, only planning is a recognized management function.

Question 14

The nurse uses the DRG (Diagnosis Related Group) manual to?

Accepted Answer

Answer reason: DRGs classify hospital cases to set prospective payment rates; nurses use the DRG manual to determine reimbursement based on the medical diagnosis.

Question 15

Which committee gave the concept of multipurpose workers?

Accepted Answer

Answer reason: The Kartar Singh Committee (1973) recommended the multipurpose worker scheme, integrating several vertical programs and creating male and female health workers at the subcenter level.

Question 16

Decentralized scheduling is used on a nursing unit. A CHIEF advantage of this management strategy is that it?

Accepted Answer

Answer reason: Decentralized scheduling allows staffing decisions to be made close to the unit level, best aligning staff abilities and preferences with specific client needs. The other options are not the chief advantage.

Question 17

The nurse manager has been using a decentralized block scheduling plan to staff the nursing unit. However, staff have asked for many changes and exceptions to the schedule over the past few months. The manager considers self-scheduling knowing that?

Accepted Answer

Answer reason: Self-scheduling’s primary advantage is increased staff control and flexibility over shift selection. Although morale or turnover may improve secondarily, the immediate predictable outcome is more flexible scheduling.

Question 18

Which kit should be used in the sub center?

Accepted Answer

Answer reason: In community health services (RCH/NHM), standardized drug/supply Kit A is designated for use at sub-centers; other kits are for higher-level facilities.

Question 19

A hospital unit has limited staff available during a high-volume shift. Which action by the charge nurse demonstrates effective resource management?

Accepted Answer

Answer reason: Effective resource management involves allocating staff and time in a way that maintains patient safety and workload balance. Adjusting assignments based on patient acuity ensures that available staff can safely manage care demands without compromising outcomes.

Question 20

A community clinic is experiencing a significant increase in patient volume. Which action by the clinic manager demonstrates appropriate resource allocation?

Accepted Answer

Answer reason: Extending clinic hours and adjusting staff schedules to match peak demand uses existing resources efficiently while maintaining access to care. This strategy improves service capacity without compromising safety or overwhelming staff.

Question 21

A nurse manager is planning staffing for a busy outpatient clinic. Which staffing ratio demonstrates effective and safe resource allocation?

Accepted Answer

Answer reason: For outpatient and ambulatory care settings, allocating one nurse to approximately 10–12 stable patients supports safe workflow, appropriate monitoring, and efficient use of nursing resources. Ratios above this range may compromise safety, while extremely low ratios misuse available staffing.

Question 22

A hospital’s medical-surgical unit is experiencing increased patient admissions. Which action by the nurse manager demonstrates effective resource planning?

Accepted Answer

Answer reason: Evaluating patient acuity and requesting additional float-pool nurses ensures that staffing levels match patient care needs. This approach maintains safety, prevents nurse burnout, and uses available organizational resources appropriately.

Question 23

A nurse manager is determining staffing needs for a community clinic that provides routine primary care. Which workload assignment is the most appropriate use of nursing resources?

Accepted Answer

Answer reason: In outpatient and community-based primary care settings, assigning one nurse to approximately 12–15 stable patients supports safe monitoring and efficient workflow. This ratio reflects practical resource utilization without compromising patient safety or overwhelming staff.

Question 24

A charge nurse is planning assignments for a busy outpatient women’s health clinic. Which staffing decision demonstrates effective resource management?

Accepted Answer

Answer reason: In outpatient and community-based women’s health settings, allocating one nurse to care for approximately 10–12 stable patients supports safe, efficient workflow. This ratio balances monitoring needs, patient education, and preventive care without overburdening staff.

Question 25

A nurse manager is organizing resources for a rural primary care clinic that recently expanded its service area. Which action demonstrates effective allocation of limited staff?

Accepted Answer

Answer reason: Adjusting staffing schedules to match predictable peak times is a key strategy in effective resource allocation. It ensures adequate coverage, prevents staff overload, and maintains patient safety without unnecessary overspending or excessive overtime.

Question 26

How many medical system in nepal?

Accepted Answer

Answer reason: Nepal recognizes two primary medical systems in routine health service delivery: the modern allopathic system and the traditional Ayurvedic system. These represent the main organized frameworks through which healthcare is provided and regulated nationally. Hence, the correct count is two.

Question 27

When was the National Rural Health Mission launched?

Accepted Answer

Answer reason: India's National Rural Health Mission (NRHM) was launched in 2005 as a major health-sector initiative to improve access, availability, and quality of health services in rural areas, especially in high-focus states. It aimed to strengthen primary healthcare through system reforms, increased funding, and community participation (e.g., ASHA). Therefore, among the given years, 2005 is the correct launch year.

Question 28

What is the ideal nurse-patient ratio in community health centers?

Accepted Answer

Answer reason: In community/public health nursing, a commonly cited planning standard is one nurse for about 2,500 people to provide essential primary and preventive services with reasonable workload and coverage. A 1:200 or 1:1000 ratio is typically too small for population-based community coverage, while 1:5000 is often too large to maintain effective outreach, surveillance, and follow-up. Therefore, 1:2500 is the best choice among the options for an ideal community health nurse-to-population ratio.

Question 29

Which method is most suitable for estimating the health needs of a community for planning a new health center?

Accepted Answer

Answer reason: A cross-sectional survey is best for estimating community health needs because it measures the prevalence and distribution of health problems and service utilization at a single point in time. This provides a practical snapshot of the current burden of disease and unmet needs, which directly informs planning and resource allocation for a new health center. Incidence and cohort studies are better suited to studying new cases and risk over time rather than immediate service needs. The Delphi technique is an expert-consensus method and is less direct than population-based measurement for needs estimation.

Question 30

The nurse manager is creating the schedule for the unit. Which factor is most important?

Accepted Answer

Answer reason: Safe staffing requires matching patient acuity and care needs with staff competency, skill mix, and appropriate numbers to maintain patient safety. Vacation preferences may be considered after safety needs are met. Weather forecast and visiting hours are not primary determinants of safe scheduling.

Question 31

The nurse manager planning staffing should consider?

Accepted Answer

Answer reason: Safe staffing is based on client acuity, required nursing interventions, and ensuring the appropriate skill mix to meet care needs. Personal preferences may be considered after safety and operational needs are met but are not the primary determinant. Number of visitors and weather conditions are not appropriate primary factors for determining staffing levels for patient care needs.

Question 32

How many pharmacist required for 50 bed hospital.....?

Accepted Answer

Answer reason: A 50-bed hospital requires sufficient pharmacy staffing to ensure safe medication procurement, dispensing, and clinical pharmacy services across shifts. Standard staffing norms commonly used in hospital administration/healthcare facility planning indicate about 5 pharmacists for a 50-bed hospital to provide adequate coverage and oversight. Lower numbers (3) risk inadequate coverage, while higher numbers (6 or 9) exceed typical minimum staffing for this bed strength in basic norms-based planning. Therefore, 5 is the best answer.

Question 33

Which component of the nursing process will the nurse focus upon to address the responsibility to match individual patient needs with appropriate services?

Accepted Answer

Answer reason: This responsibility centers on identifying goals and selecting/interpreting resources and referrals that best fit the patient’s specific needs. In the planning phase, the nurse develops individualized outcomes and chooses appropriate services (e.g., consults, discharge resources, community supports) to meet those outcomes. Assessment gathers data, implementation carries out the plan, and evaluation determines whether the services provided achieved the desired results.

Question 34

A nurse is caring for a 17-year-old pregnant woman. The woman needs to buy a baby bed and obtain baby items. The nurse should encourage the patient to go to?

Accepted Answer

Answer reason: A teen pregnancy often involves financial constraints, and the safest, most practical nursing guidance is to connect the client with low-cost community resources for necessary infant supplies. Secondhand/resale shops commonly provide cribs and baby items at substantially reduced prices, helping the client meet immediate needs without delaying preparation for the newborn. Other options may offer services (home health, rentals, or benefits enrollment), but they are less direct for purchasing affordable baby furniture and essentials right away.

Question 35

Clinical judgment in prescribing includes?

Accepted Answer

Answer reason: Considering affordability is part of safe, ethical, patient-centered prescribing because inability to pay reduces adherence and worsens outcomes. Clinical judgment weighs efficacy, safety, and practicality (including access and cost) to select a regimen the patient can realistically follow. Automatically choosing the newest drug, relying on samples, or prescribing only generics can lead to suboptimal therapy because medication choice must be individualized to the condition, evidence, and patient factors.

Question 36

The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with clients and the healthcarecommunity due to research findings that suggest that it has which effect?

Accepted Answer

Answer reason: Research on maternal-newborn self-care and family-centered care supports earlier discharge with effective teaching, which reduces resource utilization and overall spending. Self-care emphasizes client education, empowerment, and use of outpatient follow-up rather than prolonged inpatient services. The other options are less consistently linked to self-care as a primary, research-supported outcome across settings compared with cost reduction.

Question 37

Which is NOT part of the nursing process?

Accepted Answer

Answer reason: The nursing process is a clinical decision-making framework classically organized as ADPIE: assessment, diagnosis, planning, implementation, and evaluation. These steps guide how nurses collect data, identify problems, plan and deliver interventions, and evaluate outcomes. Reimbursement relates to billing/financial systems and healthcare payment structures, not to the structured clinical reasoning steps of the nursing process.

Question 38

RA 1054 also known as the Occupational Health Act. Aside from number of employees, what other factor should be considered in determining the occupational health privilege which is due to be entitled?

Accepted Answer

Answer reason: Occupational health service entitlements are determined not only by workforce size but also by access to external healthcare resources. A workplace that is remote from hospitals/clinics typically requires more robust on-site occupational health provisions to ensure timely emergency response and continuity of care. In contrast, proximity to health facilities can justify different levels of on-site staffing and services. The other choices are not primary determinants for entitlement in this context.

Question 39

Which of the following is least important in determining the number of health staff needed to deliver services in a correctional setting?

Accepted Answer

Answer reason: Staffing levels in a correctional health service are primarily driven by overall population health needs, the care delivery model, and the resources authorized to hire and deploy staff. The sex distribution may influence specific service mix (e.g., reproductive health services), but it is typically a secondary factor compared with acuity, chronic disease burden, mental health/substance use prevalence, and mandated services. Therefore, it is least central when determining the number of health staff required.

Question 40

ICDS Programme running under ?

Accepted Answer

Answer reason: Public health and nutrition programs are administered by the government department responsible for women and child development/social welfare services. ICDS (Integrated Child Development Services) is a community-based program delivering supplementary nutrition, immunization linkage, health checkups, and preschool education through anganwadi services, which aligns with social welfare administration. Education and human resources departments are not the primary custodians for integrated maternal–child welfare delivery. NRHM supports health system strengthening but does not “run” ICDS as its parent administrative department.

Question 41

Total number of multipurpose workers in a sub centre?

Accepted Answer

Answer reason: Standard staffing includes two multipurpose health workers: one male (MPW-M) and one female (MPW-F/ANM). This pairing ensures coverage for both general community health activities and maternal–child health services at the village level. Higher numbers would correspond to larger facilities (e.g., PHC/CHC) rather than a subcentre.

Question 42

Nurse Bea plans of assigning competent people to fill the roles designed in the hierarchy. Which process refers to this?

Accepted Answer

Answer reason: Recruitment is the management function focused on attracting and obtaining qualified, competent personnel to fill organizational positions. The stem emphasizes filling roles within a hierarchy with competent people, which aligns with the hiring/selection pipeline rather than day-to-day assignment. Staffing is broader and can include planning, hiring, and deployment, but the specific process of bringing in candidates to fill roles is recruitment. Scheduling deals with arranging work hours, and induction refers to orientation/onboarding after hiring.

Question 43

What is the meaning of census report in the hospital?

Accepted Answer

Answer reason: The traditional inpatient census is taken at a specified time—commonly at midnight—to represent the number of occupied beds/inpatients for that day. This directly supports staffing, bed management, and resource allocation decisions. Other choices describe community demographics, staffing headcount, or birth statistics, which are not the definition of inpatient census.

Question 44

Which situation might require an occupational health nurse consult?

Accepted Answer

Answer reason: A staff injury related to lifting is a work-related musculoskeletal injury that commonly triggers incident reporting, assessment, and coordination of follow-up care through occupational health. They also address prevention by reinforcing safe patient-handling and body-mechanics education to reduce future injuries. By contrast, subpoenas involve legal/risk management, and rehab/surgery planning for a client aligns more with case management or specialty care coordination, not employee occupational health.

Question 45

The nurse is performing discharge teaching for Mrs. S after cardiac angioplasty. Her husband is present for the teaching. While explaining the prescription for antiplatelet medication to use at home, Mrs. S's husband states, "I don't think I can afford to refill that medication." What is the most appropriate response of the nurse?

Accepted Answer

Answer reason: Medication adherence is strongly influenced by cost, and the nurse should address financial barriers to prevent unsafe nonadherence after angioplasty. This response acknowledges the concern and initiates a realistic, collaborative plan to maintain necessary antiplatelet therapy by exploring lower-cost but clinically appropriate alternatives (e.g., formulary options or generics). It stays within nursing scope by coordinating with the prescriber rather than making unsupported promises or directing the family to a specific program without assessment. The other options either provide false reassurance, are overly prescriptive, or add guilt without solving the barrier.

Question 46

You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where will you apply?

Accepted Answer

Answer reason:  Public health nursing is primarily delivered at the community/primary care level, where preventive services, health education, immunizations, and home/community visits are coordinated. The rural health unit is the typical frontline facility where public health nurses are assigned to implement population-based programs and community health services. Higher administrative offices (departmental, regional, provincial) focus more on policy, oversight, and program management rather than entry-level community nursing service delivery. For a new graduate seeking a public health nurse role, the direct service point is the most appropriate place to apply.

Question 47

Decentralized scheduling is used on a nursing unit. A chief advantage of this management strategy is that it?

Accepted Answer

Answer reason: This approach increases flexibility and responsiveness to both client coverage requirements and staff availability/preferences, supporting safe staffing and continuity. It also tends to improve morale and accountability because staff have more input into how coverage is arranged. While it may also reduce some manager workload, that is not the primary, defining advantage compared with improved alignment of staffing to unit needs.

Question 48

The nurse uses the DRG (Diagnosis Related Group) manual to?

Accepted Answer

Answer reason: The DRG assignment drives the predetermined payment level and is used for hospital billing and reimbursement planning. This is a management-of-care concept because it links clinical documentation and diagnosis coding to allocation of financial resources. Options focused on nursing diagnoses or bedside care protocols do not reflect the primary purpose of DRGs, which is payment and resource utilization reporting.

Question 49

The nurse manager has been using a decentralized block scheduling plan to staff the nursing unit. However, staff have asked for many changes and exceptions to the schedule over the past few months. The manager considers self-scheduling knowing that this method will?

Accepted Answer

Answer reason: Giving staff input into their schedules reduces frustration from frequent change requests and improves buy-in to the final roster. Improved morale is a direct, predictable outcome of shared governance approaches to scheduling. In contrast, effects on overtime costs, turnover, or quality of care are more indirect and depend on many other variables (coverage patterns, staffing levels, and patient acuity).

Question 50

A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include?

Accepted Answer

Answer reason: Expensive diagnostic testing and high-intensity care near the end of life contribute disproportionately to total costs, motivating payment redesign, value-based initiatives, and utilization management. This option directly reflects a well-established cost-pressure mechanism behind reform efforts. Other statements describe related financial pressures, but this one most clearly identifies a major, commonly cited cost driver targeted by reform policy discussions.

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A nursing student asks the nurse manager to explain the forces that drive health care reform. The best response by the nurse manager should emphasize?

Minimum number of beds in a community health centre?

Posting of midwives in the areas under PHCs is influenced by?

The Bajaj Committee in 1986 proposed?

Planning cycle includes?

Which of the following is not a content of drug kit A provided at sub- centre?

Which of the following is NOT a principle of budgeting?

Which committee is known as the 'committee on integration of health services'?

What is the main purpose of ABC analysis in material management?

A new nurse manager is responsible for interviewing applicants for a staff nurse position. Which of the following interviewer strategies is the BEST?

A client who has just joined an HMO asks for information about the payment obligations with this plan. The MOST accurate description of health care costs is that the client will be charged?

At a nursing staff meeting, there is discussion of perceived inequities in weekend staff assignments. As a follow-up, the nurse manager should INITIALLY?

Which of the following is a function of nursing management?

The nurse uses the DRG (Diagnosis Related Group) manual to?

Which committee gave the concept of multipurpose workers?

Decentralized scheduling is used on a nursing unit. A CHIEF advantage of this management strategy is that it?

The nurse manager has been using a decentralized block scheduling plan to staff the nursing unit. However, staff have asked for many changes and exceptions to the schedule over the past few months. The manager considers self-scheduling knowing that?

Which kit should be used in the sub center?

A hospital unit has limited staff available during a high-volume shift. Which action by the charge nurse demonstrates effective resource management?

A community clinic is experiencing a significant increase in patient volume. Which action by the clinic manager demonstrates appropriate resource allocation?

A nurse manager is planning staffing for a busy outpatient clinic. Which staffing ratio demonstrates effective and safe resource allocation?

A hospital’s medical-surgical unit is experiencing increased patient admissions. Which action by the nurse manager demonstrates effective resource planning?

A nurse manager is determining staffing needs for a community clinic that provides routine primary care. Which workload assignment is the most appropriate use of nursing resources?

A charge nurse is planning assignments for a busy outpatient women’s health clinic. Which staffing decision demonstrates effective resource management?

A nurse manager is organizing resources for a rural primary care clinic that recently expanded its service area. Which action demonstrates effective allocation of limited staff?

How many medical system in nepal?

When was the National Rural Health Mission launched?

What is the ideal nurse-patient ratio in community health centers?

Which method is most suitable for estimating the health needs of a community for planning a new health center?

The nurse manager is creating the schedule for the unit. Which factor is most important?

The nurse manager planning staffing should consider?

How many pharmacist required for 50 bed hospital.....?

Which component of the nursing process will the nurse focus upon to address the responsibility to match individual patient needs with appropriate services?

A nurse is caring for a 17-year-old pregnant woman. The woman needs to buy a baby bed and obtain baby items. The nurse should encourage the patient to go to?

Clinical judgment in prescribing includes?

The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with clients and the healthcarecommunity due to research findings that suggest that it has which effect?

Which is NOT part of the nursing process?

RA 1054 also known as the Occupational Health Act. Aside from number of employees, what other factor should be considered in determining the occupational health privilege which is due to be entitled?

Which of the following is least important in determining the number of health staff needed to deliver services in a correctional setting?

ICDS Programme running under ?

Total number of multipurpose workers in a sub centre?

Nurse Bea plans of assigning competent people to fill the roles designed in the hierarchy. Which process refers to this?

What is the meaning of census report in the hospital?

Which situation might require an occupational health nurse consult?

You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where will you apply?

Decentralized scheduling is used on a nursing unit. A chief advantage of this management strategy is that it?

The nurse uses the DRG (Diagnosis Related Group) manual to?

The nurse manager has been using a decentralized block scheduling plan to staff the nursing unit. However, staff have asked for many changes and exceptions to the schedule over the past few months. The manager considers self-scheduling knowing that this method will?

A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include?

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