Charge Nurse (BS-16/17) Past Papers — FPSC & KPPSC Solved MCQs — Part 1

According to American Heart Association (AHA) and international resuscitation guidelines, the compression-to-ventilation ratio for adult CPR is 30 compressions to 2 breaths, at a rate of 100-120 compressions per minute and depth of at least 2 inches (5 cm).

Direct intravenous push or rapid bolus of potassium chloride causes immediate cardiac arrest and lethal ventricular fibrillation. KCl must always be administered diluted in compatible IV solutions and delivered slowly with an infusion controller.

The Glasgow Coma Scale evaluates Eye Opening (1-4), Verbal Response (1-5), and Motor Response (1-6). The lowest possible score is 3 (deep coma / brain death), and the highest score is 15 (fully alert and oriented).

The APGAR score evaluates five criteria in neonates: Appearance (skin color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration, each scored 0-2 (total 0-10).

Protamine sulfate binds heparin through ionic interaction to form a stable, inactive salt complex, rapidly neutralizing heparin's anticoagulant activity. Vitamin K is the antidote for Warfarin toxicity.

Accidental removal or devascularization of parathyroid glands during thyroidectomy causes acute hypocalcemia. Clinical signs include perioral paresthesia, carpopedal spasms, positive Chvostek's sign, and positive Trousseau's sign.

Normal arterial blood gas parameters are: pH 7.35 - 7.45, PaCO2 35 - 45 mmHg, PaO2 80 - 100 mmHg, HCO3 22 - 26 mEq/L, and SaO2 > 95%.

Flow rate (gtts/min) = (Total volume in mL * Drop factor) / (Total time in minutes) = (1000 * 15) / (8 * 60) = 15000 / 480 = 31.25, rounded to 31 drops/minute.

The ventrogluteal site is located by placing the palm over the greater trochanter of the femur, pointing the index finger toward the anterior superior iliac spine, and extending the middle finger along the iliac crest (forming a V shape).

The Braden Scale assesses sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Norton and Braden scales are the two primary validated tools for pressure injury risk prediction.

Saturated steam under pressure in an autoclave standardly operates at 121°C (250°F) at 15 pounds per square inch (psi) gauge pressure for 15 to 20 minutes to destroy all vegetative microorganisms and bacterial endospores.

The 5 systematic steps of the nursing process are: 1. Assessment, 2. Nursing Diagnosis, 3. Planning (Outcome identification), 4. Implementation, and 5. Evaluation (ADPIE).

Insulin Lispro, Aspart, and Glulisine are rapid-acting insulins with onset of action in 10-15 minutes and peak action around 30-90 minutes. Glargine is long-acting; Regular is short-acting; NPH is intermediate-acting.

High Fowler's position (60-90° upright elevation) relieves pressure from abdominal organs against the diaphragm, promotes maximal lung expansion, and optimizes oxygenation in respiratory distress.

Bacillus Calmette-Guérin (BCG) vaccine is administered at birth intradermally to protect against severe forms of childhood tuberculosis, including tuberculous meningitis and disseminated miliary TB.