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Punjab PSEB Senior Secondary NSQF Health Care study materials
Punjab PSEB Senior Secondary NSQF Health Care study resources

Punjab PSEB Senior Secondary NSQF Health Care practice questions

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Question 1Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

In health care, what does the term 'vital signs' refer to?

  1. The legal documents signed at the time of hospital admission
  2. Measurements of body temperature, pulse, respiration and blood pressure Correct answer.
  3. The list of medicines prescribed by a doctor
  4. The instruments kept in an operation theatre

Explanation

Vital signs are the basic physiological measurements that indicate whether the body's essential functions are within normal limits. The standard set taught in health care courses includes temperature, pulse, respiration and blood pressure, and often oxygen saturation as a fifth parameter.

Question 2Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A health care worker counts a patient's pulse for 30 seconds and records 36 beats. What is the pulse rate per minute?

  1. 90 beats per minute
  2. 54 beats per minute
  3. 72 beats per minute Correct answer.
  4. 36 beats per minute

Explanation

When a pulse is counted for half a minute, the count must be multiplied by two to express the rate per minute. Thirty-six beats in 30 seconds therefore equals 72 beats per minute, which lies in the normal adult range of 60 to 100.

Question 3Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which route of medicine administration delivers a drug through the skin using a patch or gel?

  1. Sublingual route
  2. Rectal route
  3. Transdermal route Correct answer.
  4. Intramuscular route

Explanation

The transdermal route places the drug on intact skin so that it is absorbed slowly and steadily into the bloodstream. This is why patches are used for long-acting medicines such as certain pain relievers and nicotine replacements.

Question 4Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

What is the main purpose of hand hygiene before and after every patient contact?

  1. To reduce transmission of micro-organisms between patients and staff Correct answer.
  2. To speed up the discharge process for patients
  3. To satisfy the hospital's dress code for clinical staff
  4. To keep the health worker's skin soft and free of dryness

Explanation

Hands are the most common vehicle for transferring pathogens between patients, staff and equipment. Correct hand hygiene at the right moments breaks this chain of transmission and is the single most effective infection-control measure in any health facility.

Question 5Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which of these is the normal adult resting respiratory rate?

  1. 12 to 20 breaths per minute Correct answer.
  2. 4 to 8 breaths per minute
  3. 40 to 50 breaths per minute
  4. 25 to 35 breaths per minute

Explanation

A healthy adult at rest usually breathes between 12 and 20 times per minute. Rates well below or above this range suggest a problem such as respiratory depression, pain, fever or respiratory disease and should be reported.

Question 6Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient who is able to walk, sit and eat without help is described in health care records as:

  1. Ambulatory Correct answer.
  2. Isolated
  3. Unconscious
  4. Bedridden

Explanation

An ambulatory patient is one who can move about independently, even if assistance is needed for some tasks. Recording this status helps the team plan mobility support, fall prevention and discharge planning.

Question 7Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

What is the first action when a patient is found collapsed and unresponsive on the floor of a ward?

  1. Give the patient a drink of water
  2. Fill in the incident report form
  3. Check responsiveness and call for emergency help Correct answer.
  4. Move the patient back into bed immediately

Explanation

The priority in any collapse is to assess responsiveness and summon emergency assistance so that airway, breathing and circulation can be checked. Moving the patient or giving fluids before assessment could cause harm.

Question 8Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which of the following best describes a sterile field?

  1. A store cupboard for unused linen
  2. An area cleaned with soap and water before a procedure
  3. A room where only doctors are allowed to enter
  4. A work area free from all micro-organisms, including spores Correct answer.

Explanation

Sterility means the absence of all viable micro-organisms, including bacterial spores, and a sterile field is an area maintained in that condition during a procedure. Any contact with non-sterile items contaminates the field and it must be replaced.

Question 9Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient's temperature is recorded as 39.4 degrees Celsius. How should the health worker classify this reading?

  1. Fever Correct answer.
  2. Hypothermia
  3. Subnormal temperature
  4. Normal temperature

Explanation

Normal oral body temperature is about 36.1 to 37.2 degrees Celsius, so a reading of 39.4 degrees Celsius is clearly raised. A temperature above roughly 38 degrees Celsius is treated as fever and should be reported and managed according to protocol.

Question 10Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

When measuring blood pressure with a cuff, why should the cuff be placed at the level of the heart?

  1. To keep the patient's arm warm during the reading
  2. To reduce the noise of the instrument
  3. To obtain a reading that reflects true arterial pressure Correct answer.
  4. To shorten the time needed for the measurement

Explanation

Hydrostatic effects mean that a cuff placed above or below heart level gives a falsely low or high reading. Keeping the cuff at heart level ensures the measured pressure corresponds to the pressure in the central arteries.

Question 11Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which statement about the storage of vaccines in a health centre is correct?

  1. Vaccines can be stored on an open shelf in the dispensary
  2. Vaccines must be stored within the recommended cold-chain temperature range Correct answer.
  3. Vaccines should be kept in the freezer compartment at all times
  4. Vaccines remain potent after the expiry date if kept cold

Explanation

Vaccines are biological products that lose potency if they freeze or become too warm, so they must be kept within the cold-chain range specified for each product. Temperature is monitored and recorded, and expired stock is discarded.

Question 12Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient is prescribed a tablet 'orally, twice daily'. What does this instruction mean?

  1. The tablet is swallowed two times each day Correct answer.
  2. The tablet is given only when the patient asks for it
  3. The tablet is inserted into the ear twice a day
  4. The tablet is crushed and applied to the skin twice a day

Explanation

The oral route means the medicine is swallowed, and 'twice daily' means two doses are given in 24 hours, usually morning and evening. Reading the prescription correctly prevents wrong-route and wrong-frequency errors.

Question 13Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

What is the correct technique for assisting a patient to sit up in bed?

  1. Pull the patient by the arms while standing at the foot of the bed
  2. Lift the patient quickly to save time
  3. Bend your knees, keep your back straight and ask the patient to help Correct answer.
  4. Twist your upper body while holding the patient under the arms

Explanation

Safe patient handling uses the leg muscles, a straight back and the patient's own effort wherever possible to reduce strain on the worker. Twisting or sudden lifting is a common cause of back injury to health workers.

Question 14Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A needle used for an injection should be disposed of in which manner?

  1. Thrown into the general ward dustbin
  2. Recapped carefully and placed in the pocket for later disposal
  3. Broken by hand and discarded in a paper bag
  4. Placed directly in a puncture-resistant sharps container without recapping Correct answer.

Explanation

Needlestick injuries most often occur during recapping, so used needles are dropped straight into a designated puncture-resistant sharps container. Sharps must never enter general waste, where they endanger cleaners and the public.

Question 15Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which set of parameters is included in the 'ABCDE' approach to assessing a sick patient?

  1. Airway, Breathing, Circulation, Disability, Exposure Correct answer.
  2. Appetite, Blood sugar, Culture, Diet, Exercise
  3. Allergy, Bleeding, Consent, Drugs, Examination
  4. Age, Blood group, Consent, Diagnosis, Emotion

Explanation

The ABCDE approach is a structured way to find and treat life-threatening problems in order of priority. Airway and breathing come first because without them circulation and consciousness cannot be maintained.

Question 16Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient with pulmonary tuberculosis is admitted to a general ward. Which precaution is most appropriate?

  1. Airborne precautions with a well-ventilated room and staff respiratory protection Correct answer.
  2. Standard precautions with no additional measures
  3. No special precautions are needed once the patient is admitted
  4. Contact precautions only, with gloves for all contact

Explanation

Tuberculosis spreads by airborne droplet nuclei that can remain suspended in the air, so airborne precautions are required. This includes a well-ventilated or negative-pressure room and fit-tested respiratory protection for staff entering.

Question 17Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

What does the term 'informed consent' require before a procedure?

  1. A signature obtained after the procedure is finished
  2. Consent given by any relative who happens to be present
  3. A verbal agreement obtained by a ward attendant
  4. Explanation of the procedure, its risks and alternatives, given freely by a competent patient Correct answer.

Explanation

Valid consent must be voluntary, given by a person with capacity, and based on adequate information about the procedure, its risks, benefits and alternatives. Consent obtained by pressure or without information is not valid.

Question 18Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

During a dressing change, the health worker notices the wound has a foul smell and greenish discharge. What is the most appropriate action?

  1. Apply extra bandage and continue the same dressing routine
  2. Wash the wound with plain water and discharge the patient
  3. Ignore the finding because wounds always smell during healing
  4. Record and report the findings to the supervising nurse or doctor Correct answer.

Explanation

Foul odour with greenish discharge suggests infection, which requires clinical assessment and possibly a change of treatment. The health worker's role is to observe accurately, document and escalate rather than to alter the treatment plan independently.

Question 19Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which of these is the most reliable sign that a patient's condition is deteriorating?

  1. The patient requesting a different television channel
  2. A rising respiratory rate together with falling oxygen saturation Correct answer.
  3. The patient asking for an extra blanket
  4. A single normal temperature reading

Explanation

Changes in respiratory rate and oxygen saturation are early and sensitive indicators of clinical deterioration. Tracking trends rather than isolated readings allows staff to escalate care before a crisis develops.

Question 20Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient's blood pressure is 88/54 mmHg and the pulse is 118 beats per minute. What do these readings most suggest?

  1. Raised intracranial pressure only
  2. Hypertension with a slow pulse
  3. Hypotension with tachycardia, possibly from shock or dehydration Correct answer.
  4. A normal cardiovascular state

Explanation

A systolic pressure below 90 mmHg with a pulse above 100 beats per minute indicates hypotension with compensatory tachycardia. Common causes include hypovolaemia, dehydration and shock, and the finding should be reported urgently.

Question 21Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient with diabetes becomes sweaty, shaky and confused. Which action is appropriate if the patient can swallow safely?

  1. Give a fast-acting source of sugar such as glucose and recheck Correct answer.
  2. Give an insulin injection immediately
  3. Withhold all food and fluids until the next meal
  4. Make the patient walk to the laboratory for a test

Explanation

Sweating, tremor and confusion in a person with diabetes suggest hypoglycaemia, which is corrected quickly with fast-acting oral glucose if swallowing is safe. Blood glucose is then rechecked and the episode reported so treatment can be reviewed.

Question 22Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Why are both an outer and an inner pair of gloves used in some sterile procedures?

  1. To make the gloves easier to remove after the procedure
  2. To keep the hands warm during long procedures
  3. To reduce contamination if the outer glove is punctured and to protect the wearer Correct answer.
  4. To allow the same gloves to be reused for the next patient

Explanation

Double gloving provides a barrier that limits contact between the patient's blood and the wearer's skin if the outer glove tears. It is a recognised part of exposure-prone procedure safety, not a comfort or reuse measure.

Question 23Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

In a health care record, why must an entry made in error be struck through with a single line and initialled, rather than erased?

  1. To make the record look neater for inspection
  2. Because ink is not permitted in clinical records
  3. To preserve an accurate, legally defensible record of what happened Correct answer.
  4. Because erasing damages the paper of the register

Explanation

Clinical records may be used as legal evidence, so they must show an honest, unaltered history of care. Striking through an error while keeping it legible, with a signature and date, shows who corrected it and when.

Question 24Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A used syringe is found in a ward linen trolley. What is the best analysis of this situation?

  1. It is acceptable because the syringe was not visibly soiled
  2. It is safe if the needle was recapped before placement
  3. It is a minor housekeeping issue with no safety consequence
  4. It is a sharps-handling breach that risks injury and infection and must be reported Correct answer.

Explanation

Sharps found outside a designated container show that waste segregation has failed, exposing laundry and cleaning staff to needlestick injury. The correct response is safe removal with forceps, secure disposal and reporting the incident so the practice is corrected.

Question 25Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A health care assistant is recording a patient's pulse. Which description correctly states what the pulse rate measures?

  1. The number of breaths the patient takes in one minute
  2. The number of times the heart beats in one minute Correct answer.
  3. The volume of blood pumped out of the heart in one beat
  4. The force of blood against the artery wall during contraction

Explanation

Pulse rate is the count of arterial expansions produced by each heartbeat over a full minute, usually taken at the radial artery. It is recorded as beats per minute and reflects how fast the heart is contracting.

Question 26Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

In a health care setting, a patient is described as 'nil by mouth' from midnight before surgery. What does this instruction mean for the health worker?

  1. Give only clear water until the theatre trolley arrives
  2. Withhold all food and drink except prescribed oral medicines
  3. Give a light breakfast but no tea or coffee
  4. Withhold all food and fluids by mouth as instructed Correct answer.

Explanation

Nil by mouth means nothing at all is given orally, including water and oral medicines, to reduce the risk of aspiration during anaesthesia. Any exception must come from the prescribing or anaesthetic team, not from ward staff.

Question 27Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A health worker is asked to weigh a patient who uses a walking stick and can stand but tires quickly. Which approach is best?

  1. Ask the patient to report their last known weight from home records
  2. Estimate the weight from the patient's appearance and record it as approximate
  3. Weigh the patient in the morning before breakfast using a standing scale with support nearby Correct answer.
  4. Weigh the patient while seated in a chair on the scale and subtract the chair weight

Explanation

Morning weighing before food gives a consistent baseline, and a standing scale with a chair or assistant nearby allows a patient who tires to be weighed safely. Consistency of time, scale and clothing is what makes serial weights comparable.

Question 28Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient's fluid intake and output chart shows 2,400 mL taken in and 900 mL of urine passed over 24 hours, with no other losses recorded. What is the most appropriate interpretation?

  1. The intake is too low and the patient should be encouraged to drink less
  2. The output is far below intake and should be reported to the nurse in charge Correct answer.
  3. The balance is positive by 1,500 mL and needs no comment
  4. The chart is complete and shows normal hydration

Explanation

A 24-hour urine output of 900 mL against 2,400 mL intake leaves a large positive balance that may indicate retention, inadequate recording or developing fluid overload. Such a discrepancy must be reported and the chart checked for missing entries.

Question 29Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which statement about hand hygiene with soap and water is correct for a health worker?

  1. Hands should be washed for at least 40 to 60 seconds including wrists and thumbs Correct answer.
  2. A quick rinse of the palms for five seconds is sufficient between patients
  3. Alcohol-based rub must always be used instead of soap and water
  4. Hands should be washed only when visibly soiled with blood or body fluids

Explanation

Effective hand washing covers all surfaces including thumbs, fingertips and wrists and takes about 40 to 60 seconds with soap and running water. Short rinses leave contamination behind and do not meet standard precautions.

Question 30Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A used bedpan is to be cleaned after use by a patient who has no known infection. What is the correct sequence?

  1. Empty into the toilet, clean with detergent and hot water, dry, and store inverted Correct answer.
  2. Wipe with a dry paper towel and reuse for the next patient
  3. Soak briefly in cold water and return wet to the patient's locker
  4. Rinse in cold water, dry with a cloth, and return to the bedside cupboard

Explanation

Containers are emptied into the sluice or toilet, washed with detergent and hot water, dried and stored inverted so they drain. This removes organic matter and reduces the build-up of organisms before reuse.

Question 31Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient is on bed rest and cannot turn independently. How often should the health worker reposition the patient to help prevent pressure ulcers?

  1. Only when the patient complains of discomfort
  2. Once every four hours during the day only
  3. Once every shift, that is about every eight hours
  4. At least every two hours, and more often if the skin is at high risk Correct answer.

Explanation

Repositioning at least every two hours relieves sustained pressure over bony prominences and is the standard interval, shortened for patients with fragile skin or existing redness. The schedule is written in the care plan and recorded.

Question 32Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient is being moved from bed to chair with a mechanical hoist. Which action shows correct use of the hoist?

  1. Check the sling, spreader bar and hooks, and lift only when the patient is fully supported Correct answer.
  2. Lift the patient clear of the bed and then adjust the sling straps
  3. Keep the patient's arms outside the sling and lift quickly to save time
  4. Attach the sling to the hoist before positioning the patient on it

Explanation

Safe hoisting requires checking the equipment and sling attachments and ensuring the patient is fully supported in the sling before any lift begins. The patient is never left unsupported over the floor while adjustments are made.

Question 33Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient with a nasogastric tube is to receive a feed. Which check must be completed before the feed is started?

  1. Confirm tube position as per local policy and check the feed's expiry date and temperature Correct answer.
  2. Raise the bed flat so the feed runs faster
  3. Flush the tube with a large volume of cold water to test patency
  4. Ask the patient to drink a glass of water to check swallowing

Explanation

Tube position must be confirmed using the method set by local policy, and the feed itself checked for expiry, appearance and suitability before starting. The head of the bed is also raised during and after feeding to reduce aspiration risk.

Question 34Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient needs a specimen of sputum for suspected infection. Which instruction should the health worker give?

  1. Rinse the mouth with water, then cough deeply and collect the sputum into a clean container Correct answer.
  2. Collect saliva into the container and label it as sputum
  3. Spit into a container after a meal so the sample is larger
  4. Collect the sample into a dry swab and send it to the laboratory

Explanation

A true sputum sample comes from deep in the chest after coughing, and rinsing the mouth reduces contamination with food and oral organisms. Saliva is not sputum and gives misleading culture results.

Question 35Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which statement about the care of a patient with a urinary catheter is correct?

  1. The catheter should be disconnected daily to allow the patient to wash
  2. The drainage bag should be hung above the level of the bladder to allow flow
  3. The bag is emptied only when it is completely full
  4. The bag should be kept below bladder level and the tubing free of kinks Correct answer.

Explanation

Keeping the bag below bladder level with unkinked tubing allows gravity drainage and prevents urine from flowing back into the bladder. Backflow is a major route for catheter-associated urinary infection.

Question 36Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient is receiving oxygen through nasal prongs. Which safety instruction applies to the bed area?

  1. Store spare oxygen cylinders lying flat beside the bed
  2. Place a 'no smoking' sign and keep the oxygen away from flames and sparks Correct answer.
  3. Adjust the flow rate freely to whatever feels comfortable
  4. Apply petroleum jelly to the nostrils to prevent dryness

Explanation

Oxygen supports combustion, so flames, sparks and smoking must be kept away and the area signed accordingly. Flow rates are set on medical instruction and cylinders are secured upright.

Question 37Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient who is terminally ill tells the health worker that they are afraid of dying. What is the most appropriate response?

  1. Promise the patient that they will recover if they stay positive
  2. Reassure the patient that everyone feels this way and change the subject
  3. Tell the patient that such thoughts are best discussed with a doctor only
  4. Sit with the patient, listen, and allow them to talk without giving false hope Correct answer.

Explanation

Active listening without false reassurance respects the patient's feelings and supports open communication in end-of-life care. The health worker acknowledges the fear and reports it so appropriate support can be arranged.

Question 38Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Which of these is a correct principle of safe patient identification before giving a treatment?

  1. Ask the patient to state their name and date of birth and match these to the record Correct answer.
  2. Identify the patient by bed number and the name on the bed card
  3. Use the patient's appearance and diagnosis to confirm identity
  4. Assume identity is correct if the patient is awake and alert

Explanation

Two identifiers, such as full name and date of birth, must be checked against the record before any treatment or medicine. Bed numbers and appearance change or are shared and cannot be relied upon.

Question 39Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A health worker must lift a heavy box of supplies from the floor. Which technique best protects the worker's back?

  1. Bend at the waist, keep legs straight, and twist to place the box on a shelf
  2. Keep feet together, hold the box at arm's length, and lean forward
  3. Lift the box with a quick jerking movement to reduce strain time
  4. Bend the knees, keep the load close to the body, and avoid twisting while lifting Correct answer.

Explanation

Bending the knees and keeping the load close uses the leg muscles and reduces the lever effect on the spine, while avoiding twisting protects the discs. Jerking and reaching out increase the load on the back.

Question 40Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient has been prescribed a medicine by the doctor. Which of these is part of the health worker's role in medicine safety?

  1. Check the prescription, patient identity and expiry date before assisting with administration Correct answer.
  2. Decide to increase the dose if the patient says the medicine is not working
  3. Leave the medicine at the bedside for the patient to take later
  4. Sign for the medicine before it is actually given to the patient

Explanation

Medicine safety requires checking the right patient, medicine, dose, route and time, and confirming the product is in date before administration. Changes to dose and record signing must reflect what was actually given.

Question 41Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient is prescribed a medicine 'sublingually'. How should the health worker expect it to be given?

  1. Swallowed with a full glass of water
  2. Placed under the tongue to dissolve Correct answer.
  3. Inserted into the rectum
  4. Applied to the skin as a patch

Explanation

Sublingual means under the tongue, where the medicine dissolves and is absorbed quickly into the bloodstream. This route is used for medicines such as glyceryl trinitrate in angina.

Question 42Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

During a ward shift, a health worker notices a colleague not cleaning hands between patients. What is the most professional first action?

  1. Announce the problem loudly in front of patients
  2. Ignore the behaviour because it is not the health worker's responsibility
  3. Speak to the colleague privately and remind them of hand hygiene policy Correct answer.
  4. Report the colleague to the police immediately

Explanation

A respectful private reminder addresses the immediate risk while maintaining professional relationships, and the issue is escalated if it continues. Public confrontation or silence both fail to protect patients.

Question 43Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A health worker is told by a patient's relative that the patient has a diagnosis of HIV. The relative asks the worker not to tell anyone. How should the worker handle this information?

  1. Keep it confidential and discuss only with the care team as needed Correct answer.
  2. Write it on the ward notice board so staff are aware
  3. Share it with other patients to warn them of possible risk
  4. Refuse to care for the patient to avoid risk

Explanation

Health information is confidential and shared only with those involved in the patient's care and with the patient's consent, except where law requires disclosure. Refusing care or broadcasting the diagnosis breaches both confidentiality and professional duty.

Question 44Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient has an intravenous cannula in the back of the hand. The health worker notices redness, swelling and pain at the site. What is the correct action?

  1. Flush the cannula with fluid to check whether it still works
  2. Stop using the cannula, report it, and have it removed as per policy Correct answer.
  3. Apply a warm compress and continue to use the cannula
  4. Loosen the dressing and continue the infusion at a slower rate

Explanation

Redness, swelling and pain suggest inflammation or infiltration, so the cannula must not be used further and should be removed and reported. Continuing the infusion risks tissue damage and infection.

Question 45Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient has fallen and is lying on the floor with a visibly deformed, painful leg. What should the health worker do while waiting for help?

  1. Pull the leg gently to check whether it is broken
  2. Try to straighten the leg so the patient is more comfortable
  3. Ask the patient to stand and walk to the bed with support
  4. Keep the patient still, reassure them, and avoid moving the injured limb Correct answer.

Explanation

A suspected fracture is immobilised in the position found until trained help arrives, because moving or straightening it can worsen the injury and cause further pain. The worker stays with the patient and reassures them.

Question 46Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A patient with known angina develops central chest pain while walking to the bathroom. Which action should the health worker take first?

  1. Ask the patient to stop, sit down, and take prescribed glyceryl trinitrate as instructed Correct answer.
  2. Give a large meal to raise the patient's energy level
  3. Take the patient outside for fresh air before doing anything else
  4. Encourage the patient to keep walking so the pain settles naturally

Explanation

Rest reduces the heart's oxygen demand and prescribed sublingual glyceryl trinitrate relieves angina, so stopping activity and sitting is the first step. If pain persists, urgent medical help is needed as it may signal a heart attack.

Question 47Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A health worker is preparing to give an intramuscular injection. Which site and technique is correct for an adult?

  1. Inject into the upper outer quadrant of the buttock or the outer thigh with the needle at 90 degrees Correct answer.
  2. Inject into the midline of the upper arm directly over the bone
  3. Inject into the inner thigh at a 15-degree angle
  4. Inject into the abdomen at a 45-degree angle

Explanation

Intramuscular injections are given into well-developed muscle such as the ventrogluteal area or outer thigh, with the needle inserted at 90 degrees. Sites are chosen to avoid nerves, blood vessels and bone.

Question 48Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A newborn delivered in a health centre is not breathing and appears limp. Which action follows the correct sequence of newborn resuscitation?

  1. Give the baby a feed to increase energy and observe
  2. Wait five minutes to see whether breathing starts on its own
  3. Dry, warm, position the airway and stimulate, then begin positive-pressure ventilation if still not breathing Correct answer.
  4. Rub the back vigorously for two minutes before doing anything else

Explanation

Newborn resuscitation begins with drying and warming, opening the airway and stimulating breathing, followed promptly by ventilation if the baby remains apnoeic. Delay causes hypoxia and worsens outcomes.

Question 49Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

A health worker is asked to prepare a patient for a surgical operation. Which combination of tasks belongs to pre-operative preparation?

  1. Shave the operation site without any instruction and give extra fluids
  2. Send the patient to theatre without checking the record or identity
  3. Give the patient a heavy meal and allow them to walk to theatre alone
  4. Confirm consent, check fasting status, remove jewellery and record baseline observations Correct answer.

Explanation

Pre-operative preparation includes confirming consent, fasting status, removal of jewellery and prostheses, and recording baseline observations for the theatre team. These steps reduce anaesthetic and surgical risks.

Question 50Health Care (NSQF vocational trade) - domain structure and weighting not enumerated in the source

Under the NSQF Health Care course, a student is learning about the levels of health care delivery in India. Which facility is best described as a first point of contact providing basic curative and preventive services in a rural area?

  1. Medical college hospital for tertiary referral
  2. District hospital providing specialist care
  3. Primary Health Centre serving a block of villages
  4. Sub-centre staffed by an ANM for a few villages Correct answer.

Explanation

A sub-centre is the most peripheral contact point in the rural public health system, staffed by an Auxiliary Nurse Midwife and serving a small population with basic preventive and promotive services. It is the first point of contact before referral to a PHC or higher facility.