RRB PARAMEDICAL STAFF NURSE EXAM PAPER 2026

 RRB PARAMEDICAL STAFF NURSE EXAM PAPER 2026

Based on the exam paper for the Nursing Superintendent position dated March 12, 2026, here are the 100 multiple-choice questions from the General Ability and Professional Ability sections:

Section: General Ability

1. Which physiographic region of the Northern Plains of India is characterised by a wet, marshy, and swampy surface and lies immediately south of the Bhabar belt due to the re-emergence of rivers?

1. Terai
2. Khadar
3. Karewas
4. Bhangar Correct Answer: 1

2. The Eighth Schedule of the Indian Constitution deals with which of the following subjects?

1. Distribution of powers between the Union and the States
2. Allocation of seats in the Rajya Sabha
3. Languages recognised by the Constitution
4. Administration of Scheduled Areas Correct Answer: 3

3. Which of the following factors will increase the strength of the magnetic field at the center of a current-carrying circular loop?

1. Changing the loop's plane from horizontal to vertical
2. Decreasing the current through the loop
3. Increasing the number of turns of the loop
4. Increasing the radius of the loop Correct Answer: 3

4. What was the role of ICAR during the Green Revolution?

1. Regulating the price of rural fertilisers
2. Conducting crop trials and research
3. Distributing land titles in villages
4. Monitoring food subsidies for farmers Correct Answer: 2

5. Vaccinations are given to farm animals primarily to protect them from which of the following?

1. Nutritional deficiencies
2. Major viral and bacterial diseases
3. External parasites only
4. Heat stress Correct Answer: 2

6. If 1 is subtracted from each odd digit and 1 is added to each even digit in the number 843675432925, what will be the sum of the digits which are third from the left and second from the right in the new number thus formed?

1. 2
2. 4
3. 5
4. 3 Correct Answer: 3

7. Find the median of the following data: 45, 50, 55, 12, 18, 25, 30, 32, 40.

1. 30
2. 40
3. 32
4. 25 Correct Answer: 3

8. Which river forms the Dhuandhar Waterfall in Madhya Pradesh?

1. Betwa
2. Chambal
3. Ken
4. Narmada Correct Answer: 4

9. A doctor uses a stethoscope to listen to a patient’s heartbeat. How does the stethoscope help the doctor hear faint heart sounds more clearly?

1. It amplifies sound electronically
2. It filters out high-frequency noise
3. It collects and transmits sound waves efficiently from the chest to the ears
4. It changes sound waves into light signals Correct Answer: 3

10. In 2025, the Central Excise (Amendment) Bill aimed to amend legislation originally enacted in which year?

1. 1950
2. 1985
3. 2000
4. 1944 Correct Answer: 4

11. Select the option that completes the following chemical reaction: 2Na + 2CH3CH2OH → X + Y.

1. X = CH3CH2O−Na+; Y = H2O
2. X = 2CH3O−Na+; Y = H2
3. X = 2CH3CH2O−Na+; Y = H2
4. X = 2CH3CH2O−Na+; Y = O2 Correct Answer: 3

12. Which of the following Articles of the Indian Constitution are concerned with the protection of environment and wildlife?

1. Article 41A
2. Article 38A
3. Article 42A
4. Article 48A Correct Answer: 4

13. Based on the English alphabetical order, which of the following letter cluster pairs is the odd one out?

1. LV – CI
2. EO - VB
3. BL – TY
4. RB - IO Correct Answer: 3

14. Which process leads to the formation of a positive ion?

1. Loss of electrons
2. Sharing of electrons
3. Gain of electrons
4. Splitting of molecules Correct Answer: 1

15. Which of the following term is used in cricket when a batsman is dismissed without scoring any runs?

1. Duck
2. Over
3. Century
4. Boundary Correct Answer: 1

16. Two taps can fill a cistern in 3 hours and 21 hours respectively. A third tap can empty it in 3 hours. How long (in hours) will it take to fill two-third of the empty cistern, if all are opened together?

1. 42
2. 14
3. 56
4. 28 Correct Answer: 2

17. A sells a Laptop to B at a loss of 25% and B sells it to C at a profit of 40%. If C purchased it for ₹4,998, what was the cost price for A?

1. 4,673
2. 4,658
3. 4,699
4. 4,760 Correct Answer: 4

18. During free fall, when an object is released from rest, how does the gravitational force of the Earth affect its motion?

1. It increases the object's velocity
2. It decreases the object's velocity
3. It stops the object instantly
4. It maintains the object's velocity Correct Answer: 1

19. Under which policy were Indian rulers required to dissolve their own armed forces and bear the cost of maintaining British forces?

1. Policy of Neutrality
2. Subsidiary Alliance
3. Policy of Paramountcy
4. Policy of Mercantilism Correct Answer: 2

20. What is the primary objective of launching India’s first National Biofoundry Network in August 2025?

1. Gene editing
2. Wildlife study
3. Biomanufacturing
4. Skill training Correct Answer: 3

21. A cylindrical tank with radius r and height h is filled with water. A solid metallic cylinder of radius r/2 and height 2h is submerged completely. By what fraction does the water level rise?

1. 1/8
2. 1/16
3. 1/4
4. 1/2 Correct Answer: 4

22. Why is it important to select crop varieties suited to the local climate for yield improvement?

1. To reduce labor costs
2. To increase the size of equipment
3. To prevent crop failure and ensure maximum productivity
4. To minimize fertilizer use Correct Answer: 3

23. In the series C B A S N U C O M D K I F J H A I P B E B H, how many consonants are immediately preceded AND followed by a consonant?

1. 4
2. 1
3. 2
4. 3 Correct Answer: 3

24. G, H, I, J, M, N and O are sitting around a circular table facing the centre. O is 4th left of J. I is 4th right of N. Two people are between J and N (left of J). M is not near I or J. G is not near M. Who is 3rd right of H?

1. M
2. I
3. G
4. O Correct Answer: 3

25. Which statement(s) about carbon compounds is/are true? I: Saturated compounds have single bonds satisfying valency. II: They are normally not very reactive.

1. Statement-I is true but II is false
2. Both statements are true
3. Statement-I is false but II is true
4. Both statements are false Correct Answer: 2

26. Why are Indian poultry breeds cross-bred with exotic breeds?

1. Developing poultry with high yield and local adaptability
2. To create entirely new species
3. To produce genetically identical birds
4. To reduce feed needs only Correct Answer: 1

27. The amendment to the Karnataka Land Reforms Act, 1961, and Revenue Act, 1964, in 2025 is known as:

1. Karnataka Land Revenue Law (Amendment) Act
2. Karnataka Land Reforms (Amendment) Act
3. Karnataka Land Reforms and Revenue Law (Amendment) Act
4. Karnataka Land Reforms and Certain Other Law (Amendment) Act Correct Answer: 4

28. Ramu moves East 90m, turns right moves 20m, turns right again moves 30m, finally turns right and walks 100m. In which direction should he walk to reach home?

1. North-east
2. North-west
3. South-east
4. South-west Correct Answer: 4

29. A stone is thrown vertically downwards at 5 m/s from a tower. What is its velocity after 2 seconds? (g = 10 m/s²)

1. 20 m/s
2. 25 m/s
3. 15 m/s
4. 30 m/s Correct Answer: 2

30. In a division sum, the divisor is 20 times the quotient and 8 times the remainder. If the remainder is 50, what is the dividend?

1. 8050
2. 7950
3. 8150
4. 8100 Correct Answer: 1

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Section: Professional Ability

31. A patient develops a UTI two days after surgery admission. This is described as:

1. Community-acquired
2. Chronic suppurative
3. Hospital-acquired
4. Opportunistic Correct Answer: 3

32. Which is NOT a function of the planning stage in nursing administration?

1. Identifying goals
2. Outlining steps
3. Supervising staff during procedures
4. Setting priorities Correct Answer: 3

33. What characteristic is most important for health education program objectives to ensure measurable outcomes?

1. Flexibility
2. Generalization
3. Ambiguity
4. Specificity Correct Answer: 4

34. Health education via television and radio is an example of which approach?

1. Counseling
2. Mass approach
3. Individual
4. Community Correct Answer: 2

35. What is a key advantage of simulation in clinical nursing education?

1. Safe environment for practicing without patient risk
2. Replaces actual clinical experience
3. Limits student interaction
4. Guarantees perfect real-life performance Correct Answer: 1

36. For oral care of an unconscious patient, which two actions ensure safety?

1. Hard brush and sitting upright
2. Side-lying position and soft toothbrush
3. Rinsing with enough water
4. Mouthwash only and head flat Correct Answer: 2

37. What position best promotes lung expansion for impaired respiratory function?

1. High Fowler’s
2. Lithotomy
3. Trendelenburg
4. Prone Correct Answer: 1

38. Persistence of which reflex beyond 6 months may indicate neurological abnormality?

1. Moro reflex
2. Babinski reflex
3. Corneal reflex
4. Parachute reflex Correct Answer: 1

39. Thick, curd-like vaginal discharge most likely indicates which organism?

1. Gardnerella vaginalis
2. Candida albicans
3. Neisseria gonorrhoeae
4. Trichomonas vaginalis Correct Answer: 2

40. Which strategy best engages participants in critical thinking during vaccination health education?

1. Open question and answer session
2. Distributing printed schedules
3. Recorded testimonial video
4. Reading statistics aloud Correct Answer: 1

41. Which finding is a significant red flag for neurological dysfunction in a 7-month-old infant?

1. Persistence of the palmar grasp reflex
2. Absence of the moro reflex
3. Presence of gag reflex
4. Positive Babinski sign Correct Answer: 1

42. Which is a common complication of poorly managed gestational diabetes?

1. Hyperemesis
2. Macrosomia
3. Preterm labor
4. Placenta previa Correct Answer: 2

43. In personality development, how does 'will' typically interact with 'character'?

1. Will shapes character independently
2. Will enables action in alignment with character
3. Character prevents will
4. Will acts independently of character Correct Answer: 2

44. Which mass casualty patient gets highest triage priority?

1. Fractured arm
2. Severe respiratory distress
3. Minor lacerations
4. No pulse/respiration Correct Answer: 2

45. Which nursing process approach best suits a low-resource household with multiple health issues?

1. Refer for all services
2. Focus only on chronic illness
3. Prioritize most urgent family needs
4. Implement all interventions simultaneously Correct Answer: 3

46. What is a common misconception about suicide risk when depression improves?

1. They need close monitoring
2. No risk if they deny thoughts
3. Risk is same as before
4. They are at reduced risk and don't need monitoring Correct Answer: 4

47. A post-op patient has weight gain, hypotension, muscle cramps, confusion, and sodium 126 mEq/L. Cause?

1. Hyperglycemia/hyponatremic dehydration
2. Excessive sodium/hyperglycemia
3. Dehydration/Potassium deficiency
4. Fluid overload and hyponatremia Correct Answer: 4

48. Effective treatment for pelvic infections like vaginitis combines:

1. PT and diet
2. Antibiotics and hygiene education
3. Chemo and radiation
4. Transfusion and surgery Correct Answer: 2

49. Which lifestyle modification is recommended during preconception care?

1. Avoidance of smoking
2. Regular handwashing
3. Sun exposure
4. Moderate caffeine Correct Answer: 1

50. Crucial intervention to prevent aspiration in an unconscious patient?

1. Encourage oral intake
2. Supine position
3. Lateral recumbent position
4. Soft pillow under neck Correct Answer: 3

51. Which is a sign of proper breastfeeding latch?

1. Sucking only lower lip
2. Mouth covers only nipple
3. Lips tightly closed
4. Mouth covers most of areola Correct Answer: 4

52. Prioritize which parameter for safe pediatric drug dosing?

1. Nature of disease
2. Weight of child
3. Pharmacokinetics
4. Built of patient Correct Answer: 2

53. Immediate physiological consequence of chest trauma regarding gas exchange?

1. Increased bicarbonate reabsorption
2. Reduced oxygen diffusion from alveoli to blood
3. Improved oxygen affinity
4. Enhanced CO2 release Correct Answer: 2

54. Which statement shows understanding of the benefit of rooming-in?

1. Allows recognizing and responding to baby's needs quickly
2. Only see baby during visiting hours
3. Prevents contact
4. Baby stays in nursery overnight Correct Answer: 1

55. Why do torn ligaments heal slowly?

1. Elastic cartilage flexibility
2. Dense regular connective tissue has limited blood supply
3. Adipose energy storage
4. Squamous epithelium diffusion Correct Answer: 2

56. First step in preparing a health education plan?

1. Assessing community needs
2. Selecting media
3. Evaluation tools
4. Choosing resource persons Correct Answer: 1

57. Key aspect of family health care services?

1. Treating existing diseases only
2. Focusing on one individual
3. Mental health only
4. Prevention of diseases in all members Correct Answer: 4

58. Interview technique to encourage elaboration on feelings?

1. Closed-ended
2. Open-ended
3. Leading
4. Yes/no Correct Answer: 2

59. Which organization supports a large-scale vitamin A supplement campaign?

1. UNICEF
2. FAO
3. Red Cross
4. WHO Correct Answer: 1

60. First step in IVF process?

1. Oocyte retrieval
2. Sperm injection
3. Controlled ovarian stimulation
4. Embryo transfer Correct Answer: 3

61. Which teaching method aligns with higher-order Bloom’s Taxonomy skills?

1. Basic procedure demonstration
2. Factual recall lecture
3. Simulation with role-play
4. Guided summaries Correct Answer: 3

62. Two key actions for GNM nurses managing minor community ailments?

1. Advanced diagnostic tests
2. Ignore instructions
3. Assess symptoms and provide appropriate care
4. Only antibiotics Correct Answer: 3

63. Indicator directly reflecting improvements in child health services?

1. Growth rate rise
2. Increase in immunization coverage
3. Birth rate decrease
4. More private hospitals Correct Answer: 2

64. Following nursing standards in forensic psychiatry helps to:

1. Reduce risk of legal liability
2. Allow personal belief deviations
3. Prioritize personal opinion
4. Make decisions without guidelines Correct Answer: 1

65. Nurse’s role in specialized government health insurance services?

1. Only curative care
2. Administrative tasks only
3. Facilitating access and coordinating referrals
4. Only immunizations Correct Answer: 3

66. Common cause of physiological jaundice in newborns?

1. Liver infection
2. Vitamin deficiency
3. Immature liver function
4. Genetic disorder Correct Answer: 3

67. Sociology is important to nursing for all EXCEPT:

1. Holistic understanding
2. Focusing ONLY on bio-medical model
3. Improving relationships
4. Cultural competence Correct Answer: 2

68. Purpose of minimum stock level for critical ward supplies?

1. Minimize supply costs
2. Prevent stock-outs
3. Reduce storage space
4. Handle overstock Correct Answer: 2

69. Recommended action if a child misses the second DPT dose?

1. Restart series
2. Skip dose
3. Wait for booster
4. Administer as soon as possible Correct Answer: 4

70. Symptom to observe in hypocalcemia?

1. Dry skin
2. Slow pulse
3. Excessive thirst
4. Muscle twitching Correct Answer: 4

71. Next step in emergency burn management after ensuring patent airway?

1. Sterile sheet cover
2. IV analgesics
3. Antibiotics
4. Initiate fluid resuscitation Correct Answer: 4

72. Strategy to address inconsistent school health ambassador participation?

1. High-performer incentives only
2. Relying on teachers
3. Collaborating with student leaders
4. Mandatory tasks Correct Answer: 3

73. Application of demographic data to improve rural contraceptive uptake?

1. Identify age-specific fertility rates for targeted intervention
2. Adolescent nutrition camps
3. Newborn immunization
4. Pamphlet distribution Correct Answer: 1

74. Interpretation of incomplete nursing records in quality review?

1. Sufficient staff
2. Outcomes not influenced
3. Documentation standards inconsistently followed
4. Verbal replaces written Correct Answer: 3

75. Priority environmental modification for a confused elderly patient?

1. Clear pathways and adequate lighting
2. Remove all personal items
3. Bed near window
4. Locked door Correct Answer: 1

76. Primary purpose of Gram staining?

1. Measure growth
2. Sterilize
3. Determine shape
4. Differentiate Gram-positive and Gram-negative Correct Answer: 4

77. Immediate action if supply expenditures consistently exceed budget?

1. Ignore
2. Request funds without analysis
3. Cut orders
4. Analyze usage patterns and adjust budget Correct Answer: 4

78. Effective measure to prevent hypothermia in sick newborns?

1. Open window
2. Frequent baths
3. Radiant warmer or incubator
4. Thin blanket swaddling Correct Answer: 3

79. Development type dealing with managing and expressing feelings?

1. Physical
2. Social
3. Cognitive
4. Emotional Correct Answer: 4

80. Action contributing to a therapeutic environment?

1. Listening to patient concerns
2. Focus on meds
3. Withholding info
4. Rushing procedures Correct Answer: 1

81. Action for patient with cool, clammy skin, weak pulse, and low urine output?

1. Warm blankets
2. High Fowler’s
3. Report possible hypovolemic shock
4. Rapid oral fluids Correct Answer: 3

82. Endocrine gland primarily responsible for regulating metabolism?

1. Pancreas
2. Pineal
3. Adrenal
4. Thyroid Correct Answer: 4

83. Typical iron content in 100 ml of mature breast milk?

1. 5.6-8.4 mg
2. 2.5-4.5 mg
3. 0.8-1.8 mg
4. 0.03-0.07 mg Correct Answer: 4

84. Effective strategy for diabetic diet adherence?

1. Calorie restriction only
2. Involving patients in meal planning
3. Abrupt changes
4. Complex charts Correct Answer: 2

85. Principle applied when measles vaccine is given within 72 hours of exposure?

1. Autoimmune
2. Cell-mediated
3. Active immunization
4. Passive immunization Correct Answer: 3

86. Initial step for administrator when medication errors increase?

1. Replace carts
2. Conduct root cause analysis meeting
3. Disciplinary memo
4. Increase rounds Correct Answer: 2

87. Joint type between vertebral bodies?

1. Saddle
2. Cartilaginous symphysis
3. Ball and socket
4. Pivot Correct Answer: 2

88. Likely cause of hot flashes 2 weeks after abdominal hysterectomy?

1. Aging reduction in estrogen
2. Delayed chemo
3. Adrenal secretion
4. Abrupt loss of ovarian hormone production Correct Answer: 4

89. Important function of plasma proteins?

1. Heart regulation
2. Nutrient absorption
3. Oxygen transport
4. Coagulation of blood Correct Answer: 4

90. Communication involving spoken words?

1. Written
2. Verbal
3. Symbolic
4. Nonverbal Correct Answer: 2

91. Parent says "re-test at different hospital" regarding child's stage IV cancer. DABDA stage?

1. Bargaining
2. Denial
3. Displacement
4. Acceptance Correct Answer: 2

92. Common congenital uterine malformation?

1. PCOS
2. Bicornuate uterus
3. Endometriosis
4. Fibroid Correct Answer: 2

93. Rationale for PPI and avoiding NSAIDs with peptic ulcer?

1. Increase stomach acid
2. Improve absorption
3. Promote healing and prevent irritation
4. Prevent diarrhea Correct Answer: 3

94. Definition of 'dynamics of behaviour' in psychology?

1. Visible actions
2. Underlying forces influencing actions
3. Social rules
4. Genetic traits only Correct Answer: 2

95. Midwife ethical leadership action in newborn death review?

1. Individual blame
2. Restrict feedback
3. Facilitating open discussion for root causes
4. Concealing problems Correct Answer: 3

96. Action promoting social justice in healthcare?

1. High-quality care to selected patients
2. Report personal grievances
3. Prioritize private urban facilities
4. Advocating for equitable access and treatment Correct Answer: 4

97. Integrate which two concepts for school health promotion?

1. Water/energy
2. Parent/academic
3. Nutrition and physical activity
4. Rx and chronic illness Correct Answer: 3

98. Essential combination for Type 1 Diabetes management in children?

1. Antibiotics/rest
2. PT/steroids
3. Insulin and glucose monitoring
4. Iron/hydration Correct Answer: 3

99. Sampling technique ensuring equal representation from surgery, peds, and oncology?

1. Stratified sampling
2. Convenience
3. Snowball
4. Simple random Correct Answer: 1

100. Recently emerged significant challenge in child mental health?

1. Sedentary lifestyle
2. Rising exposure to social media
3. Peer pressure
4. Parent education Correct Answer: 2

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