Charge Nurse Preparation Book PDF 2026 (Free Download)

What is in the Charge Nurse book

Each model paper carries the same number of MCQs per subject as the real Charge Nurse paper, so sitting it is a rehearsal of the real thing, not a random worksheet.

Sample MCQs from the Charge Nurse book

The first 10 questions of model paper 1.

1. Medical Surgical Nursing

   1. A patient develops hypotension, distended neck veins, and muffled heart sounds after penetrating chest trauma. Which condition should the nurse suspect?

   • A. Tension pneumothorax
   • B. Cardiac tamponade
   • C. Massive haemothorax
   • D. Pulmonary contusion
   Show answer

   Answer: B, Cardiac tamponade. See the explanation

2. Fundamentals of Nursing

   2. Which nursing intervention best reflects an individualised plan for a patient who has difficulty walking?

   • A. Encourage every patient to walk independently
   • B. Provide assistance according to the patient's assessed ability
   • C. Keep the patient on bed rest throughout admission
   • D. Use the same mobility schedule for all patients
   Show answer

   Answer: B, Provide assistance according to the patient's assessed ability. See the explanation

3. Midwifery and Obstetric Nursing

   3. Immediately after spontaneous rupture of the membranes in labour, which nursing action has priority?

   • A. Assess the fetal heart rate
   • B. Offer the woman oral fluids
   • C. Begin fundal massage
   • D. Prepare the postnatal bed
   Show answer

   Answer: A, Assess the fetal heart rate. See the explanation

4. Paediatric Nursing

   4. A child with a heavy roundworm infestation develops colicky abdominal pain, vomiting and abdominal distension. Which complication should the nurse suspect?

   • A. Intestinal obstruction
   • B. Acute glomerulonephritis
   • C. Bacterial meningitis
   • D. Middle-ear effusion
   Show answer

   Answer: A, Intestinal obstruction. See the explanation

5. Community Health Nursing

   5. During a food-borne outbreak, 20 of 100 people who ate at a community meal become ill. What is the attack rate among those who ate the meal?

   • A. 5 percent
   • B. 10 percent
   • C. 20 percent
   • D. 50 percent
   Show answer

   Answer: C, 20 percent. See the explanation

6. Nursing Pharmacology

   6. A patient taking clozapine develops fever, sore throat and mouth ulcers. Which finding should the nurse report urgently?

   • A. Possible neutropenia requiring an urgent blood count
   • B. Mild increased appetite requiring a dietary record
   • C. Temporary dry mouth requiring frequent oral fluids
   • D. Occasional drowsiness requiring a later bedtime
   Show answer

   Answer: A, Possible neutropenia requiring an urgent blood count. See the explanation

7. Mental Health Nursing

   7. A patient says, “I am worried that people will laugh at me if I join the group.” Which response best validates the patient’s experience?

   • A. “You should join because the group is helpful.”
   • B. “Other patients are not likely to laugh at you.”
   • C. “It sounds difficult to risk joining when you fear being laughed at.”
   • D. “Why do you think people would laugh at you?”
   Show answer

   Answer: C, “It sounds difficult to risk joining when you fear being laughed at.”. See the explanation

8. Anatomy and Physiology for Nursing

   8. Which valve is located between the right atrium and right ventricle?

   • A. Tricuspid valve
   • B. Pulmonary valve
   • C. Mitral valve
   • D. Aortic valve
   Show answer

   Answer: A, Tricuspid valve. See the explanation

9. Nursing Management and Ethics

   9. A nurse manager wants to improve staff motivation on a busy medical ward. Which action is most appropriate?

   • A. Offer praise for safe and effective performance
   • B. Give the same duty to one reliable nurse
   • C. Withhold information until problems occur
   • D. Use criticism as the main form of feedback
   Show answer

   Answer: A, Offer praise for safe and effective performance. See the explanation

10. Medical Surgical Nursing

    10. A patient is admitted after a suspected cervical spine injury from a road traffic crash. Which action is the priority while awaiting imaging?

    • A. Ask the patient to sit upright slowly
    • B. Maintain manual alignment of the head and neck
    • C. Place a pillow beneath the patient's neck
    • D. Encourage active neck movement to assess pain
    Show answer

    Answer: B, Maintain manual alignment of the head and neck. See the explanation

Practise Charge Nurse online, free

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