Head Nurse Preparation Book PDF 2026 (Free Download)

What is in the Head Nurse book

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

Sample MCQs from the Head Nurse book

The first 10 questions of model paper 1.

1. Nursing Management and Ethics

   1. Which statement about accountability after delegation is correct?

   • A. The nurse remains accountable for overall patient care
   • B. The assistant becomes responsible for the nursing plan
   • C. The patient becomes responsible for checking the task
   • D. The nurse manager assumes every delegated duty
   Show answer

   Answer: A, The nurse remains accountable for overall patient care. See the explanation

2. Medical Surgical Nursing

   2. Which urinalysis finding is most consistent with acute tubular injury rather than prerenal kidney injury?

   • A. Concentrated urine with a high specific gravity
   • B. Muddy brown granular casts in the urine
   • C. Small urine volume after fluid loss
   • D. Clear urine with no abnormal sediment
   Show answer

   Answer: B, Muddy brown granular casts in the urine. See the explanation

3. Fundamentals of Nursing

   3. Which finding in a patient with constipation requires prompt nursing assessment before giving a laxative?

   • A. Mild straining during a bowel movement
   • B. Passing flatus once during the morning
   • C. Increasing abdominal distension with vomiting
   • D. Preferring to use the toilet after breakfast
   Show answer

   Answer: C, Increasing abdominal distension with vomiting. See the explanation

4. Community Health Nursing

   4. During a nutrition session, a mother asks how to prevent iron deficiency in her young child. Which advice is most appropriate?

   • A. Provide iron-rich foods and use supplements when prescribed
   • B. Give tea with meals to improve iron absorption
   • C. Restrict legumes because they contain too much protein
   • D. Replace all complementary foods with fruit juice
   Show answer

   Answer: A, Provide iron-rich foods and use supplements when prescribed. See the explanation

5. Midwifery and Obstetric Nursing

   5. A pregnant woman at 28 weeks says that she has noticed much less fetal movement than usual since yesterday. What is the priority nursing action?

   • A. Advise her to return at the next scheduled visit
   • B. Assess the report promptly and arrange fetal evaluation
   • C. Tell her that movement normally stops near term
   • D. Recommend increased dietary calcium and rest
   Show answer

   Answer: B, Assess the report promptly and arrange fetal evaluation. See the explanation

6. Nursing Pharmacology

   6. A patient develops wheezing, facial swelling and severe itching shortly after receiving a first dose of an antibiotic. Which action should the nurse take first?

   • A. Offer oral fluids and reassess in 30 minutes
   • B. Stop the drug and call for emergency treatment
   • C. Document the reaction after completing the medication round
   • D. Give the next dose slowly to reduce further symptoms
   Show answer

   Answer: B, Stop the drug and call for emergency treatment. See the explanation

7. Paediatric Nursing

   7. A child has a flame burn involving the front of the chest and upper arm. The clothing is hot but not stuck to the skin, and the child is breathing normally. Which first-aid action is appropriate?

   • A. Remove the hot clothing and cool the burn with clean running water
   • B. Apply ice directly to the burn and cover it with cotton wool
   • C. Break blisters and apply an antiseptic cream over the burned area
   • D. Rub the burned skin firmly to remove soot and loose tissue
   Show answer

   Answer: A, Remove the hot clothing and cool the burn with clean running water. See the explanation

8. Mental Health Nursing

   8. A patient with heavy alcohol use becomes tremulous, sweaty, anxious, and reports seeing insects on the wall. What is the priority nursing action?

   • A. Place the patient in a brightly lit activity room
   • B. Institute seizure precautions and notify the provider
   • C. Encourage the patient to walk to reduce anxiety
   • D. Tell the patient that the visual experiences are imaginary
   Show answer

   Answer: B, Institute seizure precautions and notify the provider. See the explanation

9. English

   9. Complete the sentence using the grammatically correct word or phrase.Committee _ issued a report.

   • A. Has
   • B. Will have
   • C. Will
   • D. Have
   Show answer

   Answer: A, Has. See the explanation

10. General Knowledge

    10. PBS stands for _________?

    • A. Pakistan Bureau of Science
    • B. Pakistan Board of Statistics
    • C. Pakistan Bureau of Statistics
    • D. Pakistan Board of Science
    Show answer

    Answer: C, Pakistan Bureau of Statistics. See the explanation

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