OSSSC Nursing Officer Exam Day-2 Analysis 2026: The OSSSC Nursing Officer Exam Day 2 was conducted in two shifts on 23 September 2026. Candidates who appeared in Shift I and Shift II are now searching for the latest analysis, section-wise difficulty level, good attempts, memory-based questions and expected cut-off.

In this article, we analyse the available candidate feedback for both shifts and discuss the likely difficulty level, important sections, score calculation and expected cut-off.

OSSSC Nursing Officer Exam Day 2 2026: Overview

Particular	Details
Exam	OSSSC Nursing Officer Recruitment Examination 2026
Exam Day	Day 2
Date	23 September 2026
Shifts	Shift I & Shift II
Total Questions	100
Total Marks	100
Duration	2 Hours
Negative Marking	0.25 mark for each wrong answer

OSSSC Nursing Officer Exam Pattern 2026

Subject / Section	Questions	Marks
Nursing Subjects	60	60
Practical Nursing Skills	25	25
Arithmetic	10	10
English	5	5
Total	100	100

OSSSC Nursing Officer Day 2 Shift I Analysis 2026

Overall Difficulty Level

Based on the available candidate feedback, Shift I was broadly easy to moderate. Nursing Theory was reported as manageable, while Practical Skills appeared comparatively scoring. Arithmetic required greater attention because some questions were tricky.

Section	Difficulty	Analysis
Nursing Theory	Easy to Moderate	Mostly familiar concepts with some application-based questions.
Practical Skills	Easy to Moderate	Comparatively scoring for candidates with good clinical preparation.
Arithmetic	Tricky	Calculation-based questions could consume valuable time.
English	Easy to Moderate	Generally manageable for candidates with basic preparation.

Shift I Nursing Topic-Wise Analysis

The Nursing section covered a broad range of nursing concepts. Candidates should particularly review:

• Nursing Foundation
• Medical-Surgical Nursing
• Community Health Nursing
• Child Health Nursing
• Midwifery and Obstetrical Nursing
• Mental Health Nursing
• Anatomy and Physiology
• Microbiology
• Nutrition
• First Aid and Emergency Nursing
• Practical Nursing Procedures

Shift I Good Attempts

A precise number of good attempts cannot be confirmed from the available video material. Because the examination contains negative marking, candidates should focus on accurate attempts rather than maximum attempts.

OSSSC Nursing Officer Day 2 Shift II Analysis 2026

Overall Difficulty Level

According to available candidate feedback, Shift II was moderate overall. Nursing Theory was comparatively more conceptual, Arithmetic was lengthy and English was relatively easy.

Section	Difficulty	Analysis
Nursing Theory	Moderate	Required conceptual understanding and careful reading.
Practical Skills	Moderate	Clinical procedures and practical judgement were important.
Arithmetic	Moderate to Difficult	Several questions were lengthy and time-consuming.
English	Easy	Relatively straightforward compared with other sections.

Shift II Important Topics

• Nursing Foundation
• Medical-Surgical Nursing
• Community Health Nursing
• Child Health Nursing
• Midwifery
• Mental Health Nursing
• Anatomy and Physiology
• Practical Nursing Skills
• First Aid and Emergency Care
• Arithmetic and basic calculations
• Basic English

Shift I vs Shift II: OSSSC Nursing Officer Exam Analysis

Parameter	Shift I	Shift II
Overall	Easy to Moderate	Moderate
Nursing Theory	Easy to Moderate	Moderate
Practical Skills	Scoring	Moderate / Scoring
Arithmetic	Tricky	Lengthy
English	Manageable	Easy

OSSSC Nursing Officer Expected Cut Off 2026

The official OSSSC Nursing Officer Cut Off 2026 has not yet been released. Therefore, candidates should not consider social-media estimates as the final cut-off.

The reported minimum qualifying benchmark is 35% for candidates in the applicable general category and 30% for specified reserved/special categories.

Benchmark	Marks	Meaning
35% Qualifying Level	35/100	Minimum qualifying benchmark
30% Qualifying Level	30/100	Applicable to specified reserved/special categories

Expected OSSSC Nursing Officer Cut Off 2026: What Can Affect It?

• Total number of vacancies.
• Number of candidates appearing in the examination.
• Overall difficulty level.
• Shift-wise difficulty variation.
• Candidate score distribution.
• Category-wise vacancies.
• Applicable normalisation procedure.
• Number of candidates shortlisted for subsequent stages.

After checking the OSSSC Nursing Officer Exam Analysis 2026, candidates can improve their preparation with our OSSSC Nursing Officer Practice Quiz 2026 .

Want to know the financial benefits of a Nursing Officer post? Check our latest Nursing Officer Salary, Pay Scale & Allowances Updates for related salary and payment information.

For more government nursing vacancies, visit the Latest Nursing Jobs section on All Nursing Jobs 4 U.

OSSSC Nursing Officer Memory-Based Questions 2026

Memory-based questions are extremely useful for understanding the actual examination trend. However, questions remembered immediately after an examination may contain incorrect wording or options.

How to Calculate OSSSC Nursing Officer Expected Score?

Since the examination includes negative marking, candidates should calculate their probable marks using both correct and incorrect answers.

Example: If a candidate attempted 90 questions, with 76 correct and 14 incorrect:

Correct marks = 76
Negative marks = 14 × 0.25 = 3.50
Estimated score = 72.50 marks

This is only a raw-score calculation. Candidates should wait for official OSSSC information regarding the final evaluation process.

Is 70+ a Good Score in OSSSC Nursing Officer 2026?

A score such as 70+ can be useful for comparing your performance with other candidates, but it should not automatically be described as a guaranteed selection score.

The final position will depend on the official merit process, category, vacancies, candidate performance and any applicable normalisation.

OSSSC Nursing Officer Exam Analysis 2026: Key Takeaways

• Day 2 Shift I was broadly reported as easy to moderate.
• Practical Skills in Shift I were considered comparatively scoring.
• Arithmetic in Shift I required careful calculation.
• Shift II Nursing was reported as moderate.
• Arithmetic in Shift II was relatively lengthy.
• English in Shift II was comparatively easy.
• Accuracy is important because of negative marking.
• The official category-wise cut-off is awaited.
• 35% and 30% should be understood as qualifying benchmarks rather than the final merit cut-off.

Frequently Asked Questions

1. When was OSSSC Nursing Officer Exam Day 2 conducted?

Day 2 of the examination was conducted on 23 September 2026 in two shifts.

2. What was the difficulty level of Shift I?

Based on available candidate feedback, Shift I was broadly easy to moderate.

3. What was the difficulty level of Shift II?

Shift II was broadly reported as moderate, with Arithmetic being relatively lengthy and English comparatively easy.

4. Is there negative marking in OSSSC Nursing Officer Exam 2026?

Yes. The reported marking scheme includes a deduction of 0.25 mark for each incorrect answer.

5. What is the minimum qualifying mark?

The reported minimum qualifying level is 35% for the applicable general category and 30% for specified reserved/special categories.

6. What is the expected cut-off for OSSSC Nursing Officer 2026?

The final cut-off cannot be confirmed until OSSSC releases the relevant official information. Unofficial estimates may change after the response sheet, answer key and candidate score data become available.

7. Where can I get OSSSC Nursing Officer memory-based questions?

Memory-based questions can be reconstructed from candidate feedback and exam-analysis videos. Always verify the question and answer before treating it as confirmed.

8. Where can I find more Nursing Officer updates?

Follow All Nursing Jobs 4 U for Nursing Officer vacancies, exam analysis, practice questions, admit cards, results and other nursing recruitment updates.

More Important OSSSC NURSING OFFICER EXAM Post 

For stronger SEO and better user navigation, add internal links to related posts on your website:

• OSSSC Nursing Officer Practice Quiz 2026
• OSSSC Nursing Officer Exam Date 2026
• OSSSC Nursing Officer Admit Card 2026
• OSSSC Nursing Officer Recruitment 2026
• Latest Nursing Officer Government Jobs

Use descriptive anchor text rather than generic phrases such as “click here”.

Final Words

The OSSSC Nursing Officer Exam Day 2 analysis suggests that candidates faced a manageable but time-sensitive examination. Shift I was broadly easy to moderate, while Shift II was comparatively moderate. Arithmetic played an important role in time management, particularly in Shift II.

Candidates should avoid relying entirely on unofficial cut-off predictions. The final selection cut-off can only be established after the official recruitment process and result-related information are released by OSSSC.

OSSSC Nursing Officer Exam Analysis 2026, OSSSC Nursing Officer Exam Day 2 Analysis, OSSSC Nursing Officer Shift 1 Analysis 2026, OSSSC Nursing Officer Shift 2 Analysis 2026, OSSSC Nursing Officer Expected Cut Off 2026, OSSSC Nursing Officer Memory Based Questions, OSSSC Nursing Officer Good Attempts, OSSSC Nursing Officer Question Paper Analysis, OSSSC Nursing Officer Cut Off 2026, Odisha Nursing Officer Exam Analysis.

Disclaimer: This article is intended for educational and informational purposes. Difficulty level, good attempts and expected cut-off are unofficial estimates based on available candidate feedback. The official OSSSC notification, answer key, result and cut-off should be considered final.

OSSSC Nursing Officer 2026 preparation requires strong command over clinical nursing concepts, patient assessment, emergency care, pharmacology, cardiovascular nursing, respiratory disorders, neurological conditions, renal disorders and other major areas of Medical-Surgical Nursing. To support systematic revision, this practice set contains 50 original nursing exam questions with four options, correct answers and concise explanations.

This quiz is designed for GNM, B.Sc. Nursing and other nursing aspirants preparing for competitive examinations. The questions emphasize clinical decision-making and frequently tested concepts rather than simply asking for memorized facts.

The broader OSSSC Nursing Officer syllabus includes nursing subjects such as Medical-Surgical Nursing, Fundamentals of Nursing, Community Health Nursing, Mental Health Nursing, Child Health Nursing, Midwifery, Pharmacology, Anatomy and Physiology. Candidates can therefore use this quiz as one component of a wider revision plan.

OSSSC Nursing Officer 2026: 50 Medical-Surgical Nursing MCQs

Question 1. A patient with acute pulmonary edema is severely breathless and anxious. Which position should the nurse prioritize?

A. Supine position

B. High-Fowler's position

C. Trendelenburg position

D. Prone position

Correct Answer: B. High-Fowler's position

Explanation: High-Fowler's positioning helps maximize lung expansion and can reduce venous return to the heart, helping relieve pulmonary congestion. Supine and Trendelenburg positions can worsen respiratory distress in this situation.

Question 2. Which finding is most characteristic of left-sided heart failure?

A. Ascites

B. Peripheral edema only

C. Pulmonary crackles

D. Enlarged liver

Correct Answer: C. Pulmonary crackles

Explanation: Left ventricular failure causes blood to back up into the pulmonary circulation, producing pulmonary congestion and crackles. Ascites, hepatomegaly and marked systemic venous congestion are more closely associated with right-sided heart failure.

Question 3. Which laboratory marker is most specific for myocardial injury?

A. Serum sodium

B. Cardiac troponin

C. Serum amylase

D. Hemoglobin

Correct Answer: B. Cardiac troponin

Explanation: Cardiac troponins are highly sensitive and specific markers of myocardial injury and are central to the evaluation of suspected acute coronary syndrome. Sodium, amylase and hemoglobin do not specifically identify myocardial injury.

Question 4. A patient with angina is prescribed sublingual nitroglycerin. Which instruction is most important?

A. Swallow the tablet immediately

B. Place the tablet under the tongue

C. Take it only after a heavy meal

D. Crush it and mix it with water

Correct Answer: B. Place the tablet under the tongue

Explanation: Sublingual nitroglycerin is placed under the tongue for rapid absorption and relief of anginal symptoms. It should not be swallowed like an ordinary oral tablet because this delays its intended effect.

Question 5. Which electrolyte abnormality is particularly associated with dangerous cardiac dysrhythmias?

A. Hyperkalemia

B. Mild hyperchloremia

C. Mild hypernatremia

D. Low phosphate alone

Correct Answer: A. Hyperkalemia

Explanation: Significant hyperkalemia can alter cardiac conduction and produce potentially fatal dysrhythmias. Electrolyte abnormalities should be interpreted in clinical context, but potassium disturbances are particularly important because of their effects on myocardial electrical activity.

Question 6. Which assessment finding is most suggestive of hypovolemic shock?

A. Bradycardia with warm skin

B. Tachycardia with cool, clammy skin

C. Hypertension with bounding pulse

D. Slow respirations with flushed skin

Correct Answer: B. Tachycardia with cool, clammy skin

Explanation: Hypovolemia reduces circulating volume, causing compensatory tachycardia and peripheral vasoconstriction. The resulting skin may become cool and clammy, while hypotension can develop as shock progresses.

Question 7. Which intervention is a priority for a patient experiencing an acute asthma exacerbation?

A. Encourage vigorous exercise

B. Administer prescribed rapid-acting bronchodilator therapy

C. Restrict oxygen in all cases

D. Place the patient flat

Correct Answer: B. Administer prescribed rapid-acting bronchodilator therapy

Explanation: Rapid-acting bronchodilator therapy is commonly used to relieve acute bronchoconstriction. The nurse should also assess oxygenation and respiratory effort and provide oxygen when clinically indicated.

Question 8. Which breath sound is commonly associated with bronchospasm?

A. Wheezing

B. Pleural friction rub only

C. Stridor from the upper airway only

D. Normal vesicular sounds

Correct Answer: A. Wheezing

Explanation: Wheezing is a high-pitched sound produced by narrowed lower airways and is commonly heard in asthma and other obstructive airway disorders. Stridor usually indicates upper-airway obstruction and requires urgent assessment.

Question 9. A patient with COPD is receiving oxygen therapy. What is the nurse's priority?

A. Ignore respiratory status once oxygen is started

B. Monitor oxygenation and clinical respiratory status

C. Automatically administer the highest oxygen concentration

D. Withhold all prescribed oxygen

Correct Answer: B. Monitor oxygenation and clinical respiratory status

Explanation: Oxygen should be administered according to the patient's clinical condition and prescribed target range, with ongoing monitoring. Automatically giving the highest concentration is inappropriate because oxygen therapy should be individualized and monitored.

Question 10. Which finding is commonly associated with pneumothorax?

A. Sudden unilateral chest pain and dyspnea

B. Bilateral ankle edema only

C. Increased bowel sounds

D. Severe polyuria

Correct Answer: A. Sudden unilateral chest pain and dyspnea

Explanation: Pneumothorax can cause sudden pleuritic chest pain and shortness of breath, often with decreased breath sounds on the affected side. A tension pneumothorax is a medical emergency requiring immediate recognition and treatment.

Question 11. Which symptom is most characteristic of an upper gastrointestinal bleed?

A. Hematemesis

B. Hematuria

C. Epistaxis only

D. Polyuria

Correct Answer: A. Hematemesis

Explanation: Hematemesis refers to vomiting blood and can occur with upper gastrointestinal bleeding. Depending on the amount and transit time, gastrointestinal bleeding may also produce black, tarry stools known as melena.

Question 12. Which stool characteristic is classically associated with melena?

A. Black and tarry stool

B. Bright green stool only

C. White stool only

D. Hard pellet-like stool

Correct Answer: A. Black and tarry stool

Explanation: Melena is typically black, tarry and often has a characteristic odor because blood has been digested as it passes through the gastrointestinal tract. It commonly indicates an upper gastrointestinal source, although clinical evaluation is necessary.

Question 13. Which nursing assessment is particularly important in a patient with acute pancreatitis?

A. Pain assessment

B. Visual acuity only

C. Hearing assessment only

D. Nail growth measurement

Correct Answer: A. Pain assessment

Explanation: Severe abdominal pain is a prominent feature of acute pancreatitis and requires frequent assessment. Monitoring vital signs, fluid status, respiratory status and laboratory findings is also important because severe pancreatitis can produce systemic complications.

Question 14. Which laboratory value is commonly monitored in acute pancreatitis?

A. Serum lipase

B. Hemoglobin A1c only

C. Troponin only

D. Serum TSH only

Correct Answer: A. Serum lipase

Explanation: Serum lipase is a key laboratory marker used in the evaluation of acute pancreatitis. Amylase may also be elevated, but lipase is generally more specific and remains elevated for longer.

Question 15. Which finding is commonly associated with intestinal obstruction?

A. Abdominal distension and vomiting

B. Increased urine output

C. Isolated visual disturbance

D. Bradycardia without other symptoms

Correct Answer: A. Abdominal distension and vomiting

Explanation: Intestinal obstruction can cause abdominal distension, cramping, vomiting and altered bowel function. The patient requires assessment for dehydration, electrolyte imbalance, ischemia and possible perforation.

Question 16. Which assessment is essential for a patient with acute kidney injury?

A. Strict intake and output monitoring

B. Measuring height every hour

C. Checking visual acuity every shift

D. Monitoring hair growth

Correct Answer: A. Strict intake and output monitoring

Explanation: Fluid balance is a major concern in acute kidney injury because impaired renal function can cause fluid retention or, in some cases, excessive losses. Urine output trends provide important information about renal function and response to treatment.

Question 17. Which electrolyte abnormality is particularly dangerous in advanced renal failure?

A. Hyperkalemia

B. Mild hypochloremia

C. Mild hypermagnesemia without symptoms

D. Isolated low bicarbonate without other findings

Correct Answer: A. Hyperkalemia

Explanation: Reduced renal potassium excretion can result in hyperkalemia. Severe hyperkalemia can cause life-threatening cardiac conduction abnormalities, making ECG and laboratory monitoring important.

Question 18. A patient receiving hemodialysis has a functioning arteriovenous fistula. Which action should the nurse avoid?

A. Checking for a thrill

B. Checking for a bruit

C. Measuring blood pressure on the fistula arm

D. Assessing circulation of the limb

Correct Answer: C. Measuring blood pressure on the fistula arm

Explanation: Blood pressure measurements and venipuncture are generally avoided in the limb containing an arteriovenous fistula to protect vascular access. The nurse should assess the access for patency by checking the appropriate clinical signs such as thrill and bruit.

Question 19. Which finding can indicate hypoglycemia in a patient receiving insulin?

A. Sweating and tremors

B. Dry warm skin only

C. Slow hair growth

D. Increased appetite without other symptoms only

Correct Answer: A. Sweating and tremors

Explanation: Hypoglycemia activates the sympathetic nervous system and can cause sweating, tremor, palpitations and hunger. Neurological symptoms such as confusion, altered behavior and seizures can occur when glucose levels fall significantly.

Question 20. Which symptom is commonly associated with diabetic ketoacidosis?

A. Kussmaul respirations

B. Severe bradypnea

C. Pinpoint pupils

D. Isolated hearing loss

Correct Answer: A. Kussmaul respirations

Explanation: Kussmaul respirations are deep, rapid respirations that represent respiratory compensation for metabolic acidosis. Diabetic ketoacidosis can also cause dehydration, hyperglycemia, ketone production and electrolyte abnormalities.

Question 21. Which assessment finding is typical of hypothyroidism?

A. Heat intolerance

B. Bradycardia and cold intolerance

C. Marked hyperactivity

D. Persistent high fever

Correct Answer: B. Bradycardia and cold intolerance

Explanation: Hypothyroidism slows metabolic processes and may produce fatigue, cold intolerance, weight gain and bradycardia. Heat intolerance and tachycardia are more commonly associated with hyperthyroidism.

Question 22. Which finding is associated with hyperthyroidism?

A. Bradycardia

B. Cold intolerance

C. Heat intolerance and tachycardia

D. Marked slowing of metabolism

Correct Answer: C. Heat intolerance and tachycardia

Explanation: Excess thyroid hormone increases metabolic activity and can produce heat intolerance, sweating, weight loss and tachycardia. Hypothyroidism generally produces the opposite pattern.

Question 23. Which assessment is most important immediately after thyroid surgery?

A. Airway assessment

B. Hair assessment

C. Hearing test

D. Visual field examination

Correct Answer: A. Airway assessment

Explanation: Airway compromise is a potentially serious postoperative complication following thyroid surgery because of swelling or bleeding in the neck. The nurse should closely monitor respiratory status and the surgical site.

Question 24. Which neurological assessment scale is commonly used to assess level of consciousness?

A. Glasgow Coma Scale

B. Braden Scale

C. Apgar Score

D. Norton Scale

Correct Answer: A. Glasgow Coma Scale

Explanation: The Glasgow Coma Scale assesses eye opening, verbal response and motor response to describe a patient's level of consciousness. The Braden and Norton scales are primarily associated with pressure injury risk assessment, while Apgar is used for newborn assessment.

Question 25. Which sign is particularly concerning in a patient with increased intracranial pressure?

A. Decreasing level of consciousness

B. Increased appetite

C. Improved orientation

D. Increased urine output only

Correct Answer: A. Decreasing level of consciousness

Explanation: A declining level of consciousness can be an early and important indicator of neurological deterioration. Increased intracranial pressure can compromise cerebral perfusion and may progress to brain herniation if untreated.

Question 26. A patient suddenly develops facial drooping, arm weakness and difficulty speaking. What should the nurse suspect?

A. Acute stroke

B. Chronic gastritis

C. Renal colic

D. Osteoarthritis

Correct Answer: A. Acute stroke

Explanation: Sudden facial weakness, arm weakness and speech difficulty are classic warning signs of stroke. Rapid recognition and activation of an emergency stroke pathway are essential because some treatments are time-dependent.

Question 27. What is the priority nursing action when a patient is suspected of having an acute stroke?

A. Delay assessment until symptoms disappear

B. Establish the time the patient was last known well and activate emergency evaluation

C. Give oral food immediately

D. Encourage the patient to walk

Correct Answer: B. Establish the time the patient was last known well and activate emergency evaluation

Explanation: Treatment decisions for acute stroke depend heavily on timing, so determining when the patient was last known to be well is critical. Rapid neurological assessment and emergency evaluation should occur without unnecessary delay.

Question 28. Which intervention is appropriate for a patient experiencing a generalized tonic-clonic seizure?

A. Insert a spoon into the mouth

B. Restrain all limb movements

C. Protect the patient from injury and maintain airway safety

D. Force oral medication during the seizure

Correct Answer: C. Protect the patient from injury and maintain airway safety

Explanation: During a seizure, the nurse should protect the patient from injury, clear nearby hazards and position the patient safely when possible. Objects should never be placed in the patient's mouth, and forceful restraint should be avoided.

Question 29. Which clinical feature is commonly associated with Parkinson's disease?

A. Resting tremor

B. Sudden complete blindness

C. Severe hemoptysis

D. Massive gastrointestinal bleeding

Correct Answer: A. Resting tremor

Explanation: Parkinson's disease commonly involves resting tremor, bradykinesia and rigidity, although not every patient has all three findings. The condition is associated with progressive impairment of movement and motor function.

Question 30. Which intervention is appropriate for preventing pressure injuries in an immobile patient?

A. Regular repositioning and pressure redistribution

B. Keeping the skin continuously moist

C. Avoiding skin assessment

D. Massaging reddened bony prominences vigorously

Correct Answer: A. Regular repositioning and pressure redistribution

Explanation: Pressure injury prevention includes regular repositioning, pressure redistribution surfaces, moisture management, adequate nutrition and routine skin assessment. Vigorous massage over reddened areas can cause tissue injury and is not recommended.

Question 31. Which patient is at increased risk of developing a pressure injury?

A. Fully mobile adult with intact sensation

B. Immobile patient with impaired sensation

C. Healthy adult who walks regularly

D. Patient with normal mobility and nutrition

Correct Answer: B. Immobile patient with impaired sensation

Explanation: Immobility and impaired sensation reduce the patient's ability to relieve pressure or recognize discomfort. Other risk factors include moisture, poor nutrition, reduced perfusion and advanced age.

Question 32. Which assessment finding is characteristic of a deep vein thrombosis?

A. Unilateral leg swelling and pain

B. Bilateral hearing loss

C. Increased visual acuity

D. Abdominal rigidity only

Correct Answer: A. Unilateral leg swelling and pain

Explanation: DVT may present with unilateral swelling, pain, warmth or tenderness, although some cases are asymptomatic. A suspected DVT requires prompt medical evaluation because thrombus migration can result in pulmonary embolism.

Question 33. Which symptom may indicate pulmonary embolism?

A. Sudden unexplained dyspnea

B. Gradual hair loss

C. Increased appetite only

D. Chronic constipation only

Correct Answer: A. Sudden unexplained dyspnea

Explanation: Pulmonary embolism can present with sudden dyspnea, chest pain, tachycardia and hypoxemia. It is a potentially life-threatening emergency requiring immediate assessment and treatment.

Question 34. Which medication class is commonly used to reduce the risk of thromboembolic events?

A. Anticoagulants

B. Antacids

C. Antihistamines

D. Bronchodilators

Correct Answer: A. Anticoagulants

Explanation: Anticoagulants reduce the formation or extension of blood clots and are used in several thromboembolic conditions. Nurses must monitor patients for bleeding and follow medication-specific safety requirements.

Question 35. Which finding is most consistent with iron-deficiency anemia?

A. Pallor and fatigue

B. Severe hypertension only

C. Increased muscle strength

D. Persistent hyperactivity

Correct Answer: A. Pallor and fatigue

Explanation: Iron-deficiency anemia reduces hemoglobin availability for oxygen transport and commonly causes fatigue, weakness and pallor. More severe anemia can cause tachycardia, shortness of breath and reduced exercise tolerance.

Question 36. Which precaution is essential when caring for a patient with neutropenia?

A. Reduce exposure to infection sources

B. Encourage contact with anyone who is ill

C. Ignore temperature changes

D. Avoid all hand hygiene

Correct Answer: A. Reduce exposure to infection sources

Explanation: Neutropenic patients have reduced defenses against infection, so infection-prevention measures are especially important. Hand hygiene, appropriate environmental precautions and prompt evaluation of fever are essential components of care.

Question 37. A patient receiving chemotherapy develops a temperature of 38°C or higher. What should the nurse do?

A. Ignore it as a normal chemotherapy effect

B. Promptly report and evaluate possible infection according to protocol

C. Encourage strenuous exercise

D. Delay assessment for 24 hours

Correct Answer: B. Promptly report and evaluate possible infection according to protocol

Explanation: Fever in a patient receiving chemotherapy may indicate serious infection, particularly when neutropenia is present. Prompt assessment and treatment according to institutional protocol are important because infection can progress rapidly.

Question 38. Which adverse effect is particularly important to monitor in a patient receiving opioid analgesics?

A. Respiratory depression

B. Increased visual acuity

C. Excessive hair growth

D. Improved reflexes

Correct Answer: A. Respiratory depression

Explanation: Opioids can suppress the central nervous system and cause respiratory depression, especially at high doses or when combined with other sedating substances. Respiratory rate, depth, oxygenation and level of consciousness should be monitored appropriately.

Question 39. Which assessment is a priority after administering an opioid?

A. Respiratory status and level of consciousness

B. Hair color

C. Nail length

D. Visual field only

Correct Answer: A. Respiratory status and level of consciousness

Explanation: Opioid-related sedation and respiratory depression can become serious complications. Monitoring respiratory status and consciousness helps the nurse identify adverse effects early and respond appropriately.

Question 40. Which medication is commonly used as a reversal agent for opioid-induced respiratory depression?

A. Naloxone

B. Insulin

C. Atropine

D. Furosemide

Correct Answer: A. Naloxone

Explanation: Naloxone is an opioid antagonist used to reverse opioid-induced respiratory depression. Because its duration of action may be shorter than that of some opioids, continued monitoring and repeat treatment may be necessary.

Question 41. Which finding suggests fluid overload?

A. Crackles and rapid weight gain

B. Dry mucous membranes only

C. Poor skin turgor with weight loss

D. Reduced jugular venous pressure

Correct Answer: A. Crackles and rapid weight gain

Explanation: Fluid overload can produce pulmonary congestion, peripheral edema, elevated blood pressure and rapid weight gain. Daily weight measurement is often useful because relatively small changes can represent meaningful fluid accumulation.

Question 42. Which finding is more consistent with dehydration?

A. Dry mucous membranes and decreased urine output

B. Pulmonary crackles and edema

C. Rapid weight gain

D. Elevated jugular venous pressure

Correct Answer: A. Dry mucous membranes and decreased urine output

Explanation: Dehydration can cause dry mucous membranes, thirst, tachycardia, decreased urine output and orthostatic changes. Severe dehydration may progress to hypovolemic shock if fluid losses are not corrected.

Question 43. Which nursing action is appropriate when caring for a patient with a urinary catheter?

A. Maintain a closed drainage system

B. Disconnect the system frequently

C. Place the drainage bag above the bladder

D. Allow tubing to become kinked

Correct Answer: A. Maintain a closed drainage system

Explanation: Maintaining a closed drainage system reduces the risk of catheter-associated urinary tract infection. The drainage bag should remain below bladder level and tubing should remain unobstructed.

Question 44. Which symptom is commonly associated with a urinary tract infection?

A. Dysuria

B. Improved urine flow without symptoms

C. Increased visual acuity

D. Painless hearing loss

Correct Answer: A. Dysuria

Explanation: Dysuria, or painful urination, is a common symptom of lower urinary tract infection. Frequency, urgency and suprapubic discomfort may also occur, while fever and flank pain can suggest upper urinary tract involvement.

Question 45. Which intervention is important for preventing postoperative atelectasis?

A. Deep breathing and coughing exercises

B. Prolonged bed rest without repositioning

C. Avoiding all movement

D. Restricting prescribed respiratory exercises

Correct Answer: A. Deep breathing and coughing exercises

Explanation: Deep breathing, coughing, early mobilization and appropriate use of incentive spirometry can help prevent postoperative atelectasis. These interventions promote lung expansion and secretion clearance.

Question 46. Which postoperative finding requires immediate assessment?

A. Mild expected incisional discomfort

B. Sudden difficulty breathing

C. Mild fatigue

D. Slight thirst

Correct Answer: B. Sudden difficulty breathing

Explanation: Sudden respiratory difficulty can indicate serious complications such as pulmonary embolism, airway obstruction, pneumothorax or severe atelectasis. The nurse should immediately assess airway, breathing and circulation and activate emergency support as required.

Question 47. Which type of wound drainage is typically associated with fresh bleeding?

A. Serous

B. Sanguineous

C. Purulent

D. Fibrinous

Correct Answer: B. Sanguineous

Explanation: Sanguineous drainage is primarily blood and is typically red. Serous drainage is thin and clear or pale yellow, while purulent drainage is generally thick and may indicate infection.

Question 48. Which finding is most suggestive of wound infection?

A. Increasing redness, warmth, pain and purulent drainage

B. A clean, dry incision with decreasing pain

C. Normal wound approximation

D. Mild expected tenderness immediately after surgery

Correct Answer: A. Increasing redness, warmth, pain and purulent drainage

Explanation: Increasing local redness, warmth, swelling, pain and purulent drainage can indicate surgical-site infection. Systemic findings such as fever or worsening clinical status may provide additional evidence of infection.

Question 49. A patient has a serum sodium level significantly below the normal range. Which neurological manifestation may occur?

A. Confusion and seizures

B. Improved concentration

C. Increased hearing ability

D. Increased muscle strength in every case

Correct Answer: A. Confusion and seizures

Explanation: Significant hyponatremia can cause water to shift into brain cells, resulting in neurological symptoms such as headache, confusion, seizures and decreased consciousness. Severe symptomatic hyponatremia requires urgent clinical management.

Question 50. Which principle should guide nursing care when administering high-alert medications?

A. Skip verification because the drug is familiar

B. Follow medication-safety checks and institutional protocols carefully

C. Estimate the dose if the prescription is unclear

D. Administer without checking patient identity

Correct Answer: B. Follow medication-safety checks and institutional protocols carefully

Explanation: High-alert medications can cause serious harm when used incorrectly, so nurses should follow medication verification procedures, patient identification requirements and institutional safety protocols. Unclear prescriptions should be clarified rather than interpreted through guesswork.

OSSSC Nursing Officer 2026 Medical-Surgical Nursing Revision Strategy

After completing these 50 Medical-Surgical Nursing MCQs, candidates should review the questions they answered incorrectly rather than simply checking the final score. A wrong answer often identifies a specific knowledge gap that can be corrected through focused revision.

For example, if cardiovascular questions were difficult, revise heart failure, myocardial infarction, shock, hypertension, dysrhythmias and ECG-related concepts. If respiratory questions caused difficulty, revisit asthma, COPD, pneumonia, pneumothorax, respiratory failure and oxygen therapy.

Renal nursing should include acute kidney injury, chronic kidney disease, dialysis, fluid balance and electrolyte abnormalities. Neurological nursing should cover stroke, seizures, increased intracranial pressure, meningitis and common neurodegenerative disorders.

For endocrine preparation, focus on diabetes mellitus, hypoglycemia, diabetic ketoacidosis, thyroid disorders and adrenal disorders. In gastrointestinal nursing, revise gastrointestinal bleeding, pancreatitis, intestinal obstruction, hepatitis, cirrhosis and inflammatory bowel conditions.

More OSSSC Nursing Officer Preparation Resources

Medical-Surgical Nursing should be combined with other subjects in a structured preparation schedule. The following resources from All Nursing Jobs 4U can be used alongside this quiz:

• OSSSC Nursing Officer 2026 Last 15-Day Revision Plan – useful for organizing final-stage revision and exam preparation.
• OSSSC Nursing Officer Recruitment 2026 – check recruitment details, eligibility, vacancies and examination information.
• OSSSC Nursing Officer Salary 2026 – understand the pay scale, allowances and in-hand salary information.
• Last-Minute Tips to Crack OSSSC Nursing Officer Exam – revise practical strategies for exam preparation and time management.
• M.Sc Nursing Previous Question Papers and Nursing MCQs – practise additional nursing questions covering multiple subjects.
• AIIMS Nursing Officer Recruitment 2026 – useful for candidates preparing for multiple Nursing Officer examinations.

How to Use These Nursing Exam Questions Effectively

We recommend using a three-step method. First, attempt all 50 questions under timed conditions without checking the answers. Second, calculate the score and classify each incorrect answer according to the topic involved. Third, revise the relevant topic and retake the questions after a short interval.

Instead of memorizing only the correct option, we should understand the clinical principle behind each answer. Competitive nursing examinations can change the wording of a familiar concept, so conceptual understanding is more useful than remembering a single sentence.

We should also pay particular attention to questions involving priority nursing interventions. When an examination question describes an unstable patient, airway, breathing and circulation usually require immediate consideration. However, the exact priority depends on the clinical situation presented in the question.

Frequently Asked Questions About OSSSC Nursing Officer MCQs

1. Are these questions useful for OSSSC Nursing Officer 2026 preparation?

Yes. These 50 questions are designed around important Medical-Surgical Nursing concepts that are relevant to nursing competitive examinations. They should be used as practice material alongside the prescribed syllabus and authoritative textbooks.

2. Does this quiz cover Anatomy, Physiology and Microbiology?

The main focus of this particular set is Medical-Surgical Nursing. Anatomy, Physiology and Microbiology concepts are integrated where they directly support clinical nursing knowledge, but candidates should study those subjects separately for comprehensive OSSSC preparation.

3. How many questions are included in this nursing quiz?

This practice set contains exactly 50 original MCQs. Every question includes four options, the correct answer and a concise explanation.

4. What should I do if I score poorly?

A low score should be treated as a diagnostic tool rather than simply a result. Review every incorrect question, identify the weak subject area and revise that topic before attempting the quiz again.

5. Which Medical-Surgical Nursing topics should OSSSC candidates revise?

Important areas include cardiovascular nursing, respiratory disorders, gastrointestinal disorders, renal nursing, endocrine disorders, neurological conditions, oncology nursing, fluid and electrolyte balance, shock, emergency care, perioperative nursing and medication safety.

6. Should I memorize the explanations?

It is better to understand the underlying clinical concepts than memorize the explanations word for word. Understanding why an intervention is appropriate helps candidates handle differently worded nursing exam questions.

Final Takeaway

OSSSC Nursing Officer 2026 preparation requires repeated practice, clinical reasoning and systematic revision across the complete nursing syllabus. These 50 Medical-Surgical Nursing MCQs provide a focused practice session covering cardiovascular, respiratory, gastrointestinal, renal, endocrine, neurological, hematological, oncology, postoperative and medication-safety concepts.

We should not treat a single quiz score as a complete measure of examination readiness. Instead, use the results to identify weak areas, revise the relevant concepts and repeat the questions until the reasoning behind each answer becomes clear.

For stronger preparation, combine this Medical-Surgical Nursing quiz with Anatomy and Physiology MCQs, Microbiology questions, Fundamentals of Nursing, Community Health Nursing, Mental Health Nursing, Child Health Nursing, Midwifery and Pharmacology. Regular timed practice can also improve accuracy and help develop the ability to recognize priority nursing interventions quickly.

Keep practising, revise the concepts behind every answer, and use the complete OSSSC Nursing Officer 2026 syllabus as the foundation of your preparation.