Memory-Based Paper with high-yield questions, clinical explanations, and exam-focused notes.
PGIMER Nursing Officer 2025 – Memory-Based Key Points
1. Obstetrics & Neonatal Nursing
APGAR Score assessed at 1 and 5 min.
Placenta Previa: No PV exam; prepare for C-section.
Hegar’s Sign: Soft cervix in early pregnancy.
Palmer Sign: Uterine contractions felt.
Neonatal Weight Loss (first 10 days): Physiological.
Measles Vaccine: Given at 9–12 months (national schedule: 9 months).
ET Tube Size in Adult: 8 mm internal diameter.
2. Emergency, ICU & Critical Care
Anaphylaxis Drug of Choice: Adrenaline (IM).
VF/VT Management: Amiodarone or Lidocaine.
Tracheostomy Care: Suctioning + cuff pressure <25 mmHg.
Raised ICP: Immediate management = controlled hyperventilation.
Opioid Monitoring: Watch respiratory rate.
Burn Fluid Therapy: Target adequate urine output.
3. Medical–Surgical Nursing
Pernicious Anemia: Vitamin B12 deficiency.
Presbyopia: Age-related near vision loss.
Cystic Fibrosis: Thick mucus; genetic.
Chronic HTN: Complication – flea-bitten retina.
Gastrectomy Pre-op: Check albumin levels.
Massive Transfusion Reaction: Hypocalcemia.
Abdominal Distension + Edema + ↑JVP: Fluid overload.
Tachypnea: RR > 24/min; example = 34/min.
4. Pharmacology & Drug Safety
Types of Immunity: Natural/Artificial; Active/Passive.
Warfarin with Streptomycin: Monitor INR.
β-Blockers: Reduce myocardial O₂ demand.
Long-term Dextrose: Risk of hyperglycemia + diuresis.
HIV PEP: Start within 72 hours of exposure.
5. ENT, Microbiology & Infection Control
Cross Infection Prevention: Handwashing.
Nosocomial Infection: Develops 48–72 hrs after admission.
Diphtheria – Stick Test: Diagnostic tool.
Endoscope Sterilization: 2% Glutaraldehyde (Cidex).
Boiling: Moist-heat sterilization.
6. Pediatrics & Development
Growth & Development: Milestones must be age-appropriate.
Ectoblastia Test: Repeating same word (speech test).
Diarrhea 1 Day + Normal Turgor: Home ORS management.
7. Anatomy, Physiology & General Science
Pleura Layers: Visceral & parietal.
Pancreatic Enzymes: Amylase, lipase, protease.
Oxidation Pond: Wastewater treatment method.
8. Nursing Procedures
IM Injection: Correct site + 90° angle.
Eye Drops: Avoid touching the eye; instill in conjunctival sac.
IV Flow Rate Example: 250 × 15 ÷ (12 × 60) = 20 drops/min.
Trapeze Bar: Causes shearing → pressure sores.
9. Community & Public Health Nursing
Case Fatality Rate (CFR): Measures killing capacity of a disease.
BMI Underweight: <18.5
PEM (MUAC): <11.5 cm = Severe malnutrition.
10. Cardio & Neuro
AF Management: Antiplatelet/anticoagulants for stroke prevention.
TOF (Tetralogy of Fallot): All four defects must be present.
