Are you gearing up for the Tribhuvan University Nursing Deputy Controller exam under the Service Commission in 2025? Whether you’re an aspiring nursing professional, it’s crucial to understand the exam syllabus. If you’re a seasoned candidate aiming for career advancement, understanding the syllabus is your first step to success. The Tribhuvan University (TU) Service Commission has issued this curriculum. It outlines the written competitive exam for the Nursing Deputy Controller (Second Class Officer) position. This position falls under the Administrative Service (Technical), Health Group. In this blog post, we’ll break down the key features. We’ll highlight essential sections. Finally, we’ll provide you with actionable insights to master this exam. Plus, you can download the official document right here!
Overview of the Exam Structure
The written exam is divided into three papers, each designed to test a unique set of skills and knowledge. The total for these papers is 300 marks. Candidates must score at least 40% (80 marks) in each to qualify. Here’s a quick look at the structure:
- First Paper: General Knowledge (100 Marks)
- Format: Objective Multiple-Choice Questions (MCQs)
- Duration: 1 hour 30 minutes
- Questions: 100 (1 mark each)
- Second Paper: Public Administration & Academic Management (100 Marks)
- Format: Subjective Questions
- Duration: 3 hours
- Questions: 8 (12.5 marks each)
- Third Paper: Professional Knowledge & Skills (100 Marks)
- Format: Subjective Questions + Problem-Solving
- Duration: 3 hours
- Questions: 6 (10 marks each) + 1 problem-solving (20 marks)
This well-rounded approach ensures candidates are tested on general awareness, administrative expertise, and specialized nursing knowledge.
Key Features of the Syllabus
1. First Paper: General Knowledge
The first paper is all about assessing your foundational knowledge. It’s split into three sections:
- Section A (20 Marks): Geography of Nepal and the world. It covers Nepal’s terrain and neighboring countries. It also includes global natural features like rivers, mountains, and climates.
- Section B (20 Marks): Nepal’s history, culture, and social fabric, including key historical events, ethnic diversity, languages, arts, and literature.
- Section C (60 Marks): Service-related general knowledge, focusing on public administration and management principles.
This paper is perfect for testing your awareness of Nepal’s socio-cultural context and administrative systems—crucial for a nursing leadership role.
2. Second Paper: Public Administration & Academic Management
This paper dives deep into governance and educational management, tailored for nursing administrators:
- Topics include public administration principles. They also cover higher education policies in Nepal. The role of stakeholders like the University Grants Commission is highlighted. Quality assurance in education is another focus.
- Expect questions on national education strategies, sustainable development goals (SDGs), and academic leadership challenges.
With 8 subjective questions, this section tests your ability to analyze and articulate solutions to real-world administrative issues.
3. Third Paper: Professional Knowledge & Skills
The heart of the nursing curriculum, this paper is divided into three sections:
- Section A (40 Marks): Core nursing concepts, leadership, management, and research applications. Topics range from nursing theories (e.g., Florence Nightingale, Orem’s Self-Care) to ethical-legal aspects and healthcare delivery systems in Nepal.
- Section B (40 Marks): Specialized nursing fields like pediatrics, obstetrics, psychiatry, and teaching-learning principles.
- Section C (20 Marks): Problem-solving related to nursing practice, requiring critical thinking and practical solutions.
This paper ensures you’re not just theoretically sound but also equipped to handle on-the-ground nursing challenges.
Why This Syllabus Stands Out ?
The TU Nursing Deputy Controller syllabus is a blend of theoretical rigor and practical application. It emphasizes:
- Holistic Nursing Knowledge: From patient care to leadership and research.
- Nepal-Specific Context: Focus on local health systems, socio-cultural practices, and national policies.
- Problem-Solving Skills: A dedicated section to test your decision-making abilities.
Whether it’s understanding the health-illness continuum or tackling disaster management in hospitals, this curriculum prepares you for real-world nursing leadership.
Download the Official Syllabus
How to Prepare Effectively ?
- First Paper: Brush up on Nepal’s geography, history, and administrative basics. Use MCQ practice books and online quizzes.
- Second Paper: Study public administration theories, Nepal’s education policies, and practice essay writing.
- Third Paper: Deep dive into nursing theories, clinical practices, and case studies for problem-solving.
Time management is key—allocate study hours based on the weightage of each section and practice past papers if available.
Sample Questions and Answers
First Paper: General Knowledge (Objective MCQs)
Question 1:
Which of the following is a major river system in Nepal?
A) Nile
B) Koshi
C) Amazon
D) Mississippi
Answer:
B) Koshi
Explanation: The Koshi River is one of Nepal’s major river systems, originating in the Himalayas and playing a vital role in the country’s geography and economy.
Question 2:
What is a significant cultural practice in Nepal that influences health beliefs?
A) Hot and cold food theory
B) Bloodletting
C) Acupuncture
D) Crystal healing
Answer:
A) Hot and cold food theory
Explanation: The syllabus highlights socio-cultural practices like the hot and cold food theory, which impacts nutritional beliefs and health-seeking behaviors in Nepal.
Second Paper: Public Administration & Academic Management (Subjective)
Question 3:
Define public administration and explain its importance in the context of higher education management in Nepal. (12.5 Marks)
Answer:
Public administration refers to the organization, management, and implementation of public policies and services by government institutions. It involves planning, organizing, directing, coordinating, and controlling resources to achieve public goals efficiently.
In the context of higher education management in Nepal, public administration is crucial for several reasons:
- Policy Implementation: It ensures that national education policies, such as the Higher Education Policy, are effectively executed in universities like Tribhuvan University.
- Resource Allocation: It manages funding, infrastructure, and human resources to support academic institutions.
- Quality Assurance: Through bodies like the University Grants Commission, it enforces standards and monitors performance.
- Stakeholder Coordination: It facilitates collaboration between government, universities, and other stakeholders to address educational challenges.
For example, effective public administration ensures that nursing education programs align with Nepal’s health needs, enhancing workforce development.
Third Paper: Professional Knowledge & Skills (Subjective + Problem-Solving)
Question 4 (Section A):
Explain Florence Nightingale’s Environmental Theory and its application in modern nursing practice. (10 Marks)
Answer:
Florence Nightingale’s Environmental Theory, developed in the 19th century, emphasizes the role of the environment in patient recovery. She identified five key environmental factors: fresh air, pure water, efficient drainage, cleanliness, and light. Nightingale believed that a healthy environment could prevent disease and promote healing, shifting focus from mere treatment to holistic care.
Application in Modern Nursing Practice:
- Infection Control: Maintaining cleanliness and proper ventilation in hospitals reduces hospital-acquired infections, aligning with Nightingale’s focus on hygiene.
- Patient Comfort: Ensuring adequate lighting and noise reduction enhances patient well-being, a principle rooted in her theory.
- Holistic Care: Nurses today assess environmental factors like air quality and sanitation as part of patient care plans.
For instance, in a Nepali hospital, nurses might ensure proper waste disposal and ventilation in crowded wards to improve patient outcomes, reflecting Nightingale’s principles adapted to local contexts.
Question 5 (Section B):
What are the WHO-recommended antenatal care visits, and why are they important in obstetric nursing? (10 Marks)
Answer:
The World Health Organization (WHO) recommends a minimum of eight antenatal care (ANC) visits during pregnancy, starting with the first contact in the first trimester (before 12 weeks), followed by visits at 20, 26, 30, 34, 36, 38, and 40 weeks. This model, updated in 2016, replaces the earlier four-visit schedule to improve maternal and fetal health outcomes.
Importance in Obstetric Nursing:
- Early Detection: Regular visits allow nurses to identify complications like preeclampsia or gestational diabetes early.
- Health Promotion: Nurses educate mothers on nutrition, exercise, and birth preparedness during these visits.
- Risk Management: Monitoring fetal growth and maternal health reduces risks like preterm birth or stillbirth.
- Trust Building: Consistent care fosters a therapeutic relationship, encouraging mothers to seek timely help.
In Nepal, where access to healthcare can be limited, these visits are critical for reducing maternal mortality rates and ensuring safe deliveries.
Question 6 (Section C – Problem-Solving):
A rural health post in Nepal reports a sudden increase in neonatal infections. As a Nursing Deputy Controller, propose a solution to address this issue. (20 Marks)
Answer:
Problem Analysis: Neonatal infections in a rural health post could stem from poor hygiene, lack of trained staff, inadequate facilities, or limited parental education. The syllabus emphasizes problem-solving skills, requiring a practical, multi-faceted approach.
Proposed Solution:
- Immediate Assessment: Conduct a site visit to evaluate hygiene practices, staffing levels, and equipment availability (e.g., sterilizers, clean water).
- Training Program: Organize in-service education for health workers on infection control, focusing on handwashing, sterilization, and newborn care protocols.
- Resource Allocation: Coordinate with local authorities to supply essentials like gloves, antiseptics, and clean delivery kits.
- Community Education: Launch a campaign to teach mothers about exclusive breastfeeding, umbilical cord care, and recognizing infection signs (e.g., fever, lethargy).
- Monitoring & Follow-Up: Implement a surveillance system to track infection rates and ensure compliance with new protocols, reporting progress monthly.
Expected Outcome: Reduced neonatal infection rates within 3-6 months, improved staff competency, and empowered communities. This solution leverages nursing leadership, resource management, and education—key competencies for a Nursing Deputy Controller.
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