TU Service Commission Staff Nurse Exam Syllabus: Detailed Guide & Sample Questions

Are you ready to take on the Tribhuvan University Staff Nurse exam in 2025? Aspiring nurses aiming for the Assistant First Level position have a clear objective. They are under the Health Group of the TU Service Commission. They need a solid plan. A solid strategy is crucial to ace this competitive written exam. Tribhuvan University has released a well-structured syllabus. This blog post dives into the essentials. It highlights key features and offers a clear path to success. Plus, you can download the official syllabus document right here! Whether you’re brushing up on nursing fundamentals, we’ve got you covered with everything you need to know. We also cover mastering community health.

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Overview of the Exam Structure

The written exam for the Staff Nurse position is a single paper worth 100 marks, divided into two parts:

• Part 1: Multiple-Choice Questions (MCQs) – 50 Marks
  • Format: 40 questions (1 mark each) + 10 questions (1 mark each)
  • Duration: 40 minutes (MCQs) + 10 minutes
    • Note: Negative marking applies for incorrect MCQ answers.
• Part 2: Subjective Questions – 50 Marks
  • Format: 10 questions
  • Duration: 1 hour 10 minutes

To pass, candidates must score at least 40% (40 marks) overall. The exam allows answers in either English or Nepali, except for language-specific topics, offering flexibility for candidates. Let’s explore the key sections that make up this syllabus.

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Key Features of the Syllabus

The syllabus spans 10 core sections, blending foundational nursing knowledge with practical and administrative skills. Here’s a breakdown of the highlights:

1. Fundamentals of Nursing

This section covers the basics:

• Definition and role of a nurse.
• Maslow’s Hierarchy of Needs and the nursing process.
• Stress management, first aid, drug administration, and infection control.
  It’s your foundation for understanding patient care essentials.

2. Applied Science

Dive into the science behind nursing:

• Anatomy and physiology of all body systems.
• Fluid-electrolyte balance, microbiology, and common diagnostic tests.
  This section ensures you grasp the biological underpinnings of healthcare.

3. Medical-Surgical Nursing

Focus on managing common conditions:

• Diseases like diabetes, hypertension, fractures, and respiratory issues.
• Diagnostic procedures (e.g., CT Scan, MRI) and their nursing implications.
  Perfect for honing your clinical expertise across age groups.

4. Community Health Nursing

Emphasizes public health:

• Primary healthcare principles, epidemiology, and immunization (National Immunization Program).
• Nutrition, communicable diseases, and family planning.
  A must-know for nurses working in Nepal’s diverse communities.

5. Midwifery

Covers maternal and newborn care:

• Antenatal, natal, and postnatal care.
• Managing pregnancy-related diseases and immediate newborn care.
  Essential for obstetric nursing skills.

6. Nursing Care of Gynecological Problems

Addresses women’s health:

• Uterine prolapse, STIs, HIV/AIDS, and infertility.
  This section prepares you for specialized gynecological care.

7. Pediatric Nursing Care

Focuses on child health:

• Newborn care, developmental milestones, and common pediatric conditions.
• CBIMNCI (Community-Based Integrated Management of Neonatal and Childhood Illness).
  Vital for nursing across pediatric age groups.

8. Mental Health

Tackles psychological care:

• Depression, schizophrenia, anxiety disorders, and their management.
  A growing area of focus in modern nursing.

9. Leadership and Management

Prepares you for supervisory roles:

• Management principles, leadership styles, and communication processes.
• Organograms of Nepal’s health services (federal, provincial, local).
  Great for aspiring nurse leaders.

10. Service-Related Acts and Regulations

Tests your legal knowledge:

• TU Service Act (2065), Nepal Health Service Act, and related regulations.
  Ensures you’re aware of the professional framework in Nepal.

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Why This Syllabus Matters?

The TU Staff Nurse syllabus stands out for its practical and comprehensive approach:

• Balanced Assessment: Combines MCQs for quick recall and subjective questions for in-depth understanding.
• Nepal-Centric Focus: Emphasizes national health programs, local regulations, and community needs.
• Holistic Skill Set: From clinical care to leadership, it prepares you for real-world challenges.

With only 50 minutes for the objective section and 70 minutes for subjective answers, time management is key!

Download the Official Syllabus

Tips for Success

• MCQs: Practice speed and accuracy—watch out for negative marking!
• Subjective Questions: Focus on concise, structured answers with examples.
• Key Topics: Prioritize high-impact areas like midwifery, community health, and medical-surgical nursing.

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Sample Questions and Answers

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Part 1: Multiple-Choice Questions (MCQs)

Question 1:
What is the primary purpose of the nursing process?
A) To diagnose diseases
B) To provide a systematic approach to patient care
C) To administer medications
D) To perform surgical procedures

Answer:
B) To provide a systematic approach to patient care
Explanation: The nursing process (assessment, diagnosis, planning, implementation, evaluation) ensures organized, patient-centered care, as per the syllabus.

Question 2:
Which vaccine is part of Nepal’s National Immunization Program for infants?
A) HPV
B) BCG
C) Influenza
D) Rabies

Answer:
B) BCG
Explanation: The BCG vaccine, given at birth, protects against tuberculosis and is a key component of Nepal’s immunization schedule.

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Part 2: Subjective Questions

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Question 3:
Define primary healthcare and list its key components as outlined in community health nursing. (5 Marks)

Answer:
Primary healthcare (PHC) is an approach to health that focuses on essential, accessible, and community-based care to achieve health for all. It emphasizes prevention, promotion, and basic treatment.

Key Components:

1. Health Education: Teaching communities about hygiene and nutrition.
2. Immunization: Preventing diseases through vaccines like BCG and DPT.
3. Maternal and Child Health: Antenatal care and child growth monitoring.
4. Essential Drugs: Providing basic medications.
5. Nutrition: Addressing deficiencies like malnutrition.

Question 4:
Describe the nursing management of a patient with diabetes mellitus. (5 Marks)

Answer:
Nursing management of diabetes mellitus (DM) involves:

1. Assessment: Monitor blood glucose levels, check for symptoms (e.g., polyuria, fatigue), and assess diet.
2. Education: Teach the patient about insulin administration, diet (low sugar, balanced carbs), and foot care.
3. Medication: Administer insulin or oral hypoglycemics as prescribed, noting side effects like hypoglycemia.
4. Monitoring: Regularly check vitals and watch for complications (e.g., neuropathy, infections).
5. Support: Encourage lifestyle changes (exercise, weight management) and provide emotional support.

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