RRB-Railway- Nursing Superintendent 2025 S2- Previous Year Question Paper and Free PDF Download -Mar 12, 2026- Shift 2
रेलवे भर्ती बोर्ड / RAILWAY RECRUITMENT BOARD सीई एन नं. - 03/2025 - CEN No. - 03/2025
Registration Number
Roll Number
Candidate Name
Community
Test Centre Name: ION Digital Zone iDZ Kovilambakkam
Test Date: 12/03/2026
Test Time: 12:45 PM - 2:15 PM
Post Name: NURSING SUPERINTENDENT
Application Photograph
Exam Day Photograph
1. The volume of a solid cylinder is 80,850 cm3 and its height is 21 cm . What is the total surface area of the solid cylinder? (Use π = 22/7)
1. 12,312 cm2
2. 12,320 cm2
3. 12,331 cm2
4. 12,289 cm2
Q.2 Which amendment act increased the Lok Sabha seats from 525 to 545?
1. Thirty- First Amendment
2. Thirty- Fifth Amendment
3. Thirty- Ninth Amendment
4. Twenty- Seventh Amendment
Q.3 Simplify: 1.2×1.2×1.2- 0.12×0.12×0.12
1. 0.00999
2. 0.0000999
3. 0.000999
4. 0.0999
Q.4 Seven people H, I, J, K, O, P and Q are sitting around a circular table facing the center of the table. I sits third to the left of K. J sits second to the left of P. K is an immediate neighbour of both H and J. Q is not an immediate neighbour of I. How many people sit between O and J when counted from the right of O?
1. Four
2. Two
3. Three
4. One
1. Ankur Warikoo
2. Prajakta Koli
3. Santanu Bhattacharya
4. Amish Tripathi
Q.6 If 'A' stands for '*', 'B' stands for '*', 'C' stands for '*' and 'D' stands for '*', what will come in place of the question mark '?' in the following equation? 6 B 2 D 14 A 7 C 2 = ?
1. 8
2. 12
3. 10
4. 14
Q.7 What determines the amount of water reabsorbed during the formation of urine in human kidneys?
1. The overall physical size and measurable dimensions of the human kidneys
2. The specific type of food regularly eaten and normally consumed daily
3. The oxygen level present within the circulating blood throughout the body
4. The amount of excess water and dissolved waste the human body must remove
8 Select the pair that follows the same pattern as that followed by the two set of pairs given below. Both pairs follow the same pattern. OKN- JFI GCF- BXA4920
1. KFH- FBE
2. KGJ- FBE
3. KGJ- EBD
4. KFH- EAD
Q.9 When a blood vessel is injured, help(s) to plug the leak by clotting the blood.
1. red blood cells
2. plasma
3. lymphocytes
4. platelets
Q.10 Who appoints the members of the Union Public Service Commission in India?
1. Prime Minister of India
2. Parliament of India
3. President of India
4. Supreme Court of India
11 A train travels 1/3 of the total distance at 40km / hr 1/4 of the to Find the average speed of the train.
1. 48 km/hr
2. 42 km/hr
3. 50 km/hr
4. 45 km/hr
Q.12 Which of the following is considered the earliest known Marathi literary work?
1. Gathasaptasati
2. Lilacharitra
3. Janesvari
4. Dipavamsa
Q.13 Sidhu Murmu and Kanhu Murmu were the leaders of which of the following rebellions?
1. Santhal Rebellion
2. Jaintia and Garo Rebellion
3. Munda Rebellion
4. Halba Rebellion
14 Each of the letters in the word JALOPIES are arranged in alphabetical order. How many letters are there in the English alphabetical order between the letter which is fourth from the left and the one which is second from the right in the new letter- cluster thus formed? 2546
1. 5
2. 4
3. 3
4. 6
Q.15 In a laboratory demonstration, a student adds hydrochloric acid to sodium hydrogencarbonate and collects the gas. How can the student confirm it is carbon dioxide?
1. It supports combustion.
2. It extinguishes a burning splint.
3. It turns limewater milky.
4. It forms a blue precipitate.
1. Delhi
2. Pune
3. Chandigarh
4. Chennai
Q.17 What is the typical size range of particles in a colloidal solution?
1. Larger than 1 millimeter
2. More than 1000 nanometers
3. Less than 1 nanometer
4. 1 to 100 nanometers
Q.18 A student observes a body moving with constant speed along a circular path. Which of the following best represents the graphical relationship between its speed and time for one complete revolution?
1. A line sloping upwards with time
2. A curved line increasing with time
3. A horizontal straight line parallel to the time axis
4. A sinusoidal curve above the time axis
1. Equal to the focal length
2. Smaller than the object
3. Same size as the object
4. Larger than the object
Q.20 The Rural Infrastructure Development Fund is maintained by
1. India Infrastructure Trust
2. Securities and Exchange Board of India
3. Reserve Bank of India
4. National Bank for Agriculture and Rural Development
Q.21 Which of the following shows oxidation?
1. Addition of Hydrogen
2. Loss of oxygen
3. Addition of oxygen
4. Gain of electrons
Q.22 Find the difference between the medians of the data 21, 41, 34, 19, 37 and the data 33, 23, 27, 39, 31.
1. 8
2. 3
3. 5
4. 10
Q.23 A truck was facing the south. It turned 135° in the clockwise direction and then 45° in the anti-clockwise direction then moved 5 km. Then moved 45° in the anti-clockwise. In which direction is the truck facing now? 1600
1. South
2. South-east
3. South-west
4. North
1. Differential heating between the Indian landmass and surrounding seas creating low pressure over north-western India
2. Localized convective rainfall generated only due to intense heating over the Deccan Plateau
3. Seasonal reversal of winds in the form of retreating north-east monsoon over the Indian subcontinent
4. Temperate cyclonic systems known as western disturbances originating from the Mediterranean region
Q.25 Majuli, which is recognised as the largest inhabited riverine island in the world, is located in the course of which river in India?
1. Ganga
2. Brahmaputra
3. Teesta
4. Indus
2025?
1. Hyderabad
2. Pune
3. Bengaluru
4. Noida
Q.27 Which method of contraception releases hormones to stop ovulation?
1. Oral contraceptive pills
2. Copper- T
3. Withdrawal method
4. Condom
Q.28 If 40% of a number is added to 120, then the result is the same number. 30% of the same number is:2106
1. 80
2. 180
3. 90
4. 60
29 If the value of the universal gravitation constant (G) was accidentally used as ten times higher in a planetary orbit calculation, what would be the effect on the calculated gravitational force between the planet and the sun?
1. The calculated force would be ten times smaller than the actual value
2. The calculated force would be half the actual value
3. The calculated force would be ten times greater than the actual value
4. The calculated force would be unchanged
Q.30 Two machines complete the same amount of work, but Machine A does it in half the time compared to Machine B. Which machine has a greater power output?
1. Both are equal
2. Machine A
3. Machine B
4. Cannot be determined
31 A 29- year- old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?
1. Diagnostic laparoscopy with chromopertubation
2. Serum thyroid function tests for evaluation
3. Transvaginal ultrasound of pelvic organs
4. Endometrial biopsy for luteal phase assessment
Q.2 During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?
1. Abnormal cervical mucus
2. Hormonal imbalance leading to anovulation
3. Intrauterine adhesions preventing implantation
4. Blocked fallopian tubes
Q.3 Which nursing intervention is most appropriate when caring for a patient experiencing an anaphylactic reaction?
1. Place the patient in a supine position only
2. Apply a warm compress to the affected area
3. Maintain a patent airway and administer epinephrine
4. Administer oral antihistamines
6.6 When evaluating the effectiveness of communication in a health education session, which indicator most accurately shows that successful communication has been established?
1. The educator finishes the session early
2. Participants can accurately summarize the main points
3. The educator has thorough knowledge of the content
4. The educator uses effective mass media
Q.7 Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?
1. Oxytocin hormone
2. Follicle stimulating hormone
3. Insulin and glucagon
4. Estrogen and progesterone
Q.8 In a health care setting, a nurse finds used gloves and a broken glass ampoule together. Which action ensures proper biomedical waste management?
1. Place both in black bag
2. Segregate gloves and glass ampoules
3. Dispose both in yellow bag
4. Mix both in red bag
9.9 When caring for a patient experiencing a panic attack, which nursing intervention is most appropriate?
1. Administer stimulant medication
2. Remain calm and stay with the patient
3. Encourage the patient to recall past traumas
4. Leave the patient alone to calm down
Q.10 A 30- year- old pregnant woman with hyperemesis gravidarum is at risk for Wernicke's encephalopathy. Which vitamin supplement is essential in her treatment plan?
1. Prescribe oral folic acid tablets
2. Start vitamin D injections only
3. Suggest vitamin C supplements daily
4. Administer intravenous thiamine therapy
Q.11 Formal social control is most closely associated with which of the following?
1. Personal habits and routines
2. Laws and official regulations
3. Peer group opinions
4. Family traditions and customs
1. Field visit
2. Demonstration method
3. Role play method
4. Case study method
Q.13 What is the primary function of alveoli in the lungs?
1. Exchanging gases
2. Producing mucus
3. Moving the rib cage
4. Filtering blood
Q.14 A patient is receiving oxygen via nasal cannula and complains of nasal dryness. What should the nurse do to maintain comfort and oxygenation?
1. Humidity the oxygen
2. Discontinue oxygen therapy
3. Apply petroleum jelly inside the nose
4. Increase oxygen flow rate
1. Output decreases temporarily after surgery
2. Effluent is formed and brown
3. Stoma is moist and pink
4. Stoma appears dark and bluish
Q.16 Following a course of broad- spectrum antibiotics, a patient develops gastrointestinal discomfort. Which change in the normal flora is most likely responsible for this symptom?
1. Migration of skin flora to the intestines
2. Disruption of gut flora balance leads to symptoms
3. Overgrowth of respiratory tract organisms
4. Colonization by oral bacteria in the gut
Q.17 Which solution is commonly used for fluid replacement in burn patients?
1. Normal saline with glucose
2. 5% dextrose
3. Distilled water
4. Ringer's lactate
1. Anterior pituitary gland
2. Posterior pituitary gland
3. Adrenal cortex
4. Pineal gland
Q.19 A newborn with respiratory distress syndrome and requiring mechanical ventilation is admitted to a facility. Which level of NICU care should this facility provide to best meet the infant's needs?
1. Level III
2. Level II
3. Level IV
4. Level I
Q.20 Which of the following best describes the sociological significance of marriage in most societies?
1. It exists solely for procreation.
2. It is primarily a private contract between two people.
3. It acts as a social institution that organizes kinship and inheritance.
4. It only provides legal status to partners.
1. Confidentiality of patient information
2. Legibility in handwriting and ink
3. Proper storage and retrieval systems
4. Timeliness of data entry and review
Q.22 When planning a family health education session, what approach best allows a community health nurse to tailor interventions for families with diverse cultural backgrounds and health beliefs?
1. Focusing the session only on the nurse's own cultural perspective
2. Using only standard educational materials for all families
3. Conducting a preliminary assessment of each family's health beliefs and cultural practices
4. Avoiding discussion of cultural differences during the session
Q.23 Which of the following best describes the nurse's role in addressing a patient's psychological needs during hospitalization?
1. Providing emotional support and active listening
2. Administering prescribed medications only
3. Ensuring the patient follows dietary restrictions
4. Monitoring vital signs regularly
1. Ignore the issue and hope it resolves naturally
2. Increase the nurse- to- patient ratio
3. Assign all decision- making to physicians
4. Facilitate an inter- professional meeting to clarify roles
Q.25 While conducting a home visit, the nurse needs to dispose of contaminated materials. Which step aligns with proper bag technique?
1. Disposing of waste in the client's kitchen trash bin
2. Putting contaminated items back in the bag's main compartment
3. Placing waste in a separate, leak- proof container brought in the bag
4. Wrapping waste in paper and leaving it near the bag
Q.26 Which scenario best illustrates the concept of industry versus inferiority according to Erikson's stages of development in school age children?
1. A child feels proud after completing a group project
2. A child throws a tantrum when told "no"
3. A child insists on dressing themselves
4. A child plays alone during recess
1. Medication availability and transportation
2. Environmental sanitation and personal hygiene
3. Nutrition and immunity
4. Language barriers and dietary habits
Q.28 A nurse is reviewing past reports to analyze trends in maternal health. Which step reflects proper maintenance of these community health records?
1. Editing previous records to match current observations
2. Combining unrelated reports into one file for convenience
3. Destroying old records after each analysis session
4. Organizing records systematically for easy retrieval
Q.29 A patient with limited mobility is being transferred from bed to wheelchair. Which nursing action best minimizes the risk of injury during transfer?
1. Locking the wheelchair brakes before moving the patient
2. Moving the patient quickly to minimize time spent
3. Raising the bed to its highest position for transfer
4. Allowing the patient to transfer independently
1. It indicates softening and opening of the cervix
2. It reflects dehydration from prolonged labor
3. It suggests placental abruption is occurring
4. It shows infection is present in the uterus
Q.31 What is a primary role of a nurse in health education?
1. Administering medication
2. Diagnosing diseases
3. Providing information about healthy lifestyles
4. Performing surgery
Q.32 How do the spleen and thymus work together to support the immune system?
1. The spleen produces antibodies and the thymus stores iron
2. The spleen destroys bacteria and the thymus produces insulin
3. The spleen digests fats and the thymus filters lymph
4. The spleen filters pathogens from blood and the thymus matures T- lymphocytes
1. Maintaining a closed sterile system throughout the procedure
2. Lubricating the catheter tip with sodium hypochlorite
3. Reusing the same sterile gloves for multiple patients
4. Wearing clean gloves during the entire procedure
Q.34 A nurse researcher is planning to study the effects of a new intervention. She wants her results to be applicable to a wide population. Which characteristic should guide her research design?
1. Limiting the research to a single hospital
2. Ensuring generalizability of the study findings
3. Focusing only on a unique patient group
4. Choosing an easily accessible sample
Q.35 A nurse is providing genetic counseling to a couple with a family history of diabetes. Which type of counseling is most appropriate in this scenario?
1. Motivational counseling emphasizing unrelated lifestyle changes
2. Supportive counseling centered on emotional adjustment only
3. Non- directive counseling without providing any guidance
4. Directive counseling focused on risk assessment and preventive advice
1. Microphone
2. Poster
3. Radio
4. Song
Q.37 The family in which husband lives in wife's home is:
1. Matrilineal family
2. Monogamous family
3. Matrilocal family
4. Matriarchal family
Q.38 What is the specific lymphatic pathway that leads to the development of a Virchow's node (Troisier's sign)?
1. Axillary lymph nodes
2. Right lymphatic duct
3. Deep cervical chain
4. Thoracic duct
1. To increase paperwork
2. To ensure all team members work harmoniously
3. To assign duties randomly
4. To reduce patient interaction
Q.40 Which of the following best describes intelligence?
1. The skill to speak multiple languages
2. The capacity to remember only past events
3. The tendency to act impulsively
4. The ability to learn and adapt to new situations
Q.41 Which of the following terms in research methodology refers to the consistency and reproducibility of a measurement tool?
1. Reliability
2. Control
3. Validity
4. Manipulation
1. It ensures the nurse provides more attention to these mentally ill patients.
2. It increases the nurse's level of empathy and compassion for all hospitalized patients.
3. It leads to more effective and therapeutic communication with various mentally ill patients.
4. It may cause her to avoid or treat patients with prejudice, reducing quality of care.
Q.43 Effective maternal- infant bonding in the immediate postnatal period primarily helps the mother to achieve which of the following?
1. Increasing infants' weight rapidly
2. Eliminating the risk of physiological jaundice in neonate
3. Avoiding mandatory immunizations
4. Recognizing and responding to baby's needs
Q.44 A nurse manager is tasked with improving the safety culture on a medical- surgical unit. Which of the following strategies is most effective for promoting a sustained culture of safety within the hospital environment?
1. Increasing the number of safety instructions posters
2. Implementing a non- punitive incident reporting system
3. Mandatory disciplinary action for errors and mistakes
4. Quarterly safety audits to be made mandatory
1. Restrict fluids
2. Administer extra insulin
3. Encourage exercise
4. Provide a fast-acting carbohydrate snack
Q.45 A school- aged child with type 1 diabetes feels dizzy and sweaty during recess. What is the best initial nursing action?
1. Restrict fluids
2. Administer extra insulin
3. Encourage exercise
4. Provide a fast- acting carbohydrate snack
Q.46 Which of these represents the correct order of Maslow's hierarchy from the most basic to higher needs?
1. Safety needs, Belonging needs, Esteem needs, Physical needs
2. Physical needs, Safety needs, Belonging needs, Esteem needs
3. Belonging needs, Esteem needs, Safety needs, Physical needs
4. Esteem needs, Physical needs, Safety needs, Belonging needs
Q.47 Which of the following best describes the relationship between health and disease in the context of community health nursing?
1. Health and disease are on a continuum and influence each other
2. Health and disease are two unrelated concepts
3. Disease is static while health is dynamic
4. Disease is a social dysfunction and health affects biologically
1. Wait for the next scheduled indent submission period
2. Submit a special indent with justification for urgent need
3. Borrow supplies from another unit without formal process
4. Purchase the items personally and seek reimbursement later
Q.48 When urgent supplies are required outside the regular ordering cycle, which action aligns with proper ward management protocols?
1. Wait for the next scheduled indent submission period
2. Submit a special indent with justification for urgent need
3. Borrow supplies from another unit without formal process
4. Purchase the items personally and seek reimbursement later
Q.49 Which technique is most commonly used in psychosocial therapy to help clients change negative thought patterns?
1. Cognitive restructuring
2. Psychoeducation
3. Social skills training
4. Electroconvulsive therapy
Q.50 A school nurse is designing a program to address obesity in adolescents. Which combination of interventions would best support healthy weight management?
1. Promoting physical activity and a balanced diet
2. Providing nutrition education and encouraging regular sleep patterns
3. Skipping meals and encouraging rapid weight loss
4. Advise competitive sports with a high fat diet
1. Perform hand hygiene before and after catheter insertion
2. Change the catheter insertion site for each insertion
3. Insert antibiotic injections directly into the urethra
4. Administer prophylactic antibiotics after every catheterization
Q.52 Which age group is mainly considered in pediatric nursing?
1. Seniors
2. Adults
3. Pregnant women
4. Newborns to adolescents
Q.53 A nurse is tasked with creating a peer support network for individuals with chronic mental illness in the community. Which action best demonstrates application of the principles of community mental health nursing and promotes empowerment?
1. Focusing only on medication adherence
2. Scheduling infrequent group sessions
3. Encouraging clients to lead meetings and share experiences
4. Assigning all decisions to healthcare professionals
1. Hypotonic uterine action
2. Hypertonic uterine action
3. Incoordinate uterine action
4. Normal uterine action
Q.55 In the male reproductive system, which structure among the following is primarily responsible for the production of sperm?
1. Prostate gland
2. Vas deferens
3. Epididymis
4. Seminiferous tubules
Q.56 Which hormone is typically measured during infertility investigations to assess ovarian reserve?
1. Testosterone
2. Follicle Stimulating Hormone (FSH)
3. Prolactin
4. Thyroid Stimulating Hormone (TSH)
1. Rural communities have larger populations
2. Urban communities have more formal institutions
3. Rural communities have greater cultural diversity
4. Urban communities rely mainly on agriculture
Q.58 A district health officer is tasked with improving maternal health services. She must choose a five- year plan that first introduced the Minimum Needs Programme. Which five- year plan should she reference for her proposal?
1. Sixth Five- Year Plan (1980- 85)
2. Seventh Five- Year Plan (1985- 90)
3. Fourth Five- Year Plan (1969- 74)
4. Fifth Five- Year Plan (1974- 79)
Q.59 Which family planning method is considered most appropriate to discuss with a woman during the normal puerperium if she desires long- term, reversible contraception?
1. Intrauterine contraceptive device (IUCD)
2. Injectable contraceptives
3. Tubal ligation
4. Oral contraceptive pills
1. Thyroxine
2. Insulin
3. Progesterone
4. Estrogen
Q.61 Which hormone is most associated with the body's stress response?
1. Serotonin
2. Insulin
3. Cortisol
4. Melatonin
Q.62 In the context of nursing fundamentals, how does understanding the difference between health and disease assist nurses in planning patient care?
1. It enables nurses to focus solely on disease treatment.
2. It limits nurses to physical health assessments.
3. It helps nurses to identify symptoms only.
4. It assists nurses to promote holistic care and prevention.
1. Autoclaving - uses dry heat
2. Incineration - uses moist heat
3. Pasteurization - uses high pressure
4. Filtration - removes microbes without killing them
Q.64 What is a key principle for making health education effective among diverse groups?
1. Deliver information in one language only
2. Focus solely on scientific data
3. Adapt messages to audience needs
4. Assume all learners have the same background
Q.65 A clinician is choosing between Depo Provera and combined oral contraceptives for a patient with migraine with aura. Why might Depo Provera's content be preferred?
1. It contains high estrogen, reducing migraines
2. It contains androgen, increasing stroke risk
3. It lacks estrogen, reducing stroke risk
4. It contains estrogen, increasing clotting risk
1. Pour milk directly into the mouth
2. Tilt the infant's head backward
3. Use a large cup for faster feeding
4. Allow the infant to sip at their own pace
Q.67 Which committee emphasized strengthening district hospitals to provide specialist services as part of health planning in India?
1. Mudaliar Committee
2. Bhore Committee
3. Jungalwalla Committee
4. Srivastava Committee
Q.68 During active labor, a woman experiences sudden respiratory distress, hypotension, and cyanosis. What is the most likely diagnosis?
1. Consider cord prolapse
2. Identify placental abruption
3. Suspect amniotic fluid embolism
4. Diagnose uterine inversion
1. Low temperature
2. No movement
3. Strong cry
4. Pale skin
Q.70 What is a key provision of the Narcotic Drugs and Psychotropic Substances Act, 1985, regarding medical use?
1. Medical use is allowed only under strict regulation
2. Medical use is completely banned
3. Medical use is unrestricted for all substances
4. Medical use is allowed without any oversight
RRB Nursing Superintendent 2025 Question Paper and Answer Key PDF (Mar 12, 2026) (Shift 2)
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