NORCET Syllabus 2025 – Full Topic-Wise Guide

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Anatomy & Physiology

System-wise Integration with MSN for NORCET Exam

Important Topics in Anatomy & Physiology (A&P) for NORCET

1. Cardiovascular System

• Structure of heart chambers, valves, coronary arteries

• Cardiac cycle & heart sounds (S1, S2, murmurs)
• ECG waveforms: P, QRS, T waves
• Blood circulation: Pulmonary vs Systemic
• Cardiac output, stroke volume, BP regulation
2. Respiratory System

• Organs: Nose → Alveoli (Pathway)

• Mechanism of breathing – inspiration/expiration
• Lung volumes & capacities (TV, IRV, ERV, RV)
• Gas exchange at alveolar level
• Regulation of respiration – Medulla, pH, CO₂

3. Gastrointestinal System

• Digestive tract & accessory organs (Liver, Gallbladder, Pancreas)

• Functions of stomach, small intestine, large intestine
• Enzymes & digestive secretions
• Absorption sites (Vitamin B12, Iron, Fats)
• Peristalsis, sphincters, defecation reflex

4. Renal System

• Nephron structure & function

• Formation of urine – filtration, reabsorption, secretion
• Role of ADH & Aldosterone
• Acid-base balance (kidney role)
• Normal values of urine output, creatinine, urea

5. Endocrine System

• Major glands: Pituitary, Thyroid, Parathyroid, Adrenal, Pancreas

• Hormones: Functions, regulation, deficiency & excess
• Feedback mechanism (positive vs negative)
• Role of insulin, glucagon, cortisol, ADH, T3/T4

6. Musculoskeletal System

• Types of bones, joints, and movements

• Structure of long bone
• Muscle types: Skeletal, Cardiac, Smooth
• Sliding filament theory (Actin-Myosin)
• Common joints: Hinge, Ball and Socket, Pivot
 7. Nervous System

• CNS, PNS, ANS divisions

• Functions of brain parts (Cerebrum, Cerebellum, Brainstem)
• Reflex arc
• Neurotransmitters (ACh, Dopamine, Serotonin)
• Spinal cord – ascending & descending tracts

8. Integumentary System

• Layers of skin: Epidermis, Dermis

• Functions of skin – barrier, temp regulation, sensation
• Appendages: Hair, Nails, Sweat glands
• Healing process of wounds

9. Reproductive System

• Male & female organs + gamete production

• Hormonal control – Estrogen, Progesterone, Testosterone
• Menstrual cycle phases
• Fertilization and implantation (overview)

10. Lymphatic & Immune System

• Lymph nodes, spleen, tonsils

• Innate vs Adaptive immunity
• Types of antibodies (IgG, IgA, IgM, etc.)
• Inflammatory response (Cardinal signs)

✅ This A&P syllabus integrates directly with clinical application in MSN and helps in
understanding case-based MCQs.

✅ Subject 1: Medical-Surgical Nursing – I (MSN-1)

Foundation of Adult Health Nursing – Basic to Systemic Care
Key Systems & Topics in MSN-1 for NORCET:

1. Cardiovascular System

• Anatomy & Physiology of Heart and Vessels

• Hypertension, Heart Failure, CAD, Angina, MI
• ECG interpretation (Basics)
• Cardiac arrest & BLS/ACLS basics
• Defibrillation, Pacemakers
• Cardiac catheterization & nursing care

2. Respiratory System

• Normal A&P and breath sounds

• COPD, Asthma, Pneumonia, TB
• Chest physiotherapy, Inhalation therapy
• Ventilator settings and suctioning
• ABG interpretation (Basics)

3. Gastrointestinal System

• Peptic Ulcer, GERD, Hepatitis, Liver Cirrhosis

• GI Bleed & Varices
• Colostomy care, Endoscopy, Enema procedures
• Parenteral nutrition (TPN)

4. Renal System

• Acute & Chronic Renal Failure

• Dialysis types & nursing care (Hemodialysis, Peritoneal)
• UTI, Glomerulonephritis, Nephrotic Syndrome
• Catheterization & Bladder irrigation

5. Endocrine System

• Diabetes Mellitus (Types, Management, Insulin)

• Thyroid disorders – Hypo/Hyperthyroidism
• Adrenal disorders – Addison’s, Cushing’s
• Pituitary disorders (Acromegaly, DI, SIADH)

6. Musculoskeletal System

• Fractures (types, management, traction care)

• Osteoporosis, Arthritis
• Post-op ortho care & rehabilitation
• Joint replacement surgery nursing care
 7. Integumentary System

• Burns (Rule of 9, fluid calculation)

• Pressure Ulcers (Stages, Prevention)
• Wound care & dressing techniques
• Skin infections & Dermatitis

8. Fluid, Electrolyte & Acid-Base Balance

• Sodium, Potassium, Calcium, Magnesium imbalance

• Dehydration, Edema
• ABG values (Normal ranges and interpretation)
• IV Fluids – Types & Indications

9. Shock & Multi-Organ Failure

• Types of shock (Hypovolemic, Cardiogenic, Septic)

• Early recognition & management
• Nursing interventions in ICU setup

10. Common Nursing Procedures

• IV cannulation, Oxygen therapy, NG tube insertion

• Blood transfusion – steps, reactions, nursing care
• Pre-operative & post-operative nursing
• Pain assessment & management tools

Note: This part of the syllabus contributes significantly to case-based MCQs, clinical
scenario questions, and image-based questions in both Stage I & II.

✅ Subject 2: Medical-Surgical Nursing – II (MSN-2)

Advanced Disorders, Oncology, Neuro, and Critical Care Concepts

Important Topics in MSN-2 for NORCET:

1. Neurological System

• Structure & Function of CNS and PNS

• Increased ICP, Meningitis, Encephalitis
• CVA (Stroke) – Types, FAST sign, Rehab
• Seizure disorders (Epilepsy, Status Epilepticus)
• Glasgow Coma Scale (GCS) & Nursing Management
• Lumbar puncture, EEG – procedure & care
2. Hematological Disorders

• Anemia (Iron Deficiency, Pernicious, Aplastic, Sickle Cell)

• Leukemia, Lymphoma – Nursing Care
• Bleeding Disorders – Hemophilia, DIC
• Blood transfusion reactions & safety protocols

3. Immunological & Autoimmune Disorders

• HIV/AIDS – Stages, Nursing care, ART

• SLE, Rheumatoid Arthritis
• Hypersensitivity Reactions
• Immunosuppressive therapy side effects

4. Oncology Nursing

• Warning signs of cancer (CAUTION Mnemonic)

• Chemotherapy – side effects, nursing care
• Radiation therapy – skin care, precautions
• Post-mastectomy care, Stoma care (colostomy, ileostomy)
• Palliative & Hospice Care, Pain Ladder (WHO)

5. Sensory Disorders

• Cataract, Glaucoma, Retinal detachment

• Hearing loss, Otitis media, Meniere's disease
• Eye & Ear drop instillation techniques
• Pre & post-operative care in ENT/ophthalmology surgeries

6. Disorders of Male & Female Reproductive System

• BPH, Prostate cancer, Orchitis

• Cervical cancer, Ovarian cysts (Basic overview – more in OBG section)
• Common procedures: Pap smear, Prostatectomy, Hysterectomy

7. Burns & Reconstructive Surgery

• Burn management: Rule of 9, Parkland Formula

• Phases: Emergent, Acute, Rehab
• Plastic surgery – Skin grafting types, post-op care

8. Transplant & Immunosuppression

• Kidney, Liver, Bone Marrow Transplant

• Pre & post-transplant care
• Anti-rejection drugs and infection control

9. Occupational Hazards & Disaster Nursing

 • Types of disasters – natural & man-made
• Triage system (color code)
• PPE, Safety protocols for nurses
• Bioterrorism agents (basic awareness – Anthrax, Botulism)

10. Nursing Management in Critical Care

• ICU protocols
• Ventilator settings & alarms
• Central line care, Infection prevention
• Role of nurse in CPR, BLS, ACLS steps

Note: Many Stage-II case-scenario questions in NORCET are from MSN-2 topics,
especially Neuro, Onco, and ICU care.

✅ Subject 4: Fundamentals of Nursing (FON)

Foundation of Clinical Practice, Basic Nursing Skills & Ethics

Important Topics in FON for NORCET:

1. Nursing Process

• 5 Steps: Assessment, Diagnosis, Planning, Implementation, Evaluation (ADPIE)

• Types of nursing diagnosis (NANDA)
• Short-term vs long-term goals
• Prioritization of care (Maslow’s hierarchy)

2. Infection Control & Asepsis

• Medical vs Surgical asepsis

• Standard precautions (CDC)
• Hand hygiene – steps (WHO)
• Use of PPE – gloves, masks, gowns
• Biomedical waste segregation (Color coding)

3. Vital Signs Monitoring

• Normal ranges: Temp, Pulse, Respiration, BP, SpO₂
• Routes of temperature measurement
• Apical vs radial pulse
• Orthostatic hypotension
• Pain assessment tools (Numeric, Wong-Baker)

4. Elimination Needs

• Urinary catheterization (types, procedure)

• Constipation, enema, digital evacuation
• Colostomy & urostomy care
• I/O charting, types of urine specimens
• Bowel training techniques

5. Oxygenation & Respiratory Care

• Oxygen delivery systems (nasal cannula, mask, rebreather)

• Suctioning (oral/nasal/tracheal) procedure
• Incentive spirometry
• Positioning – Semi-Fowler’s, High Fowler’s for dyspnea

6. Nutrition & Hydration

• Feeding techniques (oral, NG, PEG)

• Diet modifications: soft, clear liquid, diabetic
• Tube feeding precautions & verification
• IV fluid types (NS, RL, Dextrose) – uses & flow rate

7. Mobility & Positioning

• ROM exercises – active, passive

• Positioning types: Supine, Prone, Sims, Trendelenburg
• Transfer techniques – bed to wheelchair, ambulation aids
• Pressure sore prevention & back care

8. Comfort, Hygiene & Safety

• Bed making (open, closed, surgical)

 • Bathing types: Bed bath, Sitz bath
• Oral, eye, ear care in unconscious patient
• Restraints: Types, application, legal issues

9. Documentation & Reporting

• Types of records (SOAP, Kardex, Flow sheets)

• Legal responsibilities
• Incident reporting & hand-off communication (SBAR)

10. Ethical & Legal Aspects

• Code of Ethics in Nursing

• Nurse-patient relationship
• Patients’ rights & consent
• Negligence, malpractice, confidentiality

Note: Many Stage I MCQs directly test FON concepts, while Stage II may have basic
procedure-based scenarios.

✅ Subject 5: Child Health Nursing (Pediatrics)

Care of Infants, Children, and Adolescents

Important Topics in Child Health Nursing for NORCET:

1. Growth & Development

• Milestones: motor, social, language, cognitive

• Weight, height, head circumference (age-wise norms)
• Denver Development Screening Test (DDST)
• Teeth eruption timeline
• Play stages (infant to adolescent)

2. Nutrition in Children
• Breastfeeding benefits & techniques
• Exclusive breastfeeding (6 months rule)
• Weaning foods and ages
• PEM: Kwashiorkor vs Marasmus
• Vitamin deficiencies (A, D, K, Iron)

3. Common Pediatric Disorders

• Diarrhea – ORS, Zinc use

• Pneumonia, Asthma
• Febrile seizures, Epilepsy
• Nephrotic syndrome
• Congenital anomalies – cleft lip/palate, CHD, spina bifida

4. Immunization

• Universal Immunization Programme (UIP) schedule

• Cold chain & vaccine storage (2–8°C)
• Pentavalent, IPV, OPV, BCG, Measles
• Catch-up immunization
• Adverse Event Following Immunization (AEFI)

5. Newborn Care

• Apgar score (0, 1, 5 min)

• Thermoregulation, Kangaroo Mother Care (KMC)
• Immediate newborn resuscitation steps
• Common problems: Jaundice, Sepsis, Hypoglycemia
• Breastfeeding techniques and reflexes

6. Fluid & Electrolyte Balance in Children

• Dehydration classification: mild, moderate, severe

• Calculation of fluid requirement (maintenance + deficit)
• Danger signs of dehydration
• IV fluid selection in pediatric patients

7. Pediatric Medication Administration

 • Dosage calculation (mg/kg)
• Oral, IV, IM, subcutaneous sites in infants/children
• Precautions for injection, inhalation, rectal medication
• Use of nebulizers

8. Psychosocial Issues in Children

• Separation anxiety
• Hospitalization impact on child
• Play therapy, behavior modification
• Child abuse & protection laws (POCSO Act)

9. Neonatal Intensive Care Unit (NICU) Basics

• Incubator care
• CPAP, phototherapy, surfactant use
• Preterm vs term vs post-term nursing
• Retinopathy of prematurity (ROP)

10. Pediatric Emergency Conditions

• Foreign body aspiration

• Poisoning (Iron, Paracetamol, Kerosene)
• High-grade fever management
• Convulsions, shock

Note: Immunization, milestones, ORS, neonatal care, and case-based scenarios are high-
yield for both NORCET Stage I and II.

✅ Subject 6: Obstetrics & Gynecology Nursing (OBG)

Care of Women During Pregnancy, Labour, and Postpartum

Important Topics in OBG Nursing for NORCET:

1. Anatomy & Physiology of Female Reproductive System

• Internal & external genital organs

• Menstrual cycle phases – uterine & ovarian
• Hormonal control (HPO axis)
• Puberty, menopause & changes during pregnancy

2. Pregnancy (Antenatal Care)

• Signs of pregnancy (Presumptive, Probable, Positive)

• Gravida & Parity terminology (GTPAL)
• ANC visits, Schedule & Investigations
• Physiological changes during pregnancy
• Danger signs in pregnancy

3. Intrapartum (Labour) Care

• True vs False Labour

• Stages of labour & their duration
• Fetal skull, Lie, Attitude, Presentation, Station
• Partograph – interpretation and action
• Role of nurse during each stage
• Episiotomy – indication & care

4. Postpartum (Puerperium) Care

• Changes in uterus, lochia types

• Postnatal assessment (BUBBLE HE)
• Breastfeeding support
• Complications – PPH, puerperal sepsis
• Kangaroo Mother Care (KMC) and rooming-in

5. High-Risk Pregnancy

• PIH – types, management

• Eclampsia – signs, MgSO₄ protocol
• GDM – screening, management
• Anemia, Rh incompatibility, IUGR
• Preterm labor, PROM, Placenta previa, Abruptio placentae
 6. Family Planning

• Natural methods (Calendar, Cervical mucus)

• Barrier, Hormonal, IUCDs – types & nursing care
• Permanent methods: Tubectomy, Vasectomy
• Emergency contraception
• National Family Welfare Programme

7. Gynecological Disorders

• Fibroid uterus, Endometriosis, PID

• Cervical & breast cancer screening (Pap smear, SBE, CBE)
• Menstrual disorders – amenorrhea, dysmenorrhea, menorrhagia
• Infertility – causes and management (basic)

8. Obstetric Procedures

• LSCS – indications, pre & post-op care

• Induction of labour (Oxytocin, prostaglandins)
• MTP – indications, procedure
• D&C, hysterectomy – types and care
• Amniotomy, forceps/vacuum delivery (basics)

9. Newborn Nursing (with OBG overlap)

• APGAR score
• Immediate newborn care
• Neonatal reflexes
• Danger signs in newborn
• Breastfeeding initiation

Note: NORCET exams (especially Mains) give high weightage to labour stages, danger
signs, fetal monitoring, family planning, and high-risk pregnancy scenarios.

✅ Subject 7: Psychiatric Nursing (Mental Health

Nursing)
Understanding Mental Illness, Therapies & Therapeutic Communication

Important Topics in Psychiatric Nursing for NORCET:

1. Introduction to Mental Health Nursing

• Definition of mental health & mental illness

• Rights of mentally ill patients
• Mental Health Act (Basic overview)
• Admission & discharge procedures – Voluntary, Involuntary
• Role of nurse in mental health care

2. Defense Mechanisms

• Common defense mechanisms: Denial, Projection, Repression, Regression,

Rationalization
• Their clinical examples in patient behavior

3. Therapeutic Communication

• Difference between social vs therapeutic communication

• Techniques: Silence, Listening, Open-ended questions, Restating, Clarifying
• Non-therapeutic communication barriers
• Nurse-patient relationship phases: Orientation, Working, Termination

4. Psychiatric History Taking & Mental Status Examination (MSE)

• Components of MSE: Appearance, Behavior, Speech, Mood, Thought, Cognition

• Hallucinations vs Delusions
• Insight & Judgment assessment

5. Anxiety Disorders

• Generalized Anxiety Disorder (GAD)

• Panic attacks, Phobias, OCD
• Nursing care plan for anxiety disorders
• Relaxation therapy basics

6. Mood Disorders

• Depression: Signs, Symptoms, Risk of Suicide

• Bipolar Disorder: Mania vs Depression phase
• Nursing management & drug therapy

7. Psychotic Disorders

• Schizophrenia: Types, Symptoms (Positive & Negative)

• Hallucination management
• Antipsychotic drug care (EPS side effects, NMS)

8. Substance Abuse & De-addiction

• Alcoholism, Drug dependence

• Withdrawal symptoms
• Detoxification, Rehabilitation phases
• Role of nurse in relapse prevention

9. Childhood Psychiatric Disorders

• ADHD, Autism Spectrum Disorder

• Conduct disorders, Mental retardation (Intellectual disability)
• IQ levels and assessment

10. Somatoform & Personality Disorders

• Conversion disorder, Hypochondriasis

• Borderline, Antisocial personality disorders
• Basic nursing approach

11. Therapies in Psychiatry

• Electroconvulsive Therapy (ECT) – indications, nursing care

 • CBT (Cognitive Behavioral Therapy)
• Psychotherapy – individual, group
• Occupational therapy, Milieu therapy

Note: NORCET often includes MCQs from therapeutic communication, schizophrenia,

drug side effects, and MSE questions.

✅ Subject 8: Surgical Nursing

Pre-op, Post-op, Instruments & Perioperative Care

Important Topics in Surgical Nursing for NORCET:

1. Pre-operative Nursing Care

• Pre-op assessment checklist (NPO, Consent, Vitals, Shaving, Labs)

• Informed consent – legal and ethical aspects
• Pre-op teaching: breathing exercises, pain control, ambulation
• Skin preparation & site marking
• Psychological preparation & anxiety reduction

2. Intra-operative Nursing (OT Responsibilities)

• Sterile vs unsterile team members

• Surgical hand scrub technique
• Gowning & gloving steps
• Positioning of surgical patients – lithotomy, supine, prone, etc.
• Surgical time-out procedure
• Instruments: scalpel, forceps, retractors, scissors, sutures

3. Post-operative Nursing Care

• Immediate recovery room monitoring (ABC, LOC, pain, bleeding)

• Post-anesthesia complications – hypoxia, shock, vomiting
• Pain management – PCA pump, non-pharmacologic interventions
• Ambulation & DVT prevention (leg exercises, TED stockings)
• Post-op wound care, suture removal, dressing change
• Post-op diet advancement
4. Surgical Site Infection (SSI) Prevention

• Factors increasing SSI risk

• Antibiotic prophylaxis
• Sterile technique and dressing changes
• Patient education on wound care

5. Types of Surgeries & Common Procedures

• Elective vs emergency surgeries

• Open vs laparoscopic surgeries
• Herniorrhaphy, Appendectomy, Cholecystectomy
• Mastectomy, Hysterectomy, Prostatectomy
• Ortho surgeries: ORIF, TKR, THR

6. Drainage & Tubes

• Types of surgical drains – Jackson Pratt, Hemovac, Penrose

• Care of drains, recording output
• NG tube care post-surgery
• Urinary catheter care

7. Suture Materials & Techniques

• Absorbable vs Non-absorbable sutures

• Suture techniques: Interrupted, Continuous
• Suture removal steps and precautions

8. Perioperative Nursing Roles

• Circulating nurse vs scrub nurse

• Count of instruments & sponges
• Documentation during surgery
• Transport and positioning of patient pre and post-op

9. Post-op Complications & Management

 • Hemorrhage, Shock
• DVT, Pulmonary embolism
• Atelectasis, Pneumonia
• Infection, Evisceration, Dehiscence
• Urinary retention, Constipation

Note: NORCET frequently asks MCQs on OT roles, post-op complications, surgical

positioning, and instrument identification (IBQs).

✅ Subject 9: OT / ICU Nursing

Operation Theatre & Critical Care Nursing Procedures

Important Topics in OT / ICU Nursing for NORCET:

1. Operation Theatre (OT) Protocols

• Zoning in OT: Unrestricted, Semi-restricted, Restricted

• Aseptic techniques: Gowning, Gloving, Scrubbing
• OT etiquette – minimal talking, sterile field maintenance
• OT lighting, temperature & laminar flow systems
• Instrument and sponge count protocols
• Biomedical waste disposal – OT-specific rules

2. Surgical Instruments (Identification & Uses)

(Important for IBQs – Image-Based Questions)

• Cutting: Scalpel, Scissors

• Grasping: Forceps (plain, toothed)
• Retractors: Langenbeck, Deaver
• Suturing: Needle holders, sutures
• Hemostasis: Artery forceps, Kocher’s, Mosquito

3. Sterilization & Disinfection

• Methods: Autoclaving, Ethylene oxide, Hot air oven

• Chemical disinfectants: Glutaraldehyde, Formalin
• OT fumigation procedures
• Use of PPEs and sterile draping

4. ICU Monitoring Equipment

• Cardiac monitor: ECG, HR, SpO₂, BP

• Arterial lines, CVP lines – purpose & care
• Pulse oximeter & Capnography
• Temperature probes, Foley with temp sensor
• Infusion pumps, Syringe pumps – setup & calculation

5. Ventilator Care & Alarms

• Types: Volume vs Pressure control

• Basic ventilator settings: RR, TV, PEEP, FiO₂
• Common alarms: High pressure, Low volume
• Suctioning techniques (closed/open)
• Endotracheal tube care, cuff pressure

6. ICU Nursing Interventions

• ABG interpretation basics (pH, PaO₂, PaCO₂, HCO₃)

• Positioning in ICU – prone ventilation, 30° elevation
• Sedation assessment (RASS scale)
• Infection control: VAP bundle, central line care bundle

7. Critical Care Medications

• Inotropes: Dopamine, Dobutamine, Noradrenaline

• Sedatives: Midazolam, Propofol
• Anticonvulsants, Diuretics
• Emergency drugs tray (CPR kit)

8. Emergency Response in ICU

• CPR (BLS/ACLS) protocol

• Code blue – ICU team roles
• Defibrillator use: Manual, AED
 • Documentation & post-resuscitation care

Note: NORCET often includes questions from ventilator alarms, ABG basics, ICU
protocols, and surgical instrument identification — especially in Stage-II.

✅ Subject 10: Emergency Drugs & Poisoning

Management
Lifesaving Medications & Emergency Response Protocols

Important Topics for NORCET:

1. Common Emergency Drugs (Nursing Focused)

• Adrenaline (Epinephrine): Anaphylaxis, cardiac arrest dose & route

• Atropine: Bradycardia, organophosphorus poisoning
• Dopamine / Dobutamine: Cardiogenic shock, hypotension
• Lidocaine: Ventricular arrhythmias
• Amiodarone: Arrhythmia, cardiac arrest
• Furosemide: Pulmonary edema, fluid overload
• Nitroglycerin: Chest pain, angina
• Sodium Bicarbonate: Metabolic acidosis
• Calcium gluconate: Hyperkalemia, hypocalcemia
• Magnesium sulfate: Eclampsia, Torsades de pointes
• Dextrose 50% (D50): Hypoglycemia management

2. Routes of Administration in Emergencies

• IV push, IV infusion
• Intramuscular (IM) – fast-acting drugs
• Subcutaneous (limited use)
• Endotracheal route (in code situations – NAVEL drugs)

3. Nursing Responsibilities

• Checking expiry, compatibility, dilution

• Rate of administration
 • Monitoring vital signs before/after drug administration
• Managing side effects & adverse drug reactions (ADR)
• Crash cart arrangement & restocking

4. Poisoning & Antidotes

Poison Type Antidote

Organophosphate Atropine, PAM
Paracetamol Overdose N-acetylcysteine (NAC)
Iron Poisoning Desferoxamine
Benzodiazepine Overdose Flumazenil
Opioid Overdose Naloxone
Heparin Toxicity Protamine sulfate
Warfarin Toxicity Vitamin K
Snake Bite (Neurotoxic) Anti-snake venom (ASV)

5. Toxicology & Poisoning Nursing Care

• Identify route (oral, inhalation, dermal)

• Maintain airway, breathing, circulation
• Gastric lavage, activated charcoal (timing importance)
• Monitor ECG, consciousness level
• Psychological assessment in suicidal poisoning

Note: NORCET includes direct MCQs on emergency drugs' use, dosage, nursing
responsibilities, and poison-antidote match. These questions often appear in both Stage I
(factual) and Stage II (clinical scenario).

✅ Subject 11: Image-Based Questions (IBQs)

Visual Recognition for Clinical Tools, Procedures & Instruments

High-Yield IBQ Topics for NORCET (AIIMS Style)

1. Surgical Instruments Identification

• Forceps: Toothed, Plain, Artery, Kocher’s

• Scissors: Mayo, Metzenbaum
• Retractors: Langenbeck, Deaver
• Needle holder, Scalpel, Sponge holding forceps
• Sutures: Absorbable vs Non-absorbable (catgut, prolene)

2. Drugs & Vials Identification

• Ampoules vs vials (injection type)

• Adrenaline, Atropine, Insulin, Magnesium sulfate
• IV fluid bottles – RL, NS, DNS, Dextrose
• Pre-filled syringes (Heparin, Enoxaparin)

3. Diagnostic Tools / Monitoring Devices

• Thermometer (digital, infrared)

• Sphygmomanometer (Mercury vs digital)
• Glucometer
• Pulse oximeter
• ECG monitor screen (showing sinus rhythm or VF)

4. Tubes, Lines, and Catheters

• Nasogastric tube vs Ryle’s tube

• Foley catheter sizes (pediatric vs adult)
• Central line image
• Chest drain system
• Venturi mask, NRBM, BIPAP mask

5. Medical Signs & Skin Conditions

• Pressure ulcer staging images

• Burn areas using Rule of 9 chart
• Skin rashes: measles, chickenpox, impetigo
• Cyanosis, Jaundice visual clues

6. OBG & Pediatric IBQs

• Fetal skull diameters and sutures

 • Partograph reading
• APGAR score images
• Newborn reflexes (Moro, rooting)
• Vaccine schedule charts (UIP)

7. Psychiatric IBQs

• Facial expressions for schizophrenia/hallucination

• Psychological scales (mini-mental state exam sample)
• Restraint positions (physical vs chemical)

8. Emergency & ICU Equipment

• Defibrillator machine, AED pads

• Ambu bag (BVM)
• Syringe pump, infusion pump
• Crash cart layout

Note: AIIMS-style NORCET Stage-II exam typically includes 10–15% IBQs. Students
must be familiar with images from clinical exposure and nursing procedures.

✅ Subject 12: Pharmacology

Essential Drug Knowledge for Safe Nursing Practice

Important Topics in Pharmacology for NORCET:

1. General Principles of Pharmacology

• Definition of drug, pharmacokinetics & pharmacodynamics

• Routes of drug administration (IV, IM, SC, PO, SL, topical)
• First-pass effect, bioavailability
• Drug half-life, onset, peak, duration
• Drug calculations (mcg, mg, ml) – nursing-safe dose
 2. Common Drug Classifications & Examples

Drug Group Common Examples

Antibiotics Amoxicillin, Ceftriaxone, Azithromycin
Analgesics Paracetamol, Diclofenac, Morphine
Antipyretics Ibuprofen, Paracetamol
Antihypertensives Amlodipine, Labetalol, Enalapril
Antidiabetics Metformin, Insulin
Diuretics Furosemide, Spironolactone
Anticoagulants Heparin, Warfarin, Enoxaparin
Anti-TB HRZE – Isoniazid, Rifampicin, Pyrazinamide, Ethambutol
Antiepileptics Phenytoin, Sodium valproate
Psychotropics Haloperidol, Diazepam, Fluoxetine
Emergency Drugs Adrenaline, Atropine, MgSO₄

3. Nursing Responsibilities in Medication Administration

• 7 Rights of medication administration

• Pre-checks: allergy, dose, route, time, expiry
• Look-alike, sound-alike drugs
• Drug storage & handling
• Monitoring side effects & documentation

4. Side Effects, Adverse Effects, Toxicity

• Common side effects vs adverse drug reactions (ADR)

• Reporting of ADR (Pharmacovigilance)
• Examples: Nephrotoxicity (Aminoglycosides), Hepatotoxicity (INH), Hypoglycemia
(Insulin)

5. Drugs Used in Special Conditions

• Eclampsia: Magnesium sulfate protocol (Pritchard Regimen)

• Myocardial infarction: MONA (Morphine, O₂, Nitrates, Aspirin)
• Asthma: Salbutamol, Steroids, Aminophylline
• COVID-related: Remdesivir, Oxygen therapy adjuncts

6. Calculation & Dilution

 • Dose = Weight × Dose per kg
• IV flow rate (Drops/min, mL/hr)
• Drug dilution (e.g., Inj. Phenytoin in NS)
• Pediatric doses – mg/kg/day

Note: NORCET questions from pharmacology commonly test:

• Drug classification and uses

• Side effects & antidotes
• Nursing precautions during administration
• Clinical scenario-based medication use

✅ Subject 13: Community Health Nursing (CHN)

Health for All – Family, Community, and National Health Programs

Important Topics in CHN for NORCET:

1. Concepts & Principles of Community Health

• Definition of health, illness, disease

• Dimensions of health (WHO)
• Levels of prevention: Primary, Secondary, Tertiary
• Health indicators: MMR, IMR, Crude birth rate, TFR
• Health team members – ANM, ASHA, MPHW, LHV roles

2. Epidemiology & Communicable Diseases

• Chain of infection
• Modes of transmission
• Immunity – active vs passive
• Surveillance & notification
• Common diseases:
o TB (RNTCP/NTEP guidelines)
o Malaria (NVBDCP)
o Dengue, Measles, COVID-19
o Hepatitis A/B/C, HIV/AIDS
3. National Health Programs

• RMNCH+A
• Janani Suraksha Yojana (JSY), Janani Shishu Suraksha Karyakram (JSSK)
• National Immunization Program (UIP)
• ICDS, Mid-day Meal Scheme
• Ayushman Bharat, NHM

4. Maternal & Child Health Services (MCH)

• Antenatal, Intranatal, Postnatal care

• Birth spacing & contraceptive counseling
• Under-5 care, ORS use
• Vitamin A supplementation
• Immunization card – schedule and interpretation

5. Environmental Sanitation

• Safe water, water purification steps

• Sanitation: Latrines, refuse disposal
• Air, noise, and housing standards
• Pollution-related diseases

6. Family & Community Assessment

• Bag technique
• Home visit – steps & tools
• Community diagnosis
• Demographic data collection
• Nutrition survey techniques

7. School Health Services

• Health check-ups, record-keeping

• Health education methods
• Immunization and screening
• Common school health problems (lice, vision defects, malnutrition)
 8. Health Education & Communication

• Methods: Individual, group, mass approach

• AV aids in education
• IEC & BCC communication
• Principles of health education

9. Non-Communicable Diseases (NCDs)

• Hypertension, Diabetes, Cancer – early detection & prevention

• NPCDCS program
• Counseling & lifestyle modification

10. Vital Statistics & Survey Tools

• Birth & death registration

• Census & demographic cycle
• Rate, Ratio, Proportion (Basic calculation)
• IMR, MMR, NRR – formula & significance

Note: NORCET exams often include MCQs on national programs, vaccines, ASHA
roles, bag technique, indicators, and public health systems.

✅ Subject 14: Microbiology

Understanding Microorganisms, Infections & Infection Control

Important Topics in Microbiology for NORCET:

1. Introduction to Microbiology

• Types of microorganisms: Bacteria, Virus, Fungi, Protozoa

• Differences between prokaryotes & eukaryotes
• Pathogenic vs non-pathogenic organisms
• Normal flora – importance & locations
2. Bacteriology

• Structure of bacteria (Capsule, Pili, Flagella)

• Gram-positive vs Gram-negative bacteria
• Spore-forming bacteria
• Common pathogens: E. coli, Staph aureus, Streptococcus, Clostridium

3. Virology

• Structure of viruses
• DNA vs RNA viruses
• Common diseases: Measles, HIV, Hepatitis (A, B, C), Influenza
• Vaccines for viral infections

4. Parasitology

• Malaria (Plasmodium species), Amebiasis, Giardiasis

• Helminths: Ascaris, Hookworm, Tapeworm
• Life cycle, mode of transmission, nursing management

5. Mycology

• Fungal infections: Candidiasis, Ringworm, Aspergillosis

• Superficial vs systemic fungal infections
• Antifungal drugs used in treatment

6. Sterilization & Disinfection

• Sterilization methods: Autoclave (parameters), Hot air oven, Radiation

• Disinfectants: Phenol, Formalin, Alcohol, Chlorhexidine, Glutaraldehyde
• Difference between antiseptic, disinfectant, and sterilant
• Disinfection of OT, wards, equipment

7. Culture & Sensitivity

• Types of culture media: Nutrient agar, Blood agar, MacConkey

• Sample collection: Urine, blood, sputum, swab
• Aseptic technique
 • Antibiotic sensitivity (Kirby Bauer method)
• Interpretation of results

8. Immunity & Antigens

• Innate vs acquired immunity

• Active vs passive immunity
• Vaccines: Types (live, killed, toxoids, subunit)
• Immunoglobulins (IgG, IgA, IgM, IgE, IgD)

9. Hospital Acquired Infections (HAIs)

• Common pathogens: MRSA, VRE, Pseudomonas, Klebsiella

• Prevention of HAIs
• Universal precautions
• Biomedical waste handling
• Isolation techniques

Note: In NORCET, MCQs often cover sterilization methods, gram-positive/negative

bacteria, vaccines, immunity types, and infection control protocols — both theoretical and
applied (Stage-II).

✅ Subject 16: Nursing Research & Statistics

Evidence-Based Nursing & Data Interpretation

Important Topics in Nursing Research & Statistics for NORCET:

1. Basics of Nursing Research

• Definition and purpose of research in nursing

• Characteristics of good research
• Types of research: Qualitative vs Quantitative
• Research approaches: Descriptive, Experimental, Exploratory
• Research process steps (problem → analysis → reporting)
2. Research Problem & Hypothesis

• Problem statement formulation

• Research objectives vs questions
• Hypothesis: Null (H₀) vs Alternative (H₁)
• Characteristics of a good hypothesis

3. Literature Review

• Purpose of reviewing literature

• Sources: Primary vs Secondary
• Review writing format
• Online databases (PubMed, CINAHL – awareness only)

4. Research Design

• Variables: Independent, Dependent, Extraneous

• Sampling: Random, Stratified, Systematic, Convenience
• Sample size importance
• Tools of data collection: Questionnaire, Interview, Observation, Checklist

5. Data Collection & Ethics

• Informed consent
• Confidentiality & privacy
• Validity and reliability of tools
• Ethical approval, plagiarism basics

6. Data Analysis – Basic Statistics

• Descriptive statistics:
o Mean, Median, Mode
o Range, Standard Deviation
o Frequency distribution
• Inferential statistics:
o Chi-square test, t-test (basic understanding)
o p-value and significance (p < 0.05)
 7. Presentation of Data

• Tabulation and charting

• Bar diagram, Pie chart, Histogram, Line graph
• Use of MS Excel/SPSS (awareness)

8. Research Reporting

• Format of thesis/report writing

• Abstract, Introduction, Methodology, Results, Conclusion
• Referencing style – APA format (basic knowledge)
• Plagiarism and copyright

Note: In NORCET, 2–3 MCQs may be asked from:

• Hypothesis types
• Mean/median/mode basics
• Sampling types
• Simple data interpretation charts

✅ Subject 17: Forensic Nursing

Legal Responsibilities & Nurse's Role in Medico-Legal Cases

Important Topics in Forensic Nursing for NORCET:

1. Introduction to Forensic Nursing

• Definition & scope of forensic nursing

• Role of forensic nurse: caregiver, examiner, legal witness
• Relationship with police, legal system, and judiciary
• Ethical and legal responsibilities

2. Types of Injuries & Documentation

• Wounds: Incised, Laceration, Abrasion, Contusion, Stab, Gunshot

• Legal documentation of injuries
• Chain of evidence
• Body maps and photography guidelines
• Consent in examination of victims

3. Sexual Assault Examination & Care

• Rape survivor protocol (Post-rape care)

• Evidence collection: swabs, clothes, injuries
• Legal reporting obligations
• Emotional & psychological support to victims
• POCSO Act (for child sexual abuse cases)

4. Poisoning & Suicide Cases

• Signs/symptoms of common poisons

• Nursing role in medicolegal poisoning cases
• Gastric lavage, sample collection for lab
• Legal procedures post-suicide attempt

5. Death & Postmortem Care

• Signs of death: Rigor mortis, Algor mortis, Livor mortis

• Legal classification of death: Natural, Accidental, Suicidal, Homicidal
• Role of nurse in identification, certification & body handover
• Documentation in custodial death, unidentified bodies

6. Legal Aspects of Nursing Practice

• Legal terms: Negligence, Malpractice, Assault, Battery

• Legal responsibilities of nurse in patient care
• Documentation for legal protection
• Consumer Protection Act (COPRA) in healthcare

7. Acts Related to Forensic Nursing

• Indian Penal Code (IPC) sections for nurses – awareness

• Mental Health Act (Basics)
• NDPS Act (Narcotic Drugs & Psychotropic Substances)
 • Medical Termination of Pregnancy Act (MTP)

Note: In NORCET, you can expect MCQs based on:

• Wound types,
• Sexual assault protocols,
• Legal reporting by nurses,
• Death signs and medico-legal responsibilities

✅ Subject 18: Genetics in Nursing

Basic Concepts of Human Genetics Relevant to Nursing Practice

Short Topics for NORCET:

• Basic terms: Gene, Chromosome, DNA, Allele, Mutation

• Structure of DNA & RNA (just overview)
• Types of inheritance:
o Dominant vs Recessive
o Autosomal vs Sex-linked
• Common Genetic Disorders:
o Down Syndrome (Trisomy 21)
o Turner Syndrome
o Thalassemia
o Hemophilia
• Role of Nurse in Genetic Counseling
• Prenatal Diagnostic Tests:
o Amniocentesis
o Chorionic villus sampling
• Ethical Issues in Genetics
• National Programs:
o RBSK – Rashtriya Bal Swasthya Karyakram
o Genetic disorder screening in neonates

Note: In NORCET, 1–2 MCQs may be asked from basic inheritance patterns, disorders
like Down syndrome, or nurse’s role in genetic counseling.

✅ Nutrition in Nursing (Bonus Subject)

Diet, Nutrients & Therapeutic Applications
Short Important Topics for NORCET:

• Macronutrients:
o Carbohydrates – 4 kcal/g
o Proteins – 4 kcal/g
o Fats – 9 kcal/g
• Micronutrients:
o Vitamins: A, D, E, K (fat-soluble); B-complex, C (water-soluble)
o Minerals: Iron, Iodine, Calcium, Zinc, Sodium, Potassium
• Balanced Diet & RDA (Recommended Daily Allowance)
• Malnutrition Types:
o Kwashiorkor
o Marasmus
o PEM – signs & nursing management
• Therapeutic Diets:
o Diabetic diet
o Cardiac diet (low sodium/fat)
o Renal diet (low protein, sodium, potassium)
o Soft, clear liquid, full liquid diets
• Nutrition in Special Conditions:
o Pregnancy & lactation
o Infant nutrition (exclusive breastfeeding)
o Elderly – low calorie, high fiber
o Tube feeding – NG, PEG, TPN
• Common Deficiencies:
o Iron → Anemia
o Iodine → Goiter
o Vitamin A → Night blindness
o Vitamin D → Rickets/Osteomalacia
o Vitamin C → Scurvy
o Protein → Edema, stunted growth
• Government Programs Related to Nutrition:
o ICDS
o Mid-Day Meal
o Vitamin A prophylaxis
o Anemia Mukt Bharat

Note: NORCET me 1–2 MCQs expected hote hain from:

• Vitamin deficiency symptoms,

• RDA facts,
• Therapeutic diets,
• Malnutrition types
20% Non-Nursing Subjects (20 MCQs)

✅ Subject 1: General Knowledge (GK)

Static GK & Common Awareness

Important Topics:

• Indian states & capitals

• Important national parks, rivers, dams
• Famous books and authors
• Indian national symbols (flower, bird, emblem, flag)
• First in India (female nurse, doctor, etc.)
• International organizations: WHO, UN, UNICEF
• Days of importance: World Health Day, Nurses Day, AIDS Day

✅ Subject 2: General Awareness / Current Affairs

Latest Events & National Schemes

Important Topics:

• Current affairs: Last 6–8 months (Health/Science focused)

• Government schemes: Ayushman Bharat, Beti Bachao Beti Padhao, PMJAY
• New health missions, policies, bills
• Important awards: Padma Awards, Florence Nightingale Award
• New appointments in health sector
• Sports, national and international events
• AIIMS-related news, NORCET updates

✅ Subject 3: Reasoning Ability

Logical Thinking & Analytical Skills

Important Topics:

• Number & Letter Series

• Analogy (word-based & number-based)
• Blood relations
• Odd one out
• Coding–decoding
• Syllogism (basic Venn diagram)
• Direction sense test
 • Calendar & Clock problems
• Ranking and order

✅ Subject 4: Mathematics (Quantitative Aptitude)

Basic Math for Competitive Exams

Important Topics:

• Number system
• HCF & LCM
• Ratio & Proportion
• Percentages
• Profit & Loss
• Simple & Compound Interest
• Time & Work
• Time, Speed & Distance
• Average
• Data interpretation (bar graph/table – basic level)
• Simplification

✅ Subject 5: English Grammar & Comprehension

Basic Grammar & Sentence Usage

Important Topics:

• Synonyms & Antonyms

• Spotting the error
• Sentence correction
• One word substitution
• Fill in the blanks
• Idioms & phrases (common ones)
• Active–Passive voice
• Direct–Indirect speech
• Reading comprehension (short passage)

Note:

• Each subject may carry 4 MCQs (total 20)

• Focus on current affairs from last 6 months, basic reasoning, and NCERT-level
English & Math
• Stage-I includes these, not Stage-II
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