ESIC Staff Nurse Syllabus And Exam Pattern

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Pattern Of ESIC Staff Nurse Exam

Written Examination Maximum marks: (125 Marks)

Mode Of Exam: Online

Number Of Questions: 125

Type Of Exam: Multiple choice objective type paper

Duration Of  Exam: 02 Hours


I. 100 Questions (100 marks) will be based on Technical professional/ Subject/Post &

II. 25 (25 Marks) Questions on Aptitude / General Awareness / General intelligence / Arithmetic Ability.

Important Information Regarding ESIC Pharmacist Exam Pattern:

  • The questions will be set Bilingual (i.e.English and Hindi language
  • The maximum marks will be 125.
  • The level of difficulty will be as per the educational qualification of the post. The questions on Arithmetic Ability will be of 10th Standard Level.
  • There will be negative marking at the rate of 0.25 marks to be deducted for every wrong answer to eliminate the element of chance.


Syllabus of ESIC Staff Nurse Exam – Nursing Section


ESIC staff nurse exam syllabus can be divided into two sections:

Section 1: This section will consist 100 questions from Bsc Nursing subjects

Section 2: This section will consist of 25 questions from Aptitude / General Awareness / General intelligence / Arithmetic Ability



UNIT-1 Introduction to anatomical terms

UNIT-II Organization of body cells tissues .organs. systems membranes and glands

UNIT-III Skeletal system

 Bones :types . structures ,functions
 Axial skeleton
 Appendicular skeleton
 Joints :classification, structure and function

UNIT –IV Muscular system
 Types ,structure and functions
 Position and action of chief muscles of body

UNIT-V Cardio-vascular system
 Blood :composition, clotting and blood group , cross matching blood products and their use
 Heart: position , structure , conduction system , function and cardiac cycle .
 Blood vessels : structural differences and position of chief vessels
 Circulation of blood : systemic , pulmonary and portal circulation
 Blood pressure and pulse
 Lymphatic system : lymph vessels , glands , ducts and lymph circulation , lymph tissues in the body , spleen

UNIT-VI Respiratory system
 Structure and functions of respiratory organs
 Physiology of respiration
 Characteristics of normal respiration and its deviations

UNIT-VII Digestive system
 Structure and functions of organs of digestion and accessory organs
 Process of digestion and absorption .
 Metabolism :meaning and metabolism of food constituents

UNIT-VIII Excretory system
 Structure and functions of organs of urinary system
 Structure and functions of skin
 Regulation of body temperature
 Fluid and electrolyte balance

UNIT-IX Nervous system
 Type, structure and functions of neuron.
 Central nervous system: structure and functions
 Autonomic nervous system: structure and functions.

UNIT-X Endocrine system
 Structure and functions of pituitary , pancreas , thyroid,
parathyroid, thymus and supra renal glands.

UNIT-XI Sense organs
 Structure and functions of eye, ear , nose and tongue.
 Physiology of vision , hearing and equilibrium.

UNIT –XII Reproductive system
 Structure and functions of reproductive and accessory organs .
 Process of reproduction, menstrual cycle and menopause
 Reproductive health
 Structure and functions of male reproductive system.
Note: Wherever possible related clinical application should be included in each
unit .



Unit-I Introduction
– Definitions, scope of psychology and its importance in nursing profession.

Unit – II Psychology of Human Behaviour
– Dynamics of behaviour, motivation and behavioral process of adjustment, adjustments and mal – adjustments unconscious behaviour.

– Frustration: sources and nature of frustration, measures to overcome frustration.

– Conflicts: types, unconscious conflict, resolution, conflict and nursing.

– Adjustment Mechanism: meaning, types and importance

– Emotions : in health and disease, emotional situations, control of emotions, effect of emotional reactions on health.

– Attitudes: meaning, development, changes in attitude, attitude and nursing.

– Habits: formation, types, effective habit formation, advantages and disadvantage of habit formation.

Unit-III Learning
– Nature of learning, laws and types of learning, factors promoting Effective learning, memory and forgetfulness.

– Thinking and type of thinking.

– Nature and type of thinking.

– Problem solving and reasoning.

Unit-IV Observation
– Attention and perception, factors affection attention and Observation and errors in perception.

Unit-V Intelligence
– Definition, individual differences in intelligence.

– Mental ability and nature of intelligence

– Measurement of intelligence.

– Development of intelligent behaviour.

Unit-VI Personality
– Meaning, Types, factors affecting development of personality

– Characteristics of various age group: Child, adolescent, adult and aged.

– Will and character.


Unit-I Introduction
Brief historical review of bacteriology and microbiology. Scope and usefulness of knowledge of microbiology in nursing.

Unit-II Micro-Organisms
Classification, structure, size method and rate of reproduction

Factors influencing growth

Pathogenic and non-pathogenic organisms

Normal flora of the body.

Common diseases caused by different types of microorganisms.

Unit III infection and its transmission

Sources of infection

Growth of microbes

Portals of entry and exit of microbes

Transmission of infection Collection of specimens.

Unit-IV Immunity
Types of immunity Hypersensitivity and autoimmunity.

Unit –V The control and destruction of micro-organisms.

Principle and methods of microbial control

Sterilization: dry heat, moist heat, chemicals and radiation.

Disinfection physical, natural gases, chemicals used and preparation of lotions Chemotherapy and antibiotics

Medical and surgical asepsis, cross-infection

Control of spread of infection


Bio-safety and waste management.

Unit-VI Introduction to Laboratory techniques

Microscope: Parts and uses. Handling and care of microscope

Inoculation of culture media

Staining and examination of slides

Preparation and examination of smears.


Unit – I Introduction

Concept scope nature and importance of sociology in nursing.

The socio-cultural and economic aspects of the community and their effects in health and illness.

Unit – II The Individual
– Brief review of human growth and development.

– Effect of environment on childhood, adolescence, adulthood and old age.

– The right and responsibilities of the individual in a democratic society.

Unit – III The Family
-Family as a social institution and basic unit for health services.

– Basic needs of family, its structure and relationships.

– Family life education: Pre-marriage, marriage and parenthood.

Unit – IV The Society

– Group: Types, Structure, Inter-group relationship. Group cycle, group behaviour and group morale.

– Social changes, social control, social stratification.

– Rural and urban society.

– Social problems: unmarried mothers, dowry system, prostitution, drug addiction, alcoholism, delinquency, handicapped, child abuse, women abuse.

– Social agencies and remedial measures.

Unit – V The Community

– Definition, characteristics and culture.

Unit – VI Economy
-Resources of the country: natural, occupational agricultural, Industrial etc.

– Social Security

– Population explosion : Its effect on economy and the need for population control.

– Budgeting for a family, per capital income and its impact on health and illness.

 Fundamentals of Nursing 

Unit-I Introduction to Nursing
– Nursing: Definition, meaning, Nature, Scope, Principle sand history of nursing.

– Nurse: Definition and meaning, preparation of a nurse qualities-personal, professional.

– Ethics in nursing, Role and responsibilities of a nurse.

– Health care agencies: Hospital and Community, Types of Hospitals and their functions.

– Holistic approach to nursing.

– Comprehensive nursing care.

Unit – II Nursing care of the patient / Client
– Introduction to the sick and well.

– Determinants of health status.

– Patient/Client : As an individual, member of the family, society, effects of illness and hospitalization on patient and his family.

– Admission of a patient : Patient’s unit, set up and care admission procedure, reception of patient, care of patient’s belongings.

-Bed and Bed Making : Principle of bed-making, factor to be considered in selecting and making bed, different types of beds and their uses.

– Maintenance of therapeutic environment: Temperature, Light, noise and humidity.

-Psycho Social Environment: Meaning and its importance, aesthetic consideration in the environment, colour scheme beauty and flower arrangements.

-Nursing Process and Nursing Care Plan:  Meaning importance and steps in development.
-Recording and Reporting:- Importance, types and nurses responsibilities.
-Discharging a patient: Preparation of the patient physically and mentally, discharge procedure, hospital policies, preparation of the patient’s relatives for discharge.  Follow up and Rehabilitation revisit, treatment compliance and referral,

Unit – III Basic Nursing Care and Needs of the patient

Hygienic Needs and Physical needs
– Importance of maintaining good personal and environmental hygiene in health and disease.

– Nurse’s role in maintaining good personal and environmental hygiene. – Care of Skin and Mucous Membrane.

– Bed bath, care of hair, eyes, nose, ears, teeth, genitalia, hands and feet. Nutritional needs.

– Importance of diet in health and disease, factors affecting the normal nutrition in sickness, nurse’s role in maintaining good nutrition, feeding helpless patients, maintenance of intake and output record.

Elimination needs
– Problem in sickness: Constipation and diarrhea, retention and incontinence of urine. – Nurse’s role in meeting elimination needs.

Safety needs
– Environmental hazards, role of nurses in prevention of health hazards. – Interpersonal relationship, cultural/spiritual/religious needs.Activity and Exercises
– Importance of activity and exercise in health and sickness, active and passive exercise. Physical Comforts
– Comfort : meaning and its importance in health and disease, factors promoting and inhibiting physical comfort, comfort devices and their uses, body mechanics, positions. Moving, shifting and Lifting of patient

– Care of pressure points, bed sores: causes, signs, symptoms, prevention and nursing care – Shifting of patient from one side to another, from bed to wheel chair and bed to stretcher.

Unit – IV Assessment of patient / Client
– Principles and importance of assessment, methods of assessment : observation, palpation, auscultation, percussion, developing skill in observation. Physical Assessment
– Height, weight, posture, speech Physiological Assessment
– Temperature, pulse, respiration and blood pressure – Characteristics of normal and abnormal (T.P.R. and B.P.) and factors influencing the variations. – Urine stool, vomit, sputum, normal and abnormal behaviour and its deviation.
Unit – V Therapeutic Nursing Care and Procedures Asepsis
– Hand washing, hand scrubbing, use of mask, gown, gloves – Disinfection techniques, sterilization techniques. – Autoclaving, boiling, flaming, ultra violet rays. Care and Sterilization of: – Linen, bed, mattress, floor, walls, cupboard and other articles. – Rubber goods, dressings, instruments, needles, syringes enamel articles. – Barrier Nursing and isolation. Care of Respiratory System – Inhalation: dry inhalation, moist inhalation, jug, Nelson’s inhaler, steam tent, electric inhalers, suction oro-nasal. – Collection of specimen of sputum for examination.
Care of Gastro Intestinal Treact – Preparation and giving of enema : Retention enema, evacuation enema, suppository, passing of flatus tube.
Care of Genito Urinary System – Perineal care of terminally ill patient and patient with urinary catheter. – Collection of specimens of urine and stool for routine and cultural examination.
Care of Skin and Mucous Membranes
– Cold application : Ice cap, cold packs, use of evaporating lotion.Hot application : use of hot water bottle, dry fomentation, moist – fomentation, medicated fomentation.

Unit – IV Basic Needs and Care in Special conditions
– Care of patient with fever, unconscious patient, patient with fluid imbalance, patient with dyspnoea. – Care of terminally ill patient. – Care of physically handicapped. Dying patient – Signs and symptoms of approaching death, needs of the dying patient and his relatives, care of the dying, last offices, packing of dead bodies in noncommunicable and communicable diseases.

Unit – VII Introduction to Pharmacology

– Concept of Pharmacology. – Classification of drugs. – Administration of drugs. – General action of drugs. – Nursing implications in administration of drugs.

 First Aid 

Unit- I Introduction
– Importance of first aid and rules of first aid. – Concept of emergency.

Unit – II First Aid in Emergency situations

– Fire, burns, fractures, accidents, poisoning, drowning, haemorrhages, insect bites, foreign bodies. – Transportation of the injured. – Bandaging and splinting.

Unit – III Community Emergencies and Resource Community Emergencies

– Fire, explosions, floods, earthquakes, famines. – Immediate and late role of nurses. – Need for rehabilitation.
Community Resources
– Police Assistance. – Voluntary agencies : Local, National and international agencies. – Ambulance services: Their functions in relation to emergencies.

 Personal Hygiene 

Unit – I Introduction

Concept of health and its relation to successful living.

Unit – II Maintenance of Health
Determinants of health, building of good health habits, immunization, correction of defects, maintenance of health records.

Unit – III Physical Health
Care of skin, hair, teeth, eyes, ears, hand and feet, Rest and sleep, exercise, activity, recreation, posture, nutrition, elimination, menstrual hygiene.

Unit – IV Mental Health.
– Characteristics of mentally healthy person., – Mental hygiene in intrauterine, infancy, childhood, adolescence, adulthood and old age.

 Community Health Nursing –I 

Unit- I Introduction to community Health and community health Nursing
 Health and disease  Community, community health, community health nursing.  Dimensions of health  Health determinants  Indicators of health levels of health care  Primary health care: Elements and principles Nurse’s role in primary health care.  Health for all by 2000 A.D  Evolution and development of community health nursing in India and its present concept.  Differences between institutional and community health nursing.  Community health team functioning  Philosophy, goals, objectives and principles of community health nursing practice.  Qualities and functions of a community health nurse.

Unit-II community health nursing process
 Concepts and definition  Importance of the community health nursing process  Steps of the process: Community identification, population composition, health and allied resources, community assessment, planning and conducting community health nursing care services.

Unit- III Health Assessment
 Characteristics of healthy individual  Identification of deviation from normal health.

Unit- IV Principles of Epidemiology and Epidemiological methods
 Definition and aims of epidemiology  Basic tools of measurement in epidemiology  Uses of epidemiology

 Disease Cycle  Spectrum of disease.  Levels of prevention of disease.  Disease transmission-direct and indirect  Immunity  Immuring agents and immunization schedule  Control of infectious diseases  Disinfection

Unit – V Family Health Nursing care
 Concept, goals, objectives, family as a unit of health family health care services.  Family health and nursing care process- family health assessment, family care plan.  Family health services- Material, Child care and family welfare services.  Roles and function of a community health nurse in family health services.  Family health records.

Unit-VI Family health care settings
 Home visiting  Purposes  Principles  Planning and evaluation  Bag technique  Clinic  Purposes  Types of clinics and their functions  Setting up of various clinics  Functions of Health personnel in these clinics

Unit- VII Referral systems Unit – VIII Records and Reports
 Types of records  Uses of records  Essential requirements of records.  Cumulative records  Design of cards/ Records

Unit-IX Minor Ailments
 Classification  Early detection and management  Standing instructions/orders


 Environmental Hygiene 

Unit I Introduction

 Components of environment  Importance of environmental health.

Unit-II Environmental factors contributing to health water
 Safe and wholesome water  Uses of Water  water pollution  water borne diseases.  Water purification Air  Air pollution  Prevention and control of air pollution Waste  Refuse  Excreta  Sewage  Health hazards of these wastes  Collection removal and disposal of these wastes Housing  Site  Basic amenities  Types and standard of ventilation  Requirements of good lighting.  Natural and artificial lighting. Noise  Source of noise  Community noise levels  Effects of noise  Noise control Arthropods of Public Health Importance  Mosquitoes, housefly, sandfly, human louse, ratfleas etc.  Rodents.  Control measures for these arthropods.

Unit – III Community organization to promote Environmental Health Levels and types of agencies

:National, state, local, Government, Voluntary and Social agencies

 Health Education And Communication Skills 

Unit – I Introduction

 Concept, definition, aims and objectives of health education.  Process of change/modification of health behaviour.  Opportunities of health education in hospital and community.  Scope of health education  Levels and approaches of health education.  Principles of health education.  Nurse’s role as health educator.

Unit – II Communication skills

 Definition of communication  Purposes of communication  Process of communication  Barriers of communication and establishment of successful communication.  Types of communication.  Importance and art of observing and listening in communication.

Unit – III Methods and Media of Health Education

 Methods of health education  Types of media (A.V.Aids).  Advantages and limitations of each.  Preparation and uses of simple aids Unit – Health Education Agencies  National  State  District Local


Unit – I Introduction

 Changing concepts- food habits and customs.  Relationship of nutrition to health.

Unit – II Classification of food

A. Classification by origin  Food of animal origin  Food of vegetable origin

 Medical Surgical Nursing – Ι 

Unit – Ι Introduction

• Brief history of evolution of modern medicine and surgery and theories of illness and its causation. • Illness as human experience. • Nursing process and nursing care plan.

Unit – ΙΙ Nursing Assessment

• Health Assessment • Physical examination • General clinical investigation

Unit – ΙΙΙ Patho Physiological Mechanism of Disease

• Inflammation. • Stress adaptation. • Defence against injury. • Nutritional consideration.

Unit – ΙV Altered Immune Respnse

• Review of normal immunity,( Review Unit ΙV of microbiology) • Altered immune response, hypersensitivity and allergy. • Nursing management of immuno therapy. • Auto immune disease. • Graft verses host disease.

Unit – V Clinical Pharmacology

• Terminology • Drugs and laws. • Basic clinical pharmacology. • Source of drugs, action, side effects, doses of drugs. • Different pharmacological preparations. • Administration of medicine to patient. • Nursing implications of administration of drugs.

Unit – VΙ Nurse’s role in Management of Fluids, Electrolyte and Acid Based Balance

• Water content of body. • Homeostasis • Review mechanism of controlling fluid and electrolyte movement. • Review regulation of fluid and electrolyte. • Fluid and electrolyte imbalance and their therapeutic management.

Unit – VΙΙ Management of patients in pain

• Concept • Assessment • Types, location • Nursing management • Analgesic drugs • Therapeutic approaches to pain.

Unit – VΙΙΙ Operation Theater Technique Physical Environment

• Operation theatre : cleaning of rooms, tables, trolleys, lights and other equipments. • Pre- operative holding areas. Theatre Technique • Scrubbing- hand washing • Gowning • Gloving • Positioning of patient for various surgical procedures. Preparation of Theatre equipment & Supplies • Cleaning • Packing • Sterilization • Needles, Sutures- types and their uses. • Role of nurses in care of patient in the theatre.

Unit – ΙX Management of patient undergoing surgery

• Assessment of pre- operative patient : physical, psychosocial and physiological aspects. • Nursing management of pre- operative patient. Intra operative Management • Surgical team • Nurse’s functions in operation theatre. •

Anesthesia: classification, anesthetic agents and role of a nurse in anesthesia.

Post- operative management – Immediate and Routine • Transferring patient from operation theatre. • Patient in recovery room. • Recovery from anesthesia. • Post operative nursing management. • Administration of post operative orders. • Post- operative complications: observation, prevention and management.

Unit – X Nursing management of patient with impaired respiratory function and gaseous exchange

• Assessment of respiratory functions. • Management of patient with impaired respiratory functions. • Respiratory intensive care. • Management of patients with disorders of upper respiratory tract. • Management of patients with disorders of the chest and lower respiratory tract.

Unit – XΙ Nursing Management of Patients with Digestive and Gastro-Intestinal Disorders

• Assessment of Gastro-intestinal disorders. • Management of upper gastro-intestinal disorders. • Gastro-Intestinal intubations and special Nutritional Management. • Management of patient with lower gastro-intestinal disorders

Unit – XΙΙ Nursing Management of Patients with Metabolic and Endocrine Disorders

• Assessment of hepatic and biliary function • Management in hepatic and biliary disorders • Assessment of endocrinal function • Management of endocrinal disorders.

Unit – XΙΙΙ Nursing Management of patients with renal and urinary disorders

• Assessment of renal and urinary functions • Management of patients with urinary and renal disorders. • Renal failure and dialysis • Renal transplant.

Unit – XΙV Nursing Management of patient with Neurological disorders

• Assessment of neurological function • Management of patient with neurological dysfunction • Management of patient with neurological disorders.

Unit – XV Nursing Management of patients with disorders of connective tissue collagen disorders.

• Assessment • Management of patient with disorders of connective tissue and collagen

Unit – XVΙ Nursing Management of the Elderly

• Assessment of elderly • Ageing process • Helping in promoting wellness and self care • Health problems in elderly

Unit – XVΙΙ Emergency Management

• Medical surgical emergencies. • Nurses role in emergency conditions.

 Medical Surgical Nursing-2 

Unit -1 oncology nursing

 Nursing management of patients with abnormal cell growth.  Problems and management.  Classification of cancer.  Detection,prevention.  Treatment modalities. Nursing management of patients receving:  Chemotherapy  Radiation  Late effect of chemotherapy and radiation  nursing management of patients undergoing radical surgery  bone marrow transplant and its management  nursing management of terminally ill patients  rehabilitation of cancer patients

Unit-2 Nursing Management of patients with diseases of male genitor-urinary tract.

 Assessment of genito-urinary function.  Disorders of male genito-urinary tract and its management.

Unit-3 Nursing management of patients with disorders of breast.

 Assessment.  Disorders of breast and breast cancer.  Management of patients undergoing surgery for cancer breast.

Unit -4 Nursing management of patients with diseases and disorders of integumentary system.

 Assessment of skin and its functions.  Inflammatory and non inflammatory disorders and its management.  Infestations, infectious and non infectious diseases and their management.  Skin cancer  Special dermatological therapy.  Burn and its management.

Unit -5 Nursing management of patients with opthalamic disorders and diseases

 Assessment of function of eyes.  Diseases and disorders of eyes and its management.  Review national programmes on blindness and trachoma.

Hospital cornea retrieval:- Grief counselling , eye collection in hospitals – Motivations for eye donation. – Obtaining consent for eye donation. – Transplantation of human organs bill and eye collection. – Eye banking in India.

Unit -6 Nursing management of patients with disorders and diseases of ear, nose, and throat.

 Assessment of the functions of ear, nose, and throat.

 Disorders and diseases of the ear, nose, and throat.

 Management of disorders and diseases of ear, nose, and throat.

Unit -7 Nursing management of patients with cardio vascular ,circulatory and haemotological disorders.

 Assessment of cardio vascular functions.  Management of patients with cardio vascular diseases.  Management of patients in I.C.U and C.C.U.  Assessment and management of circulatory , haematological disorders and problems of peripheral ciculation.  Phlebotomy procedure in blood donars.  Sample and request for blood transfusion.  Safety checks and records for blood transfusion.  Adverse transfusion reaction and their management.  Blood bank functioning

– hospital transfusion committee.  Blood donar care , post donation management, counseling of blood donors.  Inventory of necessary requirement for the transfusion.

Unit -8 Nursing management of patient with communicable diseases

 Assessment  Review of infection, how it spreads and its control.  Preparation, care and administration of antisera and vaccines.  Isolation- review of epidemiology and control measures.  Management of various infectious diseases.

Diseases caused by: Virus – Measles, chicken pox, influenza, small pox, mumps, encephalitis, infective hepatitis, poliomyelitis, rabies, AIDS. Bacteria – Diptheria, whooping cough, tetanus, typhoid, dysentery, gastro-entritis, cholera, meningococcal meningitis, tuberculosis. Zoonosis – Kala-azar, plague, relapsing fever. Mosquito – malaria, filarial, yellow fever, dengue fever.

Unit – 9 Nursing Management of patients with sexually transmitted diseases

 Assessment  Sex health and hygiene.  Gonorrhoea, syphilis, Granuloma venerium,. Chancroid, Granuloma inguinale and AIDS.

Unit – 10 Nursing Management of patients with Musculo-skeletal Disorders and diseases.

 Assessment of musculo-skeletal functions.  Disorders and diseases of bone, muscles, cartilage, ligaments and their management.  Rehabilitation, physiotherapy and occupational therapy.

Unit – 11 Emergency and disaster Nursing.

 Natural calamities.  Manmade disaster.  Community resource available to meet such calamities.  Nurse’s role in disaster management.

 Mental Health And Psychiatric Nursing 

Unit – I Introduction

 Meaning of mental health and mental illness.  Definition of terms used in psychiatry.  Review of mental mechanisms (ego mechanisms).  Review of personality and types of personality.

Unit – II History of Psychiatry

 Contributors to psychiatry.  History of psychiatric nursing.  Trends in psychiatric nursing.

Unit – III Mental Health Assessment

 Psychiatric history taking  Interview technique and mental status examination.

Unit – IV Community Mental Health

 Concept, importance and scope. Attitude and misconception towards mentally ill.  Prevention of mental illness (preventive psychiatry) during childhood, adolescence, adulthood and old age.  Community mental health services. Role of nurses in community mental health services.

Unit – V Psychiatric Nursing Management

 Definition of psychiatric nursing.  Principles of psychiatric nursing.  Nursing process.  Role of nurses in providing psychiatric nursing care.  Therapeutic nurse-patient relationship.  Communication skills.

Unit – VI Mental disorders and Nursing Interventions.

 Etioloy- various etiological theories (genetics, biochemical, psychological, etc.)  Classification of mental disorders.  Organic mental disorders- Acuter brain syndrome.  Chronic brain syndrome. Functional Mental Disorders  Prevalence, etiology, signs and symptoms, prognosis, medical and nursing management.  Schizophrenic disorders.  Mood (affective) disorders.  Manic depressive psychosis.  Anxiety states. Definition, etiology, signs, symptoms, medical and nursing management of: Phoebic disorders, obsessive compulsive disorder, depressive neurosis, conversion disorders, dissociative reaction, hypochondriasis, psychosomative disorders, alcohol, drugs and other psychoactive substances abuse.

Unit – VII Bio-Psychosocial Therapies

Psychopharmacology  Definition, classification of drugs, antipsychotic, antidepressant, antimanic, antianxiety agents.  Role of nurses in psychopharmacology.

Psychosocial therapies  Definition of psychosocial therapies.  Types of therapies: individual and group therapy, behaviour therapy, occupational therapy.  Role of nurse in these therapies.

Somatic therapy  History, technique of electro-convulsion therapy (ECT), indications, contraindications.  Role of nurses before, during and after electroconvulsive therapy.

Unit – VIII Forensic Psychiatry / Legal Aspects.

 Legal responsibilities in care of mentally sick patients  Procedure for admission and discharge from mental hospital, leave of absence.  Indian Lunatic Act 1912  Mental Health Act 1987  Narcotic Drugs and Psychotropic Act 1985

Unit – IX Psychiatric Emergencies and Crisis Intervention

 Over active patient  Destructive patient  Suicidal patient.

 Computer in Nursing 

Unit I – Introduction to computers and disk-operating system.

Unit II – Introduction to word processing.

Unit III – Introduction to data base.

Unit – IV – Graphics and use of statistical packages.

Unit – V – Windows application, word, excel, power point, multimedia

Unit – VI – Introduction to Internet and use of electronic mail.

Unit – VIII – Computer aided teaching and testing.


Unit – I Introduction

– Definition : Midwifery, obstetrical nursing. – Scope. – Historical review. – Development of maternity services in India

Unit – II Reproductive system

– Review of genitor-urinary system of male and female organs structure, physiology. – Menstrual cycle. – Internal and external organs of reproduction. – Female pelvis: structure, diameters and type.

Unit – III Embryology and foetal development

– Ovum, sperm, maturation , fertilization and implantation. – Development of fertilized ovum, morula, blastocyst, embryo. – Development of pacenta: structure of full term placenta, functions and abnormalities, anatomical variations. – Formation of foetal sac, membranes, amnion and chorionand their functions. – Formation of liquor amni, its functions and abnormalities. – Development of umbilical cord: structure, functions and abnormalities. – Foetal skull: diameters, frontanelles, sutures and their importance. – Foetal circulation.

Unit – IV Nursing Management of Pregnant Women

– Reproductive health. – Genetic counseling. – Physiological changes in pregnancy. – Diagnosis of pregnancy: history, signs and symptoms and investigations. – Influence of homones. – Prenatal care: objectives, history taking, calculation of expected date of delivery, routine examinations. – Health education: breast care, diet in pregnancy antenatal exercises. – Preparation for hospital/ home delivery. – Immunisation. – Minor disorders of pregnancy and its management.

Unit – V Nursing Management of women in Labour

– Definition, stage and duration. – Causes of onset of labour. – True and false labour.

A. First Stage of Labour – Signs of onset of labour. – Physiological changes in first stage of labour. – Management – preparation of labour room. – Preparation of women in labour : Physical and psychological. – Equipments for normal delivery. – Care: physical, psychological, monitoring of maternal and foetal condition. – Vaginal examination; indication, articles, technique.

B. Second Stage of Labour – Signs of second stage. – Mechanism of labour. – Monitoring of maternal and foetal condition. – Physical and psychological care. – Procedure for conduct of normal delivery. – Prevention of perineal tear. – Episiotomy, suturing and care.

C. Third Stage of Labour – Signs, physiological changes.

– Management : immediate baby care, technique of placental expulsion, monitoring maternal condition examination of placements and its membranes, blood loss. – Immediate postnatal care / fourth stage of labour.

D. Conduct of Home Delivery

Unit – VI Nursing Management of Baby at birth

– Assessment

– Review of physiology of new born

– Apgar scoring, examination for defects (head to foot examination)

– Infant feeding: breast feeding, artificial feeding.

– Care of skin, eyes, cord, buttocks.

– Psychology and perception of new born.

– Minor disorders of new born: birth marks, rashes, skin infections, sore buttocks, infections of eyes.

– Jaundice of new born.

– Major disorders: birth asphyxia, resuscitation measures, haemolytic disease (RH factor).

– Infections and birth injuries.

Unit – VII Nursing management of Mother during puerperium

– Definition, objectives of care

– Immediate postnatal care (care during 4th stage of labour)

– Physiological changes during puerperium.

– Psychosocial aspects of care.

– Diet during puerperium.

– Establishment of lactation and breast care.

– Perineal care.

– Postnatal exercises.

– Postnatal examination, follow-up, family welfare.

– Minor ailments and its management.

Unit – VIII Complications of pregnancy and its management

– Bleeding in early pregnancy.

– Bleeding in late pregnancy.

– Pregnancy induced hypertension, pre-eclampsia, eclampsia.

– Hydramnios, oligohydramnios.

– Hydatidiform mole.

– Pelvic inflammatory disease.

– Intrauterine growth retardation, intrauterine death.
– Post maturity.

Unit – IX High Risk pregnancy and its management

– Concept, factors.

– Anaemia, Jaundice, Viral infections.

– Urinary tract infection, Heart Diseases, Diabetes Mellitus, Ostemalacia, Sexually Transmitted Diseases, AIDS.

– Teenage pregnancy, Elderly primigravida, Multipara,

– Multiple pregnancy.

Unit – X High Risk Labour and its management

– Malpositions, Malpresentations: occipitoposterior position face, brow, shulder and breech presentation.

– Contracted pelvis: definition, causes, diagnosis, management and trial of labour.

– Abnormal uterine action: hypotonic and hypertonic action, bandl’s ring, contraction ring, precipitate labour.

– Cervical dystocia.

– Early rupture of membranes, prolonged labour, Induction of labour.

– Obstructed labour rupture of uterus.

– Obstetrical emergencies: cord presentation, cord prolapse, amniotic fluid embolism, obstetric shock.

– Complications of third stage: post partum haemorrhage, atonic uterus, retained placenta and membranes, inversion of uterus.

Unit – XI Complications of Puerperium and its management

– Puerperal pyrexia, Puerperal sepsis, Thrombophlebitis, Embolis, Puerperal psychosis.

– Mastitis, Breast abscess.

Unit – XII Obstetric operations

– Manual removal of placenta.

– Version : internal, external.

– Forceps delivery.

– Vacuum extraction.

– Caesarean section.

– Medical termination of pregnancy.

– Laproscopic sterilization.

– Embryotomy.

Unit – XIII Drugs used in obstetrics

Unit – XIV Ethical and legal aspects related to Midwifery and Gynecological Nursing.

 Gynecological Nursing 

Unit – I Introduction

– Definition related to gynecological nursing. – Sexuality. – Gynecological history taking, examination and investigations.

Unit – II Puberty

– Definition development of sex organs in females. – Menstrual cycle. – Disorders of menstruation: amenorrhoea, dysmenorrhoea, cryptomenorrhoea.

Unit – III Fertility and Infertility

Definition, causes both in male and female investigation and management.

Unit – IV Pelvic Infections

– Vulva: vulvitis, bartholinitis. – Vagina: vaginitis, trichomonas vaginalis, moniliasis. – Metritis, salpingitis, oopthoritis, pelvic abscess. – Chronic infections, cervical erosion.

Unit – V Uterine Displacement and Descent

– Retroversion, retroflexion. – Decent of the uterus : first degree, second degree, completed procedentia.

Unit – VI Sexually transmitted diseases and their prevention

– Syphilis, gonorrhoea, warts.

– Acquired Immuno Deficiency syndrome (AIDS) / HIV.

Unit – VII Breast Disorders

– Mastitis. – Breast abscess. – Tumours. – Malignancy.

Unit – VIII Benign and Malignant Neoplasms of Reproductive organs

– Uterine polyps, uterine fibroids. – Cancer : cervix, uterus. – Ovarian cyst: benign, malignant. – Cancer : chemotherapy, radiotherapy. – Palliative care.

 Community Health Nursing – II 

Unit – I Health system in India (Organizational set-up)
– Central level. – State level. – District level. – Block and local level.

Unit – II Health care services in India

– Health care concept and trends. – Health care delivery system. – Public sector: Rural areas, urban areas, health insurance, scheme, other agencies (defence, Railways etc.) – Voluntary health agencies. – Indigenous system of medicine. – Nurse’s role in health care services.

Unit – III Health Planning in India

– National Health policy. – National Health planning. – Fiver years plans. – Health committees and reports.

Unit – IV Specialized community Health Services and nurse’s role

– M. C. H. (Reproductive health and child care). – School health services. – Industrial nursing. – Geriatric nursing. – Care of the handicapped: physically and mentally challenged. – Rehabilitation nursing.

Unit – V Nurse’s Role in National Health Programmes

– Major health problems in India. – National control and development programmes. – National eradication programmes. – Nurse’s role in national health programmes.

Unit – VI Demography and family welfare demography

– Concept – Trends in India and its implications. – Concept of fertility and infertility. – Small family norms.

Family Welfare
– Concept – Importance – Aims and planning methods – Family welfare policy – National programme. – Nurse’s role in family welfare programme.

Unit – VII Health Team

– Concept. – Composition. – Functions. Role of nursing personnel at various levels

– Multipurpose health worker: male and female

– Lady health visitor / Health supervisor

– Public heath nurse

– Public health nurse supervisor

– District public health nursing officer.

Unit – VIII Vital Health Statistics

– concept – Uses – Sources – Important rates and indices – Vital health records and their utility.

 Paediatric Nursing 

Unit – I Introduction

– Concept in child health care. – Trends in paediatric nursing. – Role of paediatric nurse in child care. – Child care in India. – Emerging challenges, nursing process related to paediatric nursing – Concept of preventive paediatics. – Vital statistics.

Unit – II The Newborn

A. Characteristics of New Born and Physiological status of the new born – Assessment of the new born: head to toe assessment (physical assessment), neurological assessment. – Nursing care of the normal/healthy new born including home care. – Breast feeding-concept of Baby friendly hospital initiative.
B. Common health problems –medical and nursing management of: – Hyperbilirubinaemia, haemolytic disorder neonatal hypoglycaemia, sepsis, oral thrush, impetigo, erythema toxicum, hypothermia, neonatal convulsions. – Birth injuries; injuries of muscles and peripheral nerves, injuries of bones, sort tissue injury and injury of nervous system.
C. High Risk New born – Definition : small for dates, Low birth weight – Common health problems of pre-term, post term and low birth weight infants and their nursing management. – High risk to new born of HIV +ve mother, diabetic mother, its medical and nursing care.

Unit – III The Healthy Child

– Growth and development: Definition, principles, factors affecting growth and development, techniques of assessment of growth and development, importance of learning about growth and development. The Infant – Growth and development during Infancy. Health Promotion during infancy – Nutrition counseling and weaning, immunization. – Safety and security including prevention of accidents, play and toys. The Toddler – Growth and development of Toddler.

– Health promotion during toddler hood, nutrition counseling, toilet training, immunization, safety and prevention of accidents, guidance to parent on toddler’s care, play and toys.

The Pre-Schooler: Growth and development during pre-school years. – Health promotion during pre-school years, nutritional guidance, safety and security, day care centers/nursery school, play, role of parents in sex education of child.

The School ager :Physical, psychological and moral development during school age years. – Health promotion during school years, nutritional guidance, sleep and rest, physical exercise and activity, dental health, sex education, play, role of parents in reproductive child health.

The Adolescent: Physical changes, physiological and reproductive changes, reaction of adolescents to puberty. – Health promotion during adolescence. – Nutritional guidance, personal care, reproductive health / sex education, role of parents in health promotion of adolescents.

Unit – IV The Sick Child – Child’s reaction to hospitalization.

– Effects of hospitalization on the family of the child. – Role of nurse in helping child and family in coping with stress of hospitalization and illness.
Nursing interventions adaptations in nursing care of sick child – Examination, principles of safety observed in paediatric techniques. – Preparation of child for diagnostic tests, collection of specimens.

– Calculation and administration of oral and parenteral medications. – Procedures related to feeding: formula preparation, gavage, gastrostomy feeding.

– Procedures related to elimination: enema, colostomy irrigation.

– Use of play as nursing intervention.

– Care of child in incubator.

– Administration and analysis of oxygen concentration.

– Surgical dressing – Stea tent inhalation. – Immobilised child

– Phototherapy.

Unit – V Behavioral Disorders and common Health Problems during Childhood, their prevention, Medical and Nursing Management.

Infancy – Nutritional disturbances, allergies, dermatitis, vomiting, diarrhea, failure to thrive, resistance to feeding, colic anxiety.

Early Childhood – Communicable diseases, poisoning, tonsillitis, otitis, media, urinary tract infections, diarrhea, child abuse, breath holding spells, bed wetting, thump sucking, nail biting , temper tantrums, masturbation.

Middle Childhood – Helminthic infestations, common skin infections, animal and insect bites, stuttering, pica, tics, antisocial behaviour, enuresis.

Later Childhood – Problems of puberatal development: precocious puberty, tall stature, gynaecomastia, acne, amenorrhoea, dysmenorrhoea, sexually transmitted diseases, accidents, sports injuries, juvenile delinquency, anorexia nervosa, obesity.

Unit – VI Children with congenital Defects / Mal formations

– Etiology, signs, symptoms, complications, medical, surgical and nursing management of: – Malformations, of the central nervous system-cranial deformities, defects of spinabifida, meningocele, hydrocephalus, cerebral palsy, neural tube closure.

– Skeletal defects-cleft lip and palate. – Defects of Gastro-intestinal tract- Oesophageal atresia and distula, anorectal malformations, hernia, congenital hypertrophied pyloric stenosis.

– Defects of Genitourinay tract – Hpospadiasis, epispadiasis, extrophy of bladder, phimosis, cryptrochidism, polycystic kidney.

– Sexual abnormalities – ambiguous genitalia, hermaphroditism.

– Defects of cardio-vascular system – Congenital heart diseases, major acyanotic and cyanotic defects.

– Orthopeadic Abnormalities – Club foot, developmetal abnormalities of extremities.

Unit – VII Children with various disorders and diseases

Etilogy, signs, symptoms, complications, prevention, medical, surgical and nursing management of :

Disturbances of fluid and electrolyte balance: imbalance, burns, disturbances pf renal function, acute and chronic glomerulonephritis, acute and chronic renal failure.

– Disturbed respiratory functions: Acute infections of upper and lower respiratory tract, acute inflammation of lungs.

– Gastro-intestinal disorders: Malabsorption syndromes (celiac diseases) and obstructive disorders (intestinal obstruction, Hirschsprugn’s disease) inflammatory conditions (appendicitis, Meckel’s diverticulum’s, ulcerative colitis), worm infestations.

– Problems related to production and circulation of blood: Acquired heart diseases, congestive cardiac failure, infective endicarditis, rheumatic fever.

– Problems related to the elements of blood: Anaemias, sickle cell anaemia, thalassemia, defects of haemostasis, haemophilia, Immune deficiency diseases, HIV infection (AIDS) leukemias, thrombocytopaenia, purpura.

– Disturbances of regulatory mechanism: disturbances of cerebral functions

– altered state of consciousness, craniocerebral trauma.

– Intracranial infections: Meningitis, encephalitis, convulsive disorders.

– Endocrine dysfunctions: Disorder of pituitary functions, disorders of thyroid and parathyroid function, disorders of adrenal cortex, disorders of pancreatic hormone secretion.

– Problems that interfere with locomotion: Polimyelitis, osteomyelitis, kyphosis, lordosis and scoliosil, rheumatoid arthritis.

– Children with development problems: Handicapped children, multiple handicapped children, mental retardation.

– Communication disorders – hearing, vision impairment, deaf and blind children.

Unit – VIII Welfare of Children

– Child welfare services, agencies, balwadi, anganwadi, day care centers, midday meal programme.

– Welfare of delinquent and destitute children.

– Programme and policies for welfare of working children.

– National child labour policy.

– Child Act, Juvenile Justice Act.

– Internationally accepted rights of the child.

 Professional And Related Organizations 

Trained nurses association of India(TNAI), Student Nurse Association, Internation council of Nurses(ICU) Indian Nursing Council (INC) State Nursing councils, Commonwealth Nurses Federation(CNF) Nurses league of Christian Medical Association Related organizations and their contribution to nursing World health organization (WHO) Red cross, st. john’s ambulance, UNICEF, World bank etc.

Syllabus of ESIC Staff nurse Exam – Aptitude and Awareness Section

1.General Awareness

• Current affairs-India
• Indian History
• Indian Geography
• Indian Economy
• Indian Constitution
• General Science
• Current World events
• Sports
• Indian Music, Dance &Culture

2.Intelligence and Aptitude

• Coding and decoding-Small & Capital letters/numbers coding, decoding and classification
• Analogies-Semantic Analogy, Symbolic/Number Analogy, Figural Analogy
• Similarities and differences
• word building
• Arithmetic number series, non-verbal series
• Visual memory, discrimination, observation, relationship concepts
• Space visualization

3. Arithmetic Ability
• Percentage & Averages
• Ratio & Proportion
• Interest, Profit & Loss, Discount
• Time &distance
• Time & work

For ESIC Staff Nurse previous papers visit: Download ESIC Government Staff Nurse Solved Papers

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