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GNM 2nd Year Solved Question Paper pdf Download


In the second year of GNM (General Nursing and Midwifery) studies, students delve deeper into foundational principles essential for nursing practice. This year focuses on expanding understanding of nursing concepts, ethical considerations, communication skills, and legal aspects pertinent to healthcare delivery. 

Students learn to apply the nursing process systematically—assessing patient needs, diagnosing issues, planning interventions, implementing care plans, and evaluating outcomes. Emphasis is placed on developing therapeutic communication skills to establish effective nurse-patient relationships, crucial for providing compassionate and holistic care.

Furthermore, the curriculum addresses ethical dilemmas nurses may encounter, guiding students in ethical decision-making within the legal framework of nursing practice. Professional development remains integral, highlighting the evolving roles and responsibilities of nurses in diverse healthcare settings.

Overall, the second year of GNM prepares students not only for academic success but also equips them with the essential skills and knowledge required to excel in their nursing careers, fostering a commitment to lifelong learning and ethical practice in healthcare.

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Structure of the Question Paper

The structure of a typical GNM 2nd year exam paper generally follows a standardized format designed to assess students’ understanding and application of nursing concepts, skills, and knowledge. Here’s a typical structure you might encounter:

1. Section A: Multiple Choice Questions (MCQs)

  • Objective Assessment: This section usually consists of multiple-choice questions that cover a broad range of topics from the entire curriculum.
  • Purpose: MCQs assess factual knowledge, understanding of concepts, and the ability to apply theoretical knowledge to practical scenarios.
  • Format: Each question is followed by several options, of which only one is correct. Students select the correct answer based on their understanding of the topic.

2. Section B: Short Answer Questions

  • Description: This section includes short-answer questions that require brief explanations or descriptions.
  • Purpose: It assesses students’ ability to articulate their understanding of key concepts, theories, and principles.
  • Format: Questions may ask students to define terms, explain processes, or outline nursing interventions. Answers are typically concise and focused.

3. Section C: Long Answer Questions or Essay Questions

  • Description: This section comprises longer questions that require more detailed responses or essays.
  • Purpose: It evaluates students’ ability to analyze, synthesize, and critically evaluate nursing principles and practices.
  • Format: Students may be asked to discuss case studies, analyze patient scenarios, or critically examine nursing theories. Answers require a structured approach with clear introduction, body, and conclusion.

4. Section D: Practical/ Clinical Examination (if applicable)

  • Description: Some exams may include a practical or clinical component where students demonstrate their nursing skills and competence in a simulated or real-life setting.
  • Purpose: This section assesses students’ ability to apply theoretical knowledge in practical situations, demonstrating clinical competence and proficiency.
  • Format: Students may be required to perform specific nursing procedures, demonstrate communication skills, or manage patient care under supervision.

Difficulty level analysis

Analyzing the difficulty level of exams for GNM (General Nursing and Midwifery) 2nd year involves considering various factors that contribute to the overall challenge faced by students. Here’s a breakdown of these factors:

1. Content Complexity

  • Conceptual Depth: Questions may require a deep understanding of nursing theories, principles, and their practical application. For instance, understanding the pathophysiology of diseases, nursing interventions, and patient management strategies.

  • Integration of Knowledge: Difficulty can also arise from questions that require integrating knowledge from different disciplines such as medical-surgical nursing, psychiatric nursing, community health, and obstetrics.

2. Question Format

  • Multiple Choice Questions (MCQs): Typically assess factual knowledge but can also test understanding and application of concepts depending on the options provided.

  • Short Answer Questions: Often test the ability to recall information and provide concise explanations or definitions.

  • Long Answer or Essay Questions: These questions demand critical thinking, analysis, and the ability to communicate ideas effectively. They may involve discussing case studies, evaluating nursing care plans, or critiquing nursing practices.

3. Clinical and Practical Assessments (if applicable)

  • Application of Skills: Practical exams assess how well students can apply theoretical knowledge in clinical settings. This can include performing nursing procedures, demonstrating communication skills, and managing patient care effectively.

4. Time Constraints

  • Time Management: The allocated time for exams can affect perceived difficulty. Students must manage their time efficiently to complete all sections within the given timeframe.

5. Preparation and Study Methods

  • Comprehensive Study: Students who have thoroughly covered the curriculum, revised consistently, and practiced with past papers tend to find exams less challenging.

  • Application Skills: The ability to apply theoretical knowledge to practical scenarios, as well as effective communication and critical thinking skills, are crucial for success.

6. Overall Assessment

  • Subjective Perception: Difficulty can vary based on individual strengths and weaknesses. Some students may find certain topics or question formats more challenging than others.

In conclusion, the difficulty level of GNM 2nd year exams is influenced by the depth of content, types of questions, practical assessments, time management, and the level of preparation. By understanding these factors and preparing effectively, students can navigate the exams successfully and demonstrate their readiness for professional nursing practice.


Key Topics Covered

In GNM (General Nursing and Midwifery) 2nd year, several key topics are covered across different subject areas that are crucial for nursing practice. Here are the key topics typically included:

1. Nursing Foundation

  • Concepts of Nursing: Definition of nursing, scope of practice, principles of nursing care.
  • Nursing Process: Assessment, diagnosis, planning, implementation, evaluation.
  • Communication Skills: Therapeutic communication, nurse-patient relationship.
  • Ethics and Legal Aspects: Ethical principles, legal responsibilities of nurses.

2. Medical-Surgical Nursing

  • Common Medical Conditions: Diabetes mellitus, hypertension, respiratory disorders, gastrointestinal disorders, cardiovascular disorders.
  • Surgical Nursing: Pre-operative and post-operative care, asepsis, infection control.

3. Mental Health Nursing

  • Psychiatric Disorders: Depression, schizophrenia, anxiety disorders, bipolar disorder, substance use disorders.
  • Therapeutic Interventions: Therapeutic communication techniques, psychosocial interventions.

4. Child Health Nursing

  • Childhood Diseases: Diarrhea and dehydration, respiratory infections, immunization schedule.
  • Pediatric Growth and Development: Milestones, developmental delays, nursing care for children.

5. Community Health Nursing

  • Community Assessment: Health issues, epidemiology, community resources.
  • Health Promotion: Strategies for health promotion, disease prevention.
  • Primary Health Care: Role of the nurse in primary healthcare settings.

6. Obstetric Nursing

  • Antenatal Care: Components of care during pregnancy, common complications.
  • Intrapartum and Postpartum Care: Nursing interventions during labor and delivery, postpartum complications.

7. Midwifery

  • Normal Obstetrics: Stages of labor, care of the newborn.
  • High-Risk Obstetrics: Complications in pregnancy, obstetric emergencies.

8. Pharmacology

  • Drug Classes: Common drugs used in nursing practice, actions, side effects, nursing considerations.

9. Nutrition

  • Basic Principles: Nutritional requirements, assessment, and interventions.

10. Geriatric Nursing

  • Care for Elderly Patients: Unique considerations, health issues, nursing interventions.

Effective Preparation Strategies

Effective preparation for GNM (General Nursing and Midwifery) 2nd year exams involves a combination of strategies that encompass thorough study, practical application, and strategic planning. Here are some key strategies to help you prepare effectively:

1. Understand the Exam Structure and Syllabus

  • Familiarize Yourself: Understand the format of the exam, types of questions (MCQs, short answer, essays), and weightage of each section.
  • Review Syllabus: Identify key topics and prioritize areas based on importance and your understanding.

2. Create a Study Plan

  • Organize Your Time: Develop a realistic study schedule that allocates sufficient time for each subject and topic.
  • Set Goals: Break down your study plan into daily or weekly goals to track progress and ensure comprehensive coverage.

3. Utilize Multiple Resources

  • Textbooks and Notes: Refer to standard textbooks and class notes for detailed understanding of concepts.
  • Online Resources: Utilize educational websites, online courses, and tutorials for additional explanations and practice questions.
  • Previous Papers: Practice solving previous years’ question papers to familiarize yourself with the exam pattern and types of questions asked.

4. Active Learning Techniques

  • Summarize and Review: Summarize key points and create concise notes for quick revision.
  • Teach Others: Explain concepts to peers or study groups to reinforce your understanding.
  • Use Mind Maps or Diagrams: Visual aids can help in understanding complex relationships and concepts.

5. Practice Time Management

  • Mock Exams: Simulate exam conditions by taking mock tests to practice time management and improve speed and accuracy.
  • Set Timers: During practice sessions, set timers to simulate exam conditions and improve your ability to complete questions within the allocated time.

6. Focus on Application and Critical Thinking

  • Case Studies: Practice analyzing and solving case studies to apply theoretical knowledge to practical situations.
  • Critical Analysis: Develop skills in critically evaluating information, theories, and nursing practices.

7. Seek Clarification

  • Ask Questions: Clarify doubts by discussing with peers, instructors, or using online forums.
  • Review Feedback: Reflect on feedback from practice exams or quizzes to identify areas for improvement.

8. Maintain Health and Well-being

  • Balanced Lifestyle: Ensure adequate rest, nutrition, and exercise to maintain concentration and energy levels during study sessions.
  • Stress Management: Practice relaxation techniques and manage stress effectively to stay focused and calm during exams.

9. Revise Regularly

  • Review Regularly: Schedule regular revision sessions to reinforce learning and retain information.
  • Flashcards: Use flashcards for quick revision of key terms, definitions, and concepts.

10. Stay Positive and Motivated

  • Celebrate Milestones: Acknowledge your progress and achievements to stay motivated throughout the preparation process.
  • Stay Positive: Maintain a positive attitude and believe in your ability to succeed.


In conclusion, effective preparation for GNM 2nd year exams requires a strategic and disciplined approach. By understanding the exam structure, organizing your study plan, and utilizing multiple resources, you can build a solid foundation of nursing knowledge. Active learning techniques such as summarizing, teaching others, and practicing time management are essential for mastering key concepts and improving exam readiness. Additionally, fostering critical thinking skills through case studies and seeking clarification when needed will enhance your ability to apply theoretical knowledge in practical scenarios.


Maintaining a balanced lifestyle and managing stress are crucial for sustaining focus and energy throughout your preparation. Regular revision, use of flashcards, and practicing under exam-like conditions will help reinforce learning and boost confidence. Lastly, staying positive and motivated, celebrating your progress, and believing in your capabilities as a nursing professional will contribute to your success in the exams and future nursing practice.


By adhering to these strategies, you can navigate the challenges of GNM 2nd year exams effectively, ensuring you are well-prepared to excel both academically and professionally in the field of nursing.

FAQ's for Entrance Exam

1. What are the important topics to focus on for GNM 2nd year exams?

Important topics include nursing process, therapeutic communication, common medical conditions, psychiatric disorders, childhood diseases, antenatal and postnatal care, community assessment, pharmacology basics, and geriatric nursing considerations.

After completing GNM, you can pursue various career paths such as staff nurse in hospitals, community health nurse, psychiatric nurse, pediatric nurse, midwife, nursing educator, or pursue higher studies like B.Sc. Nursing or M.Sc. Nursing.

Skills required include clinical competence, critical thinking, effective communication, empathy, teamwork, ethical decision-making, adaptability, and continuous learning to adapt to the dynamic healthcare environment.

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