Bihar Technical Service Commission (BTSC) conducts the Staff Nurse recruitment exam for 11,389 vacancies in the Bihar Health Department. This article covers the complete syllabus, exam pattern, marking scheme and preparation strategy for the BTSC Staff Nurse examination 2025.
Exam Pattern Overview
| Parameter | Details |
|---|---|
| Mode of Exam | Online (CBT – Computer Based Test) |
| Total Questions | 100 MCQs |
| Total Marks | 100 |
| Duration | 2 Hours (120 minutes) |
| Negative Marking | No negative marking |
| Language | English and Hindi |
| Type of Questions | Multiple Choice Questions (4 options) |
Subject-Wise Distribution
| Subject | Questions (Approx.) | Marks |
|---|---|---|
| Medical Surgical Nursing | 20-25 | 20-25 |
| Anatomy & Physiology | 15-18 | 15-18 |
| Community Health Nursing | 12-15 | 12-15 |
| Obstetrics & Gynecology Nursing | 10-12 | 10-12 |
| Child Health / Pediatric Nursing | 8-10 | 8-10 |
| Pharmacology | 8-10 | 8-10 |
| Mental Health / Psychiatric Nursing | 5-8 | 5-8 |
| Microbiology & Nutrition | 5-8 | 5-8 |
| General Knowledge / Current Affairs | 5-8 | 5-8 |
| Total | 100 | 100 |
Detailed Syllabus – Subject Wise
1. Medical Surgical Nursing
- Cardiovascular disorders – MI, Heart Failure, Hypertension
- Respiratory system – Pneumonia, Asthma, COPD, TB
- Gastrointestinal disorders – Peptic ulcer, Appendicitis, Liver cirrhosis
- Renal disorders – Kidney stones, UTI, Dialysis procedures
- Endocrine disorders – Diabetes mellitus, Thyroid disorders
- Neurological disorders – Stroke, Epilepsy, Meningitis
- Pre-operative and post-operative nursing care
- Wound management and wound healing
- IV therapy, blood transfusion procedures
- Emergency and critical care nursing – CPR, shock management
2. Anatomy & Physiology
- Cell structure, tissues, membranes
- Skeletal system – bones, joints, muscles
- Cardiovascular system – heart structure, blood circulation
- Respiratory system – lungs, gas exchange
- Digestive system – organs, enzymes, absorption
- Nervous system – brain, spinal cord, reflexes
- Endocrine system – glands, hormones
- Urinary system – kidneys, urine formation
- Reproductive system – male and female anatomy
- Blood composition, blood groups, clotting mechanism
3. Community Health Nursing
- Primary Health Care (PHC) concepts
- National Health Programs – RNTCP, NVBDCP, RMNCH+A
- Immunization schedule – Universal Immunization Programme
- Maternal and Child Health (MCH) services
- Family planning methods and counseling
- Communicable diseases – Malaria, Dengue, TB, HIV/AIDS
- Non-communicable diseases – Diabetes, Cancer, CVD
- Environmental hygiene and sanitation
- Epidemiology – disease surveillance, outbreak investigation
- Health education and communication
4. Obstetrics & Gynecology Nursing
- Normal pregnancy – antenatal care, stages of labor
- High-risk pregnancy – eclampsia, placenta previa, GDM
- Postnatal care and newborn care
- Contraception methods
- Common gynecological disorders
- Infertility management
5. Child Health / Pediatric Nursing
- Growth and development milestones
- Newborn care – APGAR score, neonatal resuscitation
- Common childhood diseases – Measles, Chickenpox, Diphtheria
- Nutritional disorders – Marasmus, Kwashiorkor
- IMNCI (Integrated Management of Neonatal and Childhood Illness)
- Immunization – schedule and adverse reactions
6. Pharmacology
- Routes of drug administration
- Drug dosage calculations
- Antibiotics, Analgesics, Anti-inflammatory drugs
- Cardiovascular drugs, Anti-hypertensives
- Insulin and oral hypoglycemics
- Drug interactions and adverse effects
- Emergency drugs – Adrenaline, Atropine, Dopamine
7. Mental Health / Psychiatric Nursing
- Mental health concepts and mental illness classification
- Schizophrenia, Depression, Bipolar disorder
- Anxiety disorders, OCD, PTSD
- Substance abuse and addiction
- Therapeutic communication techniques
- Mental Health Act provisions
8. General Knowledge / Current Affairs
- Bihar-specific GK – geography, history, governance
- Current affairs – national and international
- Health-related current affairs and government schemes
- Basic computer knowledge
Preparation Strategy
- Focus on Medical Surgical Nursing – it carries the highest weightage (20-25 questions)
- Revise Anatomy & Physiology thoroughly – basic science forms the foundation
- Practice MCQs daily – solve at least 50 MCQs per day from previous papers
- Cover National Health Programs – RNTCP, NVBDCP, UIP are frequently asked
- Learn drug calculations – dosage and drip rate calculations are common
- No negative marking – attempt all questions, never leave any blank
Frequently Asked Questions
Is there negative marking in BTSC Staff Nurse exam?
No, there is no negative marking. Candidates should attempt all 100 questions.
What is the exam duration?
The exam duration is 2 hours (120 minutes) for 100 MCQ questions.
Which subject has the highest weightage?
Medical Surgical Nursing has the highest weightage with approximately 20-25 questions out of 100.
