RRB Paramedical 2019 Staff Nurse Question Paper (20-Jul-2019) Shift 1 features 100 multiple-choice questions with a heavy emphasis on Professional Ability (Nursing), alongside General Awareness, Arithmetic, and Science. This 90-minute exam challenges candidates to apply clinical knowledge and logical reasoning under strict time constraints. Practicing this specific shift is vital for understanding the weightage of medical topics and gauging the difficulty level of Railway nursing exams.