BSc Nursing Semester-4 Syllabus 2025 (Revised): Subject-Wise Syllabus, Credits & Exam Pattern

The BSc Nursing Semester-4 Syllabus 2025, revised by the Indian Nursing Council (INC), plays a crucial role in shaping students’ advanced clinical reasoning, geriatric care skills, pharmacological understanding, and teaching abilities. This semester bridges core medical-surgical nursing with education and assessment competencies, making it one of the most important phases of the B.Sc Nursing program.

If you are preparing for university exams, NORCET, AIIMS, ESIC, or State Nursing Officer exams, understanding the Semester-4 subject-wise syllabus is essential.

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BSc Nursing Semester-4 Overview (INC Revised)

Component	Details
Semester	IV (Fourth Semester)
Total Credits	26
Total Hours	800
Clinical Hours	480
Curriculum Type	Competency-Based (INC)
Mandatory Module	Health Assessment
Evaluation	Internal + University Exam

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BSc Nursing Semester-4 Subjects List

According to the INC Revised Curriculum, Semester-4 includes four core subjects:

1. Pharmacology – II
2. Pathology – II & Genetics
3. Adult Health Nursing – II (Medical-Surgical & Geriatric Nursing)
4. Educational Technology / Nursing Education

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1. Pharmacology – II (40 Hours | 3 Credits)

This subject builds upon Pharmacology-I and focuses on drug therapy used in major clinical conditions.

Key Units

• Drugs affecting cardiovascular system
• Respiratory system medications
• Endocrine drugs
• Chemotherapeutic agents
• Emergency drugs
• Adverse drug reactions & drug interactions
• Medication safety and legal aspects

Clinical Importance

✔ Frequently asked in NORCET & AIIMS exams ✔ Strong focus on drug calculation & clinical application

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2. Pathology – II & Genetics (20 Hours | 2 Credits)

This subject explains disease processes and genetic disorders relevant to nursing practice.

Key Units

• Disorders of major body systems
• Immunopathology
• Neoplasms (tumors)
• Blood disorders
• Inherited genetic diseases
• Chromosomal abnormalities
• Role of nurses in genetic counseling

Why It Matters

✔ Builds diagnostic understanding ✔ High-yield for medical-surgical nursing exams

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3. Adult Health Nursing – II (120 Theory + 480 Clinical Hours | 8 Credits)

This is the core subject of Semester-4, focusing on advanced medical-surgical nursing and geriatric care, integrated with Health Assessment.

Major Units Covered

• Cardiovascular disorders
• Respiratory system disorders
• Neurological disorders
• Renal and urological conditions
• Endocrine disorders
• Musculoskeletal problems
• Geriatric nursing care
• Pain management
• Emergency and critical care concepts

Clinical Training Includes

• Ward postings
• ICU exposure
• Geriatric care assessment
• Comprehensive health assessment (Mandatory Module)

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4. Educational Technology / Nursing Education (40 Theory + 40 Lab Hours | 3 Credits)

This subject prepares nursing students for future teaching, training, and leadership roles.

Key Topics

• Principles of teaching and learning
• Lesson planning
• Teaching methods & media
• Audio-visual aids
• Evaluation methods
• Clinical teaching strategies
• Curriculum planning in nursing

Career Relevance

✔ Foundation for nursing education & academic roles ✔ Helpful for MSc Nursing aspirants

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BSc Nursing Semester-4 Exam Pattern (INC)

Component	Marks
Internal Assessment	25
University Exam	75
Total (Each Theory Paper)	100
Practical (Adult Health Nursing-II)	100
Minimum Passing Marks	50%

Note: Pharmacology-II & Pathology-II internal marks are averaged with Semester-3 marks as per INC rules.

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How Semester-4 Helps in Competitive Nursing Exams

Semester-4 syllabus contributes heavily to:

• NORCET (AIIMS)
• ESIC Nursing Officer
• RRB Staff Nurse
• State Nursing Officer Exams

High-weightage areas:

✔ Pharmacology ✔ Medical-Surgical Nursing ✔ Emergency & Geriatric Care

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Internal Linking

• BSc Nursing Semester-3 Syllabus 2025
• BSc Nursing Semester-5 Syllabus 2025
• BSc Nursing Full Syllabus(INC Revised)

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Prepare Semester-4 Smarter with NPrep

The Semester-4 syllabus is vast and concept-heavy, especially Pharmacology & Adult Health Nursing. That’s where NPrep gives you a competitive edge.

Why Choose NPrep?

✔ INC-based syllabus coverage ✔ Topic-wise MCQs & PYQs ✔ Clinical-concept video lectures ✔ NORCET & AIIMS focused preparation ✔ Daily practice tests & performance analytics

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FAQs – BSc Nursing Semester-4 Syllabus 2025

Q1. Is BSc Nursing Semester-4 syllabus same for all universities? Yes. All universities must follow the INC Revised Curriculum, though exam patterns may slightly vary.

Q2. Which subject is most important in Semester-4? Adult Health Nursing-II carries the highest credits and clinical hours.

Q3. Does Semester-4 include a mandatory module? Yes. Health Assessment is a mandatory module integrated with Adult Health Nursing-II.

Q4. Is Semester-4 important for NORCET preparation? Absolutely. Pharmacology-II and Medical-Surgical Nursing form a major portion of NORCET questions.

Q5. Where can I get Semester-4 MCQs and mock tests? You can access INC-aligned MCQs, tests, and video lectures on NPrep.