Nursing Training Education Featured Past Questions and Quizzes

NMC GENERAL PAPER QUESTIONS AND ANSWERS-SOLUTION 1

NMC GENERAL PAPER

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NMC PAST QUESTIONS AND ANSWERS-SOLUTIONS

NMC GENERAL PAPER QUESTIONS AND ANSWERS-SOLUTION 1

1. The hormone responsible for the development of the ovum during menstrual cycle is?
A. Estrogen
B. Progesterone
C. Follicle Stimulation Hormone (FSH)
D. Luteinizing hormone (LH)

2. A nurse is providing instruction to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. The nurse tells the client to:
A. Avoid wearing a bra
B. Wash the nipples and areola area daily with soap, and massage the breast with lotion.
C. Wear light-fitting blouses to provide support.
D. Wash the breast with warm water and keep them dry.

3. Nurse Comfort is caring for a pregnant client with pre-eclampsia. The nurse prepares a plan of care for the client and documents in the plan that if the client progresses from pre-eclampsia to eclampsia, the nurse’s first action is to:
A. Administer magnesium sulfate intravenously
B. Assess the blood pressure and fetal heart rate
C. Maintain an open airway
D. Administer oxygen by face mask

4. Which of the following vitamins can also be classified as hormone because the body can synthesize it?
A. Vitamin A
B. Vitamin D
C. Vitamin E
D. Vitamin K

5. Nurse Rose is caring for a client in labour who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment findings would indicate to the nurse that the infusion needs to be discontinued?

A. Three contractions occurring within a 10-minutes period

B. A foetal heart rate of 90 beats per minute

C. Adequate resting tone of the uterus palpated between contractions

D. Increased urinary output

6. After the procedure of circumcision, the student midwife was confused and asked which part was removed. Which of the following is the most appropriate response?

A. Ejaculatory duct

B. Seminal vesicles

C. Prepuce

D. Vas deferens

7. A client with group AB blood whose husband has group O has just given birth. The major sign of a ABO blood incompatibility in the neonate is which complication or test result?

A. Negative Coombs test

B. Bleeding from the nose and ear

C. Jaundice after the first 24 hours of life

D. Jaundice within the first 24 hours

8. The midwife explained that the laboring woman may not have difficulty in delivery because her type of pelvis will help the foetus adopt direct occipito anterior or direct occipito posterior position. Which of the following is true?

A. Android

B. Anthropoid

C. Gynaecold

D. Platypelloid

NMC GENERAL PAPER QUESTIONS AND ANSWERS-SOLUTION 1

9. In the second stage of labour, expulsion of the foetus from birth canal depend on which important factor?

A. Maternal bearing down

B. Cervical dilatation

C. Uterine contractions

D. Adequate pelvic size

10. The normal range for the foetal heart rate in beats per minute is?

A. 120-160

B. 130-150

C. 100-160

D. 120-180

11. The ovarian cycle is under the influence of

A. The endometrium

B. The cerebral cortex

C. The anterior pituitary gland

D. The posterior pituitary gland

12. Miss Frimpong is found of eating highly polished cereals, she is likely to develop which of these conditions?

A. Goiter

B. Scurvy

C. Beriberi

D. Kwashiorkor

13. A child with amid-upper arm circumference (MUAC) of < 11.5cm has

A. Severe acute malnutrition

B. Moderate acute malnutrition

C. Underweight

D. Overweight

14. Which of the following is NOT a cause of secondary amenorrhoea?

A. Polycystic ovary syndrome

B. Hyperprolactinaemia

C. Delayed puberty

D. Premature menopause

15. FSH levels peak at around

A. Day 5

B. Day 18

C. Day 28

D. Day 13

16. The presence of fragments of endometrial tissue at sites in the pelvis outside the uterus or, rarely, throughout the body

A. Dyspareunia

B. Adenomyosis

C. PID

D. Endometriosis

17. When fragments of endometrial tissue infiltrate the wall of the uterus

A. Endometrios

B. PID

C. Adenomyosis

D. dyspareunia

18. The commonest congenital cause of amenorrho

A. Hyperprolactinaem

B. Hypothalamic gonadi

C. Physiological amenorrho

D. Turner’s syndro

19. In the filtration of urine, some of the substance are selected according to the body’s need

A. Bacteria

B. Blood cell

C. Glucose

D. Minerals

20. Which of the under listed statements predisposes a preterm baby to unstable body temperature

A. Immaturity of the hypothalamus

B. Immaturity of the lung tissues

C. Low birth weight

D. Sufficient subcutaneous fat

21. A student wanted to understand where the breastmilk comes from and in explaining this, which of the following is the appropriate answer

A. Acini cell

B. Ampulla

C. Lactiferous duct

D. Lactiferous tubule

22. A client arrives at prenatal clinic for the first prenatal assessment. The client tells a nurse that the first day of her last menstrual period was Semptember 19th, 2013. Using Naegele’s the nurse determines the estimated data of confinement as;

A. July 26, 2013

B. June 12, 2014

C. June 26, 2014

D. July 12, 2014

23. Ovulation occurs at around

A. Day 13

B. Day 28

C. Day 5

D. Day 18

24. Oestrogen levels peaks at around

A Day 13

B. Day 5

C. Day 18

D. Day 28

25. The luteal/secretory phase occurs at

A. Days 8-14

B. Days 1-4

C. Days 5-13

D. Days 14-28

26. Surgical removal of one or more fibroids from the uterus

A. Hysterectomy

B. Myomectomy

C. Cervical sweep

D. Hysterectomy

27. When menstruation occurs less frequently than every 35 days

A. Polymenorrhoea

B. Amenorrhoea

C. Dysmenorrhea

D. Oligomenorrhea

28. Premature babies.

A. Almost always need special formula as the amount of protein in breastmilk is too much.

B. Should be given cow’s milk

C. Should be given to another woman to breastfeed

D. Usually do well on exclusive breastfeeding

29. What action should be taken to ensure proper feeding of the child?

A. Ask mother to visit the clinic daily for growth monitoring

B. Ask mother to come and feed the child at the clinic

C. Play with the child and make him happy

D. Visit mother and supervise the feeding and on demand

30. The following are criteria for Lactational Amenorrhoea Method (LAM) EXCEP

A. Exclusive breastfeeding is regular

B. Infant must be over 6 months

C. Menstruation must not have returned

D. Mother must fully breastfeed and on demand

31. The steps to successful breastfeeding include:

I. Encourage breastfeeding

II. Establish baby friendly hospital initiative

III. Foster the establishment of breastfeeding support group

IV. Practice rooming-In

V. Promote scheduled feeding

A. l, II and III

B. I, II and IV

C. II, III and IV only

D. I, IV and V

NMC GENERAL PAPER QUESTIONS AND ANSWERS-SOLUTION 1

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NMC GENERAL PAPER QUESTIONS AND ANSWERS-SOLUTION 1

32. Upon completion of a vaginal examination on a laboring woman, the records; 50%, -1. Which of the following is a correct presentation of the data?

A. Foetal presenting part is cm above the ischial spines

B. Effacement is 4cm from completion

C. Dilation is 50% completed

D. Foetus has achieved passage through the ischial spines

33. Adjoa, 17 years old, is bleeding between periods of less than two weeks. This condition is an abnormality in the menstrual cycle known as:

A. Metorrhagia

B. Menorrhagia

C. Amenorrhoea

D. Dysmenorrheal

34. A client arrives at the hospital in the second stage of labour. The foetus head is crowning, the client is bearing down, and the birth appears imminent. The nurse should;

A. Transfer her immediately by stretcher to the birthing unit

B. Tell her to breathe through her mouth and not to bear down

C. Instruct the client to pant during contractions and to breathe through the mouth

D. Support the perineum with the hand to prevent tearing and tell the client to pant

35. Post mature infant presents a unique and characteristic appearance which includes the following EXCEPT

A. Smooth skin

B. Thin body

C. Worried-looking

D. Long nails

36. LH levels peak at around day …………

A. 1

B. 5

C. 18

D. 13

37. Progesterone levels peak at around day……..

A. 13

B. 5

C. 18

D. 22

38. The growth of pubic hair

A. Puberty

B. Menarche

C. Adrenarche

D. Thelarche

39. An accumulation of menstrual blood in the uterus

A. Haematometra

B. Haemavesicus

C. Haemamyoma

D. Haemometrium

40. Painful menstruation

A. Amenorrhoea

B. Polymenorrhoea

C. Menorrhoea

D. Dysmenorrhea

41. A child should be taken to child welfare clinic once every in the first year of life

A. Two weeks

B. Four weeks

C. Six weeks

D. Eight weeks

42. The average weight of a normal baby is

A. 2-2.5 kg

B. 2.5-3.5 kg

C. 3-3.5 kg

D. 3.5-4 kg

43. The rooting reflex in baby (s)

A. Arms relaxes slowly after flying out

B. Flare open his/her toes when the planter is stroked

C. Makes some stepping movement held in the upright position

D. Turns the head towards a touch on the cheek

44. When checking the weight of a baby

I. Ensure the scale is in good condition.

II. Get the weighing scale ready

III. If hanging scale, hang it above eye level.

IV. Weigh baby with the bonnet on

A. I, II

B. I, III

C. II, III

D. III, IV

45. What counselling would you give to a woman who had just taken Depo provera injection?

A. She should massage the injection site for quick result

B. She can have sexual intercourse with the partner on the same day

C. The injection will protect her for four (4) months

D. All of the above

E. None of the above.

46. A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

A. Hypotension and Bradycardia

B. Tachypnea and retractions

C. Acrocyanosis and grunting

D. The presence of a barrel chest with grunting

47. A nursing tutor is conducting a lecture and is reviewing the functions of the female reproductive system. She asks Junior to describe the follicle stimulation hormone (FSH) and the luteinizing hormone (LH), Junior accurately responds by starting that:

A. FSH and LH are released from the anterior pituitary gland

B. FSH and LH are secreted by the corpus luteum of the ovary

C. FSH and LH are secreted by the adrenal glands

D. FSH and LH stimulates the formation of milk during pregnancy

48. During the period of labour, a client should be observed carefully for signs of

A. Severe pain

B. Uterine tetany

C. Hypoglycemia

D. Umbilical cord prolapses

49. In educating a group of men about their reproductive system, which of the under listed is FALSE?

A. It is normal for adolescent boys to have “wet dream”

B. Prostate enlargement can cause acute retention of urine