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NMC PAEDIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

NURSING PAST QUESTIONS AND ANSWERS

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NMC PAEDIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

1. When examining a 2-year old child with an otoscope the nurse should
a. Hold the head straight
b. Hold just the head and arms
c. Pull the pinna up and back
d. Pull the pinna down and back

2. Nursing care for a 7-year-old girl admitted with tetanus should be primarily directed towards
a. Decreasing external stimuli
b. Encouraging high intake of ﬂuid
c. Giving adequate diet
d. Careful monitoring of urinary output

3. Diana, 4 years is rushed to the emergency ward convulsing, with the skin very hot to touch. What immediate step would you take to reduce the temperature?
a. Give her 5mls paracetamol syrup
b. Take the axillary temperature
c. Tepid sponge the child
d. Reassure the mother

4. When teaching an adolescent with Type I diabetes about dietary management the nurses should instruct him to…………..

a. Let parent prepare food separately for him

b. Weigh all food on a gram scale

c. Eat all meals at home

d. Always carry a concentrated form of glucose

5. Adolescent girl suffering from cancer is on antineoplastic drugs. The -side effect of these drugs that requires early preparation of the patient is ………..

a. Alopecia

b. Retarded growth in height

c. Generalized short-term paraly as

d. Constipation

6. An essential nursing action when caring for a small child with severe diarrhoea and vomiting is to

a. Keep body temperature below 38°C

b. Encourage oral ﬂuids intake

c. Replace lose calories

d. Check weight daily

7. During the teenage years, the nutrition focus emphasizes

a. Fat intake

b. Prevention of drug abuse

c. Prevention of obesity

d. Self and body image

8. A 7-year-old boy has a fractured femur. He is put in P.O.P cast and is being discharged. What is the most important advice that the nurse must teach about the boy’s care? The

a. Circulation must be watched closely

b. Cast should be kept clean

c. Cast should not be touched for at least 12 hours

d. Pain should be assessed every 4 hours

9. A 7-year-old boy is admitted to the kids’ ward with suspected right-sided pneumonia. The appropriate position for the child would be …………..

a. In a prone position

b. Head of bed elevated 10°

c. Turned on the right side

d. In supine position

10. A one-year old girl is admitted to the ward diagnosed with dysentary. On discharge, what is the MOST important information the nurse must impart to the mother?

a. Observe good hygiene to reduce faeco-oral spread

b. As soon as the child has diarrhorea place her on NPO for 8 hours

c. Do not wait for so long the next time before you bring the child to the hospital

d. Start with anti-diarrhoea medication before bringing the child to hospital

11. Children are more vulnerable to home accidents because they are ……..

a. Food of running around during play.

b. Free to play without restrictions

c. Less able to recognize dangerous situations

d. Mostly changing their type of play materials

12. You would educate children to prevent hiding in cupboards and other enclosed areas to prevent………

a. Cuts

b. Drowning

c. Falls

d. Suffocation

13. It is crucial to prevent children from drinking alcoholic beverages since this may lead to …………disability later in life.

a. Emotional

b. Mental

c. Physical

d. Social

14. Talking to a baby is important because it provides the building blocks for future ……… development.

a. Cognitive

b. Language

c. Motor

d. Social

15. In caring for an infant with cleft lip and palate before surgery, which of the following would you consider as most important?

a. Ensuring adequate nutrition

b. Promoting family coping

c. Reducing family anxiety

d. Relieving pain

NMC PAEDIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

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16. When caring for child with pertussis who is coughing so much the nurse observe him for complications including……..

a. Haemoptysis

b. Hunched back

c. Inguinal hernia

d. Permanent sore throat

17. The child who is having severe diarrhoea will be losing water and electrolytes?

i. bicarbonates

ii. chlorides

iii. potassium

iv. Sodium

a. i, ii and iii only

b. i, and iv only

c. ii, iii and iv only

d. i, and iv

18. When a mother with a 3 month old infant comes to the child welfare clinic, the nurse should include in the accident prevention teaching the need to:

a. Cover electric outlets with safety plug

b. Keep cot rails up to the highest position

c. Remove all tiny object from the floor.

d. Remove poisonous substance from low area.

19. Which reflex helps the neonate to turn his head to the side when the check is touched along the side of the mouth?

a. Grasp reflex

b. Moro reflex

c. Rooting reflex

d. Sucking reflex

20. The yellow, thick milk secretion of the breast in the first three days after delivery is known as

a. Colostrum

b. Fore milk

c. Hind milk

d. Mature milk

21. The following are reflexes which help the neonate during breastfeeding EXCEPT:

a. Moro reflex

b. Rooting reflex

c. Sucking reflex

d. Swallowing reflex

22. A bulging anterior frontanelle is an indication of

a. Dehydration

b. Depression

c. Infection

d. Rehydration

23. Rh incompatibility occurs when the mother is ……

a. Rh negative and foetus is rhesus positive

b. Rh negative and foetus rhesus negative

c. Blood group O and foetus is blood group A

d. Blood group A and foetus is blood group O

24. The single most important determinant of the chances of survival and health development of children …………

a. Accidents and poisoning

b. Infections

c. Low-birth weight

d. Malnutrition

25. Which of the following term best describes the gradual introduction of fully mixed diet in addition to breast milk after six months of the child’ life?

a. Complementary feeding

b. Home feeding

c. Supplementary feeding

d. Weaning mix feeding

26. Mrs. Quijones gave birth by spontaneous delivery to a full term baby boy. After a minute after birth, he is crying and moving actively. His birth weight is 6.8 lbs. What do you expect baby Quijones to weigh at 6 months?
A. 13 -14 lbs✔️
B.16 -17 lbs
C. 22 -23 lbs
D. 27 -28 lbs

27. What is the focus of secondary health care?
A. Early malnutrition
B. Early signs and symptoms
C. Early diagnosis and treatment✔️
D. Early detection

28. Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?
A. More than 200 ml
B. More than 300 ml
C. More than 400 ml
D. More than 500 ml✔️

29. At the family planning unit you wanted to educate Mrs. fofo on the use of partial abstaince method since she is sexual active and you made mentioned of ovulation period. She then asked you how many hours does ovulation periods ends.
A. 24
B. 36
C. 48✔️
D. 56

30. A patient develops trust for the nurse when the nurse demonstrates
A. Intelligence
B. Friendliness
C. Consistency✔️

NMC PAEDIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

31. Play material for children on the pediatric unit must be
I. Unbreakable
II. Smaller and removable
III. Washable
IV. Heavy

A. I and II
B. I and III✔️
C. I, III and IV

32. A patient died on the ward because the Nurse has given a wrong medications. This failure to follow instructions and to carry out orders results in charge of ……………..
A. Negligence
B. Assault
C. Malpractices✔️

34. What condition would you suspect if a child presents with macula papulo rash on the trunk of her body?
A.Chicken pox✔️
B. Heat rashes
C. Measles
D. Scabies

36. Hookworm infestation can be prevented by
A. Daily bath
B. Drinking clean water
C. Regular hand washing
D. Wearing of foot wear✔️

37. The nurse teaches a mother that she can best help her toddler learn to control his behaviour by
A. allowing the child to learn by mistakes
B. punishing the child for misbehaviour
C. rewarding good behaviour✔️
D. setting limit and being consistent

38. A 6-year-old boy is to have an injection and the mother tells the nurse not to tell him about it as he fears injection. The nurse should say
A. “Alright, but I have to give him the injection anyway”
B. “If we want the boy to trust us we must tell him the truth”✔️
C. “Why don’t we tell his father to tell him about the injection”

39. Aunty Akwele Agoo has reported to the clinic with the history of inability to get pregnant after a miscarriage 5 years ago. This implies Aunty Akweley has ……………………
Select one
A.Female infertility
B.Secondary infertility✔️
C.Primary infertility

40. Good injection practices include one of the following;
A. Disinfecting the injection site✔️
B. Recapping the syringe
C. Positioning the client

41. Nurse Kankam gave the measles vaccine at an angle of 45. Which route did she use?
A. Intramuscular
B. Subcutaneous✔️
C. Intradermal

42. Yaw Amuzu is a 7year old boy who was brought to the triage unit of your facility with acute respiratory distress. As part of physical assessment to rule out asthma, the Nurse on duty would ………………..
Select one:
A. Percuss.
B. Palpate.
C. Auscultate.✔️

43. Halfway through blood transfusion, a female patient complained of lumbar pains. After discontinuing the transfusion, the nurse should:
a. Assess severity of the pain
b. Increase the flow of normal saline✔️
c. Notify the blood bank.

44. Because of the risk associated with administration of factor viii concentrate, the nurse should teach the child’s family to recognize and report which of the following?
A. Abdominal distention.
B. Yellowing of the skin✔️
C. Puffiness around the eyes

NMC PAEDIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

45. The parents of a 3 year old child with tetralogy of fallot tell the nurse that their child frequently squats during play. Based on an understanding of tetralogy of fallot, the nurse recognizes that this is………………….
A. A compensatory mechanism✔️
B. A disinterest in engaging in play
C. Normal for the child developmental age.

46. Which of the following should the nurse include in the plan of care for a child diagnosed with secondary hypertension?
A. Managing cholesterol level
B. Treatment of underlying condition✔️
C. Use of diuretics

47. The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:
A. Tire easily✔️
B. Grow normally
C. Need more calories
D. Be more susceptible to viral infections

48. Madam Enu Chika delivered a baby girl 2 weeks ago with a birth weight of 2.8kg. She is anxious about when her baby’s weight will increase and so decided to breastfeed her baby as often as possible. How often should Madam Chika breastfeed her baby per day?
Select one:
A. 6-8 tomes
B. 8-10 times✅
C. 10-12 times

49. The mechanism of action for all the hormonal contraceptive are the following EXCEPT:
Select one:
A. Thicken the cervical mucus
B. Suppress ovulation
C. Menstruation and ovulation✅

50. Madam Enu Chika delivered a baby girl 2 weeks ago with a birth weight of 2.8kg. She is anxious about when her baby’s weight will increase and so decided to breastfeed her baby as often as possible. At what age is the baby’s weight expected to double?
Select one:
A. 3 months
B. 6 months✅
C. 4 months

51. Intra Uterine Contraceptive Device (IUCD) is inserted during the menstrual period because, it/the ………………..
Select one:
A. Prevents pelvic inflammatory diseases
B. Avoids spontaneous expulsion
C. Cervix is soft and dilated✅

52. Home visiting is a key responsibility of the RCN. To carry out home visiting, the RCN would have to………….
Select one:
A. Look for resources and set off to the community
B. Call the client and get the map ready
C. Decide on type of home visiting and set objectives✅

53. An infant loses about 10% of its body weight within the first four days of life as a result of ……………………………
Select one:
A. Breastfeeding may not have been established
B. Meconium is cleared from the intestines✅
C. Its digestive tract has not commenced activity

54. Which type of power would a manager’s driver use to influence cleaners to work?
Select one:
A. Coercive
B. Referent✅
C. Reward

55. The face to face communication between two people where one person helps the other to perceive, clarify, solve and adjust to problems is :
A. Interpersonal communication
B. Counseling✅
C. Health education
D. Education

56. A child is admitted to the pediatric unit with a sudden onset of one-sided flaccid paralysis. Which of these diagnostic tests will be most useful in supporting a diagnosis of poliomyelitis?
A. Chest radiograph
B. Stool culture✅
C. Blood culture

58. Madam Adjei a nutrition officer was invited by the school nurse to join the team in school hygiene inspection.What will be her role?
I.Ensure that there is adequate ventilation in the canteen
II.Sees to the running of the school canteen
III.Ensure food vendors cook and sell in hygienic condition
IV.Ensure the food vendors have a periodic medical examination
Selec tone:
A. III and IV✅
B. I and IV
C. II and III

59. The……………sees to the running of the school canteen and ensures that varied nutritious dishes are prepared and served in the school.
Select one:
A. School nurse
B. SHEP coordinator
C. Nutrition officer✅

NMC PAEDIATRIC NURSING PAST QUESTIONS AND ANSWERS-1

60. Ato is 6months two weeks old and his mother has started giving him complementary feeds alongside the breastmilk but realized he is not eating well. What other education will you offer to Ato’s mother on complementary foods?
I. It should be rich in energy and nutrients
II. Its hould be soft and easy to eat
III. Bottled foods are the best
IV. It should be hygienically served
Select one:
A. I, II and IV✅
B. I, III and IV
C. II, III and IV

61. Waste water from the kitchen is called?
A. Refuse
B. Garbage
C. Sullage✅
D. Sewage

62. In medicines management, the extent to which patients take medication as prescribed by healthcare professionals is termed:
A. Adherence✅
B. Holistic care
C. Cooperation

63. Which disease affects the parotid glands ?
a. Mumps✅
b. Diphtheria
c. Measles
d. Rubella

64. During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?
A. Prepregnant period
B. First trimester✅
C. Second trimester
D. Third trimester

NMC PAEDIATRIC NURSING PAST QUESTIONS AND ANSWERS-1