901 - 1000 Solved NMC Licensure Questions Bank

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901. Nursing care for a 7-year-old girl admitted with tetanus should be primarily direction
towards
A. careful monitoring of urinary output
B. decreasing external stimuli
C. encouraging high intake of fluid
D. Giving adequate diet

902. Nursing care for a child admitted with tetanus following a punctured wound should be primarily directed towards
A. Careful monitoring of urinary output
B. Decreasing external stimuli
C. Encouraging high intake of fluid
D. Maintaining body alignment

903. The nurse understands that in patent ductusarteriosus, blood shunt
A. Aorta into the pulmonary artery
B. Inferior vena cava to left atrium
C. Left atrium to right atrium
D. Pulmonary artery to the aorta

904. A 6 year old child is admitted to the hospital with pneumonia. An immediate priority in the
child’s nursing care would be
A. Nutrition
B. Medication
C. Reassurance
D. Rest

905. High concentration of oxygen to small infants may cause blindness from
A. Corneal ulceration
B. Iridocyclitis
C. Retinoblastoma
D. Retrolental fibroplasia

906. Which of the following sets of symptoms will suggest that a child is suffering from
meningitis?
A. Fever, headache, vomiting, opisthotonus
B. Fever, headache, trismus, opisthotonus
C. Fever, headache, trismus, spasms
D. Photophobia, trimus, headache, opisthotonus

907. Which of the following disease condition in vitamin B1 deficiency
A. Beriberi
B. Mumps
C. Pellagra
D. Scurvy

908. A child in sickle cell crisis will need the following
I. Analgesic
II. Exercise
III. Plenty of fluids
IV. Warmth
A. I and IV
B. II and III
C. II and IV
D. I, III and IV

909. The following are findings needed to diagnose hookworm infestation EXCEPT
A. Anaemia
B. Hookworm ova in the stool
C. Pus in the stool
D. Positive occult blood test

910. In examining a 2 year old child with an otoscope the nurse
A. Holds just the head and arms
B. Holds the head straight
C. Pulls the pinna down and back
D. Pulls the pinna up and back

911. The nurse would assess the following in an infant with hydrocephalus
A. Abdominal girth
B. Fontanels
C. Urinary output
D. Vital signs

912. Nursing care that helps to prevent sickle cell crisis is
A. careful observation of all vital signs
B. high iron, low fat, high-protein diet
C. limitation of activity
D. Protection from infection

913. Kojo who has tetralogy of Fallot usually squats when he is dyspnoeic. The squatting
relives the symptoms by
A. Allowing maximal chest expansion and oxygenation
B. Delaying venous return to the heart
C. Increasing the production of red blood cells
D. Increasing venous return to the heart

914. Nursing care for an infant after surgical repair of a cleft lip should include
A. Giving the baby nil per os (N.P.O)
B. Keeping the infant from crying
C. Placing the infant in a semi fowler’s position
D. Spoon feed for the first 2 days after surgery

915. A child with acute leukaemia is put on prednisolone and other drugs. One side effect of prednisolone is
A. Alopecia
B. Anorexia
C. Mood changes
D. Weight loss

916. 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. head of bed elevated 10 degrees
B. in a prone position
C. in supine position
D. Turned on the right side

917. What is the immediate priority in the nursing care of a 6-year-old child admitted with
pneumonia?
A. Elimination
B. Exercise
C. Nutrition
D. Rest

918. The most critical factor in the immediate care of an infant after repair of cleft lip is
A. Administration of drugs to reduce oral secretions
B. Administration of intravenous infusion
C. Maintenance of patent airway
D. Prevention of vomiting

919. When teaching an adolescent with Type I diabetes about dietary management the nurses should instruct him to
A. Always carry a concentrated form of glucose
B. Eat all meals at home
C. Let parent prepare food separately for him
D. Weigh all food on a gram scale

920. The primary task to be accomplished by an infant between 12 and 15 months of age is to
learn to
A. Climb stairs
B. Say simple words
C. Use a spoon
D. Walk erect

921. The earliest sign of respiratory distress in a young infants
A. Cyanosis
B. Grunting
C. Rapid respiration
D. Sternal and subcostal retraction

922. A 6-year-old girl is admitted sickle cell crisis. Priority nursing concerns would be
A. Hydration and pain management
B. Nutrition and antibiotics
C. Nutrition and hydration
D. Pain management and antibiotics

923. Esther, 4years 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. Reassure the mother
D. Tepid sponge the child

924. Which of the following is a causative organism for pemphigus neonatorium
A. Candida albican
B. Staphylococcus areus
C. Streptococcus
D. Varicella zoster

925. A mother of 6 months old child wants to know what foods are introduced first. The answer
would be
A. Cereal an soft boiled egg for breakfast
B. Milled rice, cereal and mashed fruits
C. Meat, fish then add fruits and vegetables
D. Sweets such as fruits and vegetable

926. An infant should be able to hold its head erect at
A. 1 month
B. 2 month
C. 3 month
D. 4 month

927. Which of the following will make you suspect that a child with measles is developing
bronchopneumonia?
A. Increased pulse rate
B. Increased respiration
C. Redness of eyes
D. Wheezing

928. A viral infection in a child characterized by red blotchy rash and Koplik’s spot is known as;
A. Chicken pox
B. Diphtheria
C. Measles
D. Pertussis

929. The physician should be informed the following observation in a 7 year old child with
fractured femur with full leg cast.
A. Cast still damp and worm after 24 hours
B. Increase urinary output
C. Inability to move the toe
D. Pedal pulse of 90 b/m

930. At which age in the developmental stages is an infant expected to have first tooth eruption?
A. 3-4 months
B. 5-9 months
C. 10-12 months
D. 13-18 months

931. Permanent dentition begins at/around what age(in years)
A. 2 years
B. 4 years
C. 6 years
D. 8 years

932. 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. Cast should be kept clean
B. Cast should not be touched for at least 12 hours
C. Circulation must be watched closely
D. Pain should be assessed every 4 hours

933. The presence of parents during painful procedure on their toddler should be
A. Based on individual assessment of the parent
B. Based on the type of procedure to be performed
C. Discourage for the benefit of the parent and the child
D. Encourage and permitted if the child desires their presence

934. The purpose of traction for children with fracture is to
A. Make the bone grow faster
B. Prepare the area for surgery
C. Prevent future fractures
D. Realign bone fragments

935. A child suspected of having pulmonary tuberculosis will undergo all the following investigations EXCEPT
A. general x-ray examination
B. investigation of the family
C. sputum examination
D. Tuberculin skin test

936. Sessey, 3 years old, is rushed to the emergency room convulsing; the skin is very hot to touch.
What immediate stop will you take to reduce the temperature?
A. Give cold bath
B. Take the axillary temperature
C. Tepid sponge the child
D. Reassure mother

937. In leukaemia the following occur EXCEPT
A. Decreased platelets
B. Increase white blood cell production
C. Liver remains normal
D. Normal bone marrow is replaced with blast cells

938. An infant with birth weight 2,500mg without regards to gestational age is termed as
A. Intra uterine growth retardation
B. Low birth rate
C. Preterm
D. Small for date

939. In assessing a 2-month old infant the nurse expects the child to
A. Bang hold object together
B. Raise hand chest and can hold in position
C. Roll from supine to prone position
D. Sits alone, uses hands for support

940. The following are helpful suggestions in handling a diabetic child who refuses to eat
EXCEPT
A. ensure her meals are attractive and the environment appealing
B. do not overload plate in the hope she will eat “something”
C. force the child to eat when food is ready
D. try to ensure she eats in the company of others

941. An injection consisting of bacteria cells that have been modified is
A. An antitoxin
B. Toxin
C. Toxoid
D. Vaccine

942. What action would a nurse take when a child refuses to take his medication?
A. Coax or plead with him to take it
B. Let him see other children taking their medication
C. Tell him that you will give him an injection
D. Urge him to take it to make him well

943. When examining a 2-year old child with an otoscope the nurse should
A. hold just the head and arms
B. hold the head straight
C. pull the pinna down and back
D. Pull the pinna up and back

944. The phallic stage in Freud’s psychosexual development is between age;
A. 1 to 3 years
B. 3 to 5 years
C. 3 to 6 years
D. 6 to 8 years

945. What signs and symptom would you expect in a 3-year old girl diagnosed to diabetes
mellitus?
A. Bed-wetting, increased thirst, hunger, weight gain
B. Bed-wetting, lethargy, poor appetite, weight loss
C. Increased hunger, thirst, weight gain
D. Weight loss, bed-wetting, lower leg cramping

946. How would you reduce anxiety in a child on admission
I. Changing nurses daily
II. Confining child to bed
III. Involving parent in the care
IV. Seeing familiar faces daily
A. I and II
B. I and III
C. III and IV
D. I, II and III

947. An 18months girl on admission with severe asthmatic attack is put on prednisolone 15mg
b.i.d. the nurse should
A. Check the child’s oesinophils count daily
B. Ensure the child rests as much as possible
C. Keep the child NPO except for medication
D. Prevent exposing the child to infection

948. A frequent finger pricks and daily injections may be distressing to a diabetic child. How
can you help the child to adjust and adapt?
I. Always reward after an injection with a cuddle or praise
II. Always tell the child what is going to happen to promote trust
III. Never surprise an unprepared child with a syringe
IV. Understand her distress and encourage her to talk about it if she wish
A. I and II
B. I and III
C. II, III and IV
D. I, II, III and IV

949. When responding to a call of a visually impaired child on admission, it is important for the nurse to
A. Address the child when she enters the room
B. Respond to the call promptly
C. Send an orderly to attend to the child
D. Touch the child before speaking to him or her

950. In nursing an unconscious child your objective is to
I. Ensure the child is safe and comfortable
II. Maintain hydration, nutrition and excretion
III. Prevent complications
IV. Stimulate the child
A. I, II and III
B. I, II and IV
C. I, III and IV
D. I, II, III and IV

951. A common finding on most children with cardiac abnormalities
A. A family history of cardiac abnormalities
B. Cyanosis and clubbing of finger tips
C. Delayed physical growth
D. Mental retardation

952. The nurse would explain to a mother whose child has been given tetanus toxoid the
injection will confer
A. Life-long active natural immunity
B. Life-long passive immunity
C. Long-lasting active immunity
D. Temporary passive natural immunity

953. The cardiac defects associated with Fallots tetralogy include
A. Abnormal connection between the pulmonary artery and the aorta, right ventricular hypertrophy and atrial septal defect
B. Origin of the aorta from the right ventricle and of the pulmonary artery for the left ventricle
C. Right ventricular hypertrophy, ventricular septal defects, and stenosis of pulmonary artery from the left ventricle
D. Right ventricular hypertrophy, atrial and ventricular defect and mitral valve Stenosis

954. Rhesus incompatibility usually occurs when the mother
A. And foetus are both rhesus
B. And foetus are both rhesus positive
C. Is rhesus negative and foetus is rhesus positive
D. Is blood group O and foetus is group AB

955. The following are stages of grand mal epilepsy EXCEPT
A. Aura
B. Clonic
C. Focal
D. Tonic

956. An 8-year old boy on admission with sickle cell crisis is for discharge. The education you
would give to the child and parents should include
I. Ensuring that prescribed drugs are taken daily
II. Sleeping at least 14 hours a day
III. Taking balanced diet
IV. Taking plenty of nourishing fluids
A. I and II
B. I, II and III
C. II, III and IV
D. I, III and IV

957. The nurse suspect bleeding when a child who has had tonsillectomy
A. Becomes pale
B. Complains of thirst
C. Cough persistently
D. Swallows frequently

958. All parents of children with the following condition will need counselling EXCEPT
A. Down’s syndrome
B. Glucose 6 phosphate dehydrogenase deficiency (G6PD)
C. Haemophilia
D. ABO incompatibility

959. Which of the following is an early complication of meningitis?
A. Cerebral oedema
B. Deafness
C. Hydrocephalus
D. Paralysis

960. Which of the following children should a nurse in the out-patient department see first
A. An 18 months old with jaundice
B. A 4-year old with nephrotic syndrome
C. 12 months old with febrile convulsion
D. 2 years old with sickle cell crisis

961. An essential nursing action when caring to the small child with severe diarrhoea is to
I. Encourage fluid orally
II. Examine the skin for dehydration
III.Replace lost electrolyte
IV.Check body weight
A. I and II
B. I, II and III
C. II, III and IV
D. I, II, III and IV

962. A vital disease that affects the motor cell of the anterior horn of the spinal cord is
A. Chicken pox
B. Poliomyelitis
C. Rubella
D. Shingles

963. If a child develops a reaction during blood transfusion the nurse should
A. Call the paediatrician
B. Relief symptoms with drugs
C. Slow the flow rate
D. Stop the transfusion

964. The following criterion is most likely to be used by the physician to select drug for a 6 year
old with pneumonia
A. Child tolerance of the drug
B. Physician’s preference for the drug
C. Selectivity of the causative organism
D. Sensitivity of the causative organism

965. A sudden onset of enuresis in a previously dry child is indicative of
A. Emotional stress
B. Nephritis
C. Nephrotic syndrome
D. Pyelonephritis

966. When caring for a neonate with an imperforate anus, the nurse should observe the urine for
A. Acetone
B. Bile
C. Blood
D. Meconium

967. The most influential factor negatively affect the health status of children is
A. Chronic illness
B. Family predisposition to illness
C. Poverty
D. Prematurity

968. How would you reduce anxiety in a child on admission?
I. Changing nurses daily
II. Confining child to bed
III. Involving parents in the care
IV. Seeing familiar faces daily
A. I and II
B. I and III
C. III and IV
D. I, II and III

969. Signs of under feeding in babies include
I. Abdominal discomfort
II. Constipation
III. Crying
IV. Failure to gain weight
A. I and II
B. I, II and IV
C. II and III
D. II, III and IV

970. The vomitus in pyloric stenosis is not bile stained because
A. The bile duct is obstructed
B. The obstruction is above the opening of the common bile duct
C. The obstruction of the cardiac sphincter prevent bile from entering the oesophagus
D. The sphincter of the bile duct is connected to the hypertrophied pyloric muscle

971. The test which would be done to confirm the diagnosis of meningitis is....
A. Serum Test
B. Lumberpuncture
C. UPT
D. CT Scan of the vertibra

972. Anaemia in a child may occur as a result of
I. Destruction of red cells
II. Insufficient production of haemoglobin
III. Insufficient production of red cells
IV. Loss of blood
A. I and II
B. III and IV
C. II, III and IV
D. I, II, III and IV

973. Some babies develop slight jaundice from the third day after birth or later. This is called
A. hepatitis
B. jaundice in the infant
C. neonatal hepatitis
D. Physiological jaundice

974. 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. constipation
C. generalized short-term paralysis
D. Retarded growth in height

975. One of the complication of pinworm infections is
A. Appendicitis
B. Hepatitis
C. Pneumonia
D. Stomatis

976. The rate of flow of IV infusion must be regulated often by the nurse to
A. Avoid IV infiltration
B. Prevent increased flow rate
C. Prevent cardiac overload
D. Prevent decrease body weight

977. Growth and development of the infant is influenced by
I. Environment
II. Heredity
III. Nutrition
IV. Religion
A. I and II
B. II and IV
C. I, III and IV
D. I, II and III

978. In caring for a child with sickle cell crisis the most important nursing intervention would
be
A. Give iron supplement
B. Maintenance of adequate nutrition
C. Prevention of infection
D. Relief of pain

979. Factors contributing to normal growth before and after birth include
I. Nutrition
II. Sex hormones
III. Trophic hormones
IV. Weight of mother
A. I and II
B. I, II and III
C. I and III
D. I, II and IV

980. The following are common childhood communicable disease EXCEPT
A. Measles
B. Pneumonia
C. Tuberculosis
D. Whooping cough

981. Who should sign the consent form of an 11-year old boy for operation
A. Parents after explanation
B. Relative of the child
C. Sister in charge
D. The child after careful explanation

982. The nurse suspects bleeding when a child who has had tonsillectomy
A. Becomes pale
B. Complains of thirst
C. Coughs persistently
D. Swallows frequently

983. Aku is to be admitted to hospital for skeletal traction. The nurse explains to his mother that the purpose of the traction is to
A. Make the bone grow faster
B. Prepare the area for surgery
C. Realign bone fragments
D. Prevent future fractures

984. In caring for a child with superficial burns, the following actions are taken EXCEPT
A. Break the blisters before dressing
B. Clean the area
C. Cover area with sterile dressing
D. Serve analgesics

985. A child has been admitted for surgery to correct a congenital mega colon. Enemas are
ordered pre-operative to cleanse the bowl. The best solution to use is
A. Hypertonic saline
B. Isotonic saline
C. Soap suds
D. Tap water

986. A 9 year old boy with acute lymphocyte leukaemia having prednisolone and vincristine
complain of constipation. What is the cause of the constipation
A. Enlarged spleen obstructing the bowel
B. Leukaemia mass obstructing the bowel
C. Side effect of vincristine
D. Toxic effect of prednisolone

987. The clinical manifestations of a child with marasmus include
I. Good appetite
II. Miserable looking
III. Oedema
IV. Wasting
A. I and II
B. I, II and IV
C. I, III and IV
D. II and IV

988. The mouth of an infant who has thrush will be managed by
I. Administration of nystatin suspension
II. Brushing the teeth
III. Gently removing the white patches
IV. Saline swabbing of mouth
A. I and IV
B. II and III
C. I, II and III
D. II, III and IV

989. A primary task to be accomplished between 12 and 15 months of age is to start
A. Climbing stairs
B. Say simple words
C. Use a cup
D. Walk erect

990. A 5-month old child develops severe diarrhoea and has been put on IV fluids. The nurse
must observe the rate of flow to
A. Avoid fluid getting into the tissue
B. Prevent cardiac overload
C. Prevent increased urinary output
D. Replace all fluids lost

991. When teaching a mother how to administer eye drop to a 5-year old child the nurse should ask her to place the drop
A. Anywhere that makes contact with the eye surface
B. Inside the lower eyelid
C. On the sclera as the child looks to the side
D. Under the upper eyelid

992. When administering IV fluids to a dehydrated infant the most critical factor confronting
the nurse is the
A. Assurance of sterility
B. Calculation of fluid volume to be infused
C. Maintenance of the fluid at body temperature
D. Maintenance of the prescribed rate of flow

993. The most earliest sign of sexual maturity in young girls between 9 to 12 years
A. Attention to grooming
B. Increase in size of the breast
C. Interest in opposite sex
D. The appearance of axillary and pubic hair

994. Immunity by antibody formation during the course of a disease is
A. Active natural
B. Active artificial
C. Passive natural
D. Passive artificial

995. The first step in the management of toxic substances is
A. Administer appropriate antidote
B. Administer supportive and symptomatic care
C. Prevent further absorption
D. Remove obvious remnants

996. One complication of otitis media is
A. mastoiditis
B. meningitis
C. parotitis
D. tonsillitis

997. Hypospadias is a congenital malformation in which the urethra in the male
A. Fails to develop
B. Fails to open
C. Opens on the lower surface of the penis
D. Opens on the upper surface of the penis

998. Jane developed reddened rushes on the cheek which later involve the arm flexures, leg and
gams. Which of the following has she got?
A. Eczema
B. Impetigo
C. Psoriasis
D. Scabies

999. Before administering a tube feeding to an infant the nurse should
A. Irrigate the tube with water
B. Place the baby in the recumbent position
C. Provide the baby with a pacifier
D. Slowly instil 10ml of formula

1000. A child sitting on a chair in the playroom begins a tonic seizure with a clenched jaw. What should the nurse do?
A. Attempt to open the jaw
B. Lower the child to the floor
C. Place a large pillow under the head
D. Shout for assistance