34 Solved Paediatric Nursing MCQ Trial Questions [1] - KNUST

NOTE:  For each of the following questions, select the most appropriate answer and write in the space provided, the letter which correspond to your choice…………………………

1. 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


2. 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


3. 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 


4. 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


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. constipation

C. generalized short-term paralysis

D. Retarded growth in height


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

A. check weight daily

B. encourage oral fluids intake

C. keep body temperature below 38oC

D. Replace lose calories 


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. 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 


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. head of bed elevated 10o

B. in a prone position

C. in supine position

D. Turned on the right side


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

A. As soon as the child has diarrhoea place her on NPO for 8 hours

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

C. Observe good hygiene to reduce faeco-oral spread

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


11. 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


12. To promote absorption of an iron supplement it should be administered

A. During meal

B. Immediately before meals

C. Two hours after meals with orange juice

D. Two hours after meals with milk


14. The side effects of oral iron therapy include

I  Blackened stools

II  Darkened teeth

III  Darkening of the skin

IV Gastric irritation

A. I, II and III

B. I, II and IV,

C. II, III and IV

D. I, II, III and IV 


14. A child with lymphatic leukaemia has a very low platelets count. An appropriate nursing intervention would be to

A.  discourage active play to avoid getting hurt

B. Encourage a high fibre diet

C. Keep the child isolated to avoid infection

D. Provided frequent rest periods 


15. 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


16. 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


17. 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 


18. 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


19. 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 


20. 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 


21. 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


22. 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 


23. 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


24. 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


25. 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


26. Which of the under listed drugs will you get ready for use when a child is brought to the emergency room with convulsion?

A. Ampicillin

B. Chloroquine

C. Hydrocortisone

D. Phenobarbital


27. 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 


28. 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


29. The most influential factor negatively affect the health status of children is

A. Chronic illness

B. Family predisposition to illness

C. Poverty

D. Prematurity


30. 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


31. 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


32. Which of the following is an early complication of meningitis?

A. Cerebral oedema

B. Deafness

C. Hydrocephalus

D. Paralysis


33. 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


34. 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

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