Bule Hora University College of Health and medicine science (BHU CHMS)

Department of BSc Nursing

Department: Nursing
Year: IV
Division: Regular
Time Allowed: 2 hrs
General Direction
Please switch off your mobile phones.
In this exam, there are 100 MCQs.
Attempt all the questions and write your answer on the answer sheet using only block
letters.
Name ______________________________________ ID. Number _______________
1. A Researcher after conducting his research, he sent a summary of the research finding to the
participants. Because he has promised to do so. Which ethical rule he has obeyed?
A. Veracity
B. Confidentiality
C. Fidelity
D. Privacy
2. A researcher has to develop data collection tool (questionnaire) for a research in a certain
local community, which steps should she likely to follow?
A. Contentsequencing Formulating Translating Formatting
B. FormulatingFormatting sequencing Translating Content
C. ContentFormulating SequencingFormatting Translating
D. Formulating Translating Formatting sequencing Content
3. The nurse in a community health clinic is talking with the parent of a child with Celiac
Disease. Which of the following statements would require follow-up by the nurse for
additional teaching?
A. “This weekend we are going to a seafood restaurant.”
B. “I can feed my child oatmeal and eggs for breakfast.”
C. “My child loves to eat rice and chicken for dinner.”
D. “Last night we ate fish with corn for dinner.”
4. A 27 year female client presented to a health center with non-bloody diarrhea for 2 hours
duration. During history taking, the diarrhea was started after 1 & ½ hours of cow’s milk
consumption. But there is no previous similar history. On physical examination, there is
flatulence, abdominal distension, nausea, vomiting and borborygmi. What is the most likely
diagnosis?

A. Functional Intestinal obstruction

B. Lactose intolerance
C. Crohn disease
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Department of BSc Nursing

D. Esophageal Atresia
5. W/ro Yeshiemebet a 32 year old gravid 4 Para 2 women came to a clinic with a heavy
bleeding through the vagina, on P/E uterus is 20 week. It’s her second time since the last two
years, she was trying to conceive .On History she was well until the last day she was feeling
lower abdominal cramp suddenly without an identifiable reason. Doctors diagnosed this as
Abortion 20 to Cervical Incompetence. What could be th classification of Abortion of this
Woman by Onset?
A. Inevitable Abortion
B. Spontaneous Abortion
C. Missed Abortion
D. Induced Abortion
6. There is high prevalence of drug abuse in the Kebele your Health center is located. Many
teenagers are out of school and became pregnant at an early age. Therefore, as a Health care
provider what will be your priority intervention?
A. Awareness Creation
B. Prisoning those who are addicted
C. Quarantine drug abusers
D. Helping in the Abortion
7. A woman wanted to know if she can conceive before getting married again, therefore she
undergone investigations. What is the most likely terminology that describes the Woman’s
situation, if confirmed that she could conceive in the investigations?
A. Parity
B. Gravidity
C. Fertility
D. Fecundity
8. Prevalence rate and incidence rate are widely used as measures of morbidity. Which of the
following statement is true about these two measures of morbidity?
A. Both equally measure the risk of acquiring a specific disease
B. Follow up a group of people is necessary to estimate incidence rate
C. Follow up of a group of people is necessary to estimate point prevalence rate
D. Prevalence rate tells more of the risk of acquiring a specific disease
9. An estimated 90 people out of 100 cases of Ebola died in the recent outbreak. What does this
proportion represent?
A. Case fatality rate
B. Cause specific mortality rate
C. Crude death rate
D. Proportionate mortality ratio
10. The data collected about a body mass index of a physically active population looks positively
skewed. Which measures of central tendency is advisable to be used for such types of data?
A. Median
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Department of BSc Nursing

B. Mean
C. Variance
D. Range
11. Sampling is the procedure in which some members of the given population are selected as
representative part of the entire population. The information collected from the sample will be
generalized to:
A. Study population
B. Target population
C. Sampling frame
D. Study unit
12. A researcher aims to initiate a behavioral change among individuals considering the
sociocultural factors after identifying personal characteristics of the people. The best theory or
model to apply is
A. Health belief model
B. Social cognitive theory
C. Theory of planned behavior
D. Trans-theoretical model
13. A health extension worker divided partitions of a certain kebele in to different groups to
discuss the district’s main health problems and provided feedback on the main findings to the
whole group. What type of method is implemented?
A. Brain storming
B. Panel discussion
C. Buzz group
D. Case study
14. Abel holds a management position within his organization. His tasks as a manager include
maintaining a focus toward long-term issues that may impact the organization as well as
appropriate goals to guide the organization to best paths. Based on the above scenario Abel is
most probably what type of manger?
A. First level
B. Top level
C. Middle level
D. Operational manager
15. Mr. Admasu is 29years old came to your OPD with head injury due to Road Traffic Accident
on your examination talking inappropriate word, with the eye opening to pain & whose motor
response is abnormal flexion. What is the Glasgow Coma Scale is this patient?
A. 6
B. 8
C. 10
D. 12
16. Based on the Glasgow Coma Scale of Mr. Admasu, what is the level of extent of head injury
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Department of BSc Nursing

severity?
A. Mild Head injury
B. Moderate Head injury
C. Severe Head injury
D. None
17. Mr. Peter is 45 yr old male patient admitted to an ICU after he was treated for Herpes zoster.
Now he developed peripheral nerve myelin with rapid segmental demyelination of peripheral
nerves and some cranial nerves, producing ascending weakness with dyskinesia?
A. Guillain-Barré syndrome
B. Multiple sclerosis
C. Brain Tumors
D. HIV/AIDS
Mr. Bekele is 67years old patient having history of Ischemic Strok a year back &
developed hospital aquired infection, after the discharge from the Hospital , he starts to
manifest confusion & not able to think or speak clearly, sometimes he is excited & in
great happiness.
18. What do you think about th diagnosis of Mr. Bekele?
A. Dementia
B. Delirium
C. Multiple Sclerosis
D. Brain Tumor
19. How do you manage Mr. Bekele?
A. Low dose antipsychotics
B. Sertraline
C. Craniotomy
D. Dalfampridine
20. In which one of the following nerves system disorder, there will be loss cognitive function,
Short term memory impairment, difficulty recognizing numbers,loss of initiative and interest
resulting from ischemia, hypoxia or hemorrhagic brain lesions caused by cardiovascular
disease.
A. Vascular dementia
B. Brain abscess
C. Delirium
D. Gullian Bare Syndrome
21. W/ro Woynishet is one of your cleint who is frequently visiting your medical OPD with the
complaint of epigastris pain, dispepsia, & belching whaile eating spicy foods What is /are the
Nursing Management of chronic gastrites?
A. Relieving Pain & Anxiety
B. Promoting Optimal Nutrition
C. Provides Physical and emotional support
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Department of BSc Nursing

D. All
22. A 16 years girl came to your OPD with the complaint of febrile inflammation of the throat,
while you examine her the cause was due to Group A streptococcus?
Which one of the following is will be the most aproprate diagnosis?
A. Pharyngitis
B. Tonsillitis
C. Laryngitis
D. Diphtheria
23. A 17 years old boy has been assessed for an inflamed para tonsils, difficulty of swallowing &
sore throat. You diagnosed him Tonsilitis, Which one of the following is/are amonge Nursing
intervention of tonsilitis?
A. Bed rest and soft diet
B. Warm saline gargles
C. Administration of ordered analgesics
D. All of the aboves
24. Mr. Koratu developed pussy discharge from his left side of his ear & you diagnosed him
Otitis exterma. Medical and nursing management of otitis externa includes, Except.
A. Advice to protect the ear when shampooing or showering
B. Anti pain & antibiotic (systemic and/or local)
C. Antifungal agents
D. Ossiculoploplasty
25. Mr. Worku is known Asthmatic patient came to your OPD for current episode. The Classic
signs and symptoms of asthma is/are?
A. Shortness of breath
B. Sough
C. Wheezing
D. All of the above
Case: 32years old male patient has sustained car accident while driving automobile. On
arrival he is complaining of difficulty of breathing, chest pain & restless. On physical
examination he has central cyanosis, trachea deviated to the right side, absent breath
sound on the left side & on percussion there is hyper resonance on left lung. Based on the
above case answer the following questions 15, 16 & 317
26. What could be the diagnosis of the above case?
A. Massive heamothorax
B. Tension pneumothorax
C. Cardiac temponade
D. pleural effusion
27. What is the immediate medical management of the above case?
A. Chest tube insertion on the right fourth intercostal space.
B. Pericardiocentesis.
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Department of BSc Nursing

C. Needle decompression on the left second inter costal space

D. Needle decompression on the left fourth inter costal space
28. What additional nursing management is needed for the above case?
A. Oxygen administration via face mask
B. Intranasal administration of an Oxygen
C. prepare for chest tube insertion
D. A & C are the correct answers.
29. A 22-year-old patient was brought to the hospital with watery diarrhea. On examination, the
blood pressure remained in normal limit, increased heart rate, slightly delayed capillary refill
time and cool and pale skin. What is the stage of shock the patient likely in?
A. Progressive
B. Compensatory
C. Irreversible
D. Undetermined
30. A 38 years old age women delivered 4 K.G baby but she lost 1500 ml of blood. How much
ml of Ringer’s Lactate is needed to treat the women?
A. 1500
B. 3000
C. 4500
D. 6000
31. A 26 years old a 65 K.G chief mechanic accidentally had burn by sulfuric acid. His whole
right leg and right hand burned. How much total surface area of the mechanic burned?
Estimate using rule of nine.
A. 18 %
B. 9 %
C. 27 %
D. 23 %
32. The minimum amount of Lactated Ringer’s solution needed to treat the above mechanic for
the first 24 hours is?
A. 3510 ml
B. 2340 ml
C. 1170 ml
D. 2990 ml
33. A 27-year-old man was brought to the hospital with burn on his right hand. On cardio
vascular examination, there was abnormal rhythm of the pulse. What is the most suspected
type of burn bringing cardiac dysrhythmia for the boy?
A. Thermal B. Electrical
C. Chemical D. Radiation
34. A 20-year-old girl came to emergency unit after trying suicidal attempt. On history, she
ingested one small bottle of detergent "Berekina" before 5 minutes. What is the best
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Department of BSc Nursing

management to neutralize the poison?

A. Milk
B. Water
C. Lemon juice
D. Soft drink "mirinda"
35. A 45-year-old man submerged inside the hot spring and suffered a burn injury. The wound
was white in color, painless with exposed fat. What is the degree of burn this man suffered
from?
A. Superficial thickness
B. Partial thickness
C. Full thickness
D. Difficult to categorize
36. A 16-year-old boy fell down to the ground and started convulsing because he had epilepsy.
What is the right emergency management to the boy?
A. Removing any harmful object from nearby
B. Restraining him from movement by handling his hands
C. Striking a match to get him conscious
D. Splashing a water to top convulsing
37. A 44-year-old farmer ingested an insecticide ''Malathion" as a suicide attempt and his family
brought him to a hospital within 20 minutes.
What is the emergency management for this farmer to neutralize the poison?
A. Charcoal
B. Perform lavage
C. 40% Dextrose
D. Atropine Sulphate
38. A 68-year-old man who was found at home unresponsive by his neighbors is admitted to the
emergency department with diagnosis of diabetic ketoacidosis. Which insulin is preferable
for DKA?
A. Lispro
B. Regular
C. Lente
D. Ultra lente
39. A 50 year-old well known diabetic business man was travelling early to attend funeral.
Because he woke up in early morning, breakfast was forgotten but he took Glibenclamide.
On the middle of the road he developed sweating, tremor, headache and slurred speech. What
is the preferred intervention?
A. Potato chips
B. Slice of 'injera'
C. Table sugar
D. One loaf of bread
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40. A 20 years-old University student came to student clinic with severe Acne Vulgaris
manifestations. What advice should not be given to the student to control Acne flare up?
A. Avoiding foods such as chocolate, cola, fried foods or milk products.
B. Using of Vaseline, oil and ointment
C. Applying Benzoyl peroxide
D. Applying topical antibiotics
41. A 19 years old young man brought to the hospital because of acute asthmatic attack. During
history taking you found that both his father and grandfather also have asthma. What type of
Asthma you suspect?
A. Mixed
B. Allergic
C. Idiopathic
D. Non allergic
42. A 56 years obese old man was a well-known Myocardiac infarction patient visited the
hospital for checkup. What kind life style modification you should not advice to control
Coronary Atherosclerosis?
A. Weight control
B. Smoking cessation
C. Physical exercise
D. Taking Statins
43. A 67 years old man brought to the hospital because of severe chest pain which radiated to his
shoulder. What factor is not associated to cause typical Anginal pain for this man?
A. Physical exertion
B. Eating a heavy meal
C. Exposure to heat
D. Stress
44. A 70 years old women came to the hospital with slight limitation of activity of daily living.
What is the stage of heart failure according to New York heart association?
A. I
B. II
C. III
D. IV
45. Which of the following sets of vital signs is LEAST indicative of internal bleeding?
A. BP, 140/90 mm Hg; pulse rate, 58 beats/min; respirations, 8 breaths/min
B. BP, 100/50 mm Hg; pulse rate, 120 beats/min; respirations, 24 breaths/min
C. BP, 98/60 mm Hg; pulse rate, 110 beats/min; respirations, 28 breaths/min
D. BP, 102/48 mm Hg; pulse rate, 100 beats/min; respirations, 22 breaths/min
46. A couples who where ingaged to marrage wanted to be tested for their HIV status, their
weeding is after two weeks. At which phase of HIV course of infection does an HIV test does
not capture the real status of the cleints?
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A. AIDS cases
B. Window period
C. HIV positive
D. All of the above
47. W/ro Konjit has been on ART for the last five years, but her adherance for the drug is poor &
she gave child who is HIV positive while checking on his 2nd year. During which time does
HIV transmission occurs from HIV positive mother to children?
A. Pregnancy
B. Breast feeding
C. Delivery
D. All of the above
48. A 70-year-old man is experiencing a severe nosebleed. When you arrive, you find him
leaning over a basin, which contains an impressive amount of blood. He has a history of
coronary artery disease, diabetes, and migraine headaches. His BP is 180/100 and his heart
rate is 100 beats/min. Which of the following is the MOST likely contributing factor to his
nosebleed?
A. His blood pressure
B. His history of diabetes
C. The fact that he is elderly
D. His heart rate of 100 beats/min
49. A young male was struck in the forearm with a baseball and complains of pain to the area.
Slight swelling and ecchymosis are present, but no external bleeding.
What type of injury does this describe?
A. Abrasion
B. contusion
C. hematoma
D. avulsion
50. A 45-year-old convenience store clerk was shot in the right anterior chest during a robbery.
Your assessment reveals that the wound has blood bubbling from it every time the patient
breathes. Your MOST immediate action should be to:
A. Prevent air from entering the wound.
B. Cover the wound with a bulky dressing.
C. Assess the patient’s back for an exit wound.
D. Transport promptly to the closest trauma center.
51. Anti-D prophylaxis:
A. Should be given to all sensitized Rhesus negative women after delivery
B. Should be given to all Rhesus negative women after amniocentesis.
C. Should be given to all Rhesus positive women who give birth to Rhesus negative babies.
D. Should be given to all women who's babies are Rhesus negative
52. A 33 year old woman at 37 weeks gestation confirmed by early sonogram presents with
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Department of BSc Nursing

moderate to
severe vaginal bleeding, and is note by sonogram to have placenta previa, which of the following
is
the best management for her.
A. Induction of labor
B. Give tocolytic drugs
C. Caesarean section
D. Expectant management
53. A pregnant woman presents with a placenta praevia of a major defect and fetus is malformed.
Which
of the following will be the best management?
A. Caesarian section
B. Oxytocin drip
C. Rupture of membranes
D. Induce with PG E2
54. A 24 -year- old patient (G2 P1 + 0). At 34 weeks of gestation presented to emergency with
vaginal
bleeding. Which one of the following is NOT TRUE?
A. Admit the patient
B. Resuscitate the patient
C. Do digital examination immediately
D. Cross-match blood
55. A 35 -year- old patient presented with your facility with severe headache which is not
responded
with antipains & her blood pressure significantly high. Which uterotonic drug is contraindicated?
A. Oxytocin 10 IU intramuscular
B. Ergometrine 0.2 mg – 0.4 mg intramuscular or slowly intravenous
C. Misoprostol 400–600 microgram orally or 600-800 microgram rectally.
D. Pitocin 10 IU intramuscular
56. A 16 years old lady with monthly a pain full menstruation, the term is
A. Dyspnea
B. Dysparuria
C. Dysmenorrhea
D. Dysuria
57. A fetal head of level (one fifth) indicates:
A. Indicates that one fifth of the head is below the pelvic brim.
B. Indicates that the head is engaged.
C. Indicated that forceps may not be used.
D. Indicates that head is at the level of the ischial spines.
58. A client in her third trimester tells you, “I’m constipated all the time!” Which of the
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following
should the nurse recommend?
A. Daily enemas
B. Laxatives
C. Increased fiber intake
D. Decreased fluid intake
59. The amniotic fluid of a client has a greenish tint. You interpret this to be the result of which
of the following?
A. Lanugo
B. Hydramnios
C. Meconium
D. Vernix
60. A client with eclampsia begins to experience a seizure. Which of the following would the
Nurse do first?
A. Pad the side rails
B. Place a pillow under the left buttock
C. Insert a padded tongue blade into the mouth
D. Maintain a patent airway
61. In which of the following types of spontaneous abortions would the nurse assess dark brown
vaginal
discharge and a negative pregnancy test?
A. Threatened abortion
B. Inevitable abortion
C. Missed abortion
D. Incomplete abortion
62. During the active phase of labor the woman reports severe back pain that becomes
increasingly
intense during contractions. The nurse should place the woman in which position?
A. Supine position
B. Side lay position
C. Squatting position
D. Lithotomy position
63. For which of the following clients would the nurse expect that an intrauterine device would
not be
recommended?
A. Woman over age 35
B. Nulliparous woman
C. Promiscuous young adult
D. Postpartum client
64. A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal
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bleeding
following the use of cocaine 1 hour earlier. Which complication is most likely causing the
client’s
complaint of vaginal bleeding?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. Spontaneous abortion
65.Which of the following would the nurse assess in a client experiencing abruptio placenta?
A. Bright red, painless vaginal bleeding
B. Concealed or external dark red bleeding
C. Palpable fetal outline
D. Soft and non-tender abdomen
66. A woman in labor comes to the labor and delivery area with ruptured membranes,
contractions that
occur every 3 minutes and last 50 to 60 seconds. The fetus is in the LOA position. The Nurse’s
first action should be to:
A. Check the vaginal fluid with nitrazine paper
B. Check the FHR
C. Call the physician
D. Admit the patient to the labor and delivery area
67. The fetal monitoring strip shows an FHR deceleration occurring about 30 seconds after each
contraction begins; the FHR return to baseline after the contraction is over. With this type of
deceleration, the nurse’s first action should be to:
A. Increase the IV flow rate
B. Call the physician
C. Position the woman in labor on the left side
D. Continue monitoring the FHR
68. A patient sustained a laceration of the premium during delivery; it involved the muscles of
perineal body but not the anal sphincter. Such a laceration would be classified as :
A. First degree
B. Second degree
C. Third degree
D. Forth degree
69. A 28year postpartum patient was in labour for 30 hours and had ruptured membranes for 24
hours.
For which of the following would the nurse be alert?
A. Pelvic thrombophlebitis
B. Endometritis
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C. Endometriosis
D. Adenomyosis
70. A 23-year-old woman (gravida 2, para 2) calls her physician 7 days postpartum because she
is
concerned that she is still bleeding from the vagina. It would be appropriate to tell this woman
that it is normal for bloody lochia to last up to:
A. 5 days
B. 8 days
C. 11 days
D. 14 days
71. A primipara presents one week after delivery. She is tearful, has spells of cry and lack of
appetite and sleep. What is the most likely diagnosis?
A. Manic disorder.
B. High grade fever
C. Postnatal depression
D. Postnatal psychosis
72. The nursing intervention to relieve pain in breast engorgement while the mother continues to
breastfeed is
A. Apply cold compress on the engorged breast
B. Apply warm compress on the engorged breast
C. Massage the breast
D. Apply analgesic ointment
73. A 38 year old multigravida woman complains of the painless loss of urine, beginning
immediately
after coughing, laughing, lifting, or straining. Immediate cessation of the activity stops the urine
loss. This history is must suggestive of :
A. Bypass incontinence
B. Stress incontinence
C. Urge incontinence
D. Urethral incontinence.
74. A 20 year old lady pregnant in 1st trimester came complaining of lower abdominal pain, in
examination a mass continued with the uterus was found what is the diagnosis:
A. Uterine rupture
B. Red degeneration of fibroid
C. Ectopic pregnancy
D. Rupture placenta
75. A 45-year-old woman presents with abdominal pain and vaginal bleeding. A hysterectomy is
performed and shows a benign tumor of the uterus derived from a smooth muscle cell. What is
the appropriate diagnosis?
A. Angiomyolipoma
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B. Leiomyoma
C. Leiomyosarcoma
D. Myxoma
76. A 10-month-old infant presents with a 1-day history of a blanching confluent rash which
started on
his face and now covers his entire body. He is miserable with conjunctivitis and fever of 38.5 C.
The illness started with runny nose and cough five days previously. What is the most likely
diagnosis?
A. Chickenpox
B. Rubella.
C. Measles
D. Allergic reaction
77. A 4-month old female infant was brought to the health center because of cough. Her
respiratory
rate is 42/minute. Using the Integrated Management of Child Illness (IMNCI) guidelines of
assessment, her breathing is considered:
A. Fast
B. Slow
C. Normal
D. Insignificant
78. A 9 months old boy has diarrhea for the past two days. Which set of symptoms/signs would
diagnose severe dehydration in the boy?
A. Suncken eyes, and irritability
B. Irritable and capillary refill delayed
C. Suncken eyes and unable to drink
D. Suncken eyes and skin pinch goes back slowly
79. Immediate therapy for infants with suspected meconium should routinely include :
A. Corticosteroid
B. Antibiotics
C. Sodium bicarbonate
D. Clearing of the airway
80. A 4-year-old girl presents for a preschool physical examination. The child has a small head
circumference, congenital heart defect and cataract. She shows evidence of mild mental
retardation. Which of the following maternal causes of birth defects most likely accounts for
these clinicopathologic findings?
A. Alcohol abuse
B. Cigarette smoking
C. TORCHs infections
D. Inadequate nutrition
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81. A 8-year-old beating victim is brought to the emergency room with a 4-cm linear tear of the
skin caused by blunt trauma. Which of the following terms best describes this patient’s skin
lesion?
A. Abrasion
B. Avulsion
C. Contusion
D. Laceration
82. One of the following is the most common cause of death in children between the ages of 4
and
14 years is.
A. Tumors
B. Malnutrition
C. Accident
D. Congenital anomalies
83. A 2 weeks neonate presented with the clinical feature of diminished/absent breath sounds,
bowel sound may be heard over chest (Lt), and cardiac sounds may be heard on right side of
chest, dyspnea, cyanosis, nasal flaring, retractions, sunken abdomen and barrel chest. Based on
the following information what is your diagnosis?
A. Diaphragmatic Hernias
B. Omphalocele
C. Gastroschisis
D. Umbilical Hernia
84. A 2yrs old child presented with the following associated problems, the problems of the
child’s
are Leukemias, Duodenal atresia and Hirschsprung’s disease. Based on the following
information what is the child’s problem?
A. Edward’s syndrom
B. Down’s syndrome
C. Turner’s syndrome
D. Palatu’s syndrome
85. A 2hrs newborn has excessive mucus in the nasopharynx due to inability to swallow saliva
that resulting in drooling of frothy saliva, coughing, sneezing, choking and abnormal amount of
flatus. Based on the following information what is the child’s problem?
A. Adenopharengitis
B. Esophagial atresia
C. Duodenal atresia
D. Megaloglossus
86. Child Tomas came with his mother having chief compliant of abdominal distension, failure
to pass flatus and no meconium passage for more than 24 hours. On physical examination, you
have found that there is resistance to rectal thermometer and anal dimple. What is the most
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probable Dx of this neonate?

A. Omphalocele
B. Cancer of the rectum
C. Imperforated anus
D. Pyloric stenosis
87. A 1 yr old infant presented with the clinical feature of painless swelling may be seen
extending
in to the scrotum or labia majora, it may disappear when the infant is at rest or when gentle
reduction. Based on the following information what is the child’s problem?
A. Cryptorichondism
B. Hydrocele
C. Scrotal swelling
D. Inguinal hernia
88. A newborn presented with the clinical feature of severe and progressive projectile vomiting
with non-bilious vomitus after meals. On examination there was an olive like mass on
palpating his upper abdomen. Based on the following information what is the child’s problem?
A. Imperforate anus
B. Pyloric stenosis
C. Hiatal Hernia
D. Intestinal atresia
89. A child is born with the defect on vertebrae, dimpled of the skin in the area without soft
tissue
involvement. Based on the following information what is the child’s problem?
A. Meningeomyelocele
B. Spinal bifida occulta
C. Meningeocele
D. Inflammation of meninges
90. One of the following is the most potential mode of HIV transmission to children
A. Mother to child transmission
B. Sexual transmission among adolescents,
C. Sexual abuse of children
D. Needle stick injury
91. One of the following is more reliably diagnostic method of HIV infection children age 18
months and older
A. Rapid antibody tests
B. Polymerase chain reaction
C. Antigen detecting test
D. DNA PCR test
92. When you are at a health centre. A mother visiting and telling you the history of her baby. On
history you find that the age of the infant is 2wks old, he has abdominal discomfort & colic
 Bule Hora University College of Health and medicine science (BHU CHMS)

Department of BSc Nursing

pain after breast feeding. Based on the above information what type of formula advice to the
mother?
A. Cow's-milk-based formula
B. Soy-based formula
C. Lactose-free formula
D. Human milk fortifier formula
93. An hour aged new born neonate with Weight of < 1,000gm and Gestational age < 32wks.
What is
you classification and management, respectively?
A. VLBW and/or very preterm
B. Low birth weight and/or preterm
C. ELBW and/or very preterm
D. Normal weight and/or term
94. Child Lamirot who is 16 months old weigh 11kg and has axillary temperature of 380c. Her
mother
said that she had discharge coming from her ear for the last 5-6 days. Lamirot does not have any
danger signs, has no cough or difficult breathing, has no diarrhea, fever and ear pain, but you
saw
pus draining from the ear. She did not feel any tender swelling behind either ear. What is
Lamirot’s
classification for ear problem?
A. Mastoiditis
B. Acute ear infection
C. Chronic ear infection
D. No ear infection
95. A 9moths old infant comes for vaccination upon his schedule and just up on routine
evaluation you
noticed he had no tooth erupted. The family asked you if this is normal. Then you tell the family
the usual age for tooth eruption is
A. 2 – 4 months
B. 4 – 6 months
C. 6 – 8 months
D. 10 – 12 months
96. A child with a bull-neck appearance after infection. What will be your diagnosis?
A. Measles Infection
B. Diphtheria infection
C. Tetanus Infection
D. Pertussis infection
97. One of the following vaccines protects children from severe diarrheal disease and
dehydration?
 Bule Hora University College of Health and medicine science (BHU CHMS)

Department of BSc Nursing

A. OPV vaccine
B. Rotavirus vaccine
C. BCG vaccine
D. Pentavalent vaccine
98. Vaccines should be kept in refrigerator at the temperature between:
A. +2°C and +8°C
B. 0°C and +8°C
C. -15°C and -25°C
D. -15°C and 0°C
99. On radiographic assessment of croup on the posteroanterior view which shows “steeple sign”
on
neonate. What is your interpretation of the result (“steeple sign”)?
A. Narrowing of subglottic
B. Narrowing of Trachea
C. Narrowing of bronchi
D. Lung collapse
100. One of the following is the 1st line treatment for a child with viral tonsillitis.
A. Benzanthin penicillin G, single dose of 25,000 IU/kg, IM
B. Amoxacillin 45mg/kg PO/day in divided doses(Bid or Tid)
C. Penicillin VK, 50mg/kg PO Bid
D. Require not treatment except symptomatic or supportive management