Pediatric
Second Year Nursing Examination
PEDIATRIC NURSING
“OBJECTIVE SECTION”
Q. No. 1: Read each question carefully & choose the best answer and encircle your
answer.
01. Neonate period starts from:
a) Birth to 20 days b) 2nd day to 08 days
c) Birth to 15 days d) Birth to 28 days
02. Pre mature babies are at risk of:
a) Hyperthermia b) Hypothermia
c) Fever d) Convulsion
03. Cushing syndrome is due to an elevated level of:
a) Liver enzymes b) Corticosteroids
c) Sugar level d) Calcium level
04. The incubation period of measles is:
a) 03 days b) 03-06 days
c) 07-14 days d) 10-15 days
05. Ronchi or crepts in the lungs are due to presence of:
a) Tumor b) Foreign body
c) Fluid d) Inflammation
06. Enteric fever is caused by:
a) Rota virus b) Variola virus
c) Plasmodium d) Salmonella Typhe
07. 05% distil water 500 ml to be transfused in 06 hours, if the drop factor is 15. How
many drops it should go?
a) 02 drops p/m b) 2.9 drops p/m
c) 4 drops p/m d) None of the above
08. You need to gave your patient 60 mEql of KCI and in hand you have KCI, 20
mEq/4cc. how many ml will you need to administer?
a) 10 ml b) 12 ml
c) 13 ml d) 09 ml
09 Tablet Erythromycin 250 mg to be given OD available is 500 mg in 01 tablet.
How many tablet you will give?
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a) ½ tablet b) 1½ tablet
c) 01 tablet d) ¼ tablet
10. The doctor orders intramuscular Pethadine to relieve pain. The dose to be given is
05mg, available is 50mg /ml the correct amount to be given is:
a) 01 ml b) 0.5 ml
c) 0.4 ml d) 0.1 ml
11. The best site for intramuscular injection in infants is:
a) Deltoid muscle b) Vastus lateralis
c) Dorso-gluteal d) Calf muscle
12. Which of the following measurements is obtained in infants but not obtained in
adults?
a) Abdominal girth b) Head circumference
c) Weight d) Mid arm circumference
13. The normal respiratory rate of a one year child is:
a) Over 80/min b) 60-80/min
c) 20-30/min d) 10-15/min
14. An infant born 39 weeks of gestational age and weighing 2,000g should be
classified as:
a) Low birth weight b) Large for gestational age
c) Small for gestational age d) a&c
15. The Apgar score includes assessment of all of the following except:
a) Muscle tone b) Color
c) Blood pressure d) Respiratory effort
16. The first milk teeth are expected at age:
a) 02-04 months b) 04-06 months
c) 06-10 months d) 10-12 months
17. Which of the following is the most critical physiological change required in the
newborn?
a) Closure of fetal shunts in the heart.
b) Immune defense system
c) Temperature maintenance
d) Initiate and maintain respiration.
18. The nurse should know that following is the cause to the neonate’s high risk for
dehydration:
a) Ability to utilize iron store
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b) Immature immune system
c) Limited ability to concentrate urine
d) Incomplete skin system
19. The administration of parental vitamin K is indicated for:
a) All new born infants
b) Infants below 2,500g
c) Infants of less than 36 week’s gestation
d) Jaundiced infants.
20. The child needs to be referred if he can not walk at:
a) 12 months b) 14 months
c) 18 months d) 22 months
21. It is generally recommended that infant’s foods other than milk should be
introduced into infant’s diet at about:
a) 03 weeks b) 03 months
c) 06 months d) 01 year
22. The dose of live attenuated measles vaccine should be administered at about:
a) 03 months of age b) 09 months of age
c) 15 months of age d) 02 years of age
23. Ringworm found in school children is caused by which of the following?
a) Virus b) Fungus
c) Allergic reaction d) Bacterial infection
24. When teaching to support home management of a child with cast, the nurse
should include which instruction:
a) Wash cast daily with warm water
b) Gently hit on the cast to asses the pain site.
c) Insert the comb to scratch the skin.
d) Check the skin at the cast edges for redness or swelling every day.
25. Down syndrome is a:
a) Hematological disorder b) Gynecological disorder
c) Chromosomal disorder d) Endocrine disorder
26. A nursing care for a child with nephritic syndrome is to:
a) Restrict fluid to half only
b) Encourage complete bed rest
c) Provide low salt diet and restrict fluids
d) Keep the child nothing per oral
27. Clinical manifestations of Asthma include:
a) Wheezing and dyspnea b) Crackles and hypotension
c) Fever and retraction d) Abdominal distension
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28. Cryptorchism is defined as:
a) An infection of the lower urinary tract.
b) Meatal opening on lower side of penis
c) An everted penis
d) Failure of one or both testis to descend in scrotum.
29. The mother asks the nurse that what “failure to thrive” is. The nurse’s best
response would be:
a) In this the child vomits a lot.
b) The term is used to describe the infant who failed to gain weight.
c) Nothing to worry. It is feeding problem.
d) Infant failed to develop cognitive.
30. The mother had asked you that my son’s head looks bigger and doctors were
using a word “hydrocephalus”. What would be your response towards her query?
a) The term is used for the abnormal enlargements of the head.
b) Children have enlarged head which is normal.
c) When the brain do not function properly.
d) Head is bigger than the body.
Q. No. 2: Match the statement in column “A” with the term in column “B”. Write
the letter of right response in provided space.
COLUMN “A” COLUMN “B”
01. _______ Cessation of respiration A. Hydrocephalus
02. _______ Painful enlargement of parotid gland B. Croup.
03. _______ Heredity bleeding disorders that result C. Bacterial pneumonia.
From a deficiency in specific clotting
factors.
04. _______ A fungal infection of the skin that can D. Mumps.
Occur on the scalp, body and feet.
05. _______ Inadequate absorption of cerebrospinal E. Myelomeningocele.
Fluid.
06. _______ An inflammation of the pulmonary F. Epispadias.
Parenchyma usually caused by
pneumoccoci, or staphylococci.
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07. _______ Dry, hacking and nonproductive cough G. Development.
& becomes productive 2-3 days.
08. _______ A hermial protrusion of a saclike cyst of H. Ringworm.
Meninges, spinal fluid and defect in the
vertebral column.
09. _______ A meatal opening on dorsal surface of I. Hemophilia
penis.
10. _______ Involves qualitative change of function J. Apnea.
Emerging and expanding of individual.
„SUBJECTIVE SECTION”
Q. No. 1: A) What care will you give to a 04 day old newborn placed under
phototherapy?
B) Write ten nursing interventions with rationale.
Q. No. 2: What is Nephrotic syndrome? Write therapeutic and nursing management
of baby with Nephrotic syndrome.
Q. No. 3: A) Explain five nursing interventions with rationales for hypothermic
newborn.
B) Write down five specific nursing measures of a baby with
meningomyelocele.
Q. No. 4: A) List five role of pediatric nurse and give one example of each.
B) Explain why this is important for the nurse to learn about the growth and
development of a child?
Q. No. 5: Three year old baby Fatima is admitted in pediatric ward with the
complain of high grade fever and seizures after investigations, doctor has
diagnosed “Meningitis”.
A) What is meningitis? Write five specific clinical sign of meningitis.
B) Describe the nursing care of her and give rationale for each intervention.
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