COMPREHENSIVE EXAM MODEL EXAM FOR NURSING GRADUATES

Instruction: Choose the best answer from the given options and write on the answer sheet.

1. If the mother who brought her child to your well-baby clinic asked you the ideal age of sitting
independently for normal growing infant, what will be your correct answer?
A. 5 month B. 6 month C. 7 month D. 8 month
2. When you give immunization for the child, which elements of chain of infection is acted over?
A. Reservoir B. Susceptible host C. Agent D. Method of transmission
3. If you are giving brief orientation on HIV infection in pediatrics for pediatric nurses, it is false if
you are stating one of the following
A. Infant born to HIV infected mother is HIV exposed infant
B. A negative DNA PCR in a breastfeeding infant rule out HIV infection
C. Cotrimoxazole prophylaxis is given all HIV-infected children <12 months regardless of CD4
D. All infants born to HIV-infected women should have DNA PCR at six weeks of age
4. Nardos, the known diabetic child, felt drowsiness, light headedness and diaphoresis after she
taken Lispro injection 30 minutes following her breakfast. What would be the acceptable relation
between her treatment and symptoms she felt?
A. Injection of very short acting insulin on the morning resulted in hypoglycemia
B. Missing of the insulin dose on the morning resulted in hyperglycemia
C. Injection of insulin following meal resulted in hypoglycemia
D. Delay in the long acting insulin resulted in hypoglycemia
5. If you are a nurse educator on pediatric nursing, how do you explain acyanotic congenital heart
disease?
A. There is left to right shunting lesions C. There is no bluish discoloration of the
B. There is right to left shunting lesions body
D. A and C
6. Mo’a is 12 years old known diabetes patient who was brought to your emergency OPD after
developing DKA. He is lethargic and his weight is 30 kg. The result of random blood sugar
measurement is 370mg/dl and Hb1Ac is 8%. What will be the amount of fluid you administer
over the first hour of DKA management?
A. 600ml B. 150ml C. 900ml D. 1200ml

7. For the above question which fluid do you prefer on the first hour?

A. 0.9% Normal saline B. Ringer lactate C. 5% DNS D. 40% glucose

8. What will be class of the child’s DKA?

A. Mild B. Moderate C. Severe D. Unknown

9. What will be the amount of insulin dose you administer for Mo’a on the first hour if the guideline
is 0.1IU/kg/hr?

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 A. 5 IU B. 4 IU C. 3 IU D. 6 IU

10. What will be the amount of fluid Mo’a will take on the second part of treatment over 23 hours?

A. 3700 ml B. 4300 ml C. 2550 ml D. 1750 ml

11. The mother brought a 2 years old child with generalized body rashes, reddish conjunctiva and
runny nose. The child achieved independent walking milestone and had history of incomplete
immunization. What would the most probable diagnosis for this child?

A. Influenza B. Dermatitis C. Conjunctivitis D. Measles

12. If you are the nurse monitoring cold chain in EPI room, which vaccine categories should be
stored in the upper compartment of the refrigerator?

A. Live attenuated vaccines C. Killed vaccines

B. Toxoids vaccines D. Inactivated vaccines

13. The following pediatric nurses (A, B and C) are debating on the standard approach of diagnosing
Acute Rheumatic fever as per JONES criteria. Which nurse proposed the acceptable composite of
the criteria?
A. Migratory polyarthritis + fever + arthralgia
B. Subcutaneous nodules + fever + raised ESR
C. Carditis+ fever + long PQ wave
D. All are acceptable composite
14. If the pharmacist supplied 10mg zinc tablet for the mother of 9 months old child with diarrhea.
What would be your right advice to the mother for zinc administration for 10 days duration?
A. Giving 1 tablet by dissolving in 5ml breast milk
B. Giving 1/2 tablet by dissolving in 5ml breast milk
C. Giving 2 tablet by dissolving in 5ml breast milk
D. Giving 1 tablet by dissolving in 5ml ORS
15. Sifira was relatively healthy 2 days back since she started to experience coughing which is
followed by vomiting. She has also whooping inspiration and the case gets aggravated with
crying and sneezing. She has no other respiratory complain recently. What would be the most
likely diagnosis for this child?

A. Diptheria B. Pertussis C. Pneumonia D. Bronchitis

16. If s/r Simera diagnosed “Ineffective breathing pattern related to the disease process as evidenced
by shortness of breathing on supine position” for CHF pediatric patient, what would be her
correct nursing intervention?
A. Increasing calorie intake with nasogastric feeding
B. Administering intranasal oxygen on lying position
C. Positioning to semi-fowler position
D. Administering 0.5mg/kg Enalapril
17. If you are running EPI campaign for reaching infants of home delivery, which one is the
acceptable schedule?

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 A. BCG and OPV-o at birth
B. BCG, OPV-1, Penta1, PCV1, Rotarix1 at 6th week
C. BCG, OPV-0, OPV-1, Penta1, PCV1, Rotarix1 at 6th week
D. BCG,OPV-0 on 15th day

Scenario 1:Birmadu is a 3 years old child who was brought to your emergency OPD by his mother.
On his arrival he was lethargic and unable to feed. He has history of passing loose stools more than
five times per day. The mother reported that his casual food was enjera made of maize only. On
physical examination, you appreciated: reddish conjunctiva and rhinorrhea. Again his skin pinch
returns back after 5 seconds and there is fissure forming lesions whole over the skin, but he had no
edema. He is 98cm tall and weighs 12 kg. The median weight for similar height was 20kg and the
median weight for the same age is 16. The median height for the same age is 110cm. Answer
questions 18-22
18. What is the percent of weight for height (WFH) for Birmadu?

A. 57 B. 60 C. 70 D. 75

19. What is the category of wasting for Birmadu depending on his WFH?

A. Moderate B. Mild C. Severe D. Cannot be categorized

20. Which protein energy malnutrition (PEM) will be the diagnosis for the child?

A. Kwashiorkor B. Marasmic-kwash C. Marasmus D. Undernourished

21. What is the grade of dermatitis for Birmadu?

A. Mild B. Moderate C. Severe D. Unknown
22. What would be the appropriate classification for Birmadu’s dehydration?
A. Mild B. Moderate C. Severe D. Unkown
23. If you are rushing to resuscitate neonate with low APGAR score, what will be the ratio of
compression to rescue breath?

A. 5:1 B. 30:2 C. 3:1 D. 1:3

24. If newborn with blood group AB+ that born to B- mother is diagnosed with hyperbilirubinemia
secondary to Rh incompatibility, which of the following blood do you prepare for exchange
transfusion?

A. AB- blood B. B+ blood C. O- blood D. A&C

25. If gentamicin 5mg/kg is ordered for 4 kg neonate and the mother brought you an ampoule of
80mg/2ml gentamicin, how much ml do you administer for this neonate?

A. 2ml B. 1ml C. 0.5ml D. 20ml

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26. If S/r Meron is going to insert nasogastric tube for unconscious pediatrics patient, which of the
following position is the recommended?

A. Sitting position C. Left lateral position

B. Semi-upright position D. Right lateral position

27. Henok is a 10 years old boy who came to pediatrics emergency unit with severe burn injury. His
anterior trunk and upper extremities are totally burned and there is no intact skin over the sites.
Which site do you consider to undertake TAT skin test for this child?

A. Anterior lower arm B. Skin over the scapula C. Anterior chest D. Lower
abdomen

28. There was deworming campaign in your woreda and you were a nurse involved in that campaign.
You are going to administer Albendazole 400mg PO stat for children older than 2 years. The form
of medication in your bag is syrup of Albendazole 100mg/5ml. So, how much ml you will
administer for the children?

A. 5ml B. 10ml C. 20ml D. 25ml

29. If nurse Dogiso is seriously educating postnatal mothers to practice exclusive breast feeding up to
6 month, which components of primary level prevention he is emphasizing?
A. Health promotion B. Pevention of exposure C. Prevention of disease D. All of
the above
30. Nurse Birhanu and Biratuare in dilemma to establish the diagnosis whether it is appendicitis or
intussusception for the child who came with abdominal complain. The following nurses (A, B and
C) suddenly arrived on their debate. Which nurse appropriately stated the difference between
intussusception and appendicitis?
A. The pain in appendicitis radiates from Periumbilical to Mcburney’s point whereas that of
intussusception is wave like pain
B. Appendicitis is rare in < 5 years, but intussusception is common in 5months to 3 years of
age
C. Vomiting doesn’t give relief of pain in appendicitis whereas the opposite is true in
intussusception
D. A and B

Scenario 2: Baby Meyad was born to 25 years old gravida 2 and para 2 mother on gestational age
(GA) of 31 weeks. On physical examination, you evidenced pink trunk and blue extremities, heart rate
of 60bpm, grimace reaction on the introduction of tip of NG tube in the nostril, some flexion on the
limbs, weak crying and axillary temperature of 35.5 oC. The baby’s weight is 1499g and when you
look for weight versus gestational age chart, it falls below 10 th percentile. Based on this scenario
answer questions 31-35

31. What was the APGAR score of the baby according to your assessment?
A. 3 B. 5 C. 6 D. 7
32. What is the implication of this baby’s APGAR score assessment?
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 A. Normal B. Needs close supervision C. Needs resuscutation D. Doesn’t have
any implication

33. What will be the category of baby Meyad according to its birth weight?
A. Extremely low birth weight C. Very low birth weight
B. Low birth weight D. Normal birth weight

34. Where do you classify the newborn based on its GA?

A. Term baby B. Preterm baby C. Extremely preterm D. Very Preterm

35. Based on the chart for weight versus GA, to which category do you classify the baby?
A. LGA B. SGA C. AGA D. unknown
36. One is not the characteristic of monozygotic
A. Fertilization of a single ovum,
B. Sex of the fetuses are similar.
C. Identical in every way
D. Genetically determined

37. Which one of the following is not recommended for delivering of twins?
A. If both twins are by Vertex delivery vaginally.
B. If first twin not cephalic and twins are viable delivery by cesarean section.
C. If labor prolonged augment to shorten the time.
D. If conjoint twin, triplets and so on, placenta previa deliver by cesarean section.
38. Which one of the following is not true finding for occiput posterior position?
A. Flattened lower part of the abdomen
B. Anteriorly palpable fetal limbs abdominally
C. Fetal heart heard around umbilicus
D. Posterior fontanel towards the sacrum vaginally
39. One is not right about transverse lie.
A. Neither the fetal head nor breech are felt in the upper and lower part of the uterus.
B. By vaginal examination the shoulder or the prolapsed arm is felt.
C. Abdomen is transversely elongated than longitudinally.
D. Gestation age of pregnancy is less than fundal height.
40. One is true diagnosis of face presentation.
A. Hand of the fetus mostly prolapsed
A. Hyperextension of the neck.
B. Two molar bone prominences make a straight line
C. Flatted shape of abdomen
41. One is definition of "true post-partum hemorrhage".
A. Bleeding after delivery of placenta to the first 24 hrs.
B. Bleeding before delivery of the placenta
C. Bleeding after delivery of fetus to the first 6wks.
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 D. Bleeding after 24 hrs of delivery to 6 wks after delivery.
42. Post-partum psychiatric disorder characterized by episodic tearfulness/crying, often without
identifiable reason and sadness and mostly associated with hormonal change is:
A. Severe mental illness C. Post-partum major mood disorder
B. Postpartum psychosis D. Post-partum blues
43. Which one of the following is not predisposing factor for malpositions and/or malpresntations
A. Contracted pelvis C. Pelvic tumors
B. Primi parity D. Pendulous abdomen
44. One of the following is an immediate phase of amniotic fluid embolism clinical manifestation.
A. Coagulopathy C. Altered mental status
B. Hemorrhage D. End-organ failure
45. One is not indication of vaginal breech delivery.
A. Complete or frank breech presentation
B. Kneeling and footling breech presentation
C. Adequate maternal pelvis
D. Estimated fetal weight < 3500 gm

46. One is not characteristics of hyperemesis gravidum.

A. It is the intractable nausea and vomiting for all pregnant mothers
B. It appears more frequently with first pregnancies
C. It appears more frequently with multigaravidum pregnancies
D. It is mostly related to multivitamin deficiency
47. Which of the following is not true about uterine involution?
A. decreases by the rate of one finger breadth per day
B. 10-16 day’s regeneration of basal layer is completed
C. Placental site regeneration start after 6 wk
D. Uterus is at level of umbilicus after childbirth
48. W/ro Chaltu who is pregnant and her GA is 18+3wks come to you clinic with complains of
severe abdominal pain, breathlessness, abdominal discomfort, heartburn and constipation. On
physical examination the uterus feels tense and it is difficulty to feel the fetal parts, but the fetus
may be balloted between the two hands. What is your diagnosis?
A. Oligohydraminos C. IUFD
B. Polyhydraminos D. IUGR
49. Which one of the following is true about management of IUFD?
A. Artificially rupturing the membrane for confirmed case
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 B. destructive deliveries for all confirmed case
C. Immediate termination of the pregnancy
D. Prophylactic antibiotics are desirable
50. W/ro Tolashi who is 42 wks of GA. She arrived your health center on 5AM with gush and
leakage of fluid per vagina. When you ask her for the time of leakage she told you at 3PM. On
examination there was no labor signs/symptoms. What is your diagnosis?
A. Term PROM B. Prolonged term PROM
C. Post term PROM D. Prolonged post term PROM
51. Which of the following is not true mode of delivery for the mother with overt cord prolapse?
A. Await for SVD if there is no pulsation.
B. Caesarian section if breech cervix is not fully dilated
C. Instrumental delivery if cervix is fully dilated
D. Total breech extraction if breech and cervix is fully dilated.
52. An infection of the breast connective tissue and inflammation of the mammary gland is:
A. Endometritis C. Mastitis
B. thrombophlebitis D. Abscess

53. Which of the following is not the characteristic of superficial thrombosis?

A. Common postnatal than during pregnancy.
B. Affected veins are iliofemoral, poplital, small calf veins.
C. Symptom usually becomes apparent about the third or fourth postpartal day.
D. Produce pain or tenderness, redness, and warmth of the involved area.
54. It is the postpartum mental complication commonly known as“postpartum blues or maternal
or”baby” blues.
A. Adjustment reaction with depressed mood.
B. Postpartum psychosis.
C. Postpartum major mood disorder.
D. Unknown
55. It represents a woman who has had two or more pregnancy
A. Gravidity B. Multi gravida C. Multi para D. Multi para
56. One of the following is a type of pregnancy induced hypertension characterized by high blood
pressure prior to pregnancy and availability of protein urea.
A. Gestational or transient hypertension.
B. Chronic hypertension.
C. Chronic hypertension with superimposed preeclampsia.
D. Preeclampsia/eclampsia
57. W/ro Bilise who is 24Wks of GA come to your clinic with complain of severe headache. When
you take history she reported that she has visual disturbances and epigastric pain but she is well
oriented. On physical examination her BP is 160/115, albumin is +2. So what is Bilise’s case?
A. Mild preeclampsia B. Severe preeclampsia

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 C. Gestational hypertension D. Eclampsia
58. Depending on the question #22, which of the following management is not right?
A. Bilise should start antihypertensive drug as out patient
B. It is good if reassuring Bilise and send to her home
C. Bilise should admitted and start only IV antihypertensive
D. Bilise should start both IV antihypertensive and anticonvulsant drug
59. A 33 years old W/Z Aselafech who is pregnant and GA of 32Wks come to your clinic with the
complain of bleeding through vagina. She has no history of still birth and miscarriage. When
you assessed there is scanty and dark bleeding per vaginal. On abdominal examination she has
tenderness. Her BP is 90/60mmHg and Pulse rate is 95b/m. What is your diagnosis?
A. Abruptio placentae B. Placenta previa
C. Threated abortion D. GTD
60. Depending on question #59, which of the following activity will performed?
A. Immediately inducing the labor
B. Immediately confirming the presentation by PV examination
C. Immediately resuscitating the mother with fluids
D. Immediately advising the mother to take rest at her home

61. What the immediate complication of newborn delivered from diabetic mother?
A. Hyperglycemic B. Hypoglycemic
C. Euglycemic D. Obesity
62. Which of the following family planning method is 100% effective?
A. Non hormonal IUCD B. Lactational amenorrhea method
C. Coitus interacts D. Abstinence
63. Which one of the following is not the action of hormonal contraceptive to prevent unintended
pregnancy?
A. Suppress ovulation B. Relaxation of fallopian tubes
C. Unfavoring an endometrium D. Thinning cervical mucus
64. Which of the following is not true about menopause?
A. The most common acute change is the hot flash
B. Thickening of the vaginal epithelium
C. An increase in vaginal pH value
D. Pelvic tissues and ligaments lose their tone
65. W/ro Badhane who is grand multi gravida and 58 years old come to GYNE OPD with complain
of pelvic organ protruded. She had delivered all eight children in her home with the assist of
traditional birth attendants. On physical examination the uterine body is outside of the introitus.
What is degree of UVP?
A. First degree C. Third degree
B. second degree D. All
66. Which of the following is not true?
A. Unwanted pregnancy is reserved for unintended pregnancy

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 B. Unintended pregnancy mostly leads to unsafe abortion
C. Addressing unmet need for family planning prevent unintended pregnancy
D. Ladies with unintended pregnancy access to safe and legal abortion service
67. Which of the following is true about the transmission of HIV/AIDS from mother to child?
A. Pregnant mother who start HAART is continuing the drug through her life.
B. The chance of mother to child transmission is more during antenatal than intrapartum
period.
C. Exposed infant’s status can be known by testing antibody immediate after birth.
D. Totally, all mothers who start HAART didn’t transmit the virus to their child.
68. Using cervicograph, to check the fetal wellbeing we should access molding. So that if we write”
+2” or “++” on the cervicograph what is its interpretation?
A. Sutures overlapped and not reducible
B. Sutures overlapped but reducible
C. Sutures apposed
D. Sutures not overlapped but reducible
69. A psychiatric patient who, although coherent, never gets to the point has a disturbance in the form
of thought called
A. Word salad B. Circumstantiality C. Tangentiality D. Blocking
70. If the patient says, “Tired, mired, schmired, wired…” during the interview, what type of thought
form disorder does he has?
A. Flight of ideas B. Clang association C. Blocking D. Neologism
71. Flight of idea is most commonly observed in patients with
A. Depression B. Bipolar disorder C. Schizophrenia D. Delirium
72. An 18-year-old girl college student fail to remember the detail of the trauma after sustaining
serious car accident a week before. What type of memory impairment does she experience?
A. Dissociative Amnesia C. Depressive Pseudodementia
B. Korsakoff’s syndrome D. Confabulation
73. Which of these is an example of a grandiose type delusional disorder?
A. Markos thinks he's a famous celebrity.
B. Sara thinks Ronaldo loves her.
C. Helen thinks her lover is being unfaithful to her.
D. Thomas thinks he's being poisoned.
74. During psychiatric interview patient retains a constellation of ideas long after they have ceased to
be appropriate. E.g. “where do you come from?”, “Ziway”; “what is your name?”, “Ziway”; “how
old are you?”, “Ziway”; “why do you come here?” “Ziway”, etc. The term used to explain the
condition is:
A. Perseveration B. Mannerisms C. Ambitendence D. Echolalia
75. An 18-year-old man is admitted to the psychiatric unit after his parents find
him in his room muttering to himself and convinced that people are going to
hurt him. During his stay in the hospital, the patient is frequently found
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 standing in the center of his room with both arms over his head, immobile.
The patient can maintain this position for hours at a time. Which of the
following best describes this patient’s posturing?
A. Negativism B. Posturing C. Stereotypy D. Waxy
flexibility
76. Which of the following is NOT an example of a negative symptom?
A. Avolition B. Affective flattening C. Delusional beliefs D. Alogia
77. For six weeks, a college student has survived on canned food because he is afraid of being
poisoned by the mafia. He is convinced that secret cameras have been placed in his apartment and
that he is being constantly watched. He can hear a man’s voice that comments on his every move.
For approximately two months prior to the emergence of these symptoms he has been
increasingly withdrawn, suspicious, disinterested in his academic work, and uncharacteristically
uncaring about his appearance. The most likely diagnosis of these patient is:
A. Schizoaffective disorder C. Psychotic depression
B. Schizophrenia D. Schizophreniform disorder

78. Two days after delivering a healthy, full-term baby girl, a 25-year-old woman becomes acutely
agitated and disoriented. She refuses to feed her baby, stating that she is the product of a sinful
relationship with the devil. She hears voices telling her to drown her daughter if she wants to save
her soul. The most likely diagnosis for this patient is:
A. Brief Psychotic disorder C. Postpartum psychosis
B. Postpartum depression D. Acute stress disorder

79. Which of the following is TRUE about schizophrenia and gender?

A. The usual age of onset is earlier for females than males
B. Males tend to have a better prognosis than females
C. The lifetime risk of developing schizophrenia is approximately the same in males and
females
D. Females are tending to be impaired by negative symptoms
80. A 32-year-old woman has been increasingly depressed, discouraged, and irritable for the past six
weeks. She wakes up at 3 A.M. every morning and cannot fall asleep again. She has lost interest
in her job and often thinks that her family would be better off if she were dead. These patient is
diagnosed as a case of: _____
A. Major depressive disorder C. Dysthymia
B. Cyclothymic disorder D. Schizophrenia
81. As soon as she returns home from the hospital, three days after delivering a healthy baby girl, a
23- year-old woman becomes increasingly irritable and tearful. She constantly worries about the
baby, fearing she won’t be an adequate mother. What is the most likely diagnosis?
A. Postpartum depression C. Adjustment disorder

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 B. Postpartum psychosis D. Major depressive episode
82. A 34-year-old secretary climbs 12 flights of stairs every day to reach her office, because she is
terrified by the thought of being trapped in the elevator. Her diagnosis is
A. Social phobia C. Generalized anxiety disorder
B. Specific phobia D. Agoraphobia
83. A 17-year-old girl blushes, stammers, and feels completely foolish when one of her classmates or
a teacher asks her a question. She sits at the back of the class hoping not to be noticed because she
is convinced that the other students think she is unattractive and stupid. Her diagnosis is most
likely;
A. Agoraphobia C. Obsessive-compulsive disorder
B. Panic disorder D. Social phobia
84. Two years after she was saved from her burning house, a 32-yearold woman continues to be
distressed by recurrent dreams and intrusive thoughts about the event. Her diagnosis is most
likely;
A. Obsessive-compulsive disorder C. Post-traumatic stress disorder
B. Body dysmorphic disorder D. Dysthymia
85. A 32-year-old woman is brought to the emergency room by the police after she was found
standing in the middle of a busy highway, naked, commanding the traffic to stop. In the
emergency room she is agitated and restless, with pressured speech and an affect that alternates
between euphoric and irritable. Which of the following is the most likely diagnosis?
A. Cyclothymia B. Delirium C. Bipolar-I disorder D. Schizophrenia

86. A woman washes her hands hundreds of times a day out of a fear of contamination. She cannot
stop herself, although her hands are raw and chafed. The most likely diagnosis in this case is
A. Specific phobia C. Obsessive-compulsive disorder
B. Generalized anxiety disorder D. Panic disorder
87. The sign that best differentiates between delirium and dementia is:
A. Sleep disturbance C. Hallucinations
B. Disorientation to place D. Alteration of consciousness
88. A 42-year-old man is referred to the office for mental health evaluation. The
patient says he has a long-standing fear of criticism and rejection. He also
has feelings of inadequacy and refuses to try new activities because of his
fear of embarrassment. The patient has held the same entry level position at
his workplace for the past 14 years despite several opportunities for
promotion. The patient is unmarried and has only had one intimate
relationship, which lasted only a few weeks. He has few friends other than
those in his model airplane club. Which of the following personality disorders
is the most likely diagnosis?
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 A.Avoidant B. Dependent C. Paranoid D. Schizoid
89. An alcoholic woman brought to EOPD following a suicide attempt by taking
several tablets of diazepam. She has previous history of multiple suicidal
attempts by wrist slashing and self-injurious acts. The type of personality
disorder in this woman is
A. Histrionic PD C. Narcissistic PD
B. Dependent PD D. Borderline PD
90. A 2-year-old girl was hospitalized after her mother complained that the girl
had multiple episodes of apnea in the middle of the night. The mother was
given an apnea monitor to take home and when she returned, there were
numerous episodes registering on the monitor. While in the hospital, the girl
had no episodes of apnea. However, shortly after her mother’s visit, there
were numerous episodes recorded on the monitor. The most likely diagnosis
for this case is
A. Illness anxiety disorder C. Malingering
B. Factitious disorder D. Conversion disorder
91. A 40-year-old woman presents to your office and demands to be seen
immediately. She schedules appointments to see you on a regular basis as
well as irregularly. She routinely goes to the emergency department when
she knows you are in the hospital. She calls your service every night and
demands that you call her at home. Her frequent complaints include
headache, shortness of breath, double vision, burning at urination, weakness
in her arms and legs, tingling in her fingers, and palpitations. All of her
medical workups have been negative so far. This is the case of
A. Factitious disorder C. Somatic symptom
disorder
B. Malingering D. Body dysmorphic
disorder

92. For a diagnosis of bipolar I disorder according to DSM-V, which of the

following criteria is a must?
A. At least one hypomanic episode
B. At least one major depressive disorder episode
C. Depressed mood for more than 2 years
D. At least one manic or mixed episode
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93. Which of the following is a not characteristic of delirium?
A. Altered level of consciousness
B. Acute on set and fluctuating course
C. Commonly associated with primary psychiatric disorder
D. Inattention/unable to maintain or shift
94. A 25-year-old woman without previous behavioral problems becomes angry
and bitter after her boyfriend of 5 years leaves her to live with his female
business partner. One week later, the woman quits her job without giving
notice and begins drinking heavily. For the next several weeks, the woman
telephones friends and tearfully expresses her feelings. She also makes
several threatening calls to her husband’s new girlfriend. Which of the
following is the most likely diagnosis?
A. Adjustment disorder C. Alcohol-induced mood
disorder
B. Bipolar I disorder D. Borderline personality
disorder
95. A 19-year-old woman is hospitalized for dehydration caused by severe,
laxative-induced diarrhea. She is depressed about the recent breakup of a
romantic relationship. She admits that she uses laxatives because she has
been binge-eating frequently and is worried about gaining weight. Although
the woman has BMI 15, she believes that she is overweight. Which of the
following is the most likely diagnosis?
A. Anorexia nervosa C. Bulimia nervosa
B. Brief psychotic disorder D. Delusional disorder,
somatic type
96. A couple comes into the emergency room. The wife says that her husband
has become convinced that she is cheating on him, and that it is not true. He
has been following her, smelling her clothing, going through her purse, and
making regular accusations. He does not meet criteria for a mood disorder.
He denies other psychotic symptoms. Medical and substance abuse history
are negative. What is his most likely diagnosis?
A. Schizophrenia C. Delusional
disorder
B. Major depressive disorder with psychotic features D. Delirium
97. One of the following is not symptoms of depression
A. Hopelessness C. Poor self-care
B. Poor appetite D. Decreased need for sleep

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98. A Preoccupation with an imagined bodily defect (e.g. width of the lips or
shape of the nose) or an exaggerated distortion of a minimal or mirror defect
is called:
A. Hypochondriasis C. Body dysmorphic disorder
B. Malingering D. Conversion disorder
99. Yosef is behaviorally impulsive, irresponsible and no remorse for any act
wrong; best characteristic of Yosef is:
A. Paranoid personality disorder C. Schizoid personality
disorder
B. Antisocial personality disorder D. Avoidant personality
disorder
100. If a patient comes to your OPD with complain of being infected with
HIV/AIDS and you tested him sero-negative. He denies being negative
because he thinks that he is infected and the patient visits different senior
professionals with the same complain and the result is similar that is
negative. Which of the following may be best associated with the above
symptoms of the patient?
A. Delusional disorder C. Body dysmorphic
disorder
B. Hypochondriasis D. Somatization disorder
101. Mr C had fall from the building and losses his conscious. His friends carry him and brought to
hospital and the aesthetician gave spinal anesthesia due to spinal injury for preparing to surgery. So,
Mr C entered in to state of shock called:-
A. Obstructive shock B. distributive shock C. Neurogenic shock D. Hypoveolemic shock
102. Mr B was 80 years old and his artery had become harder and thicker resulting in resistance to
blood flow , So, this condition as a result of age was termed as:
A. Artherosclerosis B. Atherosclerosis C. hypertension D. heart failure
103. Mr F had complaining of Vomiting of darker fecalith mater due to intestinal obstruction. So, the vomit
is from:-
A. Ileum B. doudenuem C sigmoid colon D. ceccum
104. Which one of the following is False regarding to appendicitis
A. Complication of appendicitis is perforation C. If surgery is undecided give
analgesia
B. Correcting of fluid is Supportive treatment D. generally occurs 24hrs after the
onset of pain
105. Which of the following is NOT the nursing care for patient with small bowel obstruction
A. Assessing and measuring the nasogastric out put C. Maintain NPO
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 B. Prepare the pt’ for surgery D. Monitor V/S at least Q 5 minutes
106. Mr G complain of knife like pain while he has been breathing air into the lung. He also
explain that pain is localized or radiate to shoulder or abdomen. So Mr G is probable of having
which disorder
A. Pleuritis B. pericarditis C. angina pectoris D. Myocardial infraction
107. Which of the following is NOT a nursing care given for patient having intestinal obstruction?
A. Gastric gavage C. Ampiccilin and Metronidazole administration
B. IV Ringer lactate D. Decompression of the bowel
108. Which electrode used to view the electrical activity of the heart after it have been putted midway of the
clavicle on 5th intercostals space of the
A. V1 B. V 2 C. V 4 D. V5
109. Which of the following diagnosis refers to patients feel pain while the health care professional have
been trying to flex the hip when pressure is applied to the knee.
A. Rebound tenderness B. Rovsings sign +ve C. Psoas sign +Ve D. Obturator sign +Ve
110. Which one of the following is TRUE regard to External hemorrhoids
A. Occur above the internal sphincter C. They may bleed during bowel movements
B. Are usually not painful unless they prolapsed D. Inflammation and edema occur with
thrombosis
111. Which of the following is the characteristic of cardiac conduction system referring to the ability to
intiate an electrical impulse
A. Automaticity B. Excitability C. Conductivity D.Contractility
112. Which of the following is NOT the care provided and advised for patient with gastritis?
A. Encourage patient to take irritating diet C. stop cigarate smoking
B. Stop alcohol drinking D. cease eating spice rich foods
113. Mr X had a well known hypertensive patient and while his BP had measured it was 190/140
mmHg. The hospital ultra sound also confirms damage of nephrons due to increase blood
pressure. So, Mr X diagnosed as:
A. Primary Hypertension B. hypertensive emergency C. moderate HPN D .hypertensive
urgency
114. Mr. R had suddenly catched up on fire on his body while he have been doing work at home.
As you are health professional, What correct steps orderly do you do as a step wisely for the
emergency management for Mr. R if you see Mr R suddenly in his home?
A. Extinguish the flame --Check ABC --- Cool burn ----Remove restrictive objects---
Cover wound
B. drop and roll---- Check ABC--- Remove restrictive objects-----Cool the burn----
Cover wound--- replace fluid

15
 C. drop and roll---Check ABC---fluid replace---Cool burn ----Remove restrictive
objects---Cover wound
D. drop and roll --- Check ABC--- IV-Cool the burn--- Remove restrictive objects---
Cover the wound
115. Based on above question Mr R had burned his upper two extremities with left lower extremity
both anteriorly and posteriorly . Calculate drop/min for 60kg in the first 8 hours weighting person
using conscensus formula of 2ml to calculate amount of fluid needed and 20 as drip rate factor.
A. 42 B. 167 c. 83 D. 55

116. Mr B had been driving a car on a road but suddenly a small child with age of 9 had been
playing on the road. But due to high speed of driving force, the car pushed the child, passed on his
right leg below his knee after he had fallen on the road. After the child had X Ray shows that bone
ends compressed together So the child faced which type of fracture
A. Comminuted B. Greenstick C. Spiral D .Impacted
117. For a patient having dyspnea, orthopnea, pulmonary edema and ascites will had a most
probability to enter in to state of which type of shock?
A. hypovolemic B. Cardiogenic C. Septic D. Anaphylactic
118. The Nurse had made trendlenberg position to stop the victims hardening situation in the
hospital. So this victimed patient is protected from which type of shock:-
A. Hypovolemic B. Cardiogenic C. Septic D. Anaphylactic
119. Ms H had visted the clinic by suspection of breast cancer. So Ms H HADN’T one of the
following symptoms when the health professional visited her. Which one is it?
A. Axillary lymph node B. infected open sore C. Everted nipple D. discharge
120. Mr X realized that there is a Circumscribed, oval and irregular changes in color of his body with
out elevation or depression and also non palpable on the body whose size is greater than 1 cm (10
mm) in diameter. So, Mr X had termed as:-
A. Patch B. Papule C. Plaque D. Pustule
121. Spoon nails will develop in a patient having deficiency of which type of anemia:-
A. Iron B. Iodine C. folic acid D. vitamin B 12.
122. The nephritic syndrome is a clinical disorder characterized by one of the following except
A. Marked Protienuria B. Hypo albuminemia C. Hypertension D. Hypercholesterolemia
123. Mr H had difficulty in breathing and the health care professional heard expiratory wheezing sound while
Mr H had breathing. So, Mr N had a probable to have which disease?
16
 A. Bronchial Asthma B. Chronic bronchitis C. pneumonia D. Heart failure
124. A patient visited derma clinic and complained a thickening and roughening of skin marking due
to chronic scratching or rubbing of the skin had been happened resulting as washboard on rubbed
areas of the skin. So, what term can represent this situation?
A. Lichenification B. Excoriation C. Erosion D. Crust
125. Mr V has a deficient in factor 9 while Blood had been investigated. As a result of this MR V had faced
frequent bleeding when he faced minor injury on his leg because of walking on bare foot.. So, Mr C had a
disorder of :-
A. Thrombocytosis B. Hemophilia C. erythrocytopnea D. Anemia

126. Which of the following is Mismatched

A. inflammation of gallbladder__cholecystitis C. Infection of a bile duct __cholangitis
B. Inflammation of pancreas__pancreatitis) D. Murphy's sign is +ve for urinarybladder attack
127.The most common site for large bowel obstruction is
A. Ascending colon B. Sigmoid colon C. descending colon D. transverse colon
128. Which of the following is NOT a management for Diabetes mellitius patient
A. Correcting acidosis C. administering prescribed medication
B. Maintain Dehydration D. advice to practice self care practice
129. Mr X had characterized by shortness of breathing, chest pain during coughing which is 5 day of
duration with febrile body Temperature in a patient having CD4 count of 200. So, MR X had a
probable disease of:
A. AIDS B. Tuberculosis C. Chronic bronchitis D. pneumonia
130. MR H had diagnosed that she had mycobacterium tuberculosis and then she had been taking anti TB
medication. But she discontinued treatment for 3 days in Intensive Phase and for 1month in the continuation
phase. So Mr H had termed as:-
A. Treatment failure B. Relapse C. New case D. Defaulter
131. S2 sound is heard when
A. Aortic and pulmonic semilunar valves close C. Early in diastole and close of bicuspid valve
B. Atroventricular valve close. D. Late diastole and opening of tricuspid valve

132. Mr B responds for health care provider that she never ate organ meats, other meats, beans, leafy green
vegetables for the past 3-4 years. So, Mr B had probable to be:
A. Anemia B. tape worm C. hypertension D. heart failure
133. MrY had living in a prison where over crowdedness and living in substandard housing for long time. So,
Mr Y had more risk for being mostly to have a disease of:-
A. Pneumonia B. Tuberculosis C. Bronchitis D. Asthma

17
134. Mr “X” was admitted in “Y” hospital with medical diagnosis of Hemorrhagic stroke
secondary to vehicle accident. On assessment he has left sided hemiparesis, loss of sensory
response and difficulty in mobility. For this patient which kinds of prevention strategy will
applied to prevent further deterioration?
A. Primary prevention C. Tertiary prevention
B. Secondary prevention D. Quadrinary prevention
135. It's a process by which an individual & families assume responsible for the community and
develop the capacity to contribute to their and the community's development.
A. Inter-sectoral collaboration C. Community mobilization
B. Community participation D. Equity in health service
136. It is the role of Community Health Nurse that involves in investigation and analysis of data
for the purpose of solving problems and enhancing community health practice:
A. Researcher Role C. Collaboration Role
B. Advocacy Role D. Health Promotion Role

137. In low income and developing countries majority of under-five children might face high rate
of morbidity and mortality in annual bases secondary to unsafe motherhood practice. During
what time most of under-five children might lose their life?
A. During the first year of life C. During the first week of life
B. During the first months of life D. During the first day of life
138. Among the indicators of the development and economic growth of a given country, which one
indicates the status of nutrition and infectious diseases in a country?
A. Post neonatal mortality rate C. Perinatal Mortality Rate
B. Neonatal mortality Rate D. Under-5 Mortality rate

139. Among health model, which one is CORRECT about High level Wellness Model?
A. Health is interpreted as a relatively passive state of freedom from illness
B. It does not consider personal life style
C. Provides a way of understanding and predicting how clients will behave in relation to their
health
D. Health recognized as an ongoing process toward the person’s highest potential functioning.
140. In which model, “Improvement of health is not seen as an outcome of the amount and
type of medical services or the size of the hospital”?
A. Health Belief Model C. Holistic health model
B. Clinical Model D. High level Wellness Model
141. Among proven interventions for Maternal Survival, which one is the major
intervention towards reduction of maternal mortality?
A. Active management of third stage management
B. Nutrition counseling for pregnant women
C. Magnesium sulfate provision for hypertensive disorder
D. Post-abortion care and family planning
142. All are the characteristic of Community health nursing as a profession, except?
A. More emphasize on wellness than disease management
B. More focused on individual’s health care promotion and maintenance
C. Promotes responsibility and self-reliance of the society toward healthcare
D. Its practice combines public health with nursing service
143. Which one is TRUE about the responsibility of secondary care level?
A. Monitoring of stable or chronic conditions
B. Promotion and maintenance of health
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 C. Provision of specialized medical services
D. Prevention of disease
144. Delay in decision for seeking medical care is one of the factors among the reason of
higher maternal and newborn mortality, so which one is NOT related to delays in decision to
seek care?
A. Lack of triage system in health facilities
B. Lack of understanding of complications
C. Low status of women and families
D. Socio-cultural barriers to seeking care
145. Which one is the major intervention that used to reduce maternal and neonatal
mortality?
A. Access to family planning
B. Skilled attendants during pregnancy and childbirth
C. Access to emergency obstetric and newborn care
D. Effective referral system

146. Which one of the following is the demerit of Home visiting towards heath service
provision?
A. High risk families can be identified & visited as a priority
B. Limited equipment can only be carried to home
C. More accurate assessment is done.
D. Advice will be practical and suited to the family’s needs.
147. All are the role of community health Nurse in School health program, except?
A. School health consultant
B. Participate in planning and coordinating school health program
C. Demonstrate first aid technique to the teachers
D. Training selected staff to order medicine
148. Prison Health Service is one of the responsibilities of the Community Health Nurse, so
which one is the major intervention to be done?
A. Work with prison administrators and fulfill their interest
B. Organize prisoners and health committee in the prison
C. Identify health and health related problems of the prisoners
D. Decide the resources of the prison towards health need
149. Mr “Z” is a newly employed manager of an “X” clinic. Since he is new for the
organization which kinds of skills needs to have as a priority for his better achievement of
organizational Goal?
A. Human relation and C. Technical skill
communication Skill D. Leadership skill
B. Conceptual skill
150. A given youth center was newly launched in a given area to provide youth service for
the society. Among information role of a manager, the manager passing an information about
the general overview of service given to outsiders. So which kinds of role the manager play
based on the case?
A. Negotiator C. Disseminator
B. Spokesperson D. Monitor
151. You are a manager of “X” health facility, among the following which one is the
function of Management as a manager?
A. Achieving the goal of the organization through and with the effort of staff
B. Determining policy within a structured organizational setting
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 C. Setting the strategic plan and executing accordingly
D. Deciding the resource need of the organization based on plan
152. All directives should pass downward to the periphery along line of organizational
structure and report should pass up ward referred as _______.
A. Chain of command C. Span of management
B. Management by exception D. Convergence of work
153. Management function focuses of division, coordination, and control of task?
A. Organizing C. Directing
B. Controlling D. planning
154. A group decision making technique that eliciting written questions, ideas, and reaction
from group members is
A. Brain storming C. Delphi technique
B. Nominal group technique D. Statistical aggregation

155. In human resource planning, in which of the following step the type and number of
personnel needed projected?
A. Estimating C. Profiling
B. Inventorying D. planning
156. As a leader which one you should practice to increase the willingness of subordinate
to pull their effort in to achieving a goal?
A. Promotion C. Motivation
B. Discipline D. Controlling
157. Satisfaction of employee is one of the condition that increase quality of service
provision, but there are elements produces dissatisfaction in a given work environment that
lead failure in achievement. So which one is the factor leads dissatisfaction?
A. Recognition
B. working condition
C. Responsibility
D. work itself
158. A person with high achievement need spend much of his/her time by
A. Establishing friendly C. Changing others’ behavior
personal relation D. Improve performance
B. Gaining authority
159. It is the ability of an individual with his/her own characteristics without being an
authorized person to extent influence on other people or change behavior of people.
A. Responsibility C. Accountability
B. Authority D. Power
160. Which of the following is incorrect about training and development?
A. Designed to enhance organizational efficiency
B. Contribute to goals of the organization as well as the individual
C. Designed to enhance individual efficiency rather than organization
D. Designed to enhance organizational effectiveness in utilization of resource
161. Self-aware leaders exhibit which of the following characteristics?
A. They know themselves, including strengths and weaknesses.
B. They delegate their decisions to others.
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 C. They do not seek feedback from others
D. They do not have high self-esteem
162. A leadership theory that concerned with “what a leader achieved rather than who the
leader is” in order to a leader
A. Great man theory C. Trait theory
B. Behavioral theory D. Contingency theory
163. In situational leadership theory, leader use a directing style when
A. Followers are unable and unwilling about performing the task
B. Followers are unable and are confident in performing the task
C. Followers are able but unwilling in performing the task
D. Followers are both able and have confidence in performing the task

164. Which of the following is the leadership role in relation to organizational structure?
A. Enforce employee to follow the chain of command
B. Establish appropriate span of control
C. Clarify unity of command
D. Maintain unity of command
165. In situational leadership theory, leader use a telling style when
A. Followers are able but unwilling in performing the task
B. Followers are both able and have confidence in performing the task
C. Followers are unable and unwilling about performing the task
D. Followers are unable and are willing or confident in performing the task
166. Equity theory suggests that
A. One’s effort depends on the perception of the relation between goal performance
and specific outcome
B. Compare the work input and outcome of one with the other
C. Employees who bring more to the job deserve greater reward
167. Demerit of Supportive leadership style?
A. Massive resistance C. Quality product
B. High morale D. Efficiency in outcome
168. When you will use collaboration method to manage conflict?
A. Everyone trust each other
B. Everyone wants total decision or resolution power
C. Everyone involved will change their thinking as more information is available
D. People need to work through personal hurts and disappointments
169. When you need a quick decision for selecting an individual staff for training
opportunity among a given unit without conflict, which method you use?
A. Compromise C. Collaborating
B. Competing D. Accommodating
170. If an individual met an ambiguous condition and decision difficulty in his life event
and develop conflict it is referred to be
A. Intra personal conflict C. Inter personal conflict
B. Intra group conflict D. Inter group conflict
171. Conflict can NOT be constructive when it…
21
 A. Brings solutions to problems
B. Makes people or group focus on pessimistic behaviour
C. Gets everyone involved in solving issues
D. Develops understanding and skills
172. A management technique of a leader to have win-lose outcome?
A. Competing C. Withdrawing
B. Avoiding D. Smoothing
173. In contrast with constructive accountability, _________ is a process in which two or
more people or groups discuss their needs and differences of opinion and eventually develop
a solution.
A. Ethical conflict C. Constructive conflict
B. Legal conflict D. Neutral conflict

174. Which one is a positive aspects of Conflict:

A. Develop a heightened sensitivity to problems
B. Creating to aggressive and stressful behavior
C. Increased turnover and absenteeism
D. Reduced coordination and collaboration
175. A type of budget in which budgeted amount are set regardless of change that occur
during the year
A. Revenue budget C. Fixed budget
B. variable budget D. Expense budget
176. The advantage of zero based budgeting include
A. Simple to calculate
B. Does not take too much time
C. Force to set priorities and justify resource
D. Simple to understand

177. Which of the following is INCORRECT regarding Strategic planning?

A. plan contains substantial amount of details
B. Developed mainly by upper- level management
C. Facts are generally hard to gather
D. plans cover long period of time
178. Among the steps of planning, which one provides common reference points for the
rest of planning process?
A. Setting objectives & targets C. Situational analysis
B. Identifying potential obstacles D. Designing the strategies
and limitations

22
 Answer Key
1. C 37. C 73. A 109. C 145. C
2. B 38. C 74. A 110. D 146. B
3. B 39. D 75. B 111. A 147. D
4. C 40. B 76. C 112. A 148. C
5. D 41. C 77. D 113. D 149. B
6. A 42. D 78. C 114. B 150. B
7. A 43. B 79. C 115. B 151. A
8. B 44. C 80. A 116. D 152. A
9. C 45. B 81. A 117. B 153. A
10. A 46. C 82. D 118. A 154. B
11. D 47. C 83. D 119. C 155. A
12. A 48. B 84. C 120. A 156. C
13. B 49. D 85. C 121. A 157. B
14. C 50. B 86. C 122. C 158. B
15. B 51. B 87. D 123. B 159. D
16. C 52. C 88. A 124. A 160. C
17. B 53. B 89. D 125. B 161. A
18. B 54. A 90. B 126. D 162. B
19. C 55. B 91. C 127. B 163. B
20. A 56. C 92. D 128. B 164. A
21. C 57. B 93. C 129. A 165. C
22. C 58. D 94. A 130. D 166. B
23. C 59. A 95. C 131. A 167. A
24. D 60. C 96. C 132. A 168. B
25. C 61. B 97. D 133. B 169. B
26. C 62. D 98. B 134. C 170. A
27. B 63. D 99. B 135. B 171. B
28. C 64. B 100. B 136. A 172. A
29. D 65. C 101. C 137. D 173. C
30. D 66. D 102. A 138. A 174. A
31. B 67. A 103. A 139. C 175. C
32. B 68. B 104. C 140. C 176. C
33. C 69. C 105. D 141. A 177. A
34. D 70. B 106. A 142. B 178. C
35. B 71. B 107. A 143. C
36. D 72. A 108. C 144. A

23