GENERAL PAPER PART 1

LICENSURE PREPARATIONS
BRO EMMA & TEAM (0501321481)

1. A nurse-manager who makes decisions based on what will benefit the majority of the nurse
manager's subordinates is using what type of ethical framework for decision making?
a) intuitionist
b) duty based
c) rights based
d) utilitarianism

2. What is the most common change in the kidney in the elderly population?
A. Increased filtration rate.
B. Decreased serum creatinine.
C. Decreased glomerular filtration rate.
D. Increased filtration area.

3. Kwame, a catatonic schizophrenic patient has been pacing up and down on the ward on for the past
one hour
a. help client to relax by engaging him in ward activities
b. monitor client closely
c. restrain client to prevent exhaustion and dehydration
d. serve client with his medication

4. When examining a 16-year-old male teenager, the examiner should:

A. discuss health education with the parent because the teen is unlikely to be interested in
promoting wellness.

B. ask his parent to stay in the room during the history taking and physical examination to
answer any questions and alleviate his anxiety.

C. talk to him in the same way as one would talk to a younger child because a teen’s level of
understanding may not match his or her speech.

D. provide feedback that his body is developing normally and discuss the wide variations
among teenagers in the rates of growth and development.

5. Children are more vulnerable to home accidents because they are

a. Fond of running around during play.
b. Free to play without restrictions
c. Less able to recognize dangerous situations
d. Mostly changing their type of play materials

6. You would educate children to prevent hiding in cupboards and other enclosed areas toprevent.........
a. Cuts
b. Drowning
c. Falls
d. Suffocation

7. It is crucial to prevent children from drinking alcoholic beverages since this may lead to ...........
disability later in life.
a. Emotional
b. Mental
c. Physical
d. Social

8. Talking to a baby is important because it provides the building blocks for future ......... development.
a. Cognitive
b. Language
c. Motor
d. Social

9. In caring for an infant with cleft lip and palate before surgery, which of the following would you
consider as most important?
a. Ensuring adequate nutrition
b. Promoting family coping
c. Reducing family anxiety
d. Relieving pain

10. A nurse witnesses another nurse providing care without proper hand hygiene and reports
this to the charge nurse. The charge nurse is friends with the other nurse and refuses to take
action. This is an examples of:
a) moral distress
b) moral indifference
c) ethical dilemma
d) moral conflict

11. Which is not an element of ethical decision making?

a) beneficence
b) utility
c) paternalism
d) pragmatism
12. Nancy is a loyal and trustworthy nurse that performs the duties that are expected of her.
Which principle of ethical reasoning is Nancy displaying?
a) justice
b) nonmaleficence
c) fidelity
d) beneficence

13. .The nurse in a unit is caring for several clients. To distribute nursing care the nurse used the
principle for triage due to the limited availability resources of resources. The nurse is promoting
which ethical principle?
a) fidelity
b) justice
c) confidentiality
d) veracity

14. Nursing ethics providers the standards for professional behavior and is the study of
principles of right and wrong for nurses. The standards states the duties and obligations of the
nurse should include which of the following?
a) individual
b) client
c) community
d) all of the above

15. The best position to adopt for delivery which can a. Lateral position increase the pelvic
outlet
..position
A.Lateral position
B.Lithotomy position
C.Squatting position
D.Watcher’s position

16. The number of antenatal visits expected of a pregnant woman in focused antenatal care
is......... times
A.2
B.3
C.4
D.5

17. Madam Akosua a 26 year old Gravida 1 Para 0 had her menstrual period a 1/1/17. What is
her expected date of delivery?
A.8/9/17
B.9/9/17
C.8/10/17
D.9/11/17

18. The normal body temperature of a healthy baby is usually maintained due to the following
conditions....
A stable environmental temperature of between 18°C and 21°C
ii. Adequate nutrition
iii. Restricted movement by baby
iv. Unrestricted movement of the baby
a. i and ii only
b. i, ii, and iii only
c. ii and ili only
d. i, ii, and iv only

19.. Lanugo which is found on the shoulder and chest of a preterm baby is described as ...........
a. Firm, downy hair
b. Hard, downy hair
C. Creamy, downy hair
d. Soft, downy hair

20. When does a moral issue become an ethical dilemma?

a) Health care does not have ethical dilemmas
b) When the values of a person change over time
c) There is no acceptable reason for the wrong choice
d) When forced to choose between two or more undesirable alternatives

21. A manic patient who is hyperactive and experiencing decrease need for food and sleep can best be
assisted to eat by.....
a. restrain client and forcefully feeding him with food
b. serving client's favorite food while pacing up and down
C. serving food that can easily be held by client while pacing and down
d. waiting for client to calm down before he is served with food

22. A patient who normally complains that her food is poisoned and always insist that the nurse taste
the food before she eats has ................. personality.
a. Antisocial
b. Asthenic
c. Paranoid
d. Schizoid

23. Mental illness is believed to be

a. A product of learning
b. A result of nature conflict
c. High intelligence
d. The effect of affluence

24. All the following are chromosomal abnormalities EXCEPT

a.Down's syndrome
b. Klinefelter's syndrome
c. Korsakoff's syndrome
d. Turner's syndrome

25. Nurse James has assisted the psychiatrist to perform an electroconvulsive therapy on a patient who
has refused to give his consent to the treatment. Nurse James could be charged with which of the
following.
a. Assault
b. Battery
c. Breach of confidentiality
d. False imprisonment

26. Attention deficit/hyperactivity disorder is BEST diagnosed at the age of.

a. 1 year
b. 2 years
c. 3 years
d. 4 years

27.. The following disorders of mood EXCEPT

a. Apathy
b. Catalepsy
C. Elation
d. Incongruity of affect

28.. The patient sees a stick and screams snake, what symptom is the patient exhibiting
a.Delusion
b. Hallucination
c. Illusion
d. Phobia

29. In Freud's stages of personality development, the period where the focus of the child centers on
group activities, learning and socialization with peers is at the
a. Genital
b. Latency
c. Oral
d. Phallic

30.. ............. technique of modifying behavior that pairs relaxation with the object of fear/phobic
stimulus.
a. Flooding
b. Modeling
c. Shaping
d. Systematic desensitization
31. When performing a physical examination, safety measure must be taken to protect the examiner
and the patient against infections. Which of the following statements describes the most appropriate
actions the examiner should take when performing a physical examination?
A. There is no need to wash hands after removing gloves, as long as the gloves are still intact.
B. Wash hands at the beginning of the examination and every time you leave and re-enter the
room.
C. Wash hands between examinations of body systems to prevent the spread of pathogens from
one part of the body to another.

32.. The function of choroid plexus is: ?

A. to produce lymph
B. to produce blood
C. to produce cerebrospinal fluid
D. to produce endolymph

33. Which of the following signs and symptoms indicates salicylate toxicity?
A. A.chest pain
B. B.pink coloured urine
C. slow pulse rate
D. ringing in ears.

34. The term “blue bloater” refers to a client with which of the following conditions?
A. Adult respiratory distress syndrome (ARDS)
B. Asthma
C. Chronic obstructive bronchitis
D. Emphysema

35. A nurse is providing discharge instructions for a client with angina pectoris who has a prescription
for sublingual nitroglycerin tablets. The nurse should teach the client that the nitroglycerin sublingual
tablets have lost their potency when:
A. sublingual tingling is experienced
B.the tablets are more than three months old.
C.the pain is unrelieved, but facial flushing is increased
D.onset of relief is delayed, but the duration of relief is unchanged

36. When caring for child with pertussis who is coughing so

much the nurse observe him for complications including......
a. Haemoptysis
b. Hunched back
c. Inguinal hernia
d. Permanent sore throat

37. The child who having severe diarrhoea will be losing water and electrolytes?
¡. bicarbonates
ii. chlorides
ill. potassium
iv. Sodium
a. i, ii and ili only
b. i, iii and iv only
c. ii, ili and iv only
d. i, ii, iii and iv

38.. When a mother with a 3 month old infant comes to the child welfare clinic, the nurse should
include in the accident prevention teaching the need to:
a. Cover electric outlets with safety plug
b.Keep cot rails up to the highest position
c. Remove all tiny object from the floor.
d. Remove poisonous substance from low area.

39. Which reflex helps the neonate to turn his head to the side when the check is touched along the side
of the mouth?
a. Grasp reflex
b. Moro reflex
c. Rooting reflex
d. Sucking reflex

40. The yellow , thick milk secretion of the breast in the first three days after delivery is known as
a. Colostrum
b. Fore milk
c. Hind milk
d. Mature milk

41. The primary function of the pelvis

a. Dancing
b. Movement
C. Running
d. Walking

42. The female pelvis is completely developed after

a. 18
b. 20
C. 24
d. 30

43. Which part of the uterus is shed off every month?

a. Decidua
b. Endometrium
c. Myometrium
d. Perimetrium

44. A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours.
For which of the following would the nurse be alert?
A. Pelvic thrombophlebitis
B. Endometriosis
C. Endometritis
D. Salpingitis

45. Client at 36 weeks gestation is scheduled for a routine ultrasound prior to an

amniocentesis. After teaching the client about the purpose for the ultrasound, which of the
following client statements would indicate to the nurse in charge that the client needs further
instruction?
a. The ultrasound identifies blood flow through the umbilical cord
b. The ultrasound will help to locate the placenta
c. The ultrasound locates : pool of amniotic fluid
d. The test will determine where to insert the needle

46. While the postpartum client is receiving heparin for thrombophlebitis, which of the
following drugs would the nurse expect to administer if the client develops complications
related to heparin therapy?
a. Methylergonovine (Methergine)
b. Nitrofurantoin (Macrodantin)
c. Protamine sulfate
d. Calcium gluconate

47. When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the
nurse in charge would expect to do which of the following?
a. Encourage the mother to discontinue breastfeeding
b. Turn the neonate every 6 hours
c. Notify the physician if the skin becomes bronze in colour
d. Check the vital signs every 2 to 4 hours

48. A primigravida in active labor is about 9 days post-term. The client desires a bilateral
pudendal block anaesthesia before delivery. After the nurse explains this type of anaesthesia to
the client, which of the following locations identified by the client as the area of relief would
indicate to the nurse that the teaching was effective?
a. Abdomen
b. Fungus
c. Perineum
d. Back

49. The nurse is caring for a primigravida at about 2 months and 1-week gestation. After
explaining self-measures for common discomforts of pregnancy, the nurse determines that the
client understands the instructions when she says:
a."Leg cramps can be alleviated if I put an ice pack on the area."
b. "If I start to leak colostrum, I should cleanse my nipples with soap and water."
c."If I have vaginal discharge, I should wear nylon underwear."
d. "Nausea and vomiting can be decreased if I eat a few crackers before arising."
50. Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the client
about infant care. By this time, the nurse expects that the phase of postpartum psychological
adaptation that the client would be in would be termed which of the following?
a. Taking in
b. Resolution
c. Letting go
d. Taking hold

51. The nurse manager didn't hire Sally, RN for the assistant manager job. The nurse maager
informed Sally that she was a "great fit" but an internal candidate was selected instead. The
real reason Sally, RN wasn't hired was because her drug test was positive. Which of the
principles of ethical reasoning didn't the nurse manager follow?
a) utility
b) paternalism
c) autonomy
d) veracity

52. A client is advised by the doctor to undergo chemotherapy. An informed consent is not yet
signed. This client requests information related to chemotherapy and the drugs that will be
given to him. The nurse explained the side effects of the medications. The nurse answered all
the questions of the client honestly even though the client choose not to undergo
chemotherapy. Then nurse used which principle of ethical reasoning?
a) confidentiality
b) veracity
c) justice
d) fidelity

53. Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing
actions. The nurse is promoting which ethical principle?
a) autonomy
b) nonmaleficence
c) justice
d) beneficence

54. What ethical principle directs us to act in ways that avoid harm to others, including even the
risk of harm?
a) respect for persons
b) nonmaleficence
c) beneficence
d) justice

55. You are on break in the nursing lounge when a nursing assistant enters to tell you that what she just
heard about the secretary. She then proceeds to tell you that the secretary’s husband is a drug addict
and she needs to be watched very carefully on the unit. You ask her what makes her think the secretary
might take drugs, and she states that she heard it from someone else. What legal tort has the nursing
assistant violated?
A. Slander
B. Libel
C. Assault
D. Negligence

56. client with moderate level of anxiety will manifest

i.Diaphoresis
ii. Difficulty in sleeping
iii. Headache
iv. Pounding pulse

a. i, ii, and ili

b. i, iii, and iv
c. i, ii, and iv
d. ii, iii, and iv

57. Which of the following is an anxiety disorder

a. Delirium tremens
b. Depression
c. Obsessive compulsive disorder
d. Schizophrenia

58. Which of the following eating disorders will the client show severe underweight in addition to
having the fear of gaining weight or becoming fat.
a. Anorexia nervosa
b. Binge eating
c. Bulmia Nervosa
d. Pica

59. Which of the Following strategies be used to minimize stress

i. Attitude control
ii. Cultivating low self-esteem
ill. Exercising
iv. Using defense mechanisms

a. i, ii, and ili

b. i, ii, and iv
c. i, iii, and iv
d. i, ii, iii, and iv

60. A patient with bulimia nervosa frequent secret eating is followed by a feeling of ........
a. Anger
b. Humiliation
c. Depression
d. Unreality
61. The number of antenatal visits expected of a pregnant woman in focused antenatal care
is.........times
A.2
B.3
C.4

62. The public health nurse is the supervisor of rural health midwives. Which of the following is
a supervisory function of the pubic health nurse?
A. Referring cases or patients to the midwife
B. Providing technical guidance to the midwife
C. Proving nursing care to cases referred by the midwife
D. Formulating and implementing training programs for midwives

63. Which of the following is the best way of determining the nutritional status of a child?
A. Examining the colour of the hair
B. Examining the colour of the eyes
C. Measuring of mid-upper arm circumference

64. The public health nurse is responsible for presenting the municipal health statistics using
graphs and tables. To compare the frequency of the leading causes of mortality in the
municipality, which graph will you prepare?
A. Line
B. Bar
C. Pie
D. Scatter diagram

65. Which of the following is the most useful information to obtain when completing a health
history on an eighty-year-old man?
A. Functional ability
B. Current health promotion behavior
C. Childhood illness

66. How would the actions of the community/public health nurse caring for a recently
discharged client in his home differ from those of the acute care nurse?
A. The community/public health nurse would assess the health and needs of all the family
members
B. The community/public health nurse would be careful to be nonjudgmental about the
family’s living situation.
C. The community/public health nurse would explain why each nursing intervention was \ being
performed.
D. The community/public health nurse would help the family understand the basis for the
treatment.
67. The process of creating artificial immunity by administering a vaccine to an individual to
offer a protection against specific diseases in the person is called:
A.Vaccination
B.Immunization
C.Injection

68. One of the aims of rehabilitation is to:

A.Inform the family about resources available
B.Make the disabled person live with maximum capacity
C.Provide disabled persons with required gadgets
D.Relate cordially with persons with disability

69. All these viral Infections are transmitted through blood EXCEPT
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis D

70. Child with no dehydration needs home treatment, which of the following is not included in
the care for home management of this child
A. Give drugs, every 4 hours
B. Continue feeding the child
C. Give the child more fluid
D. Inform when to return to health center

71. To which type of barriers under innate immunity do saliva in mouth and tears in eye belong
A. Physiological barriers
B. Physical barriers
C. Fluid and Cytokine barriers
D. Fuid and Cellular barriers

72. Worldwide spread of a disease is termed

A. Endemic
B. Epidemic
C. Pandemic

73. The study of antigen-antibody interaction is called

A. serology
B. haematology
C. Angiology
D. Radiology
74. A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the
nurse tells
the client that the usual treatment for partial placenta previa is which of the following?
a. Platelet infusion
b. Labor induction with oxytocin
c. Activity limited to bed rest
d. Immediate cesarean delivery

75. The nurse plans to instruct the postpartum client about methods to prevent breast
engorgement. Which of the following measures would the nurse include in the teaching plan?
a. Wearing : supportive brassiere with nipple shields
b. Breast-feeding the neonate at frequent intervals
c. Feeding the neonate maximum of 5 minutes per side on the first day
d. Decreasing fluid intake for the first 24 to 48 hours

76. When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms,
hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the
following
reflexes?
a. Grasping reflex
b. Startle reflex
C. Tonic neck reflex
d. Babinski reflex

77. The area of the fallopian tube which joins the uterus is known as.............
a. Ampula
b.. Cornua
c. Infundibulum
d. Isthmus

78. What is the average head circumference of a normal baby?

a. 31-35
b. 32-36
c. 33-37
d. 34-38

79. The following are reflexes which help the neonate during breastfeeding EXCEPT:
a. Moro reflex
b. Rooting reflex
C. Sucking reflex
d. Swallowing reflex

80. A bulging anterior frontanelle is an indication of

a. Dehydration
b. Depression
c. Infection
d. Rehydration

81. Rh incompatibility occurs when the mother is

a. Rh negative and foetus is rhesus positive
b. Rh negative and foetus rhesus negative
C. Blood group O and foetus is blood group A
d. Blood group A and foetus is blood group O

82. The single most important determinant of the chances of survival and health development of
children
............
a. Accidents and poisoning
b. Infections
c. Low-birth weight
d. Malnutrition

83. Which of the following term best describes the gradual introduction of fully mixed diet in addition
to breast milk after six months of the child' life?
a. Complementary feeding
b. Home feeding
c. Supplementary feeding
d. Weaning mix feeding

84.. Nancy is the department manager of a fast paced surgical unit. Her afternoon charge nurse
calls her every evening at 6 pm to discuss night time staffing needs. Nancy is demonstrating
which of the following leadership flaws?
a) not collaborating
b) poor judgment
c) clear vision and direction
d) not developing others

85. Which statement, if made by a new nurse, requires further explanation?

a) Leaders are made, not born.
b) Leadership in health care is an act reserved only for designated administrators and
managers.
c) Clinical leaders are needed in every setting to ensure that quality patient care is delivered
and that new evidence and research findings are adopted to improve patient care.
d) It is important for nurses who aspire to be leaders.

86.. A 28-year-old married woman received word that she is pregnant. Sadly, the patient is not
able to carry the pregnancy because she suffers from long QT syndrome, which causes an
abnormality of the heart, meaning any rush of adrenaline could prove fatal. The pregnant
patient states, "I want to have this baby." The nurse realizes that this is a conflict that involves
the which ethical principle?
a) utilitarianism.
b) justice.
c) autonomy.
d) veracity.

87. A patient and her husband used in vitro fertilization to become pregnant. The unused sperm
were frozen so the couple could have more children later. They bore a little girl who was
diagnosed with leukemia when she was 5 years old. The child now needs a bone marrow
transplant. The best chance of a match for the BMT is a sibling. The couple would like to use the
sperm to have another child so that they can increase the likelihood of a match. The nurse
realizes that the unborn child poses an ethical dilemma involving which principle?
a) Beneficence
b) Human dignity
c) Justice
d) Veracity

88. A homeless man presents to the ER with hypothermia. He tells the nurse that he is positive
for HIV and sought revenge by deliberately having sex with his mate, who does not know of his
HIV status. This patient is violating which ethical principle?
a) Veracity
b) Beneficence
c) Nonmaleficence
d) Autonomy

89. Which ethical term matches this statement: "A problem for which in order to do something
right you have to do something wrong"?
a) Justice
b) Veracity
c) Ethical dilemma
d) Fidelity

90. What is the study or examination of morality through a variety of different approaches.
Also is a process involving critical thought and action?
a) ethics
b) ethical sensitivity
c) ethical reflection and analysis
d) ethical decision making

91.. What ethical principle maintains that human beings have an unconditional moral worth
that requires us to treat each individual person with great value, dignity, & respect? Autonomy
is an important extension of this principle and suggests a patients ability to express their wishes
and make informed choices about their treatment
a) respect for persons
b) beneficence
c) justice
d) fidelity

92. A 30-year-old man gives a two-year history of heartburn and chocking attacks during sleep. Recently
he has been complaining of dysphagia that he localised deep to lower sternum. The most likely diagnosis
is:
A.Carcinoma of the oesophagus.
B.Angina pectoris.
C.Benign peptic stricture of the oesophagus.
D. Achalasia of the cardia.

93. . One of the following is not needed for the diagnosis of gastro-oesophageal reflux disease:
A. CT scan.
B. Upper GI endoscopy
C.Oesophageal manometry.
D.24-hour pH monitoring.

94. Which one of the below is not a risk for surgical site infection (SSI)?
A. Recent surgery.
B. Infancy.
C. Prolonged hospitalisation.
D. Surgery after radiation.

95.. For a road-traffic-accident victim, the first priority of management is given to which of the following
injuries?
A. Open pneumothorax on the right side.
B. Tension pneumothorax on the left side.
C. Bleeding scalp laceration.
D. Fracture of the shaft of right femur.

96. About biliary physiology, all the following statements are true, except:
A. The gall bladder secretes bile salts.
B. Cholesterol is dissolved in bile by the effects of bile salts and phospholipids.
C. The ingestion of fat stimulates gall bladder contraction.
D. Bilirubin in the bile ducts is of the conjugated type.

97. Victim of a road traffic accident is brought to the emergency room with increasing dyspnoea and
chest pain. He is cyanotic, his neck veins are congested, his blood pressure is 90/60mmHg, and his right
chest is bulging and exhibits marked resonance. The most probable diagnosis is:
A. Massive haemothorax.
B. Flail chest.
C. Open pneumothorax.
D.Tension pneumothorax.

98. All the following factors increase the possibility of gall stone formation, except:
A. Hypertension.
B. Female hormones
C. Hyperlipidaemia.
D. Obesity.

99. Sprain is a stretching or tearing of .........

A.muscles
B .tendons
C.ligaments
D.nerves

100. About treatment of Graves' disease all the following statements are true, except:
A. Thyroidectomy is the first-line treatment.
B. Agranulocytosis is a possible complication of anti-thyroid drugs.
C. Radioactive iodine therapy is contraindicated during pregnancy.
D. Radioactive iodine therapy is better avoided in cases of exopthalmos.

101. The main line of treatment of an acute pyogenic abscess of the thigh is:
A. Repeated aspiration with a needle and local antibiotic injections.
B. Parenteral antibiotics against Gram-negative bacilli.
C. Repeated I.V. injections of high doses of metronidazole.
D. Incision and drainage of the abscess

102. All the following are possible complications of parenteral nutrition, except:
A. Metabolic alkalosis.
B. Hyperglycaemia.
C. Hypoglycaemia.
D. Hypokalaemia

103. Pulse pressure is ?

A. diastolic pressure
B. systolic pressure
C. difference between diastolic and systolic pressure
D. pressure in pulmonary veins

104. Which of the following assessment techniques is used to determine the presence of swelling and
pulsations?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation

105. Which of the following is a common symptom of active tuberculosis?

A. marked weight loss
B. dyspnea on exertion
C.mental status changes
D.constipation