1 - 100 Solved NMC Licensure Questions Bank

1. An infant should be able to sit fairly well unsupported at
A. 3 months
B. 4 months
C. 7 months
D. 9 months

2. Permanent dentition begins at around
A. 6 months
B. 4 months
C. 6 years
D. 8 years

3. Which of the following activities will the child NOT do at 3 months?
A. Follows a light to the periphery
B. Has taste preference
C. Listens to sounds
D. Smile in response to a person or an object

4. A 3-year-old wets the bed during sleep. The nurse should
A. Change his bed and put rubber sheet on it
B. Change his bed clothes and make no issue of it
C. Explain to him that big boys should try to call the nurse
D. Tell him to help remake the bed

5. A child sitting on a chair in the playroom suddenly begins to have tonic-clonic seizure with clenched jaw. The nurse should immediately
A. Attempt to open the jaw and insert a gag
B. Call for an assistant
C. Lower the child to the floor
D. Place a large pillow under the head

6. A 5-month old infant has diarrhoea and is on IV fluids. The rate of flow must be observed often by the nurse to
A. Avoid IV infiltration
B. Prevent cardiac overload
C. Prevent air from entering the tube
D. Replace all fluid lost

7. To prevent airway obstruction in the postoperative patient who is unconscious or semiconscious, the nurse?
A. Administers oxygen per mask
B. Elevates the head of the bed
C. Encourages deep breathing
D. Position the patient in a side-lying position

8. A post-operative patient expresses anxiety about upcoming surgery. Which response of the nurse would stimulate further discussion between the patient and the nurse?
A. Can you share with me your fears about surgery?
B. If it is any help, anyone is nervous before surgery
C. I have explained the entire surgical procedure to you
D. Let me tell you about the amount of pain you can expect

9. The nurse would expect a patient in an early stage of severe Hypovolemic shock to exhibit
A. A blood pressure 150/90
B. A distension of the neck vein
C. An apical heart rate of 142bpm
D. An output of 50ml urine per hour

10. The primary symptoms of hypochondriasis is....
A. Fear of developing a disease
B. Fear of spreading a disease
C. Fear of contact with diseased individuals
D. Fear of currently having a disease

11. A 78 year old man recovering from emergency hip surgery develops delirium. He seems to be hallucinating and is mildly confused. Which intervention should the nurse do first?
A. Loosely apply a vest restraint
B. Obtain an order for haloperidol
C. Arrange for an unlicensed assistant to sit with the client
D. Move the client to a room close to the nurses’ station

12. Common symptoms displayed by the client with schizoid personality disorder include
A. Physical abuse
B. Social indifference
C. Callous insensitivity
D. Over responsiveness

13. Obsessive-Compulsive personality disorder is characterized by....
A. Ritualistic, repetitive behavior such as hand washing
B. Rigid, controlling, perfectionistic behaviours
C. Fear of negative evaluation by others
D. An intense need for reassurance

14. A 35 year old male client tells his therapist that she reminds him of his mother. The therapist recognizes this as
A. Projection
B. Identification
C. Transference
D. Counter transference

15. Which type of child abuse can be most difficult to treat effectively?
A. Emotional
B. Neglect
C. Physical
D. Social

16. A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client’s
A. Motivation for treatment
B. Family and social support
C. Use of coping mechanisms
D. Use of alcohol

17. When assessing a client with anxiety, the nurse’s questions should be
A. avoided until the anxiety is gone
B. open ended
C. postponed until the client tells volunteers information
D. specific and direct

18. The overall goal of psychiatric rehabilitation is for the client to gain
A. control of symptoms
B. freedom from hospitalization
C. management of anxiety
D. recovery from the illness

19. Which of the following typifies the speech of a person in the acute phase of mania?
A. Flight of ideas
B. Psychomotor retardation
C. Hesitant
D. Mutism

20. A client comes to day treatment intoxicated, but says he is not. The nurse identifies that the client is exhibiting symptoms of....
A. Denial
B. Reaction formation
C. Projection
D. Transference

21. When working with a client with a paranoid personality disorder, the nurse would use which of the following approaches?
A. Cheerful
B. Friendly
C. Serious
D. Supportive

22. Which one of the following hallucinogenic drugs is MOST commonly abused?
A. Alcohol
B. Cocaine
C. Lysergic acid diethylamide (LSD)
D. Marijuana

23. You assessed that your friend Aku is serially anxious during the Licensing examination. What physiological evidence would you expect to see in her?
A. Dry scaly skin
B. Increased in salivation
C. Muscular flaccidity
D. Frequent urination

24. A recognized feature of alcohol withdrawal is
A. Absence of sweating
B. Bradycardia
C. Dilated pupils
D. Tremors

25. Which of the following means the same as Mongolism?
A. Down’s syndrome
B. Gesner’s syndrome
C. Pick’s disease
D. Schizophreniform disorder

26. A teenaged girl is being evaluated for an eating disorder. Which of the following would suggest anorexia nervosa?
A. Guilt and shame about eating patterns
B. Lack of knowledge about and nutrition
C. Refusal to talk about food-related topics
D. Unrealistic perception of body size

27. The basis for the therapeutic effect of electroconvulsive therapy (ECT) is
A. Seizure activity
B. Electrical stimulation of the brain
C. Memory loss
D. The depressed patient’s wish for punishment

28. Ama sees a piece of rag on her table and screams that it is a snake. This behavior is referred to as
A. Delusion
B. Hallucination
C. Illusion
D. Phobia

29. The following behaviors are likely to be presented by a patient suffering from hysteria except
A. Alteration in mobility
B. Paralysis of hands
C. Potential to convulse
D. Potential to fall into fire

30. A therapeutic way of caring for person with obsessional thoughts and actions is for the nurse to
A. Allow him freedom of mobility
B. Prescribe ordered set of activity
C. Sedate patient most of the time
D. Strictly regulate his toilet activities

31. The major tranquilizers are the drug of choice in
A. Depression
B. Hyperkinesia
C. Narcotic withdrawal
D. Psychosis

32. Which of the following would you expect to find when assessing the anxious patients vital signs?
I. Increased heart rate
II. Elevated blood pressure
III. Increased respiration
A. I only
B. II only
C. III only
D. I, II & III

33. What is the immediate priority in the nursing care of a 6-year-old child admitted with pneumonia?
A. Elimination
B. Exercise
C. Nutrition
D. Rest

34. In acute urethritis, the commonest symptom is....
A. increased temperature
B. urethral discharge
C. pelvic pain
D. dysuria

35. Nursing care for an infant after surgical repair of a cleft lip should include
A. Giving the baby nil per os (N.P.O)
B. Keeping the infant from crying
C. Placing the infant in a semi fowler’s position surgery
D. Spoon feed for the first 2 days after

36. Nurse Little is instructing a premenopausal woman about breast self-examination. The nurse should tell the client to do her self-examination:
A. At the end of her menstrual cycle
B. On the same day each month
C. On the 1st day of the menstrual cycle
D. Immediately after her menstrual period.

37. Which of the following is a clinical feature of marasmus?
A. Moon-shaped face due to oedema
B. Flaky point dermatosis
C. Constantly crying for food
D. Reddish brown hair

38. A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child’s vision, the nurse should ask:
A. “Do you have any problems seeing different colors?”
B. “Do you have trouble seeing at night?”
C. “Do you have problems with glare?”
D. “How are you doing in school?”

39. The phallic stage in Freud’s psychosexual development is between age;
A. 1 to 3 years
B. 3 to 5 years
C. 3 to 6 years
D. 6 to 8 years

40. Who should sign the consent form of an 11-year old boy for operation
A. Parents after explanation
B. Relative of the child
C. Sister in charge
D. The child after careful explanation

41. Which of the following vitamins cannot be found from a plant source?
A. vitamin A
B. vitamin B12
C. vitamin E
D. vitamin B1

42. Immunity by antibody formation during the course of a disease is
A. Active natural
B. Active artificial
C. Passive natural
D. Passive artificial

43. The nurse should expect a patient with bradycardia to have a....
A. Grossly irregular heart beat
B. Heart beat that has regular skipped beats
C. Heart rate of over 90 per minute
D. Heart rate of under 60 per minute

44. A 20-year-old client is being treated for pneumonia. He has a persistent cough and complains of severe pain when coughing. The most appropriate instruction the nurse would give the client to reduce discomfort is:
A. “hold in your cough as much as possible”
B. “splint your chest wall with a pillow for comfort”
C. “place the head of your bed flat to help with coughing”
D. “restrict fluids to help decrease the amount of sputum”

45. The nurse assists the patient to assume which position for insertion of gastrointestinal tube?
A. High fowler’s
B. Recumbent
C. Lateral
D. Supine

46. The first step in the management of toxic substances is
A. Administer appropriate antidote
B. Administer supportive and symptomatic care
C. Prevent further absorption
D. Remove obvious remnants

47. A common finding on most children with cardiac abnormalities
A. A family history of cardiac abnormalities
B. Cyanosis and clubbing of finger tips
C. Delayed physical growth
D. Mental retardation

48. Which of the following is an early complication of meningitis?
A. Cerebral oedema
B. Deafness
C. Hydrocephalus
D. Paralysis

49. A 7-year-old boy is admitted to the kids ward with suspected right sided pneumonia. The appropriate position for the child would be....
A. head of bed elevated 10°
B. in a prone position
C. in supine position
D. Turned on the right side

50. In leukaemia the following occur EXCEPT
A. Decreased platelets
B. Increase white blood cell production
C. Liver remains normal
D. Normal bone marrow is replaced with blast cells

51. The first aid treatment the nurse would give to the client with epistaxis include the following EXCEPT
A. Apply cold compression to the bridge of the nose
B. Ask client to breathe through the mouth
C. Grip the tip of the nose between the thumb and forefinger
D. Let the client sit up and gently throw the head backward

52. Nurse Donna is aware that the shift of body fluids associated with Intravenous administration of albumin occurs in the process of:
A. Filtration
B. Active transport
C. Osmosis
D. Diffusion

53. Oculomotor nerve is also called ------------
A. cranial nerve VII
B. cranial nerve III
C. cranial nerve I
D. cranial nerve IV

54. Which of the following will make you suspect that a child with measles is developing bronchopneumonia
A. Increase pulse rate
B. Increased respiration
C. Redness of eye
D. Wheezing respiration

55. Which of the following parts will you use when giving an injection to a 6 month old
A. Anterior thigh
B. Deltoid muscle
C. Dorsogluteal
D. Lateral parts of the thigh

56. Before administering a tube feeding to an infant the nurse should
A. Irrigate the tube with water
B. Place the baby in the recumbent position
C. Provide the baby with a pacifier
D. Slowly instil 10ml of formula

57. Which technique is considered the gold standard for diagnosing DVT?
A. Ultrasound imaging
B. Venography
C. MRI
D. Doppler flow study

58. In caring for a child with superficial burns, the following actions are taken EXCEPT
A. Break the blisters before dressing
B. Clean the area
C. Cover area with sterile dressing
D. Serve analgesics

59. A black male client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the....
A. mucous membranes.
B. lips.
C. nail beds.
D. earlobes.

60. All parents of children with the following condition will need counselling EXCEPT
A. Down’s syndrome
B. Glucose 6 phosphate dehydrogenase deficiency (G6PD)
C. Haemophilia
D. ABO incompatibility

61. Which of the following will make you suspect that a child with measles is developing bronchopneumonia?
A. Increased pulse rate
B. Increased respiration
C. Redness of eyes
D. Wheezing

62. What is the normal pH range for arterial blood?
A. 7.35 to 7.45
B. 7.55 to 7.65
C. 7 to 7.49
D. 7.50 to 7.60

63. A child with acute leukaemia is put on prednisolone and other drugs. One side effect of prednisolone is
A. Alopecia
B. Anorexia
C. Mood changes
D. Weight loss

64. A sudden onset of enuresis in a previously dry child is indicative of
A. Emotional stress
B. Nephritis
C. Nephrotic syndrome
D. Pyelonephritis

65. When nursing a patient with acute pancreatitis, the nurse should be aware that one of these states may occur
A. Hypothermia
B. Hyperglycaemia
C. Bradycardia
D. Insulin coma

66. The most indicative symptoms of increased intracranial pressure includes Select one:
A. Weak, rapid pulse, normal B/P, intermitted fever
B. Slow bounding pulse, rising B/P, elevated temperature
C. Slow bounding pulse, fall in B/P, elevated temperature
D. Rapid weak pulse, fall B/P, low temperature

67. The basis or framework used to evaluate the patient’s response to nursing intervention can be found in the nursing
A. Care plan
B. Diagnosis
C. Goals
D. Interventions

68. When developing a plan of care for a hospitalized child, nurse Mary knows that children in which age group is most likely to view illness as a punishment for misdeeds?
A. Infancy
B. Preschool age
C. School age
D. Adolescence

69. After circumcision of a new born male, the most essential immediate post-operative thing to observe is:
A. Decreased urinary output
B. Haemorrhage
C. Infection
D. Shrill or piercing cry

70. A client diagnosed of thrombophlebitis 24 hours ago suddenly complains of chest pain, shortness of breath and visible anxiousness. The nurse must check the client for other signs and symptoms of ....
A. pulmonary oedema
B. pulmonary embolism
C. pneumonia
D. myocardial infarction

71. An essential nursing action when caring for a small child with severe diarrhoea and vomiting is to
A. check weight daily
B. encourage oral fluids intake
C. keep body temperature below 38°C
D. Replace lose calories

72. Vitamins are needed .... to sustain growth and health.
A. daily in smaller quantities
B. periodically in smaller quantities
C. annually in greater quantities
D. periodically in greater quantities

73. The most influential factor negatively affect the health status of children is
A. Chronic illness
B. Family predisposition to illness
C. Poverty
D. Prematurity

74. A client was given morphine for pains at 9:00am. At 9:45 am, the nurse assesses the client and notes a respiratory rate of 4 breaths/ minute. The nurse recognizes that the client is at highest risk for which of the following?
A. Respiratory arrest
B. Asthma attack
C. Arousal
D. Seizure

75. A patient with otoslerosis will show which of the following as an early symptom?
A. vertigo
B. blurred vision
C. ringing in the ears
D. headache

76. An infant should be able to hold its head erect at
A. 1 month
B. 2 month
C. 3 month
D. 4 month

77. To prevent orthostatic hypotension in a patient on methyldopa (Aldomet) the patient should be taught to....
A. Wear support hose continuously
B. Lie down for 30 minutes after taking the medication
C. Sit on the edge of the bed a short time before getting up
D. Avoid tasks that require high,energy expenditure

78. One of the complications of malaria is....
A. Fever
B. Bronchopneumonia
C. Conjunctivitis
D. Splenomegaly

79. Nursing care for a 7-year-old girl admitted with tetanus should be primarily direction towards
A. careful monitoring of urinary output
B. decreasing external stimuli
C. encouraging high intake of fluid
D. Giving adequate diet

80. The most earliest sign of sexual maturity in young girls between 9 to 12 years
A. Attention to grooming
B. Increase in size of the breast
C. Interest in opposite sex
D. The appearance of axillary and pubic hair

81. When examining a 2-year old child with an otoscope the nurse should....
A. hold just the head and arms
B. hold the head straight
C. pull the pinna down and back
D. Pull the pinna up and back

82. The most important nursing intervention for a 3-year old child with nephrotic syndrome is
A. Encourage fluids
B. Maintaining bed rest
C. Prevention of infection
D. Regulating the diet

83. What action would a nurse take when a child refuses to take his medication?
A. Coax or plead with him to take it
B. Let him see other children taking their medication
C. Tell him that you will give him an injection
D. Urge him to take it to make him well

84. Which of the following disease condition in vitamin B1 deficiency
A. Beriberi
B. Mumps
C. Pellagra
D. Scurvy

85. The nurse is conducting a class for family members of clients diagnosed with Tuberculosis (TB).The nurse determines that the teaching is effective when the family Members’ state the disease is transmitted_____
A. by contaminated needles
B. by sexual contact
C. by droplets exhaled from an infected person
D. through contaminated eating utensils

86. The physician inserts a chest tube into a female client to treat a pneumothorax. The tube is connected to water-seal drainage. The nurse in-charge can prevent chest tube air leaks by:
A. Checking and taping All connections
B. Checking patency of the the chest tube
C. Keeping the head of bed slightly elevated
D. Keeping the chest drainage system below the level of the chest

87. Respiratory regulation of acids and bases involves:
A. Hydrogen
B. Hydroxide
C. Oxygen
D. Carbon dioxide

88. The nurse would assess the following in an infant with hydrocephalus
A. Abdominal girth
B. Fontanels
C. Urinary Output
D. Vital signs

89. The nurse is collecting data on a child who may have diabetes. Which laboratory value would help confirm a diagnosis of type 1 diabetes?
A. A random plasma glucose level of 180mg/dl
B. A fasting plasma glucose level 126mg/dl
C. A fasting plasma glucose level of 110mg/dl
D. A 2 hour oral glucose tolerance test result of 140 mg/dl

90. The nurse is caring for a male client who recently underwent a tracheostomy. The first priority when caring for a client with a tracheostomy is:
A. keeping his airway patent.
B. helping him communicate.
C. preventing him from developing an infection.
D. encouraging him to perform activities of daily living.

91. Which of the following findings is the best indication that fluid replacement for the client with hypovolemic shock is adequate?
A. Systolic blood pressure greater than 110 mmhg
B. Urine output greater than 30ml/hr
C. Diastolic blood pressure greater than 90 mmhg
D. Respiratory rate of 21 breaths/minute

92. Some babies develop slight jaundice from the third day after birth or later. This is called
A. hepatitis
B. jaundice in the infant
C. neonatal hepatitis
D. Physiological jaundice

93. The purpose of traction for children with fracture is to....
A. Make the bone grow faster
B. Prepare the area for surgery
C. Prevent future fractures
D. Realign bone fragments

94. The physician should be informed the following observation in a 7 year old child with fractured femur with full leg cast.
A. Cast still damp and worm after 24 hours
B. Increase urinary output
C. Inability to move the toe
D. Pedal pulse of 90 bpm

95. The predominant cation in the intracellular compartment is:
A. Calcium
B. Potassium
C. Magnesium
D. Chloride

96. If a child develops a reaction during blood transfusion the nurse should
A. Call the paediatrician
B. Relief symptoms with drugs
C. Slow the flow rate
D. Stop the transfusion

97. When managing a patient with tetanus, nursing activities should be carried out ....
A. After the doctor has finished his rounds
B. Soon after sedation has been administered
C. During the period when sedation has its maximum effect
D. When patient has regained consciousness

98. A 9 year old boy with acute lymphocyte leukaemia having prednisolone and vincristine complain of constipation. What is the cause of the constipation
A. Enlarged spleen obstructing the bowel
B. Leukaemia mass obstructing the bowel
C. Side effect of vincristine
D. Toxic effect of prednisolone

99. Adolescent girl suffering from cancer is on antineoplastic drugs. The side effect of these drugs that requires early preparation of the patient is....
A. alopecia
B. constipation
C. generalized short-term paralysis
D. Retarded growth in height

100. The earliest sign of respiratory distress in a young infants
A. Cyanosis
B. Grunting
C. Rapid respiration
D. Sternal and subcostal retraction