101 - 200 Solved Paediatric Nursing MCQ Test Questions Bank

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

102. An injection consisting of bacteria cells that have been modified is
A. An antitoxin
B. Toxin
C. Toxoid
D. Vaccine

103. Nursing care for a child admitted with tetanus following a punctured wound should be primarily directed towards
A. Careful monitoring of urinary output
B. Decreasing external stimuli
C. Encouraging high intake of fluid
D. Maintaining body alignment

104. 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
D. Spoon feed for the first 2 days after surgery

105. Anaemia in a child may occur as a result of
I. Destruction of red cells
II. Insufficient production of haemoglobin
III. Insufficient production of red cells
IV. Loss of blood
A. I and II
B. III and IV
C. II, III and IV
D. I, II, III and IV

106. Sessey, 3 years old, is rushed to the emergency room convulsing; the skin is very hot to touch. What immediate step will you take to reduce the temperature?
A. Give cold bath
B. Take the axillary temperature
C. Tepid sponge the child
D. Reassure mother

107. A 9-year old boy has a fractured femur and a full leg cast has been applied. The nurse should immediately notify the physician if assessment demonstrates
A. A cast that remains damp and warm after 4 hours
B. An increased urinary output
C. An inability to move the toes
D. Pedal pulse of 90 bpm

108. Aku is to be admitted to hospital for skeletal traction. The nurse explains to his mother that the purpose of the traction is to
A. Make the bone grow faster
B. Prepare the area for surgery
C. Realign bone fragments
D. Prevent future fractures

109. Signs of under feeding in babies include
I. Abdominal discomfort
II. Constipation
III. Crying
IV. Failure to gain weight
A. I and II
B. I, II and IV
C. II and III
D. II, III and IV

110. One complication of otitis media is
A. Mastoiditis
B. Meningitis
C. Parotitis
D. Tonsillitis

111. A child suspected of having pulmonary tuberculosis will undergo all the following investigations EXCEPT
A. General x-ray examination
B. Investigation of the family
C. Sputum examination
D. Tuberculin skin test

112. 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

113. The following are helpful suggestions in handling a diabetic child who refuses to eat EXCEPT
A. Ensure her meals are attractive and the environment appealing
B. Do not overload plate in the hope she will eat “something”
C. Force the child to eat when food is ready
D. Try to ensure she eats in the company of others

114. The rate of flow of IV infusion must be regulated often by the nurse to
A. Avoid IV infiltration
B. Prevent increased flow rate
C. Prevent cardiac overload
D. Prevent decrease body weight

115. A child has been admitted for surgery to correct a congenital mega colon. Enemas are ordered pre-operative to cleanse the bowel. The best solution to use is
A. Hypertonic saline
B. Isotonic saline
C. Soap suds
D. Tap water

116. An essential nursing action when caring for the small child with severe diarrhoea is to
I. Encourage fluid orally
II. Examine the skin for dehydration
III. Replace lost electrolyte
IV. Check body weight
A. I and II
B. I, II and III
C. II, III and IV
D. I, II, III and IV

117. 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

118. The following are stages of grand mal epilepsy EXCEPT
A. Aura
B. Clonic
C. Focal
D. Tonic

119. Jane developed reddened rashes on the cheek which later involve the arm flexures, leg and gums. Which of the following has she got?
A. Eczema
B. Impetigo
C. Psoriasis
D. Scabies

120. The test which would be done to confirm the diagnosis of meningitis is
A. Lumbar puncture
B. Blood culture
C. Urinalysis
D. Throat swab

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

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

123. 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

124. Which of the following parts will you use when giving IM injection to a 5-month-old child?
A. Anterior thigh
B. Deltoid
C. Dorsogluteal
D. Lateral part of the thigh

125. Which of the following blood disorders is sex-linked?
A. Haemophilia
B. Sickle cell disease
C. Spherocytosis
D. Thalassaemia

126. Which of these will be a priority need of a child with sickle cell crisis?
I. Adequate nutrition
II. Analgesics
III. Plenty of fluids
IV. Warmth
A. I and II
B. I, II and III
C. I, III and IV
D. II, III and IV

127. Hypospadias is a congenital malformation in which the urethra in the male
A. Fails to descend
B. Fails to develop
C. Opens on the lower surface of the penis
D. Opens on the upper surface of the penis

128. A 7-year-old with a fractured had P.O.P applied. The nurse should notify the doctor at once when assessment shows
A. An inability to move the toes
B. An increased urinary output
C. Pedal pulse of 90bpm
D. That the P.O.P remains damp after 4 hours

129. Anaemia in a child may occur as a result of
I. Destruction of erythrocytes
II. Insufficient production of haemoglobin
III. Insufficient production of red blood cells
IV. Severe bleeding
A. I and II
B. II and III
C. II, III and IV
D. I, II, III and IV

130. A 7-year old had tonsillectomy done. He is still unconscious but is swallowing frequently. This is a sign of
A. Anoxia
B. Bleeding
C. Hypoxia
D. Thirst

131. A viral disease that affects the motor cells of the anterior horn of the spinal cord is
A. Chicken pox
B. Herpes zoster
C. Multiple sclerosis
D. Poliomyelitis

132. Administering high concentrations of oxygen to premature babies may cause retrolental fibroplasia with
A. Blindness
B. bronchiolitis
C. Deafness
D. Sterile meningitis

133. Children with Fallot’s tetralogy often squats when dyspnoeic because squatting
A. Allows maximal chest expansion and oxygenation
B. Delays venous return to the heart
C. Increases the production of red blood cells
D. Increases venous return to the heart

134. Before introducing a tube feeding to a baby the nurse should
A. Irrigate the tube with water
B. Place the baby in the Trendelenburg position
C. Provide the baby with pacifier
D. Slowly instil 10mls of formula

135. A 2-year-old on admission with severe bronchial asthma is on prednisone 15mg bd. The nurse should
A. Check the child’s eosinophil count
B. Give the child nothing by mouth
C. Let the child rest as much as possible
D. Prevent exposing the child to infection

136. The primary indication of prednisone in the treatment of leukaemia in children is that it
A. Decrease inflammation
B. Increases appetite and sense of well being
C. Reduces irradiation oedema
D. Suppresses mitosis in lymphocytes

137. Tetracycline is contraindicated in children under 8 years and pregnant women because it may cause
A. Changes in the bone structure of children and pregnant women
B. Lower erythrocytes production
C. Persistent vomiting in children under 8 years
D. Tooth enamel defects in children under 8 years and foetus

138. 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

139. The most important complication of mumps in male children is
A. Bronchopneumonia
B. Diphtheria
C. Renal disorders
D. Sterility

140. A 4-year-old girl being admitted for surgery is crying and pulling her mother’s dress while clutching a baby doll. The nurse should say;
A. “Hello, little girl, let me show you to your bed”
B. “Hello, my name is sister Andy, let’s go to your room, then we can play”
C. “Hi, I know you are afraid. Is this your special baby doll?”
D. “Oh, come on, stop crying. Nobody will hurt you”

141. 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

142. Nursing care for an infant after the surgical repair of cleft lip should include
A. Giving the baby nothing by mouth
B. Keeping the infant from crying
C. Placing the infant in a semi-sitting position
D. Spoon feeding for the first 2 days after surgery

143. Thirty six hours after delivery a new born has not passed meconium and Hirschsprung’s disease is suspected. To help relieve the obstruction and confirm the diagnosis the doctor will order.
A. insertion of a rectal tube p.r.n
B. multiple saline enemas
C. passing of nasogastric tube
D. Surgical intervention

144. 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

145. Of primary importance when planning for the discharge of a child admitted for sickle cells crisis is the child’s need for
A. A high calorie diet
B. At least 14 hours of sleep per day
C. Drinking copious fluid daily
D. Taking iron mixtures daily

146. When a child vomiting continuously the nurse should observe for signs of
A. Acidosis
B. Alkalosis
C. Hypokalaemia
D. Tetany

147. The difference between cephal haematoma and caput succedaneum is that with caput succedaneum the
A. Affected area will be tender
B. Scalp over the swelling becomes ecchymosis
C. Swelling crosses the suture line
D. Swelling increased within 24 hours

148. A preterm neonate is admitted to the NICU with muscle twitching, shrill cry, cyanosis and abnormal respiration. This infant may have
A. Intracranial haemorrhage
B. Neonatal tetanus
C. Spinal bifida
D. Tetany

149. The following are findings needed to diagnose hookworm infestation EXCEPT
A. Anaemia
B. Ova of hookworm in the stool
C. Pus in the stool
D. Positive occult blood test of stool

150. When examining a new-born the nurse identifies a swelling on the baby’s scalp. Which of the following assessment would indicate the swelling is cephalhaematoma?
A. Diffuse discoloration over the entire scalp
B. Ecchymotic area over the affected eye
C. Swelling confined to a single skull bone
D. Usually wide suture line

151. An 8-year old girl has Type I diabetes. The nurse understands that Type I diabetes
A. Begins more rapidly than adult-onset diabetes
B. Does not always require insulin
C. Involves early vascular changes
D. Occurs more often in obese children

152. The nurse teaches a mother that she can best help her toddler learn to control his behaviour by
A. Allowing the child to learn by mistakes
B. Punishing the child for misbehaviour
C. Rewarding good behaviour
D. Setting limit and being consistent

153. Koplik’s spot is a diagnosis of which of the following infectious disease?
A. Chicken pox
B. Diphtheria
C. Herpes zoster
D. Measles

154. Which of these observations would confirm that a 3-year-old child is developmentally delayed? The child will be unable to
A. Balance on one foot
B. Catch a ball
C. Copy a square
D. Use a spoon effectively

155. A child test positive for tuberculosis during screening. This indicates
A. A depressed immune system
B. An active tuberculosis infection
C. Previous exposure of the acid-fast bacilli
D. That tuberculosis infection is imminent

156. A 4 hour old baby’s cheek was touched and she turns toward the stimulus and opens her mouth. This reflex is called
A. Babinsky
B. Moro
C. Rooting
D. Sucking

157. One characteristic of second-degree burns is that
A. Blisters cover the entire burns
B. The child will not feel pain
C. The tissues will be white in colour
D. The tissues will turn bright red

158. All children with burns should receive a tetanus booster immunization if they have not received a booster in the last
A. 2 years
B. 4 years
C. 5 years
D. 7 years

159. A 6-year-old boy is to have an injection and the mother tells the nurse not to tell him about it as he fears injection. The nurse should say
A. Alright, but I have to give him the injection anyway
B. Do you want the doctor to tell the boy about it
C. If we want the boy to trust us we must tell him the truth
D. Why don’t we tell his father to tell him about the injection

160. The cerebrospinal fluid examination results that would suggest bacterial meningitis are/is
A. Clear CSF
B. High glucose, low protein
C. High protein, low glucose
D. No red blood cells seen

161. The largest body part of in an infant is
A. Head
B. Neck
C. Pelvic area
D. Trunk

162. For children younger than 2-years which of the following is used to measure the pulse rate
A. Apical pulse
B. Brachial pulse
C. Distal pulse
D. Radial pulse

163. The anterior fontanel has the following characteristics EXCEPT
A. It is a diamond shaped
B. It measures 4-5cm at its widest part
C. It closes at 2 months of age
D. It closes 12-18 months of age

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

165. When examining a 2-year old child’s ears with an otoscope, the nurse pulls the
A. Lobe down and forward
B. Pinna down and forward
C. Pinna down and back
D. Pinna up and back

166. Baby Kwame has eyes with wide set position, upward slant and thick pericardial folds. This is a suggestive of
A. Down syndrome
B. Hypothyroidism
C. Mallory-weiss syndrome
D. Post maturity

167. An infant turns towards the stimulus and opens the mouth when the cheek is touch. This reflex is called
A. Babinsky
B. Moro
C. Rooting
D. Sucking

168. The characteristics of second degree burns are:
A. Blister cover the entire burn
B. The child will not feel pain
C. The tissue will be white in colour
D. The tissue will turn bright red

169. The major complication from burns is
A. Infection
B. Oedema
C. Pain
D. Scarring

170. Children with burns should receive a tetanus booster immunization if they have not receive a booster in the last
A. 2 years
B. 4 years
C. 5 years
D. 7 years

171. Which clinical finding should the nurse expect in a 9-months-old with sickle cell anaemia?
A. Fine macular rash
B. Infected leg ulcer
C. Normal haemoglobin level and haematocrit
D. Painful swelling of hands and feet

172. A definitive diagnosis of sickle cell disease is based on which diagnostic results?
A. Blood chemistry test
B. Bone marrow aspiration
C. Full blood count (FBC)
D. Haemoglobin electrophoresis

173. The progression of the lesion is best described as
A. Crust, macule, in chicken pox, vesicle
B. Macule, papule, vesicle, rash
C. Papule, vesicle, macule, rash
D. Vesicle, papule, crust, macule

174. A child with chickenpox is not contagious when
A. All the vesicles have crusted
B. The trunk vesicles have crusted but not those of the face
C. There are still water like blisters on extremities
D. The vesicles are still visible

175. Which of the following disease states would chickenpox post the greatest danger?
A. Asthma
B. Emphysema
C. HIV/AIDS
D. Pneumonia

176. The stool of a 2-year old child with Hirschisprung’s disease can be described as
A. Cord like
B. Large anal
C. Ribbon like
D. Small, hard pebbles

177. Malnutrition during pre-school years can have effect on the child’s
I. Intellectual abilities
II. Resistance to infectious disease
III. Social responsiveness
A. I and II
B. I and III
C. II and III
D. I, II and III

178. Which of the following will result in Otitis Media?
I. Common cold
II. Dental caries
III. Infectious fever
IV. Tonsillitis
A. I and II
B. I and III
C. II and IV
D. I, II, III and IV

179. The drug to set in readiness for use when a child is rushed into your unit with convulsion is injection
A. Adrenaline
B. Aminophylline
C. Diazepam
D. Hydrocortisone

180. The MOST common complication of whooping cough in infant
A. Atelectasis
B. Bronchiectasis
C. Bronchopneumonia
D. Hernia

181. Which worm infestation would you suspect when a child has marked perineal itching?
A. Hook worm
B. Round worm
C. Tape warm
D. Thread worm

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

183. Nursing care of an infant with repaired cleft lip should include
I. Keeping the suture area clean and dry
II. Placing the infant in a semi-setting position
III. Preventing the infant from crying
IV. Spoon feeding after surgery
A. I and II
B. I and III
C. I, III and IV
D. I, II, III and IV

184. Ophthalmianeonatorum may be caused by
I. Chlamydia
II. Gonococcus
III. Treponema
A. I and II
B. II only
C. II and III
D. I, II and III

185. What explanation will you give to a 5-year old child on admission with acute lymphocytic leukaemia who is been nursed in isolation?
A. To keep the child away from other children
B. To protect the child from too many visitors
C. To protect the child from infectious organism
D. To provide quiet private environment

186. Kernig’s sign is a characteristic sign on
A. Brain tumour
B. Cerebral palsy
C. Meningitis
D. Osteomyelitis

187. A procedure in which a baby’s blood is withdrawn and is replaced with fresh blood is known as
A. Direct transfusion
B. Exchange transfusion
C. Replacement therapy
D. Top up transfusion

188. Deficiency in vitamin A can lead to
A. Beriberi
B. Opthalmianeonatorium
C. Scurvy
D. Xerophthalmia

189. Children who are at risk of vitamin D deficiency include
I. Low birth weight babies
II. Babies of mother who lack vitamin D
III. Children who live in crowded shanty towns and play mainly inside
A. I and II
B. II and III
C. II only
D. I, II and III

190. Which of the following is the best rationale for delay circumcision in a neonate with hypospadias and chordee
A. The associated chordee is difficult to remove during circumcision
B. The foreskin is used to repair the deformity surgically
C. The infant is too small to have a circumcision
D. The meatus can become stenosed, leading to urinary retention

191. The main purpose of passing an urethral catheter after surgical repair of hypospadias is
A. To decrease pain at the surgical site
B. To keep the new urethra from closing
C. To measure urine correctly
D. To prevent bladder spasm

192. The following conditions are all neurological disorder in infant EXCEPT
A. Exomphalus
B. Hydrocephalus
C. Myelomeningocele
D. Spinal bifida occulta

193. Which of the following illnesses in children will lead the nurse to suspect pneumococcus meningitis?
A. Bladder infection
B. Fractured clavicle
C. Middle ear infection
D. Septic arthritis

194. Which of the following medications would the nurse question when ordered for relief of discomfort in a child with leukaemia?
A. Acetaminophen (Tylenol)
B. Acetaminophen with codeine
C. Ibuprofen
D. Propozyphene hydrochloride ( Darron)

195. How would you reduce anxiety in a child on admission
I. Changing nurse daily
II. Confining child to bed
III. Involving parents in the care
IV. Seeing familiar faces daily
A. I and II
B. I and III
C. III and IV
D. I, II and IV

196. The MOST effective way of helping an infant with cleft lip and palate to retain oral feeding is to
A. Bubble the infant at frequent intervals
B. Feed the infant small amount at a time
C. Maintain the infant in a lying position while feeding
D. Put the end of the nipple far to the

197. The urine output of a neonate with an imperforated anus is associated which of the following
A. Acetone
B. Bile
C. Blood
D. Meconium

198. When developing the preoperative care plan for infant with Hirschsprung’s disease, the nurse is expected to include
A. Administration of soap enema
B. Insertion of a gastrostomy tube
C. Restriction of oral intake to clear liquid
D. Using povidine- iodine solution to prepare the perineum

199. Which of the following assessment would be MOST important to the nurse before adding potassium chloride to intravenous fluid therapy for a child with severe gastroenteritis?
A. Ability to void
B. Baseline electrocardiogram
C. Passage of stool today
D. Serum calcium level

200. What action will you take when a child is rushed to your ward with severe vomiting and diarrhoea?
I. Keep child warm in bed
II. Prepare trolley for infusion
III. Reassure mother of safety of child in hospital
IV. Start oral rehydration therapy
A. I,II and III
B. I,II and IV
C. II,III and IV
D. I, II, III and IV