301 - 343 Solved Paediatric Nursing MCQ Test Questions Bank

301. The most critical factor in the immediate care of an infant after repair of cleft lip would be the:
A. Prevention of vomiting
B. Administration of drugs to reduce oral secretions
C. Administration of parenteral fluids
D. Maintenance of a patent airway

302. When vomiting is very severe in an infant the nurse should observe for signs of
A. Acidosis
B. Alkalosis
C. Hyperactivity
D. Tetany

303. Which of the following infections may be followed by encephalitis?
A. Diphtheria
B. Dysentery
C. Measles
D. Pertussis

304. Which of the following will indicate that a child suffering from measles is developing bronchopneumonia?
A. Increase in pulse rate
B. Rise in temperature
C. Increased respiratory rate
D. Corneal ulceration

305. Dietary management of phenylketonuria (PKU) includes:
A. Phenylalanine-free diet
B. Low-phenylalanine diet
C. Dietary supplement for phenylalanine
D. Protein – free diet

306. Hydrocephalus if untreated may cause:
A. Mental retardation
B. Exophthalmos
C. Spontaneous skull rapture
D. Dilution of CSF

307. In severe burns the most important goal of the initial therapy is:
A. Prevention of fluid loss
B. Prevention of infection
C. Reduction of pain
D. Replacement of fluid lost

308. One of the rare complications of pinworm infestation is
A. Appendicitis
B. Hepatitis
C. Stomatitis
D. Pneumonia

309. When does lung expansion recur after surgical treatment of atelectasis?
A. 1 hour
B. 4 hours
C. 12 to 48 hours
D. 48 to 72 hours

310. When nursing a child with severe diarrhoea the nurse should
A. Take daily weight
B. Keep body temperature normal
C. Replace lost calories
D. Force fluids orally

311. The vomitus of an infant having pyloric stenosis takes the colour of the infant’s feeds and does not contain bile because the;
A. Liver does not secrete bile in this condition
B. Obstruction at the pyloric sphincter prevents the flow of bile to the stomach
C. Obstruction is above the opening of the common bile duct
D. Stenosis of the common bile duct prevents bile form flowing properly

312. A seven–month-old child develops severe diarrhoea and has been put on I.V. fluids.
The nurse must observe the rate of flow to:
A. Avoid fluid getting into the tissues
B. Prevent cardiac overload
C. Prevent increased urinary output
D. Replace all fluids lost

313. To help relieve an 8-year-old boy’s apprehension about I.V. infusion the nurse should;
A. Explain the procedure to him in detail
B. Give him a simple and honest explanation
C. Tell him it is just a small prick
D. Try to divert his attention

314. Exclusive breastfeeding of a baby before the age of six months is meant to prevent;
A. Cancer
B. Malaria
C. Diarrhoea and ensure proper feeding
D. Skin rashes and ensure that the baby does not cry

315. When instituting measures to reduce the temperature of a 3–year-old child nurse should consider;
A. Monitoring vital signs every 10 minutes
B. Force oral fluids
C. Measure fluid output hourly
D. Limit exposure to prevent shivering

316. The average 5-year-old is NOT capable of:
A. Making decisions
B. Putting on sandals correctly
C. Abstract thought
D. Hand-eye coordination

317. After repair of a cleft lip the:
A. Infant should be fed using a medicine dropper
B. Infant should be encouraged to cry to prevent hypostatic pneumonia
C. Infant should be placed on his abdomen
D. Suture line should be touched often to prevent adhesions

318. After tonsillectomy, the nurse would suspect postoperative haemorrhage when the child
A. Swallows frequently
B. Becomes pale
C. Snores noisily
D. Complains of thirst

319. Stomach washout may be done in the following poisoning EXCEPT:
A. Akpeteshie
B. Kerosene
C. Paracetamol tablets
D. Valium tablets

320. At what stage in measles do the koplik’s spots appear?
A. Catarrhal
B. Convalescence
C. Eruption
D. Prodromal

321. Which of the following observations of the cerebrospinal fluid will confirm the diagnosis of meningitis?
A. Amber coloured
B. Blood stained
C. Cloudy
D. Crystalline clear

322. Patent ductus arteriosus is
A. A connection between the pulmonary artery and the aorta
B. A narrowing of the pulmonary artery
C. An abnormal opening between the right and left ventricles
D. An enlarged aorta and pulmonary artery

323. An infant is receiving one litre of IV fluid in 24 hours.
Using an IV set with a drop factor of 30 drops per minute the nurse should regulate the rate at
A. 10 drops per minute
B. 13 drops per minute
C. 21 drops per minute
D. 24 drops per minute

324. A child with acute leukaemia is on prednisone.
A side effect of prednisone that she may exhibit is
A. Alopecia
B. Anorexia
C. Mood changes
D. Weight loss

325. When nursing an 11-year-old boy with acute glomerulonephritis the nurse should observe him primarily for;
A. Dehydration, haematuria
B. High fever
C. Hypotension, haematuria
D. Hypertensions, facial oedema

326. A 9-year-old has a full leg cast for a fractured femur.
Which of the following signs should be reported to the physician as soon as detected?
I. Pedal pulse of 100 bpm
II. Inability to move the toes
III. Pain in the leg
IV. Cold toes
A. I and II only
B. II and III only
C. I, II and II only
D. II, III and IV only

327. In tetralogy of Fallot the MOST common sign is:
A. Bradycardia
B. Cough
C. Cyanosis
D. Orthopnoea

328. Pemphigus in children is best treated by using:
A. Benzyl benzoate emulsion and penicillin syrup
B. Hibitane baths and penicillin injection
C. Penicillin injection and dusting powder
D. Whitfield ointment and griseofulvin

329. The consent form of a 13-year-old boy should be signed by:
A. Parents after explanation
B. Relative of child
C. Sister in charge
D. The child after careful explanation

330. A few hours after delivery the baby boy began to be increasingly jaundiced.
A diagnosis of rhesus (Rh) incompatibility was made. The nurse can conclude that:
A. Both parents were Rh- negative
B. Both parents were Rh positive
C. His mother was Rh negative
D. His mother as Rh position

331. The most important factor of toilet training for a toddler is the
A. Ability of the child to sit still
B. Approach and attitude of the parent
C. Child’s desire to be dry
D. Parent’s willingness to train the child

332. Which of the following is the MOST important responsibility of the nurse towards child having a seizure in a crib?
A. Insert a padded tongue blade
B. Start oxygen at 10L by mask
C. Protect child from harm from the environment
D. Restrain child to prevent injury to soft tissue

333. Common nursing care that helps prevent sickle cell crisis in children is
A. Limitation of activity
B. Protection form infection
C. high-protein, low-fat, high-iron diet
D. Careful monitoring of all vital signs

334. A child suffering from xerophthalmia may lack which of the following vitamins?
A. A
B. B
C. C
D. D

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

336. Which of the following groups of drugs are NOT used in the treatment of Whooping cough?
A. Antibiotics
B. Cough suppressants
C. Cough expectorants
D. Phenobarbitone

337. In the paediatric ward the nurse should involve a pre-school child in the therapeutic play to give the child the opportunity to
A. Forget the reality of the situation for a while
B. Learn to accept the situation
C. Meet other children in the ward
D. Work out ways of coping with fears

338. Vincristine and prednisone are prescribed for a child with leukaemia. Because of their toxicity the nurse should expect:
A. Anaemia and fever
B. Gastrointestinal symptoms
C. Irreversible alopecia
D. Neurologic symptoms

339. Which of the following does not contribute to good dental care in children?
A. Adequate intake of vitamin C
B. Cleaning of teeth regularly
C. Drinking water containing fluoride
D. Visiting the paediatrician regularly

340. A primary nursing goal in the care of a child with meningomyelocele is prevention of
A. Infection
B. Cold
C. Tiredness
D. Anaemia

341. An infant’s daily protein requirement in milligram per kilogram of body weight is
A. 2
B. 3
C. 4
D. 5

342. The reason for studying child development include, to;
I. advise mother on child care
II. advise father on his role in the house
III. assist in developing care appropriate to age
IV. assist plan care appropriate to age
A. I and II only
B. II and IV only
C. I, II and III only
D. None of the Above

343. Which of the following meals will you recommend for Kwashiorkor child?
A. Beans stew with fish and fried plantain
B. Porridge/akasa with bread and butter
C. Rice and gravy
D. Roasted plantain with groundnuts