401 - 500 Solved NMC Licensure Questions Bank

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

402. 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

403. 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

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

405. 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

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

407. 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 is lymphocyte

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

409. 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

410. When emphysema is present there is a decrease oxygen supply because of
A. Infectious obstructions
B. Loss of aerating surface
C. Pleural effusion
D. Respiratory muscle paralysis

411. The triage Nurse is assessing a group of casualties of a road traffic accident (RTA). Which of the following injuries would require PROMPT action?
Select One:
A. A greenstick fracture of rib
B. A compression fracture of the spine
C. A comminuted fracture of femoral action
D. None of the Above

412. A 60 year old woman has reported to the hospital with the complaint of urinary incontinence. Which of the following is true?
Select One:
A. Obesity is a risk factor for urinary incontinence
B. Pessaries not recommended for stress urinary incontinence in post-menopausal woman
C. Topical vaginal estrogen therapy can contribute to urinary incontinence
D. None of the Above

413. An autograft is taken from the client’s left leg. The nurse should care for the donor site by:
Select one:
A. Keeping the site clean and dry
B. Applying a pressure dressing
C. Covering it with an occlusive dry dressing
D. None of the Above

414. A female patient suffers adult respiratory distress syndrome as a consequence of shock. The patient’s condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator, alarm sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?
Select One:
A. Kinking of the ventilator tubing
B. An endotracheal cuff leak
C. A change in the oxygen concentration without resetting the oxygen level alarm
D. None of the Above

415. A 48 year old female patient undergoes open repair of a femur fracture sustained in a motor vehicle collision. Three days post-op, she
develops low grade fever, tachypnea, pleuritic chest pain, and a cough. CT scan reveals pulmonary embolism. Which of the following findings is most likely to be associated with this condition?
Select One:
A. Positive D-dimer test
B. Decreased A-a gradient
C. Decreased pulmonary arterial pressure
D. Options B and C

416. Vitamin K is administered to the newborn shortly after birth for which of the following reasons?
Select One:
A. To stop hemorrhage
B. To treat infection
C. To facilitate clotting
D. All except C

417. Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug, the
nurse should explain that it may cause: Select One:
A. Lethargy
B. Nervousness
C. Nasal congestion
D. None of the Above

418. A patient has been put on IV solution of 0.45% sodium chloride. This solution regarding human blood is:
Select one:
A. Isometric solution
B. Hypotonic solution
C. Hypertonic solution
D. All of the above

419. Which of these may be given if urinary output is inadequate (less than 25mls an hour) in a 30 year old man with burns, despite adequate fluid replacement
Select one:
A. Ringers lactate
B. Normal saline
C. Mannitol
D. None of the Above

420. A disease occurring when a clostridium organism enters a wound producing a toxin that causes crepitus is:
Select one:
A. Anthrax
B. Gas gangrene
C. Tetanus gangrene
D. All of the Above

421. A 52 year old man spilled hot coffee on a small portion on his thigh. The burn blisters are painful. The burn blanches on examination.
Which of the following is the best treatment for the burn?
Select One:
A. A topical triamcinolone
B. Prophylactic antibiotics
C. Polysporin with Mepitel dressing
D. None of the Above

422. A nurse is caring for a client who underwent surgical repair of detached retina in the eye. Which of the following interventions is the nurse not required to perform?
Select One:
A. Orient the client to his environment
B. Discourage bending down
C. Encourage deep breathing and coughing
D. None of the Above

423. A client is scheduled to undergo an abdominal perineal resection with a permanent colostomy. Which of the following measures would be
an anticipated part of the client’s preoperative care?
Select One:
A. Administer neomycin sulfate the evening before surgery
B. Keep the client NPO for 24 hrs before surgery
C. Advise the client to limit physical activity
D. Options A and C

424. Following a subtotal gastrectomy for cancer of the stomach the patient develops dumping syndrome. The Nurse would explain this to the
junior Nurse as:
Select One:
A. Nausea due to a full stomach
B. Buildup of faeces and gas within the large intestine
C. A rapid passage of osmotic fluid into the jeunum
D. None of the Above

425. Mr. Eshun has had his colostomy done and he has been transferred to the recovery ward. The immediate post-operative care for a patient
who has had a colostomy performed should include:
Select one:
A. Limiting fluid intake for several days
B. Teach the patient how to change the colostomy bag
C. Keeping the skin around the stoma clean and dry
D. None of the Above

426. The following are cytotoxic drugs for the treatment of malignant tumors EXCEPT: Select One:
A. Methotrexate
B. Cyclophosphamide
C. Scopolamine
D. None of the Above

427. Following an amputation, the nurse can help a patient prepare the residual limb for prosthesis by encouraging him to: Select One:
A. Change the residual limb of the bed frequently
B. Abduct the residual limb when ambulating
C. Periodically press the end of the residual limb against a pillow
D. Options A and C

428. A patient convalescing from abdominal surgery develops thrombophlebitis. Which sign will indicate to you that this complication has occurred? Select One:
A. Severe pain on extension of the extremities
B. Localized warmth and tenderness of the leg
C. Pitting oedema of the lower extremities
D. None of the Above

429. A patient who has had splenectomy would be expected to complain of?
Select one:
A. Excessive moist respiration
B. Pain on expiration
C. Both A and B
D. Pain on inspiration

430. Nurses have knowledge that a skin graft that is taken from another portion of a patient’s own body is called:
Select one:
A. A xenograft
B. An autograph
C. An allograft
D. None of the Above

431. The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of the following identifies the accurate procedure for this visual acuity test?
Select one:
A. Both eyes are assessed together, followed by the assessment of the right and then the left eye.
B. The right eye is tested followed by the left eye, and then both eyes are tested.
C. The client is asked to stand at a distance of 40ft. from the chart and is asked to read the largest line on the chart.
D. None of the Above

432. When there is a disaster involving a number of people which of the following will need a priority care? Those with;
Select one:
A. Significant perforation or penetrating abdominal wounds
B. Severe lacerations involving open fracture of major bones
C. Partial thickness of 10% of the body
D. None of the Above

433. The nurse is caring for a patient 23hours after abdominal surgery. Which of the following patient data collection findings would require the nurse to take action? Select one:
A. Abdominal distention
B. Hypoactive bowel sounds in four quadrants
C. Report of flatus
D. None of the Above

434. When caring of a patient with Naso-gastric tube attached to suction, the nurse should:
Select one:
A. Use sterile technique when irrigating the tube
B. Withdraw the tube quickly when decompression is terminated
C. Irrigate the tube with normal saline
D. Options A and C

435. The family of a client who has been burned asks at what point the client will no longer be at greater risk for infection. What is the nurse’s best response?
Select One:
A. “When the burn wounds are closed.”
B. “When fluid remobilization has started.”
C. “As soon as his albumin level returns to normal.”
D. None of the Above

436. The rational of wearing face mask by the surgical team is to...
Select one:
A. Minimize the possibility of wound infection
B. Promote the sterile state of the theater room
C. Reduce the risk of transmitting a cold to the patient
D. None of the Above

437. The nurse is caring for a 12-year-old client with appendicitis. The client’s mother is a Jehovah’s Witness and refuses to sign the blood permit. What nursing action is most appropriate?
Select One:
A. Explain the consequences without treatment
B. Notify the physician of the mother’s refusal
C. Encourage the mother to reconsider
D. None of the Above

438. Mr. Mintah is scheduled for radical neck surgery and a total laryngectomy. During the preoperative teaching, the nurse should prepare the client for which of the following postoperative possibilities?
Select one:
A. Gastrostomy tube
B. Endotracheal intubation
C. Insertion of laryngectomy tube
D. None of the Above

439. Which of the undermentioned paralysis would occur in a patient who suffered a fracture of the cervical spine and had damage the spinal
cord? Select One:
A. Hemiplegia
B. Paraplegia
C. Monoplegia
D. None of the Above

440. The correct procedure for auscultating the client’s abdomen for bowel sounds would include:
Select one:
A. Placing the client on the left side to aid auscultation
B. Listening for 5minutes in all four quadrants to confirm absence of bowel sound
C. Encouraging the client to cough to stimulate movement of fluid and air through the abdomen
D. None of the Above

441. The nurse assists in preparing patients for surgery. Which of these patients would the nurse recognize as being in the best condition for surgery and at lower risk for complications?
Select one:
A. A 23-year-old patient 30 pounds less than ideal weight
B. A 55-year-old patient who is a marathon runner
C. A 66-year-old patient who is obese
D. Options A and B

442. In constrictive pericarditis, the inflammation of the pericardium is characterized by all the following, except?
Select One:
A. Scarring
B. Contracture
C. Kussmaul’s sign
D. None of the Above

443. When caring for road traffic accident victims the nurse would prioritise care and provide treatment first for a patient with....
Select one:
A. Ventricular fibrillation
B. A fractured femur
C. A penetrating abdominal wound
D. None of the Above

444. To prevent hip flexion contractures in following amputation of the lower limb, the nurse should teach patient to:
Select one:
A. Perform quadriceps muscle setting exercise twice daily
B. Turn from side to side three times daily
C. Lie on the abdomen 30 minutes four times daily
D. None of the Above

445. The nurse has instructed the client about the correct positioning of his leg and hip following hip replacement surgery. Which of the following statements indicate that the client has understood these instructions?
Select one:
A. I should avoid any unnecessary walking for about 3 months after my surgery
B. I may cross my legs as long as I keep my knees extended
C. I should avoid bending over to tie my shoe
D. None of the Above

446. A client has a tumor of the posterior pituitary gland. A nurse planning his care should include all the following EXCEPT?
Select one:
A. Restrict fluids
B. Monitor intake and output
C. Overload patient with drugs
D. Options A and C

447. Which suture could be used to close the subcutaneous tissue after a laparotomy?
Select one:
A. Linen catgut
B. Plain catgut
C. Chronic catgut
D. Acute catgut

448. A patient returns to the ward fully awake following a bronchoscopy and biopsy. The nurse should:
Select One:
A. Evaluate the presence of a gag reflex
B. Advise the patient to cough frequently
C. Advise patient to lie flat for 2 hours
D. None of the Above

449. Which of the following instruments should the nurse add when setting a trolley for the doctor to conduct vaginal examination?
Select One:
A. Hager’s dilator
B. Cusco’s speculum
C. Forceps
D. Normal dilator

450. In most cases of sigmoid colon, the twist is in which direction?
Select One:
A. Upward
B. Downward
C. A and B
D. Counterclockwise

451. An antibiotic therapy has been recommended for Madam Kadija, a 34year old with gastric ulcer. The nurse knows that antibiotic therapy is given to patient with gastric ulcer to: Select one:
A. Treat helicobacter pylori infection
B. Augment the immune system
C. Potentiate the effect of antacid
D. None of the Above

452. Which of the following forms of healing occurs with wounds that are aseptically made with minimal tissue destruction? Select one:
A. Healing by 3rd intention
B. Healing by 1st intention
C. Healing by 2nd intention
D. None of the Above

453. Following extensive and prolong surgery, it is important that the nurse observes the patient for depletion of which electrolyte? Select One:
A. Sodium
B. Calcium
C. Potassium
D. None of the Above

454. Prolong bed rest after surgery promotes haemostasis which may result in deep vein thrombosis resulting in:
Select one:
A. Coronary occlusion
B. Cerebral embolism
C. Pulmonary embolism
D. None of the Above

455. An anticipated outcome for the client after cataract removal surgery would include which of the following?
Select one:
A. The client describes methods to prevent an increase in intraocular pressure
B. The client states her vision is clear
C. The client states she is able to administer parenteral pain medication
D. None of the Above

456. A 65 year old is exhibiting signs of confusion and has a temperature of 40°C. He is diabetic with purulent drainage from her right big toe.
His blood pressure is 70/40mmHg. His pulse is 100bpm and respiration rate is 42cpm. The patient’s symptoms are indicative of which type of shock?
Select one:
A. Septic
B. Neurogenic
C. Anaphylatic
D. None of the Above

457. Which App rewards you with airtime and internet bundle for taking quizzes?
A. Twitter
B. NMC
C. tellitnurse App
D. WhatsApp

458. Which of the following will you include in teaching a group of teenage girls about ways to prevent primary dysmenorrhea? Select One:
A. Talk to the physician about antidepressant therapy
B. Avoid aerobic exercise during menstrual period
C. Start taking aspirin when menstruation starts
D. Options A and C

459. The nurse is caring for a patient after a hernia repair who reports pain of 4 on a 0 to 10 scale. The patient’s orders include ibuprofen (Motrin) 400 mg orally every 6 hours prn for pain. Which of the following actions should the nurse take?
Select one:
A. Hold the ibuprofen due to risk of gastrointestinal (GI) upset.
B. Give the ibuprofen as ordered for pain
C. Start the ibuprofen on the second postoperative day.
D. All of the Above

460. The nurse is caring for a patient who has developed an increased temperature during the first 24hours postoperatively. Which of these actions is a priority for the nurse to take?
Select one:
A. Encouraging coughing and deep breathing
B. Providing passive range of motion exercises
C. Giving antipyretic medication
D. Options A, B and C

461. When an abdominal wound suddenly bursts on the ward, the nurse’s responsibility is first to:
Select One:
A. Cover wound with sterile moist towel
B. Assess patient for shock
C. Inform surgeon immediately
D. None of the Above

462. The client has an order for heparin to prevent post-surgical thrombi. Immediately following a heparin injection, the nurse should:
Select One:
A. Check the pulse rate
B. Check the site for bleeding
C. Massage the site The correct answer is: Check the site for bleeding
D. None of the Above

463. Suctioning of a patient with tracheostomy must be brief. It should not exceed .... seconds:
Select One:
A. 15
B. 10
C. 20
D. 40

464. Halitosis and sour taste in the mouth are clinical manifestations associated most directly with:
Select One:
A. Achalasia
B. Esophageal atresia
C. Noma
D. All of the Above

465. Infants and children with aortic valve stenosis may exhibit all the following clinical manifestations EXCEPT:
Select One:
A. Extreme tiredness
B. Rapid breathing
C. High blood pressure
D. None of the Above

466. Features of hyperparathyroidism includes: Select One:
A. Renal colic if patient has had calculi
B. Elevated serum calcium
C. Carpopedal spasm
D. None of the Above

467. To monitor adequate fluid in Mr. Otoo Ayivor, who has undergone a thoracic surgery, the Nurse would:
Select one:
A. Administer intravenous fluid
B. Monitor and record hourly intake
C. Monitor effects of diuretics
D. None of the Above

468. Alinkrah Martha, a 73-year-old widow, tells to the nurse during the admission process that she was recently diagnosed with age-related hearing loss. Upon receiving such information, the nurse is correct if he suspects?
Select one:
A. Presbycusis
B. Meniere's disease
C. Otalgia
D. None of the Above

469. The nurse should protect the patient’s skin surrounding a colostomy opening by using:
Select One:
A. Methylated spirit
B. Tincture benzoin
C. Barrier cream- to prevent excoriation
D. None of the Above

470. Mrs. Jane Mills is to be receiving enema. In which position should she be placed? Select One:
A. Fowler’s
B. Knee-chest
C. Left Sim’s
D. All of the Above

471. A patient who has sustained head injury regains consciousness and is able to move the extremities. This suggests non-involvement of the:
Select One:
A. Post central gyrus
B. Basal ganglia
C. Parietal lobes
D. None of the Above

472. Squint is also referred to as....
A. strabismus
B. nystagmus
C. melbomian cyst
D. applanation prisms

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

474. Which of the following finding is commonly found with a client with hepatitis?
A. Blurred vision or diplopic
B. Urinary frequency or urgency
C. Confusion or drowsiness
D. Diarrhoea or constipation

475. To avoid drug administration error, you must observe the 5 ______ of a patient.
A. Body parts
B. Vital signs
C. Rights
D. Wrongs

476. Aku Botwe reported at the hospital with itchy and whitish vagina discharge. The laboratory result confirmed candidiasis. Which of the following medication is most appropriate for treating this condition.
A. Clindamycin
B. Doxycycline
C. Famciclovir
D. Nystatin (antifungi)

477. The amount of blood pumped by the ventricles in 1 minute is known as;
A. Cardiac output
B. Heart rate
C. Stroke volume
D. ventricular contraction

478. Immature red blood cells are called ....
A. megakaryocytes
B. haemoglobins
C. reticulocytes
D. monocytes

479. A client with AIDS who is taking zidovudine (Retrovir) 2000mg PO may present with which of the following as severe effects.
A. Bacteraemia
B. Polycythemia
C. Neutropenia
D. Natraemia

480. In providing instructions to a client with peptic ulcer disease, the nurse tells the client to
A. Eat foods that will increase gastrointestinal motility.
B. Eat at least six small meals per day
C. Eat everything that does not aggravate or cause pain.
D. Consume a bland diet only

481. Which of the following otoscopic findings indicates perforated eardrum?
A. a colony of black dots in the ear drum
B. dense white patches on the ear drum
C. a red, bulging eardrum
D. a round darkened area on the eardrum

482. To help a patient obtain maximum benefits after postural drainage the nurse should
A. Administer the oxygen prn
B. Encourage the patient to cough deeply
C. Encourage the patient to rest for 30 minutes
D. Place the patient in a sitting position

483. A client with HIV has positive results on Mantoux’s skin test with an area of induration of about....
A. 7mm
B. 5mm
C. 10mm
D. 3mm

484. Patient who reported with vomiting and diarrhea had a nursing diagnosis of fluid volume deficit. Which of the following statement describe this diagnosis.

I. Loss of extracellular fluid volume exceeds the intake fluid.

II. Loss of water alone with increased serum level

III. Ratio of serum electrolyte to water remains the same

IV. Water and electrolyte are lost in the same proportion as they exist in the normal body fluids.
A. I and II
B. II and III
C. I, II and IV
D. II, III and IV

485. Interstitial and intravascular fluids compartments are separated by:
A. protein pumps
B. capillary wall
C. ionic gates
D. fatty substances

486. Mama Ashie, a 28 year old known Asthmatic patient was rushed to the OPD with an asthmatic attack. The physician Assistance ordered Theophylline which will....
A. Decreased air way inflammation
B. Dilate the airway
C. Reduced irritation in the airway
D. Reduced the constriction of the bronchioles

487. Mr. Hush Moro has pleural effusion. Which of the following adventitious sounds indicate that this patient has a fluid fill lung?
A. Bronchial
B. Crackles
C. Vesicular
D. Wheezes

488. For a patient with pulmonary edema, the nurse must reduce cardiac overload by:
A. Elevating the legs when in bed
B. Putting the patient in supine position
C. Serving a seasoned beef to him
D. Using bedside commode for stools

489. Mr. Fordjour a 65 year old patient on admission at your ward report of having urgency and frequency of micturition and dysuria. Patient may possibly have....
A. Glomerulonephritis, renal stones
B. Lesions of bladder neck, urinary sphincter injury
C. Renal neuropathy, urinary tract infection
D. Urethra stricture, benign prostatic hyperplasia

490. The pain associated with coronary thrombosis is caused primarily by
A. Arterial spasm
B. Blocking of the coronary veins
C. Irritation of nerve endings in the cardiac plexus
D. Ischaemia of the heart muscles

491. To prevent pulmonary embolus in a patient on bed rest the nurse should
A. Encourage deep breathing and coughing exercise
B. Limit the patient’s fluid intake
C. Massage the legs twice daily
D. Teach the patient to move the legs when in bed

492. An aspirate of synovial fluid from a patient with rheumatoid arthritis reveals which of the following findings?
A. cloudy synovial fluid
B. presence of organisms
C. bloody synovial fluid
D. presence of urate crystals

493. Which of the following findings is indicative of sickle cell disease?
A. Raised level of genes
B. A single abnormal beta haemoglobin
C. Two haemoglobin s genes
D. A single haemoglobin s genes

494. The benefit in using tetanus antitoxin is that it
A. Provides a high titre of antibodies
B. Provides immediate active immunity
C. Stimulates long-lasting passive immunity
D. Stimulates plasma cells directly

495. Which of the following diseases is often gotten from animal bite?
A. Diarrhea
B. H.I.V
C. Rabies
D. Hepatitis

496. A client diagnosed with psoriasis presents....
A. The presence of tiny red vesicles
B. The presence of red, raised papules and large plaques covered by silvery scales.
C. An autoimmune disorder that causes blistering in the epidermis.
D. The presence of skin vesicles found along the nerve caused by the virus

497. A pacemaker is used in some patient to serve the function normally performed by
A. Accelerator nerves to the heart
B. A.V node
C. Bundle of his
D. SA node

498. Physiological mechanisms of adaptation work together through complex relationships in the....
A. respiratory and nervous systems
B. nervous and endocrine systems
C. digestive and nervous systems
D. digestive and endocrine systems

499. The nurse is performing an irrigation of the left ear of Madam Akos Boamaah with impacted cerumen. What be the nurses best action?
A. Gentle pull the pinna back and upwards
B. Gentle pull the pinna down and backwards
C. Instruct the patient to tilt the head backwards
D. Place a cotton in the ear

500. A client complaining of claudication in the arch of the left foot is likely to suffer from....
A. Raynaud’s disease
B. Buerger’s disease
C. Parkinson’s disease
D. Paget’s disease