NURSES LICENSURE EXAMS 2017 GENERAL PAPER-2, Q&A

 

65. The danger signs in this type of placenta are that the a lobe may e retained after the placenta is born. Choose the most appropriate answer.

a. Battledore insertion

b. Bipartite insertion

c. Circumvallate lobe

d. Succenturiate lobe

 

66. The teacher explained that there is funneling in the cavity during labor, which usually hinders progress. The teacher was referring to which type of pelvis.

a. Android

b. Anthropoid

c. Gynaecoid

d. Platypelloid

 

67. The matured sperm is stored in ……………. before ejaculation.

a. Epididymis and deferent duct

b. Bulbourethral duct and deferent duct

c. Ejaculatory duct and prostate gland

d. The prostate gland and seminal vesicles

 

68. To locate the fetal back, the midwife performs ……… palpation

a. Fundal

b. Lateral

c. Pelvic

d. Pawlik’s

 

NMC LICENSURE EXAMS 2017 GENERAL PAPER-2

69. 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

 

70. You would educate children to prevent hiding in cupboards and other enclosed areas to prevent………

a. Cuts

b. Drowning

c. Falls

d. Suffocation

 

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71. 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

 

72. Talking to a baby is important because it provides the building blocks for future ……… development.

a. Cognitive

b. Language

c. Motor

d. Social

 

73. In caring for an infant with cleft lip and palate before surgery, which of the following would you consider most important?

a. Ensuring adequate nutrition

b. Promoting family coping

c. Reducing family anxiety

d. Relieving pain

 

74. When caring for a child with pertussis who is coughing so much the nurse observes him for complications including……..

a. Haemoptysis

b. Hunched back

c. Inguinal hernia

d. Permanent sore throat

 

75. The child who is having severe diarrhea will be losing water and electrolytes?

i. bicarbonates

ii. chlorides

iii. potassium

iv. Sodium

a. i, ii, and iii only

b. I, and iv only

c. ii, iii, and iv only

d. I, and iv

 

76. 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 objects from the floor.

d. Remove poisonous substances from low areas.

 

77. 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

 

78. 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

 

79. The following are reflexes that help the neonate during breastfeeding EXCEPT:

a. Moro reflex

b. Rooting reflex

c. Sucking reflex

d. Swallowing reflex

 

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80. A bulging anterior fontanelle 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 fetus 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

 

NMC LICENSURE EXAMS 2017 GENERAL PAPER-2

84. The management of diarrhea diseases includes the following

i. Chemotherapy

ii. Dietary management

iii. Rehydration therapy

iv. Symptomatic Management

a. i, ii and iii

b. i, iii and iv

c. ii, iii and iv

d. i, ii, iii and iv

 

85. When writing goal/outcomes for clients, the nurse should do which of the following?

a. Combine no more than two nursing diagnoses per goal

b. Combine related diagnoses and write a goal for this set

c. Involve the client in determining the goals/desired outcomes

d. Write goals that the treatment team believes are important.

 

86. The client you are assigned to has four nursing diagnoses. Which of the following would you assign the highest priority?

a. Chest pain related to cough secondary to pneumonia

b. Risk for altered family processes secondary to hospitalization

c. Self-care deficit related to activity intolerance

d. Self-esteem deficit situational

 

87. You are doing the evaluation step of the nursing process and find that two of the goals for the client have not been met. Which of the following actions would be the best on your part.?

a. Assess client’s motivation for complying with the care plan

b. Determine if the client has a knowledge deficit causing non attainment

c. Reassess problem, then review care plan and revise as needed

d. Stop working on these goals, as evaluation is the last step.

 

88. The nurse is checking the placement of nasogastric tube prior to giving medication and feeding. Which of the following is the preferred and most accurate method of testing?

a. Aspirate 20 to 30ml of gastrointestinal secretions and test the pH

b. Insert 2 to 20mm of air into the tube while listening over the stomach with a stethoscope

c. Insert 15 to 20cc of water into the stomach and listen with the stethoscope

d. Place and open end of the tube into a glass of water and check for bubbles

 

89. When charting in the client’s record or chart, the nurse need to do which one of the following things?

a. Chart every two hours

b. Cross out errors so others cannot read them

c. Date and sign each entry

d. Use ballpoint pen and not pencil

 

90. The nurse prepares a care plan for patient care to ……..

a. Change the nursing actions to improve the patient’s response

b. Determine if the patient has tolerated the care

c. Eliminate the need for the patient to make decisions

d. Promote consistency of care from nurses on all shifts

 

91. Diagnostic investigations of meningitis include the following EXCEPT

a. Computerized Tomography

b. Magnetic Resonance Imagining

c. Lumbar puncture

d. Ultrasonography

 

92. The main focus of medical asepsis is

a. Destroy all the microorganisms in the hospital setting

b. Prevent the spread of organisms from one patient to another

c. Prevent the spread of communicable disease in the community

d. Prevent any organisms from coming into contact with the patient

 

93. Gastric ulcer may be managed surgically using the following approaches except

a. Antrectomy

b. Billroth’s operation

c. Gastrectomy

d. Vagotomy

 

94. Rehabilitation is necessary in fracture management to improve

a. Alignment

b. Bone healing

c. Bone strength

d. Weight gaining

 

95. Patient undergoing general surgery in instructed to take nothing by mouth. This is to…….

a. Make the patient relax for the surgery

b. Prevent aspiration during surgery

c. Promote early recovery from anaesthesia

d. Promote easy administration of general anaesthesia

 

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96. Post operative thrombosis can be prevented by

i. Breathing exersices

ii. Early ambulation

iii. Passive exercise

iv. Maintenance of intake and output chart

a. i and ii

b. ii and iii

c. i, ii, and iii

d. i, ii, iii and iv

 

97. In managing post operative vomiting, the nurse ………

i. Passes a Ryler’s tube and aspirates often if it continues

ii. Provides light nourishing diets

iii. Provides a clean vomit bowel and mouth wash for patient each time

iv. Sets a tray for intravenous fluids to be given

a. i and iv

b. i, ii and iv

c. i, iii, and iv

d. ii, iii and iv

 

98. The most common cause of third day post -operative fever ………………….

a. Trauma of surgery

b. Urinary tract infection

c. Wound dehiscence

d. Wound infection

 

99. The nurse is ready to transfer a patient from the ward into the operating room. Which action of the nurse would be most appropriate?

a. Administer all the daily medication

b. Ensure that the client has voided

c. Practice post operative breathing exercise

d. Verify that the client has not eaten the last 24hours

 

100. Inflammation can be caused by a/an

i.Burn

ii. Chemical

iii. Organism

iv. Wound

a. i, ii, and iii

b. i, iii and iv

c. ii, iii and iv

d. i, ii, iii, and iv