Nurses Licensure Exams: General Paper Past Questions

Nursing is a hugely varied profession. Every day is different, with new challenges to navigate, often in highly pressurised situations. Ultimately, nurses are there to offer emotional and practical support to ill people, so first and foremost a caring nature is essential. The Council conducts licensing examinations for qualification as Nurse Assistants, Nurses and Midwives.
Applications from candidates who wish to sit for the licensing examinations are received by the Examination Unit which coordinates the preparation of test items, obtain examination centers, identify invigilators and examiners, assess examination scripts and publish results.
Licensing examinations for the various programmes are held in February/March, June/July, August and November/December every year.
Candidates who pass the licensing examination are issued Professional Identification Number (PIN) and a certificate of registration. Those who pursue Auxiliary programmes are issued with Auxiliary Identification Number (AIN) and a certificate of registration.

The following are Past Questions for the General Papers for Nurses.

Q1.The Fundamental responsibility of the nurse as stipulated in the international Council of Nurses (ICN) code of ethics are the following EXCEPT
A. obtain consent
B. prevent illness
C. promote health
D. restore health

Q2.Madam Adoma gives you information about the properties she has acquired without the husband’s knowledge. To whom would you disclose this Information?
A. Biological Children
B. Colleague nurses
C. No one
D. Spouse of patient/client
Q3.Nurse Mensah failed to fix back the bed side rails after giving bed bath to Kojo, an epileptic patient. Patient fell and sustained a fracture, which of the following offences will he be charged with?
A. Assault
B. Battery
C. Malpractice
D. Misdemeanor

Q4.Which of the following BEST describes care of patient’s property?
A. Dirty clothing should be kept in patient’s cupboard
B. In case of communicable disease disinfect clothing
C. Label valuables such as watch, jewelry and keep It at the nurses’ station
D. Patient’s valuables must be kept with the patient

Q4.Hajia Mohammed Is 30 weeks pregnant and believes that someone want to take her baby from her womb. Which of the following Individuals would you Involve when counseling her
I- Hospital Chaplain
II. Husband of client
III. Imam
IV. Ward in charge
A. I, II, III and IV
B. I, III and IV
C. I, II and III ,
D. II, III and IV

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Nurses Licensure Exams: General Paper Past Questions

Q5.What considerations will the nurse/midwife make concerning a patient’s choice of food at the ward?
I. educational background
II. patient’s preference
III. religious denomination
IV. socio-cultural background
A. I and II
B. I, II and III
C. II and III
D. II, III and IV

Q6.Nurses who make FALSE statements about their clients or co-workers through writing can be sued for
A. Battery
B. Libel
C. Slander
D. Tort

Q6.A way of communicating our feelings, thoughts and beliefs in an open honest manner without violating the rights of others is known as
A. assertive behavior
B. aggressive assertive behavior
C. non – verbal communication
D. verbal communication

Q7.The accepted professional nursing attitudes and behaviors includes the following
I. Acceptance of others views
II. Commitment to work
III. Loss of Interest In learning new skills
IV. Searching for new knowledge
A. I, III and IV
B. I, II and IV
C. II, III and IV
D. I, II, III and IV

Q8.Alberta complained to the nurse manager that she had been given an injection without her consent. Which offence would the nurse be charged with?
A. Criminal assault
B. Malficience
C. Technical assault
D. Tort

Q9.A patient fails to settle her hospital bill and is not allowed to go home by the nurses on duty which legal offense is the nurse liable
A. False imprisonment
B. Invasion of privacy
C. Misdemanor
D. Tort

Q10.An adolescent girl has come to the health facility requesting for an abortion. The nurse considering her personal spiritual values thinks the girl is not taking the right decision yet she goes ahead to render the services to the girl because she has the duty to keep. Which ethical theory has the nurse applied here?
A. Consequentialism
B. Deontology
C. Teleology
D. Utilitarianism

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Q11.Nurse Ansah forgets to serve prescribed medicine to a patient who had surgery 24 hours ago. This act of the nurse is considered as- turned from
A. Felony
B. Misdemeanor
C. Malpractice
D. Negligence

Q12.A nurse at the front desk behaves rudely to a patient. The patient reports the said nurse to the nurse- manager. Which aspect of the nurse’s behavior should be worked on?
A. Attitude
B. Competence
C. Knowledge
D. Skill

Q13.A nurse is to give health education to a patient who has been newly diagnosed with cancer of the breast. She enters the room and finds the room dark with the patient curled up in bed and sobbing. What factors will the nurse put In place to influence effective communication with the patient?
A. Consider a comfortable environment, emotion and sociocultural background of patient
B. Instruct patient not to talk back until you have finished the health talk
C. Inform patient she has to sit up and listen to the health education
D. Offer information while patient is still curled up and sobbing in bed

Q14.A palliative nurse failed to Inform a patient the risk involved in radiotherapy. Based on the information given, the patient gives her written consent to the treatment and thereafter sustained painful burns and scarring of her skin. The patient sues the nurse for
A. damages
B. lack of Informed consent
C. malpractice
D. all of the above

Q15.A nurse fails to give a patient full information about his condition and its management. Which of the following ethical principle did the nurse fail to practice ?
A. Autonomy
B. Beneficence
C. Fidelity
D. Justice

Q16.Which of the following should a nurse possess, when providing holistic care.
I. Data of client
II. Knowledge in the area of practice
III. Positive attitude
IV. Requisite skills
A. I, II and III
B. II, III and IV
C. I, III and IV
D. I, II and IV

Q16.Which of the following are the rights of a patient
I. consent or decline to a treatment
II. comply with prescribed treatment
III. personal safety and security
IV. second medical opinion
A. I, II and IV
B. I, II and III
C. I, III and IV
D. II, III and IV

Q17.A nurse caring for a postoperative patient at; night observed that the patient blood pressure begins to drop and the pulse began to rise. The nurse inform the surgeon who gave orders on the phone to increase Intravenous fluid rate. Patient condition continue to deteriorate but the nurse fails to seek further medical care for the patient. Select the BEST option that describes the nurse s action.
E. Breach of duty
F. Beneficence
G. Non -maleficence
H. Veracity

Q18.You are on night duty and a patient who has been on the ward for 3 days suddenly becomes aggressive, breaks a louvre blade and stabs himself with it. The patient bleeds to death. What is the name given to the report that you will write?
A. Daily report
B. Incident report
C. Twenty – four hour report
D. Nurses’ report

Q19.Failure of professional duty is legally referred to as
A. fidelity
B. fraud
C. liability
D. negligence

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Q18.In Freud’s stages of personality development, the period where the focus of the child centres on group activities, learning and socialization with peers is at the Stage.
A. Genital
B. Latency
C. Oral
D. Phallic

Q19.is a technique of modifying behavior that pairs relaxation with the object of fear/phobic stimulus.
A. Flooding
B. Modling
C. Shaping
D. Systematic desensitization

Q20.A client with moderate level of anxiety will manifest
I. Diaphoresis
II. Difficulty sleeping
III. Headache
IV. Pounding pulse
A. I, II and III
B. 1, III and IV
C. I, II and IV
D. II, III and IV

Q21.Which of the following is an anxiety disorder?
A. Delirium
B. Depression
C. Obsessive – compulsive disorder
D. Schizophrenia

Q22.Which of the following eating disorders will the client show severe under weight in addition to having the fear of gaining weight or becoming fat?
A. Anorexia nervosa
B. Binge eating
C. Bulimia nervosa
D. Pica

Q23.Clinical features of panic attack Includes
I. feeling of chocking
II. Numbness
III. a state of shock
A. I and II
B. I and III
C. 11 and III
D. I,II and III

Q24.Which of the following strategies can be used to minimize stress
I. Attitude control
II. Cultivating low self-esteem
III. Exercising
IV. using defence mechanisms
A. I, II and III
B. I, II and IV
C. II, III, and IV
D. I, II, III and IV

Q25.A patient with bulimia nervosa frequent secret eating is usually followed by feeling of
A. anger
B. depression
C. humiliation
D. unreality

Q26.Maturation results from the aging process whereas learning
A. Is produced by experience
B. occurs in adult
C. results from heredity
D. results from good nutrition

Q27.Which of the following is not associated with turners syndrome
A. Female gender identity
B. Infertility
C. Short stature
D. XXY chromosome pattern

Q28.In adolescence, the term “growth spurt” refers to
A. a type of behavior Indicating a parahillia
B. Confusional state characterized by memory loss
C. the rapid physical development
D. The identity confusion experienced in early sexual stimulation

Q29.Freud’s oral and anal stages are based on the principle of
A. autonomy
B. care giving
C. sensual gratification
D. toilet training

Q30.Mental retardation may occur as a result of
A. congenital syphilis
B. galactosaemia
C. Huntington’s chorea
D. sickle cell disease

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Q31.Patients with delirium
A. are best nursed in a darkened room
B. are best sedated with barbiturates
C. are rarely disoriented to time
D. experience visual hallucinations

Q31.Madam Brago brought her three months old baby to your clinic with swelling on the right thigh after the child was immunized one week ago. What immunization was given?
A. BCG
B. DPT/ Hibhep
C. Pneumococcal vaccine
D. Polio vaccine

Q33.In dealing with temper tantrums, parents should
A. Give in to child’s demands
B. Relax rules of the house
C. Remain calm D Shout at child

Q34.Pain relieving strategies of adolescents include the following except
A. massage
B. rhythmic breathing
C. story telling
D. touch

Q35.The main objectives for a preventive nurse practice include
I. advocating for the vulnerable
II. prevention of diseases
III. prolongation of life 1V. promotion of health
A. I, II and III
B. I, II and IV
C. I, III and IV D II, III and IV

Q36.Madan, Adzovi is a single parent with a six month old baby who always attends well-baby clinic late. She can be helped to change by
A. advising her to set off early to the clinic
B. asking family members to assist her with chores
C. finding out the reason’s for her habitual lateness
D. Informing her the time the clinic begins and closes

Q36.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

Q37.Scald is a common accident that can occur In the home, resulting from:
I. A child running into hot water
II. Crawling into uncovered hot water
III. Pouring hot water on the child
IV. Pouring corrosive substance on the child
A. I, II and III
B. I, II and IV
C. I, III and IV
D. II, III and IV

Q38.You will educate children to prevent hiding in cupboards and other enclosed areas to prevent
A. cuts
B. drowning
C. falls
D. suffocation

Q39.It is crucial to prevent children from drinking alcoholic beverages since this may lead to……………… disability in later life
A. emotional
B. mental
C. physical
D. social

Q40.One main objective of School Health Services is to
A. ensure learning opportunities are available and’ conducive to the level of the children
B. Foster teacher – parent relationship through cooperation
C. promote optimum sanitary conditions and safe environment
D. protect and promote the health, safety and welfare of school children

Q41.BCG is one of the childhood immunizations which is injected
………… into the …………… upper arm of the deltoid muscles.
A. Intradermally , left
B. Intradermally, right
C. Subcutaneously, left
D. Subcutaneously, right

Q42.Talking to a baby is important because it provides the building block for future Development
A. Cognitive
B. Language
C. Motor
D. Social

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Q43.A client G1P0 came to your facility for antenatal care, during your observation you found out that there were changes in her skin pigmentation. This suggested to you that the client is………… weeks pregnant.
A. Two
B. four
C. six
D. eight

Q44.A client G2P1 40 weeks gestation reported at your facility with the following history, select the option that suggest a danger sign in pregnancy.
I. mucus bloody vaginal discharge
II. painful uterine contraction
III. ruptured membranes two days ago
IV. vomiting and nausea which Is continuous
A. I and II
B. I and III
C. II and IV
D. III and IV

Q45.A teacher was describing’ the chorion of the placenta and gave the following descriptions. Which of the following is out of place?
A. Friable
B. Smooth
C. Tough
D. Translucent

Q46.The danger signs in this type of placenta is that a lobe may be retained after the placenta Is born. Choose the most appropriate answer.
A. Battledore insertion
B. Bipartite insertion
C. Circumvallate lobe
D. Succenturiate lobe

Q47.the teacher explain that during labour there is funneling in the cavity which usually hinders the progress. The teacher was referring to which type of Pelvic ?
A. Android
B. Anthropoid
C. Gynaecoid
D. Platypelloid

Q48.To locate the fetal back the midwife performs ………..
Palpation
A. Fundal
B. Lateral
C. Pelvic
D. Pawlick

Q49.Select the best option for the interpretation of Engagement in midwifery
A. The narrowest presenting transverse diameter passed through the pelvic
B. The widest presenting transverse diameter passed through the pelvic brim
C. The relationship between diameter of the presenting part of the pelvic brim
D. The relationship between where the fetus lies and the presenting part.

Q50.During the second half of the menstrual period, progesterone Is largely produced by
A. corpus luteum
B. graafian follicle
C. luteinizing hormone
D. ovulation