Nurses licensure exams: PHN & PSY Past Questions and Answers

Nurses licensure exams: PHN & PSY Past Questions and Answers

The following are sampled questions for the Nurses licensure exams: PHN & PSY Past Questions and Answers. Applications from candidates who wish to sit for the licensing examinations are received by the Examination Unit which coordinates the preparation of test items, obtains examination centers, identifies invigilators and examiners, assesses examination scripts, and publishes results.
Licensing examinations by the NMC for the various programs are held in February/March, June/July, August, and November/December every year.
Candidates who pass the licensing examination are issued a Professional Identification Number (PIN) and a certificate of registration. Those who pursue Auxiliary programs are issued with an Auxiliary Identification Number (AIN) and a certificate of registration.

Nursing is a hugely varied profession. Every day is different, with new challenges to navigate, often in highly pressurized 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.

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The following are Past Questions for the PHN & PSY Papers for Nurses.

1. A main characteristic of population-based public health nursing practice is that it;
a. Gives preference to primary prevention
b. Gives preference to secondary prevention
c. Gives preference to Tertiary prevention
d. Considers multiple levels of prevention

2. Primary prevention refers to;
a. Easy diagnosis and prompt treatment
b. Limitation of disability
c. Rehabilitation
d. Prevention of exposure to risk factors

3. What measure should a pregnant woman undertake to protect the unborn child from tetanus?
a. Eat nourishing diet during pregnancy
b. Immunize with anti-tetanus serum during pregnancy
c. Immunize with tetanol toxoid during pregnancy
d. Prevent herself from nail prick during pregnancy

4. In establishing rapport during home visit, the nurse must do the following
i. Knock, enter and greet according to custom
ii. Introduce yourself and explain your mission of your visit
iii. Identity family needs
iv. Ask about the health of the family
a. i, ii and iii only
b. i, and iii only
c. ii ,iii and iv only
d. i, ii and iv only

5. Madam Grace Pokuaa is a regular CWC attendant. She visited your clinic with her14-weeks old baby Akua. What immunization will baby Akua be due for?
a. 0PV 0,DPT/Hep B/Hib3/Rotarix2/yellow fever
b. 0PV 3,DPT/Hep B/BCG and Pneumoccocal 3
c. 0PV 3,DPT/Hep B/Hib 3/Rotarix 3 and Pneumococcal 3
d. 0PV 3,DPT/Hep B/Hib 3, and Pneumococcal 3

6. A 2-month old infant was brought to the health center for immunization. During assessment, the infant‟s temperature registered at 38.1C which is the best course of action that you will take?
a. Advise the infant‟s mother to bring him back for immunization when he is well
b. Give paracetamol and wait for his fever to subside
c. Go ahead and give the infant the immunization
d. Refer the infant to the physician for further assessment

7. The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?
a. Bar
b. Line
c. Pie
d. Scatter diagram

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8. The family is known as the basic unit of society. Which of the following is a very important function performed by a family?
a. Acculturation
b. Identification
c. Socialization
d. Stratification

9. The process whereby vaccines are kept in a potent state from the manufacturer to the consumer is referred to as:
a. Chain of command
b. Cold chain
c. Food chain
d. Vaccination chain

10. The aim of childhood immunization is to protect the child from:
a. All childhood diseases
b. Communicable diseases
c. Life threatening diseases
d. Specific childhood diseases

11. After exposure to an infection, the vaccine administered to the individual confers:
a. Active artificial immunity
b. Active natural immunity
c. Passive artificial immunity
d. Passive natural immunity

One of the factors which may demotivate mothers from patronizing a child welfare clinic is:
a. Community durbar
b. Community mobilization
c. Home visits
d. Long waiting time
13. After giving a vaccine you should do all of the following EXCEPT:
a. Observe the recipient for immediate adverse reaction
b. Keep the recipient under observation for one hour
c. Dispose of equipment used for vaccination in safety box
d. Keep accurate and accessible records on both the recipient and vaccine given
14. Which of the following is a benefit of community mobilization?
a. Encourage community dispute
b. Encourage lust for power
c. Encourage resistance to change
d. Encourage sustainability of effort
15. Madam Adwoa Diewon holds child welfare clinic daily at Medowo Health Centre. What type of clinic is this?
a. Outreach
b. Satellite
c. Special
d. Static
16. The mother of a two-year old boy told you that, her son has temper tantrums and demand for toys when they go to the market. The mother asks you for advice on now best she can handle these temper tantrums. What would you suggest to this mother?
a. She should buy one toy for him anytime they visit the market
b. She should discipline the child immediately when he demands for toys
c. She should leave him at home whiles she goes to the market
d. She should remain calm and ignore his tantrums
17. The first step in the community assessment process is to:
a. Describe the population that comprises the community
b. Elicit the community „s perception of their strengths, problems and health influences
c. Gather and analyze existing /available information to identify health indicators
d. Identify all potential partners for assessment and planning

Four-year old Akosua has chickenpox. The mother asks the nurse when Akosua can return to school. What is the best response that the nurse should give?
a. All the lesions must be completely gone before contact with others is assumed
b. Within two to three weeks the itching should be under control and good
c. Akosua can return six days after the first lesions appear,because the crust will be informed.
d. Akosua must learn to cough with her mouth covered ,put tissues in the trash and wash her hands after touching her nose or mouth
19. The mother of a four –month old baby who had his second DPT/Hep 3/Hib immunization yesterday called you the nurse and reported that the baby has a temperature of 38.7 oC and hard reddened area on his thigh. The best interpretation of this data is the child
a. Has developed a secondary infection
b. Is developing symptoms of the disease
c. Is reacting normal to immunization
d. May be allergic to the vaccine
20. Control of environmental hazards and protection against occupational hazards are all examples of
a. Health promotion
b. Primary prevention
c. Secondary prevention
d. Tertiary prevention
21. Public health is the science and art of ……………disease…………………and……………..health through the organized efforts of society.
a. Controlling, protecting, maintaining
b. Preventing, prolonging, promotion
c. Prevent ,promotion ,prolonging
d. Treating, maintaining, protecting
22. The weakest link in the chain of infection that nurses can manipulate to prevent spread of infection and disease is the
a. Infectious agent
b. Mode of transmission
c. Portal of entry
d. Susceptible host
23. Communicability of disease depends upon the availability of:
a. Parasite
b. Pathogen
c. Reservoir
d. Susceptible person

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A person who has been in such association with an infected person or animal or a contaminated environment as to have had an opportunity to acquire the infection is a
a. Carrier
b. Contact
c. Vector
d. Vehicle

25. A baby is born at 39 weeks with petechial rash, low birth weight, hepatosplenomegaly and cataracts. This is due to infection acquired in utero. Which microorganism is likely to cause their clinical presentation?
a. Cytomegalovirus
b. Rubella virus
c. Toxoplasma qondi
d. Treponema palladium

26. River blindness is a chronic ………………infection
a. Bacterial
b. Parasitic
c. Protozoan
d. Viral

27. What sexually transmitted infection can be transmitted to a newborn during the birthing process?
a. Trichomoniasis
b. Gonorrhea
c. Herpers
d. Syphilis

28. The recommended site if administration of DPT/HepB/HIB in infants is
a. Deltoid muscle
b. Forearm
c. Gluteal muscle
d. Lateral aspect of thigh

29. A foreign substance that elicits an immune response is referred to as
a. Antibody
b. Antigen
c. Leucocytes
d. Phagocytes

30. Which of the following is true about BCG immunization?
a. It is normally given into the lateral aspect of the arm at the level of the insertion of the deltoid muscle
b. It must be administered subcutaneously
c. The correct dose for children is 0.5ml
d. The injection should be given with the needle bevel downwards

Mr. Boateng a 60 year old has just retired and expresses concern of loneliness due to the loss of job and co-workers. Which response by the nurse is most therapeutic?
a. But now you can finally relax and enjoy life
b. Do you know about the senior citizens club?
c. Why don‟t you go into work and visit your old friends
d. You need to take a vacation

32. During a school health progamme, you observed that 10-year old Akwesi Mensah had a circle of ring worm on his scalp so you asked some questions. Which of the environmental factors most likely contributed to his acquisition of ringworms
a. He forgets to wash his hair sometimes and his mother has to remind him to do so
b. They have a kitten at home which stays out side during the day but comes in during the night to sleep near him
c. He loaned his football to his friend kwame last week but has not gotten it back
d. he takes Trotro to and from school every day and likes to sit near the driver‟s mate sothey can talk about football

33. A nurse, planning a home visit to a mother who has a high risk infant knows that the visit will be more productive if scheduled when the:
a. Husband is out of the home
b. Mother is feeding the infant
c. Nurse has time to spend with family
d. Time is convenient for the family

34. Mr and Mrs Quansah visited the CWC with their new born who has an obvious physical defect. Which nursing intervention provides the most support to these parents?
a. Discourage them from talking about their baby
b. Encourage them to express their concern
c. Show them postoperative photographs of infants had similar defects
d. Tell them not to worry because the defect can be corrected

35. You were invited by parent teacher association (PTA) of Glory Preparatory school to give a talk on communicable disease .During the talk you reminded them that these disease are serious and that encephalitis can be a complication of one of the following;
a. Pertussis
b. Poliomyelitis
c. Scarlet fever
d. Varicella (chicken pox)

A mother wants to know how to differentiate between measles(ruboala) and German measles (rubella).What characteristics feature of rebeola will your tell her?
a. A high fever and koplik spots
b. A rash on the trunk with pruritus
c. Nausea, vomiting and abdominal cramps
d. Signs that are similar to those of a cold followed by rash

37. Home visiting is advantageous because it;
a. Ensures effective counseling in the home
b. Help reduce reluctance of client to health education
c. Provide incentives to families
d. Reduce risk and problems in the home

38. The level of immunity achieved by a whole community or population is termed?
a. Acquired immunity
b. Cross immunity
c. Herd immunity
d. Racial immunity

39. The immunity obtained when one causative organism provides immunity to a related organisms is:
a. Acquired immunity
b. Cross immunity
c. Herd immunity
d. Racial immunity

40. The population of a community is needed for effective expanded programme on immunization (EPI) because it:
a. Gives the number of the vulnerable group
b. Helps to know the children that have been immunized
c. Makes the demographic characteristics very simple
d. Tells the vaccines that are possible to loose potency

41. The adverse effect of BCG immunization includes
a. Abscess formation
b. High body temperature
c. Pain at the site of injection
d. Swelling of the lymph nodes

42. A community can be identified by its
a. Acquisition of land
b. Behavior change
c. Demographic features
d. Poverty levels

43. Community mobilization is a process that:
a. Changes the goals of the community
b. Focuses on communal activities
c. Motivates the community to take action
d. Moves groups to come together

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44. Report writing is essential in community work and it must includes
a. Achievements and problems
b. Meetings scheduled with community
c. Number of people in given program
d. Statistical arrangement for inventory

45. The following are components of the Primary Health Care concept EXCEPT:
a. Community participation
b. Equal allocation of service
c. Health education
d. Preventive services.

46. A mother is using oral Rehydration salt (ORS) in the management of diarrhea of her 3-year old child. She asked you what to do if her child vomits.
You will tell her to:
a. Bring the child to the nearest hospital for further assessment
b. Bring the child to the health center for IV therapy
c. Bring the child to the health center for assessment by the physician
d. Let the child rest for 10 minutes then continue giving ORS more slowly.

47. How can harmful socio-cultural practices be change in the community.
i. Identify local leaders as focal persons
ii. Collaborate with other agencies
iii. Strengthen homevisiting activities
iv. Threaten the people on the dangers
a. i and ii only
b. ii and iv only
c. i,ii and iv
d. ii, iii and iv

48. An infection from this disease causing organism has no specific cures:
a. Bacteria
b. Protozoa
c. Fungi
d. Virus

49. The determinants of health include all of the following EXEPT:
a. Access to health care service
b. Food, water, and air
c. Personal coping skills
d. Private health insurance

50. Which of the following is defined as an intervention through which the community health nurse assists individuals, families, groups, organizations, and /or communities to utilize necessary resources available to prevent or resolve problems or concerns?
a. Case management
b. Collaboration
c. Policy development
d. Referral and follow up

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