Pediatric Nursing Model Paper-2 (100 Question)

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Pediatric Nursing Model Paper-2 (100 Question)

You will have 100 questions to answer within 90 minutes, with a marking scheme of +1 for each correct answer and -1/3 for each incorrect answer (negative marking applies). Unattempt questions will receive 0 marks. Read each question carefully and avoid negative marking. Prioritize easier questions first to save time for more challenging ones. Manage your time wisely and review your answers if possible before submission. Once submitted, responses cannot be changed. Best of luck! 🚀

Q1.Which of the following is not a usual priority for resuscitation of a newborn?
*

1 point

a) Prevent heat loss

b) Rapid initiation of an intravenous line

c) Establish respiration

d) Clear the airway

Q2.Which of the following is not an appropriate action for tactile stimulation?
*

1 point

a) Slap the sole

b) Flick the heel

c) Rub the back

d) Dry with a towel

Q3.What is the immediate action for the presence of meconium at birth?k *

1 point

a) Provide oxygen

b) Suction the mouth and nose

c) Suction the trachea

d) Begin positive pressure ventilation

4.What does failure of reflexes to appear or disappear within a specific time range suggest?
*

1 point

a) Normal development

b) Neurological impairment

c) Skeletal abnormality

d) Increased muscle tone

5. Which two reflexes are stimulated by touching the foot?
*

1 point

a) Moro and plantar grasp

b) Palmar grasp and Babinski

c) Babinski and plantar grasp

d) Rooting and sucking

6.Which intervention has the highest nursing priority after birth?
*

1 point

a) Start breastfeeding

b) Assess for birth defects

c) Measure vital signs

d) Cover the neonate’s head with a cap

7.What should a nurse teach about umbilical cord care?
*

1 point

a) Apply ointment to speed healing

b) Keep the stump moist

c) Keep the cord dry and open to air

d) Wrap the cord with sterile gauze

8.What is the range of the neonatal period?
*

1 point

a) Birth to 7 days

b) Birth to 14 days

c) Birth to 28 days

d) Birth to 6 months

9.What is important to remember when assessing an infant’s fluid balance?
*

1 point

a) Infants have less body water than adults

b) Infants excrete less water than adults

c) Infants have a smaller body surface area than adults

d) Infants have greater body surface area than adults

10.Which findings indicate fluid volume deficit in an infant?
*

1 point

a) A sunken fontanel

b) A bulging fontanel

c) Decreased urine output only

d) Increased salivation

11.Which statement is true about newborn fontanels?
*

1 point

a) The posterior is larger than the anterior

b) Both are equal in size

c) The anterior is large in size when compared to the posterior fontanel

d) Neither fontanel closes during infancy

12.What is the major contributor to physiological jaundice? *

1 point

a) Liver enzyme deficiency

b) Low birth weight

c) Increased bilirubin production

d) Breastfeeding

13.What axillary temperature range indicates moderate hypothermia in a neonate? *

1 point

a) 36-36.5°C

b) 32-35.9°C

c) 30-31.9°C

d) Below 30°C

14.Which two parameters help confirm the type of initial feeding?
*

1 point

a) Birth weight and head circumference

b) Gestation and hemodynamic stability

c) Feeding reflex and muscle tone

d) Parental preference and infant activity

15.Which of the following is not a possible cause of seizure on day one of life? *

1 point

a) Hypoxia

b) Tetanus

c) Hypoglycemia

d) Intracranial hemorrhage

16.What are the characteristics of healthy newborn respirations?
*

1 point

a) Regular, chest, deep

b) Irregular, abdominal, 30-60 per minute, shallow

c) Irregular, chest, deep

d) Regular, abdominal, rapid

17.Which complication may occur for a neonate of a diabetic mother? *

1 point

a) Hyperglycemia

b) Hypoglycemia

c) Hypothermia

d) Respiratory alkalosis

18. Which disease condition is characterized by small, whitish, pinpoint spots over the newborn's nose?
*

1 point

a) Lanugo

b) Mongolian spots

c) Milia

d) Stork bites

19.Which of the following is not a characteristic of caput succedaneum? *

1 point

a) Crosses suture line

b) It does not disappear within 2-3 days

c) It is a diffuse oedematous swelling of soft tissue of scalp

d) Vacuum extraction during a difficult birth increases the chances

20.Which of the following is true regarding the umbilical cord?
*

1 point

a) Contains one artery and two veins

b) Contains two arteries and one vein

c) Contains one artery and one vein

d) Contains one vein and three arteries

21. Which of the following positions is most appropriate for the neonate with an unrepaired myelomeningocele?

*

1 point

a) Supine with hip at 90-degree flexion

b) Right side-lying position with knees flexed

c) Prone with hips in abduction

d) Semi-Fowler’s position with chest and abdomen elevated

22.Which position is most appropriate for a child with an immediate right-side ventriculoperitoneal (VP) shunt for hydrocephalus?
*

1 point

a) On the right side, with the foot of the bed elevated

b) On the left side, with the head of the bed elevated

c) Prone, with the head of the bed elevated

d) Supine, with the head of the bed flat

23.In which age period does SIDS most commonly occur?
*

1 point

a) 1-2 months of age

b) 2-4 months of age

c) 8-10 months of age

d) 10-12 months of age

24.Which of the following disease conditions is manifested as nuchal rigidity?
*

1 point

a) Cardiac dysfunction

b) Meningitis

c) GERD

d) Hyperthyroidism

25. Which of the following is a frequent complication for a child with congenital heart disease?
*

1 point

a) Susceptibility to respiratory infection

b) Bleeding disorder

c) Frequent vomiting and diarrhea

d) Seizure disorder

26.Which of the following actions would be least effective in maintaining a neutral thermal environment for the newborn?
*

1 point

a) Placing the infant under a radiant warmer

b) Covering the scale with a warmed blanket prior to weighing

c) Placing the crib close to the nursery window for family viewing

d) Covering the infant’s head properly

27.Between the aorta and pulmonary artery remains open?
*

1 point

a) Patent ductus arteriosus

b) Pulmonary stenosis

c) Tricuspid atresia

d) Atrial septal defect

28.Which of the following defect is not involved in Tetralogy of Fallot?
*

1 point

a) Ventricular septal defect

b) Right ventricular hypertrophy

c) Pulmonary atresia

d) Overriding aorta

What causes the closure of the Foramen ovale after the baby has been delivered?
*

1 point

a) Decreased blood flow

b) Shifting of pressure from right side to the left side of the heart

c) Increased PO₂

d) Increase in oxygen saturation

What should the nurse assess prior to administering Digoxin?
*

1 point

a) Sclera

b) Apical pulse rate

c) Cough

d) Liver function test

In which congenital heart defect is Indomethacin prescribed?
*

1 point

a) Atrial septal defect

b) Ventricular septal defect

c) Pulmonary stenosis

d) Patent ductus arteriosus

Which cardiac manifestation is mostly associated with a child born with Down syndrome?
*

1 point

a) Congenital heart defect

b) Systemic hypertension

c) Hyperlipidemia

d) Cardiomyopathy

What is the normal urine output in an infant?
*

1 point

a) 1 ml/kg/hr

b) 2 ml/kg/hr

c) 3 ml/kg/hr

d) 4 ml/kg/hr

In which direction does blood flow through the heart in the case of a ventricular septal defect?
*

1 point

a) Right to left

b) Left to right

c) Right-sided only

d) Left-sided only

Which medication should the nurse give to a child diagnosed with transposition of the great vessels?
*

1 point

a) Ibuprofen

b) Indomethacin

c) Prostaglandin E

d) Betamethasone

Which type of shunt is developed by Patent Ductus Arteriosus (PDA)?
*

1 point

a) Left to right

b) Right to left

c) Right-sided only

d) Left-sided only

Which position might a toddler assume during play with a history of Tetralogy of Fallot?
*

1 point

a) Sitting

b) Supine

c) Squatting

d) Standing

Which disease condition is characterized by reddened eyes with no discharge, red swollen and peeling palms and soles, dry cracked lips, and a "strawberry tongue"? *

1 point

a) Rheumatic fever

b) Tetralogy of Fallot

c) Scabies

d) Kawasaki disease

In which congenital heart defect (CHD) would the nurse need to take upper and lower extremity blood pressure?
*

1 point

a) Transposition of great vessels

b) Aortic stenosis

c) Coarctation of the aorta

d) Tetralogy of Fallot

Which plan would be appropriate in helping to control congestive heart failure (CHF) in an infant?
*

1 point

a) Promoting fluid restriction

b) Feeding a low-salt formula

c) Feeding in a semi-Fowler position

d) Encouraging breast milk

Which of the following assessments is the priority action of the nurse at the end of a cardiac catheterization procedure?
*

1 point

a) Hematocrit value

b) Pulse in the cannulated extremity

c) Pain

d) Catheterization report

When does a VSD usually close on its own?
*

1 point

a) First year of life

b) Second year of life

c) Third year of life

d) Fourth year of life

Which physiological changes occur as a result of hypoxemia in congestive heart failure?
*

1 point

a) Increased WBC and low platelet count

b) Anemia and barrel chest

c) Peripheral edema

d) Polycythemia and clubbing

Which of the following organism is responsible for the development of rheumatic fever?
*

1 point

a) Streptococcal pneumoniae

b) Haemophilus influenza

c) Group A β-hemolytic streptococcus

d) Staphylococcus aureus

Why aspirin has been ordered for the child with rheumatic fever?
*

1 point

a) To keep the patent ductus arteriosus open

b) To reduce joint inflammation

c) To treat ventricular hypertrophy

d) To increase the blood flow

Which of the following condition is not detected by Electrocardiogram (ECG)?
*

1 point

a) Ischemia

b) Dysrhythmias

c) Conduction delay

d) Systemic vascular resistance

Which of the following condition is not occurred in an infant with hypoxic spells due to congenital heart defect?
*

1 point

a) Polycythemia

b) Brain damage

c) Respiratory Alkalosis

d) Developmental delays

Which of the following action has the highest priority for the prevention of rheumatic fever?
*

1 point

a) Keeping children with fever home

b) Sending children with sore throat home from school

c) Having sore throats cultured as soon as possible

d) Treating all colds with antibiotics

Which of the following is a combined vaccine?
*

1 point

a) Hepatitis B vaccine

b) Hib vaccine

c) OPV vaccine

d) DPT vaccine

50.Which of the following statements is true regarding vaccination? *

1 point

a) Vaccination is a method of active immunization

b) Vaccination is a method of passive immunization

c) Vaccination is a method of artificial passive immunization

d) Vaccination is a method of natural passive immunization

For which of the following disease condition is a vaccine not available? *

1 point

a) Hepatitis A

b) Hepatitis B

c) Hepatitis C

d) Measles

Which of the following findings is essential to screening Neural tube defect?
*

1 point

a) Human chorionic gonadotrophin (HCG)

b) Alpha fetoprotein (AFP)

c) HLA

d) TNF

DTaP stands for...
*

1 point

a) Diphtheria, Tetanus and Pertussis

b) Diphtheria, Tetanus and Pneumonia

c) Diphtheria, Tetanus and Polio

d) Diphtheria, Toxoplasmosis and Pertussis

MMR stands for...
*

1 point

a) Measles, Mumps and Rubella

b) Measles, Meningitis and Rubella

c) Measles, Meningitis and Rotavirus

d) Mumps, Meningitis and Rubella

Which step should follow if a child misses one or more doses of immunization?
*

1 point

a) Start all over

b) Get an extra set as a booster to make up

c) Get the missed shots at next visit

d) Continue with next dose

Measles vaccine is given under the National Immunization Programme at: *

1 point

a) 6 months

b) 7 months

c) 8 months

d) 9 months

Which of the following toys would best promote imaginative play in a 4-year-old?
*

1 point

a) Large blocks

b) Dress-up clothes

c) Wooden puzzle

d) Big wheels

Which of the following skills is the most significant one learned during the school-age period?
*

1 point

a) Collecting

b) Ordering

c) Reading

d) Sorting

Growth and development in a child progresses in the following ways except:
*

1 point

a) From cognitive to psychosexual

b) From trunk to the tip of the extremities

c) From head to toe

d) From general to specific

Which of the following is least likely to cause a neural tube defect?
*

1 point

a) Maternal exposure to virus or bacteria

b) Predisposed genetic influence

c) Deficiency of folic acid during the first 6 weeks of pregnancy

d) Exposure to radiation during the 3rd trimester

Which finding is considered abnormal for routine urinalysis?
*

1 point

a) Specific gravity of 1.03

b) Urine pH of 3.0

c) Absence of protein

d) Absence of glucose

What is meant by exstrophy of the bladder?
*

1 point

a) Obstruction in the bladder

b) Opening of the bladder on the ventral surface

c) Inflammation of the bladder

d) Distension of the bladder

What associated manifestation might the nurse occasionally find in a child diagnosed with Wilms’ tumor?
*

1 point

a) Atrial fibrillation

b) Hypertension

c) Endocarditis

d) Hyperlipidemia

What is the most common cause of a neonate presenting with an abdominal mass?
*

1 point

a) Distended bladder

b) Wilms' tumor

c) Neuroblastoma

d) Multicystic dysplastic kidneys

Why is daily weight measurement essential in children with nephrosis?
*

1 point

a) To monitor weight loss from a low-protein diet

b) To monitor the accuracy of fluid balance sheets

c) To monitor changes in the amount of edema

d) To assess growth

Acute renal failure due to a decrease in circulating blood volume causing diminished renal perfusion is treated with: *

1 point

a) Inotropic agents

b) Intravenous fluids

c) Erythropoietin

d) Diuretics

Which of the following is the priority assessment during the initial hours after a male circumcision?
*

1 point

a) Infection

b) Dehydration

c) Discomfort

d) Hemorrhage

Which of the following is NOT a clinical manifestation of nephrotic syndrome?
*

1 point

a) Proteinuria

b) Edema

c) Hypoalbuminemia

d) Hypolipidemia

In which condition are Kussmaul’s respirations seen in a diabetic child?
*

1 point

a) Neuropathy

b) Ketoacidosis

c) Hypoglycemia

d) Retinopathy

Which condition manifests with an abnormal urethral opening on the dorsal surface of the penis?
*

1 point

a) Epispadias

b) Hypospadias

c) Circumcision

d) Hydrocele

Which laboratory value supports the diagnosis of pyelonephritis?
*

1 point

a) Myoglobinuria

b) Ketonuria

c) Pyuria

d) Low white blood cell count

What is the priority nursing assessment for an adolescent with chronic renal failure having a serum potassium level of 6 mEq/L?
*

1 point

a) Blood pressure

b) Respirations

c) Temperature

d) Pulse

Which of the following is contraindicated while assessing a child with Wilms’ tumor?
*

1 point

a) Always observe the site before palpating

b) Review the disorder before visiting the patient

c) Don’t palpate as that may rupture the tumor capsule

d) Always explain the procedure to the patient

Which of the following is the primary goal in the management of a child with anorexia nervosa? *

1 point

a) Encourage weight gain

b) Prevent depression

c) Limit exercise

d) Correct malnutrition

Which of the following approaches is beneficial for a 7-year-old child with ADHD?
*

1 point

a) A diet high in processed foods

b) Regular use of sedatives

c) Strict discipline

d) A structured one-on-one environment

Which of the following characteristics is expressed by an adolescent with anorexia nervosa?
*

1 point

a) Wearing tight clothing to emphasize thinness

b) Increasing elation as weight is lost

c) Feeling fat even when appearing thin

d) Efforts to achieve specific figure measurements

Which disease condition is characterized by poor attention, motor overactivity, and impulsivity?
*

1 point

a) Attention deficit hyperactive disorder

b) Temper tantrum

c) Schizophrenia

d) Bipolar disorder

What is meant by Encopresis?
*

1 point

a) Lack of bowel control

b) Bedwetting

c) Stammering

d) Sleepwalking

Which of the following mental abilities is deficient in children with ADHD?
*

1 point

a) Perception

b) Motor functioning

c) Executive functioning

d) Memory

Which technique can be used with young children who are less able to communicate and express feelings verbally?
*

1 point

a) Play therapy

b) Cognitive behavior therapy

c) Systemic family therapy

d) Psychodynamic therapy

What is meant by Somnambulism?
*

1 point

a) Stammering

b) Bedwetting

c) Lack of bowel control

d) Sleepwalking

Which of the following is characterized by obsessions, tics, and perseveration?
*

1 point

a) Repetitive behavior

b) Speech behavior

c) Emotional disorders

d) Atypical social development

Which of the following is not a tic activity?
*

1 point

a) Eye blinking repeatedly

b) Throat clearing repeatedly

c) Grimacing repeatedly

d) Asking questions frequently

What is the nursing priority in caring for a child as a victim of physical abuse?
*

1 point

a) Clean the wound

b) Keep the child warm

c) Keep the child well hydrated

d) Preserve the bruises or wounds as part of the investigation

1 point

Option 1

What are the presenting signs and symptoms of hypothyroidism?
*

1 point

a) Fatigue and cold intolerance

b) Weight loss and hyperglycemia

c) Tachycardia and diarrhea

d) Polydipsia and polyphagia

Insufficient insulin production causes which type of diabetes mellitus?
*

1 point

a) Type II

b) Type I

c) Gestational diabetes

d) Type II and I

Which of the following terms means “increased urination”?
*

1 point

a) Polyuria

b) Polydipsia

c) Polyphagia

d) Polypepsia

Which of the following disease conditions occurs due to excess secretion of glucocorticoids?
*

1 point

a) Diabetes insipidus

b) Cushing’s syndrome

c) Addison’s disease

d) Diabetes mellitus

Which of the following methods of treatment is used for a newborn with DDH?
*

1 point

a) Pavlik harness

b) Double diapering

c) Place a small pillow between the legs

d) Bracing the affected leg

Which of the following is assessed in developmental dysplasia of the hip? *

1 point

a) Trendelenburg sign

b) Ortolani’s sign

c) Characteristic limp

d) Symmetrical gluteal folds

What is osteogenic sarcoma?
*

1 point

a) Malignant tumor in the bone marrow

b) Malignant tumor of the spine

c) Malignant long bone tumor

d) Benign tumor of the knee

Which of the following assessment findings indicates Down syndrome in an infant?
*

1 point

a) Small tongue

b) Single transverse palmar crease

c) Large nose

d) Restricted joint movements

Malfunctioning of which part of ear usually causes inflammation of the middle ear?

1 point

a) Tympanic membrane

b) Eustachian tube

c) Adenoid

d) Nasopharynx

Which complication may result from delayed treatment of acute otitis media?

1 point

a) Tonsillitis

b) Eardrum Problems

c) Brain damage

d) Diabetes mellitus

Who has developed the theory of psychosexual development? *

1 point

a) Jean piaget

b) Sigmund freud

c) Kholberg

d) Erikson

Which is not included in concept of Under 5 clinics?

1 point

a) Adequate nutrition

b) Immunization

c) Health education

d) Adequate hospitalization

What is the medical terminology for first stool of baby?

1 point

a) Melaena

b) Meconium

c) Melasma

d) Melanin

In pediatrics, the psychosocial theory of development is applicable till which stage?

1 point

a) Initiative v/s guilt

b) Industry v/s inferiority

c) Identity v/s role diffusion

d) Intimacy v/s isolation

Who developed the theory of psychosocial development?

1 point

a) Jean Piaget

b) Sigmund Freud

c) Kholberg

d) Erikson

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