Here are 20 multiple-choice questions (MCQs) designed for the Nepal Nursing Council (NNC) License Examination 2081.
1. Which vitamin deficiency leads to pernicious anemia?
A) Vitamin A
B) Vitamin B12
C) Vitamin C
D) Vitamin D
2. What is the normal range of hemoglobin in adult females?
A) 9-11 g/dL
B) 10-12 g/dL
C) 12-16 g/dL
D) 14-18 g/dL
3. What is the universal precaution to prevent hospital-acquired infections?
A) Wearing gloves only
B) Hand hygiene practices
C) Using antibiotics for all patients
D) Keeping patients in isolation
4. The Apgar score is used to assess which of the following?
A) Fetal heart rate
B) Newborn’s adaptation to extrauterine life
C) Maternal blood pressure
D) Placental function
5. What is the main function of insulin in the body?
A) To break down fats
B) To lower blood sugar levels
C) To increase blood pressure
D) To digest proteins
6. Which of the following is a sign of dehydration in an infant?
A) Increased urination
B) Bulging fontanelle
C) Sunken eyes and dry mouth
D) Excessive saliva production
7. Which drug is used as the first-line treatment for anaphylaxis?
A) Paracetamol
B) Epinephrine
C) Ibuprofen
D) Hydrocortisone
8. What is the primary mode of transmission of hepatitis B virus?
A) Airborne droplets
B) Contaminated food and water
C) Blood and body fluids
D) Vector-borne transmission
9. What is the recommended intramuscular (IM) injection site for infants?
A) Deltoid muscle
B) Ventrogluteal muscle
C) Vastus lateralis muscle
D) Dorsogluteal muscle
10. A patient with hypokalemia is likely to experience which symptom?
A) Hyperreflexia
B) Muscle weakness
C) Hypertension
D) Decreased urine output
11. Which of the following is NOT a characteristic of hypoglycemia?
A) Sweating
B) Confusion
C) Bradycardia
D) Tremors
12. What is the normal respiratory rate of a newborn?
A) 10-20 breaths per minute
B) 20-30 breaths per minute
C) 30-60 breaths per minute
D) 60-80 breaths per minute
13. What does a Glasgow Coma Scale (GCS) score of 3 indicate?
A) Normal consciousness
B) Moderate brain injury
C) Deep coma or brain death
D) Mild confusion
14. Which electrolyte imbalance is most commonly associated with kidney failure?
A) Hypocalcemia
B) Hyperkalemia
C) Hypoglycemia
D) Hypokalemia
15. What is the normal pH range of arterial blood?
A) 6.8-7.2
B) 7.35-7.45
C) 7.5-8.0
D) 8.0-8.5
16. Which of the following best describes informed consent?
A) A doctor making decisions for the patient
B) The patient agreeing to a procedure without explanation
C) The patient’s voluntary agreement after receiving complete information
D) A family member signing the consent without the patient’s knowledge
17. A nurse suspects a patient has tuberculosis (TB). What is the best initial diagnostic test?
A) Chest X-ray
B) Sputum examination for acid-fast bacilli (AFB)
C) Tuberculin skin test
D) Complete blood count (CBC)
18. Which of the following is a late sign of increased intracranial pressure (ICP)?
A) Restlessness
B) Headache
C) Bradycardia and irregular respiration
D) Nausea and vomiting
19. A patient with deep vein thrombosis (DVT) should be advised to:
A) Avoid walking and remain immobile
B) Massage the affected limb
C) Use compression stockings and elevate the leg
D) Take high doses of aspirin
20. Which of the following vaccines is given at birth?
A) DPT
B) BCG
C) MMR
D) Hepatitis A
These questions cover a variety of essential nursing topics, including medical-surgical nursing, maternal and child health, pharmacology, and professional ethics. Would you like me to refine or add more to this list?
