SECTION A: FUNDAMENTALS OF NURSING (20 Marks)
- Which of the following is the normal body temperature of a healthy adult? a) 96.8°F
b) 98.6°F
c) 100.4°F
d) 97.2°F - The best method to prevent hospital-acquired infections is: a) Wearing gloves at all times
b) Frequent hand hygiene
c) Using antiseptic sprays
d) Wearing face masks - A nurse caring for an unconscious patient should prioritize which of the following? a) Range of motion exercises
b) Frequent position changes
c) Fluid intake monitoring
d) Emotional support
SECTION B: MEDICAL-SURGICAL NURSING (20 Marks)
- Which electrolyte imbalance is most common in chronic kidney disease? a) Hyperkalemia
b) Hypokalemia
c) Hypocalcemia
d) Hypernatremia - The most important nursing intervention for a patient with myocardial infarction is: a) Encourage early ambulation
b) Administer oxygen therapy
c) Perform chest physiotherapy
d) Give a high-protein diet - A patient with chronic obstructive pulmonary disease (COPD) should be advised to: a) Increase oxygen flow to 6 L/min
b) Avoid cold environments
c) Drink less fluid
d) Reduce carbohydrate intake
SECTION C: MATERNAL AND CHILD HEALTH NURSING (20 Marks)
- The ideal position for a pregnant woman in her third trimester to improve circulation is: a) Supine position
b) Right lateral position
c) Left lateral position
d) Semi-Fowler’s position - The first vaccine given to a newborn is: a) BCG
b) OPV
c) DPT
d) Hepatitis B - The most common cause of postpartum hemorrhage is: a) Retained placenta
b) Uterine atony
c) Cervical tear
d) Coagulation disorders
SECTION D: COMMUNITY HEALTH NURSING (20 Marks)
- Which is the most effective method of family planning? a) Oral contraceptive pills
b) Male condoms
c) Intrauterine device (IUD)
d) Natural family planning - The primary goal of health promotion is to: a) Treat diseases
b) Prevent diseases
c) Rehabilitate patients
d) Provide palliative care - The incubation period of measles is: a) 3-5 days
b) 7-14 days
c) 10-20 days
d) 21-30 days
SECTION E: MENTAL HEALTH NURSING (20 Marks)
- A patient with schizophrenia is experiencing auditory hallucinations. The best nursing intervention is: a) Ignore the hallucinations
b) Challenge the patient’s belief
c) Acknowledge the patient’s experience
d) Administer sedatives - Lithium is commonly used to treat: a) Anxiety disorders
b) Bipolar disorder
c) Schizophrenia
d) Depression - The most common side effect of benzodiazepines is: a) Hypertension
b) Sedation
c) Diarrhea
d) Tachycardia
ANSWER KEY
- b) 98.6°F
- b) Frequent hand hygiene
- b) Frequent position changes
- a) Hyperkalemia
- b) Administer oxygen therapy
- b) Avoid cold environments
- c) Left lateral position
- a) BCG
- b) Uterine atony
- c) Intrauterine device (IUD)
- b) Prevent diseases
- b) 7-14 days
- c) Acknowledge the patient’s experience
- b) Bipolar disorder
- b) Sedation