Pediatrics Nursing Paper/MCQs | Nursing Tutorials

Basis of Pediatrics Nursing

Student Name: ___________S/O_____________ Roll No: ________

Maximum Marks: 100 Passing Marks: 50 Time: 3 Hours Date:

A. OBJECTIVE SECTION

MCQs

Note: Circle the one best answer.

Which cell type is responsible for the early asthmatic response?
1. Basophil
2. Eosinophil
3. Mast cell
4. Neutrophil
Congenital cyanotic heart disease includes:
1. VSD.
2. Patent Ductus Arteriosus.
3. Fallot tetralogy.
4. ASD
Fallot tetralogy include:
1. Pulmonary stenosis
2. Ventricular septal defect
3. Over riding aorta
4. All of the above
Serious complications of Fallot tetralogy includes
1. Eisenminger syndrome
2. Recurrent pneumonia
3. Brain abscess
4. Pulmonary hypertension

Major manifestations of Rheumatic fever include all the following, Except:
1. Carditis
2. Arthralgia
3. Chorea
4. Erthema nodosa
All the following are true about acute bronchiolitis, Except:

Most cases are under two years old.
Most cases are caused by respiratory syncytial virus.
Antibiotics are recommended in infants below three months age.
Steroids maybe helpful in some cases.

Bronchial asthma is characterized by all the following, Except:

Hyper active air way
Clubbing
Spasmodic cough
Bilateral chest wheezes

All of the following cause acute wheezing, Except:

Bronchitis
Bronchiolitis
Bronchiaectasis
Bronchial asthma

All of the following are common causes of bacterial pneumonia, Except:

Staphylococci.
Hemophillus influenza.
Pseudomonas.
Klepsiella.

All of the following are common causes of empyema, Except:

Staphylococcal pneumonia
Lung abscess
Measles
Chest injury

The organ of gas exchange in the fetus is the
1. Amniotic fluid
2. Umbilical cord
3. Placenta
4. Lungs
Commonest cause of bacterial pneumonia in infancy:
1. H.. influenza
2. Streptococcus
3. Staphylococcus
4. Pneumococcus
Serious complications of staphylococcal pneumonia include all the following Except :
1. Lung abscess
2. Bronchitis
3. Empyema
4. Lung collapse
Asthma triggers include all the following Except :
1. Viral respiratory infections
2. Tobacco smoke
3. House dust mite
4. Steroids
Which of the following statement is not true about Breast milk

It contains carbohydrates  7.0 gm %.
It contains proteins  4.0 gm %.
It contains water 87.5 %.
It contains less calcium than cow milk.

Non nutritional marasmus may be caused by.

Acute gastroenteritis.
Staphylococcal pneumonia.
V.S.D.
Urinary tract infections

All the following are causes vitamin D deficiency rickets, Except:

Low calcium in diet.
Prolonged breast feeding
Lack of sun exposure.
Non response of bone receptors to vitamin D

Colostrum is privileged by having.

High iron.
High antibodies.
High vitamin D.
High calcium

The important reflex necessary for breast feeding:

Moro reflex
Grasp reflex
Rooting reflex
Cough reflex

The clinical signs of kwashiorkor include the following, Except:
1. Edema
2. Skin changes
3. Hair changes
4. Bone changes
The complications of rickets include all of the following, Except:
1. Tetany
2. Tetanus
3. Respiratory infection
4. Fractures
Breast milk contains all of the following nutritional constituents, Except:
1. 7.2 gm fats
2. l.2 gm proteins
3. 7.0 gm carbohydrates
4. 87.5% water
A fourth degree marasmus infant is characterized by .
1. Loss of buccal pad of fats.
2. Skin changes
3. Edema.
4. Bowed legs
Breast milk contains all of the following nutritional constituents, Except:
1. 3.5 gm fats
2. 1.2 gm proteins
3. 3.5gm carbohydrates
4. 87.5% water
Recommended basic requirement of vitamin D for infants is:
1. 400 u Ikg
2. 800 ulkg
3. 200 ulkg
4. 100 u/kg
Breast milk in the first three days after delivery shows all the following, Except:
1. Called colostrum
2. Rich in proteins
3. High vitamin K content
4. High caloric value
The clinical signs of kwashiorkor include the following except
1. Edema
2. Skin changes
3. Hair changes
4. Bone changes
Colostrum is Breast milk secreted in the first post-natal :
1. 2-3 days
2. One week.
3. 3-5 days
4. One month
Which of the following is not a compulsory vaccine given in the first year of life:
1. Measles Vaccine.
2. BCG Vaccine.
3. Meningitis vaccine.
4. Polio vaccine.
All the following infectious diseases are essentially associated with rash, Except:
1. German measles.
2. Chickenpox.
3. Mumps.
4. Roseola infantum
The incubation period of chickenpox is:
1. One week
2. 2 to 3 weeks
3. 2 to 3 months
4. 3 days
Oral polio vaccine is.
1. Live attenuated vaccine.
2. Killed vaccine.
3. Given at birth.
4. Given at 4,8,12 months of age
Paroxysmal stage of pertussis persists for:
1. 2 weeks
2. 4 weeks
3. 3 weeks
4. 8 weeks

The incubation period of measles is :
1. 2 weeks
2. 4 weeks
3. 3 weeks
4. 8 weeks
The incubation period of Chickenpox is :
1. 3 weeks
2. 4 weeks
3. 8 weeks
4. 1 week
Rash of measles is characterized by all the following Except:
1. Starts behind the ears.
2. Spread from above downwards
3. May be hemorrhagic in immunocompromised children
4. May be vesicular
The manifestations of rubella syndrome include the following except
1. Mental retardation
2. Microcephaly
3. Cardiac defects
4. Macrocephaly
The virus causing chicken pox
1. Rubella
2. Varicella
3. Herpes simplex
4. None
Paroxysmal stage of pertussis persists for :
1. 2 weeks
2. 3 weeks
3. 4 weeks
4. 6 weeks
Measles rash begins :
1. On chest and back
2. Behind ear
3. Behind neck
4. On the face
Complications of diphtheria include all the following Except :
1. Squint
2. Flaccid paraplegia
3. Heart failure
4. Ataxia
The most common cause of hypovolemic shock is .
1. Acute renal failure.
2. Heart failure.
3. Gastro enteritis.
4. Toxic. coma
The most common cause for recurrent abdominal pains in children is.
1. Renal stones.
2. Familial Mediterranean fever
3. Intestinal parasites.
4. Inflammatory bowel disease.
Serious complications of gastroenteritis include:
1. Dehydration
2. Acidosis
3. Shock
4. All of the above
Hypertonic dehydration is characterized by:
1. Moist tongue
2. Lost skin elasticity
3. High serum sodium
4. Drowsiness
All of the following are correct about physiological jaundice, Except:
1. It is a conjugated hyperbilirubinemia
2. The baby looks healthy and feeds well
3. Doesn’t exceed 12 mg/dl
4. It doesn’t persist more than 7 days
All of the following are true about phototherapy, Except:
1. Reduce serum unconjugated bilirubin level.
2. Can cause watery stools.
3. Increase fluid requirement.
4. Can be a substitute for Exchange transfusion in small preterm with hyperbilirubinemia.
Neonatal period extends up to:
1. 21 days.
2. 28 days.
3. 30 days.
4. 35 days.
Moro reflex in normal neonates disappear at
1. 1 week
2. 3 weeks
3. 6 weeks
4. 3 months
The umbilical cord contains
1. One artery and one vein
2. One artery and two capillaries
3. Two arteries and one vein
4. Two veins and one artery
Persistence of Moro reflex at 12 weeks indicate :
1. Brain damage
2. Normal child
3. Hungry child
4. Irritable child
Atelectasis due to intra-bronchial obstruction may be due to:
1. Foreign body
2. Mucus plug
3. Both
4. None
Common presentations of chronic renal failure in children include :
1. Anemia
2. Bone deformity
3. Hypertension
4. All of the above
The cause of death in spinal polio is:
1. Paralysis of respiratory muscles
2. Cardiac arrest
3. Cranial nerve paralysis
4. Urinary complications
All of the following might be causes of cerebral palsy ,Except:
1. Kernicterus.
2. Toxoplasmosis.
3. Congenital hypothyroidism.
4. Tuberous sclerosis
Cerebral palsy is characterized by
1. Mental retardation
2. Motor disability
3. Curable
4. Sensory loss
The fatal poliomyelitis is :
1. Bulbar polio
2. Spinal polio
3. Encephalitis
4. Cerebral polio
Delayed puberty may be due to:
1. Growth hormone deficiency
2. Malnutrition
3. Hypothyroidism
4. All of the above
The site of lesions in myasthenia gravis:
1. Spinal cord
2. Neuromuscular junction
3. Cranial nerves
4. All of the above
An infant sits without support by….. Month.
1. 5 month.
2. 7 month.
3. 8 month.
4. 9 month.
The head circumference ,by the end of the second year equals:
1. 35 cm.
2. 45 cm.
3. 50 cm.
4. 60 cm .
Infants body weight is tripled by the age of:
1. 5 months
2. 24 months
3. 12 months
4. 18 months
Short stature may be due to:
1. Growth hormone deficiency
2. Malnutrition
3. Hypothyroidism
4. All the above
An infant supports his head by … … months
1. 2 months
2. 4 months
3. 8 months
4. 10 months
Weight gain in the first four months of age increase by
1. 250 gm/month.
2. 500 gm/ month
3. 800 gm/ month
4. 1500 gm/ month
Grasp reflex in normal neonates is present since.
1. 1 week
2. 3 weeks
3. Birth
4. 3 months
The first deciduous tooth appears by
1. 3-4 months
2. 4-5 months
3. 8-9 months
4. 5-7 months
The faster weight gain is seen at
1. First year and puberty
2. Second year and puberty
3. Puberty
4. Infancy
A child starts crawling
1. 5 months
2. 7 months
3. 8 months
4. 9 months
The average monthly weight gain in the first 4 months :
1. 250 gm.
2. 500 gm.
3. 750 gm.
4. 1000 gm

B. Read each statement carefully and circle the correct answer as true or false. (10 Marks)

Humans serve as a reservoir for meningococcal meningitis.
1. True
2. False
Currently there is no vaccine for meningococcus.
1. True
2. False
Tetanus is nearly always fatal.
1. True
2. False
Viral meningitis (“aseptic meningitis”) is usually far more severe and deadly than bacterial or fungal meningitis.
1. True
2. False
The common cold is caused by one virus.
1. True
2. False
Mycobacterium tuberculosis can survive up to 10 years suspended in fine aerosols.
1. True
2. False
Meningitis refers to inflammation of the brain.
1. True
2. False
Is meningitis contagious?
1. True
2. False
Spina bifida is the deformity of the brain.
1. True
2. False
Cleft lip and palate occurs always unilaterally.
1. True
2. False

SUBJECTIVE SECTION (20 Marks)

Attempt any five of the following questions. All questions carry equal marks.

Q.No. 01 List the causes of birth defects and explain any one of them: (04 Marks)

Q.No. 02 Define the Mylomeningocele along with sign and symptoms. (04 Marks)

Q.No. 03 Write 10 most common accidents of children age with their preventive measures. (04 Marks)

Q.No. 04 Define tetanus. Explain nursing management of tetanus case. (04 Marks)

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Q.No. 05 Enlist the responsibilities of a pediatric nurse. (04 Marks)

Q.No. 06 Write down the difference between diarrhea and dysentery. (04 Marks)

………..THE END………….

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