14. An informed consent is the respons! ae at J ee nurses’ professional practice? bit he folowing win Tre accerbed the nich of the following ¥ sont 7 vahies to make desi A. Applying knowledge of m iy ett a A preset . sntify ethical Care about ethic ' e health syst | issues B. Being able to ide em to all. (C. Engage In critical think 1D) Provide information regarding the ibility of which of the following? A. Ghent B. Nurse Assistant (Gi Physician D. Supervising Nurse. Who qualifies to practice nursing in Ghana? A. The nurse who has ing exams passed the licensing & B. The nurse who has registered with the Nursing and Midwifery Council, Ghana as C. The nurse who has registered with the Ghana Registered Nurses’ 2 Midwives Association 0. The nurse who has completed National Service are responsible for delegating patient care appropriate task to delegate to the Registered Nurses/Midwives responsibilities to Nurse Assistants, The most ‘Nurse Assistant is: A. Assessing the degree of lower leg oedema in a patient on bed rest 6. Making the bed of an ambulatory patient C. Measuring the circumference of a patient's calf for oedema D. Recording the size and appearance of a bed sore A patient was rushed to the emergency ward in an unconscious state by relatives. Examination on patient revealed flat reflexes and the doctor declared the patient clinically dead, This case ts referred to as a Coroner's case because patient was: 1, Already dead on arrival II. Brought in a commercial vehicle TH. — In the hospital less than 24 hours IV, — Rushed in by his relatives Land I 'B. Land I €. Land Iv D. Hand Ul /4SESSSARIA Due 6ulsuny a _ 73. Which of the following wil Nich eee ig will make you Suspect that a child with measies is developing A. Increased pulse rate B. Increased respiration C. Redness of eyes 1B. Wheezing 74. In nursing an unconscious child your objective ts to 1. ensure the child is safe and comfortable fl. maintain hydration, nutrition and excretion Til. prevent complications IV. _ stimulate the child A 1,Mandm B. I, and C. 1, Mand Iv D. 1, 0, Hl and IV 75. Which pulse should be checked for children who are tess than 2 years? A Apical B. Brachial C. Distal D. Radial 76. In the management of ringworm infestation of the scalp, which of the following is MOST appropriate? ‘A. Cut hair low or shave to allow for fresh air B. Ensure personal cleanliness regularly C. Wear sandal and not shoes to allow for fresh air D. Treat with penicillin and tetracycline 77. A child who is having severe diarrhoea ee. TV fluids. The nurse must ‘observe the rate of flow to A. avoid fluid getting into the tissues B) prevent cardiac overload C. prevent dislodging of the cannula D. repiace ail fluid lost 78. Parents of a one-year-old child should be most concerned about .. A. adequate nutrition 6. home accidents C. physical development D. toilet training AVS, aan ie 5 Ksoynpiwd PUP Suse euryg Jo 1HOUne: “. 97. A community Practices indistrie he best Coben nena praaeae | ke One Communal ownershi ‘< Individual ip of latrine . Jnsthition of sanctions D. Provision of pit latrine 98. lliness following ‘entrance of infection into the body depends on 99. The aim of rehabilitation is to ‘A. inform the family about resources available B. make the disabled person five with maximum capability C. provide disabled persons with required gadgets ©. relate cordially with persons with disability 100, People are becoming more interested In natural family planning because it ls based on i changes that eccur in a woman's cycle B. creating a barrier between the sperm and 698 Cas Frotecting against HIV/AIDS in beth man and woman do. prevent sperm from entering the uterus 3np tube 512 67. The rma faction of the pltoae in the re movement ofthe sperm A feciutate fast © faciitates t of the Ove » placenta devCIOPS | aveion fhment until the P lowing (to o. oo. Sean Sane the fertitred ovum and hal ” in pregnancy EXCE! 68. The following statements are true of physiological changes A. blood volume increases IB. cardiac output goes up C. there is hoemexfikstion D. there is increase in blood pressure PART FIVE: PAEDIATRIC NURSING 69. When respanding to the cail of a visually for the nurse to "A. address the child when she enters the room B. respond to the call promptly C. send an orderly to attend to the child D. touch the child before speaking to him ar her 70. Which of the following disease condition is common jn viternin B1 deficiency? impaired child on admission, it is important 7h The presence of parents during painful procedures on their toddiers should be A. based on individual assessment of the parents B. based on the type of procedure to be performed jo discouraged for the benefit of the parents and the child \D. encouraged and permitted if the child desires their presence 72. At what age in the developmental stages is an infant expected to have first tooth eruption? 3 - 4 months 5 = 9 months C. 10 - 12 months D. 13 - 18 months: 4A. Adrenal gland 8 Breasts C. Ovary 1B, Piuaitary giant tis discomfort. A ten week ying EXCEPT the nurse A bending over whilst doing house hold chor B. lie on the tent side b c p With) more pillows LhHAN erate o amall jneals. at @ time 57. Ovulation oceurs at the of me noel of secretory pha A. end of prolifer and 8. end of proiiferative and C. onset of proiiferative and end of menstrual phase D, ative and end of proliferative phase 58, The part of the foetal skull algo referred to as the mentum is the ‘A. Chin B. Occiput C. Sinciput D. Vertex Which of the following refers to failure of the testes to descend by birth? 1H. ceyptorctism B. Epispadias C. Hypospadias D. Intersex 60, Which harmon Controls the first part of the menstrual cycle? A. Folic 6. stimulating hormane ng hormone 61. Which of the following terms explains bleeding in between periods (menstruation)? A. Dysmenorrhoea 8. Menorrtioea . Metrorrhagia D. Oligomenorrhoea——— -10 750: A patient invoted in'RTA has compound fracture of the feft leg. Tt meens thet A. bone ts broken inside but skin is intact & skin integrity is impaired as well as bone . there Is risk for impaired skin integrity D. there is no break in skin integrity 51. Inflammation can be caused by a/an 1 burn 1. chemical II. organism IV. wound A. I, and It 8. I, and IV C. 1, Wi and Iv yp. 1, I, Wand IV 52. A boil on the face should be 1. left alone tL. managed with het formentations TIL. pricked with a needle IV. squeezed to bring out the pus PART FOUR: OBSTETRIC NURSING 53. Which function of the vagina will be affected if the pelvic floor is damaged? B. Exit for menstrual flow and products of conception is part ofthe uterus but It is usualy described separately because ft? m7 »pression? signs and symptoms of depress! 32. Which of the following ts NOT included in the A. Constipation By Flights of ideas €. Refusal of food D. Sieeplessness n 33, When fixation occurs at the oral stage, it is likely to result | A. Emotional problems B, Hatred for others Oral sex . Verbal hostility 34, Klinefelter’s syndrome is a chromosomal abnormality that usually affects A. Elderly B, Females & Males D. Sicklers 35, The most common form of hallucination in schizophrenia ts ‘A. Auditory B, Gustatory C. Tactile D. Visual 36, A manic client who is hyperactive and experiencing decrease need for food and sleep can best be assisted to eat by: A. restraining client and forcefully feeding him with the food 8, serving client’s favourite food while pacing up and down S serving food that can easily be held by the client while pacing up and down D. waiting for client to calm down before he is served with the food PART THREE: MEDICAL & SURGICAL NURSING 37. Post-operative thrombosis can be prevented by 1. breathing exercises Tl. early ambulation HL. passive exercises IV, maintenance of intake and output chart A, Tand fl and Tt I, I and II D. 1, TL, 1 and IvBUS Jo |f9UuNOD ALeyMplwW pue Bulsiny \ Nae = —— 2 62. Which Of these injuries may occur as a result af difficult labour? 1 n TL WV. A 8 Cc Erb's palsy Facial paralysis Fracture of femur Torticollis 1, Hand tt 1, Wand Vv 1, Wand Iv ® 1,1, Wand iv 63. Which of these conditions can be precipitated by pregnancy? I 0 It. IV. Diabetes Eclampsia Pre-eclampsia Jaundice A. Land Ut 1B. 1, Mand C. 1, Wand Iv D. H, Mand Iv appear smooth, dull white and solid in 64. At which stage of development do the avanes oA, Before birth Birth to puberty consistency? c - C. Menstrual phase D. Post-menopausal phase 65. The strongest pelvic ligament that binds the pelvic girdle could be found between the ‘A, lumber and the sacrum B. pubic bones ‘© sacrum and coccyx D. sacrum and illum 66. Which of the following is the milk secretory part of the breast? A, Alveoli B. Ampulla ©. Lacteferous tubles D. Lacteferous ductWhich of the following persong al operation iid 6 booked for surgi eS eecroonete 03 consent fort ls appropriate to sign the © Parents after explanation Relative of the chit C. Stater tn charge D. The child after careful explanation rpyrexia asks if all fevers with hype ‘80. A mother who brought her child te the hospital id be of at discases are treated the sarve. The appropriate response WOM! ‘A. fever is treated differently if it is viral or infectious B, fever is treated differently in — ae en fever ts treated according to the v! ° since all fevers are a je {to infection, all are treated the same 81. A child sitting on a chair in the playroom suddenly with clenched jaw, The nurse should immediately begins to have tonic-clonic seizure A. attempt to open the jaw and insert a gag, B. call for an assistant Jower the child to the floor . place a large pillow under the head 82. During the teenage years, the nutrition focus emphasizes: A. fat intake B, prevention of drug abuse C. prevention of obesity _D, self and body image 83. The side effects of oral iron therapy include 1. blackened stools Hl. darkened teeth TH. darkening of the skin IV. gastric irritation A. I, Mand 1 B I, Mand Iv C. Il, I and Iv O. 1, II, Wl and lv 84, Esther, 4 years, is convulsing and rushed to the emergency ward, her skin is very hot to touch. What immediate step would you take to reduce the temperature? A. Give her Smls paracetamol syrup 5. Reassure the mother C. Take the axillary temperature 1@ Tepe -sponge the child 6 i aeett—“‘_————_ 38. In managing post-operative vomiting, the nurse 1, passes a Ryle’s tube and aspirates often if it continues. I. provides light nourishing diets II. provides a clean vomit bowel and mouth wash for patient each time IV, __ sets a tray for intravery ous Mluids to be giver A. Land IV B, 1, fl and 11 ¢. 1, Wand IV By 1, 1 and Iv 39, The most common cause of third day post-operative fever is A. trauma of surgery B. urinary tract infection C. wound dehiscence (B. wound infection 40. The nurse is ready to transfer 2 patient from the ward into the operating room. Which action of the nurse would be most appropriate? A. Administer all the daily medication ‘§B. Ensure that the client has voided C. Practice: post-operative breathing exercise D. Verify that the client has not eaten the last 24hours 41. In assessing stool characteristics associated with diarrhoea, the presence of greasy stools suggests A. disorder of the colon 8B. inflammatory enteritis © intestinal malabsorption, D. small-bowel disorder 42, After a diagnosis of urinary tract infection has been confirmed, the nurse should tell the patient to A. decrease her fluid intake B. pass urine frequently 1G. take copious oral fluid D. wash her perineum with soap and water after voiding 43, When caring for a patient who is HIV positive a primary responsibility of the nurse to explain how the patient would avoid A, Kaposis sarcoma B, other infections C. reinfection D, social isolationWw sputum fer collecting & 44, Wivch ‘of: tne: following nursing action B@ PAOTRY Specimen for culture? Checking to see that sputum basin Is clean Giving the client mouthwash Providing tissue for expectoration A ef Sending the sputum specimen to the laboratory immediately ‘ene> 45. Local treatment of cellulitis of the leg include I, drainage of pus I. immobilization of the part Hil, _ intake of copious fluid IV. reduction of body temperature by sponging A. Land It B. Land I Cc. I, Mand Iv oe 1, TI, TH and IV 46. Which of these surgical procedures involves removal of a body organ? A. Cholecystectomy B. Colostomy . Hemiorrhaphy D. Laparoscopy 47. The primary difference between benign and malignant neoplasm is... A characteristic of tissue invasiveness B. rate of cell proliferation C. requirement for cellular nutrients D. site of the malignant tumour 48. The most serious complication of an open fracture is ... A. deformity B. infection C. muscle atrophy D. nerve damage 49, Prolonged bed rest after surgery may cause formation of deep venous thrombosis resulting in ‘A. cerebral embolism B. coronary occlusion C. dry gangrene of a limb B. pulmonary embolism Jit90, Gne of the purpaies of epi ation of disease dinar pocsan trol dived A. ensure prompt notif fy ther curse Nitin suespecte i adequate staft to she is preventable diseas "1 Je nenunizes @ child against vaccine ing the Infection Wpting pathway of transmitting dts spread of infectious disease usceptible host from disease "es The Primary function of the Community Health Officer (CHO) Is @. frequent visits two every hame B. o¢ jOrnal VESIRS th lected homes C. reguler visits to homes on request 1D. scheduled visits to special clients should @ pregnant woman undertake to prevent the wentive risa lel From Letarius? 90. What pi unborn € A. Eat nourishing diet during pregnancy B. immunize with anti-tetanus setum during pregnancy @ Immmunize with tetanol toxoid during pregnancy 1D. Prevent herself from nail prick during pregnancy conducting a home visit to a malnourished child, the nurse will require one of the 94, In following C, Vaccines WD, Weighing scale Which of the foflowing factors would you consider when choosing clothing f 0 year old lady? an A. Availability, washability and colour 8. Colour, comfort and cost C. Cost, comfort and washability 1D. Washability, comfort and colour lages of the combined oral contraceptive pill are 96. Some of the disady pon the face 6, Deen libido C. Depression B Weight gain ~ 8PART SIX: PUBLIC HEALTH NURSING 8S, Whi ich one of these &s an advantage of home visit? A ‘ Creating divided attention for clients e ae for families to share experiences ithe Se talk in presence of their fariily wuiters of health services ‘86. The CHPS. Drocess has to be supported by every health worker because It aims at A. building compounds for the staff to stay “B. increasing the heaith status of the people C. mobilizing resources for implementation D, selecting and orienting health staff = heen food-related diseases in health institutions, the kitchen should be provided 1. adequate fuel facility TL handwashing facilities IIL. health inspectors IV. _ healthy staff A. Land Il only B. Iand IV only C. 1, Hand IV only (D. 11, Mand fv only 88. You would educate people to prevent and contro! guinea worm by I. avoiding the bite of water snail Il. _ boiling river water before drinking IT]. destroying water snails In the river IV. identifying and treating infected persons A. I, Hand iil 'B. I, Hand Iv c. I, Itand V D, U1, I and IV 89. How can a nurse help change harmful socio-cultural 1. Collaborate with other agencies TL. Identify local leaders 25 focal persons IIL. Strengthen home visiting activities: : Iv. Threatens the people on the dangers associated with it practices in a community? “he Land I only B. Land IVonly C, 1, Hand Itt D. 1, Mand IV ———————5. Why Pte test ray taireact to unis woman's 1. Allow her to deteecate in the bush to prevent constipation H. Expliain for her to understand that it Is pot a bow! but 3 water TIL Exptain to her that this is what everybody uses without a problem. TV. Teach her how to use the water closet for her to relax A Land 1 B. Mand iv © Til and iv BD. Ul, 11 ang iv 6. How would you describe the behaviour of the nurses? A. Incompetent B. Judgmental (©. Unprofessionat D. Unsatisfactory 7. A patient is found reading through his notes and the nurse rebuked him. Which right of the patient is being trampled upon here? A. Right to confidentiality ‘8. Right to information C. Right to reasonable care D. Right to refuse treatment 8. A nurse behaves rudely to a client. The client reports the said nurse to the nurse- manager. Which aspect of the nurse's behavior should be Worked on? AL Attitude B. Competence C. Knowledge D. Skill 9. The following may influence people's attitude towards seeking health care. I. Attitude of care providers TL, Belief systems of the people TI. Emotional problems. IV. Previous experience A. 1, Iand It Bi I, and Iv Cc. 1, Mandy D.. I, MI and tv AB\ \nw » Cl lation in Huning EXCEPT nhs are dapevetdonedd eat ting det rived ababrerviat alley jwodd Hi 0 bw fac Hocuvontati oy flied Hi ign) ah ‘ B The vse of Jon thas prescribe ally Iorge hy cae 1 the approprinte action? 16. welication A, Administer the Call the Pharmacist 1G. Notify an D. Refuse to ni, when tn the appropriate time for the marie er actin to record it? sir dose of medication i due A. bate B. Bofore the ne wons is most important, as well as the most widely 18, Which of the following re ed fOr NURSES to Use NUFSINg proce “ate with other members of the team A ts meet their actual and potential health problems ¢ ique body of knowledge known as nursing D, Standa care of clients with the same diagnoses 19. Which of the following is most likely to occur ax Nurses advance in thelr education? A, Become less Interested in bedaide nursing B. Have Increased enjoyment when doing paper work C. Lear to develop a personal theory of nursing D, Lose their ability to think critically in clinical areas 20. Alberta complained to the nurse manager that she had been given an injection without her consent. Which offence would the nurse be charged with? A. Criminal assault 6, Maleficence ‘© Technical assault D. Tort isPART TWO: PSYCHIATRIC NURSING 21. Many schizophrenic patients refuse to eat because they r= A. attempting to punish others to nid themselves of guilt having delusion which tells them not to eat not hungry since they are so inactive D. too active to take time to eat 22. Psychotic symptoms include: A. Delusions, happiness to anger, chaotic speech and behaviour. B, Disorganized thoughts, inability to move and impulsive behaviour. C. Hallucinations, blank facial expression and risky behaviours. Qa Losing touch with reality, anxiety and apathy. 23. Nursing care of the schizophrenic patient includes: A. allowing the patient to become dependent on you B. allowing the patient to be alone in the evenings to rest C. following the patient when they move about the ward Dy keeping the environment quiet and free from confusion 24. Which of the following factors would increase a person's potential for suicide? 1. Being a pagan Il, Being a male 60 years of age Tl. Being divorced Iv. Low socioeconomic status A. Land I B. I, Mand IV c. Hand IV DP II and IV From questions 25 ~ 28, choose the appropriate defense mechanism exhibited. 25. A parent punishes her child then says “it is for your own good". A, Denial B, Projection Rationalization Reactive formation260% Woman who cannot cook good meals tasted her friend's food and accuses her Of being a poor cook A. Denial 8. Projecti C, Rationalization ©) Reactive formation 27, A child who was abused Nas no recollection of the events but has difficulty making friends D, Suppression 28. A 21 year old student had an abortion. 2 years later she visits the hospital and the mktwife asked her if she had ever been pregnant and she replied “No’ A, Displacement B, Repression . Sublimation 1) Suppression 29, Management of a patient during grand mal epilepsy include 1 I UL Joosening tight clothing removing any objects near by putting things in patient's mouth IV. sedating patient to stop the cycle A. Land I “B. 1, Wand I C,H, Mand Iv D. 1, UU and Iv 30, Withdrawal symptoms from alcohol occur when A. alcoliol level in the blood drops below the habitual level 8. the alcoholic changes habitual form of alcohol intake C. the alcoholic forgets to take his regular meals D, the alcoholic stops taking the alcohol 31, When a client is said to have “fight of ideas”, it means he A. Is overwhelmed by his thoughts, B, Repeats ideas with disconnection, C. Sees his mind to be full of Ideas, D, Verbalizes his ideas to others, a1 PART ONE: ETHICS AND WARD MANAGEMENT 1, Failure of professional duty is legally referred t0 85 2. Which of the following are the rights of a patient/client? I. Consent or decline to a treatment 1. Comply with prescribed treatment I. Personal safety and security IV. Seek second medical opinion A. I, Iand Iv 8, 1, Wand m @ 1, Wand wv D. H, Hl and Iv 3. The privacy of the client is said to be intruded when the nurse 1. Allows client to listen to the conversation of the nurses. Tl. Discusses of client's problem in public places. HI. Permits every visitor who wants to see client to do so. IV. Takes pictures with clients without consent. A. I, Iand M1 B. 1, ILand IV Cc. I, Wand Iv © 0, Wl and iv Use the scenario below to answer questions 4-6 A newly admitted patient refuses to use the water closet on the ward and asked to t a chamber pot or be allowed to use the nearby bush because “she could not defeac bowl”. The nurses saw her behaviour to be strange and insisted she uses the water « “she can please herself”. 4. What is influencing the woman's behaviour? A. Attitude B. Ignorance C. Poverty D, Value