KADUNA STATE COLLEGE OF NURSING AND MIDWIFERY SCIENCES

PAMBEGUWA CAMPUS
SCHOOL FINAL / PRE-PROFESSIONAL EXAMINATION
OCTOBER, 2022
OBJECTIVE PAPER I: Covering all aspect of nursing and treatment of patients
Time Allowed: 3 hours for both section A & B
INSTRUCTIONS: This paper consists of sections A and B. Please read the instructions for each
section CAREFULLY.
Any candidate who makes an unauthorized writing/appeal on the Answer booklet shall be
DISQUALIFIED.
Candidate’s NUMBER only to be entered at the top right-hand of each sheet
SECTION B: OJECTIVES (40%)
ANSWER ALL QUESTIONS

1 The international Nurses day is celebrated …………….

a. May 1st
b. May 10th
c. May 12th
d. May 15th

2 Which of the following foods is reach in vitamin D?

a. Fish
b. Meat
c. Leafy vegetables
d. Ghee

3 An outbreak of disease that affects the entire nation is……………

a. endemic
b. pandemic
c. epidemic
d. sporadic

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4 Body building foods are ………………………..
a. carbohydrates
b. fats
c. proteins
d. vitamins

5 Magnesium sulphate toxicity in eclampsia is treated with ………….

a. vit. K injection
b. fibrinogen
protamine sulphate
c. calcium gluconate

6 Before administering methytrexate orally to the client with cancer, the

nurse should check the …………………………….
a. I.V site
b. vital signs
c. blood gases
d. electrolyte

7 A client with an abnormal aortic aneurysm is admitted in preparation for

surgery, which of the following should be reported to the doctor?
a. A negative Babinski reflex
b. An abdominal bruit
c. An elevated WBC count
d. Pupils that are equal and reactive to light

8 The route used for mantoux testing is ………………………

a. intramuscular
b. intra dermal
c. subcutaneous
d. intravenous

9 Osteoarthritis is also called ………………

a. rheumatic joint disease
b. psoriatic joint disease
c. inflammatory joint disease
d. degenerative joint disease

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10 The following are indications of electro convulsive therapy EXCEPT:
a. Mania
b. Depression
c. Schizophrenia
d. Brain tumor
11 Flash back is common with the use of the following EXCEPT:
a. Cannabis
b. Cigarette
c. Opium
d. Alcohol

12 A common street name for Indian hemp is ……………………

a. wee-wee
b. crack
c. sugar
d. sapele water

13 The major route of elimination of water from the body does not include
………………………..
a. skin
b. reproductive system
c. kidney
d. gastro Intestinal tract

14 In the administration of digoxin the pulse rate must measure up to …….

a. 20
b. 40
c. 60
d. 80

15 Basic managerial function include the following EXCEPT

a. Planning
b. Organizing
c. Financing
d. Leading

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16 The hypothesis which states no relationship between variables under
investigation is called……………………
a. null
b. alternative
c. opposite
d. directional

17 Mr. Bako has been admitted into the alcoholic referral unit in a local
hospital, nutritionally he will most commonly be prone to…………………
a. Vitamin B malnutrition
b. Obesity
c. Dehydration
d. Vitamin C deficiency

18 Intermittent suction is used in the patient with a single lumen

nasogastric tube for the purpose of ……………………………
a. draining the stomach more effectively
b. preventing electrolyte losses
c. helping to prevent dumping syndrome
d. helping to prevent the tube from suctioning the mucosa

19 Mr. Lawrence is receiving continuous tube feeding through a

nasogastric tube. The nurse checks the tubes placement once there is a
shift because …………………
a. the physician ordered it to be done
b. the tube could be misplaced in the ileum
c. the tube should be in the oesophagus for feeding
d. the tube can become dislodge and enter the trachea

20 Saline solution is used to irrigate a nasogastric tube used for

decompression. The rationale for this is ………………………..
a. irrigating the water is a contaminated procedure
b. saline solution is a hypertonic solution
c. saline solution replaced electrolyte lost through nasogastric
suction
d. saline solution is less irritating to the gastric mucosa

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21 Gorging followed by purging with self induced vomiting describes the
disorder of ……………………………
a. anorexia
b. morbid obesity
c. bulimia
d. cachexia

22 Protein helps to regulate fluid balance by ……………………….

a. oncotic pressure
b. hydrostatic pressure
c. secretion of antidiuretic hormone
d. retention of sodium

23 Abdominal pain that is difficult to localize is most likely categorized as

……………………………..
a. causalgia
b. visceral
c. superficial
d. psychogenic

24 Pain that is transmitted to a cutaneous site different from where it

originates is termed as ……………………….
a. transient pain
b. superficial pain
c. phantom pain
d. referred pain

25 A patient who has fallen and injured his/her wrist carefully cradles it
with the other hand. This response to pain is referred as
……………………………..
a. behavioral
b. affective
c. physiologic
d. involuntary

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26 To help relieve her pain Hannah concentrates on a favorite vacation
setting. This is known as ……………………
a. distraction
b. relaxation
c. recall
d. imagery

27 Intractable is best described as being …………………….

a. intermittent in nature
b. resistant to treatment
c. excruciating
d. widespread

28 A physiologic response to moderate pain is ………………..

a. increased blood pressure
b. restlessness
c. decreased pulse rate
d. protection of the painful area

29 Using a placebo for pain control is ……………………..

a. a wide spread practice
b. consistently effective
c. descriptive and unethical
d. justified to determine whether the pain is real

30 Chronic pain is mostly effectively relieved when analgesics are

administered………………………………
a. on a p.r.n basis
b. conservatively
c. around the clock
d. intramuscularly

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31 The patient receiving epidural analgesia requires careful monitoring to
prevent occurrence of ………………………………
a. pruritus
b. urinary retention
c. nausea and vomiting
d. respiratory depression

32 The strong flexible inelastic fibrous bands that attach muscle to bones
are ……………………….
a. tendons
b. ligaments
c. cartilage
d. joints

33 A patient performs rehabilitative exercises with resistance after a knee

injury, this type of exercise is referred as ……………………
a. isotonic
b. isokinetic
c. isometric
d. aerobic

34 The expected result when more protein is broken down than is

manufactured is ………………………………………
a. fluid volume excess
b. a contraction
c. osteoporosis
d. negative nitrogen balance

35 An immobile patient experiences multiple urinary tract infection and

urinary bacteria are more likely to grow when urine is ………………………….
a. alkaline
b. dilute
c. aromatic
d. acidic

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36 Mr. Bobo is experiencing some difficulties in breathing. The nurse most
appropriately assist him into the
a. Dorsal recumbent position
b. Lateral position
c. Fowler’s position
d. Sim’s position

37 Which of the following terms should be used to document wound

drainage that is thick, odorous and green?
a. Serous
b. Sanguineous
c. Sero -sanguineous
d. Purulent

38 Which action is believed to be of most use in preventing wound

infections?
a. Using sterile dressing supplies
b. Suggesting dietary supplements
c. Applying antibiotic ointment
d. Careful hand washing

39 Cardiovascular collapse means …………………

a. pain
b. shock
c. fainting
d. collapse

40 The risk of down’s syndrome is higher in mothers over the age of …………
a. 20
b. 25
c. 35
d. 30

41 Active learning methods include the following EXCEPT:

a. Seminar

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 b. Practical
c. Field trip
d. Lecture

42 The following are levels of health care EXCEPT:

a. Primary
b. Secondary
c. Tertiary
d. Comprehensive

43 A group of people within the same geographical location and with

common interest are called…………………
a. community
b. country
c. population
d. family

44 Fat soluble vitamins include the following EXCEPT:

a. Vitamin A
b. Vitamin D
c. Vitamin E
d. Vitamin B

45 One of the following is not a clinical manifestation of threatened

abortion
a. Light bleeding
b. Closed cervix
c. Uterus too small for date of gestation
d. Uterus correspond to date of gestation

46 The following are diagnostic methods for tuberculosis infection EXCEPT:

a. AFB test
b. Chest x-ray
c. Tissue biopsy
d. Early morning urine analysis.

47 Incubation period for tetanus is……………………

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 a. 3 – 15 days
b. 2 – 14 days
c. 4 – 21 days
d. 30 – 35 days

48 The concept of utilizing several approaches in the practice of quality

nursing care is called ……………………
a. electric approach
b. primary approach
c. evidenced based
d. control oriented

49 The lack of oxygen in the tissue is ……………………………

a. anoxaemia
b. anoxia
c. dyspnoea
d. asphyxia

50 Which of the following antibiotics can be prescribed as safety to an

asthmatic on theophylline?
a. Ciprofloxacine
b. Erythromycin
c. Levofloxacin
d. Clarithromycin

51 Infancy is a period from ……………………

a. O -1 year
b. 1 -3 years
c. 3 – 6 years
d. 6 – 12 years

52 All are the features of central retinal artery occlusion EXCEPT:

a. Markedly narrowed retinal arteries
b. “Cattle tracking” of retinal veins
c. Cherry red spot at macula
d. Massive retinal haemorrhage

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53 The nutritional blindness is caused by the deficiency of……………….
a. vitamin A
b. vitamin B
c. vitamin D
d. vitamin K

54 The physical modality suitable for an acute injury is………………

a. infra red
b. wax bath
c. deep heat
d. Ice application

55 The head nurse is making assignment for the day, which client should be
assigned to the nursing assistant?
a. A client with pneumonia
b. A client with appendicitis
c. A client with Alzheimer’s disease
d. A client with thrombophlebitis

56 Which assignment should not be performed by the licensed practical

nurse?
a. Initiating a blood transfusion
b. Discontinuing a nasogastric tube
c. Inserting a folley catheter
d. Obtaining a sputum specimen

57 Three gram of fat gives ………………….

a. 30 calories
b. 14 calories
c. 29 calories
d. 27 calories

58 The weight of a non pregnant uterus is ……………….

a. 50gm
b. 60gm
c. 90gm
d. 100gm

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59 One among the following is not a cause of death in a burn case
a. Septicaemia
b. Toxaemia
c. Bacteraemia
d. Shock

60 Life span of sperm in female genital tract is

a. 1 -2 days
b. 3 -4 days
c. 4 – 5 days
d. 6 -8 days

61 The predominant mode of transmission of hepatitis B virus in high

prevalence area is by …………………………
a. sexual contact
b. perinatal route
c. blood transfusion
d. none of the above

62 The transfer of heat directly through a substance from hot to cold part
by direct contact is termed as …………………………….
a. evaporation
b. convection
c. radiation
d. conduction

63 Which of the following adverse reaction can occur with administration

of capoten (captopril)?
a. Trinitus
b. Persistant cough
c. Muscle weakness
d. Diarrhea

64 A client returns to the unit from surgery with a blood pressure of

90/50mmHg, pulse132b/m, and respiration 30 b/m, which action by the
nurse should receive priority?

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 a. Continue to monitor the vital signs
b. Contact the physician
c. Ask the client how he feels
d. Ask the junior nurse to continue post-op care

65 A client with acute leukemia develops a low white blood cells count, in
addition to the institution of isolation, the nurse should
a. Request that food be served with disposable utensil.
b. Ask the client to wear a mask when visitors are present
c. Prepare I.V site with mild soap, water and alcohol
d. Provide food in sealed single serving packages

66 A normal finding of male genitalia in the term neonate is

a. A retractable prepuse
b. Rugated scrotum
c. Testes in the inguinal canal
d. Search for genitum

67 Removing a neonate from an incubator for procedure without the use

of an overhead warmer will result in heat loss by
a. Convection
b. Evaporation
c. Radiation
d. None of the above

68 A pre- eclamtic woman in the immediate post partum period needs to

be monitored closely for elevated blood pressure and…………………
a. adult respiratory distress syndrome
b. onset of seizures
c. subdural hematoma
d. none of the above

69 A predisposing factor for assisted delivery (forceps or vacuum) is ………….

a. post date gestation
b. multi parity
c. adolescent pregnancy

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 d. adult pregnancy

70 Which of the following treatment is the definitive one for a ruptured

aneurysm?
a. Antihypertensive medication administration
b. Aortogram
c. Beta-adrenergic blockers administration
d. Surgical intervention

71 In which of the following areas is an abdominal aortic aneurysm most

commonly located?
a. Adjacent to the aortic branch
b. Distal to the renal arteries
c. Distal to the iliac arteries
d. Proximal to the renal arteries

72 Which of the following parameters should be checked before

administering digoxin?
a. Apical pulse
b. Blood pressure
c. Radical pulse
d. Respiratory rate

73 Hospital acquired infections are also called…………………………

a. nosocoma infections
b. nosocosial infections
c. nococomial infections
d. nosocomial infections

74 Kwashiorkor is mainly caused by……………………………

a. protein deficiency
b. protein and starch deficiency
c. vitamin deficiency
d. mineral deficiency

75 One of the following is not an example of immunoglobulin

a. Immunoglobulin G
b. Immunoglobulin C
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 c. Immunoglobulin E
d. Immunoglobulin M

76 Pregnancy occurring outside the uterus is called……………………

a. endometriosis
b. ectopic pregnancy
c. etopic pregnancy
d. molar pregnancy

77 The female counterpart to a male pelvis is the ………………..

a. hymen
b. vagina
c. clitoris
d. labia majora

78 Fertilization of the ovum by the sperm usually occurs in

the …………………..
a. uterus
b. ovary
c. ova
d. none of the above

79 The primary hormone secreted by the testes is……………….

a. estrogen
b. progesterone
c. semen
d. testosterone

80 The body maintains internal environment at a constant state

through……..
a. internalization
b. adaptation
c. cellular integrity
d. homeostasis

81 What is the first step in crisis intervention?

a. Identify the problem and pray

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 b. Listen alternatively only
c. Implement a plan
d. Listen, plan and take immediate action

82 What type of setting is considered most stressful for a nurse?

a. Cancer treatment centers
b. Nursing homes
c. Operating rooms
d. Intensive care units

83 A major manifestation of a paranoid schizophrenia is ……………….

a. Suspiciousness
b. Lack of sleep
c. Loss of appetite
d. Neglect of personal hygiene

84 The sinoatrial node (SA node) is called …………………

a. Peace maker
b. Pace maker
c. Pace setter
d. Peace setter

85 Which of the following conditions is most closely associated with weight

gain, nausea and decrease in urine output?
a. Angina pectoris
b. Right sided heart failure
c. Left sided heart failure
d. Cardiomyopathy

86 The following are causes of decubitus ulcer EXCEPT:

a. Friction
b. Heat
c. Pressure
d. Moisture

87 The graphic representing the electrical current of the heart is……………..

a. electrocardiography
b. electrocardiogram
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 c. electric current graph
d. electro encephalogram

88 The inflammation of the parenchyma caused by micro-organism is

called
a. Pneumonia
b. Rhinitis
c. Atelectasis
d. Laryngitis

89 Body mass index is a ratio based on body weight and ……………..

a. age
b. sex
c. height
d. length

90 The first stage of dying is…………….

a. denial
b. anger
c. bargaining
d. depression

91 Turner’s syndrome is an example of……………..

a. trisonomy
b. disomy
c. mutation
d. monosomy

92 Setting priority is part of which of the nursing process?

a. Implementation
b. Diagnosis
c. Assessment
d. Planning

93 Ability to keep secrets about your patients is…………………..

a. circumstantiality
b. automatic obedience

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 c. confidentiality
d. justice

94 All the following diseases are prevented through immunization EXCEPT:

a. Measles
b. Poliomyelitis
c. Meningitis
d. Malaria

95 The leading cause of accidental death for people from 79years and
above is…………………….
a. Fires
b. Exposure to temperature extremes
c. Drug overdose
d. Falls

96 The guidelines for minimum protection standard for infection

prevention and control were initially developed by…………………..
a. OSHA
b. Individual health care facilities
c. The state governing body
d. The CDC
97.A patient has an abnormal unexpected response to a drug. This is
defined as…………………………………..
a. drug tolerance
b. accumulative effect
c. an idiosyncratic effect
d. an anaphylactic reaction

98 .An older patient’s skin requires special care because ……………………….

a. subcutaneous fat increases
b. subcutaneous glands secrets more oil
c. the skin becomes increasingly dry
d. the skin thickens at old age

99.Intractable pain is best described as being…………………..

a. intermittent in nature

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 b. resistant to treatment
c. excruciating
d. widespread

100. Parenteral nutrition provides nutrients to the patient by way of

a. Gastrostomy tube
b. Intravenous route
c. Naso-intestinal route
d. Jejunostomy tube.

KADUNA STATE COLLEGE OF NURSING AND MIDWIFERY (Pambeguwa Campus)

RESIT OBJECTIVE ANSWERS
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 PAPER I

S/N S/N S/N S/N

1 C 26 D 51 A 76 B
2 A 27 B 52 D 77 C
3 B 28 A 53 D 78 D
4 C 29 C 54 D 79 D
5 D 30 C 55 C 80 D
6 B 31 D 56 A 81 D
7 C 32 A 57 D 82 D
8 B 33 B 58 B 83 A
9 D 34 D 59 C 84 B
10 D 35 A 60 A 85 B
11 D 36 C 61 B 86 B
12 A 37 D 62 D 87 A
13 B 38 D 63 B 88 A
14 C 39 B 64 B 89 C
15 C 40 C 65 D 90 A
16 A 41 D 66 B 91 A
17 A 42 D 67 A 92 D
18 D 43 A 68 B 93 C
19 D 44 D 69 A 94 A
20 C 45 C 70 D 95 B
21 C 46 D 71 B 96 D
22 A 47 C 72 A 97 B
23 B 48 C 73 D 98 C
24 D 49 B 74 A 99 B
25 A 50 C 75 B 100 B

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