B.Sc.
NURSING 3rd YEAR, Send Up Examintaion
Pediatrics Health Sciences
MCQs
1. Sudden infant death syndrome can be
avoided by placing the infant in which
position?
a. Frog
b. Knee chest
c. Lateral
d. Prone
e. Supine
2. A 5 yr old girl presented in emergency
with altered state of consciousness,
fast breathing and complaints of
abdominal pain, what is the first
appropriate investigation?
a. ABGs
b. Blood sugar random
c. LFTs
d. RFTs
e. thyroid profile
3. Diaper rash can be avoided by
a. Cleaning with wipes
b. Delayed change of diaper
c. Keeping skin dry
d. Keeping skin wet
e. Tight clothing
4. Acute renal dysfunction treatment
includes all of the following except:
a. Administration of polystyrene
sulfonate
b. Give potassium rich food
c. Maintain fluid electrolyte
balance
d. Metabolic acidosis correction
e. Renal dialysis
5. Hypoxia is defined as:
a. Low level of oxygen in blood
b. Low level of oxygen in CSF
c. Low level of oxygen in heart
d. Low level of oxygen in lungs
e. Low level of oxygen in tissues
6. What is the first step to prevent
hypothermia in a newborn
immediately after delivery?
a. Avoid baby to place on cold surface
b. Clamp cord
c. Feeding
d. Immediately dry the baby by sheets
e. Keep under warmer
7. What is most appropriate age for
weaning (complementary feeding) in a
baby?
a. 3-4 months
b. 4-6 months
c. 7-8 months
d. 9-10 months
e. After twelve months
8. Which of the following is talpies
calcaneus?
a. Flat foot
b. Inward turned foot
c. Planter flexion, toes lower that than
heels
d. Toes are higher than heels,
dorsiflexion
e. Toes lower than heels and facing
inward
9. Which of the following is a danger sign
in a child with pneumonia?
a. Cough
b. Fast breathing
c. Fever
d. Irritability
e. Lethargy, inability to feed
10. What is the appropriate step for
management of child with fracture?
a. Immobilize limb, use soft and rigid
splint to hold it in position
b. Keep the fractured limb at a higher
level than head
c. Mobilize the limb
d. Tie weight to limb
e. Try to align bones at home
immediately
11. A child presented with history of
cement and sand eating habit and poor
weaning. On examination, child was
pale with no visceromegaly. What is
the likely diagnosis?
a. Anemia of Chronic disease
b. Hereditary spherocytosis
c. Iron deficiency anemia
d. Sickle cell disease
e. Thalassemia
12. A Child presented in ER with multiple
episodes of bilious greenish Vomiting
and constipation. On examination,
child is sick looking and abdomen is
 tense, tender. What is the suspected
diagnosis which may require urgent
evaluation?
a. Constipation
b. Gastritis
c. Hernia
d. Intestinal obstruction
e. Pancreatitis
13. What is the diagnostic feature of
Nephrotic syndrome in urine complete
examination?
a. Bacteriuria – presence of bacteria in
urine
b. Glycosuria – presence of sugar in
urine
c. Hematuria – presence of RBC in
urine
d. Proteinuria -presence of protein in
urine
e. Pyuria- presence of pus in urine
14. Which of the following are signs and
symptoms of diabetes mellitus in
children?
a. Oliguria; decreased appetite;
weight gain; hypoglycemia
b. Oliguria; increased appetite; weight
toss; hypoglycemic
c. Polyuria, Increased appetite;
polydipsia, euglycemia
d. Polyuria, Increased
appetite;polydipsia, hyperglycemia
e. Polyuria; decreased appetite;
weight grain; hyperglycemia
15. Which of the following is best
management in evaluating a child with
history of bed wetting habit during
sleep?
a. Aggressively treat child to stop with the
habit
b. Excess use of tea and cold drinks
c. Giving child reward on dry nights
d. Increase fluid intake after evening
e. Strictly treating the child by physical
abuse
16. Perinatal period is defined as:
a. 28 days to 60 days of life
b. Conception to birth
c. From 28th week of gestation to
7thday after birth
d. From birth to 1st month of life
e. From birth up to twelve months of
age
17. Premature baby is defined as:
a. Baby born after 37 weeks of
gestation
b. Baby born after 40 weeks of
pregnancy
c. Baby born at 38 wks
d. Baby born at 39 weeks of gestation
e. Baby born before 37 weeks of
gestation
18. Which of the following defines stage 3
of Hodgkin disease?
a. Disease confined to one group of
lymph nodes
b. Disease involving lymph nodes on
both sides of diaphragm
c. Disease present in greater than or
equal to 1 group of node but
limited to one side of diaphragm
d. Hematogenous spread to brain
e. Hematogenous spread to liver
19. Which of following is best feeding for a
failure to thrive, malnourished child?
a. Buffalo’s milk
b. Cow’s milk
c. Formula feed
d. Goat’s milk
e. Mother feed and supplementation
20. A child walks with one hand held and
speaks first real word. What is the
developmental age of the child?
a. 10 months
b. 12 months
c. 15 months
d. 18 months
e. 24 months
21. Child presented with hyper cyanotic
spells. First step in management will
be:
a. Administer 100% 0xygen
b. Give morphine subcutaneously
c. IV fluid replacement
d. Place in knee chest position
22. Hypothermia is defined as:
a. Baby temperature < 95 F
b. Baby temperature < 96 F
c. Baby temperature < 97 F
d. Baby temperature< 94 F
23. Cow's milk contains all contents in
excess of breast milk except:
a. Calcium
b. Carbohydrate
c. Fat
d. Protein
 e. Solute content c. DPT, IPV, measles vaccine
24. Most effective precaution to protect d. DPT, pneumococcal,
patients of pediatric ICU from cross Haemophilus influenza vaccine
infection is: e. DPT, pneumococcal, hepatitis B
a. Gloving vaccine
b. Gowning 31. Kwashiorkor is characterized by:
c. hand hygiene a. Chronic deficiency of calories
d. Mouth, nose, eyes protection and adequate intake of
e. Waste management proteins
25. All of following are live attenuated b. Edema of feet and legs
vaccines except: c. Shriveled and wrinkled skin
a. BCG d. Very thin arms
b. Hepatitis B vaccine e. Weight very low below normal
c. Measles vaccine 32. Tachypnea in newborn is defined as
d. Mumps vaccine respiratory rate greater than:
e. Oral polio vaccine a. 30/min
26. Most immediate assessment of a b. 40/min
child with head injury is assessment of: c. 50/min
a. Abdominal examination d. 60/min
b. Airway, breathing and circulation e. 70/min
c. Neurological examination 33. Stages of Gullian barre syndrome are:
d. Shock a. Acute, Chronic, Plateau
e. Spinal cord injury b. Acute, Convalescent, Chronic
27. Which action should be avoided c. Acute, Plateau, Recovery
during a seizure episode? d. Chronic, Recovery,
a. Give water to child per oral Convalescent
b. Loose tight clothing e. Plateau, Acute, Chronic
c. Remain calm 34. While assigning APGAR score to
d. Time seizure episode newborn if heart rate is less than 100
e. Turn the child to one side points given will be:
28. Prevention of UTI includes following a. 0
measures except: b. 1
a. Avoid holding urine c. 2
b. Avoid tight clothing d. 3
c. Encourage generous intake of fluids e. 4
d. Wipe from back to front 35. Status epilepticus is defined as
e. Wipe from front to back continuous seizure that last for more
29. Mechanism of phototherapy is: than:
a. Conversion of conjugated to a. 05 mins
unconjugated bilirubin b. 10 mins
b. Conversion of unconjugated to c. 15 mins
conjugated bilirubin d. 20 mins
c. Increase deposition in tissues e. 30 mins
d. Photo isomerization which 36. Common complications of prematurity
converts bilirubin to insoluble are all of the following except:
form a. Apnea of prematurity
e. Photo isomerization which b. Intraventricular Hemorrhage
converts bilirubin to soluble c. Necrotizing enterocolitis
form d. Respiratory distress syndrome
30. Pentavalent vaccine includes: e. Transient Tachypnea of
a. DPT, hepatitis B vaccine, newborn
Haemophilus influenza vaccine 37. Clinical manifestations of Cushing
b. DPT, IPV, BCG syndrome are:
 a. Central obesity, buffalo hump, a. Defect of vertebrae, not visible
hypertension, hyperglycemia externally, but dysraphism may be
b. Developmental delay, coarse present
facial features b. Fused vertebrae
c. Hypotension, thin lean c. Meningeal cystic swelling
appearance d. Meninges and spinal cord cystic
d. Polydipsia, polyphagia, swelling
polyuria e. Sacral dimple
e. Thin lean appearance, 44. Which of the following falls in category
hypertension of very low birth weight newborn?
38. Pulmonary complications of cardiac a. Baby with weight 0.9 kg (900 g)
surgery are all of the following except: b. Baby with weight 1.3kg(1300 g)
a. Atelectasis c. Baby with weight 2.1kg(2100 g)
b. Peritonitis d. Baby with weight 3.2 kg(3200 g)
c. Pleural effusion e. Baby with weight 4kg(4000 g)
d. Pneumothorax 45. Which of the following is correct
e. Respiratory distress syndrome schedule of EPI immunization at 10
39. Breastfeeding should be initiated weeks of age?
within how many minutes of birth? a. BCG, OPV 0
a. 15 mins b. Measles, Mumps, Rubella
b. 30 mins c. OPV, Penta 1, Pneumococcal 1
c. 60 mins d. OPV2,Rota 2, Penta 2, Pneumococcal
d. 90 mins vaccine 2
e. 120 mins e. Pentavalent, HAV, HBV
40. How to encourage acceptance of oral
medication in a child?
a. Give all amount at one time
b. Give drug by force
c. Give drug in chewable form
d. Give medicine with flavored
juice
e. Mix drug with vinegar
41. Which of the following defines genu
varum?
a. Bow leg, bowing of tibia,
femur giving outward
curvature
b. Inward turned feet
c. Knees close together, feels
spread apart
d. Paralysis in both legs
e. Scissoring of legs
42. Which of the following is not a benefit
of circumcision in neonates?
a. Prevention of bed wetting
b. Prevention of HIV
c. Prevention of penile cancer
and prosthitis
d. Prevention of prosthitis
e. Prevention of urinary tract
infection
43. Spinal bifida occulta is defined by
which of the following?