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Paediatric Nursing Question Paper
Paediatric Nursing
Course:Bachelor Of Science In Nursing And Public Health
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2008/2009
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR
OF SCIENCE (NURSING AND PUBLIC HEALTH)
HNS 213: PAEDIATRIC NURSING
DATE: Monday 6th April, 2009
TIME: 11.00 a.m. – 1.00 p.m.
INSTRUCTIONS
(i)
Answer ALL Questions.
(ii)
For Part A, MCQs, answer in the question paper.
(iii)
For Part B and C answer in the answer booklet provided.
PART A: MCQs
1.
One of the following is TRUE abut the fine motor development of a 1 month old
infant:
a)
Grasp reflex is absent
b)
Hands often open
c)
Hands predominantly closed
d)
Grasp reflex is fading away
2.
One of the following sinuses is present at birth;
a)
Ethmoid
b)
Sphenoid
c)
Frontal
d)
Parietal
3.
The circulating blood volume in an infant is approximately
Page 1 of 6
a)
65
ml/kg
b)
70
ml/kg
c)
75
ml/kg
d)
80
ml/kg
4.
Early behavioral signs suggestive of cognitive impairment may include;
a)
Normal eye contact during feeding
b)
Irritability
c)
Poor
feeding
d)
Increased alertness to voice or movement
5.
In nephrotic syndrome, hypovolemia leads to
a)
Decreased secretion of antidiuretic hormone
b)
Decreased oncotic pressure
c)
Decreased renal blood flow
d)
Increased oncotic pressure
6.
Otitis media, is one of the most prevalent diseases of children because the
Eustachian tube is;
a)
Long, wide and straight and lie in a relatively horizontal plane.
b)
Short, narrow and straight and lie in a relatively horizontal plane
c)
Short, wide and diagonal and lie in a relatively horizontal plane
d)
Short, wide and straight and lie in a relatively horizontal plane.
7.
The most common clinical manifestation of persistent patent ductus arteriosus is
a)
A systotic ejection murmur that is heard over the pulmonary area.
b)
A continuous murmur at the first and second intercostal spaces in the
mid-clavicular
line.
c)
Rapid development of cardiogenic shock
d)
Hypertension in the upper extremities and decreased blood pressure in the
lower
extremities.
Page 2 of 6
8.
While monitoring a child on blood transfusion, the nurse notes that the child has
developed chills, fever and vomiting, the nurse should;
a)
stop transfusion immediately
b)
Transfuse the blood more slowly
c)
Place child flat on the bed
d)
Give
antihistamines
9.
In Hemophilia A, there is deficiency of factor
a)
iv
b)
vii
c)
viii
d)
ix
10.
In normal adolescent nutrition particular attention should be given to:
a)
Folic acid and calcium
b)
Folic acid and iron
c)
Iron and calcium
d)
Iron and potassium
11.
The priority nursing diagnosis for an infant with oesophageal atresia is;
a)
Risk for aspiration
b)
Impaired nutrition; less than body requirement
c)
Knowledge deficit regarding the condition
d)
Anxiety,
(Parental)
12.
The most common cause of bacterial pharyngitis in children is:
a)
Group C beta-hemolytic streptococci
b)
Group G beta-hemolytic streptococci
c)
Group B beta-hemolytic streptococci
d)
Group A beta-hemolytic streptocci
Page 3 of 6
13.
While assessing a child with chronic renal failure, the nurse should observe for
changes indicative of complications which include;
a)
Oliguria
b)
Bone
disease
c)
Seizures
d)
Pulmonary
edema
14.
Constipation in the school age child may result from;
a)
Normal development of bodily functions
b)
Previous experience of pain on defecation
c)
Changes in toileting patterns
d)
Overzealous toilet training
15.
In promoting the health of a child with cancer, the nurse should give special
attention to;
a)
Cognitive development and immunizations
b)
Physical development and immunizations
c)
Dental
care
and
cognitive development
d)
Dental care and immunizations
16.
Child neglect includes the following EXCEPT
a)
Physical
neglect
b)
Medical
neglect
c)
Removal of the victim from the home
d)
Removal of the offender from the home.
For questions 16 and 17 indicate whether the statements are TRUE or FALSE
(½ mark each)
17.
a)
Cleft lip with or without palate is more common in females than males
______________
b)
Cleft palate alone is more common in females ________________
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