Nursing exam MCQ ESIC exam 2024
Nursing Exam MCQ ESIC 2024
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1.CPR was going on in NICU. After 30 seconds of chest compression heart rate was 52 bpm. Adrenaline injection given to the baby. What is the normal expected finding following the injection?
a. Increase in heart rate
c. Polyurea
b. Hypotension
d. Sedation
Ans. (a) Increase in heart rate
Explanation: Adrenaline or Epinephrine injection is given to treat severe bradycardia or hypotension. Following injection, normal expected finding is rise in BP and heart rate. Adrenaline decreases renal blood flow and causes decrease in urine output. It stimulates alpha- and beta-adrenergic receptors so sedation cannot be expected.
2.A mother with her 15-month-old child came to developmental clinic with the concern that her child is not yet walking. The nurse working in the clinic understood that according to the Denver Developmental Screen, the median age for walking is:
a. 12 months
c. 18 months
b. 15 months
d. 24 months
Ans. (a) 12 months
Explanation: According to the Denver Developmental Screen, the median age for walking is 12 months and the concern of mother is genuine and baby needs further assessment.
3.Nurse received baby following lumbar puncture procedure. Which position needs to be given to the baby in post procedural period?
a. Supine
c. Fowlers
b. Prone
d. Knee chest
Ans. (a) Supine
Explanation: Following lumbar puncture, baby has to be placed in supine position to prevent post lumbar puncture headache. Increasing fluid intake will replenish the lost fluid during this time.
4.Nurse educator was explaining to a junior nurse about iron deficiency anemia. Nurse educator can identify her class was effective if junior nurse identifies INCORRECT statement regarding iron deficiency anemia as:
a. Microcytic anemia
b. Decreased total iron binding capacity
c. Decreased MCV
d. Decreased hemoglobin
Ans. (b) Decreased total iron binding capacity
Explanation: In a child with iron deficiency anemia, the blood study results most likely would reveal decreased mean corpuscular volume (MCV) which demonstrates microcytic anemia, decreased hemoglobin, decreased hematocrit and elevated total iron binding capacity.
5.An undergraduate nursing student was performing physical examination on a toddler, her educator asked her about the best method to perform physical examination on a toddler. She correctly responds as:
a. Cephalocaudal direction
c. Least to most intrusive
b. System wise assessment
d. Proximal to distal
Ans. (c) Least to most intrusive
Explanation: Best method to perform physical examination on a toddler is least intrusive to most intrusive. All other given options are inappropriate.
6.Baby Riya underwent for ventriculoperitoneal shunt last week, which among the following signs indicates early shunt malfunction?
a. High pitched cry, changes in pulse and respiration
b. Pupillary changes and high-pitched cry
c. Tense fontanelle, vomiting and irritability
d. Headache, anorexia and irritability
Ans. (c) Tense fontanelle, vomiting and irritability
Explanation: Early signs of shunt malfunction include irritability, vomiting and tensed fontanelle. Change in pulse and respiration is a late sign.
7.During the visit to well-baby clinic, mother asked the clinic nurse regarding weaning and introduction of home food. Which among the following food items needs to be introduced by the mother first?
a. Smashed potato
c. Hen’s egg
b. Mashed fruit
d. Rice cereals
Ans. (d) Rice cereals
Explanation: Rice cereals are the best food to introduce after weaning as they are easily digestible and associated with less allergic reaction. Following cereals, mashed vegetables and fruits can be given. Introduction of egg should be delayed as it causes allergic reaction in most of the babied…
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