AIIMS Nursing Officer Exam MCQ 2023

 

AIIMS Nursing Officer Exam MCQ 2023

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AIIMS Nursing Officer Exam MCQ 2023

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1. Mother complained about the temper tantrum behavior of  3-year-old child to a nurse. response from nurse is:
a. Punish the child whenever the unwanted behavior occurs.
b. It is normal as per her age group.
c. Set limit on her behavior.
d. Ignore the child completely whenever the unwanted behavior occurs.
Ans. (c) Set limit on her behavior.
Explanation: Being consistent and setting limits on the child’s behavior are necessary to control behavior of toddlers. Ignoring and punishing a child may not be helpful to control behavior as they have some unseen effect on their later behaviors.

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2. After a class on first aid, teacher understood that her class was effective if the students identified which as NOT a cardinal sign of choking?
a. Inability to speak
c. Collapse
b. Cyanosis
d. Gasping
Ans. (d) Gasping
Explanation: First three options are the cardinal signs of choking. Gasping is not a cardinal sign of choking.

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3. Nurse is teaching to a group of mothers whose children are affected with Cystic fibrosis. Nurse could understand, teaching was effective if parents correctly identified the INCORRECT statement about Cystic fibrosis as.
a. It affects body’s mucous secreting glands.
b. Intake of high calorie, high protein and moderate fat is required.
c. Postural drainage is required and to be done before meals.
d. When disease is under control, large quantities of foul-smelling stool occur.
Ans. (d) When disease is under control, large quantities of foul smelling stool occur.
Explanation:- Cystic fibrosis is a condition which affects exocrine glands in the body and produce thick secretions.  Because of difficulty with absorption and digestion high calorie, high protein moderate fat is needed. Postural drainage helps to remove secretions and to be done before meals to avoid the possibility of vomiting and regurgitation. If the disease is under control, stool will be soft and with little odor.

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4. Ten-month-old infant chokes and becomes unconscious. After opening the airway, what is the first step of action by the nurse?
a. Look for foreign object in the mouth
b. Do blind sweep
c. Give back blows
d. Call emergency response number
Ans. (a) Look for foreign object in the mouth
Explanation:- Once the airway is open, then look for the foreign object in the mouth. Blind sweeps are not recommended. If foreign objects are not visible, then back blow is indicated.

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5. Nurse is collecting history of a child admitted with rheumatic fever. While collecting history, which among the following information is most important?
a. Recent travel history to restricted countries
b. Recent history of viral infection
c. Recent episode of pharyngitis
d. Lack of interest in food
Ans. (c) Recent episode of pharyngitis
Explanation:-There is an antigen antibody reaction usually following streptococcal sore throat which predisposes a client to sore throat.

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6. Following a class on inflammatory bowel disease, which among the following signs identified by the student regarding ulcerative
colitis shows that class was effective?
a. Lesion throughout the GI system
b. Cobblestone appearance
c. Strictures and fissures are present
d. Profuse diarrhea
Ans. (d) Profuse diarrhea
Explanation: Except option d all others are the characteristics of Crohn’s disease.

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7. Client came to emergency department with cardiac failure from his relative, nurse came to know that he was on digoxin therapy. Which among the following signs indicates digoxin toxicity as a cause of cardiac failure?
a. Extreme bradycardia
b. Profuse diarrhea
c. Headache
d. Chest pain
Ans. (a) Extreme bradycardia
Explanation: Digoxin decreases the heart rate; extreme bradycardia is a cardinal sign of heart failure associated with digoxin toxicity.

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8. Labor room nurse was assessing a baby following term delivery. Which among the following characteristics will be present in the baby?
a. Baby is in extended posture.
b. Lanugo is covering most of the body part.
c. Ear cartilage has poor recoiling capacity.
d. Sole creases covering the entire foot.
Ans. (d) Sole creases covering the entire foot.
Explanation: Sole creases covering the entire foot is the characteristic of term delivery. All other options are the characteristics of preterm babies.

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9. Pediatric ICU nurse was performing suction on a child. Following suction, which among the following findings needs to be observed in the child ?
a. Bradycardia
c. Hypertension
b. Tachypnea
d. Jerking movement
Ans. (a) Bradycardia
Explanation: Bradycardia following suction is an expected finding because of the vagal stimulation. Other given options are not a normal observation following suction.

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10. Nurse was assessing a male neonate and observed urinary meatus was opening on the dorsal side of the penis. This condition is known as ?
a. Phimosis
c. Hypospadias
b. Epispadias
d. Cryptorchidism
Ans. (b) Epispadias
Explanation: Urinary meatus on the dorsal aspect is known as epispadias and on the ventral side is known as hypospadias. Phimosis is a condition in which foreskin is too tight to be pulled back over the head of the penis. Cryptorchidism is a condition in which one or both of the testes fail to descend from the abdomen into the scrotum.

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11. 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.

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12. 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.

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13. 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.

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14. 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.

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15. 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.

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16. 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.

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