1.      A patient is diagnosed with carcinoma of the breast. The most important prognostic factor in the treatment of this disease is

10.  Which of the following action of nurse is incorrect to keep a new born baby warm after immediate birth?

100.                    Which one of the following is false guiding to appendicitis

11.  After initial steps of resuscitation, you evaluate the baby’s respiration, heart rate & color in order. The baby starts breathing; heart rate is 115 beats/minute & has central cyanosis. What is your action to this baby?

12.  Not the characteristics of pathologic jaundice?

13.  Assume you are giving immediate newborn care to a newborn baby. The baby is born with central cyanosis, do not cry when stimulated, was gasping, limpic and heart rate was 94 bpm. You do APGAR score of the baby and it was 2.The status of the baby’s asphyxia & your action respectively is:

14.  Which of the following is not true about cephalhematoma?

15.  W/ro Megertu who has delivered a male baby 3 days ago from a clinic where you are assigned, presented to you with her baby who is not able to breast feed, vomits when she offer breast and his behavior is changed. You have also observed that the baby is weak and measured temperature with 34oc and CBC lab result shows leukocytosis. Which one the following is true about this bay?

16.  Which one of the followings is not a common risk factor for early onset neonatal Sepsis?

17.  One is not correct action for baby under phototherapy?

18.  Which of the following child had handicapped condition?

19.  An ongoing failure to provide the right care and attention to a child’s needs is?

2.      The presentation of Asherman syndrome typically involves

20.  Melaku is nurse working at Attach hospital. He was working on immunization room and wants to give a vaccine to the baby. But, he was not sure about to use or not to use the vaccine. He tries to judge the vaccine usage using the vaccine vial monitor. Which of the following action of nurse Melaku is incorrect according to vaccine vial monitor?

21.  When most of the people in a community are immune to particular infection, minorities are immune to that particular infection. This type of immunity is called:

22.  The child makes immunity after Exposure to a disease. This type of immunity is called?

23.  True about Rota vaccination?

24.  Which vaccine is most sensitive to sunlight?

25.  Which vaccine is most sensitive to heat?

26.  Not True about IMNCI strategy?

27.  Assessing of which of the following sign does not need the child’s calmness?

28.  A 21 day old male neonate comes to the health center where you are working. The neonate moves only when stimulated, has red umbilicus &skin pustules. What is your classification for this neonate?

29.              W/ro Merima, whose child’s age is 27 days visits your clinic. She told you that her child has had lose watery stool 4 times a day for 7 consecutive days. When you examine the child, his eyes seem sunken, restless & irritable during examination; its skin pinch goes back very slowly. What is your possible classification of dehydration for this child?

3.      Which of the following pubertal events in girls is not estrogendependent?

30.  For question number ‘22’, what will be the color code for this classification?

31.  If a baby with the age of 16 hours presented to you at your clinic. When you assess this baby, you observed that the skin and eyes are yellow. What is your possible classification?

32.  For the previous Question, what is your possible color code for this classification?

33.  A 1 month & 2 weeks old child has had lose watery stool 5 times a day for 14 consecutive days and has no dehydration. Your classification to this illness will be :

34.  For question number ‘26’, what will be the color code for this classification?

35.  According to IMNCI, a child with cough or difficult of breathing should be assess for:

36.  For a child with exactly 2 months of age, the cut off point for fast breathing is?

37.  W/ro Sahilework presented to a health center where you are assigned and working. She told you that her male child with age of 10 months, suddenly developed cough which is productive and has trouble breathing for 2 days .During your assessment you have observed that the child is weak and has chest indrawing when he is calm. His To is 380c and he breaths at 55 b/mint. What is your possible classification for this child?

38.  For Question no 30, what is your possible color code for this classification?

39.  Based on question no 88, what is your action to the baby?

4.      A 48-years-old woman presented with inters menstrual bleeding for 2 months. Episodes of bleeding occur any time in the cycle. This usually fresh red blood and lighter than normal period. It can last for 1-6 days, there is no associated pain. She has not hot flushes or night sweat. She has sexually active and she has not noticed vaginal dryness. She has three children and has used the progesterone only pills for five years. Her last smear was 2 years ago and smears have been normal. She takes no medication and has no relevant medical history. On physical examination; her abdomen is unremarkable, speculum examination shows a slightly atrophic vagina and cervix but there is no apparent cervical lesion and there is no current Bleeding. On bimanual examination, the uterus is non-tender and normal size, axial and mobile. There is no adnexal mass. What could be the diagnosis?

40.  Which of the following child has persistent diarrhea?

41.  A mother brings her 4 years & 3 months old male child to health center where you are working. He has pus draining from the ear & is reported for 10 days. On Assesment you note that there is tender swelling behind his ear. The possible classification for this child is:

42.  For question ‘34’, what is the type of treatment for this child?

43.  A febrile child comes to your OPD with his mother. On your assessment, red rashes are seen & mother told you that these rashes begins behind the ear & the neck then spread to the rest of the body, pus is draining from the eye & cornea looks cloudy. When you look the mouth, there are mouth ulcers & you decide that ulcers are not deep. The possible classification for this child is

44.  A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

45.  A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. The nurse provides which most appropriate instructions to the mother?

46.  A nurse on the newborn nursery floor is caring for a neonate. On assessment the infant is exhibiting signs of cyanosis, tachypnea, nasal flaring and grunting. Respiratory distress syndrome is diagnosed and the physician prescribes surfactant replacement therapy. The nurse would prepare to administer this therapy by.

47.  A nurse prepares to administer a vitamin K injection to a newborn infant. The mother asks the nurse why her newborn infant needs the injection. The best response by the nurse would be:

48.  A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. In planning for the admission of this infant. The nurse’s highest priority should be to:

49.  Which of the following signs are “general danger signs” in a sick child age 11 months old?(circle all the correct options)

5.      An 18-year-old college student who has recently become sexually active is seen for severe primary dysmenorrhea. She does not want to get pregnant, and has failed to obtain resolution with heating pads and mild analgesics. Which of the following medications is most appropriate for this patient?

50.  Which of the following are among the 5 main causes of mortality in under-five children in the country? (Circle all the correct options)

51.  What is a child’s classification if he is 10 months old, has had a cough that lasted two days, has a breathing rate of 46 breaths per minute and chest in drawing ?

52.  Approximately 70% of all childhood deaths are associated with one or more of 5 conditions. Three of these conditions are diarrhea, measles and malnutrition. The other two are:

53.  A 3-year-old child has fever and diarrhea. He has no danger signs and no cough. The child has had diarrhea for 2 weeks. The child is restless and irritable, but is not drinking eagerly. His eyes are not sunken. A skin pinch goes back slowly. He does not have a cough or difficult breathing. He does not have an ear problem. The child should be classified as:

54.  A 2-year-old child has had diarrhea for several days. He is not dehydrated, but the mother is alarmed because she saw blood in his stool this morning. Your treatment includes

55.  Feeding should be assessed in a child who:

56.  If a child has any of the four general danger signs, you should urgently refer him to Hospital for treatment, these signs are:

57.  If a child did not receive immunization for DPT at the recommended age it is necessary:

58.  What is the cut-off rate for fast breathing in a child who is 11 months old?

59.  According to IMNCI, a mother of a sick child should be counseled about what topics:

6.      Retrograde menstruation is the most accepted mechanism to explain the etiology of Another theory suggests that some stimulus causes metaplasia of the colonic epithelium, leading to endometriosis. Endometriosis in which of the following patients is evidence of the colonic metaplasia theory of causation?

60.  Complimentary foods should be started if the child

61.  Which should be checked for malnutrition and anemia?

62.  When the nipple of the breast touches the lips (cheeks) of the baby, then turns his head towards the touch, and opens and shuts his mouth. These shows?

63.  A new born baby who delivered at stat hospital was admitted to nice with sing of hypotonic, weak reflexes, lethargic, seizure and miosi which last 1-14 days , so what is the most likely diagnosis of neonate?

64.  If the mother who brought her child to your we baby clinic asked you the dial age of sitting independently for normal growing infant. What will be your correct answer?

65.  When you give immunization for the child, which elements of chain of infection is acted over?

66.  If you are a nurse educator on pediatric nursing how you do explain a cyanotic congenital heart disease?

67.  What will be the amount of fluid Mo, A will take on the second part of treatment over 23 hours?

68.  What will be class of the child’s DKA

69.  if you are running EPI campaign for reaching infant of home delivery, which one is the acceptable schedule?

7.      A 19-year-old patient presents to your office with primary amenorrhea. She has normal breast and pubic hair development, but the uterus and vagina are absent. Diagnostic possibilities include

70.  What is the percent of weight for height (WFH) for birmadu?

71.  What is the category of wasting for birmadu depending on his WFH?

72.  Which protein energy malnutrition (PEM) will be the diagnosis for the child?

73.  What is the grade of dermatitis for birmadu?

74.  What would be the appropriate classification for birmadu’s dehydration?

75.  If you are rushing to resuscitate neonate with low APGAR score what will be the ratio of compressions to rescue breath?

76.  If newborn with blood group AB+ that born to B- mother is diagnosed with hyperbilirubinemia secondary to Rh incompatibility, which of the following blood do you prepare for exchange transfusion?

77.  If gentamicin 5mg/kg is ordered for 4 kg neonate and the mother brought you an ampoule of 80 mg/2ml gentamicin new much ml do you administer for this neonate?

78.  If s/r meron is going to insert nasogastric tube for unconscious pediatrics patient, which of the following positive is the recommended?

79.  There was deworming campaign in your woreda and you were a nurse involved in that campaign. You are going to administer albendazole 400mg PO stat for children older than 2years. The form of medication in your ba is syrup of albendazole 100mg/5m so how much ml you will administer for the children?

8.      Good pediatric nurse must not be:

80.  If nurse dogiso is seriously educating postnatal mothers to practice coclusive breast feeding up to 6 month. Which components of primary level prevention he is emphasizing?

81.  Nurse birhanu and biratu are in dilemma to establish the diagnosis whether it is appendicitis or intussusception for the child who came with abdominal compline. The following nurses A.B and C) suddenly arrived on their debate. Which nurse appropriately stated the difference between intussusception and appendicitis?

82.  What was the APGAR score of the baby according to your assessment?

83.  What is the implication of this baby’s APGAR score ntussusception?

84.  A 34 year old secretary climbs 12 flights of stairs every day to reach her office because she is terrified by the thought of being trapped in the elevator. Her diagnosis is

85.  A 17 years old girls blushes stammers and feels completely foolish when one of her classmates or a teacher asks her a question. She sits at the back of the class hoping not to be noticed because she is unattractive and stupid her diagnosis is most likely?

86.  Two years after she was saved from her burning house, a 32 year-old woman continues to be distressed by recurrent dreams and intrusive thoughts about the event her diagnosis is most likely,

87.  A 32 years old woman is brought to the emergency room by the police after she was found standing in the middle of a busy highway, naked commanding the traffic to stop. In the emergency room she is agitated and restiess with pressured speech and an affect that altemates between euphoric and irritable which of the following is the most likely diagnosis?

88.  A woman washes her hands hundreds of times a day out of a fear of contamination she cannot stop herself, although her hands are raw chafed , the most likely diagnosis in this case is

89.  The sign that best differentiates between delirium and demantis is:

9.      NOT true about growth of children

90.  For a diagnosis of bipolar I disorder according to, DSM-V. Which of the following criteria is a must?

91.  Which of the following is a not characteristic of delirium?

92.  A 25 years old woman without previous problems becomes angry and bitter of after her boyfriend of 5 years leaves her to live with his female business partners. One week later the women quit her job without giving notice and begin drinking heavily. For the next several weeks. The woman telephones friends and carefully expresses her feelings. She also makes several threatening cells to her husband’s new girlfriend. Which of the following is the most likely diagnosis?

93.  A couple comes into the emergency room. The wife says that her husband has become convinced that she is cheating on him, and that it is not true. He has been following her, smelling her clothing going through her purse and making regular accusations. He does not meet criteria for a mood disorder he denies other psychotic symptoms. Medical and substance abuse history are negative what is his most likely diagnosis-

94.  One of the following is not symptoms of depression

95.  A preoccupation with an imagined bodily defect (e.g. width of the lips or shape of the nose) or an exaggerated distortion of a minimal or mirror defect is called?

96.  Yosef is behaviorally impulsive, irresponsible and no remorse for any act wrong best characteristic of Yosef is:

97.  A 42 years old man is referred to the office for mental health evaluation. The patient says he has a new activity because of his fear of embarrassment. The patient has the same entry level position at his workplace for the past 14 years despite several opportunities for promotion, the patient is unmarried and has only had one intimate relationship, which lasted only a few weeks. He has few friends other than those in his model airplane club. Which of the following personality disorder is the most likely diagnosis?

98.  If a patient comes to your OPD with complain of being infected with HIV/AIDS and you tested him sero-negative he denies being negative because he thinks that he is infected and the patient visits different senior professinals with the same complain and the result is similar that is negative. Which of the following may be best associated with the above symptoms of the patient?

99.  Mr C had fall the building and losses his conscious. His friends early him and brought to hospital and the aesthetician gave spinal anesthesia due to spinal injury for preparing to surgery. So.mr c-entered into state of shock called.