The document contains 20 multiple choice questions related to child health nursing. The questions cover topics like signs and symptoms of various childhood illnesses, appropriate nursing care and health teachings for conditions like seizures, Down syndrome, cleft lip repair, sickle cell crisis, and more. Correct answers are identified for issues such as associated disorders with myelomeningocele, signs of dehydration in children, and conditions diagnosed with specific medical tests.

1. MCQ OF CHILD HEALTH NURSING
1. Which of the following signs and symptoms would observe in a child diagnosed with
laryngotracheobronchitis?
A.predominant stridor on inspiration
B.predominant expiratory wheeze
C. high fever
D.slow respiratory rate
2. In a child with suspected coarctation of the aorta, the nurse would expect to find
A. Strong pedal pulses
B. Diminishing carotid pulses
C. Normal femoral pulses
D. Bounding pulses in the arms
3. A nurse is caring for an infant that has recently been diagnosed with a congestive heart
failure. Which of the following clinical signs would most likely be present?
A. Slow pulse rate
B. Weight gain
C. Decreased systolic pressure
D. Irregular WBC lab values
4. When teaching an adolescent with a seizure disorder who is receiving valproic acid,
which sign or symptom should the nurse instruct the client to report to the health care
provider?
A. Three episodes of diarrhea.
B. Loss of appetite.
C. Jaundice.
D. Sore throat.
5. After talking with the parents of a child with Down syndrome, the nurse should help the
parents establish which goal?
A. Encouraging self-care skills in the child.
B. Teaching the child something new each day.
C. Encouraging more lenient behaviour limits for the child.
D. Achieving age-appropriate social skills.
6. When teaching the mother of an infant who has undergone surgical repair of a cleft lip
how to care for the suture line, the nurse demonstrates how to remove formula and
drainage. Which of the following solutions would the nurse use?
A. mouthwash
B. povidone – iodine (betadine) solution
C. a mild antiseptic solution
D. half-strength hydrogen peroxide
7. The mother of an infant with myelomeningocele asks if her baby is likely to have any
other defects. The nurse responds based on the understanding that myelomeningocele is
commonly associated with which disorder?
A. Excessive cerebrospinal fluid within the cranial cavity.
B. Abnormally small head.
C. Congenital absence of the cranial vault.
D. Overriding of the cranial sutures.
8. Which of the following health teachings regarding the sickle cell crisis should be
included by the nurse?
A. it results from altered metabolism and dehydration

2. B. tissue hypoxia and vascular occlusion cause the primary problems
C. increased bilirubin levels will cause hypertension
D. there are decreased clotting factors with an increase in white blood cells
9. A newborn’s failure to pass meconium within the first 24 hours after birth may indicate
which of the following?
A. Hirschsprung disease
B. Celiac disease
C. Intussusception
D. Bladder extrophy
10. Which of the following would the nurse perform to help alleviate a child’s joint pain
associated with rheumatic fever?
A. maintaining the joints in an extended position
B. applying gentle traction to the child’s affected joints
C. supporting proper alignment with rolled pillows
D. using a bed cradle to avoid the weight of bed lines on the joints
11. An eighteen month-old has been brought to the emergency room with irritability,
lethargy over 2 days, dry skin and increased pulse. Based upon the evaluation of these
initial findings, the nurse would assess the child for additional findings of:
A. Septicemia
B. Dehydration
C. Hypokalemia
D. Hypercalcemia
12. The nurse reports to the primary health care provider signs of increased intracranial
pressure in an infant with myelomeningocele who has which of the following?
A. Minimal lower-extremity movement.
B. A high-pitched cry.
C. Overflow voiding only.
D. A fontanel that bulges with crying.
13. Kangaroo mother care may be continued for a low birth weight baby until?
A. Baby has no sign of hypothermia
B. Baby has no signs of infection and taking feeding
C. Baby gains weight around 2500gm
D. Baby has regular breathing
14. Which type of esophageal atresia with tracheo-esophageal fistula is known as H-type
fistula?
A. Type 4
B. Type 5
C. Type 1
D. Type 2
15. Which of the following is not a sign of severe dehydration in children?
A. lethargic or unconscious
B. Skin pinch goes back readily
C. Unable to drink or drinking poorly
D. Sunken eyes

3. 16. Which of the following condition is usually diagnosed with Wangensteen-Rice X-ray?
A. Esophageal atresia
B. Pyloric stenosis
C. Anorectal malformation
D. Cleft lip
17. normal occurrence when toddlers have a decreased interest in food ?
A. Scurvy
B. Marasmus
C. Idiopathic failure to thrive
D. Physiologic anorexia
18. Infants with chronic lung disease are prone to and require constant apnea
monitoring for respiratory and cardiac status. ?
A. SIDS
B. NIMS
C. AIMS
D. None of the above
19. In following which disease is not transmitted mainly by fecal-oral route?
A. Enteric fever
B. Measles
C. Cholera
D. Hepatitis-A
20. What is the most common cause of death due to diarrhoea?
A. Vomiting
B. Dehydration
C. Abdominal pain
D. lethargy