GENERAL PAPER

Question 1
The bones of the vault of the foetal skull develop from which of the under listed
tissues? Select one:
A. Fibrous.
B. Membrane.
C. Cartilage.

Question 2
Moral reasoning can be affected by various factors. This include:
I. Health
II. Emotions
III. Religion
Select one:
A. I and II.
B. II and III.
C. I and III.

Question 3
When the presentation is cephalic it means that the ........... Select one:
A. Occiput is at the back.
B. Brow is at the fundus.
C. Head is at the lower pole.
Question 4
Who qualifies to practice nursing/midwifery in Ghana?
A. The Nurse/Midwife who has passed the licensing exams.
B. The Nurse/Midwife who has registered with the Nursing and Midwifery
Council, Ghana.
C. The Nurse/Midwife who has registered with the Ghana Registered Nurses’ and
Midwives Association.

Question 5
When a professional Nurse/Midwife willfully violates a patient right, the situation
is termed as: Select one:
A. Intentional torts.
B. Negligent tort.
C. Strict viability.

Question 6
Nurses/ Midwives are supposed to uphold the professional code of ethics, practice
within the established scope and remain competent. By upholding these principles
after completion of your Nursing/Midwifery programme, you are using the ethical
principle of ....................... Select one: A. Justice.
B. Veracity.
C. Fidelity.

Question 7
Nutritional marasmus usually results in family where the
A. Adults eat first, leaving insufficient food for children.
B. Food supply is inadequate.
C. Food supply is adequate for protein.

Question 8
Dissociation is normally used by individuals with which type of personality?
A. Cyclothymic.
B. Epileptic.
C. Histronic.

Question 9
Which of the following responses will you give to a male client who entertains
fears that his manhood will be affected after vasectomy?
A. Your sex drive remains unchanged.
B. You will have increased libido.
C. The doctor will only tie the testicles.

Question 10
Aggression is a common occurrence with psychiatric patients. In reducing
aggressive behaviours, the Nurse MUST always Select one:
A. Develop therapeutic ward environment.
B. Apply autocratic managerial skills.
C. Follow laid down rules on the ward.

Question 11
Which of the following environments is safe for managing patients suffering from
senile dementia? Select one:
A. Polished floors, low bed and well fitting shoes.
B. Good light, low bed and physical support.
C. Low bed, polished floor and good light.

Question 12
A group of Nurses/Midwives join with several Nurses/Midwives organizations
within a nation to form a group to promote independent practice for
Nurses/Midwives. Which of the following is the best term for a group treated to
bring about collective action and to address a specific problem or goal at the local,
district, or national level?
A. Nursing association.
B. Coalition.
C. Lobbying firm.

Question 13
A child with lymphatic leukaemia has a very low platelets count. An appropriate
nursing intervention would be to .............. Select one:
A. Keep the child isolated to avoid infection.
B. Encourage a high-fibre diet.
C. Discourage active play to avoid getting hurt.

Question 14
Which of the following constitute false imprisonment?
I. Making false statements about a client
II. Misuse of restraint by hospital personnel
III. Stealing of patient’s articles
IV. Unlawful detention of a patient
A. I and II.
B. I and III.
C. II and IV.

Question 15
Mrs. Asana Bruce, a known diabetic patient was rushed to your unit with diabetic
ketoacidosis. Which of the following is the possible cause of clients condition?
A. Non adherence to insulin regime.
B. Overdose of insulin injection.
C. Intake of oral glycemic medications.

Question 16
A patient is booked for myomectomy. After education, she was made to sign a
consent form. In signing the consent form, what ethical principle would she be
using?
A. Veracity.
B. Beneficence.
C. Autonomy.

Question 17
A schizophrenic patient claims to be seeing demons in his room. The best way to
document this is
A. States seeing “demons in my room”.
B. Having distorted sensory perception.
C. Experiencing hallucinations.

Question 18
A legal document which gives the right to know what is to be done, including the
risk and benefits of a particular procedure is termed
A. Advance directive.
B. Informed consent.
C. Power Attorney.

Question 19
The Nurse is ready to transfer a patient from the ward into the operating room.
Which action of the Nurse would be most appropriate?
A. Administer all the daily medication.
B. Ensure that the client has voided.
C. Practice post-operative breathing exercise.
Question 20
Which of the following statements by a patient best explains hypochondriasis?
I ................ Select one:
A. Don’t have a stomach.
B. Have throat cancer.
C. Am ugly.

Question 21
A newly admitted patient refuses to use the water closet on the ward and asked to
be given a chamber pot or be allowed to use the nearby bush because “she could
not defeacate in a bowl”. The nurses saw her behaviour to be strange and insisted
she uses the water closet or “she can please herself”. What is the best way to react
to this woman’s behaviour?
I. Allow her to defaecate in the bush to prevent constipation
II. Explain for her to understand that it is not a bowl but a water closet.
III. Explain to her that this is what everybody uses without a problem.
IV. Teach her how to use the water closet for her to relax.
A. III and IV.
B. I and III.
C. II, III and IV.

Question 22
The aim of rehabilitation is to .............. Select one:
A. Make the disabled person live with maximum capability.
B. Provide disable persons with required gadgets.
C. Inform the family about resources available.

Question 23
To promote lactation in a woman who has just delivered, she would be advised to:
I. Avoid demand feeding
II. Breastfeed frequently
III. Massage the breasts
IV. Relax her mind
Select one:
A. II, III and IV.
B. I, III and IV.
C. I, II and IV.
Question 24
A patient died on the ward because the Nurse has given a wrong medication. This
failure to follow instructions and to carry out orders result in charges of ................
Select one:
A. Negligence.
B. Malpractice.
C. Assault.

Question 25
The organisms responsible for maintenance of vaginal acidity are
A. Monilia albicans.
B. Escherica coli.
C. Doderlein’s bacilli.

Question 26
An injection consisting of bacteria cells that have been modified is
A. Toxin.
B. Vaccine.
C. Toxoid.

Question 27
When a Nurse asks a mother who feeds your child and how? The Nurse is
checking on;
A. Nutrition density.
B. Use of feeding bottles.
C. Active feeding.

Question 28
The following nursing strategies can help prevent pneumonia EXCEPT: Select
one:
A. Good hand washing technique.
B. Encourage coughing and deep breathing.
C. Prevent visitors from touching the patient.

Question 29
Which of the following tasks can be delegated to a first year student Nurse?
I. Planning of care
II. Checking vital signs
III. Giving a bath to a patient
IV. Giving IV medications to a patient
Select one:
A. II and III.
B. II and IV.
C. I and II.

Question 30
Which of the following topics would the Nurse/Midwife counsel a mother on,
during child welfare clinic?
I. Adequate nutrition
II. Clothing of babies
III. Immunization schedule
IV. Sterilization of utensils
A. I, III and IV
B. I, II and III.
C. II, III and IV.

Question 31
What are the most important precautions to be taken by a woman after delivery to
prevent puerperal sepsis?
I. Change pad when soiled
II. Clean anal area from front to back after attending the toilet
III. Do warm sitz bath morning and evening
IV. Wash hands after attending the toilet.

A I, II, III and IV.

B. II, III and IV.
C. I, II and III.
Question 32
In the management of the aggressive patient, the nurse should first
A. Discuss why the patient is aggressive.
B. Make a quick assessment of the situation.
C. Allow as much personal freedom as possible.

Question 33
Before cholecystectomy the surgeon orders Vitamin K. This is administered
because it is used in the formation of
A. Thromboplastin.
B. Cholecystokinin.
C. Prothrombin.
Question 34
The normal length of the body of the non-pregnant uterus is centimetres.
A. 7.5.
B. 4.
C. 5.
Question 35
The main idea in the process of psychotherapy should be
A. Meeting patient’s physiological needs.
B. Maintaining individuality of the patient.
C. Communication between client and care giver.

Question 36
Immunity by antibody formation during the course of a disease is
A. Active natural.
B. Passive natural.
C. Active artificial.

Question 37
Which of the following observations would indicate that a patient has reached the
point of acceptance in the grieving process.
A. Emotionalism.
B. Detachment.
C. Euphoria.
Question 38
Which of the following statement describes suppression of urine? Select one:
A. Bladder is inflamed and cannot hold urine.
B. Urine comes out when patient coughs or sneezes.
C. Kidneys have failed to produce urine.

Question 39
Which of the under listed theatre instrument(s) would be included on a trolley set
for Orthopaedic Surgery? Select one:
A. Curved Tonsil forceps.
B. Sim’s Vaginal Speculum.
C. Steinmann’s pin, introducer, stirrup.

Question 40
Madam Ama Adoma a primi para comes to the Antenatal Unit with the history of
nausea and vomiting, heart burns and amenorrhoea. Ultrasound reveals, she is 4
weeks pregnant. What likely breast changes will you observe? Select one:
A. Mongomery’s around the nipple.
B. Tingling sensation around the nipple.
C. Pigmentation around the nipple.

Question 41 Which of the following methods would the Nurse describe to a client
as the BEST criteria for lactational amenorrhoea?
I. Baby above six months
II. Baby below six months
III. Full breast feeding including night feeds
IV. Mother has not resumed menstruation
Select one:
A. I, II and III.
B. I, III and IV.
C. II, III and IV.

Question 42
The uterus is related anteriorly to the following organs ............................ Select
one:
A. Fallopian tubes and ovaries.
B. Pouch of douglas and rectum.
C. Utero-vesical pouch and bladder.
Question 43
A Nurse documents that “client will ambulate from bed to the bathroom within 72
hours”. This is an example of ..................... Select one:
A. Short term goal.
B. Medium-term goal.
C. Long term goal.

Question 44
What would be the nurse’s action to help a patient admitted for surgery who
appears apprehensive and alienated to feel at ease?
Select one:
A. Orientate her to the environment and ward personnel.
B. Tell her that everything will be alright.
C. Give her a copy of the hospital regulation.
Question 45
Which of the following disorders of pregnancy needs immediate medical attention?
I. Frontal headache
II. Morning sickness
III. Reduced foetal movements
IV. Slight vaginal bleeding
Select one:
A. I, II and IV.
B. I, III and IV.
C. II and IV.

Question 46
A 28 year old male threatened with divorce is admitted to the ward and placed on
suicide precautions. In assessing suicide potential, the Nurse should pay attention
to the patient’s
A. Level of insight.
B. Mood and affect.
C. Thought process.

Question 47
Examination of the new born baby boy reveals that the urethral meatus opens to
the under surface of the penis. What condition will you tell the mother her child is
suffering from?
A. Achondroplasia.
B. Hypospadias.
C. Posterior urethral valve.
Question 48
A neurotic patient in the ward is finding it difficult to sleep. The nurse should
A. Put off lights in the patient’s cubicle.
B. Open nearby windows to let in fresh air.
C. Find the cause of the insomnia.

Question 49
In supervising a family with a handicapped child, the Public Health Nurse must:
I. Advise parents to send the child to a rehabilitation centre
II. Ensure that the child is kept indoors most of the time
III. Give pieces of advice on management of child
IV. Visit family frequently
Select one:
A. I and III.
B. III and IV.
C. II and III.

Question 50
At what age in months should a baby who is exclusively breastfed be given fruit
juice?
A. 7.
B. 6.
C. 5.

Question 51
The length of a woman’s menstrual cycle depends on which of these phases?
A. Secretory.
B. Ovulatory.
C. Proliferative.

Question 52
Which of the following observations on a newborn should be reported promptly?
A. Regurgitation after first feeding.
B. Apex beat of 140 per minute.
C. Bluish extremities.

Question 53
A three year old child who has ingested bleach will exhibit the following
EXCEPT: Select one:
A. Drooling.
B. Cyanosis.
C. Anxiety.

Question 54
If a woman forgets to take her pill one day she should
A. Report to her doctor immediately.
B. Wait till the next day and take two pills.
C. Take one pill as soon as she remembers and one at the normal time.

Question 55
In assessing stool characteristics associated with diarrhoea, the presence of greasy
stools suggests
A. Intestinal malabsorption.
B. Inflammatory enteritis.
C. Disorder of the colon.

Question 56
An essential nursing action when caring for the small child with severe diarrhoea is
to
I. Encourage fluids orally
II. Examine the skin for dehydration
III. Replace lost electrolytes
IV. Check body weight
A. I, II, III and IV.
B. I, II and III.
C. II, III and IV.

Question 57
The pre-illness personality of the paranoid patient is often characterized
by ............................. Select one:
A. Fussy, orderly, meticulous, conscientious behaviour.
B. Impulsive, mischievous, unfeeling, anti-social behaviour.
C. Brooding, sensitively secretive with distrustful behaviour.

Question 58
The reasons why setting objectives are necessary for both routine and special visits
are that the public health nurse has to I. Allocate time for the visit II. Identify
resources for the visiting bag III. Reach targets set for the day’s visit IV. Tackle the
most important problems first
A. I, III and IV.
B. I, II and III.
C. I, II, III and IV.

Question 59
The psychopathic patient on your ward has been expelled from group meetings for
exhibiting aggressive tendencies. Which of the following best suggest escalating
aggression?
I. Rapid, loud or profane speech
II. Clenched fists, gritted teeth, and rapid breathing
III. Pacing and inability to remain still
IV. Sudden change or extremes of affect
Select one:
A. I, II, III and IV.
B. II, III and IV.
C. I, II and III.

Question 60
A group of Nurses were discussing what they can help their patients to do that
patients would have done for themselves if they could. Which of the following
theories were the Nurses using? Select one:
A. Virginia Henderson.
B. Florence Nightingale.
C. Betty Neumann.
Question 61
Kodjo Akunta 2 years old who has tetralogy of fallot usually squats when he is
dyspnic. The squatting relieves the symptom by
A. Increasing venous return to the heart.
B. Allowing maximal chest expansion and oxygenation.
C. Delaying venous return to the heart.

Question 62
A Physician has asked your In-Charge to write orders for his patients. Initially, she
writes orders for several patients, but the requests became more frequent and she
began to ignore the Physician's telephone calls. Which of the following approaches
to conflict resolution is the In-Charge using?
A. Collaboration.
B. Competition.
C. Avoidance.

Question 63
A Nurse does not perform a fall risk assessment during admission of an elderly
patient and the patient fell. You would be RIGHT to say that the Nurse
A. Has the potential to foresee a harm.
B. Provides care as her duty.
C. Failed to meet standard by breaching her duty.

Question 64
In the assessment of a patient with myocardial infarction, the Nurse considers the
following nursing diagnosis for effective management;
I. Ineffective cardiac tissue perfusion secondary to coronary artery disease (CAD)
II. Risk for imbalanced fluid volume
III. Ineffective cardiac tissue perfusion related to reduced coronary blood flow
IV. Death anxiety
A. II, III and IV.
B. I, II and IV.
C. II and IV.

Question 65
Which of the following traditional practices is harmful to the female child?
A. Eating forbidden foods.
B. Female genital mutilation.
C. Puberty rites.

Question 66
Overstretching of the anterior vaginal wall during labour can lead to
A. Recto-vaginal fistula.
B. Vesico-vaginal fistula.
C. Cystocele.

Question 67
This term is used to describe anything that pertains to a person’s relationship with
non-material life, force or higher power?
A. Faith.
B. Spiritually.
C. Religion.
Question 68
During the physical examination of a patient with appendicitis, the nurse expects
the patient to complain of increased pain in the
A. Right lower quadrant.
B. Lower pelvic area.
C. Left lower quadrant.

Question 69
The plan of care for the child during the acute phase of osteomyelitis always
includes
A. Performing wound irrigation.
B. Maintaining IV infusion site.
C. Isolation of the child.

Question 70
People are becoming more interested in natural family planning because it is based
on
A. Protecting against HIV/AIDS in both man and woman.
B. Creating a barrier between the sperm and egg.
C. Changes that occur in a woman’s cycle.

Question 71
The following are helpful suggestions in handling a diabetic child who refuses to
eat EXCEPT
A. Do not overload plates in the hope she will eat "something".
B. Force the child to eat when food is ready.
C. Ensure her meals are attractive and the environment appealing.
Question 72
The MOST influential factor negatively affecting the health status of children
is ............... Select one:
A. Prematurity.
B. Poverty.
C. Chronic illness.

Question 73
Typically the measures used to control the transmission of infection in the
immunocompromised child include
A. Use of a side ward.
B. Prophylactic antibiotics.
C. Chemotherapy.

Question 74
The Student Nurse checks the oxygen saturation of a 60-year-old man with
pneumonia who has removed the oxygen catheter and the result is 70%. Which of
the following action should the Nurse take?
A. Nebulize patient.
B. Takes no action.
C. Put the oxygen catheter back on the patient.

Question 75
A condition of the stomach that requires emergency surgical intervention is gastric
A. Perforation.
B. Obstruction.
C. Bleeding.
Question 76
Students are placed on various wards as part of nursing educational programmes.
As a Nurse/Midwife on the ward, what will be your role in assisting the students to
learn their skills?
A. Researcher.
B. Teacher.
C. Manager.

Question 77
In examining a 2 year old child with an otoscope, the Nurse
A. Pulls the pinna up and back.
B. Pulls the pinna down and back.
C. Pulls the pinna straight.

Question 78
In conducting a home visit to a malnourished child, the Nurse will require one of
the following.
A. Blood pressure apparatus.
B. Protein dense food.
C. Vaccines.

Question 79
Which of the following is an important symptom of asthma? Select one:
A. Wheezing during inspiration.
B. Chest pain.
C. Coughing especially at night.
Question 80
You would educate people to prevent and control guinea worm by
I. Avoiding the bite of water snail
II. Boiling river water before drinking
III. Destroying water snails in the river
IV. Identifying and treating infected persons
A. I, II and IV.
B. II, III and IV.
C. I, III and IV.

Question 81
Personal protection of the worker against exposure to occupational risk is
to ............. Select one:
A. Ensure collective bargaining.
B. Advise on the work environment.
C. Provide protective devices.

Question 82
Which of the following vehicle route determines mode of transmission of
infectious disease to the next host?
I. Contaminated food
II. Dust particles
III. Drugs
IV. Water
Select one:
A. I, II, III and IV.
B. II and III.
C. I, II and III.

Question 83
Nursing as defined by …………………. is the act of utilizing the environment of
the patient to assist him to recovery.
A. Calista Roy.
B. Betty Newman.
C. Florence Nightingale.

Question 84
James persistently wakes up early to spend an hour at the road side counting cars
and any attempt to stop him produces a distress. This behaviour is recognized as
A. Folie du donte.
B. Compulsion.
C. Obsession.

Question 85
A tuberculosis patient who previously received treatment for TB and was declared
cured but later developed smear positive tuberculosis is referred to as
A. Treatment failure.
B. Trans-in.
C. Relapse.
Question 86
Excessive use of alcohol can cause the following EXCEPT:
A. Pancreatitis.
B. Fatty liver.
C. Gastric ulcer.

Question 87
A patient has aversion for foods and eats only small amounts. The Nurse should
provide ................. Select one:
A. Small portions of food more frequently.
B. Snacks between meals.
C. Supplementary vitamins.

Question 88
A Nurse/Midwife who makes false written statements about patients and co-
workers stand the risk of being sued for ................. Select one:
A. Negligence.
B. Libel.
C. Slander.

Question 89
When caring for a patient who is HIV positive a primary responsibility of the
Nurse is to explain how the patient would avoid ......................... Select one:
A. Reinfection.
B. Social isolation.
C. Other infections.
Question 90
What explanation will the nurse give to Mr. Atsu, a patient who is inquiring about
the reason for taking his urine specimen for culture and sensitivity test?
I. It helps with appropriate evaluation of any abnormalities in urine
II. Determines the presence of bacterial and their strains
III. Identifies the anti-microbial therapy best suited for identified microbes
IV. Helps in estimating specific gravity of urine
A. II and III.
B. I, II and III.
C. I and II.

Question 91
The main action of combined oral contraceptive pill in preventing pregnancy is: It
A. Inhibits ovulation.
B. Increases tubal motility.
C. Inhibits implantation.

Question 92 A young man has a habit of stealing items and hauling. His is MOST
likely to be suffering from ............. Select one:
A. Fetishism.
B. Kleptomania.
C. Homosexuality.
Question 93
Which of the following factors can affect the weight of the foetus at birth? I.
Maternal nutrition II. Parental size III. Placental dysfunction IV. Platypelloid
pelvis
A. I, II and III.
B. I and IV.
C. II, III and IV.

Question 94
In educating people on prevention of coronary artery disease (CAD), the Nurse
correctly includes one of the following as modifiable risk factor
A. Hypertension.
B. Gender.
C. Colour.

Question 95 Which of the following is NOT an acceptable nursing etiquette?

A. Protecting the confidentiality and privacy of the patient in your care.
B. Respecting and paying courtesy to older people and your superiors.
C. Giving information to the public to make them fearful of hospitalization.

Question 96
Which of these nursing orders will you give to a mother who has a 3 months old
baby with diarrhoea? Feed the child with ........... Select one:
A. Coconut water.
B. Soft drinks.
C. Breast milk.
Question 97
A one-year-old girl is admitted to the ward diagnosed with dysentery. What is the
most important information the Nurse must impart to the mother during discharge?
Select one:
A. Observe good hygiene to reduce faeco-oral spread.
B. As soon as the child has diarrhoea place her on NPO for 8 hours.
C. Start with anti diarrhoea medication before bringing the child to hospital.

Question 98
Which of the following factors would you consider when choosing clothing for an
80 year old lady? Select one:
A. Colour, comfort and cost.
B. Cost, comfort and washability.
C. Availability, washability and colour.

Question 99
Symptoms related to alcohol withdrawal occur when the alcoholic
A. Changes his habitual form of alcohol intake.
B. Reduces the amount of alcohol taken.
C. Fails to eat regularly.

Question 100
A viral disease that affects the motor cells of the anterior horn of the spinal cord is
A. Rubella.
B. Poliomyelitis.
C. Chicken pox.