PAPER III
Instructions: Enter your examination number and login Time allowed: 3 hours
Answer ALL questions

1. A break in the continuity of the skin or mucous membrane is ……….?
   (a) Infection
   (b) Haemorrhage
   (c) Wound
   (d) Fracture
2. Type of shock where there is loss of blood or fluid is ……….?
   (a) Oligemic shock
   (b) Bacteriaemic shock
   (c) Anaphylactic shock
   (d) Neurogenic shock
3. The best form of tourniquet is …………?
   (a) Broad rubber band
   (b) Piece of rag
   (c) A twing
   (d) Elastic band
4. If a tourniquet is not tight enough it will only limit………………. Flow of blood
   (a) Venous
   (b) Capillary
   (c) Arterial
   (d) Aortic
5. Haemorrhage occurring 24 hours after an injury or surgery is …………………?
   (a) Primary haemorrhage
   (b) Secondary haemorrhage
   (c) Capillary haemorrhage
   (d) Reactionary haemorrhage
6. Blood in urine may result from…………….?
   (a) Anaemia
   (b) Infection of the bladder
   (c) Reproductive tract infection

(d) Shock

7. Secondary haemorrhage may be due to …………………..?
   (a) Reaction of the body
   (b) Lowered blood pressure
   (c) Lack of clot formation
   (d) Infection
8. Blood or fluid loss may result in…………….?
   (a) Hypovolaemic shock
   (b) Bacteriamic shock
   (c) Cardiogenic shock
   (d) Neurogenic shock
9. Methods of artificial respiration include the following EXCEPT (a) Month-to-month
   (b) Hagel method
   (c) Eve’s rocking method
   (d) Silvester’s method
10. ……………. Is used to check for urine specific gravity (a) Litmus paper
    (b) Urinometer
    (c) Bath thermometer
    (d) Pulse oximeter
11. The normal volume of urine per hour should be at least…………… (a) 400mls
    (b) 200mls
    (c) 30mls
    (d) 100mls
12. Normal colour of urine is………………… (a) Coffee straw
    (b) Crayfish
    (c) Yellow
    (d) Amber
13. The normal reaction of urine is……….?
    (a) Slightly acidic
    (b) Strongly acidic (c) Slightly alkaline

(d) Strongly alkaline

14. Acidic urine will turn blue litmus paper…………? (a) Brown
    (b) Green
    (c) Red
    (d) Reddish brown
15. Normal finding in urine include all EXCEPT (a) Water
    (b) Urea
    (c) Phosphate
    (d) Sugar
16. The standard scale for measuring temperature is…………….? (a) Thermometer
    (b) Gram
    (c) Kilogram
    (d) Centigrade
17. A state of heat or coldness of a substance measured against a standard scale is called……………?
    (a) Blood pressure (b) Respiration
    (c) Temperature (d) Pulse
18. The pressure exerted by the blood on the vessels is……………….? (a) Respiration
    (b) Blood pressure
    (c) Temperature
    (d) Pulse
19. Green stick fracture occurs mostly in ……………………..? (a) Elderly
    (b) Adolescents
    (c) Children
    (d) Congenital disorders
20. The most accurate site for obtaining body temperature is………..? (a) Axilla
    (b) Groin
    (c) Mouth (d) Rectum

21. Normal body temperature is……………? (a) 38 – 39oC
    (b) 36.6 – 37.2oC
    (c) 35 – 36oC
    (d) 38 – 39oC
22. The wave of distension felt on the wall of an artery is called ……………….? (a) Respiration
    (b) Blood pressure
    (c) Pulse
    (d) Temperature
23. General principles of first aid treatment include all EXCEPT…………….? (a) Remove source of danger
    (b) Undo tight clothing around the neck, chest and waist
    (c) Bath victim with either warm or cold water
    (d) Clear airway of any obstruction
24. A life saving technique used in emergencies is known as ……………? (a) Restoration
    (b) Resurrection
    (c) Revigoration
    (d) Resuscitation
25. Adverse reactionto a drug can cause………? (a) Anaemia
    (b) Malaria
    (c) Septic shock
    (d) Anaphylactic shock
26. The combination of carbon monoxide and haemoglogin is termed……….? (a) Haemoglobinopathies
    (b) Carboxyhaemoglobin
    (c) Carboxyglobulin
    (d) Carbohydroxylhaemoglobin
27. Epitaxis refers to ………….?
    (a) Bleeding from the nose
    (b) Bleeding from the ear (c) Blood in urine

(d) Coughing out blood

28. A condition which arise when an individual is unable to inhale or exhale air is …………? (a) Shock
    (b) Fainting
    (c) Asphyxia
    (d) Asthma
29. Which of the following is a general antidote?
    (a) Charcoal
    (b) Naxolone
    (c) Normal saline (d) 50% dextrose
30. When an artery is injured, the blood is…….? (a) Dark red
    (b) Bright red
    (c) Pale brown
    (d) Oozes
31. Blood spurting from a wound, indicates ……….. bleeding?
    (a) Arterial
    (b) Capillary (c) Venous (d) Primary
32. These instances are related to carbon monoxide poisoning EXCEPT…..? (a) If a tap on gas appliance is not turn-off properly
    (b) Drowning or choking
    (c) Poorly ventilated space where carbon fuel is burnt
    (d) Working in an enclosed space with car engine running
33. Nature’s method of arresting haemorrhage include the following EXCEPT……..? (a) Formation of clot
    (b) Elastic coat of the blood vessel recoil and turn in
    (c) Depression of the vital centers
    (d) Blood pressure is lowered
34. Normal respiratory rate in an adult is…………..? (a) 30 – 50 c/m
    (b) 16 – 18 c/m
    (c) 20 – 30 c/m

(d) 10 – 12 c/m

35. The group of people mostly at risk of swallowing foreign objects are………….?
    (a) Infants / toddlers
    (b) Adult
    (c) Adolescents (d) Adult
36. One of these group of wound is of greater depth and danger to internal organs (a) Incised
    (b) Lacerated
    (c) Punctured
    (d) Contused
37. Vomiting blood is called……..? (a) Haemoptysis
    (b) Haematemesis
    (c) Haematuria
    (d) Melena
38. Bone cells include the following EXCEPT…..
    (a) Normoblasts
    (b) Fibroblasts (c) Osteoblasts (d) Osteoclasts
39. Burns affecting the anterior trunk of children account for………….
    (a) 18%
    (b) 9% (c) 14% (d) 20%
40. Insulating materials include the following EXCEPT……………. (a) Rubber matting
    (b) Rubber gloves
    (c) Dry clothes
    (d) Fresh wood
41. A condition where there is depression of the vital centers in the brain is……………? (a) Heart failure
    (b) Shock
    (c) Renal failure

(d) Haemorrhage

42. Which of these will happen due to insufficient blood supply to the brain? (a) Stupor
    (b) Stridor
    (c) Fainting
    (d) Coma
43. The following can cause unconsciousness EXCEPT? (a) Asphyxia
    (b) Cerebral anaemia
    (c) Schizophrenia
    (d) Cerebro – vascular accident
44. The phase that precedes loss of unconsciousness in epilepsy is …………..? (a) Clonic phase
    (b) Tonic phase
    (c) Aura phase
    (d) Coma phase
45. The body of spermatozoa is packed with …………..?
    (a) Mitochondria
    (b) Ribosome
    (c) Ribonucleic acid
    (d) Deoxyriboneuleic acid
46. At term, platelets are high in amount at the ……………………? (a) Uterus
    (b) Cervical site
    (c) Placental site
    (d) Fundus
47. Near term, the uterus is divided into …………………. Segments (a) 4
    (b) 2
    (c) 3
    (d) 6
48. The following are signs of shock EXCEPT (a) Bradycardia
    (b) Tachycardia
    (c) Hypotension

(d) Cold and clamming skin

49. Which of the following is an important source for identification of research problem in Midwifery.
    (a) Research textbooks
    (b) Midwifery practice
    (c) Nursing ethics (d) Codes of conduct
50. The life span of erythrocyte is ……………………? (a) Less than 120 days
    (b) 120 days
    (c) 20 days
    (d) 90days
51. The vagina in normal labour is …………………? (a) Hot and dry
    (b) Warm and moist
    (c) Cool and wet
    (d) Hot and soft
52. The detrusor muscle is found at the ……………….? (a) Uterus
    (b) Ovaries
    (c) Kidneys
    (d) Bladder
53. Which of the following are component of Central Processing Unit (CPU) …………………..?
    (a) Arithmetic logic unit, mouse
    (b) Arithmetic logic unit, integrated circuit
    (c) Control unit, monitor
    (d) Arithmetic logic unit, control unit
54. A portion of memory that serves as a temporarily repository for data as it await for a given action is known as ……………………?
    (a) Memory pool
    (b) Memory processor
    (c) Antenna

(d) Cache

55. The difference between the structure of deoxyribonucleic acid and ribonucleicacid is the absence of ………………
    (a) Nitrogen (b) Carbon (c) Oxygen (d) Hydrogen
56. The major modes of HIV transmission is …………………….?
    (a) Sexual intercourse and sharing of sharps
    (b) Blood transfusion (c) Mother – to – child (d) Kissing and saliva
57. The window period in HIV is ………………..?
    (a) The period between HIV infection and detection of virus in the blood
    (b) The earliest stage of infection
    (c) The time the body respond to the infection (d) The time condom burst during intercourse
58. The group of drugs used in management of HIV infection is called ……………………..? (a) Antifungal
    (b) Antivirals
    (c) Antiretrovirals
    (d) Antibacterial
59. Babies born to HIV positive mothers are called …? (a) Infected infant
    (b) Affect infant
    (c) Exposed infant
    (d) Exceptional infant
60. The following are criteria for the Apgar Score EXCEPT?
    (a) Temperature
    (b) Heart rate
    (c) Respiratory rate
    (d) Muscle tone
61. The following reflexes are present at birth EXCEPT? (a) Rooting reflex
    (b) Grasping reflex
    (c) Moro reflex
    (d) Stepping reflex
62. Normal infant double in weight by ………….? (a) 1 year
    (b) 3 months
    (c) 6months
    (d) 18 months
63. Collapse of the lungs is referred to as ……………? (a) Lobectomy
    (b) Bronchiectasis
    (c) Homeostasis
    (d) Atelectasis
64. The state of physiologic equilibrium between the external and internal environment is called ……………….?
    (a) Hemoptysis
    (b) Homeostasis
    (c) hemostasis (d) Atelectasis
65. The school health nurse provides the following care EXCEPT? (a) Preventive
    (b) Promotive
    (c) Rehabilitative
    (d) Diagnostic and curative
66. The following are the aims and objectives of integrated management of neonatal and childhood illnesses except?
    (a) To focus on child as a whole
    (b) To promote growth & development
    (c) To reduce illness and disabilities
    (d) Help in planning of the family
67. The best index for assessing a child’s growth and development is …………………….?
    (a) Weight
    (b) Height
    (c) Width
    (d) Circumference
68. The type of consent obtained from client is known as ……………………? (a) Informed consent
    (b) Implied consent
    (c) Agreed consent
    (d) Coerced consent
69. The type of nursing audit that monitors the setting in which client care occurs is …….?
    (a) Outcome audit
    (b) Process audit (c) Structural audit (d) Tool audit
70. Which of the following propounded the Health Promotion Model?
    (a) Nola Pender
    (b) Dorothea Orem (c) Jean Watson (d) Imogene King
71. One of these theorists is associated with the environmental model
    (a) FlorenceNightingale
    (b) Betty Nauman (c) Levine
    (d) Henderson
72. The sequential order of lochia is ……………… (a) Alba, serosa, rubra
    (b) Rubra, serosa, alba
    (c) Serosa, alba, rubra
    (d) Rubra, alba, serosa
73. The upright position in labour has the advantage of …………….? (a) Restricting mobility
    (b) Shorter duration of labour
    (c) Preventing complication
    (d) Shorter third stage of labor
74. The following hormonal contraception can be used during lactation EXCEPT? (a) Mini pills
    (b) Combined oral contraceptive pills
    (c) Implanon
    (d) Depot medroxyl progesterone acetate (DMPA)
75. The following are neurotransmitters except? (a) Serotonin
    (b) Dopamine
    (c) Oestrogen
    (d) Substance P
76. The combination of 3 or more antiretroviral agents in HIV management is known as ….?
    (a) Highly active antiretroviral therapy
    (b) Highly active antiviral therapy (c) Highly active viral therapy
    (d) Highly active bactericidal
77. The following are methods of collecting data in research EXCEPT? (a) Questionnaire
    (b) Observation
    (c) Demonstration
    (d) Experiment
78. A citation to the source of information used by a researcher at the completion of his/her work is called
    (a) Table of content
    (b) autography
    (c) References (d) Referendum
79. A statement of the expected relationship between two or more variables is known as……?
    (a) Statement of the problem
    (b) Concept definition
    (c) Research questions
    (d) Hypothesis
80. When a pressure area becomes inflamed, break down and ulcerates, it is called ……. (a) Cold sore
    (b) Inflammation
    (c) Ulcer
    (d) Pressure sore
81. The following are rules for bed – making EXCEPT
    (a) All requirements should be gathered before procedure (b) Two nurses are required and should work in harmony (c) The patient’s face and body should be slightly exposed (d) Extra assistant may be required to lift the patient
82. Rules for filling hot water bottle include all EXCEPT
    (a) Fill the bottle directly from the kettle
    (b) Fill the bottle three quarters full
    (c) Invert and inspect the bottle for leaks
    (d) Blanket should be tucked – in between the patient and the bottle
83. The first step in processing instruments and other items for re–use is ………………
    (a) Decontamination
    (b) Cleaning
    (c) High level disinfection (d) Sterilization
84. One of these processes eliminates all microorganisms including bacterial endospores (a) Boiling
    (b) Steaming
    (c) Autoclaving
    (d) Cleaning
85. Obstetric forceps were invented by ……………….. (a) Ambiose pare
    (b) Soranus of Ephesus
    (c) Peter Chamberlin
    (d) Aristotle
86. In Maslow’s hierarchy of needs, self-actualization connotes …………………….? (a) Reaching societal recognition
    (b) Achieving one’s ambition in life
    (c) An endeavour to reach the peak
    (d) Self esteem
87. Expected outcome of the client’s health status in the nursing care plan is represented by …………………?
    (a) Nursing diagnosis
    (b) Nursing objectives
    (c) Nursing orders
    (d) Scientific rationale
88. A professional in midwifery is known as ………………….. (a) Expert
    (b) Midwife
    (c) Polyvalent nurse
    (d) Midwifery
89. A client problem that is present at the time of nursing assessment is called ………? (a) Possible diagnosis
    (b) Illness diagnosis
    (c) Risk nursing diagnosis
    (d) Actual nursing diagnosis
90. Which of the following is associated with psychosexual theory of development. (a) Abraham Maslow
    (b) Albert Bandura
    (c) Erick Erikson
    (d) Sigmund Freud
91. The functional unit of the kidney is……..? (a) Bowman’s capsule
    (b) Nephron
    (c) Glomerulus
    (d) Hilum
92. The smallest cell in the human body is………………? (a) Ovum
    (b) Sperm cell
    (c) Nerve cell
    (d) Bone cell
93. The largest cell in the human body is …….? (a) Bone cell
    (b) Ovum
    (c) Sperm cell
    (d) Nerve cell
94. The basic building blocks of life are….? (a) Tissues
    (b) Cells
    (c) Oxygen
    (d) Hydrogen
95. Which of the following is NOT a type of epithelial tissue (a) Simple squamous epithelium
    (b) Simple cuboidal epithelium
    (c) Simple columnar, pseudo stratified epithelium
    (d) Connective tissue
96. Overlapping of the fetal skull bone at the sutures is called………..? (a) Caput
    (b) Chignon
    (c) Cephalhematoma
    (d) Moulding
97. The following are examples of connective tissues EXCEPT (a) Bone
    (b) Blood
    (c) Lymph
    (d) Skin
98. The following vaccines are contra-indicated in pregnancy EXCEPT (a) Varicella
    (b) Measles, mumps and rubella
    (c) Live Influenza
    (d) Hepatitis B
99. The following are brands of Covid-19 vaccine EXCEPT (a) Moderna
    (b) Pfizer/ Bio Ntech
    (c) Oxford/ Astrazeneca
    (d) mRNA vaccines
100. Unsafe injection practices include the following EXCEPT (a)Re-use of injection device without sterilization
     (b) Re-use of opened vials and ampoules of drugs
     (c)Rinsing syringes and needles in antiseptic lotion
     (d) Collection and disposal of dirty injection equipments
101. Which of the following is NOT the duty of Nursing and Midwifery Council of Nigeria
     (a) Prosecute legal training institutions
     (b) Registration and licensing for all categories of nurses
     (c) Ensure professional standards of practice
     (d) Accreditation of training schools
102. A shared pattern of behaviour that is found in the majority of people
     is _ a. Community b. Society
     c. Culture d. Tradition
103. An individual that fails to conform to the norms of the society is a a. Conformist b. Reformist c. Deviant d. Congruence
104. The back bone of the society is _ a. Police b. Constitution c. Armforce d. Family
105. A Pattern of behaviour that is found worldwide is known as _ a. Culturalpattern b. Cultural universal c. Culturalbeliefs d. Cultural diversity
106. Which of this is the father of moral development theory? a. Laurette Kohlberg b. Lawrence Kohlberg c. SigmundFreud d. Simeon Ford
107. The stages of moral development are a. 4 b. 3 c. 5 d. 6
108. The first socialization agent to a child is _ a. Community b. Siblings c. Mother d. Father
109. What an individual holds to be true is a. Tradition b. Culture c. Beliefs d. Norms
110. The process of learning culture is known as _ a. Acculturation b. Enculturation c. Socialization d. Integration
111. Culture is dynamic means that _a. Cultures interact and change b. Culture is holism c. Culture is based on symbols d. Culture is biological
112. The Germ Theory of disease causation is associated with a. CharlesDarwin b. Louise Pasteur c. LazzaroSpallanzani d. John T. Needham
113. The father of evolution theory is _ a. LouisPasteur b. Charles Darwin c. George Louise Lecierce d. Lazzo Spallanzani
114. Disease causing microorganisms are also known as a. Pathogens b. Teratogens c. Carcinogen d. Bacteria
115. The international body that regulates the practice of midwifery is _ a. International Council for Nurses b. International Council for Midwives c. International Associations of Nurse and Midwives d. Nursing and Midwifery Council International
116. Sharps are discarded into __ a. Injection safety box b. The kidney dish c. The dump site of the hospital d. The waste bin outside the ward
117. The male type of pelvis that does not favours delivery is _ a. Android pelvis b. Justo-minor pelvis c. Gyneacoidpelvis d. Anthropoid pelvis
118. Group of drugs that can be carried and administered independently by the midwife include all EXCEPT a. Analgesic b. Oxytocic agents c. Cytotoxic drugs d. Antibiotics
119. Methods of rehabilitation of the mentally ill include all Except _ a. Half-way house or home b. Perambulation of the district c. Dayandnighthospital d. Occasional leave/trial leave 120
120. PMCT means ___ a. Prevention of Mother to Child Transmission b. Postpartum Maternal Communication Transmission c. Prevention of Malaria to Child Transmission d. Postpartum Maternal Cervical Treatment
121. NIC means _ a. Neonatal Intervention Care b. Nursing Intervention Classification c. Nursing Identification Communications d. Nursing Intervention Care
122. NIC means— a. Nursing Observation of Care b. Nursing Obstetric Care c. Nursing Outcome Classification d. Nose Occiput Circumference

123 The imaginary flat surface at the brim, cavity and outlet of the pelvis are referred to as
a. Axis of the pelvis
b. Planes of the pelvis
c. Diameter of the pelvis
d. Angles of the pelvis

124 The following are methods of assessment of nutritional status of under 5 years old EXCEPT
a. anthropometric measurement
b. mid-armcircumference
c. weight measurement
d. assessment of height

125Domiciliary midwifery is known as
a. home delivery undertaken by a community midwife
b. home delivery undertaken by a student midwife
c. home delivery carried out by an obstetrician
d. home delivery carried out by all the health care team

126 Health visitor can perform the following duties EXCEPT
a. Safe motherhood duties
b. Health education
c. Environmentalsanitation
d. Socio-medical Care

127 Which of the following is the most critical period of foetal development? a. Firstweekofpregnancy
b. 2nd – 12th week of pregnancy
c. 13th – 24th week of pregnancy
d. 25th – 36th week of pregnancy

128 In the community, monitoring of growth of children 0 – 8 years is best
done through
a. Mid upper arm circumference
b. Adequate feeding
c. Weighing
d. Medical hygiene inspection

129 One of the following diseases is endemic in the tropics of Africa.
a. Malaria
b. Measles c. Cholera d. Tetanus

130 Unimke has just been stung by bees on the face and runs to you a third year student midwife. You will administer one of the following group of drugs
a. Antibiotics
b. Anti-inflammatory c. Analgesics
d. Antihistamines

131 Ugbe fell off a motor cycle and fractured the leg. The edges of the bone pierced the tissues and can be seen externally. This type of fracture is _ a. Compound fracture b. Greenstick fracture c. Simple fracture d. Comminuted fracture

132 Chain of spread of infection process include all except
a. causative agent
b. reservoirs/carries
c. kemptenvironment
d. portal of exit

133 The progressive increase in size of a child is called a. Development b. Maturation c. Growth d. Growth and development

134 The principles of infectious diseases control include the following EXCEPT _
a. Proper hand washing with liquid soap
b. Proper handling and disposal of sharp
c. Improper aseptic technique
d. Disinfection/waste disposal

135 Libel and slander are examples of a. unintentionaltort
b. intentional tort
c. criminallaw
d. cultural law

136__________ is a serious nature as murder or armed robbery
a. Felony
b. Misdemeanour c. Negligence
d. Libel

137 Decontamination of instruments with 0.5% chlorine/jik solution for _ minutes before cleaning destroys most microorganisms including Hepatitis B, Hepatitis C and HIV viruses. a. 10 b. 15 c. 20 d. 30

138 Baby Umun 3kg was born on 10th December, 2021 to a healthy mother. You will advise the mother to start complementary foods after
a. June10,2022
b. March 10, 2022 c. April 10, 2022 d. May 10, 2022

139 The consistency of complementary foods should be the following EXCEPT
a. solid
b. semi solid
c. finelymashed d. pureed

140 Prolong milk feeding without timely introduction of weaning or complementary foods is the commonest cause of in young children.
a. sickle cell anaemia
b. iron deficiency
c. folic acid deficiency
d. haemolytic anaemia

141 Patient consent can be obtained from significant others in exceptional cases
EXCEPT
a. mentallyillpatientwhoisawake
b. conscious adult who can read and write
c. a child under a guardian
d. unconscious patient

142 A midwife is expected to renew her licence every
a. twoyears
b. three years
c. four years
d. six years

143 The nursing care plan for each patient should be reviewed ____
a. assoonasthepatient’sconditionchanges
b. every 24 hours
c. when the nursing officer in charge orders a change d. When the patient is ready for discharge

144 One of the following is not a member of the emergency team.
a. Nurse/midwife
b. Doctor
c. Wardorderly
d. Laboratoryscientist

145 Tetanus Toxoid vaccine is given to protect women against tetanus and also prevent the disease in their new born infants. The 5th course of TT vaccine provides duration of protection for the mother a. 10years b. 5 years c. 3years d. Life time

146 A six month old baby, who has not been immunized since birth, is brought to your clinic. Which of the following vaccines will you not give to the baby? a. BCGVaccine b. Pentavalent vaccine c. Oralpoliovaccine d. Measles vaccines

147 The tier of government responsible for Primary Health Care is
a. The community
b. Local government
c. State government
d. Federal government

148 A doctor prescribes 1000ml of normal saline to be infused for a period of
10 hours. The drop factor is 15 drops per ml. How many drops per minute
will the midwife set as the rate of flow?
a. 21 drops per minute
b. 23 drops per minute
c. 25drops per minute
d. 27 drops per minute

149 Legal safe-guards in nursing/midwifery practice include all but one.
a. Recordandincidentreport b. Providing competent report c. Non-professionalliability d. Health insurance

150 Mrs. Adie a 27 years old G2, P1 with 40weeks gestation is brought into the labour ward in 2nd stage of labour. You will advise her to lie in ___ position for delivery.

a. Trendelenburgposition b. Supine position
c. Lithotomyposition
d. Left lateral position

151 The following are the nursing responsibilities in the emergency unit for a patient presenting with symptoms of hyperglycaemia EXCEPT
(a) Loosen tight clothing.
(b) Give sweet drinks.
(c) Call for help if condition seems to worsen. (d) Give insulin.

152 The following are emergency treatment for snake bite EXCEPT (a) Calm the casualty and keep him as still as possible
(b) Refer the casualty quickly
(c) Tie a tourniquet above the area
(d) Cut the area and allow it to bleed freely

153 A rule of conduct established and enforced by the government for a society
(a) Tort
(b) Law
(c) Ethics
(d) Midwife’s right

154 Benefit of Nursing Processing including the following except:
(a) It provides unity of language for the nursing profession
(b) It facilitate documentation of care
(c) It delivers holistic patient focused care
(d) It provides disorderly method of planning and providing care

155 Components of assessment include the following except
(a) Nursing history
(b) Physical examination
(c) Diagnosing the condition
(d) Review of relevant document and report

156 Physical examination is accomplished via all the following except:
(a) Inspection
(b) Palpation
(c) Vagina examination
(d) Percussion and auscultation

157 A syndrome diagnosis is associated with a
(a) Cluster of actual or high risk signs and symptoms
(b) Single actual or high risk sig and symptoms
(c) Cluster of potential or low risk signs and symptoms
(d) Single potential or low risk sign and symptoms

158 Subjective data refers to all the following except (a) Feelings
(b) Discoloration
(c) Sensations
(d) Attitudes

159 Objective data are also referred to as:
(a) Signs or overt data
(b) Symptoms verbalized
(c) Values of the patient
(d) Beliefs of all patients

160 If a midwife interferes with a person’s freedom to move about at will without legal authority to do so, the midwife can be charged with (a) Crime (b) Assault (c) Malpractice (d) Slander

161 Midwife Paula admitted a G21P woman, 12 weeks gestation with a blood pressure of 160/100Hg into the antenatal ward without information doctor. This is case of:
(a) Battery
(b) Assault
(c) False imprisonment
(d) Defamation

162 The principle that defines action as being right or wrong is
(a) Philosophy
(b) Ethics
(c) Standard (d) Legislation

163 The systemic, problem-solving approach that provides nursing care to individual, families and communities is
(a) Nursing theory
(b) Qualities
(c) Nursing process
(d) Nursing audit

164 The theorist who first used the term “Nursing Process is:
(a) Lydia Hall
(b) Dorathea Orem
(c) Callista Roy
(d) Hildegard Peplau

165 The proponent of the theory of cognitive development is
(a) Abraham Maslow
(b) Jean Piaget
(c) Eric Erickson
(d) Von Berthlanffy

166 The functional health approaches used in the collection of assessment data
were developed in 1982 by
(a) Dorathea Orem
(b) Virginia Henderson
(c) Majorie Gordon
(d) Imogene King

167 A clinical judgement about an individual, family or community responses to actual or potential health problems is:
(a) Assessment
(b) Planning
(c) Diagnosis
(d) Evaluation

168 The theorist who categorized human needs according to the order of importance is:
(a) Imogene King
(b) Abraham Maslow
(c) Evelyn Duvall
(d) Callista Roy

169 There are _ main types of nursing care plans
(a) Two
(b) Three
(c) Four
(d) Six

170 The nursing care plan for each patient should be reviewed:
(a) As soon as the patient condition change
(b) Every 24 hours
(c) When the nursing officer in charge orders a change
(d) When the patient is about to be discharged

171 Social effects of substance abuse include all except:
(a) Poor school performance
(b) Brilliant school performance
(c) Lying or giving excuses
(d) Unprotected or risky sex/unwanted pregnancies

172 One of the following is to a characteristics of a well stated outcome criteria
(a) Specific
(b) Unattainable
(c) Measurable
(d) Time bound

173 A nurse/midwife is expected renew her license every
(a) Six years
(b) Four years
(c) Three years
(d) Two years

174 In order to achieve its healthcare reform agenda, the N&MCN work closely with the following sister organization under Federal Ministry of Health except
(a) Medical and Dental Council of Nigeria
(b) Pharmacist Council of Nigeria
(c) Local Government Commission
(d) Primary Health Care Development Agency

175 The student nursing care plan for each patient has……….. Major columns
(a) Two
(b) Three
(c) Four
(d) Five

176 The third subsystem in the sequence of Nursing Process is:
(a) Nursing diagnosis
(b) Assessment Phase
(c) Planning phase
(d) Outcome identification

177 The process of prioritizing nursing diagnosis, identifying the objectives and
selecting appropriate intervention is the __ phase of the nursing process
(a) Assessment
(b) Diagnosing
(c) Planning
(d) Implementation

178 One of the following is not a purpose for regulating midwife practice
(a) Protect the public from unsafe practices
(b) Confer accountability status upon the midwife
(c) Ensure quality of care
(d) Ensure competency of the midwife

179 Primary Healthcare aims at:
(a) Providing enough social amenities to people at the grass root level.
(b) Creating political awareness
(c) Eradicate basic health services at the grass level
(d) Bringing basic health services to meet people’s needs at the grass root
level

180 Non-maleficence is associated with
(a) Promotion of standards of the profession
(b) Doing no intentional harm
(c) Self governance
(d) Risks and cost

181 The nursing process terminates or begin again after
(a) Objectives
(b) Intervention
(c) Assessment
(d) Evaluation

182 The chairman of the board of Nursing and Midwife Council of Nigeria is appointed by the

(a) Head of Nursing Services, Federal Ministry of Health
(b) Minister of State for Health
(c) Honourable Minister of Health
(d) The Secretary of board

183 The governing board of Nursing and Midwife Council of Nigeria is made up of:
(a) 9 members
(b) 19 members
(c) 91 members
(d) 99 members

184 The officer who is responsible for the day to day administration of Nursing and
Midwife Council of Nigeria is:
(a) Secretary General/Registrar
(b) The chairman, education committee
(c) The Director, Examination Committee
(d) The Directors standard and Accreditation Committee

185 Function of the Nursing and Midwife Council of Nigeria include
(a) Registration of qualified nurses/midwives
(b) Admission of student into the various schools (c) Conduction of semester examinations
(d) Mentoring of student nurses/midwives in the clinical areas.

186 Mrs. Eze who was discharge six weeks ago following a safe vaginal delivery of a baby boy has just arrived the hospital for postnatal checkup. What type of assessment are you going to carry out on her?
(a) Ongoing assessment
(b) Initial assessment
(c) Time lapse assessment
(d) Emergency assessment

187 In order to bring her services to all states of the country for easy access, the
Nursing and Midwifery Council of Nigeria created __ additional zonal offices across the geopolitical zones.
(a) 16
(b) 12
(c) 10
(d) 1

188 Sometimes one drug will increase the effect of another drug if taken at the same time , this is referred to as :
(a) Potentiation
(b) Simple summation (c) Efficacy (d) Tolerance

189 One of these vitamins enhances the absorption of iron.
(a) vitamin C
(b) vitamin A (c) vitamin K (d) vitamin D

190 Which is the most widely used anthropometric measurement of Nutrition value
(a) Weight
(b) Height (c) Age (d) Gender

191 What is the body mass index (BMT) of a youth with weight of 50kg and height of 1.79m2
(a) 15kg/m2
(b) 15.6kg/m2
(c) 20.2kg/m2 (d) 10.5kg/m2

192 Other Parameters used to measure growth in children include all EXCEPT: (a) Height
(b) Head circumference (c) Chest circumference (d) Age

193 Deficiency of fiber in the diet can cause all of the following EXCEPT:

(a) Loss of appetite
(b) Diarrhea
(c) Constipation
(d) Rectal prolapsed

194 One of these is only a good source of fat (a) Woos milk
(b) Whole pulses (c) Whole cereals (d) Eggs

195 One of these is a unit used to measure energy content of food as well energy expenditure by the body
(a) Joule
(b) Pulsumeter
(c) Thermometer
(d) Calorie

196 The narcotics are habit forming drugs: This means they are drugs of
(a) Addiction
(b) Routine use (c) Relaxation (d) Wellbeing

197 As Nebules the route of administration of salbutamol or ventolin is through (a) Injection
(b) Rectum
(c) Inhalation
(d) Topically

198 One of the following is not an indication for the use of Neurogenic ointment (a) Muscle aches
(b) Open wounds
(c) swelling and stiffness
(d) sprains

199 Mrs. Oko is given two tablets of paracetamol tds for three days in addition to other drugs, this means she is taking __ per dose.
(a) 500mg
(b) 1000mg
(c) 960mg (d) 600mg

200 Mrs. Ogah is rushed to your health facility with excessive vomiting and weakness of the body , the fastest route that will help to reduce vomiting and prevent further electrolyte loss is:
(a) Oral route
(b) Intramuscular route (c) Intravenous route
(d) Subcutaneous route

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