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BOOKLET CODE: 012 SUBJECT CODE: 02 is providing vacciner answission of infections due to unsafe 40. Accimations to avoid the possible injections. What is the most important precaution that the nurse implement primarily to meet her goal? (A) Avoid rease of needles (C) Avoid touching the needle (4) Avoid recapping of needles (D) Avoid injecting at the incorrect site 41. A nurse found that the cold chain temperature of the vaccine has fallen below O'C for five The nurse moves ver. The shake test was performed using the "TEST vial and vaccines to the safe storage and checked some freeze sensitive ''FROZEN'' vial. What is the most likely condition to determine the vaccine is safe to use? (A) Ifsedimentation is similar in both vials (B) Ifthe TEST vial sediments are faster than the FROZEN vial (C) Irthe TEST vial sediments are slower than the FROZEN vial (D) If there is no sedimentation in the TEST vial, but in the FROZEN vial 42. A nine-month-old child is brought to the immunization clinic for vaccination. The nurse checked that the child has taken all previous doses before giving the present dose. Then.the nurse gives measles vaccine and appointed the mother for the next dose. What is the most likely vaccine to be provided in the next schedule? (A) Measles (C) Tetanus toxoid (B) Pertusis (D) Hinflenza type b 43. A mother of a school age child came to a hospital to consult the nurse about the development of her child.The nurse asked the mother about the behavioral indicators of development and suspected that the child may have attention-deficit disorder. What could be the most likely indicator for the nurse's suspicion? (A) Impulsivity in school (C) Sitting in class for long time (B) Over engagement in tasks (D) Impairments in communication 44. A three-year-old child is brought to the well-baby clinic due to poor communication skill. On assessment, the child is found to have poor social interaction and the nurse suspected that the child is autistic. What is the most appropriate management for this child? (A) Psychosocial intervention (B) Advise the mother for stimulants (C) Advise the mother for antipsychotics (D) Advise the mother for mood stabilizers

OOKLET CODE: 012 SUBJECT CODE: 02 who is prosition possible transmission of infections due to unsafe vaccinations to What is the most important precaution that the nurse implement primarily io meet her goal? of needles (C) Avoid touching the needle (A) Avoid recapping of needles (D) Avoid injecting at the incorrect site the cold chain temperature of the vaccine has fallen below O'C for five A nurse found that storage and checked some freeze sensitive The shake test was performed using the "TEST vial and FROZEN"vial. What is the most likely condition to determine the vaccine is safe to use? 1) If sedimentation is similar in both vials If the TEST vial sedimens are slower than the FROZEN vial ) If the TEST vial sediments are faster than the FROZEN vial If there is no sedimentation in the TEST vial.but in the FROZEN vial nine-month-old child is brought to the immunization clinic for vaccination. The nurse cked that the child has taken all previous doses before giving the present dose. Then, the se gives measles vaccine and appointed the mother for the next dose. it is the most likely vaccine to be provided in the next schedule? Measles (C) Tetanus toxoid Pertusis (D) H.inflenza type b ther of a school age child came to a hospital to consult the nurse about the development child. The nurse asked the mother about the behavioral indicators of development and cted that the child may have attention-deficit disorder. could be the most likely indicator for the nurse's suspicion? npulsivity in school (C) Sitting in class for long time ver engagement in tasks (D) Impairments in communication -year-old child is brought to the well-baby clinic due to poor communication skill.On nent, the child is found to have poor social interaction and the nurse suspected that the autistic. the most appropriate management for this child? chosocial intervention vise the mother for stimulants ise the mother for antipsychotics ise the mother for mood stabilizers Nursing 2015/2023

MOOKLET CODE: 013 SURJECT CODE: 02 19. A mother brought her a one-day-old neonate to a hospital with a complaint of inability to And treast mik. The neonate was born at 36 weeks of gestation, has thick skin, and can but sucking relles wa weal. The neonate respiratory rate is somint temperature is 37^circ C and pulse rate is130 min. What is the most likely indicator to be used to classify the child as preterm birth? (C) Tachypnea (A) Thick skin (D) Weak sucking reflex (ii) Tachycardia 20. A four-year-old child is brought to a hospital due to fever of two days duration The child has no nunny nose and mouth uleer, but chills and loss of appetite: Her temperature is 38.5^circ C and respiratory rate is 55 min The murse diagnoses the case as pncumonia. What additional manifestation is needed to confirm the diagnosis? (A) Chest in drawing (C) Convulsion (B) Inspiratory stridor (D) Cyanosis 21. A seven-year-old child came to a hospital with a complaint of cough of three weeks dunition. The child had weight loss and history of contact with ruberculosis patient in the last SIX months. The nurse w ants to screen the child for Tuberculosis. What is the most likely confirmatory screening method for this child? (A) Radiography (C) Clinical manifestions (B) Tuberculin Skin Test (D) Acid fast bacilli test of sputum 22. A two-year-old child is brought to a hospital with a complain!of diarrhea of two days duration. The child is lethargic and unable to drink on arrival. The child also has sunken cyes. The nurse wants to classify the level of dehydration based on IMNCI protocol. What is the most likely classification of this child? (A) No dehydration (C) Some dehydration (B) Dehydration (D) Severe dehydration 23. A neonate was brought to a hospital with complaints of inability to breast feed and yellowish discoloration of the palms and soles. The neonate was bom at 36 weeks of gestation with birth weight of 2200 gram Serum bilirubin level was 12mg/dl What is the most appropriate nursing intervention for this neonate? (A) Provide exchange transfusion (B) Put the neonate on Phototherapy (C) Warm the infant by skin-to-skin contact (D) Advise the mother to expose to natural light

BOONLET CODE: 011 SUBJECT CODE: matient comes to a hospital with complaint of penetrated skin of two days Antion. He also complain hematuria and dysuriabit laborator unine Most of the time lains atient has swimming habit from their local river. What is the most appropriate management for this case? (A)Administration of Diclofense (4) Administration of Praziquantel in water bodies 19 (D) Clearing of vegetation in water bodies 77. A 34-year-old man came to a hospital from malaria endemic area with the complaints of fatigue, headache and fever. The nurse performed further assessment and the natient with malaria. What clinical finding is most helpful to diagnose the patient is in complication? (C) Jaundice (A)Fever (D) Headache (B) Myalgia 78. A 36-year-old female patient comes to a health institution with complaint of skin rash on her area for two months. She has hard symmetrical chancre but do not itch and the serological test (VDRL) is positive. The chancre was painless and disappeared within one month. Her husband tells her that he had similar case for the last six months. What is the best clinical feature to diagnose this case? (C) Positive serological test (A) Non itchable chancre (B) Chancre on genital area (D) Hard symmetrical chancre 79. A 27-year-old patient comes to a hospital with the complaints of acute onset profuse and purulent urethral discharge, urgency itching sensation of the urethra and burning sensation during micturition. The patient have also painless and regular ulcer on genitalia. What is the most likely diagnosis of this patient? (C) Gonorrhea (A) Syphilis (B) Chancroid (D) Herpes genitalia 80. An old man came to a hospital and was diagnosed with rabies after dog bite The patient has open and deep wound paraesthesia, and tingling sensations at the site of the bite. What is the initial management for this patient? (A) Suture the wound (B) Administer antibiotics (C) Administer post exposure prophylaxis (D) Wash the wound with soap and water MoH/EHPLE Nursing 201512023

severe acute mainwom laboratory glucose slightly open someral intervention to this infant? Give a. positive of communication (D) Give ()12 36. A two-month-old infart who was on exclusive well as brusing, umbilical stump cirenmeision site bleeding. of blood stained stool as and post What is the most likely cause of this infant 's problem? (C) Vitamin D deficiency (A) Vitamin K deficiency (D) Vitamin B deficiency (B) Vitamin C deficiency 37. A mother brought her nine 10-month-old child to well-baby clinic. The nurse noticed that the child can say dada/mam and was able to grasp objects with thumb and forefinger. But the informed the nurse that the child could have gross motor developmental delay, the child's weight was 9 kg What should the nurse assess primarily to disprove the mother's worry? (A) Confirm ability of the child to crawl (B) Confirm ability of the child to sit independently (C) Confirm ability of the child to stand handling objects (D) Confirm ability of the child to make tripod posture 38. A 16-month-old child was brought to well-baby clinic for growth and developmental check up. The nurse in charge noticed some developmental delay based on the Freud's principle. What could be the most appropriate nursing intervention in this case? (A) Advise the mother about appropriate feeding (B) Show the mother about how to train toileting the child (C) Advise the mother how to avoid aggressive behaviors of a child at this age (D) Recommend mother to collect learning materials to enhance intellectual development 39. A certain health center plans to do a two days immunization campaign in two selected kebelles where immunization coverage is low. Then, nurses were assigned to give vaccines for consecutive two days as it is planned. What is the most appropriate vaccine storage to keep the potency of vaccines? (A) Cold box (B) Refrigerator (C) Water-packs (D) Vaccine carrier