PART-2 GENERAL PAPER
LICENSURE PREPARATIONS
BRO EMMA & TEAM (0501321481)
1. A patient who had been on admission on your ward for a couple of days is refusing to
come back to the ward to sleep while you are on duty as a night nurse. You approached the
patient to convince him to get to bed but he retorted ‘’I don’t want to stay in that ward, I
can smell the odour of people who died there’’. The term used for this phenomenon is
..................... hallucination.
A. Kinesthetic
B. Gustatory
C. Olfactory
2. A pregnant woman was diagnosed with tubal pregnancy. The outcome of such a
pregnancy is the following EXCEPT:
A. Rupture
B. Mole
C. Growth
3. The following are high risk factors that may arise during pregnancy EXCEPT:
A. Increasing maternal weight in association with increasing uterine size.
B. Head not engaged in primigravid woman at term
C. Uterus large or small for gestational age
4. A 6-year-old boy’s hand was amputated due to negligence by the parents at home. Which
ethical principle would the health staff employ in taking care of his problem?
A. Non-maleficence
B. Beneficence
C. Maleficence
5. Madam Ama Badu is diagnosed of recurrent Chlamydia. The nurse educates the patient
to complete treatment to avoid the following complications.
I. Pelvic inflammatory disease
II. Ectopic gestation III. Cervical cancer IV. Endometriosis
A. I, II and IV
B. I, III and IV
C. I, II and III
6. A member of your community called to report that her son who has been seeing the
psychiatrist on outpatient basis, has started drooling saliva and his tongue seems protruding
while his neck has become stiff. Which of the following medications will you recommend?
A. Abilify
B. Thorazine
C. Artane
7. A patient refused his morning medication. The Nurse threatens to use force to open his
mouth and give the medication. Your colleague nurse working with you prompted you that
you may be committing...................
A. Assault
B. Battery
C. Slander
8. The patient who has renal surgery done is at most risk of having .................. post-
operatively.
A. Oliguria due to disease process
B. Hypovolemic shock by bleeding
C. Infection due to wound (incision)
9. Baby Jason had measles infection among siblings of four. The other two had the infection
except one. What type of immunity does the one who did not have the infection possess?
A. Individual
B. Inherent
C. Species
10. In planning care for a patient with acute renal failure, your goal will be to
A. Preserve kidney homeostasis
B. Restore normal chemical balance
C. Maintain kidney function
11. Which of these observations are made by the midwife when timing uterine contractions
in the first stage of labour?
I. Frequency
II. Pain
III. Strength
A. I, II and III
B. I and II
C. I and III
12. The following are all characteristics of wound healed by primary or first intension
EXCEPT:
A. Flap design
B. Flap closure
C. Skin graft
13. Adolescents are prone to serious risk-taking behaviours. One of these may be a
contributory factor.
A. They become curious and daring
B. They tend to have voluntary and involuntary personal experience
C. There is a conflict between cultural or parental expectation
14. All the following are examples of catatonic behavior; I. Staring
II. Grimacing III. Mutism
IV. Mannerism
A. I, II and III
B. II, III and IV
C. III and IV
15. A patient’s relative overhead the nursing staff discussing aspects of the patient’s health
with their friend in the Nurses room. What ethical principle is the nursing staff violating?
A. Maleficence
B. Confidentiality
C. Veracity
16. You are at a diabetic OPD and reviewing the medications of Mr. Mensah who has
recently been diagnosed with depression in addition to the diabetes mellitus and
hypertension. The psychiatrist has put him on an antidepressant belonging to the group
Mono Amine Oxidase Inhibitors (MAOI). Which of these foods would you advise him to
avoid?
A. Cheese
B. Fish
C. Fruits
17. Failure as a nurse to practice without a valid license constitutes .....................
A. Defamation
B. Professional misconduct
C. Invasion of privacy
18. A patient underwent surgery and as part of the post-operative instruction, she is
supposed to take her antibiotic medications and report to the hospital for daily wound
dressing. She reported back to the hospital with an infected wound. The patient’s behavior
can be termed as........................
A. Beneficence
B. Non-compliance
C. Maleficence
19. A patient on your ward started bleeding from the incisional site after surgery few hours
after his return from the theatre. As the Nurse on duty, what will be the best action to take?
A. Check vital signs
B. Call doctor (surgeon)
C. Reinforce dressing
20. Women in child bearing age are advised to start antenatal clinic ..................
A. Wait till the second menstrual period is missed
B. Immediately a menstrual period is missed
C. When the husband is ready
21. The Nurse/Midwife who provides information to the individual and family of disabled
person to empower them to take up responsibility of care for the disabled plays the role of
a/an ..................
A. Educator
B. Advocate
C. Facilitator
22. During the general assessment of a patient, it is important to ask the biographic data
first in order to ..............................
A. Obtain the basic information about the patient
B. Get the health history of the patient
C. Assess the need of for admission
23. Mrs. Akua Tetteh has visited your clinic for her 2 weeks’ postnatal visit. She claimed
lochia is still draining. This type of lochia is termed.....................
A. Alba
B. Serosa
C. Rubra
24. AgyaOkai has been on the ward for months after surgery due to delayed wound healing.
What systemic factors can contribute to this condition?
I. Limited supply for collagen synthesis
II. Low oxygen tension III. Protein deficiency IV. Vitamin C deficiency
A. I, II and IV
B. I, III and IV
C. I, II and III
25. Mr. Hamidu called in to your facility with the complaints that, he thinks he no longer has
control of his mind. After asking him to further explain this belief, he said some Americans
he does not know have forced their beliefs into his mind such as ‘’each man for himself, God
for us all’’. This phenomenon is described as thought .....................
A. Inspection
B. Incorporation
C. Insertion
26. Which will be your first action when you encounter a client who complains of being
stressed up?
A. Plan with the client how to relief stress
B. Develop support systems with the client
C. Help client identify the cause of the stress
27. You have been invited to organize a community outreach programme for individuals
recovering from mental illness. The objectives include self-advocacy skills, self- care
activities and promoting relapse prevention. These objectives fall under which level of
prevention?
A. Tertiary prevention
B. Primary prevention
C. Secondary prevention
28. Different methods can be used in documentation in nursing. As a nurse, you document
by first writing only negative findings.
This method is known as documentation by ................
A. Exception
B. Inception
C. Inclusion
29. Puerperal women are advised on early ambulation to: I. Promote good circulation
II. Improve drainage of lochia
A. I and II
B. I and III
C. II and III
III. Make their abdomen flat
30. 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. Power attorney
C. Informed consent
31. Mr. James Cole, a confirmed pulmonary TB patient defaulted his medication after 2
months of DOT. The doctor decides to restart him on which of the following regimen?
A. 4 months intensive phase, 4 months continuation phase
B. 3 months intensive phase, 5 months continuation phase
C. 3 months intensive phase, 4 months continuation phase
32. Which of the following should a woman include in her birth preparedness and
complication readiness plan?
I. Place of birth
II. Date and time of birth
III. Means of transport
A. I and III
B. I and II
C. II and III
33. It is common in Ghana to see churches full with people on Sundays. This tends to
provide comfort and helps in time of stress and trauma. Religiosity and spirituality serve as
which factor of mental illness?
A. Risk
B. Intrinsic
C. Protective
34. You have been assigned to assess the risk and protective factors of Mr. Aboagye Mensah
who has been on the ward for a week. In your assessment, you realized that Mr. Aboagye
has a supportive and caring family, a supportive employer and friends as well as adequate
income. These factors are grouped under ..................................
A. Neutral protective factors
B. Internal protective factor
C. External protective factor
35. A nurse did not perform a fall risk assessment during admission of an elderly patient and
the patient fell. You will be right to say that the nurse ........................
A. Failed to meet standard by breeching her duty
B. Has the potential to foresee a harm
C. Provides the care as her duty
36. Recently, a man facing charges of defamation of character of the President of GRNMA at
the high court of Ghana claimed that, it was the devil which made him to insult the
President. This phenomenon is described as thought of .....................
A. Defamation
B. Insertion
C. Isolation
37. AdjoaAtaa, 23 years old in labour with a cervical dilatation of 6cm. Which of the
following will be done to give emotional support?
I. Explain every procedure and communicate findings to her
II. Allow her husband to sit bedside the bed to encourage her
III. Record all findings on the partograph because it is a legal document
A. I and III
B. I and II
C. II and III
38. The Nurse is assessing a patient with disability. Which of the following statements by the
patient requires further investigations?
A. I had surgery done last month so I hope to be well soon
B. I can only move about in a wheel chair
C. My disability does not affect my relationship
39. The midwife taught a primipara to strike the check or side of the baby’s mouth anytime
she wants to breastfeed her baby. Which of these reflexes is being elicited?
A. Sucking
B. Rooting
C. Grasp
40. A client with fluid volume deficit is being monitored on intake and output chart but not
all fluids loss by the client is measured. This is known as ........................
A. Insensible losses
B. Sensible losses
C. Unmeasured losses
41. A patient with dry eye syndrome will mostly complain of which of the following?
A. Difficulty moving the lids
B. Excess mucus secretion
C. Scratchy or foreign body sensation
42. The following are themes that could characterize delusions; I. Persecutory
II. Religious
III. Referential IV. Professional
A. II, III and IV
B. I, II and IV
C. I, II and III
43. In teaching a junior colleague on sickle cell, the most important precipitating factor to
emphasize for sickling crisis is .....................
A. High altitude
B. Dehydration
C. Hypoxia
44. The nurse/midwife needs the following skills MOST when counseling clients on behavior
change.
I. Listening skills
II. Responding skills
III. Public speaking skills
A. I and III
B. II and III
C. I and II
45. The following are possible complications of hemorrhoidectomy EXCEPT:
I. Anal fissure
II. Rectal perforation III. Urinary retention IV. Fistula formation
A. I, II and III
B. I, II and IV
C. II, III and IV
46. All the following are characteristics of hallucinations: I. Vivid
II. Clear
III. Involuntary IV. Voluntary
A. I, II III and IV
B. II, III and IV
C. I, II and III
47. A patient is booked for surgery. On the day of surgery, she was requested to sign the
consent form. The patient is making choice about her health. What ethical principle is she
using?
A. Beneficence
B. Veracity
C. Autonomy
48. A high school girl walks to the OPD and confided in you that she had sexual intercourse
with a man about 2weeks ago and just a day ago she has noticed a firm, round and painless
sore on the genital area. Which of the following STI’s is she likely to be suffering from?
A. Gonorrhea
B. Syphilis
C. Genital herpes
49. A pregnant woman complained of frequency of micturition at 36 weeks. Which of these
explains the physiology? The ........................
A. Presence of infection
B. Enlarging uterus is rising out of the pelvis
C. Fetal head lies in the pelvis
50. Which hormone is responsible for bleeding of the gum in pregnancy?
A. Progesterone
B. Relaxin
C. Oestrogen
51. A 58-year-old woman who has been diagnosed of hypertension comes for review at your
facility. This level of care is...............................
A. Preventive
B. Primary
C. Secondary
52. A patient with diabetes mellitus visited the laboratory for routine test. Results revealed
ketones in urine. In which type of diabetes mellitus is this symptom more common?
A. Type II
B. Gestational
C. Type I
53. Selective investigations done to rule out appendicitis are as follows EXCEPT:
A. Urea and electrolytes
B. Full blood count
C. Pregnancy test
54. You are admitting a woman who delivered 3 hours ago to the postnatal ward. Which of
these observations would be made on the mother?
I. State of lochia
II. Uterus well contracted III. Amount of urine passed
A. I and III
B. II and III
C. I and II
55. Your junior colleague approached you to ask how best he could assess disorganized
thinking in a psychiatric patient. Which of the following would you ask your colleague to pay
particular attention to?
A. Appearance
B. Mood
C. Speech 15
56. Kofi Mensah has been distressed for the past few days and has been referred to you for
assessment at the psychiatric outpatient department. On assessment, he complained that
he believes a group of foreign doctors have removed his internal organs and replaced them
with that of his dead uncle. Your physical assessment revealed no obvious scars of surgery.
This is an example of ............................... delusion.
A. Nihilistic
B. Bizarre
C. Kinetic
57. A speech impaired patient in your care is being forced to sign a form before going for
surgery. The patient does not understand and is making things difficult for the nursing staff.
By forcing the patient to sign the form, the nursing staff are committing an act
of.........................
A. Consertion
B. Conversion
C. Coercion
58. Which of these factors will BEST contribute to the effective care of your clients in a rural
community?
A. Respect of customs and values of the client
B. Knowledge of the objectives of health programs
C. Experience in giving health education
59. In an organization, the management has formulated a health policy on smoking, alcohol
intake and seat belt use. Which of the components of workplace safety below is being
aimed at?
A. Prevention
B. Promotion
C. Protection
60. Adolescence is a time of transition, a period when a person is no longer a child but is not
yet an adult. Which hormone secretion plays a part in the growth of the pubic, axillary and
facial hair?
A. Oestrogen
B. Testosterone
C. Androgen
61. You have been tasked to write a mental health promotion and prevention proposal for
your district assembly. At which stage of human development would you suggest mental
health promotion and prevention intervention begin?
A. Childhood period
B. Perinatal period
C. Postnatal period
62. Individuals who suffer from schizophrenia usually have a ‘’split’’ between
their........................ and their ...............................
A. Thoughts and feelings
B. Feelings and behavior
C. Thoughts and behavior
63. To prevent infections during labour, the following are done I. Beds and rooms must be
cleaned thoroughly after use
II. Clients are encouraged to wash their hands after use
III. Doctors and midwives should perform vaginal examination anytime the client wishes
A. II and III
B. I and III
C. I and II
64. A child suffering from iron deficiency anaemia should be placed on which of the
following dietary regimen?
A. Bread, beans and almond
B. Green vegetables, lentils and meat
C. Cereal, yam and fruit juice
65. A 13-year-old neighbour’s daughter came to access family planning services at your
clinic. Another neighbour saw the girl and informed the parents. The parents came to your
house to find out the problem the daughter came with. You did not give them the
information. You are right by applying which of these ethical principles?
A. Confidentiality
B. Veracity
C. Consent
66. In the assessment of the respiratory system specifically, the basic steps of the
examination include the following:
I. Inspection
II. Auscultation
III. Palpation IV. Percussion
A. II, IV, III and I
B. I, IV, II and III
C. I, III, IV and II
67. A student nurse is seen slapping a patient. The student nurse has
committed......................
A. Misdemeanor
B. Libel
C. Defamation
68. Nurse Babalo identified a client with potential malnutrition in the home. Which of these
nursing actions is MOST appropriate?
A. Demonstrate the preparation of well mixed diet
B. Assist the family to purchase the right foods
C. Check the vital signs of the client and record
69. During the unconscious phase, the patient can be positioned at...................
A. Recumbent position, no pillows with the head turned to the side
B. Lateral position, no pillows with the head turned to the side
C. Supine position, no pillows with the head turned to the left side
70. A man is diagnosed with hepatitis B. To give immediate protection to his family
members, which of the following will be advised?
A. Hepatitis B immune globulin should be given
B. Hepatitis B vaccination should be completed
C. Isolate the patient from family
71. The following are all systemic complications of burns EXCEPT:
A. Keloids
B. Hypothermia
C. Shock
72. As a registered nurse, which of the following patient’s will require frequent
documentation on your shift?
I. Stable client 2 days post vaginal delivery
II. A 55-year-old patient admitted to the intensive care unit with myocardial infarction
III. A client presenting to the emergency unit with acute viral respiratory problem
IV. 12-year-old boy, 4 days post-operative with leg fracture
A. II and IV
B. II and III
C. I and II
73. A patient on your ward is unable to make decision concerning her health. The Nurse on
duty realizes that the patient has a legal document which states what should happen to her
in case she loses her ability to make decisions. This decision made by the patient is
...........................
A. Do not resuscitate
B. Advance directive
C. Power of attorney
74. As part of making sure our general population is in good health, the SRC of a nursing
school conducts a health screening in the community in which they are situated. What level
of care are they giving?
A. Tertiary
B. Primary
C. Secondary
75. The blood pressure of a pregnant woman is estimated at the first visit to..................
I. Find out the usual level
II. Compare subsequent readings
III. Be prepared after thirty minutes
A. I and III
B. I and II
C. II and III
76. A community that derives its domestic water from a pond will be expected to keep it
from pollution by the following methods:
I. Blocking the water from flowing
II. Deepening of the fetching point
III. Zoning the water for different purposes
A. II and III
B. I and III
C. I and II
77. Kojo was assisted by the nurse to perform sitz baths at least twice daily and after each
defecation. This is to help prevent the following EXCEPT;
A. Inflammation
B. Constipation
C. Recto-anal spasm
78. In an organization, occupational health is to ensure that workers remain fit and well
whiles undertaking the task he/she is employed to perform. Which of these people form the
occupational health team?
I. Nurses
II. Employers III. Workers
A. I and III
B. I and II
C. II and III
[Link] Asante, 30 weeks pregnant complained of constipation. The midwife advises
her to:
I. Eat a diet rich in fibre
II. Drink more water
III. Take aperients as prescribed
A. I and III
B. II and III
C. I and II
80. The recommended schedule of immunization considers: I. Immunizations that are
available
II. Age of starting the immunization
III. Order in which the vaccines are given
A. I and II
B. II and III
C. I and III
81. A person’s chances of developing a peptic ulcer depends on his blood type among other
factors. Which blood type is a predisposing factor for the condition?
A. AB
B. O
C. A
82. A problem that requires a choice between two options that are equally unfavourable
and mutually exclusive is termed...................
A. Ethical dilemma
B. Spiritual dilemma
C. Ethical principle
83. A Nurse in your facility accidentally gives overdose of narcotic medication to a patient
which resulted in the death of the patient. With your knowledge in legal nursing, the Nurse
can be convicted of ..............................
A. Manslaughter
B. Battery
C. Murder
84. You are writing a proposal for funding and as part of the requirements, you need to
state a number of support systems. Which of the following constitute support systems?
I. Co workers
II. Family III. Friends IV. Tribe
A. I, II and IV
B. I, II and III
C. II, III and IV
85. A mother has engorged breast since 3 days. Your management include:
I. Encouraging her to wear a well-fitting brassiere II. Breast feeding her baby every 2-3 hours
III. Applying shea butter to relieve pain
A. I and II
B. II and III
C. I and III
86. In Ghana, it is common to find a young man standing by the roadside urinating.
However, this behavior in advanced countries like America will be considered abnormal.
This difference in behavior indicates which aspect of mental illness?
A. Cultural adaptation
B. Cultural salience
C. Cultural relativity
87. Kofi was exposed to coccidiosis infection but did not show any signs and symptoms of
the infection. What type of immunity is Kofi having?
A. Species
B. Individual
C. Racial
88. A patient on the ward is being discharged but cannot pay his/her bill. Which of the
following people in the health team should be consulted?
A. Social worker
B. Hospital matron
C. Speech therapist
89. Madam YaaAmanfo delivered 2 hours ago and complaints of lower abdominal pain
which becomes severe during breastfeeding. Which of these BEST explains her condition?
A. Experienced by all women especially the multiparous
B. Oxytocin is produced as she breastfeeds leading to uterine
contractions
C. There could be a tear in the vagina which has not been seen
90. Your patient who recently delivered on your ward and is about to be discharged, came
to report to you that, anytime she is breastfeeding her baby, she feels the taste of milk in
her mouth. Your patient could be described as experiencing ........................ hallucinations
A. Gustatory
B. Kinesthetic
C. Olfactory
91. You are using the Pinard stethoscope to check the foetal heartbeat. You are expected to
listen to the rate over a complete........................... seconds
A. 30
B. 60
C. 90
92. Post-natal examination is conducted seven to ten days after delivery to ensure that:
I. Lactation is established and baby has sufficient milk
II. Post-natal exercises are taught and practiced
III. The organs affected by pregnancy and labour are returning to their pre-pregnant state
A. II and III
B. I and III
C. I and II
93. During abdominal palpation, the shape of the uterus indicates the ..................... of the
foetus
I. Lie
II. Attitude
III. Position
A. II and III
B. I and II
C. I and III
94. 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. Competition
B. Avoidance
C. Collaboration
95. The part of the ovary which forms at the point of entry for blood vessels, lymphatics,
and nerves is
A. Tunica albuginea
B. Cortex
C. Medulla
96. An expectant mother expressed her displeasure about the examination of her breast as
part of the preparations for breast feeding at the antenatal clinic. What will be your
immediate nursing intervention to help the mother?
A. Oh! Please we are very sorry, this should not have happened at this time rather when you
deliver.
B. I don’t understand, there are experienced nurses to manage any problem with your
breast after you have delivered.
C. This is the ideal time for the breast examination so that any problems seen can be
managed before delivery.
97. An epileptic patient on your ward suddenly stopped taking his medication on the
grounds that he is healed. How would you manage the situation?
A. Educate him on the condition and how to cope with it.
B. Convince him to continue with his medication
C. Tell him that more serious would be experienced if he is not
Careful
98. What preventive measure should a pregnant woman undertake to prevent the unborn
child from tetanus?
A. Immunize with tetanoltoxiod during pregnancy
B. Prevent herself from nail prick during pregnancy
C. Immunize with anti-tetanus serum during pregnancy
99. A Nurse documents that ‘’client will ambulate from bed to the bathroom within 72
hours’’. This is an example of ..................
A. Medium-term goal
B. Short term goal
C. Long term goal
100. Prolonged insufficient intake of vitamin A rich foods results in A. Conjunctivitis
B. Corneal ulceration
C. Xerophthalmia
