MCQ ON PHOTOTHERAPY

1. Neonatal period consider as

a. 1-28 days
b. 1-60 days
c. 1-90 days
d. 1-120 days
2. Physiological jaundice occurs within
a. 24 hours of life
b. 2-3 days of life
c. 4-7 days of life
d. 7-14 days of life
3. Which of the following factors leads to neonatal Hyperbilirubinemia
a. High level of unconjugated bilirubin in liver
b. Shortened neonatal red cell life span
c. Haemolysis
d. All of the above
4. Phototherapy will be started when Bilirubin level is
a. >5mg/dl
b. 10mg/dl
c. 15mg/dl
d. 20mg/dl
5. Lights used in phototherapy are
a. Neon light
b. Fluorescent light
c. Sodium light
d. LED light
6. Eye shield must be placed over the infant eyes to prevent
a. Eye irritation
b. Conjunctivitis
c. Retinal damage
 d. Excessive tearing
7. Which one is the exact mechanism of phototherapy
a. Converting conjugated bilirubin into conjugated unconjugated bilirubin
b. Converting unconjugated bilirubin into conjugated bilirubin
c. Excreting conjugated bilirubin from liver
d. None of the above
8. Baby should be fed ----------- when baby is in phototherapy
a. Every 2nd hourly
b. Every 3 hours once
c. Every 4 hours once
d. As necessary
9. Care of the baby in phototherapy except
a. Eye care every 6 hourly
b. Intake output chart
c. Skin care
d. Cleaning the baby cart
10. The most dangerous complication of Hyperbilirubinemia in newborn is
a. Lethargy
b. Poor feeding
c. Kernicterus
d. Yellowish discoloration of skin
 MCQ ON OXYGEN ADMINISTRATON

1. define hypoxemia
a. decreased tissue oxygen
b. increased tissue oxygen
c. low level of O2 in the blood
d. high level of oxygen in the blood
2. Which oxygen delivery system is for high flow oxygen
a. nasal cannula
b. venture mask
c. partial non rebreather mask
d. simple mask
3. Humidifier should be filled with -------- of the distilled water
a. ½ of the humidifier
b. ¼ of the humidifier
c. ¾ of the humidifier
d. 1/3 of the humidifier
4. Which position is best for promoting expansion of the lungs and reducing pressure
a. low fowlers position
b. high fowlers position
c. trendelenburg position
d. semi fowlers position
5. Normal flow rate of simple oxygen mask
a. 2-5L
b. 6-10L
c. 10-15L
d. None of the above

6. Flow rate of non rebreather mask is

 a. 1-5 L
b. 6-10L
c. 6-15L
d. 6-20L
7. Monitoring of child under oxygen is following except
a. respiratory rate
b. spo2 level
c. oxygen flow rate
d. intake/output
8. Functioning of oxygen delivery system checked by following except
a. placing the tube behind the ear
b. placing the tube on the palm surface
c. placing the tube in bowl of water
d. observing bubbles in the humidifier
9. Humidifier water should be changed
a. every day
b. every 3 days once
c. every 5 days once
d. every 7 days once
10. Oxygen is noncombustible
a. true
b. false

MCQ ON CARE OF CHILD ON VENTILATOR

1. Mechanical ventilation is defined as except
a. artificial ventilation
b. artificial breathing
c. assisted ventilation
d. acquired ventilation
2. Purpose of mechanical ventilation is
a. improve pulmonary gas exchange
b. increase work of breathing
c. provide airway relaxation
d. increase energy consumption
3. Indication of mechanical ventilation except
a. sepsis
b. apnoea with respiratory arrest
c. congestive heart failure
d. renal failure
4. Expand PEEP
a. pulmonary end expiratory pressure
b. pressure extend expiratory pressure
c. positive end expiratory pressure
d. positive expand expiratory pressure
5. Ensure patent airway of child by checking the following except
a. B/L air entry
b. Chest expansion
c. Respiratory rate
d. Temperature

6. Initial assessment of child include

a. GCS score
 b. Cyanosis
c. ABG value
d. All of the above
7. What is the normal PaCO2 level of the child
a. 25-35mmHg
b. 35-48mmHg
c. 45-55mmHg
d. None of the above
8. Duration of changing the position of child on ventilator is
a. every hourly
b. every 2nd hourly
c. every 4th hourly
d. every 6th hourly
9. Which position is good to increase oxygenation
a. supine position
b. prone position
c. head end elevation
d. semi fowlers position
10. Back care should be given
a. every hourly
b. every 2nd hourly
c. every 4th hourly
d. every 6th hourly
11. Hygiene care to the child on ventilator is
a. oral care
b. eye care
c. skin care
d. all of the above
12. Position required for providing oral care to the child on ventilator
a. sims position with head turn a side
 b. semi fowlers position with head turn a side
c. left lateral position
d. supine position with head turn a side
13. Solution used for oral care
a. normal saline
b. beta diene
c. chlorexidine
d. distilled water
14. Enteral feed is prescribed when the child has
a. Functional GI tract
b. GI obstruction
c. GI hemorrhage
d. Diarrhea
15. How to maintain the adequate nutrition of child who is in 2nd day of intubation
a. parenteral nutrition
b. nasogastric tube feeding
c. total total nutritional mixture
d. IV fluids
16. Suction connection tube should be changed every
a. 24 hours
b. 36 hours
c. 48 hours
d. 72 hours
17. Duration of changing ventilator circuit
a. 3 days once
b. 7 days once
c. 10 days once
d. 14 days once
18. Chest physiotherapy method commonly used by nurses
a. percussing & cupping
 b. percussing & vibration
c. tapping & vibration
d. percussing & tapping
19. Signs of barotraumas(rupture of lungs)
a. cough
b. skin rashes
c. decreased/absence of breath sounds
d. none of the above
20. Documentation of care include
a. ventilator settings
b. medications
c. positioning
d. all of the above

MCQ ON ENDOTRACHEAL TUBE SUCTION/ OROPHARYNGEAL SUCTIONING

1. Endo Tracheal Tube suction is performing to

 a. Clear airway
b. Clear excessive secretions
c. Clear tracheobroncheal tree
d. All of the above
2. Things need to be assessed before suctioning except
a. Secretions
b. Oxygen saturation
c. Cyanosis
d. Positioning
3. Which method of suction is recommend for child with COVID-19
a. Open suction
b. Closed suction
c. Manual suction
d. All of the above
4. How to select the appropriate size of suction catheter
a. According to the diameter of ETT
b. According to the age
c. According to the height
d. According to the weight
5. What is the normal pressure for suction in pediatric
a. 50-80mmHg
b. 80-100mmHg
c. 100-120mmHg
d. 120-140mmHg

6. Position of child during suction

a. Semi fowlers position
b. Full fowlers position
 c. Sims position
d. Supine position
7. The normal duration of applying suction for children
a. 3-5 second
b. 5-8 seconds
c. 8-10 seconds
d. None of the above
8. Endotracheal suction should perform
a. Every hourly
b. Every 2nd hourly
c. Every 4 hour once
d. Every 6 hours once
9. Solution instilled on ETT to dilute the thick secretion during suctioning
a. NaCl 0.9%
b. NaCl 0.45%
c. NaCl 3%
d. Distilled water
10. Symptom of hypoxemia
a. Tachycardia
b. Coughing
c. Hypotension
d. cyanosis
11. Oropharyngeal suctioning involves
a. Mouth, pharynx and sometimes trachea
b. Mouth, nose and sometimes pharynx
c. Mouth, pharynx and larynx
d. Mouth, larynx and trachea
12. Indication of oropharyngeal suctioning except
a. Secretion in pharynx
b. Secretion in upper airway
 c. Secretion in oral cavity
d. Secretion in the trachea
13. Oropharyngeal suctioning should be performed under
a. Clean technique
b. Sterile technique
c. Without gloves
d. All of the above
14. Which action would the nurse perform when preparing to suction a patients
oropharynx
a. Apply sterile gloves
b. Remove the nasal cannula
c. Place the child in a semi fowlers/sitting position
d. Flush the suction with 100ml of warm tape water
15. What is the priority intervention when performing oropharyngeal suctioning for a
patient who is receiving oxygen by face mask
a. Complete the suctioning process in 10 seconds/less
b. Encourage the child to take several deep breaths before suctioning begins
c. Keep the oxygen mask near the patient face during the suctioning procedure
d. Increase the oxygen flow by 1L/min for 3 minutes before suctioning
16. Reason for suction a small amount of water through the catheter when preparing to
suction a child’s oral cavity
a. To moisten the exterior of the plastic catheter
b. To minimize friction as the catheter moves within the oral cavity
c. To ensure that the suction catheter is functioning properly
d. To avoid startling the patient with the sound created by the suctioning
17. Oral suction increases the risk of following except
a. Respiratory infection
b. Nasal trauma
c. Laryngospasm
d. Pharyngeal trauma
18. After oropharyngeal suctioning what does the nurse do with the supplies
a. Place the catheter in a clean, dry area
b. Fold the paper drape with the outer surface inward and dispose
c. Place all disposable equipment into the wrapper of the suction catheter before
discarding
d. Discard the dirty gloves in the BMW bin in the patient room
19. Contraindication for oropharyngeal suction is
a. Patient has hypoxaemia
b. Patient has a fractured base of skull
c. Patient has a chest infection
d. Patient able to tolerate nasopharyngeal suctioning
20. Which action is most useful in evaluating the effectiveness of oropharyngeal suctioning
a. Comparing pre & post suctioning respiratory assessment data
b. Asking the parents to report any breathing difficulty
c. Confirming that the child’s pulse oxymeter value >90%
d. Assessing the child’s skin for sign’s of cyanosis