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Licensure Exam
1. A lactating mother came to the family planning clinic seeking contraception for the first time.
The nurse discussed about contraception options, the benefits, and side effects. But the mother
was confused to decide the type of contraception she wants to use.
What is the priority counselling approach applied in this condition?
A. Keep two-way communication C. Ensure privacy
B. Remain non-judgemental D. Show empathy
2. A six month lactating mother came to health center for family planning service. After assessing
her eligibility and providing counselling, the nurse inserts Jadelle in September 2012 E.C. Before
the mother left the clinic, the nurse gave her a reminder card for return visit for removal purpose.
What would be the most appropriate appointment date for the next visit?
A. September 2014 B. September 2015 C. September 2016 D. September 2017
3. A mother who uses an implant contraceptive came with complaints of changed bleeding
pattern, headaches, abdominal pain, breast tenderness and nausea. The mother reported that her
menstruation period become sometime absent and little in amount on other time.
What is the priority intervention for this woman?
A. switch contraception C. check for pregnancy
B. provide counselling D. remove the contraception
4. A 25-year –old mother came with complaints of excessive and irregular monthly bleeding after
six month of taking contraception. She also complains about increments of her weight. Her body
mass index was 26.4 and blood pressure 140/80mmhg. The nurse counsels her to shift the
contraceptive she uses.
What is the priority side effect of the contraception?
A. Weight gain B. Excessive bleeding C. Irregular bleeding D. Increased blood pressure
5. A31-year-old woman came to gynecologic unit with complaints of lower abdominal pain, pain
during coitus abnormal vaginal discharge and fever. On physical examination, the nurse found
uterine and adnexal tenderness.
What is the most likely confirmatory manifestation for this patient?
A. pain during coitus C. abnormal vaginal discharge
B. lower abdominal pain D. uterine and adnexal tenderness
6. A woman came to gynecologic OPD with complaints of excessive and irregular uterine
bleeding. The woman cannot remember when her menstrual period started. The amount and
duration of bleeding also vary during each cycle.
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What is the most likely explanation of this finding?

A. Menorrhagia C. Poly menorrhea
B. Metrorrhagia D. Menometrorrhagia
7. An adolescent girl came with complaints of difficulty and pain during sexual intercourse.
She has regular menstrual period with abdominal cramps. On pelvic examination: a nurse
identified loses of hymen membrane like structure with small perforation on middle third of
vagina. The nurse suspected that her problem is vaginal congenital anomalies.
What is the most likely manifestation for diagnosis of this condition?
A. Abdominal cramps B. Small perforation
C. Painful sexual intercourse D. Membrane like structure
8. A 20 weeks pregnant woman came with the complaints of vaginal bleeding for three hours she
had abdominal and back pain. On examination, her hemoglobin level was 9g/dl (NR; 10.5-
13.7g/dl) blood pressure 90/50mmHg and pulse rate 110/min.
The woman was diagnosed for inevitable abortion.
What is the priority nursing intervention for this woman?
A. Provide analgesia C. prepare for blood transfusion
B. Reassure the woman D. Resuscitate with normal saline
9. A 35-year-old multi-para mother came with complaints of protrusion of mass on her vagina.
She had also sense of pelvic backache and fatigue .After assessment, she was diagnosed for
uterine prolapse. The uterus is repositioned by gynaecologists.
What is the priority intervention for this mother?
A. Resuscitate the woman C. Educate about pelvic exercises
B. Administer pain inhibitors D. Teach how to control urine incontinence
10. A nurse was providing care for a girl with abnormal excessive uterine bleeding tenderness
anorexia and vomiting .After 24hours of care, her blood pressure became to 110/70 mmHg, pulse
rate 76/min, respiratory rate 22/ min, T% 37.80C and hemoglobin 9g/dl.
Which finding shows effectiveness of the patient’s management?
A. blood pressure C. Haemoglobin Level
B. body Temperature D. Respiration Rate
11. A null–porous woman came to nearby hospital with weight loss and difficulty of breathing
over the past several months. Physical examination result showed lymph gland enlargement,
tender nodular, firm liver, bilateral mass in hypogastrium with tender and irregular appearance.
The cytological examination also detected overran malignancy.
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What is the most likely stage of cancer?

A. stage IIA C. stage III
B stage II B D. stage IV
12. A 28 –year –old came to a hospital with complaints of dysmenorrhea and dyspareunia that
occurs pre –menstrual and subsides after menses begins. She also had constipation and rectal
bleeding with defecation. Physical examination shows that she had tender adnexal masses and
pain upon uterine motion. She is diagnosed for Endometriosis.
What is the most likely manifestation to confirm the diagnosis?
A. pain C. dysmenorrhea
B. constipation D. adnexal masses
13. The nurse evaluates a two –year –old who was admitted for the treatment of failure to thrive
secondary to severe acute malnutrition. The child had good appetite and no edema for 10
consecutive days. The nurse decided to discharge the child.
What is the most likely additional finding that could support the nurse’s decision?
A. Weight for age >85% C. Weight for height >80%
B. Weight for age >90% D Weight for height >85%
14. A 15-month-old child was brought to health center for growth and developmental check-up.
On examination the infant can walk independently but cannot grasp of an object using thumbs and
index finger. The child responds to a simple command like ‘’wave bye bye ’’,
(A). Emotional developmental problem (C). Cognitive developmental problem
(B). Language developmental problem (D). Fine motor developmental problem
15. A nurse in immunization room found that the refrigerator is out of order. The technician of the
health center confirmed that maintenance of the refrigerator could take a maximum of four to five
days. So, the nurse wants to store vaccines till the refrigerator maintained.
What is most likely type of cold chain used to store the vaccines in this time?

(A). Cold box with cool water pack (C). Vaccine carrier with cool water pack
(B). Cold box with frozen water pack (D). Vaccine carrier with frozen water pack
16. A health center has a total of 20000 populations in the catchment area, of which infants
account 20%. In this health center the planned annual coverage for PCV vaccine is 90% with
vaccine wastage multiplication factor of 1.11
What is the annual maximum stock level of PCV vaccine in the health center?
(A). 11,988 (C). 14,985
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(B). 12,988 (D). 15,985

17. A nurse wants to initiate feeding for 1.5 kg neonate admitted in neonatal intensive care unit.
The infant had a very weeks sucking reflex and on risk for necrotized enterocolitis.
What is the most appropriate initial step in this patient’s?
(A). Pouring the expressed breast milk via NG tube continuously as demanded
(B). Inject 4.5ml expressed breast milk using 10ml syringe at a time per feedings
(C). Give bolus 3ml expressed breast milk via NG tube over 20-25 min per feeding
(D). Give bolus the expressed breast milk using 10ml syringe over 5-10 min per feeding
18. A nurse assessed the progress of a two-year-old child who was on phase one management of
severe acute malnutrition. The child was improved clinically with an evidence of reduced edema
to grade two and complications were completely treated.
What is the most likely additional finding used to proceed to the transition phase?
(A). The edema has to be reduced to grade for a days
(B). The edema has to be lost completely for consecutive days
(C). Improved appetite evidenced by finishing F-75 food easily
(D). Improved appetite evidenced by finishing F-100 food easily
19. A 16-hour-old preterm neonate who was born at home was admitted to the NICU due to
inability to feed observe and lethargy. On examination, the neonate had body temperature of
36.20C, pulse rate 140/min and blood glucose level of 35 mg/dl
What is the best nursing intervention to manage the neonate’s problem?
(A). Provide intravenous glucose (C). Provide milk through NG tube
(B). Put skin-to-skin with mother (D). Warm the child using hot water bottle
20. A nurse who is giving immediate new-born care dries and stimulates the newborn
unfortunately, the newborn do not cry.
What is the most appropriate next step for this newborn?
A. Suck fluid from the noes C. Observe and evaluate breathing
B. Bag and mask ventilation D. back rubbing and flicking soles
21. A six –day-old neonate was admitted to a hospital for management of breathing difficulty.
The neonate had spontaneous breathing at birth but breathing difficulty started on second day of
birth and worsened on the fourth day .The neonate was put on continuous positive Airway
Pressure ventilation.
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What is the best and safest method of checking the progress of this neonate?
A. Pulse oximetry C. Pulmonary function test
B. Blood gas analysis D. Carbon dioxide monitoring
22. A 15–day-old neonate was brought to a hospital with complaint of difficulty of feeding of one
day duration. The neonate had history of convulsion. On examination the neonate had also
trismus and irritability.
What is the most likely diagnosis of this neonate?
A. sepsis C. meningitis
B. Tetanus D. hypoglycemia
23. A nurse was giving resuscitation for newborn by using bag and mask ventilation. After
minute of resuscitation, the neonate didn’t spontaneous breathing and had pulse rate of 90 min.
What condition makes the nurse to stop resuscitation?
A. no spontaneous breathing after 10 minute
B. breathing less than 30 breath/ min after10 minute
C. breathing less than 30 breath/ min after20 minute
D. pulse rate of less than 30 beats/min after 20 minute
24. A 12–day-old neonate was brought to a hospital with complaint of petechial rash all over the
trunk for one day duration. On examination, the neonate had normal platelet count, increased
prothrombin time and increased partial thromboplastic time.
What additional information is the most likely used to identify the neonate’s problem?
A. neonatal history of bleeding
B. neonatal history of infection
C. neonatal history of vitamin K injection at birth
D. Maternal history of warfarin use during pregnancy
25. A low birth weight neonate was brought to NICU with the clinical feature of unable to breast
feed, difficulty of breathing and yellowish discoloration of a body part. The neonatal nurse
classifies the neonate as jaundice according to IMNCI.
What is the most likely finding used to confirm this classification?
A. Yellowish discoloration of palm and sole
B. Yellowish skin and eye, baby is six –day –old
C. Yellowish skin and eye and baby is 16-hour –old
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D. Yellowish skin and eye and baby is seven day–old

26. A four-year old child was presented to the health center with diarrhea of five days duration.
On physical examination, the skin pinch goes back within two seconds and child was very eager
to drink water and had WFH z-score >1.
What is the most appropriate management of this child according to IMNCI?
A. Gives ORS over 4-hour period
B Gives ORS solution in each loss
C. Give ReSoMAL solution in each loss
D. Give RL solution intravascular over three hours
27. An eight month –old infant was brought to a pediatric OPD with the clinical features of cough
and chest indrawing. The respiration rate of the child was 48 min.
What is the most likely classification of the infant according to IMNCI?
A. Pneumonia C. sever Pneumonia
B cough or cold D. very sever disease
28. An infant who was born from known HIV positive mother is brought to a pediatric OPD with
the clinical features of cough, stridor and oral thrush. The HIV status of infant was positive for
antibody test and unknown for DNA/PCR test due to unavailability of the test.
What is the appropriate management for the child according to IMNCI?
A. Initiate PMTCT care C. Advise on HIV prevention
B. Initiate ARV treatment D. Advise to stop breast feeding
29. A 30 month-old child was brought to the health center with a complaint of cough of three
weeks duration. The nurse identified that the father of the child is on initiation phase of TB
treatment and the child also had low grade fever.
What is the most appropriate initial step to do for this child?
A. Refer urgently to the hospital C. Put the child on anti-TB treatment
B. Initiate INH as TB prophylaxis D. Counsel on the diagnosis of TB exposure
30. A 10-month-old HIV exposed infant was brought to the under –five clinic for routine
checkup. The nurse immediately took DBS sample and found DNA PCR test positive.
What appropriate initial step the nurse should do?
A. Take DBS to repeat viral test C. Start cotrimoxazole immediately
B. Start ART as soon as possible D. Start ARV prophylaxis immediately
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31. A four –year –old child was brought to a health center with a complaint of cough of three days
duration .On assessment the nurse observed that the child had inspiratory stridor and barking
cough.
What is the most likely diagnosis of this patient?
A. Croup B. Pneumonia C. Pulmonary TB D. Tonsilo–pharyngitis
32. A child was brought to a pediatric OPD with the clinical features of nasal congestion,
sneezing, lacrimation and conjunctival suffusion. The nurse diagnosed the child has pertussis.
What is the most likely finding that could support the nurse’s suspicion?
A. Dyspnea B. Rhinorrhea C .Low grade fever D. Whooping cough
33. A six-week-old infant was brought to pediatric OPD with the clinical features of high grade
fever, neck stiffness, bulging fontanel and high pitch cry.
What is the most likely cause of this infant`s problem?
A. Escherichia coli C. Group A streptococcus
B. Group B streptococcus D. Staphaylococcus aureus
34. A child was admitted to pediatrics ward for the treatment of femoral bone fracture. The child
was on traction with a cast and complained severe unpleasant sensation at the fracture site.
What is priority nursing diagnosis for this case?
A. Acute pain C. Activity in tolerance
B. Impaired mobility D. Impaired activities of daily living
35. A –three –year-old child who was brought to a health center for vaccination aspirated coin
while playing.
What is the next most appropriate nursing intervention to be done for this child?
A. Give artificial respiration C. Dislodge the coin with little finger
B. Perform Heimlich maneuver D. Refer the child to nearby hospital urgently
36. A 20-day old male baby was brought to pediatrics OPD with complaint of being unable to
feed and convulsion. On examination his temperature was 380C heart rate 98/min and CSF
finding showed that his leukocytes were 30/mm3, protein 10 mg/dl and 60% of the blood glucose.

What is the most likely diagnosis of this baby?

A. Neonatal seizure C. Neonatal asphyxia
B. Neonatal sepsis D. Neonatal meningitis
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37. A-six–year old child came to pediatrics emergency with a complaint of sudden loss of
consciousness. The child was found to be in diabetic ketoacidosis. The nurse planned to
administer fluid for the child. Child`s weight was 16kg.

What is the most appropriate fluid to be given in the first hour of admission?
A. 160-320ml IV DNS C. A. 160-320ml IV 0.45%NS

B. A. 160-320ml IV 0.9NS D. A. 160-320ml IV 5%dextrose

38. A–seven –year –old patient came to pediatric OPD with complaint of rapid shock–like and
non–rhythmic convulsion of four episodes with two days duration

What is the most likely diagnosis of this child?

A. Clonic seizure C. grandmal seizure
B. Petitmal seizure D. Myoclonic seizure
39. A child weighting 5kg was admitted to pediatric ward with complaint of unable to feed. On
examination the baby had moderate respiratory distress and his hematocrit level was 25% (HCT
packed RBC to be given was 70%).
What is the amount of packed RBC to be transfused for this patient?
A. 160ml C.198 ml
B. 182ml D. 204 ml
40. An adolescent girl came to pediatric clinic and diagnosed with uncomplicated nephrotic
syndrome.
What is the most appropriate nursing intervention for this patient?
A. Administration of prednisone
B. Administration of cyclosporine
C. Administration of cephalosporins
D. Administration of cyclophosphamide
41.A two –year-old female child was brought to a health center with difficulty of feeding and
fever of three days duration. On examination she has rash around the face and neck and the
clinical suspected measles.
What could be the pathognomonic sign to substantiate this diagnosis?
A. Red eyes C. Runny nose
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B. Rose spots D. Koplik spots

42. An infant with confirmed hemophilia B developed hematuria and admitted to the hospital .the
nurse provided the appropriate amount of maintenance fluid with bed rest but hematuria
continued for consecutive days.
What is the most appropriate next step in the management of this infant?
A Giving 20IU/Kg factor IX C. Giving 40IU/Kg factor III
B. Giving 40IU/Kg factor IX D. Giving 20IU/Kg factor VIII
43. A three – year –old male child goes to supermarket with his mother and asked his mother buy
him extra chocolate. The mother told him that she didn`t have sufficient money and promised him
to buy next time. however, the baby didn`t agree dropped to the floor and started crying
screaming and kicking in rage at the middle of supermarket.
What is the most likely behavioral characteristic of this child?
A. Dawdling C. Regression
B. Negativism D. Temper tantrums
44. A-three old child with the complaints in social interaction repetitive and repetitive behavior
came to a hospital. On assessment, the child love to play alone, used multiple nonverbal behaviors
play with the same toys and did not speak words appropriately.
What is the most likely diagnosis of this child?
A. Attention C. Autism spectrum disorder
B. Down syndrome D. Childhood depression disorder
45. A 20-year-old woman came to a clinical and reported that she has not been getting asleep for
one week. She was more talkative than usual on mental status examination; she is uncooperative,
easily annoyed, and seductive and has flight of ideas.
What is the most important mental status finding to support her diagnosis?
A. Irritable B. Seductive C. Flight of idea D. Uncooperative
46. A 25-year-old woman came to a clinical and complained about persistent feeling of sadness
hopelessness sleep disturbance and loss of interest, the mental status examination revealed that
she had difficulty to sustain attention.
What are the core symptoms in the diagnosis of the above patient?
A. Hopelessness and/or distractibility. C. distractibility and/or sleep.
B. Loss of interest and/or hopelessness. D. Depressed mood and/or loss of interest.
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47. A-17-year-old boy gets 5mg of haloperidol to control his aggression. After an hour of his first
injection, he starts to experience brief contractions of muscles that result in obviously abnormal
movement, tongue protrusion and difficulty of swallowing.
What is the most likely diagnosis of the above patient?
A. Dystonia B. Akathesia C. Parkinsonism D. Epilepsy
48. A-19-year–old married woman, recently diagnosed with bipolar I disorder manic episode,
came to a clinic crying loudly her nose bleed and there is visible laceration on her face. Her
mother reports that her husband has beaten her due to her unacceptable behavior with other man.
What is the priority nursing action for the above case?
A. Tell her she has to avoid such behavior in the future
B. Report to legal service unit for necessary investigation
C. Stop bleeding and reassure her she will be safe at hospital
D. Calm the patient and call her husband for further communication
49. A 65-year-old patient from middle income family with a diagnosis of dementia was brought to
a clinic by his daughter. She reports that despite she has been giving prescribed medication
timely, his behavior is becoming worse. Currently he lives alone and smokes three pieces of
cigarette/day.
What is the best predictor of risk for poor adherence in this patient?
A. income B.no insight C. substance use D. Forgetfulness
50. A 55-year –old woman came to a clinic for psychiatric evaluation. At the start of the
interview, she focuses on issues that the nurse consider irrelevant.
What is the next best step that the nurse should follow?
A. ask her if she understood what he is asking her
B. Guide the patient to come to direction of his patient
C. Tell her he will give another time to talk the details
D. Listen for a while even things he doesn`t want to her.
51. A 35-year- old patient with a diagnosis of delusion was brought to a hospital. He stopped his
hazardous drinking habit before one year. Despite his false belief interferes with his functioning,
he performs well during the mental status examination. He has never been met criteria for
schizophrenia.
What is the most appropriate explanation for his diagnosis?
A. He has abnormal false belief
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B. He has functional impairment

C. He has history of excessive alcohol use
D. He has never met criteria for schizophrenia
52. A 17-year- old student has persistent fear of speaking in front of his class mates. He fears that
he will act in a way that will be negatively evaluated by his colleagues. Because of his fear, he
failed to score good mark in class activities for the last one year.
What is the most likely diagnosis?
A. Specific phobia C. Separation anxiety disorder
B. Social anxiety D. Generalized anxiety disorder
53. A 32-year- old soldier saw terrorist attack on television and starts to experience feeling of
panic. The panic disappeared within a few hours, however, for the next few nights, he had night
mares with frequent thoughts about dying. Before 10 years, he survived ambush which killed
three of his close friends in front of him.
What is the most likely diagnosis for the above case?
A. Complicated grief C. Adjustment disorder
B. Acute stress disorder D. Post-traumatic stress disorder
54. The nurse working in university students clinic meet a 19-year- old fresh student fulfilling the
diagnostic criteria for adjustment disorder with depressed mood. He occasionally had difficulty of
sleeping but function optimally.
What is the most appropriate nursing intervention for this case?
A. Give medication to help him sleep well
B. Tell him to come back if symptoms worsen
C. Reassure and advise to contact counseling unit
D. Reassure him symptoms will subside with time
55. A 54-year-old man had been able to stop drinking many times. Currently he is experiencing
tremor, anxiety, and problems sleeping in his trial for one more times. He is typically self-
medicating these symptoms with three 10-mg tables of diazepam per day.
What is the most likely diagnosis of the above case?
A. Alcohol abuse C. Alcohol intoxication
B. Alcohol dependency D. Alcohol withdrawal
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56. A group of patients with substance use disorder were admitted to substance rehabilitation
center. Most of them deny their problem. The nurse is preparing a teaching plan for them to help
them recovery.
What is the most appropriate information to be included in the nursing plan?
A. Communicate one can use substance for their stress relieving effect
B. Focus on change in the patient’s motivation probably has the best impact
C. Persons with substance-related problems can recover without formal treatment
D. Communicate that substance use is a problem not related to individual weakness
57. A 67-year-old woman was brought to a hospital due to progressive deterioration of memory
and language ability in the last two years. Her son reports that she couldn’t stay at home,
wandering on the street and often miss to return to home. During examination, she is alert, has
memory problem and talks alone appearing as if discussing with someone.
What is the most likely outcome of treating this patient?
A. Peaceful death within a short period of time
B. Eventual full return to pre morbid level of functioning
C. Eventual partial return to pre morbid level of functioning
D. Behavioral control with delaying of cognitive deterioration
58. A 50-year-old dementia patient was admitted to a hospital. On assessment he had
forgetfulness, fluctuating mood and impaired decision making ability. His son is struggling to
prevent him from removing the IV line.
What is the most expected immediate outcome to be achieved after hours of intervention?
A. Improved memory C. Reduced mood fluctuation
B. Reduced disturbance D. Improved ability to make own decision
59. A nurse who is working as a ward head in a hospital developed annual plan with staff teams.
However, they failed to achieve the plan because of inability of mobilizing the human and
material resources from the hospital.
What is the most likely management function that causes low achievement of this ward?
A. Planning B. Organizing C. Directing D. Controlling
60. A university board assigned committee in order to review curriculum vitae of applicants for
managerial position as president of a university, the committee understands that an applicant is
experienced in analyzing the external environment of institutions and engaging in problem
solving activities that can bring major changes.
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What is the most appropriate managerial skill the applicant had based on this scenario?
A. Technical Skill B. Conceptual Skill C. Human relation Skill D. Communication Skill
61. A Head of the health center and planning team decided to develop a plan. The planning team
developed a plan which will be used in case when unexpected problems and events occurred even
if the health center developed its annual plan.
What is the most appropriate type of planning developed by the team?
A. Strategic planning C. Operational planning
B. Tactical planning D. Contingency planning
62. A newly appointed head of the health center had discussion with catchment kebele leaders to
identify real health problems that occurred in the community. The head identified trachoma as
major health problem following poor latrine utilization though they have constructed latrine.
What would be the most appropriate good care deliver approach used by the head?
A. Disease control programs B. Conventional care in clinics
C. People-centered primary care D. Conventional care in referral hospitals
63. A newly appointed CEO of a hospital decides to decentralize activities to subordinates after
performing situational analysis. The process was done using the service regulations and consistent
discussion with community members in the catchment area.
What is the most likely health service building block focused by the CEO?
A. Governance B. Financing C. Human resource D. Service Delivery
64. Job Evaluation Grading (JEG) implementation committee in zonal health administration
works in the new staff job appointment. During the course a nurse who is working in disease
prevention directorate raised complains about his current appointment and takes the case to the
court. The court accepted employee’s complaint and ordered the organization cancel the decision.
What is the most likely conflict resolution used in this scenario?
A. Win-Lose B. Lose -Lose C. Win- Win D. Lose -Win
65. Head of a health center lead a staff meeting on the issue of improving latrine utilization of the
community in the catchment area. Participants of the meeting arrived at their own conclusion and
stated that the head frequently relinquish responsibility and had minimal involvement in this
activity.
What is the most likely leadership style the lead used?
A. Authoritarian leadership C. Laissez faire leadership
B. Democratic leadership D. Transformational leadership
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66. An experienced public health expert comes to Ethiopia from abroad and wants information
about the current health delivery system of the country. During their discussion, the woreda
health manager explained about the current health care tier system used by the nation.
What is the most likely explanation expected from the manager?
A. Ethiopia has four tier system
B. Primary hospital serves 15,000-25,000
C. General hospitals are grouped under tertiary level
D. Specialized Hospital serves 3.5-5.0 million people
67. A hospital board discusses with the management team on how to mobilize a resource to
provide quality health service. They decided to improve income by collecting service cost from
health care, diagnostic services, consultancies and training.
What is the most likely part of health care financing reform used by the board?
A. Health Insurance C. Fee waiver System
B. Revenue Retention D. Exemption System
68. The ministry of health organized a review meeting with representatives of health
professionals. On the meeting nurse from different hospitals discuss on the difference between
monitoring and evaluation but they could not reach an agreement.
What is the most likely characteristic that differentiate the two concepts?
A. Monitoring is continuous whereas evaluation is periodic
B. Monitoring is intermittent whereas evaluation is continuous
C. Monitoring can be done after a project ends but not evaluation
D. Monitoring used to have a lesson, whereas evaluation prevent distraction
69. A 28-year-old female was diagnosed with ovarian cancer and oncologist decided the need for
radiation therapy. The nurse in charge explained the risk of inferentially secondary to radiation
therapy. She refused radiation therapy and at the same she had strong desire to have child. The
procedure was done to save her life; she was cure of ovarian cancer and develop infertility
What ethical principle must likely forced the health care team’s action
A. Autonomy B. Beneficence C. Justice D. Non-maleficence
70. A 28-year-old female patient was admitted to surgical ward with ovarian cyst. The
preoperative assessment identified hepatitis B infection. To prevent professionals, a nurse in
charge communicated with all health care providers who might take care of the patient. The
patient volunteered to share information about diagnosis and blood screening finding.
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What principle most likely at risk of violation?

A. Advocacy B. Confidentiality C. Informed consent D. Privacy
71. A 48-year-old male patient who was diagnosed with hypokalemic shock refused blood
transfusion irrespective of repeated counseling by the nurse in charge.
What is the most appropriate legal framework in dealing with this patient?
(A) Continue patient resuscitation (C) Have written consent and let him go
(B) Take verbal consent and let him go (D) Look for family permission and let him go
72. .A 32-year-old female patient came to hospital with sudden onset of sharp knife like chest
pain accompanied by her family. On assessment; she pronounced dyspnea and central cyanosis.
The physician and the nursing team in charge preferred emergency surgery. The patient and her
family presented the cases to court because she developed iatrogenic pleural effusion as
complication.
What is nursing action most likely prevents accusation?
A. Keep fidelity C. Keep Veracity
B. Take consent D. Assess patient capacity
73. An experienced nurse, who was not happy with the working environment accepted a 56-year
old male patient that came with complaint of joint pain. The nurse looks at the eye of the patient,
listens and feels the pain of the patient, the nurse touches the patients shoulder while teaching and
reassuring him about the cases. The patient was happy with nurse’s approach.
What is the most likely principle of compassion the nurse lacks?
A. Affection B. Attention C. Acceptance D. Acknowledgement
74. A 32-year-old female patient came to health center for wound care. A nurse in charge
provided the wound care. The patient developed infection and referred to a hospital. In the
hospital, she got treated and cured. After six years she is informed that the infection she
developed in the health center was due to inappropriate dressing. The patient field malpractice act
against the nurse in health center and prosecuted the nurse for malpractice act.
What is the first thing the nurses’ attorney should have as a defense?
A. Assumption risk B. Comparative negligence
C. Contributory negligence D. Statute of limitations
75. A 30-year-old nurse was working in a hospital oncology unit. Every day, he cares for patient
from different parts of Ethiopian by respectful and dignified manner. Every day he tried to
maintain the provision of dignified care.
What principle of respectful care helps to achieve nurses’ dreams?
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(A). Recognize diversity and individual uniqueness

(B).Uphold responsibility to shape care and support service
(C). Communicate with individuals in a meaningful way to them
(D). Value workplace culture that promote respect for every body
76. A 28-year-old nurse has been doing every routine nursing activity process The nurse also
participates in monitoring activities at her institution that improve quality of nursing practice, in
order to keep her knowledge base and skills and current practice with the guidelines, statutes,
rules and regulations
What is the most likely nursing law that nurse is practicing?
A. The scope of nursing practice C. The nursing policy statements
B. The standards of practice D. The positions statements
77. A nurse working in a medical ward administered drug intramuscularly that should have been
given through the vein. Another nurse working in the same ward reported the medication
administration error to the director.
What is the first thing the nurse’s director should do?
(A). Disclose verification (C). Report the ethical committees
(B). Confidential verification (D). Direct confrontation and supervision
78. A 58-year-old female patient was on screening for breast cancer. The patent is worried about
her diagnosis and fate of her family. She doesn’t want to hear bad news. The nurse in charge is
worried about how to disclose the diagnosis of metastatic breast cancer to the patient.
What is the most likely condition that worried the nurse?
(A). Contrast between confidentiality and autonomy
(B). Contrast between veracity and nonmaleficence
(C). Contrast between beneficence and justice
(D). Contrast between autonomy and veracity
79. A nurse works in a district where health service is 100% available and with more than 80%
expected coverage of rotavirus vaccination among under-five children. However, at the end of the
year rotavirus vaccination coverage in the district was found to be 16%.
What is the most likely research problem needed to study in the district?
A. Expected rotavirus vaccination for under-five children
B. Availability of rotavirus vaccination for under-five children
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C. Rotavirus vaccination coverage among under-five children

D. Factors influencing low rotavirus vaccination coverage
80. A researcher wants to conduct a study on the prevalence and associated factors of trachoma
among under-five children in a district. Then, the researcher wants to set appropriate objectives.
What is the most likely specific objective of this study?
A. To study the prevalence of trachoma among under-five children
B. To appreciate the prevalence of trachoma among under-five children
C. To understand associated factors of trachoma among under-five children
D. To determine factors associated with trachoma among under-five children
81. A researcher wants to conduct a study among 867 samples of households to determine access
to safe water supply in a district. The district has 10,000 households of which 20% are from urban
and 80% from rural households.
What is the most likely sampling technique the researcher will use?
A. Systematic sampling C. Multi-stage sampling
B. Stratified sampling D. Simple sampling
82. A nurse working in ART clinic of a hospital wants to summarize CD4 T cell counts for 13
HIV positive patients who were treated with highly active antiretroviral therapy (HAART) for the
last 6 months. Their CD4 cell counts were 230, 205, 313, 207, 227, 245, 173, 58, 103, 181, 105,
301, ad 169.
Calculate the media CD4 T cell counts of HIV positive patients?
A. 173 B. 181 C. 205 D. 207
83. A research finding on diarrhea status among children 6-23 months showed 47% mild diarrhea,
36% moderate diarrhea and 17% severe diarrhea. Finally, the researcher wants to preset the data
in graphs.
What is the most likely type of graph to be used by this researcher?
A. Bar graph B. line graph C. Histogram D. Ogive curve
84. A nurse working in a district with a total population of 45,000. In the area, there was epidemic
of acute watery diarrhea (AWD) that lasts for three consecutive weeks. The nurse observed 26
cases in the 1st week, 10 cases in the 2nd and 5 cases in the 3rd week and 4 deaths over the three
weeks.
Calculate attack rate of AWD over the three weeks?
A. 89 AWD cases per 1,000,000 people at risk
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B. 911 AWD cases per 1,000,000 people at risk

C. 578 AWD cases per 1,000,000 people at risk
D. 333 AWD cases per 1,000,000 people at risk
85. A nurse was assigned in a woreda health office where immigration and out migration of the
people is high from different parts of the country. Monthly health report of the office indicated
that tuberculosis incidence is stable. But, the prevalence of tuberculosis increased highly in the
woreda.
What is the most likely reason for increment of tuberculosis patient’s in the woreda?
A. Out-migration of cases C. Out-migration of healthy people
B. Improved cure rate of disease D. High-case fatality rate from disease
86. The nurse wants to test whether the mean age of adult who visited the youth friendly service is
not different from 25 years. The nurse took sample of 196 adult patients from population. The
mean age of sampled adults was 20 years and the given population standard deviation was 6
years.
What is the most appropriate statistical test used for the test given hypothesis?
A. paired-t test B. student-t test C. chi-squire test D. standard normal Z-test
87. A nurse works in a district at which most of the communities cannot read and write. He
delivered health education program how prevent diarrheal disease on the community of district
when the nurse delivers health education session he used locally spoken and word proverbs.
What is most likely health education principles applied by the nurse?
A .Health education aims at changes of behavior
B. Health education is based on scientific finding
C. the health educators have to make themselves acceptable
D. the health educators has to adjust his talk and action to suit the group
88. The health professional`s competency assessment and licensure directorate of ministry of
health want to assess the nursing professionals’ curriculum together with concerned bodies. In the
process of evaluation the team gave emphasis on description, specifically in relation to program
objectives.
What is the most likely curriculum evaluation model used by the team?
A. second-generation model B. first -generation model
C. third-generation model D. Fourth-generation model
89. A-year old pregnant woman with gestation age of 30 weeks came to ANC clinic with a chief
complaint of small fetal size. On assessment a nurse found a mother has a problem of dietary
intake and weight then the nurse told the mother about the possible outcome of fetus.
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What is the most likely outcome of the fetus in this scenario?

A. Birth of infant with low weight for gestational age
B. Birth of infant with large weight for gestational age
C. Birth of infant with normal weight for gestational age
D. Birth of infant who initiates breast feeding successfully
90. A four –year-old child came to a health facility with chief complaint of abdominal pain and
irritability followed by fatigue anorexia, anemic manifestations, gait disturbance, and slurred
speech during history taking, the mother claims that the baby was frequently playing using wires
and metallic objects.
What is the most likely cause of poisoning to this child?
A. lead B. arsenic C. cyanide D. mercury
91. A 29-year old woman had fever and visited the nearby health center. The health care provider
on duty day was very busy and shouted at her ‘do you want us to waste our time for a mild fever?
Come back when never visited the health center even if she is sick.
What is the most likely behavior motivator for the woman?
A. Norms B. Values C. Belief D. Attitudes
92. An epidemic investigation team in the regional health bureau found an epidemic disease in a
community. The investigators found that the disease occurred due to consumption of
contaminated community water supply and the disease has an epidemic curve with a wide peak.
What is the most likely type of epidemic in this community?
A. Mixed epidemic B. Progressive epidemic
C. Point source epidemic D. Continuous common source epidemic
93. Ministry of health of Ethiopia wanted to get epidemiologic data for decision making purpose.
Based on the situation, the ministry decided to use sentinel surveillance and wanted to use reports
for surveillance purpose.
What is the most likely source of reports to be used by this ministry?
A. solicit reports of disease gained from professionals
B. reports sent by professionals with a known set of rules
C. pre-arranged sample of reporting sources about all cases
D. report sent about disease when it reaches to epidemic level.
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94. Nurses working in a health center were assigned to give school health service. During
designing training, the nurses disagreed on the importance of school health services to the
students and for teaching learning process.
What is the most likely importance of school health to be mentioned by the nurse?
A. Helping to build and use of educational facilities
B. Making teachers and students anxious about disease
C. Providing a healthy and safe environment in all-round
D. Treating communicable and non-communicable disease
95. A nurse who was assigned as member of malaria epidemic management team wanted use a
permanent measure to remove the mosquito breeding site with the participation of villagers in the
woreda.
What is the most appropriate vector control method to be used by the team?
A. Indoor residual sprayer C. Drainage of stagnant water
B. Use of window screens D. Use of insecticide treated bed net
96. Members of rural community in a district asked a nurse about ‘‘how to keep the safety of our
water for drinking’’. A nurse wanted to instruct the community about the most cost effective and
reliable method of disinfecting water at household level.
What is the most likely water treatment technique instructed by the nurse?
A. Cloth filtration B. Boiling of water C. Home Candle Filters D. Chlorination of water
97. A nurse who is the member of infection prevention team in a health center collected a
disposable needles, syringes and scalpels from care provision rooms. Then the collected waste
transported for the proper disposal in the facility.
What is the most appropriate disposable technique for this waste?
A. Boiling B. Autoclaving C. Incineration D. Chemical disinfection
98. A three-month-child-old earn with his mother to under-five children OPD with the complaint
of diarrhea for three days. During history taking, the mother claims that this might associate with
my practice of giving only breast milk and also he cried a lot now. I think the milk is not enough,
it is better to start giving a complementary food’’ Then the nurse wants to advice a women about
breast feeding
What is the most likely feeding advice for this mother?
(A). Continue breast feeding until 2 years
(B). Use good positioning and attachment techniques
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(C). Continue exclusive breastfeeding until six months

(D). Have to empty one breast before switching to the other
99. A 12-year-old male child who came to town by a child trafficker frequently asked for help.
During the interview, the child claims that he does not have any relative and frequently abused by
the gangs in the street.
What is most likely priority intervention for this child?
(A). Look for possibilities to reunite with his families
(B). Reassure the child about availability of health facility
(C). Attach the child to credible children home care providers
(D). Provide street based health education on personal hygiene
100. A 24-year-old patient came to adult OPD with complaint of polyphagia, polydipsia and
polyuria. On history, the patient reported that ‘‘previously a doctor told me that I have diabetes
but I am not taking drug till now because I believe God can cure me soon’’. However, the clinical
and lab finding indicate the worsening of the patient’s condition and he needs to start insulin
injection.
What is the most appropriate health education to influence his behavior?
A. Education him about indication of medication use
B. Tell him about the consequences of resisting medication
C. Education him about use of medication despite God’s help
D. Encourage him to practice spiritual action without use of drugs