Nepal Nursing Council (NNC) License Examination-New Set
Here are 10 multiple-choice questions (MCQs) with answers and explanations for the Nepal Nursing Council (NNC) License Examination:
1. Which of the following is the normal range of hemoglobin (Hb) for an adult female?
a) 8-10 g/dL
b) 10-12 g/dL
c) 12-16 g/dL
d) 16-18 g/dL
Answer: c) 12-16 g/dL
Explanation: The normal hemoglobin level for an adult female is 12-16 g/dL. Levels below this indicate anemia, while higher levels may be seen in conditions like polycythemia.
2. A nurse is monitoring a patient who has received spinal anesthesia. Which of the following complications should be monitored closely?
a) Hypertension
b) Hypotension
c) Tachycardia
d) Hyperkalemia
Answer: b) Hypotension
Explanation: Spinal anesthesia can cause vasodilation and pooling of blood in the lower extremities, leading to hypotension due to decreased venous return to the heart.
3. What is the primary mode of transmission for hepatitis B virus (HBV)?
a) Airborne droplets
b) Contaminated food and water
c) Blood and body fluids
d) Fecal-oral route
Answer: c) Blood and body fluids
Explanation: Hepatitis B is transmitted through contact with infected blood, semen, vaginal fluids, or other body fluids. Healthcare workers are at higher risk due to needle-stick injuries.
4. Which vitamin deficiency is most commonly associated with night blindness?
a) Vitamin A
b) Vitamin B1
c) Vitamin C
d) Vitamin D
Answer: a) Vitamin A
Explanation: Vitamin A is essential for maintaining healthy vision. Its deficiency leads to night blindness (nyctalopia) and, in severe cases, complete blindness.
5. Which of the following medications is classified as a loop diuretic?
a) Hydrochlorothiazide
b) Spironolactone
c) Furosemide
d) Mannitol
Answer: c) Furosemide
Explanation: Furosemide is a loop diuretic that works on the loop of Henle in the kidney to inhibit sodium and water reabsorption, leading to increased urine output.
6. A patient with chronic obstructive pulmonary disease (COPD) is experiencing difficulty breathing. What is the best position to help improve their breathing?
a) Supine
b) High Fowler’s
c) Prone
d) Trendelenburg
Answer: b) High Fowler’s
Explanation: High Fowler’s position (sitting upright at 90 degrees) helps patients with COPD by allowing better lung expansion and improving oxygenation.
7. Which of the following is the primary function of insulin?
a) Increase blood glucose levels
b) Stimulate glycogenolysis
c) Transport glucose into cells
d) Inhibit protein synthesis
Answer: c) Transport glucose into cells
Explanation: Insulin is a hormone produced by the pancreas that facilitates the uptake of glucose into cells, helping to lower blood sugar levels.
8. A nurse is assessing a patient with dehydration. Which clinical sign is expected?
a) Hypertension
b) Decreased skin turgor
c) Bradycardia
d) Increased urine output
Answer: b) Decreased skin turgor
Explanation: Decreased skin turgor (poor skin elasticity) is a classic sign of dehydration. Other symptoms include dry mucous membranes, tachycardia, and low urine output.
9. What is the normal range of respiratory rate for an adult?
a) 8-12 breaths per minute
b) 12-20 breaths per minute
c) 20-28 breaths per minute
d) 28-36 breaths per minute
Answer: b) 12-20 breaths per minute
Explanation: The normal respiratory rate for a healthy adult is 12-20 breaths per minute. A rate below 12 may indicate respiratory depression, while above 20 suggests distress.
10. Which of the following is the correct sequence of steps in the nursing process?
a) Planning, Diagnosis, Assessment, Implementation, Evaluation
b) Assessment, Diagnosis, Planning, Implementation, Evaluation
c) Implementation, Diagnosis, Planning, Assessment, Evaluation
d) Assessment, Planning, Diagnosis, Evaluation, Implementation
Answer: b) Assessment, Diagnosis, Planning, Implementation, Evaluation
Explanation: The nursing process follows five steps:
1. Assessment – Collecting patient data
2. Diagnosis – Identifying health problems
3. Planning – Setting goals and outcomes
4. Implementation – Carrying out interventions
5. Evaluation – Checking the effectiveness of interventions
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