NORCET Exams Preparation – Child Health Nursing Unit-1
Part-2: Introduction to Modern Concepts of Child Care (MCQs 101–200)
Continuing our NORCET Exams Preparation Series, here comes Part-2 of Child Health Nursing Unit-1, which focuses on the Introduction and Modern Concepts of Child Care.
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| Free NORCET Exams Preparation Series |
This blog includes MCQs 101–200 from Unit-1, perfectly designed for NORCET, AIIMS, NCLEX, BSc Nursing, MSc Nursing, and other competitive nursing exams. If you’ve already practiced Part-1 (MCQs 1–100), this section will further sharpen your knowledge and exam readiness.
Why This Part is Important?
- Extends your preparation beyond the basics covered in Part-1.
- Contains new, exam-focused MCQs from pediatric and child health nursing concepts.
- Helps in reinforcing key areas of modern child care and pediatric nursing.
- Ideal for daily practice, mock tests, and revision before exams.
Child Health Nursing – Unit 1 MCQs (Part 2: 101–200)
👉 Below are the next 100 MCQs (101–200) with given correct answers keys at the end. Solve them first as a quiz, then check the answers keys for revision.
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101. The nurse preparing a 6-year-old child for tonsillectomy should focus on:
a) Explaining surgery using simple words and pictures
b) Giving detailed anatomical terms
c) Restricting parental visits
d) Avoiding any explanation to reduce anxiety
102. After cleft lip repair, the nurse should position the infant:
a) Prone
b) Supine
c) Side-lying
d) Trendelenburg
103. A 2-year-old child returns from abdominal surgery. The nurse’s priority is:
a) Early ambulation
b) Maintaining airway and pain relief
c) Providing oral fluids immediately
d) Removing IV line early
104. Which of the following is not a principle of pediatric preoperative care?
a) Developmentally appropriate teaching
b) Family involvement
c) Long fasting periods
d) Minimizing anxiety
105. Which toy is most appropriate to reduce anxiety for a 4-year-old before surgery?
a) Storybook
b) Stuffed toy
c) Medical play kit
d) Video game
106. The preferred site for intramuscular injection in infants is:
a) Deltoid
b) Ventrogluteal
c) Dorsogluteal
d) Vastus lateralis
107. Which needle size is appropriate for IM injection in a 6-month-old?
a) 16 gauge, 1½ inch
b) 20 gauge, 1½ inch
c) 23 gauge, 1 inch
d) 25 gauge, ⅝ inch
108. Oral medication should best be given to an infant by:
a) Mixing in bottle feed
b) Using oral syringe at side of cheek
c) Pouring directly into throat
d) Using teaspoon
109. A child is prescribed 150 mg of paracetamol. The available syrup is 125 mg/5 ml. How much should the nurse administer?
a) 5 ml
b) 6 ml
c) 7 ml
d) 8 ml
110. Which route of medication administration has the fastest absorption in children?
a) Oral
b) IM
c) IV
d) Subcutaneous
111. The fluid requirement for the first 10 kg of a child’s body weight is:
a) 50 ml/kg/day
b) 100 ml/kg/day
c) 150 ml/kg/day
d) 200 ml/kg/day
112. A 15 kg child’s fluid requirement per day is:
a) 1000 ml
b) 1250 ml
c) 1500 ml
d) 2000 ml
113. Which formula is commonly used for pediatric fluid calculation?
a) Parkland formula
b) Holliday-Segar method
c) Apgar score
d) Glasgow scale
114. A 20 kg child’s maintenance fluid requirement is:
a) 1200 ml
b) 1500 ml
c) 1600 ml
d) 1700 ml
115. The most accurate method of monitoring fluid balance in infants is:
a) Daily weight
b) Intake-output chart
c) Urine color
d) Blood test
116. Which pain assessment tool is most suitable for a 3-year-old child?
a) Numerical rating scale
b) FLACC scale
c) FACES scale
d) Visual analog scale
117. FLACC scale assesses pain based on:
a) Cry and facial expression only
b) Five categories: Face, Legs, Activity, Cry, Consolability
c) Numeric self-reporting
d) Parental assessment only
118. Which pain scale is best for non-verbal infants?
a) FLACC scale
b) FACES scale
c) Numerical scale
d) Visual analog scale
119. A 10-year-old child is asked to rate pain from 0–10. Which scale is used?
a) FLACC
b) Wong-Baker FACES
c) Numerical rating scale
d) CHEOPS
120. Which nursing action helps reduce procedural pain in neonates?
a) Breastfeeding during procedure
b) Complete NPO before procedure
c) Restraining tightly
d) Ignoring crying
121. The most commonly used restraint in infants is:
a) Jacket restraint
b) Elbow restraint
c) Mummy restraint
d) Side rails
122. The purpose of an elbow restraint is:
a) Preventing arm movement after cleft lip repair
b) Keeping child warm
c) Restricting circulation
d) Immobilizing lower limb
123. While applying restraints, the nurse’s primary responsibility is to:
a) Apply restraints as tightly as possible
b) Document type, time, and reason
c) Use restraints for convenience
d) Leave child unattended
124. Which is the safest principle of restraint use in children?
a) Use minimum restraint, maximum supervision
b) Always restrain both limbs
c) Use only metallic restraints
d) Keep child restrained all day
125. A restrained child must be checked at least every:
a) 15 minutes
b) 30 minutes
c) 1 hour
d) 2 hours
126. The most common cause of accidental death in children under 5 years is:
a) Falls
b) Poisoning
c) Drowning
d) Road traffic accidents
127. The most effective method to prevent burns in toddlers is:
a) Keeping hot liquids away from reach
b) Giving detailed lectures to child
c) Relying on child’s judgment
d) Ignoring home safety
128. A 2-year-old ingests kerosene accidentally. The first nursing action is:
a) Induce vomiting
b) Give activated charcoal
c) Keep airway patent and refer to hospital
d) Give milk
129. To prevent choking, parents should avoid giving children under 3 years:
a) Soft fruits
b) Nuts and hard candies
c) Mashed vegetables
d) Milk
130. A key preventive measure for road traffic accidents in school children is:
a) Wearing helmets and seat belts
b) Keeping children at home
c) Avoiding school trips
d) Ignoring traffic rules
131. A 5-year-old cries continuously in the hospital. The nurse should first:
a) Give IV sedation
b) Allow mother to stay with child
c) Ignore the behavior
d) Restrain the child
132. A nurse notices a hospitalized child is refusing food and play. This may indicate:
a) Normal adjustment
b) Separation anxiety
c) Good recovery
d) Sufficient nutrition
133. A 9-year-old is hospitalized for appendicitis. He fears losing control. The best nursing approach is:
a) Allowing child to make small choices (e.g., food, toy)
b) Avoiding any explanation
c) Limiting interaction
d) Forcing compliance
134. A nurse uses therapeutic play to prepare a child for surgery. This demonstrates:
a) Preventive care
b) Health promotion
c) Family-centered care
d) Atraumatic care
135. Which is the best intervention to minimize anxiety in an adolescent hospitalized for fracture management?
a) Allowing peer visits and clear explanations
b) Restricting communication
c) Avoiding body image discussions
d) Using parental control only
136. A 7-year-old child with cancer asks if he will die. The best response is:
a) “Don’t worry, you will be fine soon.”
b) “Why are you asking this question?”
c) Honest but age-appropriate explanation with reassurance
d) Ignore the question
137. Which statement reflects a nurse’s supportive role in pediatric grief?
a) “You should not cry.”
b) “I can sit with you while you feel this way.”
c) “Don’t show emotions in front of your child.”
d) “It is better not to discuss feelings.”
138. Children in the preschool age understand death as:
a) Permanent and irreversible
b) Temporary and reversible (like sleep)
c) A punishment
d) A biological event only
139. Which intervention best supports siblings of a terminally ill child?
a) Ignoring their questions
b) Honest, age-appropriate information
c) Keeping them away from hospital
d) Giving false reassurance
140. Palliative care in children mainly focuses on:
a) Extending life at any cost
b) Providing comfort, dignity, and family support
c) Withholding all treatment
d) Only curative measures
141. A 1-year-old child is brought with severe dehydration. Which is the priority intervention?
a) Give ORS
b) Start IV fluids immediately
c) Provide antibiotics
d) Encourage breastfeeding only
142. A nurse is calculating paracetamol dose for a 12 kg child. Dose required is 15 mg/kg. How much is needed?
a) 150 mg
b) 160 mg
c) 170 mg
d) 180 mg
143. A mother refuses immunization due to cultural beliefs. The nurse should:
a) Respect and document refusal after counseling
b) Force the vaccination
c) Ignore the child
d) Report immediately to police
144. Which action shows evidence-based preventive pediatrics?
a) Exclusive breastfeeding for 6 months
b) Avoiding immunization
c) Using antibiotics frequently
d) Withholding colostrum
145. A neonate in NICU is separated from parents. Which nursing intervention reduces stress?
a) Kangaroo mother care
b) Keeping infant in incubator only
c) Using restraints
d) Limiting parental touch
146. A 4-year-old child admitted with pneumonia becomes fearful of oxygen mask application. The nurse’s best approach is:
a) Force the mask quickly
b) Use distraction and play therapy
c) Apply restraint immediately
d) Ignore the child’s refusal
147. Which national program primarily addresses Vitamin A supplementation in children?
a) Mid-Day Meal Program
b) Integrated Child Development Services (ICDS)
c) National Nutritional Anemia Program
d) Pulse Polio Immunization
148. A nurse uses the FLACC scale to assess pain in a toddler. What does the “F” stand for?
a) Feelings
b) Face
c) Fear
d) Function
149. The term “under-five mortality rate” refers to:
a) Deaths before 1 month of age
b) Deaths between 1–12 months
c) Deaths between 1–5 years
d) Deaths before 5th birthday per 1000 live births
150. A 3-year-old hospitalized child keeps crying for his mother. Which psychological concept does this represent?
a) Regression
b) Separation anxiety
c) Fear of strangers
d) Denial
151. Which cultural factor most affects breastfeeding practices in India?
a) Modern lifestyle only
b) Religious beliefs and traditional customs
c) Hospital policies alone
d) Government restrictions
152. A nurse preparing IV fluids for a 10-kg child must calculate daily requirement. Using the Holliday-Segar method, the fluid requirement is:
a) 500 ml/day
b) 1000 ml/day
c) 1200 ml/day
d) 1500 ml/day
153. Which factor increases the risk of accidental poisoning in toddlers?
a) Strong parental supervision
b) Developing curiosity and mobility
c) Limited hand coordination
d) Dependence on caregivers
154. The nurse must administer IM injection to a 1-year-old child. The preferred site is:
a) Gluteal muscle
b) Vastus lateralis
c) Deltoid
d) Abdominal wall
155. A nurse is educating parents about cold chain maintenance. Vaccines should be stored between:
a) –20°C to –10°C
b) 0°C to 4°C
c) 2°C to 8°C
d) 10°C to 15°C
156. Which vaccine is contraindicated in a child with severe immunodeficiency?
a) BCG
b) IPV
c) DPT
d) Hepatitis B
157. A child admitted for appendectomy is very anxious about surgery. The nurse’s role in preoperative care is:
a) Provide honest age-appropriate explanations
b) Ignore child’s questions
c) Let parents manage anxiety
d) Give sedation immediately
158. Which international declaration first highlighted “Rights of the Child”?
a) Alma Ata Declaration
b) Geneva Declaration 1924
c) UN Convention on Rights of the Child 1989
d) Ottawa Charter
159. A nurse suspects child abuse. The first responsibility is:
a) Confront the parents
b) Document and report according to law
c) Ignore to maintain family privacy
d) Call police immediately without assessment
160. Which component of preventive pediatrics aims at reducing incidence of accidents?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Rehabilitation
161. Which organization launched the Universal Immunization Program (UIP) in India?
a) WHO
b) UNICEF
c) Government of India
d) Red Cross Society
162. During hospitalization, a 6-year-old child begins bedwetting. This is best described as:
a) Regression due to stress
b) Normal development
c) Organic disorder
d) Sign of poor nursing care
163. Which pain scale is most suitable for a 7-year-old child?
a) FLACC scale
b) FACES pain scale
c) Numerical rating scale
d) Neonatal pain scale
164. The main philosophy of modern child care emphasizes:
a) Curative care only
b) Preventive and holistic care
c) Institutionalization of children
d) Parental ignorance
165. Which Indian program focuses on care of under-five children through anganwadi centers?
a) Pulse Polio Immunization
b) ICDS
c) RNTCP
d) National Mental Health Program
166. Which principle is most important in communicating with hospitalized children?
a) Use complex medical terms
b) Speak in age-appropriate, simple language
c) Avoid eye contact
d) Talk only with parents
167. A 2-year-old child is admitted for surgery. The nurse prepares the hospital environment by:
a) Keeping it silent and isolated
b) Allowing familiar toys and parental presence
c) Removing all play items
d) Restricting parental visits
168. Which measure is most effective in reducing neonatal mortality?
a) Exclusive breastfeeding
b) Delayed immunization
c) Early weaning
d) Bottle feeding
169. Which drug form requires most accurate calculation in pediatrics?
a) Syrups
b) Drops
c) Tablets
d) Ointments
170. Which of the following reflects the psychological difference between adults and children in illness?
a) Children may have magical thinking about illness
b) Children understand disease fully like adults
c) Children always cope better
d) Illness has no psychological impact
171. Which program ensures Vitamin A, Iron, and Immunization to children under 5 years?
a) Janani Suraksha Yojana
b) ICDS
c) Mid-Day Meal Scheme
d) RBSK
172. Which factor best explains increased drug toxicity risk in infants?
a) Faster renal clearance
b) Immature liver and kidney functions
c) Increased gastric acidity
d) Large muscle mass
173. Which is a sign of severe malnutrition in children?
a) Weight between 80–90% of expected
b) Presence of edema
c) Mild pallor only
d) Occasional diarrhea
174. In a grief reaction, the first stage observed in children is usually:
a) Anger
b) Denial
c) Depression
d) Acceptance
175. The main role of a nurse in well-baby clinics is:
a) Only immunization
b) Comprehensive monitoring of growth and development
c) Admission of sick children
d) Performing surgeries
176. Which restraint method is commonly used for IV infusion in infants?
a) Jacket restraint
b) Elbow restraint
c) Mummy restraint
d) Mittens restraint
177. Which strategy is most effective in preventing accidental burns in toddlers?
a) Keep hot liquids out of reach
b) Avoid breastfeeding
c) Teach school rules
d) Restrict immunization
178. A hospitalized child constantly asks when parents will return. This reflects:
a) Fear of punishment
b) Separation anxiety
c) Cognitive delay
d) Hospital phobia
179. Which is an important social difference between adults and children during illness?
a) Adults have no social needs
b) Children depend on family for social interactions
c) Children can live independently in hospitals
d) Adults rely on nurses completely
180. Which vaccine is given at birth in India?
a) DPT
b) Measles
c) BCG and OPV zero dose
d) Varicella
181. A 2-month-old infant receives OPV and DPT. The mother should be informed about:
a) Fever and irritability may occur
b) Paralysis always occurs
c) No side effects possible
d) Avoid breastfeeding after vaccine
182. Which condition contributes most to high infant mortality in India?
a) Road accidents
b) Diarrheal diseases and infections
c) Sports injuries
d) Congenital blindness
183. Which pain scale is most suitable for a non-verbal 18-month-old child?
a) FLACC
b) Numerical rating scale
c) Visual analogue scale
d) Verbal descriptor scale
184. Which component of child health nursing focuses on anticipatory guidance to parents?
a) Preventive pediatrics
b) Curative care
c) Rehabilitation
d) Emergency care
185. Which legislation in India protects children from hazardous employment?
a) Child Marriage Restraint Act
b) Child Labor (Prohibition and Regulation) Act
c) Juvenile Justice Act
d) Factories Act
186. Which immunization is contraindicated in a child with egg allergy?
a) Measles
b) MMR
c) Influenza
d) All of the above
187. Which route is best for oral medication in infants to prevent aspiration?
a) Back of throat quickly
b) Side of cheek, slowly
c) Mix with bottle feed only
d) Keep infant lying flat
188. Which principle should guide pain assessment in children?
a) Children exaggerate pain
b) Self-report is the gold standard when possible
c) Parents’ guess is always correct
d) Nurses decide without scales
189. Which factor is most important in reducing under-five mortality?
a) Better neonatal care
b) More toys in hospitals
c) Restricting immunization
d) Avoiding breastfeeding
190. Which type of play is most beneficial for a 4-year-old child in hospital?
a) Parallel play
b) Cooperative play
c) Solitary play
d) Passive watching
191. Which nursing action best reduces parental anxiety during child’s hospitalization?
a) Restricting visiting hours
b) Honest communication and involvement in care
c) Ignoring family presence
d) Asking them to stay home
192. Which vitamin prevents nutritional blindness in children?
a) Vitamin A
b) Vitamin C
c) Vitamin D
d) Vitamin E
193. The numerical pain scale can be reliably used in children aged:
a) 1 year
b) 3 years
c) 7 years and above
d) Infants only
194. The role of the nurse in bereavement support for parents includes:
a) Avoiding discussions about death
b) Encouraging expression of grief
c) Minimizing rituals
d) Ignoring parents’ emotions
195. Which type of prevention is growth monitoring in under-five clinics?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Rehabilitation
196. Which is a hallmark of child-centered hospital environment?
a) Cold and sterile setting
b) Friendly, colorful wards with play facilities
c) No parental access
d) Only medical equipment visible
197. Which immunization protects against whooping cough?
a) BCG
b) DPT
c) MMR
d) IPV
198. Which action is most important for preventing nosocomial infections in pediatric wards?
a) Hand hygiene by all staff and visitors
b) Isolation of parents
c) Restricting toys
d) Avoiding breastfeeding
199. Which government scheme provides free immunization, checkups, and referral services for children up to 18 years?
a) Janani Suraksha Yojana
b) Rashtriya Bal Swasthya Karyakram (RBSK)
c) ICDS
d) Mid-Day Meal Scheme
200. Which physiological difference makes children more prone to dehydration?
a) Lower metabolic rate
b) Higher body water content
c) Larger fat stores
d) Smaller surface area
Answer Key👇
Key Features of This MCQ Set
- Continuation of high-yield, exam-relevant questions.
- Covers modern pediatric concepts important for NORCET and NCLEX.
- Student-friendly format with clear answer highlights.
- Best for self-study and group discussions.
How to Use Part-2 Effectively
- Revise MCQs 101–200 after completing Part-1 for continuity.
- Make notes of the tricky/confusing questions.
- Attempt without looking at answers first—simulate exam conditions.
- Share with classmates and discuss rationales for better clarity.
Continue Learning with This Series
👉 [Go Back to Part-1 (MCQs 1–100)]
👉 [More Nursing Notes Pdf on UP Nursing Notes]
Final Word
Child Health Nursing Unit-1 (Modern Concepts of Child Care) is a fundamental section in every nursing exam. By consistently practicing these 500+ MCQs in parts, you’ll cover the most frequently asked topics and gain the confidence to excel in NORCET and other nursing exams.
Stay consistent with your preparation and keep solving these MCQs. For more free nursing notes, exam-focused MCQs, and practice materials, visit:
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