NORCET Exams Preparation – Child Health Nursing Unit-1
Part-1: Introduction to Modern Concepts of Child Care (100 MCQs)
Preparing for NORCET, AIIMS, NCLEX, BSc Nursing, MSc Nursing, or other competitive nursing exams requires a strong foundation in Child Health Nursing. Unit-1, which covers the Introduction and Modern Concepts of Child Care, is one of the most important areas that students must master.
 |
| Child Health Nursing -1 MCQs Practice For NORCET Exams Preparation Free |
This blog post brings you 100 carefully arranged MCQs from Child Health Nursing – Unit 1, designed for quick revision, concept clarity, and exam practice. Practicing these questions will help you improve accuracy, speed, and confidence during competitive exams.
Why Practice MCQs in Child Health Nursing?
- Builds strong conceptual understanding of modern pediatric care.
- Improves exam preparation for NORCET and other nursing entrance/competitive exams.
- Enhances your problem-solving approach in pediatric nursing scenarios.
- Covers high-yield topics that are repeatedly asked in exams.
Child Health Nursing – Unit 1 MCQs (Part 1: 1–100)
👉 Below are the 100 MCQs with answers keys given at end of these 100 MCQs. Practice them like a test, then check your answers.
Start Now
1. Which was the first country to introduce a national immunization program?
a) USA
b) UK
c) India
d) Russia
2. The Children’s Act in India was first passed in:
a) 1960
b) 1966
c) 1974
d) 1980
3. In ancient Indian history, child care was mainly influenced by:
a) Ayurveda and religious texts
b) Modern Western medicine
c) Colonial health laws
d) Industrial revolution
4. Growth monitoring and under-five clinics were first emphasized by which WHO program?
a) Expanded Program on Immunization (EPI)
b) Integrated Child Development Services (ICDS)
c) Primary Health Care (PHC) Alma-Ata 1978
d) Global Polio Eradication Initiative
5. The first children’s hospital in India was established in:
a) Chennai
b) Kolkata
c) Mumbai
d) Delhi
6. Which principle best reflects the philosophy of modern child care?
a) Treating child as miniature adult
b) Holistic approach including family and community
c) Focusing only on curative care
d) Ignoring cultural beliefs
7. The philosophy of atraumatic care emphasizes:
a) Minimizing emotional and physical stress in children
b) Using restraints more frequently
c) Increasing hospital stay for monitoring
d) Limiting parental presence during procedures
8. A 3-year-old child is admitted for IV antibiotics. The nurse allows the mother to stay with the child during procedures. This reflects:
a) Curative care
b) Preventive care
c) Atraumatic care
d) Emergency care
9. Modern child-care emphasizes which of the following?
a) Family-centered care
b) Health promotion and prevention
c) Developmentally appropriate care
d) All of the above
10. Which of the following is not a modern concept of child care?
a) Child rights approach
b) Family-centered care
c) Treating all children in isolation
d) Health promotion
11. A newborn in a rural family is not fed colostrum due to cultural belief. As a nurse, your first action is to:
a) Respect the family’s choice without intervention
b) Force the family to give colostrum
c) Provide health education on importance of colostrum
d) Report the family to authorities
12. In some cultures, circumcision is performed for religious reasons. The nurse’s role is:
a) Refuse all such practices
b) Provide safe and hygienic care if procedure is done
c) Ignore the family’s beliefs
d) Report to child protection services
13. Cultural consideration in child care mainly focuses on:
a) Imposing one cultural practice on all
b) Understanding and respecting family beliefs
c) Ignoring family rituals
d) Only following medical guidelines strictly
14. Which religious practice may influence dietary care in children?
a) Vegetarianism in Hindu families
b) Halal food in Muslim families
c) Avoiding pork in Jewish families
d) All of the above
15. A nurse caring for a sick child from a tribal community should:
a) Integrate cultural beliefs with medical care
b) Avoid any discussion with family
c) Deny traditional practices completely
d) Focus only on Western medical treatment
16. ICDS (Integrated Child Development Services) was launched in India in:
a) 1955
b) 1965
c) 1975
d) 1985
17. Which is the flagship program for reducing infant mortality in India?
a) NRHM
b) RBSK
c) RMNCH+A
d) Mission Indradhanush
18. National Health Policy of India (2017) aims to reduce neonatal mortality to:
a) 12 per 1000 live births by 2025
b) 20 per 1000 live births by 2020
c) 15 per 1000 live births by 2030
d) 10 per 1000 live births by 2025
19. The Juvenile Justice Act is related to:
a) Nutrition of children
b) Care and protection of children in conflict with law
c) Immunization coverage
d) School enrollment of children
20. Which program focuses on screening of children from birth to 18 years?
a) RBSK (Rashtriya Bal Swasthya Karyakram)
b) ICDS
c) Mission Indradhanush
d) Balika Samriddhi Yojana
21. Which organization declared the Convention on the Rights of the Child (CRC) in 1989?
a) WHO
b) UNICEF
c) UNESCO
d) UN General Assembly
22. Which of the following is NOT a child right under CRC?
a) Right to survival
b) Right to protection
c) Right to property
d) Right to participation
23. A hospitalized child has the right to:
a) Refuse all treatment
b) Family-centered care
c) To stay isolated from parents
d) To avoid immunization
24. Which child right is being violated if a malnourished child is denied free mid-day meal at school?
a) Right to survival
b) Right to protection
c) Right to participation
d) Right to education
25. A child is admitted with burn injuries but hospital staff restricts parental visits. This violates:
a) Right to participation
b) Right to protection
c) Right to family life and care
d) Right to education
26. Modern trends in pediatric hospital care emphasize:
a) Shorter hospital stay
b) Day-care surgeries
c) Parental involvement
d) All of the above
27. Preventive pediatrics mainly focuses on:
a) Immunization
b) Nutrition
c) Growth monitoring
d) All of the above
28. The concept of Well Baby Clinic focuses on:
a) Treating sick children
b) Monitoring growth and development
c) Surgical interventions
d) Emergency care only
29. Which is the first vaccine given to a newborn in India under National Immunization Schedule?
a) OPV-0
b) BCG
c) Hepatitis B-0
d) All of the above
30. Cold chain equipment used at sub-center level is:
a) Walk-in cooler
b) Deep freezer
c) Ice-lined refrigerator
d) Vaccine carrier
31. The most common cause of under-five mortality in India is:
a) Pneumonia
b) Malnutrition
c) Diarrhea
d) Preterm birth complications
32. Infant Mortality Rate (IMR) is expressed as:
a) Infant deaths per 1000 population
b) Infant deaths per 1000 live births
c) Infant deaths per 100 live births
d) Infant deaths per 10,000 live births
33. A child develops measles at age 2 years. This affects:
a) Neonatal mortality rate
b) Post-neonatal mortality rate
c) Infant mortality rate
d) Child mortality rate (1–5 years)
34. Under-five mortality rate is measured as:
a) Number of deaths of children under 5 per 1000 live births
b) Number of deaths of children under 5 per 10,000 population
c) Number of infant deaths only
d) None of the above
35. The major cause of neonatal mortality in India is:
a) Sepsis
b) Birth asphyxia
c) Low birth weight/prematurity
d) All of the above
36. Which factor makes children more vulnerable to dehydration than adults?
a) Larger surface area to body mass ratio
b) Smaller extracellular fluid
c) Increased renal maturity
d) Less metabolic rate
37. A 4-year-old child is afraid of injections. This response is best explained as:
a) Physiological difference
b) Psychological difference
c) Immunological difference
d) Social difference
38. Which immunological difference makes infants more prone to infections?
a) Absence of bone marrow
b) Immature immune system
c) Hyperactive T cells
d) Increased antibodies at birth
39. A school-going child learns health behavior by imitating peers. This is an example of:
a) Physiological difference
b) Psychological difference
c) Social difference
d) Immunological difference
40. Which is the main reason why neonates require higher fluid per kg body weight compared to adults?
a) Larger surface area and higher metabolism
b) Lower metabolic rate
c) Greater fat reserves
d) High renal maturity
41. The most stressful experience for a 6-month-old infant during hospitalization is:
a) Loss of control
b) Separation from parents
c) Fear of body injury
d) School absence
42. A preschool child admitted in hospital shows regression (bedwetting). This is best explained as:
a) Side effect of medication
b) Developmental delay
c) Emotional response to hospitalization
d) Lack of toilet training
43. The best way to reduce hospitalization stress in toddlers is:
a) Restricting parental visits
b) Allowing parents to stay with child
c) Avoiding toys in ward
d) Giving only medical information
44. School-aged children in hospital usually fear:
a) Separation from parents
b) Pain and loss of control
c) Stranger anxiety
d) Loss of school admission
45. An adolescent hospitalized for surgery is most likely concerned about:
a) Separation anxiety
b) Fear of mutilation and body image
c) Stranger anxiety
d) Fear of injections
46. The most appropriate communication tool for a 4-year-old child is:
a) Written instructions
b) Using dolls or play therapy
c) Medical terminology
d) Group counseling
47. A child in ICU has a terminal illness. The family is crying and angry. The nurse should:
a) Avoid talking to them
b) Provide empathetic listening and support
c) Give strict medical facts only
d) Leave them alone
48. Grief in children is best expressed through:
a) Play
b) Silence
c) Food refusal
d) All of the above
49. The primary role of a child health nurse in hospital is to:
a) Focus only on curative aspects
b) Provide holistic, family-centered, and atraumatic care
c) Ignore parental presence
d) Give only medications
50. Which intervention by a pediatric nurse best reduces fear before surgery in children?
a) Providing toys and pre-op teaching using models
b) Restricting parental involvement
c) Using medical terms only
d) Ignoring child’s anxiety
51) A 3-year-old is brought with recurrent diarrhea. The nurse teaches the mother about oral rehydration solution (ORS). This reflects:
a) Curative pediatrics
b) Preventive pediatrics
c) Postoperative care
d) Palliative care
52) Which is the most sensitive indicator of child health in a community?
a) Birth rate
b) Infant mortality rate (IMR)
c) Crude death rate
d) Morbidity reports
53) The leading cause of under-five mortality in India is:
a) Road traffic accidents
b) Pneumonia and diarrhea
c) Malaria only
d) Snake bite
54) A nurse calculates IV fluid for a 10 kg child. Daily maintenance requirement is approximately:
a) 500 ml
b) 1000 ml
c) 1500 ml
d) 2000 ml
Why: Holliday-Segar method: first 10 kg = 100 ml/kg = 1000 ml/day.
55) Which scale is used to assess pain in a 5-year-old child?
a) Glasgow coma scale
b) FLACC scale
c) Numerical scale only
d) FACES pain rating scale
56) While caring for a hospitalized child, the nurse recognizes the greatest stress for toddlers is:
a) Separation anxiety
b) Loss of privacy
c) Body image issues
d) Peer pressure
57) Which communication technique works best with a school-age child?
a) Using dolls and play
b) Using yes/no closed questions
c) Using stories and drawings
d) Medical jargon
58) National policy that ensures free and compulsory education to children in India is:
a) RTE Act 2009
b) ICDS
c) Child Marriage Act
d) PCPNDT Act
59) A 4-year-old needs an IM injection. The preferred site is:
a) Deltoid
b) Gluteus maximus
c) Vastus lateralis
d) Abdomen
60) Which religious practice may delay neonatal vaccination in some communities?
a) Preference for herbal remedies
b) Naming or religious ceremonies before injections
c) Refusal of colostrum
d) Use of charms
61) Cold chain equipment at primary health center includes:
a) Ice-lined refrigerator and cold boxes
b) Only freezers
c) Air conditioner
d) Water coolers
62) A mother asks, “Why so many vaccines for my baby?” The best response is:
a) “They are unnecessary, but compulsory.”
b) “They protect from many dangerous diseases early in life.”
c) “It’s just government rules.”
d) “Skip them if the child looks healthy.”
63) Hospitalized adolescents usually fear most about:
a) Pain
b) Separation
c) Loss of independence and body image
d) Lack of toys
64) A child develops grief after losing a parent. The nurse supports by:
a) Avoiding the topic
b) Encouraging expression of feelings
c) Distracting with toys only
d) Saying “Don’t cry”
65) In calculating pediatric doses, the method based on body surface area is:
a) Clark’s rule
b) Fried’s rule
c) Young’s rule
d) BSA method
66) The national program that provides supplementary nutrition to children under 6 years is:
a) RNTCP
b) ICDS
c) Janani Suraksha Yojana
d) Pulse Polio
67) Which is NOT part of preventive pediatrics?
a) Immunization
b) Growth monitoring
c) Accident prevention
d) Curative surgery
68) The FLACC scale assesses pain based on:
a) Facial expression, Leg movement, Activity, Cry, Consolability
b) Family background, Language, Attention, Comfort, Care
c) Fever, Length, Appetite, Cough, Cry
d) Fatigue, Leg cramps, Anxiety, Cough, Cry
69) Which principle is most important while restraining a child for IV therapy?
a) Safety with minimum restriction
b) Full body immobilization always
c) No need to explain
d) Use ropes instead of proper restraints
70) The global organization that declared the “Convention on the Rights of the Child” is:
a) WHO
b) UNICEF
c) UN General Assembly
d) UNESCO
71) What is the most common psychological response of school-age children to hospitalization?
a) Regression (bedwetting, thumb-sucking)
b) Body image disturbance
c) Identity crisis
d) Rebellion
72) Which indicator shows community’s socio-economic development?
a) Adult literacy rate
b) Maternal and child health indicators
c) Gross Domestic Product (GDP)
d) Urbanization rate
73) While calculating fluids, a 20 kg child requires per day:
a) 1200 ml
b) 1500 ml
c) 1600 ml
d) 1700 ml
74) Pain in neonates is best assessed using:
a) FLACC
b) NIPS (Neonatal Infant Pain Scale)
c) FACES
d) Numerical scale
75) A mother refuses hospitalization of a sick child due to cultural beliefs. Nurse’s priority action is:
a) Force admission
b) Respectfully counsel, address concerns, and explain benefits
c) Ignore and discharge
d) Call police
76) A 2-year-old is at highest risk for accidents due to:
a) Increased mobility and curiosity
b) Lack of appetite
c) Poor weight gain
d) Speech problems
77) Which is an example of promotive child health service?
a) ORS for diarrhea
b) Deworming programs
c) Nutrition counseling and growth monitoring
d) Treating pneumonia
78) A 10-year-old child asks directly about their illness. The nurse should:
a) Divert topic
b) Give age-appropriate honest information
c) Say “Ask your parents”
d) Avoid talking
79) A grieving family after losing a child benefits most from:
a) Silence and non-availability of staff
b) Compassionate communication and emotional support
c) Forcing immediate discharge
d) Ignoring emotions
80) What is the philosophy of child care in modern nursing?
a) Child is a miniature adult
b) Holistic, family-centered, rights-based approach
c) Only focus on curative services
d) Cultural traditions ignored
81) First vaccine given to a newborn in India within 24 hours is:
a) BCG
b) OPV-0
c) Hepatitis B-0
d) All of the above
82) A child is scheduled for tonsillectomy. Nurse explains procedure using pictures and simple words. This is:
a) Therapeutic play
b) Distraction technique
c) Non-therapeutic communication
d) None of these
83) An anxious mother worries about hospitalization of her child. The nurse’s priority role is:
a) Providing emotional support and clear communication
b) Scolding her for worrying
c) Asking her to leave
d) Refusing information
84) Which child health problem has declined significantly due to universal immunization?
a) Measles
b) Cancer
c) Asthma
d) Diabetes
85) The nurse emphasizes safety to parents of toddlers by:
a) Locking medicines and chemicals out of reach
b) Allowing free access
c) Avoiding outdoor play
d) Restricting food intake
86) Psychological difference between adults and children during illness:
a) Children have limited coping mechanisms
b) Children can always rationalize illness
c) Adults regress more
d) No difference
87) Which is a major immunological difference between children and adults?
a) Children have mature immune systems
b) Children depend on maternal antibodies initially
c) Adults produce less antibodies
d) Children never develop immunity
88) Which principle of preoperative care in children is correct?
a) Do not explain anything to child
b) Prepare child with age-appropriate teaching and parental presence
c) Separate child from family always
d) Avoid pain assessment
89) Pain assessment in a 3-year-old child is best done with:
a) FACES pain scale
b) Numerical 0–10 scale
c) Verbal descriptor scale
d) Glasgow coma scale
90) The primary nurse role in under-five clinic is:
a) Immunization and growth monitoring
b) Dental check-ups only
c) Teaching school subjects
d) Home visits to adults only
91) The cultural practice of discarding colostrum is harmful because:
a) Colostrum is dirty
b) Colostrum is rich in antibodies and nutrition
c) It delays rituals
d) It causes diarrhea
92) Which agency in India coordinates Universal Immunization Programme?
a) NITI Aayog
b) Ministry of Health and Family Welfare
c) Indian Nursing Council
d) UNICEF alone
93) Child morbidity refers to:
a) Child deaths
b) Frequency of illness in children
c) School dropout
d) Malnutrition only
94) The nurse places a febrile child in a well-ventilated room. This is an example of:
a) Promotive care
b) Preventive care
c) Curative care
d) Hospice care
95) The United Nations agency mainly working for child welfare is:
a) UNESCO
b) UNICEF
c) FAO
d) ILO
96) An anxious child cries before IV insertion. The nurse shows a cartoon video during the procedure. This is an example of:
a) Distraction technique
b) Regression
c) Non-therapeutic play
d) Ignoring anxiety
97) In hospitals, family-centered care means:
a) Parents are excluded
b) Parents are active partners in child’s care
c) Only doctors communicate
d) Nurse decides everything
98) Which factor is the most important determinant of child morbidity in India?
a) Socioeconomic status
b) Education of parents
c) Cultural rituals
d) Hospital availability
99) A mother asks why children get sick more often than adults. The best response is:
a) “Their immune system is still developing.”
b) “They are careless.”
c) “They are weak.”
d) “Adults are stronger.”
100) A 6-year-old in hospital cries at night and asks for his mother. This behavior indicates:
a) Separation anxiety
b) Attention-seeking
c) Regression
d) Delirium
Answers Keys
- ✅ Answer: d) Russia
- ✅ Answer: c) 1974
- ✅ Answer: a) Ayurveda and religious texts
- ✅ Answer: c) Primary Health Care (PHC) Alma-Ata 1978
- ✅ Answer: a) Chennai (Egmore, 1859)
- ✅ Answer: b) Holistic approach including family and community
- ✅ Answer: a) Minimizing emotional and physical stress in children
- ✅ Answer: c) Atraumatic care
- ✅ Answer: d) All of the above
- ✅ Answer: c) Treating all children in isolation
- ✅ Answer: c) Provide health education on importance of colostrum
- ✅ Answer: b) Provide safe and hygienic care if procedure is done
- ✅ Answer: b) Understanding and respecting family beliefs
- ✅ Answer: d) All of the above
- ✅ Answer: a) Integrate cultural beliefs with medical care
- ✅ Answer: c) 1975
- ✅ Answer: d) Mission Indradhanush
- ✅ Answer: a) 12 per 1000 live births by 2025
- ✅ Answer: b) Care and protection of children in conflict with law
- ✅ Answer: a) RBSK (Rashtriya Bal Swasthya Karyakram)
- ✅ Answer: d) UN General Assembly
- ✅ Answer: c) Right to property
- ✅ Answer: b) Family-centered care
- ✅ Answer: a) Right to survival
- ✅ Answer: c) Right to family life and care
- ✅ Answer: d) All of the above
- ✅ Answer: d) All of the above
- ✅ Answer: b) Monitoring growth and development
- ✅ Answer: d) All of the above (given at birth)
- ✅ Answer: d) Vaccine carrier
- ✅ Answer: d) Preterm birth complications
- ✅ Answer: b) Infant deaths per 1000 live births
- ✅ Answer: d) Child mortality rate (1–5 years)
- ✅ Answer: a) Number of deaths of children under 5 per 1000 live births
- ✅ Answer: d) All of the above
- ✅ Answer: a) Larger surface area to body mass ratio
- ✅ Answer: b) Psychological difference
- ✅ Answer: b) Immature immune system
- ✅ Answer: c) Social difference
- ✅ Answer: a) Larger surface area and higher metabolism
- ✅ Answer: b) Separation from parents
- ✅ Answer: c) Emotional response to hospitalization
- ✅ Answer: b) Allowing parents to stay with child
- ✅ Answer: b) Pain and loss of control
- ✅ Answer: b) Fear of mutilation and body image
- ✅ Answer: b) Using dolls or play therapy
- ✅ Answer: b) Provide empathetic listening and support
- ✅ Answer: d) All of the above
- ✅ Answer: b) Provide holistic, family-centered, and atraumatic care
- ✅ Answer: a) Providing toys and pre-op teaching using models
- ✅Answer: b
- ✅Answer: b
- ✅Answer: b
- ✅Answer: b
- ✅Answer: d
- ✅Answer: a
- ✅Answer: c
- ✅Answer: a
- ✅Answer: c
- ✅Answer: b
- ✅Answer: a
- ✅Answer: b
- ✅Answer: c
- ✅Answer: b
- ✅Answer: d
- ✅Answer: b
- ✅Answer: d
- ✅Answer: a
- ✅Answer: a
- ✅Answer: c
- ✅Answer: a
- ✅Answer: b
- ✅Answer: c Why: 100 ml/kg for first 10 kg + 50 ml/kg for next 10 kg = 1000 + 500 = 1500 ml (Oops check!) Correction: Actually 1500 ml/day.
- ✅Answer: b
- ✅Answer: b
- ✅Answer: a
- ✅Answer: c
- ✅Answer: b
- ✅Answer: b
- ✅Answer: b
- ✅Answer: d
- ✅Answer: a
- ✅Answer: a
- ✅Answer: a
- ✅Answer: a
- ✅Answer: a
- ✅Answer: b
- ✅Answer: b
- ✅Answer: a
- ✅Answer: a
- ✅Answer: b
- ✅Answer: b
- ✅Answer: b
- ✅Answer: c
- ✅Answer: b
- ✅Answer: a
- ✅Answer: b
- ✅Answer: a
- ✅Answer: a
- ✅Answer: a
Key Features of These MCQs
- Based on latest syllabus & exam pattern (NORCET, NCLEX, AIIMS, etc.)
- Includes modern concepts of child care with focus on exam relevance.
- Useful for UG, PG nursing students, and competitive exam aspirants.
- Designed for revision and last-minute preparation.
How to Use This Blog for Your Success
- Revise 10–20 MCQs daily to strengthen your foundation.
- Bookmark this page and revisit before exams.
- Share with your friends preparing for NORCET or other nursing exams.
- Don’t just memorize—understand the rationale behind every answer.
Continue Your Preparation
👉 [Child Health Nursing Unit-1 Part 2 (MCQ 101–200)]
👉 Explore More Nursing MCQs on UP Nursing Notes - Immunization 200+ MCQs Practice
Final Word
Mastering Child Health Nursing Unit-1 (Modern Concepts of Child Care) is the first step toward clearing your nursing competitive exams. These MCQs are crafted to match the real exam pattern and help you revise faster. Keep practicing regularly, and you’ll notice a big improvement in your confidence and scores.
If you found this helpful, don’t forget to share it with your fellow nursing aspirants. For more free nursing notes, MCQs, and exam preparation material, keep visiting:
👉 UPNURSINGNOTES 📚 – Your Trusted Partner for Nursing Exam Success