NORCET Exams Preparation – Child Health Nursing Unit-1
Part-3: Introduction to Modern Concepts of Child Care (MCQs 201–300)
Welcome back to our Child Health Nursing Unit-1 MCQ Series! If you’ve already practiced Part-1 (MCQs 1–100) and Part-2 (MCQs 101–200), then this blog brings you the next set of questions: MCQs 201–300.
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These questions are highly relevant for NORCET, AIIMS, NCLEX, BSc Nursing, MSc Nursing, and other competitive nursing exams. By practicing them step-by-step, you’re ensuring complete coverage of Unit-1: Introduction to Modern Concepts of Child Care.
Why Focus on MCQs 201–300?
- These cover deeper concepts in child health and modern pediatric nursing.
- Excellent for strengthening revision before exams.
- Designed to match latest exam patterns.
- Adds variety beyond the first 200 questions, ensuring comprehensive preparation.
Child Health Nursing – Unit 1 MCQs (Part 3: 201–300)
👉 Below are the 100 MCQs (201–300). Attempt them like a quiz, then check the answers keys for better understanding.
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201. A mother refuses vaccination for her child due to cultural beliefs. What is the nurse’s best response?
a) Forcefully administer vaccine
b) Respectfully explain benefits and risks in her language
c) Ignore and discharge the child
d) Call police immediately
202. Which component of child health emphasizes family-centered care?
a) Traditional nursing
b) Modern philosophy of childcare
c) Institutionalized care
d) Authoritarian care
203. Which of the following is a preventive pediatric service?
a) Appendectomy
b) Growth monitoring
c) Chemotherapy
d) Intensive care
204. A 9-year-old is worried that hospitalization means punishment for being “bad.” This reflects:
a) Magical thinking
b) Logical reasoning
c) Regression
d) Cognitive maturity
205. Which vaccine is stored in the freezer compartment of ILR?
a) DPT
b) OPV
c) Hepatitis B
d) TT
206. A primary goal of under-five clinics is:
a) Emergency care
b) Growth and development surveillance
c) Surgery and treatment
d) Counseling adults
207. The most common cause of infant mortality in India is:
a) Diarrhea
b) Low birth weight and prematurity
c) Malaria
d) Trauma
208. Which legislation addresses adoption and welfare of orphans in India?
a) Juvenile Justice Act
b) Child Labor Act
c) POCSO Act
d) National Health Bill
209. A 2-year-old child receives paracetamol syrup. The nurse should calculate dose based on:
a) Child’s weight
b) Parent’s age
c) Average adult dose
d) Child’s height only
210. Which pediatric age group is most vulnerable to accidental drowning?
a) Infants
b) Toddlers
c) Adolescents
d) Neonates
211. Which principle should guide play therapy in hospital?
a) Play must be free and age-appropriate
b) Play should be competitive
c) Play should always be supervised by doctors only
d) Play must replace all medical treatment
212. A child undergoing appendectomy is taught deep breathing using balloons. This represents:
a) Diversional therapy
b) Play therapy in postoperative care
c) Pain management only
d) Respiratory therapy alone
213. Which is a psychological effect of hospitalization in preschool children?
a) Fear of mutilation
b) Abstract reasoning
c) Independence
d) Depression only
214. The WHO recommendation for exclusive breastfeeding duration is:
a) 3 months
b) 4 months
c) 6 months
d) 9 months
215. Which pediatric injection site avoids risk of sciatic nerve injury?
a) Ventrogluteal site
b) Dorsogluteal site
c) Deltoid
d) Sternum
216. Which preventive measure reduces falls in toddlers at home?
a) Use of bed rails
b) Delaying walking
c) Avoiding immunization
d) Keeping rooms dark
217. A 7-year-old is admitted for tonsillectomy. Which preoperative teaching is appropriate?
a) Explain using simple diagrams and dolls
b) Provide adult medical books
c) Give complex scientific explanation
d) Avoid explanations to reduce anxiety
218. Which of the following reflects a social difference affecting child illness response?
a) Children depend on parents for decision-making
b) Children make independent choices like adults
c) Children isolate themselves
d) Illness has no impact socially
219. Which is the first line of defense against infection in children?
a) Immunization
b) Skin and mucous membranes
c) Antibiotics
d) Hand washing only
220. Which national program provides midday meals in schools to reduce malnutrition?
a) RBSK
b) Mid-Day Meal Scheme
c) ICDS
d) RMNCH+A
221. The principle of atraumatic care in pediatrics aims to:
a) Minimize physical and psychological distress
b) Provide punishment for disobedience
c) Restrict family visits
d) Increase medical interventions
222. Which pediatric pain assessment tool is most appropriate for infants?
a) Numerical rating scale
b) Visual analogue scale
c) FLACC scale
d) Wong-Baker FACES
223. Which vaccine is given at 9 months of age in India?
a) Measles
b) Hepatitis B
c) OPV
d) TT
224. A child admitted with fractures shows fear and withdrawal. The nurse should:
a) Use therapeutic play to build trust
b) Ignore the child’s behavior
c) Force the child to interact
d) Leave the child isolated
225. Which immunization is given as pentavalent vaccine under UIP?
a) DPT + Hepatitis B + Hib
b) OPV + IPV
c) TT + Measles
d) BCG + Hepatitis B
226. Which psychological difference affects drug compliance in children?
a) Children may not understand treatment importance
b) Children always follow instructions
c) Children are more logical than adults
d) Children require no explanation
227. The principle of family-centered care in child nursing includes:
a) Involving parents in decision-making
b) Limiting parental visits
c) Excluding family during procedures
d) Nurses taking all decisions alone
228. Which factor contributes to higher risk of fluid imbalance in children?
a) Smaller body surface area
b) Higher metabolic rate
c) Less extracellular fluid
d) Lower respiratory rate
229. A 10-year-old hospitalized child starts refusing meals. The nurse interprets this as:
a) Stress response to hospitalization
b) Sign of recovery
c) Lack of parental care
d) Always malnutrition
230. The main role of the nurse in cold chain maintenance is to:
a) Maintain vaccines at 2–8°C
b) Store vaccines at room temperature
c) Freeze all vaccines
d) Distribute without monitoring
231. Which program focuses on neonatal resuscitation and essential newborn care?
a) Navjaat Shishu Suraksha Karyakram (NSSK)
b) ICDS
c) Mid-Day Meal
d) National TB Program
232. A nurse is assessing pain in a 3-year-old post-op child. Which tool is most suitable?
a) FLACC scale
b) Visual Analogue Scale
c) Numerical scale
d) Adult descriptor scale
233. A 12-year-old is able to describe pain numerically. The nurse should use:
a) Wong-Baker FACES scale
b) FLACC scale
c) Numerical Rating Scale
d) Neonatal Infant Pain Scale
234. Which is a preventive measure against accidents in school-age children?
a) Safety education programs
b) Restricting play
c) Avoiding all outdoor activities
d) Keeping children isolated
235. Which immunization is given during adolescence in India?
a) TT
b) MMR
c) BCG
d) Varicella
236. Which communication technique is most effective for adolescents?
a) Honest, direct, and respectful communication
b) Using only dolls and toys
c) Ignoring privacy concerns
d) Talking only to parents
237. A 6-year-old undergoing surgery is given pre-op teaching. The nurse should:
a) Use concrete examples and demonstrations
b) Provide adult-level written material
c) Avoid giving explanations
d) Use only medical terms
238. Which international agency initiated the “Child Survival and Development Revolution”?
a) WHO
b) UNICEF
c) UNESCO
d) ILO
239. Which is the most common hospital-acquired infection in children?
a) Pneumonia
b) Diarrhea
c) UTI
d) Skin infections
240. Which is an example of secondary prevention in child health?
a) Immunization
b) Screening for anemia
c) Rehabilitation of polio
d) Breastfeeding
241. A 2-year-old child admitted with pneumonia keeps crying when the mother leaves. This behavior is typical of which stage of separation anxiety?
a) Detachment
b) Despair
c) Protest
d) Regression
242. Which factor most influences the psychological response of a child to hospitalization?
a) Type of illness
b) Developmental age
c) Duration of stay
d) Nutritional status
243. The best method to administer oral medication to a reluctant toddler is:
a) Mix medicine in a bottle of milk
b) Use a syringe/dropper at the side of the mouth
c) Give when child is sleeping
d) Add to food without informing
244. The FLACC pain scale is especially useful for:
a) Neonates and infants
b) School-age children
c) Adolescents
d) Parents of sick children
245. Which of the following is not a principle of atraumatic care?
a) Promoting control for the child
b) Preventing or minimizing bodily injury
c) Encouraging parental absence
d) Preventing separation from family
246. The most common cause of accidental death in children under 5 years is:
a) Burns
b) Poisoning
c) Road traffic accidents
d) Drowning
247. Which strategy best minimizes fear during hospitalization for a preschool child?
a) Allowing them to handle medical equipment
b) Detailed explanation of procedures
c) Frequent visiting hours for relatives
d) Separation in a single room
248. The “Under-five clinic” mainly focuses on:
a) School performance
b) Preventive and promotive health
c) Advanced diagnostic services
d) Specialized surgical care
249. A nurse needs to calculate daily fluid requirement for a 12 kg child. Using Holliday-Segar method, what is the total?
a) 1200 mL
b) 1000 mL
c) 1100 mL
d) 1500 mL
250. Which of the following is the most accurate tool for assessing pain in a 5-year-old?
a) FLACC scale
b) Numerical rating scale
c) FACES scale
d) Parent report only
251. Which child is most at risk of severe dehydration?
a) 2-month-old with diarrhea
b) 5-year-old with vomiting
c) 8-year-old with fever
d) 12-year-old with sore throat
252. Which immunization is given intradermally?
a) BCG
b) OPV
c) Hepatitis B
d) DPT
253. The “Kangaroo Mother Care” is primarily beneficial for:
a) Infants with congenital heart disease
b) Low-birth-weight infants
c) Infants after surgery
d) All neonates
254. Which communication technique is most effective with a school-aged child?
a) Use play therapy
b) Provide concrete explanations
c) Use abstract reasoning
d) Give minimal information
255. A hospitalized 7-year-old says, “It’s my fault I got sick.” This reflects:
a) Magical thinking
b) Concrete thinking
c) Reality orientation
d) Regression
256. National Immunization Schedule recommends measles vaccine first at:
a) 6 months
b) 9 months
c) 12 months
d) 18 months
257. The most effective strategy to prevent medication errors in pediatric patients is:
a) Use of standard adult dosages
b) Calculation based on weight
c) Estimation by age
d) Giving smaller doses only
258. Which of the following is not included in Rights of the Child (UN Convention)?
a) Right to survival
b) Right to protection
c) Right to property
d) Right to development
259. A 4-year-old undergoing venipuncture screams and tries to escape. The most appropriate nursing action is:
a) Use appropriate restraints briefly
b) Force procedure quickly
c) Defer procedure indefinitely
d) Sedate the child
260. Which parameter is most sensitive for assessing dehydration in infants?
a) Blood pressure
b) Skin turgor
c) Capillary refill time
d) Serum electrolytes
261. What is the approximate fluid requirement for a 20 kg child per day?
a) 1200 mL
b) 1500 mL
c) 1600 mL
d) 1800 mL
262. Which program is focused on reducing infant and maternal mortality in India?
a) ICDS
b) RCH program
c) Janani Suraksha Yojana
d) Pulse Polio program
263. “Play therapy” in hospitalized children mainly helps in:
a) Physical growth
b) Expression of feelings
c) Developing intelligence
d) Reducing diet refusal
264. The first sign of separation anxiety in hospitalized children is:
a) Withdrawal
b) Despair
c) Crying and clinging
d) Detachment
265. Which nursing action is most effective to reduce pain during IM injection in infants?
a) Apply ice before injection
b) Use ventrogluteal site
c) Distract with toys
d) Encourage parental presence
266. Which statement reflects the philosophy of child health nursing?
a) Care is disease-centered
b) Care is child and family-centered
c) Care ignores family role
d) Care focuses only on cure
267. A child admitted with burns is placed in isolation. The most appropriate nursing intervention is:
a) Restrict all visitors
b) Provide parental presence as much as possible
c) Prohibit touching child
d) Limit play therapy
268. Which is the best approach for medication administration to a preschooler?
a) Explain procedure in detail using medical terms
b) Use simple, short explanations and play
c) Give medication without informing
d) Allow child to decide whether to take or not
269. Which immunization is given by oral route?
a) Hepatitis B
b) OPV
c) Measles
d) DPT
270. The most common psychological effect of hospitalization on a toddler is:
a) Loss of trust
b) Guilt
c) Hopelessness
d) Depression
271. Which of the following is considered preventive pediatrics?
a) Surgery for congenital defects
b) Growth monitoring and immunization
c) Chemotherapy for leukemia
d) ICU care for sick neonates
272. A nurse teaching parents about cold chain emphasizes:
a) Maintaining vaccines below 0°C
b) Maintaining vaccines at recommended temperature until use
c) Transporting vaccines without insulation
d) Keeping vaccines in sunlight for potency
273. Best way to communicate with a hospitalized 3-year-old is:
a) Use dolls and toys
b) Give abstract explanations
c) Use medical terms
d) Ignore questions
274. Which child is at greatest risk of iron-deficiency anemia?
a) 2-month-old exclusively breastfed
b) 6-month-old not yet started on solids
c) 10-year-old on mixed diet
d) 15-year-old on balanced diet
275. Which hospital policy helps in reducing separation anxiety?
a) Restrict parental visits
b) 24-hour rooming-in facility
c) Isolate all children
d) Strict visiting hours only
276. “Under-five mortality rate” means deaths of children:
a) Below 1 year
b) Below 3 years
c) Below 5 years
d) Below 10 years
277. Which type of play is most appropriate for a hospitalized school-age child?
a) Parallel play
b) Solitary play
c) Competitive play
d) Pretend play
278. Which of the following vaccines is part of Pulse Polio program in India?
a) IPV
b) OPV
c) DPT
d) Hepatitis B
279. The best pain assessment scale for a 9-year-old child is:
a) FLACC
b) FACES
c) Numerical rating scale
d) Parent’s report
280. Which principle is most important in pediatric medication administration?
a) Double-checking dosage calculation
b) Giving adult dose if weight unknown
c) Using approximation
d) Ignoring minor overdose
281. Which child is most likely to experience “regression” during hospitalization?
a) 15-year-old with fracture
b) 3-year-old admitted for surgery
c) 10-year-old with asthma
d) Newborn in NICU
282. Which is the earliest sign of hypoxia in children?
a) Bradycardia
b) Restlessness
c) Hypotension
d) Seizure
283. A nurse explains immunization benefits to parents. This is an example of:
a) Preventive care
b) Curative care
c) Palliative care
d) Rehabilitative care
284. What is the leading cause of under-five mortality in India?
a) Neonatal disorders
b) Accidents
c) Malaria
d) Drowning
285. Which is the best approach to reduce fear during preoperative teaching for a 6-year-old?
a) Detailed lecture
b) Use dolls and demonstrations
c) Avoid any explanation
d) Allow watching surgery
286. A nurse using FACES scale shows pictures of faces to a child. This is used for:
a) Measuring growth
b) Assessing pain intensity
c) Assessing nutritional status
d) Detecting depression
287. Best site for IM injection in infants is:
a) Gluteal muscle
b) Vastus lateralis
c) Deltoid
d) Triceps
288. Which is a principle of pediatric nursing care?
a) Family-centered care
b) Nurse-centered care
c) Disease-centered care
d) Technology-centered care
289. A nurse is teaching accident prevention. Which measure is most appropriate for a 2-year-old?
a) Use of seat belts
b) Store medicines out of reach
c) Teach traffic rules
d) Supervise swimming lessons
290. Which of the following is not a function of UNICEF?
a) Child health programs
b) Nutrition support
c) Immunization programs
d) Conducting postgraduate nursing courses
291. Which child is most at risk of separation anxiety?
a) Infant
b) Toddler
c) School-age
d) Adolescent
292. Which of the following is a curative aspect of child health?
a) Immunization
b) Nutritional supplementation
c) Antibiotic therapy for pneumonia
d) Health education
293. Which is the best nursing strategy to reduce grief in parents of a terminally ill child?
a) Provide accurate information and emotional support
b) Avoid discussing prognosis
c) Give false reassurance
d) Limit family presence
294. Which of the following is true about pediatric medication calculation?
a) Dose is based on surface area or weight
b) Adult dose is divided by 2
c) Children require higher dose always
d) Fixed dose is given irrespective of age
295. Which factor contributes most to differences in response to illness between child and adult?
a) Size of organs
b) Immature physiological systems
c) Emotional attachment
d) Lack of education
296. Which is the correct order of stages in separation anxiety?
a) Protest → Detachment → Despair
b) Protest → Despair → Detachment
c) Despair → Protest → Detachment
d) Detachment → Protest → Despair
297. Which type of play is best suited for a toddler?
a) Competitive play
b) Parallel play
c) Cooperative play
d) Solitary play
298. Which national program provides supplementary nutrition to children?
a) RCH program
b) ICDS program
c) Universal Immunization Program
d) Janani Suraksha Yojana
299. A nurse demonstrates hand washing to children before meals. This is an example of:
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Rehabilitation
300. Which principle should guide preparation of hospital environment for sick children?
a) It should be child-friendly and reduce anxiety
b) It should be strict and disciplined
c) It should be identical to adult wards
d) It should avoid parental involvement
Answers Key
Key Features of This Section
- MCQs framed from updated syllabus of nursing exams.
- Answers highlighted for quick revision.
- Suitable for self-study, group discussions, and last-minute review.
- Builds upon the knowledge gained in Part-1 and Part-2.
How to Maximize Learning from Part-3
- Solve questions in timed sessions (just like exam).
- Compare answers only after finishing the set.
- Mark confusing topics → revise them separately.
- Keep combining Part-1, Part-2, and Part-3 for cumulative revision.
Continue the Series
👉 [Go Back to Part-1 (MCQs 1–100)]
👉 [Go Back to Part-2 (MCQs 101–200)]
👉 [Coming Soon: Part-4 (MCQs 301–400)]
👉 [Explore More Nursing MCQs on UP Nursing Notes]
Final Word
Consistent practice is the key to success in exams like NORCET, AIIMS, NCLEX, and BSc/MSc Nursing. This Part-3 (MCQs 201–300) ensures you don’t just memorize but actually understand concepts in Child Health Nursing – Modern Concepts of Child Care. Step by step, you’re building a strong foundation.
Keep practicing and stay regular with this series. For more free MCQs, nursing notes, and exam preparation guides, visit:
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