fLicensure Examination for BSc Nursing Graduates Prepared by

FMOH , June 2019

1. A mother brought her 9 month old child at health center for immunization. A nurse
adminstered 0.5ml of measle vaccine subscutanous at right upper arm. What is the most likely
missed?
A.✝ Route C. Dose
B. Site D. Schedule
2. You are working in a place where chawing chat is common. you planned to give health
education on the impact of chewing chat and to prevent the existance of new user. What is the
most likely preventive strategies used?
A. ✝Primary Prevention C. Rehabilitation prevention
B. Secondary D. 3 prevention
3. A nurse recorded the birth weight of newborn in X hospital as follows; 3450, 2900, 4000,
2759, 3500, 2350, and 1500. what is the best method to summarize the data?
A. Mean C. ✝Range
B. Mode D. Midean
4. You are ordered to administer 1000cc of 5%DW for 8 hour using drop rate of 20gtt. What will
be the drop rate per min?
A. 31gtt C. 333gtt
B. ✝42 gtt D. 400gtt
5. A little baby was taken a drug from his mother cabinet. He was convulsing, and during the
initial assessement his Bp was 140/90mmhg. After 30 minute the child Bp is 80/50 mmhg. What
is the most likely poison ?
A.✝ Barbiturate
B. Acetamenopen
C. Antidepressant
6. A pregnant women come to hospital on 10/11/2011 and whose LNMP was on 30/8/2011. If
she ask her gestional age, a nurse in charge will reply:
A. ✝10 Week c. 14Wk
B. 12 week D. 6 Week.
7. A nurse working in EPI expose vaccine to sunlight which one is affected firstly
A. OPV C. PCV
B. BCG D.penta
8. A 8yr old child sastained burn injury which covers 20% of total body surface. The child
weight 12kg . What is the amount of fluid need during emergency phase?
A.✝ 480 ml per 8hr c✝. 960Ml per 16hr
B. 560Ml per 6hr D. 720Ml per 24hr
9. A nurse is exposed to needle stick injury, checked the sero status of the patient and the patient
was found HIV postive. What is most likely intervention by the nurse?
A. Wait 3day to start treatment
B.✝ Consider post exposure prophylaxis
D. Repeat the test after 6 week
10. A cardic patient who was on follow come to the health center with a complain of dysponea,
crakle, hepatojagular reflex, and SOB. Which finding most likely indicative of right sided heart
failur?
A. Crakle C. ✝Hepatojagular reflux
B. SOB C. dysponea
11. A 5 day baby of HIV postive mother come to hospital with a complain fever. His mother
verified that he was on breast milk. he was HIV postive with an antibody test. What is the most
likely classification of the infant?
A. Hiv infection unlikely C.✝ Hiv exposed
B. Hiv infected D?
12. A 40 year old patient come to hospital with burn injury which covers 40% of his total body
surface. After one month of hospital admission, he has open wound, input and output balanced
and his condition is stable. What the most priority nursing intervention ?
A. ✝Wound care D. Monitoring vital sign
B. Prevention of scare and contracture
C. Functional and cosmetic reconstruction

13. You are going to conduct a research on prevalance of female condom utilization among
comerical sex worker in whose community sex other than one partner is taboo and prohibited.
What is your most likely sampling technique to conduct your research ?
A. ✝Snow ball C. Purposive
B. Convenient D. Qasi...
14. A mother come to hospital for immunozation asks the nurse when will be BCG, measle and
inactivated polio given to her child. The most likely response of the nurse
A. at 9month, birth and 14 week C. At 14week, 9month and birth
respectively respectively
B. At bith, 14 week, and 9month D. ✝At bith, 9month and 14week
respectively respectively
15. A nurse plan to administer 1.5ml gentamicin (IM ) for a patient with spica cast on trunk and
upper lower extremities. Which is appropriate site of administration.
A.Deltiod C. Vestus lateralis
B. ✝Glutus maximus D. Glutus minimus
16. A nurse working at labour and delivery room conducted delivery and collected placenta as
waste. What's the mostly likely method of placenta disposal ?
A. ✝Onsite burial(እርግጠኛ አይደለሁም) C. Sandfill dump
B. Incernation D. ?
17. A 28 year old pregnant women complains vaginal bleeding for 03 days. She was amenorrhic
for the last 3 months. When the nurse checks the fetal heart beat it was positive and the Cx was
closed. Her vital sign was Bp: 110/70mmhg. What is the most likely diagnosis ?
A. ✝Threatened abortion C. Incomplete abortion
B. Ectopic pregnancy D. Vaginal lech
18. Meskerem was diagnosed with TB and was on anti TB for a duration of 3 weeks. Currently
she come to hospital with a complain of low grade fever, loss of appitite, and wt loss. She
discounted the drug for the duration of 3 months and was found smear positive. The most likely
treatment of this patient?
A. 2(RHZE)/6EH C. ✝2(RHZE)/4RH
B.2(SRHZE)/1(RHZE)/5RH D. 1S(RHZE)/2(RHZE)/5EH
19. A 26 year old Term prmigravida women come to health center with a complain of gush of
fluid and vaginal bleeding. When the nurse checks her vital sign; BP 110/70mmhg, pulse
85beat/min, Temperature 37.2oc. Her cervix was 4 cm dilated, presentation vertex abd
membrane intact. What is most the likely priority nursing intervention ?
A. Ask the women to walk around C. Send the women back to hospital
B.✝ Follow up the labor with parthograph D. Advice C/s
20. A mother using IUCD for 3 month come with a complain of dymorphic, heavy vaginal
bleeding what will you do as a nurse?
A. Reassure and send her to home C. Remove IUCD and use other fp
B. ✝Reassure, give iron and send her to D. ?
home
21. Child come to health center with loss of appetite and has oedema on his ankle. His
anthropometric measurement shows MUAC 10.5. what is the the most likely diagnosisof the
child condition?
A. moderate Malnutrition c. Complicated SAM
B. severe Acute Malnutrion D✝. uncomplicated SAM
22. A women with irregular monthly bleeding come to hospital for contraceptive. She want to
use a contraceptive that correct her monthly cycle. Her heamoglobin level was 10.9 mg/dl.
Which contraceptive method is the most appropriate for this women?
A.✝ COC C. DEPO
B. POP D. IUCD
23. A 22 Years old Women missed her Menstrual period 2month ago. She is currently
complaining vaginal bleeding, Left lower Abdominal pain and she was sexually inactive. What
is your possible diagnosis?
A✝. Ectopic PX C. Myoma
B. Ovarian Cyst D. Uterine Inversion
24 . 23 years Old Student Fear Talking With Teacher, In Class even with her class mates. her
teacher told Her not to fear to talk but she can't to do that. what is the most likely personal
disorder ...
A. ✝Specific phobia C. Schziophernia
B.Ant social disorder D. Borderline

25. A 28 yrs old px women come with acomplian of pushing down pain for 2 hr duration. On
examination 2 contaraction per 10min last for 15 second. After 4 hr you get that 3 contraction per
10min last for 30 min and cx dilitation 3 then she is ....stage of labor
A. Active 1st stage C✝. Latent 1st stage
B. 2nd stage D. 3rd stage
26. A nurse is working in the community where home deliver is being common and traditionally
acceptable. The nurse planned to molize the comnunity so that to increased the number of
mothers delivered at health institution. Which metod is the most appropriate method of social
mobilization by the nurse?
A. Using students B.✝using religious leader
c. Non pregnant womens D. ?
27. A nurse working in NICU observe one day child who loss heat by conviction
What is appropriate action of a nurse.
A. Dry baby D. Skin to skin contact
B. ✝Cover head
C. Warm the room
28. A 5 year old child come to health center with a complain of swelling on his leg. When the
nurse checks the child his entire lower extermity was found odematous. What is the most likely
intervention by the nurse
A. Reduction C. ✝Elevation
B. Retention d. Hot compress
29. A critically ill patient was brought to hospital by the support of his family. After detailed
history and physical examination the physican decided to conduct surgery to the patient. But the
patient was refused to sign a consent to under go surgery. Without the consent of the patient the
physician conducted the surgery and the patient was died. Which right of the patient was
violated?
A. ✝Autonomy C. Mal practice
B. Justice D. Confidentiality

30. A para III, gravida IV mother was just delivered at health facility and she complains vaginal
bleeding after delivery. when the nurse checks her ux, it was not in its place and the nurse
notes/feel membrane slightly via PV.
What is the most priority nursing intervention ?
A.✝ manual utrine Return C. Oxytocin IV infusion
B. Bimanual utrine compression D. Positioning the mother
31. A one day infant who is unable to breast feed with weight of 2.1kg comes to hospital and
admitted NICU. what will be the total amout of maintainace given to him?
A. 189ml C. 144ml
B.168ml D✝.126ml
32. A Mother brought her 4 day infant with respiratory distress and secretion. The baby was
admitted to NICU and he has severe fluid defecit. What is the most likey way of administering
fluid to this infant?
A. breast feeding C. feeding by cup
B. feeding by tube D. giving IV fluids
33. ?? A 42-year-old man attends the GP reporting hearing loss. He reports sudden-onset right
hearing loss that has remained continuous for the past three weeks. He notes that the day prior to
this he hit his head with some force. Additionally, he mentions he has been experiencing some
dizzy episodes over the same time frame. He goes onto have a pure-tone audiogram that
demonstrates significant sensorineural hearing loss on the right side.
What is the most likely diagnosis?
A. Stroke C. Meniere's disease
B. Benign paroxysmal positional vertigo D.✝ Subdural haemorrhage
(BPPV)
34. A 8 year old child come to hospital with a complain of fever, SOB and cough. The cough is
aggravated durig night.
What is the most likely diagnosis
A✝. Pnumonia c. Bronchitis
B. Brochial asthma D. Empysema

35. A 47-year-old nurse presents to Hospital complaining of a poorly healing ulcer of her left
second digit. The ulcer started a week ago and is painless. The patient has tried using over the-
counter antibacterial and hydrocortisone creams without improvement. She denies trauma to the
hand.
The patient has a temperature of 38.4°C (101.1°F) and left-sided epitrochlear and axillary
adenopathy. She has a 4-cm ulcer on the dorsal side of the left second digit covered by a black
eschar and surrounded by an extensive amount of nonpitting edema.
Which of the following is the most likely diagnosis?
a. Smallpox infection c. Cat-scratch disease
b.✝ Cutaneous anthrax d. Leprosy infection
36. A 23 year old primigravida mother delivered at health facility. After giving birth she
complains vaginal bleeding, and a nurse in charge examined her found tear in her perineum
which involves the anal spinecture but not rectal mucosa.
What is the most likely stage of genitial tear?
A. Stage I C. ✝Stage III
B. Stage II D. Stage IV
37. A nurse working in x hospital collects instrumentes after procedure. What is the first stage of
instrument processing that the nurse follows?
A. Disinfection C. Stralization
B. Decontamination D. HLD
38. A 8 year baby come to hospital with a complain of fever, SOB and cough. His vital sign
reading shows BP 85/50 mmhg, Temperature 37.2 oc and O2 80%.
What is the most priority nursing intervention?
A. Administering IV fluid C✝. Administering oxygen
B. Clearing airway D. Adiministering analegesics
39. A 45 year old male patient come to health facilities with a complain of cough. He has thick
tenacious secration. His vital sign was Bp 90/60 mmhg, pulse 105 beat/min, Temperature 36.5
oc, and RR 22 breath/min.
What is the most priority nursing diagnosis ?
A. ✝Ineffective airway clearance c. Impaired tissue perfusion
B. Ineffective brathing patteren
40. A 42 year old COPD patient come to hospital with a complain of fever, cough and difficulty
of breathing. He has stridor breathing sound. His vital sign was Bp 110/70mmgh, pulse 96
beat/min, Temperature 38.3 oc and O2 85%.What is the most priority nursing intervention ?
A. Clear breath sound C. Oxygen administration
B✝. Airway clearance D. Improving tissue perfusion
41. Mr.x come to hospital with a complain of vague abdominal pain 3 days ago. The physician
ordered cleansing enema. The nurse in charge assessed the patient vital sign as follows, Bp
160/90 mmhg, pulse rate 100 beat/min, Temperature 37.5 oc and RR 20 breath per min.
Which solution for cleansing enema most likely the nurse will use?
A. Soap solution C. Tap water
B. Normal saline D. Kcl solution
42. A 18 year old patient come to hospital with swelling over his lower extermity. When the
nurse checks his lower extermity it has pitting type odema. His vital sign was Bp 80/50mmhg,
pulse 96beat/min, temperature 37.8oc and Respiration 18 breath/min.
What is the most priority nursing intervention ?
A. Administering fluid C✝. Elevation
B. Administering diuretics D. Positioning
43. The color of nasal discharge during the infection of influenza virus is. A.✝
Clear. B. Green. C. Cloudy. D. Black. Nursing licensure
exam
44. Which one of the following is mostly looks the acute complications of common cold?
A.✝ Pharyngitis. C. Otitis media.
B. Laryngitis. D. ????????
45. A 2 year child come to health facility with a complain of Respiratory distress and barking
cough. He has intercostal retraction, caynosis and O2 saturation is 86%.
What is the most likely diagnosis?
A. B. Asthma.
B. Brocholitis
C. ✝Croup
D. Pneumonia
46. The single most important nursing action
to prevent hospital based infection is-----

A) Wearing Glove C) Personal protective D) Hand washing

equipment
B) Equipment processing. E) Alcohol hand rub
47. The physician has ordered a culture The nurse should obtain which type of
for the client with suspected gonorrhea. culture?
A. Blood C. Stool
B. Nasopharyngeal secretions D✝. Genital secretions

48. The nurse is assessing the abdomen.

The nurse knows the best sequence to
perform the assessment is:
A.✝ Inspection, auscultation, palpation C. Palpation, inspection, auscultation
B. Auscultation, palpation, inspection D. Inspection, palpation, auscultation

49. The client seen in the family planning clinic tells the nurse that she has a painful
lesion on the perineum. The nurse is aware that the most likely source of the lesion is:
A. Syphilis C. Candidiasis
B. Herpes D. Condylomata
50.The nurse caring for a client receiving magnesium sulfate must closely observe for
side effects associated with drug therapy. An expected side effect of magnesium sulfate is:
A✝. Decreased urinary output
B. Hypersomnolence
C.✝ Absence of knee jerk reflex
D✝. Decreased respiratory rate

51. The client with hyperemesis

gravidarum is at risk for developing:

A. Respiratory alkalosis without C. Respiratory acidosis without

dehydration dehydration
B✝. Metabolic acidosis with dehydration
D. Metabolic alkalosis with dehydration
52. Which of the following findings is
associated with right-sided heart failure?

A. Shortness of breath C. Daytime oliguria

B. Nocturnal polyuria D. Crackles in the lungs

53. The client is presented with SOB, palpitation and fatigibility. In addition to this the ct
become weak after vigerous exercise but no symptoms at rest and with activities of daily living.
The physician diagnosed Heart failure . According to the above statment the patient is :
A) NYHAC III B) ✝NYHAC II
C) NYHAC IV D) NYHAC I
54. Based on RYB classification, a wound that need debridment is classified as:
A) Red B) black C) yellow
D) A & C is correct answer.
56. The definative diagnosis of infective endocarditis is:
A) CBC B) ✝Blood culture
C) Biopsy D) none
55. CDC recomanded the following drugs for the treatment of Acute PID except:
A) ceftraxon B)✝ norfloxacillin
C) metriondazole
D) Gentamycin
56. The following are the sign and symptoms of adernal insufficiency except :
A) hyoptension
B) hypoglycemia
C)✝ hypernatermia
D) hyperkalemia
57. One of the following is not the symptom of hyperthyroidism
A) hunger B) palpitation
C) sweeting/ prespiration
D)✝ cold intolerance(ትክክለኛው hot intolerance ነው)
58. One of the following is not immune mediated disease
A) joint disease B) nephritis
C)✝ RF D) skin disease
59. A 6year old child wt 20kg is A newly diagnosed Dm patient. What is the dose of insulin
needed to this child?
A) 21 IU IV B) 21IU SC
C) 14IU IV D)✝ 14 IU SC

60. Which one of the following is an intentional wound?

A) car accident wound
B) nail puncture woun
C)✝ surgical removal of tumor
D none
61. Mr. Has history of accidental injury on his brain. One month later mr. X developed polyuria
and excessive thristy. Lab. Investigation of urine shows low gravity. Based on this what would
be the possible diagnosis of mr.X?
A. ✝DI(❤diabetes inspides ማለት ነው) B. Hyperthyriodism C. Dm D. DKA
62. The following are factors that contribute to false high Bp except
A. Immediately after exercise
B. Releaseing valve too slowly
C✝. Bp calibrated at zero mark
D. Applying narrow cup
63. The correct order of managment for a child who has DDH
A. Manipulation- open reduction- close reduction
B. Closed reduction-PH- open reduction
C. PH-closed reduction-open reduction
D. Open reduction-pH-closed reduction
64. A type of personality disorder characterized by grandiosity, excessive admiration, lack of
emphaty:
A.historinic B✝. Narchistic C. Antisocial D. Pranoid
65. All are non pharmacollical management of patient with heart failure except
A. Bed rest for NYHAC IV
B. Reduction of salt intake
C. Reduction of smoking
D✝. All

66. The common postion for chateterization is:

A. Prone position
B. Dorsal recumbenent
C✝. Supine position
D. Lateral position
67. One of the following drug is not considered as anti anxiety
A. Alprazolem B. Clozapam
C. ✝Phenobaritone
68. which one of the following is the correct order of medication administration
A). A-M-D-E B) A-D-M-E
C) M-A-D-E D) none.
69. Dicliofinac 50mg PRN. What's missed with this prescription ?
A)✝ Route B) frequency C) Duration D) all
70. Which Route of medication administration needs massage ?
A) IV B) ✝Im C) SC D) ID
71. Which one of the following is false about IV route of medication?
A) dangerous route of administration
B) preferable route for emergency case
C) complication is easily reversed.
D) none
72. Patients always has the to refuse trearment
A. True B. ✝False
73. Which one of the following is correct measurement of NGT?
A. Ear lobe to nose to xp
B.✝Nose to earlobe to xp
C. NOSE TO XP
D. NONE

74. Which one of the following is false about NGT feeding ?

A. Siting position is preferable
B✝. Put the patient supine immediately after feeding
C. Flush the tube with water
D. None

75 he child walks on his heel and inner foot, what's the correct diagnosis ?
A. Talipes calacano varus
B. Talies calcano valgus
C. Talpies eqino valgus
D. Talipes equino varus
A. Carditis B. Syndnom chorea C. Raised ESR D. subcutaneous nodule
76. One of the following is not an indication for in patient treatment of PID
A. Previous hx of px
B. Ovarian abscess
C. Having HIV/ADIS
D. NO Imrpvoment of 3day out patient treatment
77. The child come to hospital with X Disease. His father told that his old brother has the same
illness. This hx should be written on:
A. CC B. HPI C. FHX D. PHX
78. which one is most important for nurse to asses the pt
A. medical approach
B. 11 functional approach
In which step of step of nursing process the nurse apply ciretical thinking?
A. Assessment B. Diagnosis
C. Implementation D. Evaluation
79. The nurse perform an assessment after certain peroid Of time to make comparssion with
baseline data is

80. The most common clinically used artery used to assess pulse is:
A. Radial B. Brachial C. Apical D. Temporal
81. Alemitu come to hospital because of car accident. She is pregnant and her current gestational
age is 31 week. She has bleeding, and an examiner open her leg, it has blood. She has history of
placenta previa. What would be the possible diagnosis ?
A. P.previa B. A.placenta.
C. V.previa D. Abortion
82. If the patient undergo organ donnation Without consent......
A. Active ethunesia B. Inactive ethunesia C. None active ethunesia D. B & C
83. A 9-year-old is admitted with suspected rheumatic fever. Which finding is associated
with rheumatic fever?
A. A history of low birth weight
B. A case of strep throat several weeks ago
C. Presence of sickle cell trait D. Inability to digest certain grains
84. Dr. Gizachew has ordered diuretic therapy and fluid restrictions for a client admitted
with a stroke. The diuretic therapy and fluid restrictions are ordered during the acute
phase of a stroke to:
A. Reduce cardiac output
B. Prevent an embolus
C. Reduce cerebral edema
D. Minimize incontinence
85. A nurse finds her neighbor lying unconscious in the doorway of her bathroom. After
determining that the victim is unresponsive, the nurse should:
A. Start cardiac compression
B. Give two slow deep breaths
C. Open the airway using the head-tilt
chin-lift maneuver
D. Call for help