Which set of vaccines is due at the 16-24 month visit under the UIP?

MR-2, DPT booster-1 and OPV booster

Pentavalent-3, OPV-3 and fIPV-2

Td, vitamin A and DPT booster-2

MR-1, PCV booster and vitamin A

Immunisation, IMNCI, child welfare and paediatric procedures

25 Kerala PSC Staff Nurse Gr II practice questions on Immunisation, IMNCI, child welfare and paediatric procedures, part of Child Health Nursing. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

Question 1 · Easy
Under the UIP, the booster dose of pneumococcal conjugate vaccine is given at:
1. A5 years
2. B14 weeks
3. C16-24 months
4. D9 months
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Answer: D · 9 months
PCV follows a 2+1 schedule in India: doses at 6 weeks and 14 weeks and a booster at 9 months. It protects against pneumococcal pneumonia and meningitis, the leading vaccine-preventable cause of child pneumonia deaths. It is given intramuscularly in the anterolateral thigh. The 9-month visit therefore includes MR-1, PCV booster and vitamin A.
- A: There is no PCV dose at 5 years.
- B: 14 weeks is the second primary dose.
- C: 16-24 months is the DPT and MR-2 booster visit.
Question 2 · Medium
A 2-year-old in hospital for 4 days has stopped crying for his mother, is quiet and withdrawn and shows no interest in play. This stage of separation anxiety is:
1. ADetachment
2. BProtest
3. CDespair
4. DRegression
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Answer: C · Despair
Separation anxiety in toddlers runs through protest (crying, screaming, clinging), despair (quiet, withdrawn, sad, uninterested) and detachment (seeming to accept carers but with shallow attachment). Despair is often mistaken for settling in. Rooming-in by a parent and the same nurse each shift reduce it. Detachment is rare and comes after long separation.
- A: Detachment is a later stage with superficial adjustment.
- B: Protest is the early crying and searching stage.
- D: Regression is loss of skills, not a stage of separation anxiety.
Question 3 · Medium
Under the UIP, which vaccine is given to children only in districts endemic for a mosquito-borne viral encephalitis?
1. AMR vaccine
2. BPCV
3. CRotavirus vaccine
4. DJE vaccine
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Answer: D · JE vaccine
Japanese encephalitis vaccine is given only in endemic districts, at 9-12 months with MR-1 and again at 16-24 months. JE is spread by Culex mosquitoes, with pigs as amplifying hosts, and causes encephalitis with high death and disability in children. Kerala has endemic areas, mainly in Alappuzha. The other vaccines are given nationwide.
- A: MR is given in all districts.
- B: PCV is now part of the nationwide schedule.
- C: Rotavirus vaccine is given nationwide.
Question 4 · Medium
During hospitalisation, the main fear of a preschool child is usually:
1. ALoss of peer group contact
2. BBodily injury and mutilation
3. CMissing school examinations
4. DChange in body image
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Answer: B · Bodily injury and mutilation
Preschoolers have magical thinking and fear that procedures will damage their bodies; an injection may feel like a hole that will leak. Using adhesive bandages, short simple explanations and play with dolls eases this fear. Separation is still a stress but less intense than in toddlers. They may also see illness as a punishment.
- A: Peer group loss is a fear of school-age children and adolescents.
- C: School worries belong to older children.
- D: Body image worry is mostly an adolescent concern.
Question 5 · Easy
Which set of vaccines is due at the 16-24 month visit under the UIP?
1. APentavalent-3, OPV-3 and fIPV-2
2. BMR-2, DPT booster-1 and OPV booster
3. CTd, vitamin A and DPT booster-2
4. DMR-1, PCV booster and vitamin A
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Answer: B · MR-2, DPT booster-1 and OPV booster
At 16-24 months the child receives the second MR dose, the first DPT booster and the OPV booster, with the second vitamin A dose (2,00,000 IU) and JE-2 where applicable. MR-1, PCV booster and the first vitamin A dose belong to 9-12 months. Pentavalent-3, OPV-3 and fIPV-2 are given at 14 weeks. Td starts at 10 years.
- A: These are the 14-week doses.
- C: Td is given at 10 and 16 years, and DPT booster-2 at 5-6 years.
- D: This is the 9-12 month visit.
Question 6 · Easy
Under the UIP, which vaccine is given at 10 years and again at 16 years?
1. ATd
2. BHepatitis B
3. CMR
4. DDPT
Answer and explanation in LearnFree account
Question 7 · Medium
Clark's rule calculates a child's dose by dividing the child's weight in pounds by:
1. A12
2. B1.7
3. C100
4. D150
Answer and explanation in LearnFree account
Question 8 · Medium
Under IMNCI, which of the following is NOT a general danger sign in a child aged 2 months to 5 years?
1. AVomits everything
2. BLethargic or unconscious
3. CNot able to drink or breastfeed
4. DFast breathing
Answer and explanation in LearnFree account
Question 9 · Easy
Under the national programme, how many doses of vitamin A does a child receive from 9 months to 5 years?
1. A7
2. B10
3. C9
4. D5
Answer and explanation in LearnFree account
Question 10 · Medium
On National Deworming Day, a child aged 1-2 years is given:
1. AAlbendazole 400 mg
2. BMebendazole 500 mg
3. CAlbendazole 200 mg
4. DIvermectin 3 mg
Answer and explanation in LearnFree account
Question 11 · Medium
Which vaccine should not be given to a child with symptomatic HIV infection?
1. APentavalent
2. BTd
3. CHepatitis B
4. DBCG
Answer and explanation in LearnFree account
Question 12 · Easy
To instil ear drops in a 2-year-old child, the pinna should be pulled:
1. ADownward and backward
2. BUpward and forward
3. CUpward and backward
4. DDownward and forward
Answer and explanation in LearnFree account
Question 13 · Hard
A 12 kg child is ordered amoxicillin 25 mg/kg per dose, twice daily. The syrup contains 250 mg in 5 mL. What volume is each dose?
1. A6 mL
2. B12 mL
3. C5 mL
4. D3 mL
Answer and explanation in LearnFree account
Question 14 · Medium
A nurse lets a 5-year-old give a pretend injection to a doll before his own IV cannula. The main aim of this play is to:
1. ATest his fine motor development
2. BHelp him express fear and gain control
3. CKeep him busy until the doctor arrives
4. DTeach him to give his own injections
Answer and explanation in LearnFree account
Question 15 · Medium
The shake test is done on a vial of pentavalent vaccine to find out whether it has been:
1. AKept past expiry
2. BExposed to heat
3. CFrozen
4. DContaminated
Answer and explanation in LearnFree account
Question 16 · Easy
Under the ICDS scheme, services for children under 6 years are delivered mainly through:
1. AAnganwadi centres
2. BGovernment schools
3. CDistrict hospitals
4. DPrimary health centres
Answer and explanation in LearnFree account
Question 17 · Hard
A 5-week-old is brought to a PHC feeding well, temperature 37.2 °C, but the umbilical redness extends onto the skin of the abdomen. How should the nurse classify this under IMNCI?
1. ANo bacterial infection
2. BLocal bacterial infection
3. CJaundice needing review
4. DPossible serious bacterial infection
Answer and explanation in LearnFree account
Question 18 · Easy
The national toll-free helpline for children in distress in India is:
1. A108
2. B104
3. C1098
4. D1091
Answer and explanation in LearnFree account
Question 19 · Easy
The Infant Milk Substitutes, Feeding Bottles and Infant Foods Act, 1992 aims mainly to:
1. AProtect and promote breastfeeding
2. BProvide free milk at anganwadis
3. CSubsidise infant formula for the poor
4. DFix the price of baby foods
Answer and explanation in LearnFree account
Question 20 · Hard
The adult dose of a drug is 300 mg. Using Fried's rule, what is the dose for a 6-month-old infant?
1. A12 mg
2. B100 mg
3. C1.2 mg
4. D2 mg
Answer and explanation in LearnFree account
Question 21 · Easy
Under the UIP, fractional IPV (0.1 mL) is given by which route and at which site?
1. AIntramuscular, left thigh
2. BSubcutaneous, left upper arm
3. CIntradermal, right upper arm
4. DOral, as two drops
Answer and explanation in LearnFree account
Question 22 · Easy
The preferred site for an intramuscular injection in an infant is the:
1. ADeltoid
2. BDorsogluteal
3. CVastus lateralis
4. DVentrogluteal
Answer and explanation in LearnFree account
Question 23 · Hard
After a power cut and a faulty thermostat, a nurse shakes a suspect Td vial with a frozen control vial. After 30 minutes the suspect vial has settled faster than the control. What should she do?
1. ADiscard the vial and report the cold chain failure
2. BUse it today because Td is heat-stable
3. CKeep it in the freezer for the next session
4. DShake it again and use it if it looks uniform
Answer and explanation in LearnFree account
Question 24 · Hard
A 14 kg child is ordered ceftriaxone 50 mg/kg IV once daily. A 1 g vial is reconstituted with 10 mL. How much should the nurse draw up?
1. A5 mL
2. B7 mL
3. C14 mL
4. D0.7 mL
Answer and explanation in LearnFree account
Question 25 · Medium
In an ice-lined refrigerator, which vaccines may be kept in the lower part of the basket?
1. AHepatitis B, fIPV and Td
2. BTd, PCV and pentavalent
3. CBCG, MR and OPV
4. DPentavalent, Td and Hep B
Answer and explanation in LearnFree account

Immunisation, IMNCI, child welfare and paediatric procedures

Under the UIP, the booster dose of pneumococcal conjugate vaccine is given at:

A 2-year-old in hospital for 4 days has stopped crying for his mother, is quiet and withdrawn and shows no interest in play. This stage of separation anxiety is:

Under the UIP, which vaccine is given to children only in districts endemic for a mosquito-borne viral encephalitis?

During hospitalisation, the main fear of a preschool child is usually:

Which set of vaccines is due at the 16-24 month visit under the UIP?

Under the UIP, which vaccine is given at 10 years and again at 16 years?

Clark's rule calculates a child's dose by dividing the child's weight in pounds by:

Under IMNCI, which of the following is NOT a general danger sign in a child aged 2 months to 5 years?

Under the national programme, how many doses of vitamin A does a child receive from 9 months to 5 years?

On National Deworming Day, a child aged 1-2 years is given:

Which vaccine should not be given to a child with symptomatic HIV infection?

To instil ear drops in a 2-year-old child, the pinna should be pulled:

A 12 kg child is ordered amoxicillin 25 mg/kg per dose, twice daily. The syrup contains 250 mg in 5 mL. What volume is each dose?

A nurse lets a 5-year-old give a pretend injection to a doll before his own IV cannula. The main aim of this play is to:

The shake test is done on a vial of pentavalent vaccine to find out whether it has been:

Under the ICDS scheme, services for children under 6 years are delivered mainly through:

A 5-week-old is brought to a PHC feeding well, temperature 37.2 °C, but the umbilical redness extends onto the skin of the abdomen. How should the nurse classify this under IMNCI?

The national toll-free helpline for children in distress in India is:

The Infant Milk Substitutes, Feeding Bottles and Infant Foods Act, 1992 aims mainly to:

The adult dose of a drug is 300 mg. Using Fried's rule, what is the dose for a 6-month-old infant?

Under the UIP, fractional IPV (0.1 mL) is given by which route and at which site?

The preferred site for an intramuscular injection in an infant is the:

After a power cut and a faulty thermostat, a nurse shakes a suspect Td vial with a frozen control vial. After 30 minutes the suspect vial has settled faster than the control. What should she do?

A 14 kg child is ordered ceftriaxone 50 mg/kg IV once daily. A 1 g vial is reconstituted with 10 mL. How much should the nurse draw up?

In an ice-lined refrigerator, which vaccines may be kept in the lower part of the basket?