1
NCK EXAMINATIONS PAST PAPERS
FOR PAPER 1, 2, 3 AND 4
(COMPLETE SOLUTIONS AND RESOURCES FOR THE COURSE EXAM FOR 2025/26)
Part I: Multiple Choice Questions (MCQs) – 20mrks
Q1.The following finding is suggestive of a pneumothorax in a patient with
chest trauma;
a)
b) Inspiratory wheezing
c) Dullness on chest percussion
d) Pronounced crackles
Q2. The primary reason for administering digoxin (Lanoxin) to a patient is to,
a) Relax the walls of the heart’s arteries.
b) Improve the strength of the heart beat.
c) Prevent irregularities in ventricular contractions.
d) Decrease inflammation of the heart wall.
Q3.The priority nursing diagnosis for a patient with heart failure and
pulmonary oedema is,
,2
a) Risk for infection related to stasis of alveolar secretions
b) Impaired skin integrity related to pressure
c) Activity intolerance related to pump failure
d) Constipation related to immobility
Q4. When preparing a patient for colonoscopy procedure the nurse should, a)
Perform a high colonic washout procedure the night before the
procedure b) Ensure the patient takes a high roughage diet with a
laxative the night before procedure
c) Educate the patient to report any “needle prick” sensations within
12 hrs after the procedure
d) Advise the patient to take low fiber diet for 1 week before the procedure
1
Q5. The characteristics of a “Cushingoid” appearance in Cushing’s
disease include,
a) Hypotension, Kussmauls’ breathing, hunch back &
diaphoresis b) Moon face, buffalo hump, central obesity &
thin musculature c)
Mood swings, slow wound healing, hypertension & tunnel vision d)
Flushing, brittle skin, abdominal pain and encephalopathy
Q6. The sensitivity part of a culture & sensitivity test is for the purpose
of, a) Identifying the causative organism for the infection diagnosed
b) Identifying the most effective antibiotics against the causative
,3
organism c)
Identifying the antibiotics that the patient is resistant to
d) Testing the concentration of antibiotic required to cure an
infection Q7. A client with a cataract would most likely complain
of,
a) Halos and rainbows around lights
b) Eye pain and irritation that worsens at night
c) Blurred and hazy vision
, 4
d) Eye strain and headache when doing close work
Q8. Indicate whether the following statements are True (T) or False (F) in
the provided answer sheet
a) Acute angle closure glaucoma is a medical emergency
b) In spinal injury there is complete anesthesia below the level of
injury Q9. The primary rationales for tube feeding for a client post total
laryngectomy due to cancer of larynx is to,
a) Meet dietary needs and prevent fistula formation
b) Maintain an open airway and prevent aspiration
c) Meet fluid & dietary needs and prevent aspiration
d) Prevent fistula formation and reduce aspiration
2
Q10. When a burn occurs in an adult,
a) Using rule of nine, right arm is calculated as being 18% & right leg 9%.
b) Capillaries & small vessels dilate, renal blood flow reduces
c) Fluid shifts from ICF to ECF space/compartment along with
potassium. d) Permeability of the kidney tubules increases
with oliguria
Q11. The following technique should be avoided when changing a
hemiparalysis clients’ position in bed;
a) Sliding the client to move her up in bed
b) Rolling the client onto her side
c) Lifting the client when moving her up in bed
d) Having the client lift herself off the bed using a trapeze
Q12. When a blood pressure (BP) reading is abnormal upon initial
NCK EXAMINATIONS PAST PAPERS
FOR PAPER 1, 2, 3 AND 4
(COMPLETE SOLUTIONS AND RESOURCES FOR THE COURSE EXAM FOR 2025/26)
Part I: Multiple Choice Questions (MCQs) – 20mrks
Q1.The following finding is suggestive of a pneumothorax in a patient with
chest trauma;
a)
b) Inspiratory wheezing
c) Dullness on chest percussion
d) Pronounced crackles
Q2. The primary reason for administering digoxin (Lanoxin) to a patient is to,
a) Relax the walls of the heart’s arteries.
b) Improve the strength of the heart beat.
c) Prevent irregularities in ventricular contractions.
d) Decrease inflammation of the heart wall.
Q3.The priority nursing diagnosis for a patient with heart failure and
pulmonary oedema is,
,2
a) Risk for infection related to stasis of alveolar secretions
b) Impaired skin integrity related to pressure
c) Activity intolerance related to pump failure
d) Constipation related to immobility
Q4. When preparing a patient for colonoscopy procedure the nurse should, a)
Perform a high colonic washout procedure the night before the
procedure b) Ensure the patient takes a high roughage diet with a
laxative the night before procedure
c) Educate the patient to report any “needle prick” sensations within
12 hrs after the procedure
d) Advise the patient to take low fiber diet for 1 week before the procedure
1
Q5. The characteristics of a “Cushingoid” appearance in Cushing’s
disease include,
a) Hypotension, Kussmauls’ breathing, hunch back &
diaphoresis b) Moon face, buffalo hump, central obesity &
thin musculature c)
Mood swings, slow wound healing, hypertension & tunnel vision d)
Flushing, brittle skin, abdominal pain and encephalopathy
Q6. The sensitivity part of a culture & sensitivity test is for the purpose
of, a) Identifying the causative organism for the infection diagnosed
b) Identifying the most effective antibiotics against the causative
,3
organism c)
Identifying the antibiotics that the patient is resistant to
d) Testing the concentration of antibiotic required to cure an
infection Q7. A client with a cataract would most likely complain
of,
a) Halos and rainbows around lights
b) Eye pain and irritation that worsens at night
c) Blurred and hazy vision
, 4
d) Eye strain and headache when doing close work
Q8. Indicate whether the following statements are True (T) or False (F) in
the provided answer sheet
a) Acute angle closure glaucoma is a medical emergency
b) In spinal injury there is complete anesthesia below the level of
injury Q9. The primary rationales for tube feeding for a client post total
laryngectomy due to cancer of larynx is to,
a) Meet dietary needs and prevent fistula formation
b) Maintain an open airway and prevent aspiration
c) Meet fluid & dietary needs and prevent aspiration
d) Prevent fistula formation and reduce aspiration
2
Q10. When a burn occurs in an adult,
a) Using rule of nine, right arm is calculated as being 18% & right leg 9%.
b) Capillaries & small vessels dilate, renal blood flow reduces
c) Fluid shifts from ICF to ECF space/compartment along with
potassium. d) Permeability of the kidney tubules increases
with oliguria
Q11. The following technique should be avoided when changing a
hemiparalysis clients’ position in bed;
a) Sliding the client to move her up in bed
b) Rolling the client onto her side
c) Lifting the client when moving her up in bed
d) Having the client lift herself off the bed using a trapeze
Q12. When a blood pressure (BP) reading is abnormal upon initial
