Q.1 Which is the most important aspect of home care for a child with cerebral palsy?
Strict bed rest
Encouraging mobility and exercise
High-calorie diet only
Avoiding all physical activity
Explanation - Encouraging mobility and exercise helps improve muscle strength, joint flexibility, and overall functional independence in children with cerebral palsy.
Correct answer is: Encouraging mobility and exercise
Q.2 A child recovering from a fracture at home needs to avoid which activity initially?
Gentle physiotherapy
Weight-bearing exercises
Immobilization of the affected limb
Routine daily activities without strain
Explanation - Weight-bearing exercises can stress a healing fracture. Initial care involves immobilization and gentle physiotherapy as advised by the healthcare provider.
Correct answer is: Weight-bearing exercises
Q.3 Which assistive device is most appropriate for a child with lower limb weakness?
Wheelchair
Crutches
Hearing aid
Splint for the arm
Explanation - Crutches help support mobility in children with lower limb weakness while allowing gradual weight-bearing and independence.
Correct answer is: Crutches
Q.4 During home care, what is the primary goal for a child with a spinal cord injury?
Preventing skin breakdown and pressure ulcers
Limiting movement entirely
Providing only psychological support
Avoiding social interaction
Explanation - Children with spinal cord injuries are at high risk for pressure ulcers due to immobility. Skin care and repositioning are critical.
Correct answer is: Preventing skin breakdown and pressure ulcers
Q.5 Which factor is most important to assess before starting home rehabilitation for a child?
Family support and home environment
Child’s favorite foods
School attendance only
Child’s hair color
Explanation - Effective home rehabilitation requires an understanding of the family's ability to provide care and the suitability of the home environment.
Correct answer is: Family support and home environment
Q.6 Which therapy is commonly used to improve fine motor skills in children with developmental delays?
Occupational therapy
Chemotherapy
Speech therapy
Respiratory therapy
Explanation - Occupational therapy focuses on improving daily living skills, coordination, and fine motor abilities in children with developmental delays.
Correct answer is: Occupational therapy
Q.7 A child with muscular dystrophy should be encouraged to:
Engage in regular gentle exercises
Avoid all physical activity
Undergo complete bed rest
Consume only high-protein shakes
Explanation - Gentle exercises help maintain muscle strength and joint flexibility without causing fatigue or injury in children with muscular dystrophy.
Correct answer is: Engage in regular gentle exercises
Q.8 When teaching parents about home care for a child with a tracheostomy, which is essential?
Maintaining airway patency and suctioning
Using only oral medications
Avoiding handwashing
Keeping the child immobile
Explanation - Proper tracheostomy care at home is critical to prevent airway obstruction and infections, including regular suctioning and hygiene.
Correct answer is: Maintaining airway patency and suctioning
Q.9 Which is a primary goal of pediatric rehabilitation for children with neurological impairments?
Maximizing functional independence
Eliminating all physical activity
Prolonging hospital stay
Preventing school attendance
Explanation - Pediatric rehabilitation focuses on helping children achieve the highest level of independence possible in mobility, self-care, and daily activities.
Correct answer is: Maximizing functional independence
Q.10 For a child with severe burns at home, the nurse should emphasize:
Proper wound care and infection prevention
High-intensity workouts
Avoiding dressing changes
Limiting fluids
Explanation - Burn care at home focuses on preventing infection, promoting healing, and monitoring for complications while teaching caregivers proper dressing techniques.
Correct answer is: Proper wound care and infection prevention
Q.11 Which is the first step in preparing a child for home-based rehabilitation exercises?
Assessment of the child’s current functional level
Starting advanced exercises immediately
Ignoring child’s comfort
Reducing all fluid intake
Explanation - Before planning rehabilitation exercises, the nurse must assess the child’s baseline abilities to ensure exercises are safe and effective.
Correct answer is: Assessment of the child’s current functional level
Q.12 A child with hemiplegia following a stroke requires which home intervention?
Passive range-of-motion exercises for the affected side
Complete immobilization of affected limb
High-protein diet only
Avoiding all therapy sessions
Explanation - Passive exercises prevent joint stiffness, maintain muscle length, and promote circulation in the affected limb.
Correct answer is: Passive range-of-motion exercises for the affected side
Q.13 Which is a key consideration in home care for children using orthopedic braces?
Proper fit and regular skin checks
Wearing braces only at night
Ignoring skin redness
Frequent replacement every week
Explanation - Orthopedic braces must fit well and be monitored for skin irritation or pressure areas to prevent complications.
Correct answer is: Proper fit and regular skin checks
Q.14 When caring for a child with a chronic illness at home, the nurse should prioritize:
Developing a structured daily routine
Complete isolation from peers
Avoiding all medications
Restricting all outdoor activity
Explanation - Structured routines help maintain adherence to therapy, medications, nutrition, and rest, improving overall outcomes for children with chronic illnesses.
Correct answer is: Developing a structured daily routine
Q.15 Which is the most effective way to motivate a child during home-based rehabilitation exercises?
Incorporate games and play activities
Force exercises without breaks
Use punishment for non-compliance
Avoid praise or encouragement
Explanation - Using play-based interventions makes exercises enjoyable, increases compliance, and improves functional outcomes in pediatric rehabilitation.
Correct answer is: Incorporate games and play activities
Q.16 A parent asks how to prevent complications in a child with hemophilia at home. The nurse should advise:
Avoid trauma, monitor for bleeding, and administer factor replacement as prescribed
Encourage rough play to build strength
Stop all physical activity completely
Ignore minor bruises
Explanation - Children with hemophilia need preventive care to avoid bleeding episodes, prompt treatment when bleeding occurs, and proper factor replacement therapy.
Correct answer is: Avoid trauma, monitor for bleeding, and administer factor replacement as prescribed
Q.17 Which is the main goal of respiratory physiotherapy at home for a child with cystic fibrosis?
Clear airway secretions and improve lung function
Promote complete bed rest
Restrict fluid intake
Avoid medications
Explanation - Respiratory physiotherapy helps maintain airway clearance, prevent infections, and optimize respiratory function in children with cystic fibrosis.
Correct answer is: Clear airway secretions and improve lung function
Q.18 For a child with a feeding tube at home, the nurse should teach the caregiver to:
Maintain tube hygiene, proper positioning, and monitor for complications
Avoid checking tube placement
Feed only solid foods
Keep the child lying flat during feeding
Explanation - Proper care of feeding tubes prevents infections, ensures correct nutrition delivery, and minimizes complications.
Correct answer is: Maintain tube hygiene, proper positioning, and monitor for complications
Q.19 Which factor is most important in preventing falls in children with physical disabilities at home?
Safe home environment with removal of hazards
Leaving toys on the floor
Encouraging running indoors
Ignoring the need for mobility aids
Explanation - Modifying the home environment, such as clearing obstacles and providing handrails, is crucial to prevent falls in children with physical disabilities.
Correct answer is: Safe home environment with removal of hazards
Q.20 Which is the primary focus of nursing care for a child with a urinary catheter at home?
Preventing infection and ensuring proper catheter care
Allowing caregiver to clean rarely
Encouraging excessive physical activity
Ignoring catheter position
Explanation - Catheter care at home focuses on hygiene, monitoring for infection, and proper handling to prevent complications.
Correct answer is: Preventing infection and ensuring proper catheter care
Q.21 In home care, which intervention helps a child with developmental delay improve communication skills?
Speech therapy exercises and communication devices
Restricting verbal interaction
Avoiding play activities
Limiting social interaction
Explanation - Structured speech therapy and use of communication aids help enhance expressive and receptive language in children with developmental delays.
Correct answer is: Speech therapy exercises and communication devices
Q.22 Which of the following is a key consideration when teaching home caregivers of a child with epilepsy?
Recognize seizure triggers and provide first aid during seizures
Ignore seizure activity
Restrict all physical activity permanently
Avoid medications completely
Explanation - Caregivers must be able to identify triggers, respond appropriately during seizures, and follow prescribed medication plans to ensure safety.
Correct answer is: Recognize seizure triggers and provide first aid during seizures
Q.23 A child recovering from surgery at home requires which nursing focus?
Pain management, wound care, and monitoring for complications
Ignoring wound signs
Promoting high-intensity activity immediately
Restricting nutrition
Explanation - Postoperative home care involves managing pain, preventing infection, monitoring healing, and ensuring adherence to activity restrictions.
Correct answer is: Pain management, wound care, and monitoring for complications
Q.24 Which is an effective way to prevent contractures in children with limited mobility at home?
Regular passive and active range-of-motion exercises
Complete immobilization of joints
Ignoring limb positioning
Restricting all stretching activities
Explanation - Consistent range-of-motion exercises help prevent joint stiffness and contractures in children with limited mobility.
Correct answer is: Regular passive and active range-of-motion exercises
Q.25 When preparing a child for discharge after rehabilitation, the nurse should prioritize:
Caregiver education and home environment assessment
Leaving the family unprepared
Avoiding teaching exercises
Restricting follow-up visits
Explanation - Successful discharge requires that caregivers understand care routines, potential complications, and modifications needed for a safe home environment.
Correct answer is: Caregiver education and home environment assessment