Free NCK Practice Questions — 150+ Questions with Rationales

✓ Correct: Refer urgently for further assessment and management

A respiratory rate above 50 in a 2-year-old combined with chest indrawing meets IMCI criteria for severe pneumonia or very severe disease, requiring urgent referral for emergency management rather than routine follow-up.

✓ Correct: A soft, boggy uterine fundus above the expected level

Uterine atony — a soft, boggy fundus that is higher than expected for the time since delivery — is an early warning sign that should prompt immediate fundal massage and close monitoring, before heavy visible bleeding necessarily occurs.

✓ Correct: 8 doses

4,000 mg ÷ 500 mg = 8 doses maximum in 24 hours. At every-6-hour dosing, this aligns with 4 doses per day at the prescribed schedule, well within the maximum safe limit — but the nurse must always verify against the maximum daily dose, especially if other paracetamol-containing products are also being used.